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Dr K K Aggarwal

Preventing death due to hypothermia

By Dr K K Aggarwal
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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.

Alcohol takes away your power of judgment

By Dr K K Aggarwal
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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. He said, “mujhe khana do nahin to mein khood ko shoot kar lunga“, to which she replied, “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:

• Not to serve more than 80 ml of alcohol
• Not to serve alcohol to people who have come without drivers and are going to drive back, or
• Take their keys in your possession and get them dropped after the party
• Never serve alcohol to drivers and other people who are going to drive.

A drunken man is like a snake or an injured lion. Never hurt the 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.

Exercise: a prescription

By Dr K K Aggarwal
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  • Reduces the chances of getting heart disease. For those who already have heart disease, exercise reduces the chances of dying from it.
  • Lowers the risk of developing hypertension and diabetes.
  • Reduces the risk for colon cancer and some other forms of cancer.
  • Improves mood and mental functioning.
  • Keeps the bones strong and joints healthy.
  • Helps you to maintain a healthy weight.
  • Help maintain independence into later years
  • Age is no bar; there is abundant evidence that exercise can enhance health and well–being. But today for most watching TV, surfing the Internet, or playing computer and video games is replacing the helpful exercises.
  • The minimum threshold for good health is to burn at least 700 to 1,000 calories a week through physical pursuits.
  • Exercise improves health and can extend life. Adding as little as 30 min of moderately intense daily physical activity can help one avoid a host of serious ailments, including heart disease, diabetes, depression, and several types of cancer, particularly breast and colon cancers.
  • Regular exercise can also help one sleep better, reduce stress, control weight, brighten mood, sharpen mental functioning, and improve sex life.

As per Harvard researchers a well–rounded exercise program must have all the four components:

  • Aerobic activity: It is the centerpiece of any fitness program. Most benefits of exercise revolve around aerobic cardiovascular activity, which includes walking, jogging, swimming, and cycling. One should work out at moderate intensity when performing aerobic exercise—brisk walking that quickens the breathing is one example. This level of activity is safe.
  • Strength training: Strength or resistance training, such as elastic–band workouts and the use of weight machines or free weights, are important for building muscle and protecting bone. Bones lose calcium and weaken with age, but strength training can help slow or sometimes even reverse this trend
  • Flexibility training: Eases back pain; muscles tend to shorten and weaken with age. Shorter, stiffer muscle fibers make one vulnerable to injuries, back pain, and stress. But regularly performing exercises that isolate and stretch the elastic fibers surrounding the muscles and tendons can counteract this process. And stretching improves posture and balance.
  • Balance exercises: Prevent fall; balance erode over time, and regularly performing balance exercises is one of the best ways to protect against falls that lead to temporary or permanent disability. Balance exercises take only a few minutes and often fit easily into the warm–up portion of a workout. Many strength–training exercises also serve as balance exercises. Or balance–enhancing movements may simply be woven into other forms of exercise, such as tai chi, yoga, and Pilates.

Winter is the Month of depression and Uttarayana Start of an Optimistic Form of Mind

By Dr K K Aggarwal
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In Indian mythology, the word “Sankranti” relates to any transformation or change. Makar Sankranti, which falls on 14th of January, one day after Lohri, indicates change in the direction of the sun, as it starts moving north resulting into longer days and shorter nights. In Hindu mythology, it is called Uttarayana. This was the period during Mahabharat when Bhishma Pitamah waited for his death.

The Uttarayana and Dakshinayana are not only time periods mentioned in the Vedic literature but also the state of minds. Uttarayana means a period for a positive state of mind and Dakshinayana a period for relatively negative state of mind. A positive state of mind in Uttarayana makes meditation easier in this period and more fruitful. Beginners should learn the process of meditation and pranayama during this period.

Bhagwad Gita talks about Moksha and liberation. Those who believe in the philosophy of rebirth know that once a soul is liberated at death, a person is not reborn. For others who believe that hell and heaven are in this birth only, liberation means dying peacefully and without sufferings.

The theory of rebirth is well described in Bhagwad Gita in Chapter 8. The gist of Lord Krishna’s teaching is:

1. Whatever you think throughout your life will be your thought at the time of death.
2. Whatever is the state of mind at the time of death will be the atmosphere you will get in the rebirth. For example if your state of mind is in cruelty at the time of death, you will be born in a cruel family.
3. If you are relaxed, thinking of God or chanting AUM at the time of death, there are chances your soul will be liberated.
4. Fire, illumination, daytime, fortnight before full moon and Uttarayana are the paths for liberation. It means these are the periods/ways for spontaneous positive thinking.

