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Dr K K Aggarwal

Nail Hygiene

By Dr K K Aggarwal
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  • Nails can harbor dirt and germs and contribute to the spread of many infections.
  • Keep nails short.
  • Trim nails often.
  • Scrub the underside of nails with soap or water each time you wash your hands.
  • Clean any nail grooming tools before use.
  • Nail grooming tools should be sterilized before use in saloon.
  • Avoid biting nails.
  • Avoid chewing nails.
  • Avoid cutting cuticles as they act as barriers to prevent infection.
  • Never rip or bite a hang nail, instead clip it with a clear sterilized nail trimmer (a hang nail is small torn piece of skin next to finger nail or toe nail).
  • Infections of the finger nails or toe nails are often characterized by swelling of the skin or thickening of the nail. These infections may be serious in some cases and need to be treated by a doctor.

You look at people the same way as you are

By Dr K K Aggarwal
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Honest people regard everybody as honest and dishonest people regard 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 your personal experience. I recall a doctor saying that every doctor takes and gives bribe because he was running an imaging center and every doctor who approached him asked for a bribe. But he did not take into consideration the doctors who did not approach him.

(Disclaimer: The views expressed in this write up are my own).

Forgetfulness and Age

By Dr K K Aggarwal
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By the time we cross 40, most of us suffer from minimal cognitive impairment and have a memory loss of very recent events or objects. This is age-related and should not be confused with dementia. This can also happen in patients who are vegetarians and vitamin B12 deficient. People often have difficulty in naming objects and name of the people.

Just as a computer hangs up while doing multiple tasks, so does the human mind. When you handle multiple projects at the same time, you may experience thought blocks, which is natural and not a sign of a disease. When we introduce ourselves to a new person, we often tell our name first. It is possible that by the time you finish your conversation, the person may forget your name. Therefore, one should either introduce themselves last after the conversation is over or introduce oneself at the start and also at the end of the conversation.

Some people introduce themselves before the conversation and hand over their visiting card at the end of a conversation. This is also taught in how to market yourself.

As medical doctors, we face these difficulties quite often. People send SMSs without their names or call without telling their names. For example, I once got a call “Malhotra Bol Raha Hoon Pehchana Kya?” As a doctor, we could have many ‘Malhotras’ as our patients and it is not expected from us, especially after the age of 40 to recall a person just by his surname. Unless we are given complete information by the patient on phone, mistakes can be made, especially if it is a telephonic consultation. In any way, phone consultation needs to be avoided. Even Supreme Court in one of its judgments said that giving phone consultation may amount to professional misconduct on the part of the doctor.

When is your doctor at fault while prescribing antibiotic?

By Dr K K Aggarwal
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• Prescribing antibiotics when no bacterial infection exists. • Prescribing the wrong antibiotic or the wrong dose.

• Prescribing antibiotics for longer than necessary.

• Prescribing strong antibiotics, when a less strong would be as effective.

• Prescribing an expensive antibiotic when a cheaper but equally effective antibiotic is available. When are you at fault?

• You demand antibiotics even when the doctor thinks it is unnecessary

• You buy an antibiotic without prescription.

• You buy an antibiotic without a bill

• You stop antibiotics as soon as your symptoms start improving and you do not take a full course of antibiotics.

When you change brands without doctors knowledge

Eyes: Call your doctor if

By Dr K K Aggarwal
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Change in iris color

• Crossed eyes

• Dark spot in the center of your field of vision

• Difficulty focusing on near or distant objects

• Double vision • Dry eyes with itching or burning

• Episodes of cloudy vision

• Excess discharge or tearing

• Eye pain • Floaters or flashers

• Growing bump on the eyelid

• Halos (colored circles around lights) or glare

• Hazy or blurred vision

• Inability to close an eyelid

• Loss of peripheral vision

• Redness around the eye

• Spots in your field of vision

• Sudden loss of vision

• Trouble adjusting to dark rooms

• Unusual sensitivity to light or glare

• Veil obstructing vision

• Wavy or crooked appearance to straight lines

When is your doctor at fault while prescribing antibiotic?

