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Dr K K Aggarwal

Alcohol Takes Your Power Of Judgment Away

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Under the influence of alcohol, you may lose your power of judgment. I recall one of my friends who shot himself under the influence of alcohol after his wife refused to cook food for him and his friends at 11 pm. When he said, “mujhe khana do nahin to mein khood ko shoot kar lunga”, to which she said, “shoot kar lo” and he shot himself.

Under the influence of alcohol, your crime becomes less severe. In the present gang rape case, all the accused persons were under the influence of alcohol but they were not caught at the same time. If they were caught with alcohol in their blood, their crime would have become less severe than what it would have been if alcohol was not found.

If alcohol is the major culprit than the person who invites people to drink alcohol should be punished as he was very well aware that he was inviting others to drink alcohol and after drinking alcohol, when they lose their judgment power and they may misbehave with others and indulge in violence.

If you invite people at home for alcohol party, it is your duty:

i. Not to serve more than 80 ml of alcohol

ii. Not to serve alcohol to people who have come without drivers and are going to drive back

iii. Or take their keys in your possession and get they dropped after the party

iv. Never serve alcohol to drivers and other peoples who are going to drive.

Drunken man is like a snake or an injured lion. Never heart ego of a person who is under the influence of alcohol. He may hurt you. In Ayurveda, there are three types of people Vata Pitta and Kapha. People with Vata personality can get drunk with limited amount of alcohol and people with Kapha personality can be sober even after a large drink of alcohol.

Under the influence of alcohol a person usually does not speak a lie and hence starts speaking truth which can provoke others if it does not go well with them.

However, if a drunken man commits a crime or is confronted with a powerful muscular man or a policeman, he often comes back to his senses.

Preventing Death Due To Hypothermia

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People can die of hypothermia in this season. Imagine a situation when you come across two people lying in a JJ cluster area with no clothes early in the morning. One of them is shivering and the other one is not. The one who is shivering indicates that his body is trying to compensate with the low body co-temperature.

The other one, who is not shivering, may be dead, dying or normal.

Recall your naturopathy teaching “Sar Thanda, Pet Naram and Paon Garam”. If the sole of the feet and the feet are cold and the person is not shivering, this is a medical emergency. On the contrary, if the person is not shivering and the feet are warm, it is not medical emergency.

Therefore, hypothermia with no shivering and hyperthermia with no sweating are bad signs.

 

Indian government is envisaging compulsory treatment of some sex offenders with antiandrogenic drugs, commonly referred to as chemical castration.

Laws in several American states allow compulsory medical treatment of offenders who have committed serious sex offences. Chemical, as well as physical, castration of sex offenders takes place in psychiatric hospitals in theCzechRepublicunder the legal framework of “protective treatment.” Meanwhile, inEnglandthe Department of Health is supporting an initiative to facilitate the prescription of drugs on a voluntary basis for sex offenders in the criminal justice system.

Demand for the prescription of antiandrogens or physical castration for sex offenders is a common reaction by lawmakers and politicians when a high profile sexual crime is committed.

Whether medical or surgical, the procedure requires the participation of doctors. It also shifts the doctor’s focus from the best interests of the patient to one of public safety.

Antiandrogenic drugs and physical castration undoubtedly reduce sexual interest (libido) and sexual performance, and they reduce sexual reoffending.

Physical castration of sex offenders was carried out in several European countries in the first part of the 20th century.

Nowadays drugs are usually used alongside psychological treatment).

The main drugs used are cyproterone acetate (in the United Kingdom, Europe, and Canada); medroxyprogesterone (in the United States); and increasingly the more expensive but possibly more potent gonadotrophin releasing hormone agonists such as leuprolide, goserelin, and tryptorelin.

Although these drugs act in different ways, they all reduce serum testosterone concentrations in men to prepubertal values.

Castration, however—whether chemical or physical—is associated with serious side effects, including osteoporosis, cardiovascular disease, metabolic abnormalities, and gynaecomastia. Physical castration is mutilating and irreversible, and it carries the potential for serious psychological disturbance, although some offenders request it nonetheless.

