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Dr K K Aggarwal

Shoe Hygiene

By Dr K K Aggarwal
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1. Avoid poorly fitting shoes.

2. Diabetic patients should avoid walking bare feet.

3. Shoes that are too tight can cause pressure ulcers.

4. High heels are okay for occasions but if you wear them all the time, significant foot pain and other problems can develop. These problems can range from bunions, corns and calluses to more complex problems like misshapen hammer toes or worsening excruciating pain in the ball of the foot.

5. Whenever you wear shoes that are tight, they will cause foot pain.

6. Whenever you wear shoes that constrict the natural shape of the foot, it is bound to cause foot pain.

7. Women, who regularly wear high heels, walk with shorter, more forceful strides and require more muscles to walk.

8. Shoes can be classified under following three categories:

• Good shoes or low risk shoes: athletic and casual sneakers.

• Average mid risk shoes: hard or rubber–soled shoes – special shoes and work boots.

• Poor or high risk shoes are the ones that do not have support or structure such as high heels, sandals, sleepers. 9. Pointed toed shoes are equally bad as they disrupt the natural shape of the feet.

10. If you love to wear heels, then choose heels that are not higher than 2″ and are wide.

11. It is always better to buy shoes in the evening as the foot swells up by evening. If you buy them in the morning, the shoes may feel tight in evening hours.

12. Always try both shoes as one foot may be smaller or larger than the other one in some people.

13. Always wear the shoes that are wider than your foot.

14. The actual size of the shoe may vary between different manufactures.

15. The selected shoe should be wider than broadest part of the foot.

16. Your foot tends to become longer and wider as you age, always check the size of your shoes every two years.

17. Narrow shoes with heels should only be used for a function, dinner or a formal party, specially a party where you do no have to stand for a longer time.

How to remove negative thoughts

By Dr K K Aggarwal
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Darkness is absence of light and similarly negative thoughts are absence of positive thoughts. The answer to negative thoughts is to bring positive thoughts back. Ideal mind is devils workshop and will always think negative. Here are the ways:

• Think differently as taught by Adi Shankaracharya. Once Menaka approached Arjuna with lust and said that she wanted to have a son like him with him. Arjuna said that why wait for 25 years consider me as you son from today.

• Think opposite as taught by Patanjali. For example if you are thinking of stealing, then silently start thinking of charity.

• Think positive as taught by Buddha. Make a list of positive action to be done today as the first thing in the morning and concentrate on that list. Divert your mind to the pending works. It’s a type of behavioral therapy.

What type of a vegetarian are you?

By Dr K K Aggarwal
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There are 4 main types of vegetarian diets:

• A Lacto–ovo–vegetarian consumes dairy products and eggs but no meat, poultry, or seafood

• A Lacto–vegetarian eats dairy products but not eggs, meat, poultry, or seafood

• An ovo–vegetarian eats eggs but no dairy products, meat, poultry, or seafood

• A Vegan does not eat any animal products, including meat, fish, poultry, eggs, and dairy products; many vegans will also avoid honey.

Vegetarian and plant–based diets are associated with a reduced risk of obesity, diabetes, heart disease, and some types of cancers as well as increased longevity. Vegetarian diets are typically lower in fats, particularly saturated fats and higher in dietary fiber. They are also likely to include more whole grains, legumes, nuts, and soy protein, and together with the absence of red meat, this type of eating plan may provide many benefits for the prevention and treatment of obesity and chronic health problems, including diabetes and cardiovascular disease.

You are the Temple of God and the Spirit of God dwells in you

By Dr K K Aggarwal
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This sutra from the Bible reflects the union between the spirit and the soul. The ‘Spirit’ represents the Parmatama or the Brahman and ‘You’ represents the individualized spirit or the Soul (Jivatama). A temple is a place of worship and also the place where God resides. Every human being represents a temple (place of worship) where the God exists (one’s soul) and this soul is nothing but the essence of God (the spirit).

Treat all individuals in the same manner as the same spirit dwells in every human being. The soul is also the reflection of individual’s past and present karmic expressions. Most people look for and search for God in artificial temples, gurudwaras and churches, not realizing that the same God is present within us, provided we undertake the internal journey to look for Him. He is present in between the thoughts in the silent zone and can be approached by adopting any of the three pathways: Karma Yoga, Bhakti Yoga and Gyana (Gnana) Yoga.

