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Dr K K Aggarwal

Dr KK Aggarwal receives Harpal S Buttar Oration Award from Nobel Laureate Dr Ferid Murad

By Dr K K Aggarwal
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Padma Shri & Dr. B C Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India is awarded with Harpal S Buttar Oration Award by the 6th International conference of International Academy for Cardiovascular Sciences.

The award consists of a memento and a cash prize of Rs. 10000.

The Oration was given to Dr. Aggarwal for his outstanding contribution for heart care and other achievements in cardiovascular sciences.

The Award was given by International Academy of Cardiovascular Sciences India The award was given by Nobel Laureate Dr Ferid Murad of Washington University. Others who were present were Dr Harpal S Buttar himself and Dr G N Singh Drug Controller General of India.

Prof. Buttar is an eminent professor in Canada and has made significant contributions in peventive cardiology, especially role of diet.

The Oration was chaired by Dr. Robert Roberts, President and CEO, House of Ottawa Heart Institute Canada and Dr. S C Tiwari.

Dr. Aggarwal, who is also currently Senior Vice President Indian Medical Association, spoke on the concept of Savitri mantra for reviving a heart after sudden cardiac death.

Dr. Aggarwal said that consciousness does not leave the body for up to few minutes after cardiac arrest. During this period, if hands only cardiopulmonary resuscitation (CPR 10) is attempted by bystander, the person can be revived.

At Heart Care Foundation of India, Dr. Aggarwal has designed the Savitri Mantra for easy adoption of the same by the public. It is based on the traditional Indian Vedic knowledge where Savitri fought with Yamraja and saved her husband Satyavan, probably, by doing something equivalent to hands only CPR.

The Savitri Mantra is the Formula of 10 (CPR 10), which talks about the importance of the numerical number ‘10’. It says, in English “To revive a person from sudden cardiac death, 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 dead person by 1 ½” distance continuously with a speed of 10×10 i.e. 100 per minute.”

In Hindi it can be remembered as “Marne ke dus minute ke andar (jitna jaldi utna behtar), kam se kam agle dus minute tak (jitni der tak utna behtar, 10×10=100 ki gati se, apni chhati peetne ke bajaye mare hue aadmi ki chhati peeto.”

In a survey conducted on 1000 school children after three months, a recall value of Hindi version of the Mantra was excellent with 90% remembering the later part of the mantra and 60% remembering the complete mantra.

Food poisoning with rice dishes

By Dr K K Aggarwal
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Staph and Bacillus cereus can cause acute food poisoning within 6 hours of ingestion of food. B. cereus is likely when rice is the culprit

  • B. cereus is able to persist in food processing environments due to its ability to survive at extreme temperatures as well as its ability to form biofilms and spores.
  • B. cereus has been recovered from a wide range of foods, including rice, dairy products, spices, bean sprouts and other vegetables.
  • Fried rice is an important cause of emetic–type food poisoning associated with B. cereus
  • The organism is frequently present in uncooked rice, and heat–resistant spores may survive cooking.
  • Cooked rice subsequently at room temperature can allow vegetative forms to multiply, and the heat-stable toxin that is produced can survive brief heating such as stir frying
  • Two distinct types of toxin–mediated food poisoning are caused by B. cereus, characterized by either diarrhea or vomiting, depending on which toxin is involved. The diarrheal toxin is produced by vegetative cells in the small intestine after ingestion of either bacilli or spores. The emetic toxin is ingested directly from contaminated food. Both toxins cause disease within 24 hours of ingestion.
  • The emetic syndrome is caused by direct ingestion of the toxin.
  • The number of viable spores and vegetative bacteria that produce diarrheal toxin is reduced by heating, although spores associated with emetic toxin are capable of surviving heat processing.
  • Cereulide is heat stable and resistant to gastric conditions.
  • The ingested toxin itself may therefore cause disease despite sufficient heating to kill B cereus.
  • The emetic syndrome is characterized by abdominal cramps, nausea, and vomiting. Diarrhea also occurs in about one-third of individuals. Symptom onset is usually within one to five hours of ingestion, but it can also occur within half an hour and up to six hours after ingestion of contaminated food.
  • Symptoms usually resolve in 6 to 24 hours.
  • Rice–based dishes in particular have been implicated in emetic toxin mediated disease, usually as a result of cooling fried rice dishes overnight at room temperature followed by reheating the next day.
  • The infective dose of cereulide required to cause symptoms is 8 to 10 micrograms per kilogram of body weight.