Is there a clear medical rather than social reason for prescribing powerful drugs.

When the intensity or ability to control sexual arousal is the presenting feature—whether it manifests as frequent rumination and fantasy or strong and recurrent urges—then treatment directed towards the biological drive makes sense.

Treatment protocols can then be based on the medical indication (remembering that drugs other than the antiandrogens, such as selective serotonin reuptake inhibitors, can also be effective, particularly when sexual rumination is the presenting problem) rather than on risk.

When drugs work the clinical effect is often dramatic, with offenders reporting great benefit from no longer being preoccupied by sexual thoughts or dominated by sexual drive. These drugs can also allow offenders to participate in psychological treatment programmes where previously they may have been too distracted to take part. Given the transparency of benefits and risks, there is no obvious reason why an offender should not be able to make an informed choice about drugs. [Source BMJ, 2010]

Man Vachan Kaya

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Man vachan kaya are the three fundamental principles used to define non-violence (ahimsa) and truthfullness (satya). Being truthful means whatever you are thinking, speaking and doing, it is the same.

You should be one in whatever you think, do or speak. Ahimsa is the fundamental principle of Jainism which means you should be non-violent not only in your actions but also in your speech and thoughts. Being truthful makes you Satyugi.

 Only in certain circumstances, you may differ in your thinking, speech and actions. For example, you cannot tell a patient he is going to die in the next week. Here your mind may be saying something, your speech and actions will be something else.

Any discordance in Man Vachan and Kaya ends up with guilt and suppress emotions which later on can cause blood pressure, diabetes and heart disease.

How to Eat Less And Stay Healthy?

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Vedic science, Ayurveda, Homeopathy, Naturopathy, Allopathy all talk about eating less to stay healthy. Following are the ways to eat less:

1.The brain gets a signal that you have eaten only after 20 minutes, therefore, chew every bite of food at least 15 times. It not only provides enough hormones for enzymes but also sends signals to the brain. Therefore, the time spent per meal should be 20 minutes.

2. The taste buds are only on the tip and side of the tongue. If you gulp food, the brain will not get signals. Eating small pieces and chewing them properly also sends the signals through the taste buds.

3. The size of the fullness of the stomach also decides how much one can eat. The brain gets signal only when the stomach is 100% full. Therefore, one should not overeat and full the stomach to its size. Also if you eat less and over a period of time the size of the stomach will get shrunken.

 

The spiritual meaning of the word ‘Artha’

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Dharma Artha Kama and Moksha are the four fundamental principles of our very existence which means earning righteously with a desire to fulfill the inner happiness.

Righteous earning is called ‘Artha’ and mistakenly it is linked to materialistic money. In mythology Artha is synonymous with Lakshmi, Saraswati and Kali where Lakshmi represents righteously earned materialistic wealth, Saraswati represents wealth of knowledge and Kali represents wealth of wisdom to fight the bad in you and in the society.

In any country, it is the wealth of knowledge which is more important. India was ruled initially by warriors (Kali), later by money (Lakshmi) and in future will be ruled by knowledge (Saraswati).

It is the human resources which today decide the growth of a company and the amount of money invested. If you have good human resources, your company is going to succeed.

Gaining Weight Losing Strength Versus Losing Weight Gaining Strength

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When we gain weight, we must acquire more strength and when we lose weight, we must lose the strength. This is a fundamental medical principle.

If we gain weight and feel week, it is a disease and when we lose weight and gain strength, we are recovering from the disease. One is not supposed to gain more than 5kg of weight after the age of 20 years. Any weight gain after that will only be due to accumulation of fat which leads to insulin resistance.

Insulin resistance does not allow food to convert into energy. In the state of insulin resistance, whatever you eat, it is converted into fat. As it is not converted into energy and you feel week. When you reduce insulin resistance by drugs or walking the metabolism becomes normal and whatever you eat gets converted into energy and you start gaining strength.

Dr. KK Aggarwal, Vice President-Elect IMA

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Padma Shri & Dr.BC Roy National Awardee, Dr. KK Aggarwal took over as National Vice President (Elect) of the Indian Medical Association. The 2-year term will include the first year as Vice President (Elect) and the second year as Vice President

In the past, Dr. Aggarwal has served the National IMA as its Academic and Research Wing Head and also Finance Secretary.