Doing selfless work with detachment to its results; working with the principles of duty, devotion and discipline; and/or regularly doing Primordial Sound Meditation or other types of meditations can help one reach the stage of self-realization or meeting one’s true self. Once there, one can have all the happiness in life.

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 strength. This is a fundamental medical 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 should not gain more than 5kg of weight after the age of 20 years. Any weight gain after this 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 and since it is not converted into energy, 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.

Never hurt the 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 chowkidaar, the next time a patient comes to the hospital gate and asks 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.

Economy-class syndrome

By Dr K K Aggarwal
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All doctors should diagnose and treat venous thromboembolisms, which include deep-vein thrombosis and pulmonary embolism. These are potentially fatal conditions that occur when a blood clot that’s formed at one point of the venous circulatory system detaches and travels to the lungs. A pulmonary embolism occurs when this kind of clot, which usually forms in the veins of the leg, obstructs the pulmonary artery in the lungs or one of its branches. This can cause acute right heart failure or sudden death. The problem of deep-vein thrombosis gained notoriety when passengers on long-haul flights develop deep vein thrombosis and lung embolism now called as “economy-class syndrome.” It results from long hours of minimal movement for example airline passengers sitting in their seats for hours and not being able to move. Treating the condition at an early stage can help save lives and prevent complications such as pulmonary embolism or recurrent deep vein thrombosis. Deep vein thrombosis claims the life of at least one airline passenger a month at Heathrow.

Precautions:

• Get up and walk about at least once an hour.

• While seated, flex your ankles and move your feet around to stimulate blood circulation.

• Remain hydrated.

• Consider wearing support stockings or elastic wraps to keep blood from settling in the veins in your legs.

• A simple aspirin tablet taken a few hours before take-off thins the blood during long periods of inactivity. The number of victims would fall significantly if more passengers followed this advice.

• Severe risk for thrombosis should be given injections with low molecular weight heparin (LMWH), a form of prophylaxis already in common use in hospital patient.

• One should abstain from alcoholic beverages and caffeine.

Why Spirituality is Friendly to wellbeing

By Dr K K Aggarwal
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• What you believe in can have a big impact on health and longevity. People with high levels of religious beliefs or spirituality have lower cortisol responses. Cortisol is a hormone released by the body in response to stress.

• Positive thinking produces nearly a 30% drop in perception of pain.

• Spirituality and the practice of religion are associated with a slower progression of Alzheimer’s disease.

• Those who regularly attend organized religious activities may live longer than those who do not. Regular participation lowers mortality rate by about 12% a year.

• People undergoing cardiac rehabilitation feel more confident and perceive greater improvements in their physical abilities if they have a strong faith.

• Increased levels of spirituality and religious faith may help substance abusers kick their habit. • Spirituality stimulates the relaxation response. When the body is relaxed, the heart rate, blood pressure and breathing rate all go down, which decreases the body’s stress response.

• Spirituality can affect the immune system function. Spirituality, faith, church attendance improves immune function in ways that can be measured, such as increase in white blood cells. • Prayer heals the heart. Positive talking and thinking in the ICU produces better results.

• Spirituality is what brings you peace and safety. It can be achieved through God or Goddess, nature, a beautiful sunset, a meditation, Pranayama, religious meeting, chanting, mind body relaxation, etc. Spirituality is something that can help all the way from promoting wellness to helping with recovery.