An empty mind is the devil’s house

By Dr K K Aggarwal
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It is an old saying that “Khali dimag shaitan ka ghar”.

Empty mind means when you are doing nothing and Shaitan means negative thoughts. In terms of Vedic Sciences, negative thoughts mean absence of positive thoughts and they are often equated to darkness which is absence of light.

Positive thoughts always need efforts and exertions while negative thoughts are spontaneous and without exertion. It is recommended that one should think differently and positive otherwise there will be spontaneous appearance of negative thoughts.

Darkness is spontaneous and naturally present and to bring light one has to make efforts by switching on the light or the nature has to ask the Sun to come and give the light.

Neck Artery Wall Thickness and Plaque Area – a new test to diagnose early heart diseases

By Dr K K Aggarwal
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Treadmill, stress echocardiography, Thallium and Angiography do not detect early blockages. Treadmill can miss blockages up to 70%; stress echocardiography up to 60%, angiography upto 40%.

Most heart attacks occur because of a plaque rupture in patients with blockages of less than 50%. If the blockage is more than 70% the patient usually presents with heart pain and not massive heart attack.

The only way to detect heart blockages before they cause symptoms or are detected in conventional tests is to measure the wall thickness of the neck artery or the leg artery. Normally, the wall thickness is less than 0.5mm. If the wall thickness is more than 0.75mm, it is suggestive of underlying heart blockages and if it is more than 1mm, it is suggestive of blockages in all three arteries of the heart.

Any thickness of more than 1mm is called as a plaque and a plaque area calculated by high resolution ultrasound is a new marker for heart blockages, progression as well as regression.

If the artery wall is thick in both the neck artery and the leg artery, it is very likely that the patient will also have blockages in the arteries of the heart.

All high risk individuals, therefore, should have their neck and leg artery wall thickness checkup done. Only 2% of patients with blockages in all three arteries of the heart have a neck artery wall thickness of less than 1mm and 94% of patients with a neck artery wall thickness of more than 1.15mm will have multiple blockages in the heart.

Spiritual Prescription: You are born with a quota use it judicially

By Dr K K Aggarwal
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Everyone is born with a passport with a defined battery life to live up to 100 years after which one has to go back to renewal or recharging of the batteries.

If the battery is overused or misused and is depleted early, one may have to go back prematurely for recharging, but this time when one comes back, he or she may come back with a different body which may not be the human one. There are 64 lac Yonis as described in the Vedic Literature.

According to the Vedic description if one dies prematurely there are chances that the rebirth will not be in the same species.

To live up to the time period defined at the time of birth by the Dharamaraja one has to follow the principles as described in Yogashastra.

The main principle is the principle of moderation and variety. It says that everything has to be used, if not used will get rusted and if over used well get wear and tear. The classical example is that GOD had made uterus in the women for producing a child if the same organ is not used at al it will produce a fibroid and if over used it may end up in a cancer.

When using the principles of moderation and variety when should remember that each one of us is born with a fix quota of everything, a quota of diet, respirations, heart rate and thoughts.

According to swara yoga one is born with pre defined number of respirations to be taken during life. If one consumes them early he will depart for refueling early from the life. To reduce the respiratory rate is therefore the basis of postponing aging and prolonging life. Stimulating para sympathetic nervous system by learning and practicing pranayama, which is slower and deeper breathing, does the same.

One breathes 15 times a minute or 21600 breaths in a day, or 7884000 (78.84 lac) a year or 788400000 (78.84 crores) during life (assuming it to be 100 years). Some yoga books say that a person is born with 33 crore breaths, the same if taken at the rate or 15 per minute would last for 42 years.