From mental health point of view, this knowledge can be converted into medical prescription. Uttarayana means satwik healthy state of mind and dakshinayana means a depressed state of mind. Performing and attending to Yagna, sitting in well–illuminated light or exposing oneself to sunlight during the day can be an adjunct to depression treatment. During the first fortnight of full moon and during Uttarayana, psychotherapy and counseling invariably will work better and the requirement of drugs may get reduced.

Uttarayana is also the period for ‘Snana’ (bath); ‘Daan’ (charity); ‘Dhyana’ (concentration), ‘Upwas’ (detoxification) and ‘Sun worship’ (Sunbath).

Snana means cleansing of the body, mind and the soul and combined with fast or ‘upwas’ and sun bath is the procedure for detoxification. Once the body is detoxified, it’s in a positive state of mind, can concentrate better and gets detached to material things. One should also start donating in charity whatever one has in excess.

Uttarayana can also be described in chakra language. From mooladhara chakra to anahata chakra is the Dakshinayana path and from anahata chakra to ajna chakra is the Uttarayana path. Those who travel on the Uttarayana path travel from anahata chakra. Those who travel on the Dakshinayana path start from mooladhara.

How to Eat Less And Stay Healthy?

By Dr K K Aggarwal
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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:

  • 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.
  • 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.
  • 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.

Man Vachan Kaya

By Dr K K Aggarwal
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Man Vachan Kaya are the three fundamental principles used to define non–violence (ahimsa) and truthfulness (satya). Being truthful means what you think, speak and do, are the same. You should be one in whatever you think, do or speak. Ahimsa is the fundamental principle of Jainism, which means that 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.

Gaining weight losing strength versus losing weight gaining strength

By Dr K K Aggarwal
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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 principle.

If we gain weight and feel weak, 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 is converted into fat. As it is not converted into energy so you feel weak. 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.

The spiritual meaning of the word ‘Artha’

By Dr K K Aggarwal
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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.

Ethylene oxide used in baby powder by MNCs can cause allergy, cancer and blood abnormalities in long run

By Dr K K Aggarwal
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Multinationals should stop treating Indians as guinea pigs, the FDA told the Bombay HC on Friday, while opposing Johnson & Johnson’s plea to restart its Mulund facility as reported in TOI. A division bench of Justice S J Vazifdar and Justice M S Sonak, the court heard J&J’s plea challenging FDA’s order directing closure from June 24.

In 2007, J&J had used ethylene oxide (EtO) treatment for 15 batches of baby powder and did not check for residue. But J&J argued that it had checked three of the batches for residue in 2009, and had found none. To check for contamination, instead of the steam sterilization treatment, they sent the bottles for EtO treatment to a lab.

After the treatment, they were no checks for residue. As per FDA, the company was required to test each batch they put into the market.

About EtO

  • Hypotension, dyspnea, and chest pain may be produced by sensitivity to the ethylene oxide used as a membrane sterilant (1).
  • Chemicals that have been associated with sporadic spontaneous pregnancy loss include anesthetic gases (nitrous oxide), arsenic, aniline dyes, benzene, ethylene oxide, formaldehyde, pesticides, lead, mercury and cadmium (2).
  • A variety of other medications and agents have been implicated in anaphylaxis or reactions resembling anaphylaxis in susceptible individuals: The sterilization agents EtO and ortho–phthalaldehyde (3).
  • Type A allergic reactions during dialysis are caused by leachable substances from the dialyzer or by contamination with bacterial peptides. A classic cause of this type of reaction is ethylene oxide, which is used to sterilize hollow fiber dialyzers. Reactions to ethylene oxide, which are now uncommon, occur exclusively during the first use, usually when there has been inadequate rinsing of the dialyzer prior to use. IgE antibodies directed against ethylene oxide are present in some cases, particularly those with more severe reactions. One study, found that 16 of 106 unselected patients developed mild allergic symptoms after hemodialysis; 10 of these patients also developed eosinophilia (4). Two observations suggested an important role for ethylene oxide in this response: allergy to ethylene oxide could be demonstrated in seven of the cases; and the symptoms and eosinophilia were ameliorated in three patients by ethylene oxide–free hemodialysis.
  • Spina bifida patients have been reported to be at increased risk of anaphylactic reactions during general anesthesia. Following a reaction, latex is often incriminated as spina bifida patients are known to have an increased incidence of latex allergy. Ethylene oxide (EO) has recently been suggested to be an alternative cause. EtO is a highly reactive gas widely used to sterilize heat–sensitive medical devices, and traces of EtO can be found in many of the same products as latex (5).
  • There is a link between low dose EtO exposure and breast cancer (6).
  • For breast cancer the substances classified as “carcinogenic to humans” (Group 1) include EtO (7).
  • Chronic exposure to EtO causes elevation in the absolute mean number of monocytes and eosinophils and a decrease in the absolute mean number of lymphocytes. There is also an elevation in the percentage of hematocrit and the mean absolute number of the red blood cells, and a decrease in the mean absolute number of platelets, in the exposed group compared with the control group (8).