15 ways to reduce or stop drinking

By Dr K K Aggarwal
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If you are dependent on alcohol, or have other medical or mental health problems you should stop drinking completely. Reduction of heavy drinking may be a more acceptable goal for some patients who lack readiness to quit drinking. The frequency of heavy drinking (more than 5 drinks per day for men and 4 for women) has the highest correlation with negative life consequences such as impaired driving, interpersonal problems and injuries. You need to cut down if in the past one year you have taken one or more times, more than 5 drinks in a day (4 drinks for women). This positive response to a single question “How many times in the past year have you had X or more drinks in a day?”, where X is 5 for men and 4 for women, is recommended for use by the National Institute on Alcohol Abuse and Alcoholism. The sensitivity and specificity of this question is 81.8 and 79.3 percent, respectively. One can also know the dependence of alcohol by using the CAGE questionnaire. 1. Have you ever felt the need to Cut down on drinking? 2. Have you ever felt Annoyed by criticism of your drinking? 3. Have you ever had Guilty feelings about your drinking? 4. Do you ever take a morning Eye opener (a drink first thing in the morning to steady your nerves or get rid of a hangover)? One positive response to any question suggests need for closer assessment; two positive responses are seen in the majority of patients with alcoholism. Two positive responses have a sensitivity of 77 percent and specificity of 80 percent in patients with alcohol dependence. Over 80 percent of nonalcoholic patients have a negative response to all four questions and virtually none has a positive response to more than two questions. National Institute on Alcohol Abuse and Alcoholism suggests the following for stopping or reducing alcohol: 1. Put it in writing why you want to reduce or stop: Write what you want to achieve, for example, will feel healthier; will sleep better, will improve my relationships. 2. Write confessions: learn and practice various confession exercises. This will help you take care of inner guilt which may be the precipitating factors. 3. Set a drinking limit: Those who are cutting back should set a limit as per your health. Most healthy people should limit to less than 40 ml in one hour, 80 ml in one day and less than 240 ml in a week. Women should take less than half of this amount. 4. Keep a diary of your drinking. For initial 3-4 weeks, keep track of every drink. Note the situations you are most likely to drink. Give each situation a rating out of ten. Try avoiding those situations for the next few weeks. 5. Don’t keep alcohol within your reach. Remove alcohol from your living place. This can help limit drinking. 6. Eat your drink. Drinking slowly can help. Sip and do not gulp. Sip soda, water, or juice after each drink. This is called Mindful drinking. If you are aware of your drinking, you will cut back on it. Otherwise, you will drink more. 7. Never drink on an empty stomach. 8. Keep weekly one or two spiritual fast/s. This will allow alcohol-free days. Decide not to drink a day or two each week. 9. Observe spiritual retreats: Observing spiritual retreats (Navratri by Hindus, Ramzan by Muslims, and Easter by Christians) with no drinking can help. Or try abstaining for a week or a month to see your commitment to not drinking. 10. Become a tortoise: Learn to withdraw yourself from all stimuli which can force you to drink. 11. Watch for peer pressure. Learn to say no. Do not drink just because others are, and you shouldn’t feel obligated to accept every drink you’re offered. Stay away from people who encourage you to drink. 12. Keep busy. Take a walk, play sports, go out to eat, or catch a movie. When you’re at home, pick up a new hobby or revisit an old one. Painting, board games, playing a musical instrument, woodworking — these and other activities are great alternatives to drinking. 13. Ask for support. Let friends and family members know that you need their support. 14. Guard against triggers. Stay away from people and places that make you want to drink. In Yoga it is called Pratahyara and means staying away from the external stimuli. Lust cannot be removed by staying in a lustful atmosphere. 15. Be persistent. Most people who successfully cut down or stop drinking altogether do so only after several attempts.

Think positive and think different

By Dr K K Aggarwal
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The mantra to acquire spiritual health is to think positive and differently. When you think positive, it creates positive hormones and takes you from sympathetic mode to parasympathetic mode. When you think different, it gives you opportunities and from multiple options available, you can ask your heart to choose one of them. Thinking positive was a message given by Lord Buddha and thinking different by Adi Shankracharya. The candle light march which was done for fighting justice in Jessica Lal murder case has been picked up by most of the protest campaigns because it was positive and different. I have seen three examples in my life where I used this and prolonged the life of those persons. My grandfather-in-law at the age of 85 thought it is time to go but when we made him work positively and differently, he die at the age of 100 years. He was asked to teach youngsters law, write to Prime Minister everyday on certain issues and find matrimonial matches for the youngest persons in the family. In other two cases, one was suffering from terminal prostate cancer and the other terminal brain cancer. The first one lived for ten years and the other is still alive. Both were told that they had a very early cancer and that was cured by a surgery. When you think different, it creates creativity and when it is with positive attitude, it is accepted by all.

Act fast: You can reduce the damage and death from heart attack if……?