Infect Pranayama originated on the concept that the breaths of everyone of us are numbered, that our life–span is dependent on how many times we shall breathe in a given life, and that, as a consequence of this fact, we must reduce the number of breaths so as to live longer.

In Gorakshapaddhati (I.93), it is written that “Due to fear of death even Brahma, the Lord of creation, keeps on practicing pranayama, and so do manyyogisand minis. It is recommended that a student of yoga must always control his breath.”

Hathayoga–pradipika (II.39) also writes: ‘All the gods including Lord Brahma became devoted to the practice of pranayama because they were afraid of death. We the mortals should follow the same path and control the breath.”

Similarly one is born with a quota of heartbeats. The same is at an average of 70 per minute. Many studies have shown that people who’s resting heart rate is higher have more chances of sudden death. The aim therefore is to keep the heart rate at a lower pace. The same can be achieved either by regular exercise, meditation, AUM Pranayama, or by meditation. People who indulge in marathons or athletic activities, the temporary increase in the heart rate during exercise is compensated by the body by adapting the cardio vascular system in such a way that the basal heart rate reduces. The marathon runners may have a heart rate of only 50 per minute.

The less one eats the more he lives is an Yogic saying, It is said that people who eats once a day are Yogi, twice a day are Bhogi and thrice a day are Rogi. There are enough studies now, which say that 25% reduction in the calories content can increase the life span. Many studies in rodents have also shown the same effect.

The moderation in exercise is to walk 10000 steps a day. No exercise will end up with obesity and over use with osteoarthritis.

Stress is the excess of thoughts in the mind. Controlling the mind forms the basis of meditation. Samadhi is the state of no thoughts. Practicing meditation 20 minutes twice daily helps in the restrain of the mind with resultant state of Turya where the mind has controlled limited positive thoughts.

Even Children Can Have Acidity

By Dr K K Aggarwal
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Children who have continuing recurrence of cough and croup could be suffering from stomach acid reflux problems.

Croup or ‘Kali Khansi’ as it is called in local parlance is recognized by a loud cough that often sounds like the barking of a seal. It can cause rapid or difficult breathing, and sometimes wheezing. Croup is thought to be caused by a virus, but reflux acidity has been suggested as a possible trigger.

In gastroesophageal reflux disease, stomach acid causes swelling and inflammation of the larynx, which narrows the airway. It can trigger more swelling with any kind of viral or respiratory infection.

Identifying children with gastroesophageal reflux disease could help treat and improve recurring croup. It is unusual for a child to have three or more bouts of croup over a short period of time. These children need to be evaluated.

The same is true for adults also. Patients with non responding asthma should be investigated for underlying acidity as the cause of acute asthma.

Sexuality In Ancient Mythology

By Dr K K Aggarwal
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1. Both sexuality and spirituality have been mentioned in mythology to prevent HIV and sexually transmitted diseases. An educational art was created at Khajuraho which talks about “multiple positions with one are better than one position with many.”

2. Asexual reproduction – Lord Ganesha’s birth from the skin of Goddess Parvati represents a form of asexual reproduction using pluripotent cells.

3. The birth of Kartikay from Shiva can be linked to success story of in vitro fertilization. Shiva throws away white sparks (semen) in the air (centrifugation), they fell down in river (petri dish) become five petal flower (5 cell zygote) adopted by local Kartikayan girls (in vitro fertilization) and Kartikay was born.

4. Artificial insemination of semen was well described in mythology. The birth of Dashrath’s children, Hanuman all were probably examples of the same.

5. Sexuality and spirituality are opposite to each other. No Tirath Sthan is ever used as honeymoon place.

6. Bull or Nandi represents sexual desires and is always placed outside Shiva Mandir. You cannot enter a spiritual place without sexual desires on.

7. Polygamy was the need of the day at that time as is evident by three wives of Dashrath and five husbands of Draupadi.

8. Santoshi Mata Ka Vrat was created to prevent iron deficiency anemia in child bearing age ladies. They were made to eat Gur (iron) and Chana (protein) every week to prevent recurrent abortions and death by anemia.

9. Ashrams were created in mythology as part of discipline. Brahmcharya was the period for education and Grihastha for active sexual reproductive life.