At the State level, Dr. Aggarwal has served as President of Delhi Medical Association and President, Indian Medical Association, New Delhi Branch for three years.

Dr. Aggarwal said that today there are several issues concerning the medical profession. One of them is to provide affordable quality health care to people across the country. Today, if a person gets heart attack, he will not get the few basic same treatments at different setups and locations where he happens to reach with acute heart attack.

1.There are two types of people who believe in Dvaita or Advaita philosophy.

2. People who believe in Dvaita philosophy, for them God and human being are different.

3. The people who believe in Advaita philosophy believe that God is within them.

4. In Hinduism, the first group believes in Sanatan Dharma and does Moorti pooja and second one Arya Samaj who do not indulge in Moorti pooja.

5. In both situations, medically the message is one.

6. If God is different than you, then you try to be like Him and if God is in within you, then you are Him.

7. In both situations, we should deal with our body the same way as we deal with God.

8. Anything which is not offered to God we should not offer to our body. The examples are cigarette, drugs etc and or such things should be consumed in less quantity (onion, garlic, radish etc.).

9.      We never worship God with hydrogenated oil; we always worship him either with oil or with Desi Ghee. The message is we should not consume transfat.

10.  “Bhagwan ko bhog lagate hain” and we never feed the God. The message is, we should eat less.

11.  Amongst all Gods, only Lord Shiva is said to consume Bhang and Alcohol that too only in Bhairon incarnation which indicates that both alcohol and bhang can be consumed in some quantity only in special situations that means that they cannot be consumed without medical supervision.

12.  Anything grown under the ground is not offered to God, thus, these items should not be eaten or eaten in moderation.

13.  We never offer God white salt and white rice. They are bad for human beings also.

14.  Gur, shakkar, brown rice and puffed rice are offered to God. They can be consumed by human beings.

Alcohol: Benefits Vs Risk

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There is consensus that non drinkers should not start and the ones who drink can continue provided they do so in moderation and in absence of contraindications. People tend to consume more alcohol in winter and near the New Year.

  • Persons who have been lifelong abstainers cannot be easily compared with moderate or even rare drinkers. Recommending alcohol intake to them even if they would agree to drink is not justified.
  • The diseases that moderate alcohol use prevents (such as coronary heart disease, ischemic stroke, and diabetes) are most prevalent in the elderly, men, and people with coronary heart disease risk factors. For these groups, moderate alcohol use is associated with a substantial mortality benefit relative to abstention or rare drinking.
  • For young to middle-aged adults, especially women, moderate alcohol use increases the risk of the most common causes of death (such as trauma and breast cancer).
  • Women who drink alcohol should take supplemental folate to help decrease the risk of breast cancer.
  • · Men under the age of 45 may also experience more harm than benefit from alcohol consumption. In this age group, moderate alcohol use is unlikely to provide any mortality benefit, but consumption of less than one drink daily appears to be safe if temporally removed from operation of dangerous equipment. For individuals with established contraindications to alcohol use, even this level of alcohol use is dangerous.
  • Men can tolerate more alcohol than women. The ideal therapeutic dose of alcohol is around 6 grams per day. Medically safe limits are 10 grams in one hour, 20 grams in a day and 70 grams in a week. (50% for the women).

1. One day I asked one of my patients whether you smoke or not. He said, “Kabhi kabhi cigarette peeta hoon.” I wrote on my file he smokes occasionally. His wife got upset and asked me to ask him, “What does he mean by ‘Kabhi kabhi peeta hoon’?” When asked he said that he does not smoke all the time “kabhi kabhi to ghante nikal jate hain aur me nahi pita” (some time sits hours that I do not smoke)

2. One day a patient came to me after three months and said, “Doc three months back I was having fever and you had told me not to take any bath. All this while, I was busy and could not come to you. Can I take a bath now?”

