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Dr K K Aggarwal

Why do we Flame Camphor in any Pooja?

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No Aarati is performed without camphor. Camphor when lit burns itself out completely without leaving a trace of it.

Camphor represents our inherent tendencies or vaasanas.  When lit by the fire of knowledge about the self the vaasanas burn themselves out completely, not leaving a trace of ego.

Ego is responsible for a sense of individuality that keeps us separate from the Lord or consciousness.

Apart camphor when burns emit a pleasant perfume. This signifies that as we burn our ego we can only spread love and nothing else.

Is Caffeine Good For The Health?

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 1. Caffeine is the most consumed stimulant in the world,

2. It is consumed in the form of coffee and tea.

3. At present there is no scientific data for promoting or discouraging coffee and/or tea consumption in the daily diet.

4. Short term benefits include mental alertness and improved athletic performance.

5. Short term adverse effects including headache, anxiety, tremors, and insomnia.

6. Long term adverse affects include generalized anxiety disorder and substance abuse disorders.

7. Long-term benefits are dose-dependent. Caffeine is associated with a reduced risk of Parkinson disease, Alzheimer disease, alcoholic cirrhosis, and gout. Both caffeinated and decaffeinated coffee are also associated with a lower risk of type 2 diabetes.

8. Heavy coffee intake may trigger coronary and arrhythmic events in susceptible individuals, although coffee intake is not considered a long-term risk factor for myocardial disease.

9. Most studies show a modest inverse relationship between coffee consumption and all-cause mortality.

10. Caffeine withdrawal is a well-documented clinical syndrome with headache being the most common symptom. [Source uptodate)

The Science behind Violent Communication – The Hate Speech by Owaisi

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The hate speech by MIM leader Akhruddin Owasi prompted me to revisit the subject of non-violent communication. The basic Vedic teaching is that we should be non-violent in our thoughts, action and speech.

The violent speech is often described with 3 Cs i.e. condemnation, complaint and criticism. Anything which is based on facts, spoken as it under quote unquote, and is based on observations is non-violent in nature.

For example, if you are to talk about a leader, say XYZ, you should start with ‘in my opinion’ this leader is perfect in all respect. If you do not personalize your remarks, it will amount to making judgments which means that we want all our listeners to agree to our views which may create conflict and end up into violence.

One should always give benefit of doubt while communicating. For example, never say “he insulted me” but always say that “he spoke some words and I got hurt”.

Lord Buddha described three components of right speech – (1) is it the truth? (2) is it necessary? and (3) is it kind?  The current speech of Owaisi may have been his personal opinion but the way it was communicated, it made his communication violent and he ended up in jail. His statements were neither based on facts, nor were necessary and kind.

Gossip which is talking about somebody in his or her absence without facts is another form of violent communication.

Recall a few recent statements of people which created controversy.  A recent statement by an Indian politician that Biwiyan umar ke saath dhal jaate hain, may be his personal opinion but the way he had put it, it became a judgmental statement which was rejected by the collective consciousness of the people.

The recent statement of a soc called spiritual Guru that Taali ek haath se nahin bajti, again is a violent communication. The recent statement of RSS Chief that rapes happen only in India and not in Bharat, is also a violent communication as it was not based on facts.

In health advertisements, it is always taught to us that whenever we are communicating a message, it should be in the language of the public which they can understand, based on facts, is necessary and is field tested. The words ‘field tested’ involve that you randomly get the statement vetted by people across the population and see to it that it is acceptable. If the statement is rejected by the collective consciousness of the group you have surveyed, it is likely that it will be rejected by the collective consciousness of the entire population and should not be spoken.

It is clearly written in mythology that the words are like arrow in a bow, once released they never come back.

Dr K K Aggarwal is Padmashri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA

You Can Die Because Of Treatment and Availability of Medical Technology

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Medscape gives the following ten examples

1. Surgical Fires: There are an estimated 600 surgical fires per year in US alone leading to devastating consequences, including disfigurement and death. The fire triangle is  oxidizers, ignition.

2. Texting While Performing Surgical Procedures:Mobiledevices now make it easier for clinicians to be interrupted for non-work-related reasons. Half of the respondents to a 2010 survey of perfusionists acknowledged texting during heart-lung bypass procedures 2]with 15% further admitting that they accessed the Internet and 3% reporting that they visited social networking sites during procedures. These devices can can divert the caregiver’s attention away from the patient or the task at hand.