10. Dharma Artha Kama Moksha were the four purposes of life which meant earning money righteously to fulfill all our desires which leads to inner happiness.

11. Sex education at that time was through sculptures.

12. The Science of Kamasutra was the classical textbook which promoted sexual hygiene.

13. True love was symbolized by Meera–Krishna and Radha–Krishna.

14. Marriages were not solemnized in Chaturmaas as during this period the mind is always in a negative state with more chances of divorce.

15. The marriage months have been the month of Maagh, Vaishakh and Kartik. These are spontaneous months with increased fertility.

16. To enhance fertility Shahi snans were advocated which involve exposure to sun so that vitamin D deficiency can be avoided.

17. Marriage seasons used to start with Tulsi Vivah which meant that Shyama Tulsi seeds are good for fertility and make the semen thick.

Over 1000 children trained in cardiac first aid

By Dr K K Aggarwal
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Padma Shri & Dr.  B C Roy National Awardee, Dr. KK Aggarwal, President, Heart Care Foundation of India trained over 1000 school children at Guru Harkrishan Public School, Hargovind Enclave in cardiac first aid including how to revive a dead person after sudden cardiac death.

Speaking to the children, Dr. Aggarwal said that all school children enrolling for a competitive sports should get a cardiac evaluation done. This should include specialist consultation along with ECG and, if any abnormal heart sounds is viewed clinical chest examination and an echocardiogram should be done.

In children, even if a child dies during a strenuous exertion, he can be revived if a bystander standing attempts hand only cardiopulmonary resuscitation (CPR).  Apart, children should learn CPR 10 because they can also revive other persons with heart attack outside their school arena.

Dr. Aggarwal said that CPR learning has a special technique which involves CPR Asana and CPR Mudra. CPR Asana is standing on your knees in front of the dead person who is lying on a flat surface and CPR Mudra means straightening hands with no bending of the elbow  and compress the centre of the chest of the dead person with a speed of 10×10 i.e. 100 per minute.

Dr. Aggarwal revised the CPR mantra in the form of a chanting to every child in Hindia which says – “Marneke dus minute ke andar (jitna jaldi utna behtar), kam se kam agle dus minute tak (jitni der tak utna behtar, 10×10=100 ki gati se, apni chhati peetne ke bajaye mare hue aadmi ki chhati peeto”.

Prevention Strategy Relies on Lifestyle

By Dr K K Aggarwal
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Stenting may not always be the answer to treating with stable heart disease.

A German study has shown that patients with stable coronary artery disease who were put on an exercise regimen had significantly higher rates of event–free survival than those who had undergone percutaneous coronary intervention (PCI). In the study, 70% of patients in the exercise program had event–free survival –– no stroke, heart attack, or death –– compared with 50% of stented patients after four years.

Exercise is an important part of any type of prevention, and it should be instituted for “anyone with stable coronary heart disease.”

The study on stenting versus exercise come was a continuation of a pilot study first reported in 2004 in the journal Circulation. That study of 101 male patients found that after one year, 88% of patients who exercised had event–free survival compared with 70% of stented patients.

The updated data reflect an additional 100 patients, who performed moderate intensity exercise for two weeks under hospital supervision, and then were given an exercise bike to continue their regimen at home.

Patients with stable angina exercised at 80% of their threshold, and that after four weeks of exercising, their angina threshold increased.

The clear message for patients is to get 30 to 60 minutes of moderate-intensity aerobic activity every day, noting that 30% of heart disease could be prevented by 2.5 hours of walking per week.

Search for Happiness in the Present Moment

By Dr K K Aggarwal
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Happiness should not be considered as being synonymous with pleasure. Pleasure is transient and is always associated with pain later. Any transient addiction to any of the five senses will either lead to pleasure or pain. Pleasure leads to attachment resulting in more intense and greater desires, and if these are not fulfilled, they cause pain which manifest as anger, irritability or even a physical disease. This type of transient pleasure is chosen by the individuals who attach themselves not to the actions only, but also to its results.