References

  1. Nicholls AJ, Platts MM. Anaphylactoid reactions due to haemodialysis, haemofiltration, or membrane plasma separation. Br Med J (Clin Res Ed) 1982;285:1607.
  2. Savitz DA, Sonnenfeld NL, Olshan AF. Review of epidemiologic studies of paternal occupational exposure and spontaneous abortion. Am J Ind Med 1994;25:361.
  3. Ebo DG, Bosmans JL, Couttenye MM, Stevens WJ. Haemodialysis-associated anaphylactic and anaphylactoid reactions. Allergy 2006;61:211.
  4. Röckel A, Klinke B, Hertel J, et al. Allergy to dialysis materials. Nephrol Dial Transplant 1989;4:646.
  5. Anaphylaxis to ethylene oxide – a rare and overlooked phenomenon: Bache S, Petersen JT, Garvey LH. Acta Anaesthesiol Scand 2011;55(10):1279–82.
  6. Mikoczy Z, Tinnerberg H, Björk J, Albin M. Cancer incidence and mortality in Swedish sterilant workers exposed to ethylene oxide: updated cohort study findings 1972–2006. Int J Environ Res Public Health 2011;8(6):2009–19.
  7. Weiderpass E, Meo M, Vainio H. Risk factors for breast cancer, including occupational exposures. Saf Health Work 2011;2(1):1–8.
  8. Shaham J, Levi Z, Gurvich R, et al. Hematological changes in hospital workers due to chronic exposure to low levels of ethylene oxide. J Occup Environ Med 2000;42(8):843–50.

Do what you do to God

By Dr K K Aggarwal
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• There are two types of people who believe in Dvaita or Advaita philosophy.
• People who believe in Dvaita philosophy, for them God and human being are different.
• The people who believe in Advaita philosophy believe that God is within them.
• In Hinduism, the first group believes in Sanatan Dharma and does idol worship (Moorti pooja) and the second group Arya Samaj, which does not believe in idol worship.
• In both situations, medically the message is one.
• If God is different than you, then you try to be like Him and if God is in within you, then you are Him.
• In both situations, we should deal with our body the same way as we deal with God.
• Anything which is not offered to God we should not offer to our body. The examples are cigarettes, drugs etc. and things like onion, garlic, radish etc. should be consumed in less quantity.
• We never worship God with hydrogenated oil; we always worship him either with oil or with Desi Ghee. The message is that we should not consume trans fats.
• We never feed God “Bhagwan ko bhog lagate hain”. The message is we should eat less.
• 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.
• Anything grown under the ground is not offered to God, thus, these items should not be eaten or eaten in moderation.
• We never offer God white salt and white rice. They are bad for human beings also.
• Gur, shakkar, brown rice and puffed rice are offered to God. They can be consumed by human beings.

stable CAD and type 2 diabetes

By Dr K K Aggarwal
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Among patients with stable CAD and type 2 diabetes, measures of autonomic function––such as heart–rate recovery after exercise––may help predict the risk of short–term adverse cardiovascular events as per a study.

A second study reports that autonomic dysfunction is strongly linked with a greater risk of severe hypoglycemia in patients with type 2 diabetes.

The best way to avoid it is to have intensive glucose control with hemoglobin A1cs that are definitely below 7.5 and ideally below 7. On the other hand, if you have (HbA1c) levels above 8, certainly above 9, you have a very high likelihood of having the problem (within) 10 or more years.