3. Dirty Endoscopes and Surgical Instruments: Cross-contamination hazards can  occur when flexible endoscopes aren’t properly reprocessed.

4. Using Technology for Adults on Children: Technology designed for adults are used on children as no alternatives exist. They can be risky

5. Air Embolism Hazards: Intravascular air embolism is a potentially lethal complication of certain medical and surgical procedures. The largest percentage of reported events is associated with the use of central venous access devices.

6. Devices and IT Systems That Don’t Interface: Interfaces between medical devices don’t always function as intended and can allow dangerous conditions to exist. For example monitoring system may not communicate audible or visual alarms from an interfaced ventilator to warn caregivers of a critical patient circuit disconnection.

7. Patient Data Errors in EHRs and Health IT: One patient’s data can end up in another patient’s record.

8. Radiation Burns From Diagnostic Radiology Procedures: Inappropriate use and dose levels of CT can lead to unnecessary radiation exposure for patients. Image quality typically improves as the dose increases. As a result, there is a tendency to use higher doses that are associated with greater risk to the patient. Acute reactions such as radiation burns and hair loss are relatively rare but still occur too frequently.

9. Medication Administration Errors Using Infusion Pumps: Infusion devices are the subject of more adverse incident reports to the US Food and Drug Administration than any other medical technology, according to the Association for the Advancement of Medical Instrumentation. From 2005 through 2009, more than 700 deaths associated with infusion devices were reported.

10. Alarm Hazards Alarms on infusion pumps, ventilators, and other devices; sheer number of alarms in a hospital can overwhelm staff, leading to complacency and delayed response. Caregivers often turn down the volume of alarms. Too many alarms sounding, can lose its purpose.

Bharat versus India

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Dr. DPS Toor is a surgeon friend of mine who always says that he practices in ‘Bharat’ and not in ‘India’. He provides all surgeries @ Rs. 6,000/- .

His concept was appreciated by me and I also started dividing my society into ‘India’ and ‘Bharat’. For me, Indians are the ones who live a western lifestyle and the Bhartiya are the ones who follow the traditional Bhartiya lifestyle observing all customs and rituals.

There are diseases linked to western life style and culture and were absent in our mythology era. The examples are heart attack, diabetes, blood pressure etc. People who observe traditional mythological fasts and do not eat cereals on the fast days do not or suffer less from lifestyle disorders.

Statement of RSS Chief Mohan Bhagwat that ‘rapes happen inIndiaand no in Bharat’ is not acceptable to the society and, therefore, became a controversy of the country. The collective consciousness of the people rejected this statement.

Even in our mythological era, we had cases of abduction (not rape) both in Mahabharata and Ramayana.

In the era, when India was ruled by Emperors, in some cases, cases of a newly married women forcibly spending her first night with the emperor has been described in the history.

Medically, sexual urges have nothing to do with poverty or westernization. Sexual urges are universal phenomenon.

If you see the statistics ofDelhi, maximum cases of pending sexual assault are seen in North East Delhi (152) and North West Delhi (154). Out of 1034 cases pending inDelhi, 25% belong to these two areas. In both these areas, we have a large number of JJ Clusters.

Also over 70% cases of sexual assault cases are reported from JJ clusters.

Whether ‘Indian’ or ‘Bharatiya’, every girl in the society has a right and has the freedom to live the way she wants and with a right to be safe.

Dead Rat in Hostel Meal, Kids Take Ill

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Some children took severely ill when a dead rat was allegedly found in dinner served at a government residential school in Hardauli village in Banda district on Sunday. The students started vomiting after which a team of government doctors was rushed to the school. The students are feeling better now reports TOI.

In this case it looks like the people vomited after they came to know about the rat and not because of the rat poisoning. If the rat is boiled and cooked in the food it cannot cause poisoning. If a dead rat is put in the boiled food again it is unlikely to cause poisoning. In any way if it was poisoning it was staph bacteria poisoning, which is self-limiting and causes no death.