The soul, which is an energized field of information and energy, is controlled by the person’s action, memory and desire. With every action, a memory is created which either gets stored or is recirculated again as an action. If one does not control the desires, the recurrent actions may cause more problems than happiness.

True happiness, on the other hand, is internal happiness or the happiness of the soul or of the consciousness. It is often said, “You are what you eat; you are what you think; and you are what you do.” Hence, your own internal happiness will vary with what you eat, think, and do.

Being in the present moment leads to true happiness. If one keeps lamenting about the past or is fearful about the future all the time, then we will never be able to live in the present. Not living in the present is bound to cause unhappiness. One should learn to live and enjoy the present which can only be done by attaching oneself to the actions and not to its results.

Doing our duty with devotion and discipline helps us to remain in the present. Performing good action is important, but it is equally important to maintain the purity of the mind at the same time. Because any intention in the thought creates the same chemical reaction as when the actual deed is done, abusing a person in thought is the same as abusing him in person. Cultivating positive actions in day–to–day life, like, giving or sharing etc., helps in acquiring internal happiness.

Since the thoughts ultimately get metabolized into various chemicals and hormones so changing the internal biochemistry of the person, hence by thinking about cancer all the time, one can actually induce it over a period of time. And similarly, cancers can be cured by thinking positive over a period of time.

Internal happiness gives a deep feeling of satisfaction and is not associated with any transient chemical changes which are generally associated with bodily pleasure activities. People who are internally happy are always contented and are devoid of jealousy, anger, irritability, greed and ego.

One should learn to disassociate from, both, external pain as well as pleasure, and only then can one acquire true internal happiness.

Lifestyle can prevent 50% of common cancers

By Dr K K Aggarwal
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More than 50% of cancer could be prevented if people simply change lifestyles according to Graham Colditz, PD, DrPH, from the Washington University School of Medicine in St. Louis, Missouri here at the Union for International Cancer Control (UICC) World Cancer Congress 2012.

Among the “biggest buys” from lifestyle intervention is smoking cessation. One third of cancer in high–income countries is caused by smoking.

Being overweight or obese causes approximately 20% of cancer today. If people could maintain a healthy body mass index (BMI), the incidence of cancer could be reduced by approximately 50% in 2 to 20 years.

Poor diet and lack of exercise are each associated with about 5% of all cancers. Improvement in diet could reduce cancer incidence by 50% and increases in physical activity could reduce cancer incidence by as much as 85% in 5 to 20 years.

Eradicating the main viruses associated with cancer worldwide by implementing widespread infant and childhood immunization programs targeting 3 viruses — human papillomavirus and hepatitis B and C — could lead to a 100% reduction in viral–related cancer incidence in 20 to 40 years.

Tamoxifen reduces the rate of both invasive and noninvasive breast cancer by 50% or more, compared with placebo, at 5 years.

Raloxifene has been shown to reduce the risk for invasive breast cancer by about 50% at 5 years.

Bilateral oophorectomy in women carrying the BRCA1 or BRCA2 gene, although rare, has been associated with a 50% reduction in breast cancer risk among high–risk women.

Aspirin is associated with a 40% reduction in mortality from colon cancer.

Screening for colorectal cancer has a similar magnitude of mortality reduction (30% to 40%).

Tobacco, alcohol, and diet, lack of physical activity, and obesity — accounted for more than half of all cancer.

Neti–Neti (Not This Not This) The Main Principle of Knowing the Truth

By Dr K K Aggarwal
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The main figure in the Upanishads is sage Yajnavalkya, known as one of the greatest philosophers. Most of the great teachings of later Hindu or Buddhist philosophy are derived from him. He taught the great doctrine of neti–neti, the view that truth can be found only through the negation of all thoughts about it.

Brhadaranyaka Upanishad is the oldest and the most important of all the Upanishads. Its name actually means the great forest–book.

Sage Yajnavalkya’s dialogues with his wife, Maitreyi are featured in the Muni Kanda or Yajnavalkya Kanda. The doctrine of neti–neti suggests the indescribability of the Brahman, the Absolute. Yajnavalkaya attempts to define Brahman.