By Dr K K Aggarwal
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• Prescribing antibiotics when no bacterial infection exists.
• Prescribing the wrong antibiotic or the wrong dose.
• Prescribing antibiotics for longer than necessary.
• Prescribing strong antibiotics, when a less strong would be as effective.
• Prescribing an expensive antibiotic when a cheaper but equally effective antibiotic is available.

When are you at fault?

• You demand antibiotics even when the doctor thinks it is unnecessary
• You buy an antibiotic without prescription.
• You buy an antibiotic without a bill
• You stop antibiotics as soon as your symptoms start improving and you do not take a full course of antibiotics.
• When you change brands without the doctor’s knowledge.

Forgetfulness and Age

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , | | Comments Off on Forgetfulness and Age

By the time we cross 40, most of us suffer from minimal cognitive impairment and have a memory loss of very recent events or objects. This is age related and should not be confused with dementia.

This can also happen in patients who are vegetarians and vitamin B12 deficient. People often have difficulty in naming objects and name of the people.

Just as a computer hangs up while doing multiple tasks, so does the human mind. When you handle multiple projects at the same time, you may experience thought blocks, which is natural and not a sign of a disease.

When we introduce ourselves to a new person, we often tell our name first. It is possible that by the time you finish your conversation, the person may forget your name. Therefore, one should either introduce themselves last after the conversation is over or introduce oneself at the start and also at the end of the conversation.

Some people introduce themselves before the conversation and hand over their visiting card at the end of a conversation. This is also taught in how to market yourself.

As medical doctors, we face these difficulties quite often. People send SMSs without their names or call without telling their names. For example, I once got a call “Malhotra Bol Raha Hoon Pehchana Kya?” As a doctor, we may have had hundreds of Malhotras as our patients and it is not expected from us, especially after the age of 40 to recall a person just by his surname. Unless we are given complete information by the patient on phone, mistakes can be made, especially if it is a phone consultation. In any way, phone consultation needs to be avoided. Even Supreme Court in one of its judgments said that giving phone consultation may amount to professional misconduct on the part of the doctor.

Being a doctor is injurious to health

By Dr K K Aggarwal
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When I was President of Delhi Medical Association in 2005, we tried to honor doctors, who were 80 plus. We could not find many. The DMA also tried to honor doctors last year, who were 80 plus. Again they could not find many.

As per normal statistics, 8% of people should be above 60 years of age, which means 14 lakh people in Delhi would be above the age of 60, out of which 10% would be above the age of 80 amounting to 1.4 lakhs.

If we apply similar statistics to DMA members numbering 15000, we should have 1200 doctors above the age of 60 and 120 doctors above the age of 80.

The very fact that we do not have so many DMA doctors who are 80 plus, means that being a doctor is injurious to health.

Most people believe that doctors live longer as they know everything about health but this is not true. Doctors die 10 years earlier than non–doctors.

General public needs to follow and understand principles of prevention of lifestyle disorders but doctors need to strictly follow them.

I normally teach my GPs and my patients how to be free from lifestyle disorders till the age of 80. I teach the same by narrating the formula of 80 which is as under:

  • Keep your lower blood pressure, LDL bad cholesterol, fasting blood sugar, fasting heart rate, abdominal circumference all below 80.
  • For that you should walk 80 minutes a day and brisk walk 80 minutes a week where brisk walk means minimum 80 steps in a minute.
  • Eat less than 80 g of caloric solids and drink less than 80 ml of caloric liquid in one meal. Do not eat cereals 80 days in a year.
  • Take sunbath 80 days in a year to remove deficiency of vitamin D.
  • Avoid sitting in a noisy atmosphere of more than 80 db.
  • One should not take alcohol but if one takes, it should be less than 80 ml (whisky) a day and 80 g (240 ml) a week.
  • One should do 80 cycles of pranayama every day (slow and deep parasympathetic breathing) and spend 80 minutes a day in a non toxic mental environment with no condemnations, no criticisms, and no complaints. Instead during this period, give non–materialistic gifts and think different and positively.
  • Smoking and transfats should be zero so as to avoid any cardiac interventions which may end up with you spending 80,000 rupees.
  • In terms of diet, I normally recommend that one meal a day should be fruits, one vegetable and salad and third a regular meal. As far as possible, carbohydrates should not be taken in all the meals. Trans fats are bad for the heart and should be avoided at any cost.

All the above are true for general public but should be strictly followed by the medical community.

What a Doctor should know about a Christian patient?

By Dr K K Aggarwal
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Christians believe in the doctrine of the holy trinity which affirms that there are only three persons in one God – Father, son (Jesus Christ) and Holy Spirit.

Christians believe that Jesus is both fully divine and fully human. The basic tenet of Christianity is Jesus. By his life, death and resurrection (return to divine), he has broken the bonds of death and one eternal life for all.

Christians strive to develop unconditional love and care for others. Jesus provided a different model of suffering and the sufferings are the means of redeeming human mind. Some Christians consider their sufferings as punishment for sin. Christians believe in prayers, rituals, meditation and formal religious services.

Some people choose to fast on particular religious holy days. Catholic Christians fast and abstain from eating meat on Ash Wednesday and Good Friday. Some abstain from eating meat on all Fridays of the year but hospitalized or ill patients are excused from these rituals.

Death is seen in Christianity as a natural part of life. Some Christians welcome death as an opportunity to realize union with the God. Christians belief in the afterlife is based on the resurrection of the Christ. The family, friends, priests or ministers pray or sit at the bedside of the dying person.

Your doctor is at fault while prescribing antibiotics, when he/she

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , , | | Comments Off on Your doctor is at fault while prescribing antibiotics, when he/she

  • Prescribes antibiotics when no bacterial infection exists.
  • Prescribes the wrong antibiotic or the wrong dose.
  • Prescribes antibiotics for longer than necessary.
  • Prescribes strong antibiotics, when a less strong would be as effective.
  • Prescribes an expensive antibiotic when a cheaper but equally effective antibiotic is available.

You at fault, when

  • You demand antibiotics even when the doctor thinks it is unnecessary
  • You buy an antibiotic without prescription.
  • You buy an antibiotic without a bill
  • You stop antibiotics as your symptoms start improving and you do not take a full course of antibiotics.
  • When you change brands without the doctor’s knowledge.

A doctor is like honeybee and the medical profession honey

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In one o the seminars Father Tomas compared all religious faith with honey. He said that honey bees go from one flower to another and collects nectar and it is the mix of the nectars from various flowers that honey is produced with its sweetness.

Similarly the aim of sarva dharma meetings should be to take the essence from all faiths and religions and combine them to make one that can be used as a prescription to achieve health and happiness.

Medical profession is also a religion as is based on all the principles of dharma.  For a doctor there is no religion, cast or creed. For him disease is a disease and his job is to cure a person of the sufferings and bring back happiness.

Doctors can be compared to a honey bee whose job is to get the best of all pathies and religions and use them holistically to treat a person.

Asthma Patients Should Check With Their Doctor Before Going For Holiday

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People with chronic obstructive lung disease, emphysema and other serious lung diseases can safely travel by airplane, but they should be evaluated by their doctor before travel.

 In a study of 500 lung disease patients surveyed after a planned flight, British researchers reported in the European Respiratory Journal that 18 percent travelers suffered some type of respiratory symptom on the plane, most commonly shortness of breath, coughing and chest pain. However, the symptoms were typically moderate, and there were no serious incidents requiring an emergency landing.