One can classify food poisoning depending on the onset of symptoms as follows:

  • Rapid symptoms within 6-12 hours: are due to organisms that make a toxin in the food before the food is consumed. Symptom is predominantly vomiting. Examples are Staphylococcus aureus, Bacillus cereus emetic toxin and botulism.
  • Symptoms after 24 hours: are due to pathogens that make toxin once they have been ingested. They mainly cause diarrhea that may be watery (Vibrio cholerae or E. coli) or bloody (Shiga toxin-producing E. coli).
  • Symptoms after variable time: are due to microbes that cause pathology by either damaging the epithelial cell surface or by actually invading across the intestinal epithelial cell barrier. They can produce a wide spectrum of clinical presentations from watery diarrhea (Cryptosporidium parvum, enteric viruses) to inflammatory diarrhea (Salmonella, Campylobacter, Shigella) or systemic disease (L. monocytogenes).

Food poisoning can also be classified depending on the type of symptoms vomiting or diarrhea.  A sudden onset of nausea and vomiting is likely due to the ingestion of a preformed toxin, such as S. aureus enterotoxin or B. cereus emetic toxin, or a chemical irritant. There is no risk of person-to-person spread.

When the poisoning presents with diarrhea, the organisms are V. cholerae, Clostridium perfringens, enterotoxigenic E. coli, B. cereus, rotavirus, astroviruses, enteric adenoviruses and Noroviruses, and the parasitic organisms, Cryptosporidium parvum and Cyclospora cayetanensis.

There are clinical clues that should increase suspicion that a food-borne microbe is causing inflammatory diarrhea. Such symptoms and signs include: Passage of diarrhea with blood or mucus; presence of severe abdominal pain and occurrence of fever. The most likely pathogens in patients with inflammatory diarrhea are Salmonella or Campylobacter.

Paste CPR mantra in every notice board of schools

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Conducting a Hands Only Hands on CPR 10 camp at St. Froebel Public School, Paschim Vihar, Padma Shri & Dr. B C Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India & National Vice President Elect IMA, said that origin of CPR in our country goes back to our mythology when Savitri saved Satyavan as the first person in the history of mankind.

Over 1000 school children were trained on the spot.

Dr. Aggarwal said that the CPR mantra “within 10 minutes of death (earlier the better), at least for the next 10 minutes (longer the better – upto 25 minutes in adults and 35 minutes in children), compress the centre of the chest of the victim effectively and continuously with a speed of 10×10 i.e. 100 per minutes” should be pasted in every school and college wall. He said that all security persons, PCR vans should be taught Hands Only CPR because they are the first ones to arrive whenever there is a incidence of sudden death. Dr. Aggarwal said that CPR technique should be incorporated in the school syllabus.

About HCFI : The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 26098 people since 1st November 2012.

You look people the same way as you are

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Honest people look everybody as honest and dishonest people look everybody as dishonest. It all depends on the type of people you interact with. If you do not take bribe, nobody will come and offer bribe to you and you will feel everybody is honest. If you take bribe then everybody will come to you to offer bribe and you will feel that everybody in the society is dishonest.

Never judge people with you personal experience. I recall one of the doctors said that every doctor takes and gives bribe because he was running an imaging centre and every doctor who approached him asked for a bribe. But he did not take into consideration the doctors who did not approach him.

 

 

Yesterday: What a great combination

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Sunday (sun)
Full moon (Moon)
Purnima (salt and water retention, salt restricted diet, high tides)
Dry winter (more alpha activity, more upper blood pressure, more pulse rate)
Uttarayana (positive state of mind)
Magh month ( time for vitamin D, increased fertility, marriages, eat sesame, sunbath)
Kalpwas month (disciplined one month)
Allahabad sangam (incubation period, away from routine stress, self confession).

This Sunday came after 148 years.

 

Were we more western in our mythological era?

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The answer is ‘yes’.

India was much more advanced than today’s western culture in our mythological era. Following are the examples:

There were incidents of unmarried pregnancy (Kunti in Mahabharata); of polygamy i.e. a person having more than one wife (Dashrath) and polyandry i.e. a woman having more than one husband (Draupadi); of separation without divorce (Ram and Sita); of live-in relationship (Radha and Krishna, they are still worshipped today together in any temple0; OF fight between brothers (Mahabharata); of fights for properties (Mahabharata); of friendships with girls (Krishna).

One way to understand mythology is to co-relate it with the human body mind and soul with internal Ramayana or internal Mahabharata where Krishna and Rama both indicate consciousness and Kans and Ravana as ego.

But if we take them as the human beings, then probably they live in more advanced era.