3. Chod diya. A patient came with his wife and the wife asked me to ask the patient, “Cigarette Chod do”. I also counseled and said, “Cigarette Chod do”. A few weeks later, he said, “Chod diya.” There are four meanings of Chod diya:

i. Biwi ko Chod diya

ii. Doctor ko Chod diya

iii.Dono ko Chod diya

iv. Cigarette ko Chod diya

4. After an echo test, one of my patients asked a technician, “can I eat?” and my technician told, “You can eat after one hour.” A few minutes later, the patient came to me and asked me the same question without telling me that he had already asked my technician. I said, “You can eat.” He said, “Your technician said after one hour.” I was in embarrassing position. I said to make it light, “he told for you not to eat for one hour and not for the patient.”

5.  One of my patients said that he never drinks more than three pegs. His wife said, “Don’t believe in him. After three pegs he does not remembers how many pegs he drinks.”

6. There are funny examples of cigarette smoking:

i.  Smokers do not grow old (as they die in young age)

ii.  Smokers do not get second heart attack (most die in the first attack)

iii. Smoking cures cancer (most smoke related lung cancers have only six month’s life)

iv. Thieves do not come into the smoker’s house as he coughs throughout the night.

v.Smokers’ brothers do not fight for property (their property has already gone to hospitals for treatment of smoking related disorders)

vi. Smoker’s wife does not suspect him (smoking leads to impotence).

Can Cardiac Death Occur After A Blunt Injury?

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The postmortem report of Delhi police constable Subhash Tomar has reportedly stated that the cardiac arrest was precipitated by blunt injuries to his neck and chest.

Constable Tomar who died at RML Hospital in Delhi probably died of a heart attack. Whether or not he sustained some injuries from the protesting crowd, it cannot be denied that he was received in hospital in a state of cardiac arrest. He was revived for some time but ultimately succumbed to the consequences of cardiac arrest.

So can blunt injury precipitate sudden cardiac death? Commotio cordis is an event, which occurs as a result of a blunt, non-penetrating and often innocent-appearing blow to the chest wall directly over the heart. This induces instantaneous ventricular fibrillation leading to sudden cardiac arrest. The person collapses and stops breathing. It becomes crucial to act fast. Immediate cardiopulmonary resuscitation (CPR) and if available, use of automated external defibrillator (AED) will help revive the patient. If not, the outcomes are tragic with sudden cardiac death.

This incident again is a reminder of the fact that all of us need to learn CPR and act in time. A successful resuscitation is only possible if it is done by bystanders within 10 minutes of death, earlier the better.

Remember the CPR mantra “within 10 minutes of death, earlier the better, at least for the next 10 minutes, longer the better, compress the centre of the chest of the victim effectively and continuously with a speed of 10×10 i.e. 100 per minute.”

Why Hindu Marriages Are Held In Night?

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Originally, Hindu marriages were always held in daytime. As per Vedic knowledge and Bhagavad Gita, auspicious time is in Uttarayana, before full moon, in daytime and near agni and light. Medically, you are more mentally positive during this period. Marriage were shifted in the night only during a particular era a few hundred year back when kings of that era were ruthless and used to pickup young good looking women to spend night with them. To escape from them, people started getting their doctors married in night time so that their daughter is not divulged to the king’s soldier.

Biggest Cardiology Stories of 2012 from Heart Wire – Hypertension

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The hottest thing right now is renal-nerve denervation.

When you cut the renal nerve, you are cutting the signal from the kidney back to the brain and the rest of the body. That is what is bringing down the blood pressure; the kidney is in a way regulating the sympathetic nervous system and telling the brain what to do.

 

Never Hurt Ego of a Person

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It is a well known Vedic fact that if you hurt ego of a person, he will never forgive you, especially, if you have insulted or implicated him in character assassination, cast implications, financial embezzlement or in public, you call a woman as old or a man as impotent.

For example, if I hurt ego of a chowkidaar, next time if a patient comes to the hospital gate and asks where Dr. KK Aggarwal is, he only has to whispery, “which Aggarwal, whose cases never survive?”

Also never hurt the ego of a person who is drunk. Under the influence of alcohol, a person loses his capacity to judge persons and situations. If you provoke him, he can be destructive and aggressive.