By Dr K K Aggarwal
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Water–soluble aspirin and clot-dissolving drugs can stop most heart attacks in progress, reduce disability and save lives. They work best if given within one hour of when signs of heart attack begin to appear. It is therefore important to recognize the warning signs of a heart attack and act right away. The 5 warning signs of a heart attack, which everybody must know are: 1. Pain or discomfort in the jaw, neck or back. 2. Feeling weak, lightheaded, or faint. 3. Chest pain or discomfort. 4. Pain or discomfort in the arms or shoulder. 5. Shortness of breath Act fast 1. Take 300 mg water–soluble aspirin and chew it if a heart attack is suspected. 2. Get yourself rushed to a nearest heart centre for clot–dissolving therapy. 3. You may require an emergency angiography and angioplasty to remove the clot. If there is a cardiac arrest, the bystander should follow the CPR 10 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 dead person continuously and effectively with a speed of 10×10 i.e. 100 per minute.”

Why do people suffer?

By Dr K K Aggarwal
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1. As per Garud Puran and Hindu mythology, one of the reasons for suffering is your past birth’s debts. Your purpose of life is to face sufferings to pay these debts.

2. Second reasons is your present deeds till today starting from birth. If your sum total of bad deeds is more than good deeds, they get added to your previous birth’s debts.

3. Third reason for suffering is in the form of struggle which you entertain to attain future success. Some people do not call it as suffering.

4. The last reason for suffering is some people acquire yogic powers to take sufferings of others. The classical examples are Shirdi Sai Baba and Jesus Christ who were known to cure others by adding their suffering to their own account. If you see most of the Gods or holy people had suffered in their last time, be it Jesus Christ,Krishna, Buddha or Sai Baba. Only Rishi Munis can remain alive and die at will even after they have paid for all their debts.

Scriptures on debts, Rishi & Gods, Vedic language

By Dr K K Aggarwal
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Triphala (TRP), an herbal extract, has been shown to affect lymphocytes and natural killer T (NKT) cell function. It has been shown to ameliorate bronchial hyperreactivity through immune-cell modulations. In a study carried out at the Division of Allergy, Immunology and Pulmonary Medicine, Washington University in Saint Louis, Saint Louis, MO, asthma mouse models were generated through intraperitoneal (IP) injections of ovalbumin (OVA)/2 weeks followed by repeated intranasal OVA challenges. Mice were then treated with normal saline (OVA/NS) or Triphala (OVA/TRP). Data were compared with mice treated with inhaled budesonide. Both TRP and budesonide significantly ameliorated functional and histological OVA-induced bronchial hyperreactivity. Triphala causes a significant decrease in bronchial reactivity. It alters immune-cell distributions and show anti-oxidative properties. Immune-cell modulation with triphala can ameliorate lung injury.

Scriptures on debts

By Dr K K Aggarwal
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Hindu scriptures have talked about three types of Hrin (debts) – Dev Hrin, Pitra Hrin and Rishi Hrin. God devtas gave us the consciousness, parents gave us our body and teachers gave us the knowledge or intellect. In Vedic language, our body is a mix of mind, body and soul which can be equated to three Hrins of mind (teachers), body (parents) and soul (Rishi & Gods). In computer language, it can be equated to operational software (God), application software (teachers) and computer hardware (parents).

Tackling tension headaches

By Dr K K Aggarwal
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Tension headache usually develops in the afternoon, causing mild or moderate pain that may feel like dull tightness or a band of pressure. Tension headaches occur when neck, shoulder, and scalp muscles become tense. If you suffer from headaches often, more than once or twice a week, then try the following.

1. Don’t skip meals.

2. Get enough sleep.

3. Avoid stress and fatigue.

4. Learn physical and relaxation therapies.

5. Apply heating pad to the neck and shoulders to relax the muscles.

6. Exercising the muscles of neck and shoulders by strengthening and stretching them.

7. Relaxation exercises that focus your attention on various parts of your body in order to relax and release tension and stress can also help.

8. Learn Biofeedback relaxation techniques. Learn to recognize when you are becoming tense and then find ways to relax the muscles before they tighten so much that you develop a tension headache.

9. Identify trigger points, at the back of the neck or in the shoulders. Injecting a local anesthetic into these areas may eliminate the pain and prevent headache.