Atman is described “neither this, nor this” neti–neti. The Self cannot be described in any way. Na–iti – that is Neti. Through this process of neti–neti you give up everything – the cosmos, the body, the mind and everything – to realize the Self.

Once the Atman is defined in this manner are you become familiar with it, a transformation takes place as realization dawns that the phenomenal world and all its creatures are made up of the same essence of bliss.

Brahman is infinite, amorphous, colorless, characterless and formless Universal Spirit, which is omnipresent and omnipotent, and like cosmic energy, is pervasive, unseen and indescribable.

Neti–neti Meditation: The principle of neti–neti has been used in meditation involving gnana yoga. Whenever a thought or feeling comes to mind that is not the goal of the meditation, or is not the soul or the inner self, the meditator simply has to say, “Not this, not this,” and dismiss the thought, image, concept, sound, or sense distraction. Any thought, any feeling, is patiently discarded — again and again if necessary, until the mind is clear and the soul/or the self is revealed.

Neti–neti and the mind: When you get into the habit of neti–neti, you can also discard thoughts of worry, doubt, or fear, and become established in the light of your inner self. You can, then, look back at worries and fears with deep insight and handle them.

Neti–neti and the medical profession: One of the basic medical teachings is to diagnose a condition by way of excluding other similar conditions. This is called differential diagnosis and this is the mainstay of allopathy. This also makes one investigative–oriented but is the only scientific way of knowing the truth.

Neti–neti and multiple–choice questions: In any modern exam today, the principle of neti–neti is used. A question has about four nearly similar answers and the student has to answer the correct one. He can only answer by the principle of negation.

Neti–neti and police investigations: This principle is also used while handling a criminal case. Everyone is a suspect in the crime initially, till a process of elimination clears them.

Coffee Consumption Reduces Mortality

By Dr K K Aggarwal
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The largest prospective cohort study evaluated the impact of coffee consumption on all–cause mortality and involved 229,000 men and 173,000 women, who were followed for up to 13 years.

After adjustment for smoking status and other potential confounders, associations between coffee consumption (either caffeinated or decaffeinated) and reduced all–cause mortality were evident at relatively low levels of consumption (2 to 3 cups/day).

Compared to non–coffee drinkers, the risk of all-cause mortality among men and women who consumed 2 to 3 cups of coffee daily was 0.90 and 0.87.

The apparent benefit of coffee was similar for individuals with high levels of coffee consumption, including those who drank six or more cups of coffee per day. (UpToDate)

(Ref: Freedman ND, Park Y, Abnet CC, et al. Association of coffee drinking with total and cause–specific mortality. N Engl J Med 2012;366:1891).

Why is touching another person with the foot considered an act of misdemeanor?

By Dr K K Aggarwal
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All human beings in Vedic literature are considered GOD. Therefore touching another with the feet is akin to disrespecting the divinity within him or her. This calls for an immediate apology, which is offered with reverence and humility.

Prescribe insurance to all patients in the prescription

By Dr K K Aggarwal
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When we do not take our car on the roads without insurance then why do we take our body out without insurance?

  1. Everybody should be insured and for those who cannot, the government must pay for their insurance. Insurance should be added in the prescription of a doctor.
  2. Even if a patient has a disease, he or she needs insurance so that he is covered for other illnesses. Remember one is entitled for 1% of the cover as room rent or 2% for the ICU bed.
  3. The coverage amount is for one full year. Do not exhaust it in one admission.
  4. The patients should choose their insurance so that even OPD treatment is added to the coverage.
  5. A person can have more than one insurance policy.
  6. Health is not mere absence of disease but a state of physical, mental, social, environmental, spiritual and financial well being.
  7. The purpose of life should be to desire for inner happiness and for that to earn righteously
  8. One must plan for the old age; remember that today one can live above the age of 80 and old age treatments can be very costly.
  9. Most disputes are due to property and one must write his or her will in time. Property dispute is number one cause of heart attack in the country.
  10. All doctors should be insured against malpractice. To err is human and malpractice is not a criminal negligence.
  11. The banks should come out with schemes so that patients can get loans for treatments on the spot.