The two studies were published online August 19, 2013 in Diabetes Care.
Test

  • The patients performed a test on an exercise bicycle, which allowed the researchers to determine their heart–rate recovery, defined as the drop in heart rate from the rate at maximal exercise to the rate one minute after stopping the exercise.
  • Blunted heart–rate recovery after exercise: defined as a drop in heart rate of less than 21 beats per minute––had a 1.69–fold greater risk having a cardiovascular event than their peers.
  • Holter: Blunted heart–rate turbulence (<3.4 ms/R–R interval) had a 2.08–fold increased risk of an event
  • Low heart–rate variability (<110 ms) had a 1.96–fold greater risk of having a cardiovascular event.
  • Heart–rate variability at three times: during a Valsalva maneuver, deep breathing, and going from lying down to standing.

The very purpose of life is to face sufferings

By Dr K K Aggarwal
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According to Hinduism, the very fact we are born means that in our last life, we did not get liberation or Moksha. It also means that some sufferings in our last birth still remained. Therefore, the purpose of this birth is to face those sufferings.

When the purpose of our life is to face sufferings, why suffer from them?

This should be considered as ‘sukh’ and not ‘dukh’. As per Vedic literature, every diversity is an opportunity to learn or to do something different. The four notable principles of Buddha also talk about the same. The first is that suffering exists, second that there is a reason for every suffering and third that it is possible to neutralize the suffering by understanding the 8 paths of cessation of suffering.

Also remember that in every ‘dukh’ you think of ‘sukh’ and in every ‘sukh’ you think of a ‘dukh’. Next time you have a problem, think differently and learn to enjoy them.

One of my industrialist friends was once ordered to go to Tihar Jail on Friday night. He tried his level best and wanted to get admitted in the hospital for the weekend so that he could get bail on Monday morning. I told him that whether he was in jail or in hospital, it would make no difference as far as his status was concerned. In both the situations, he would be listed as being in the jail on paper. So I told him to go to the jail and enjoy those 48 hours as a holiday. When he came back from the jail, he was a different person and learnt the principle of life which he otherwise could not have learnt.

Don’t ignore women’ health

By Dr K K Aggarwal
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Women are not diagnosed or treated as aggressively as men. Even though more women than men die of heart disease each year, women receive only 33% of all angioplasties, stents and bypass surgeries; 28% of implantable defibrillators and 36% of open–heart surgeries, according to the National Coalition for Women with Heart Disease.

Although the traditional risk factors for coronary artery disease — such as high cholesterol, high blood pressure and obesity — have a detrimental impact in men and women, certain factors play a bigger role in the development of heart disease in women.

  • Metabolic syndrome — a combination of increased blood pressure, elevated blood glucose and triglycerides — has a greater impact on women than men.
  • Mental stress and depression affect women’s hearts more than they do men’s.
  • Smoking is much worse for women than men.
  • A low level of estrogen before menopause is a significant risk factor for developing microvascular disease.
  • Though women will often have some chest pain or discomfort, it may not be the most prominent symptom. Diffuse plaques build–up and diseased smaller arteries are two reasons why symptoms can be different in women.
  • In addition to chest pain, pressure or discomfort, signs and symptoms of heart attack in women include: Neck, shoulder, upper back or abdominal discomfort, Shortness of breath, Nausea or vomiting, Sweating, Light–headedness or dizziness and unusual fatigue.
  • Endothelial dysfunction is more common in women. In this the lining of the artery does not expand (dilate) properly to boost blood flow during activity, which increases the risk of coronary artery spasm and sudden death.
  • Results of the WISE study suggest that the commonly used treatments for coronary artery disease — angioplasty and stenting — are not the best options for women with more diffuse plaques.
  • Typical tests for coronary artery disease — angiogram, treadmill testing and others — are not reliable in women.
  • The WISE study showed that in some women, plaques accumulate as an evenly spread layer along artery walls, which is not visible using traditional testing methods.

Never Hurt Ego of a Person

By Dr K K Aggarwal
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It is a well known Vedic fact that if you hurt the 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 the ego of a chowkidar, then the next time a patient comes to the hospital gate and enquires where Dr. KK Aggarwal is, he only has to whisper, “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.

All will not benefit by reducing sodium

By Dr K K Aggarwal
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A new analysis from the large international PURE trial has reopened the debate over the link between sodium and blood pressure. Presenting PURE SODIUM at the European Society of Cardiology 2013 Congress, Dr Andrew Mente (McMaster University, Hamilton, ON) and colleagues found that only certain subgroups would actually experience blood–pressure benefits from restricting their sodium consumption.

Ayurveda has been talking about it for some time. People with Kapha and pitta personalities would benefit and not those with vata personality