There were examples of brain transplant (Ganesha), surrogacy (birth of Balrama), IVF (birth of Kartikaya), asexual reproduction through pluripotent stem cells (Ganesha) and IUI (birth of many via Bhabhuti)

These are only personal views of the author.

Help the victim do not worry about the police

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The Delhi Police have released an adv assuring citizens they can now rush a trauma victim on city roads to hospital and leave immediately, with or without revealing their identity.

The adv says “The priority is the victim. So, now save a life readily, it is free of harassment.”

It reads: When seconds count, questions don’t.

Saving an accident victim is now easy. The very first golden hour is critical, it decides the victim’s fate.

Police is also reaching out to hospital staff and doctors.

Doctors have no business questioning a Good Samaritan. They should focus on the victim. There’s no need to wait for the police to reach the hospital before accepting a medico-legal case.

There are clear directions from the Supreme Court that doctors in government and private hospitals must promptly attend to accident victims without waiting for the police to arrive. [Source TOI]

Both the movies talked about the main importance of life. While 3 Idiots tells that one should listen from the heart.

When you listen from the heart, you may face difficulties but you can make impossible as possible by following the lesson from the Movie Om Shanti Om which tells, “Kehte hain agar kisi cheez ko dil se chaho to saari kayanath tumhe usse milane ki koshish me lag jaati hai…”.

This is what the principle of Synchrodestiny is. Whatever you decide honestly and if it is positive automatically people start getting attached to it to make it a success. Anna Hazare’s movement against corruption is a classical example. He came with a common cause to fight corruption and everybody started joining him.

Should National and State Languages Be Made Compulsory?

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There are three languages a person should know in any country: A language which everybody in the world can understand, a language which everybody in the country can understand and, finally, a language which everybody in his State can understand.

I was recently in Kanyakumari where I took over as the National Vice-President (Elect) of Indian Medical Association. I met there a lot of local doctor friends. Most of them could not understand, read or speak Hindi. They were speaking either English or Tamil.

I wonder as to how people who do not know English can communicate with them. They do not know Hindi and people in northIndiamay not know Tamil.

It is, therefore, important that Government of India should come out with a uniform policy of a national language and a state language. It should be compulsory for every person to know both national as well as sate language.

Obviously with no exception national language can only be Hindi as it is recognized as the National language by the Government of India. English cannot be our national language but it should be learnt by everybody if you want to compete globally as practically every country has accepted English as a common language when it comes to international relations.

There is no denial that regional languages should be permitted and continued but it should not look like that you are living in a country with multiple small countries within.

Will the so called law makers or policy makers think about it or again someday some of the Supreme Court judges will have to force the Government to make uniform policy?

Why different reactions to the same feeling?

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If your son commits a mistake and sleeps with a girl, your approach is protective. You will never ask the son to leave the house. Similarly, if your daughter commits the same mistake, then also you never take action or take her out with all legal rights. In both the situations, you approach is protective.

But your approach is destructive if the same thing happens with your wife or husband. Husband will not tolerate their wife having an affair with some one else.

Why follow the post mortem report

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In the last Consultant-cum-management Joint Meeting held at Moolchand Hospital, the Medical Director of the hospital issued a statement that as per the requirement of National Accreditation of Boards of Hospitals, it is the duty of the hospital to follow the autopsy report, if done, from the Police.

The duty of the hospital is not over by handing over the file to the Police, if the patient was treated in their hospital.

I can only explain it under two reasons, firstly, by following up of autopsy report, the hospital can correlate their findings, learn their mistakes and improve in their future protocols.

The second reason I can narrate by way of an example. Long time back, there was a murder of the wife of a senior resident in Anesthesia in our Hospital. On the complaint of the parents of the murdered girl, the hospital Anesthetist was arrested under the Dowry Death Act.   He remained in Tihar Jail for over a year when on humanitarian ground, one of our consultants visited Tihar Jail and looked at the file of the case of the doctor who in the past one year had not appeared in the court even once as every time there was a date and the court used to say ‘adjourned’.

When he looked at the file, the post mortem report had shown that the girl was raped before death as sperms were detected in her female sex organs and these sperms’ DNA did not match with that of the Anesthetist doctor.

The very next hearing the doctor was released for not being found guilty in the case. Had the hospital, followed post mortem report, the case would have been solved within the initial few dates.

In more than 30 years of my career, I have not seen any hospital following this but being a requirement of NABH recognition, I think it will not only updated by medical profession but save situations like this as stated above.