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Dr K K Aggarwal

High fat diet is prostate cancer prone

By Dr K K Aggarwal
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Diets high in saturated fat increase the risk of prostate cancer. As per a report from University of Texas M. D. Anderson Cancer Center in Houston published in the International Journal of Cancer, men who consume high saturated animal fat diet are two times more likely to experience disease progression after prostate cancer surgery than men with lower saturated fat intake. There is also shorter “disease–free” survival time among obese men who eat high saturated fat diet compared with non–obese men consuming diets low in saturated fat. Men with a high saturated fat intake had the shortest survival time free of prostate cancer (19 months). Non-obese men with low fat intake survived the longest time free of the disease (46 months). Non-obese men with high intake and obese men with low intake had “disease–free” survival of 29 and 42 months, respectively.

Take home messages

  •  High saturated fat diet has been linked to cancer of the prostate
  • Reducing saturated fat in the diet after prostate cancer surgery can help reduce cancer progression.
  • Cancer prostate has the same risk factors as that of heart blockages and both are linked to high saturated fat intake.
  • With an increase in number of heart patients, a corresponding increase in prostate cancer patients is also seen in the society.

High fat diet is prostate cancer prone

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , | | Comments Off on High fat diet is prostate cancer prone

Diets high in saturated fat increase the risk of prostate cancer. As per a report from University of Texas M. D. Anderson Cancer Center in Houston published in the International Journal of Cancer, men who consume high saturated animal fat diet are two times more likely to experience disease progression after prostate cancer surgery than men with lower saturated fat intake. There is also shorter “disease–free” survival time among obese men who eat high saturated fat diet compared with non–obese men consuming diets low in saturated fat. Men with a high saturated fat intake had the shortest survival time free of prostate cancer (19 months). Non-obese men with low fat intake survived the longest time free of the disease (46 months). Non-obese men with high intake and obese men with low intake had “disease–free” survival of 29 and 42 months, respectively.

Take home messages

  •  High saturated fat diet has been linked to cancer of the prostate
  • Reducing saturated fat in the diet after prostate cancer surgery can help reduce cancer progression.
  • Cancer prostate has the same risk factors as that of heart blockages and both are linked to high saturated fat intake.
  • With an increase in number of heart patients, a corresponding increase in prostate cancer patients is also seen in the society.

Think positive and think different

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , , | | Comments Off on Think positive and think different

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 Shankaracharya.

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 every day 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

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

Think positive and think different

By Dr K K Aggarwal
Filed Under Spirituality - Science Behind Rituals | Tagged With: , , , , , , | | Comments Off on Think positive and think different

The Mantra to acquire spiritual health is to think positive and differently. Positive thinking produces positive hormones and takes you from sympathetic mode to parasympathetic mode. When you think different, it gives you several opportunities and then from the 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 Shankaracharya. The candle light march, which was held to fight for justice in the Jessica Lal murder case, has been picked up by most protest campaigns because it was positive and different. I have seen three examples in my life where I used this mantra and prolonged the life of those persons. My grandfather–in–law at the age of 85 thought it was time to go but when we made him work positively and differently, he died at the age of 100 years. He was asked to teach youngsters law, write to the 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 had terminal brain cancer. The first one lived for 10 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 (Disclaimer: The views and opinions expressed in the text are entirely my personal views)

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.

Spiritual prescriptions learnt from patients

By Dr K K Aggarwal
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In a hospital practice, we all are a witness to suffering all the time. When we were young, in medical college, we quite often were disturbed seeing the sufferings of the people. But, in our practice, we have learnt many spiritual prescriptions from our patients. These have not only helped us to heal our patients but also changed our perception to health and sickness. I recall Swami Bodhanand, a disciple of Swami Chinmayananda, was once hospitalized under our care. When I asked him to give me a spiritual message, he told me only two words “Detached Attachment”. He said, “As a doctor you should behave like a lotus leaf. It is wet as long as a drop of water is there, but once the drop is out, the leaf is as dry as if the water was never there.” The message was that “we should be attached to our patients as long as they are with us. The day they die, we should be completely detached from them or else we will not be able to treat other patients”. I saw another spiritual guru through our Chief Anesthetist. The fee he paid to me was a spiritual message “Suno Samjho Jano Karo – Hear Understand Wisdom and Do”. He said that hearing is different from listening, listening is different from wisdom and wisdom is different from doing. Unless you hear, understand what you have heard and implement, the learning has no value. One of my Buddhist patients gave me a spiritual learning, which has helped me a lot in my routine clinical practice. He taught me the basic Buddhist message that there is suffering all over; there is a reason for every suffering and it is possible to maintain sufferings. This message fits into the main message of Hinduism and also the main teaching from Garud Purana. In Hinduism, we know that the very fact that we are born in this life means that in our last life, we could not get liberation as Hinduism believes that after liberation you are not reborn. Not getting liberated in the last birth means that some sufferings were left in our life. The basic purpose of this birth, therefore, is to face sufferings. When the basic purpose of our birth is to face sufferings, then why suffer from these sufferings. Every time we suffer, we should thank God that he has reduced one more. The period in between two sufferings is called a happy period (Sukh). In fact that period is nothing but a period of rest given by God to us to prepare the body for next suffering. This as a concept of counseling helps my patients in managing most of their mental disturbances. Sometimes not telling a patient that he is suffering from terminal cancer works. One of my patient’s father aged 83 years was found to have extensive cancer of the prostate. Medically, we all gave him three months’ to live. My patient did not have the courage to tell his father or the family members that he (the father) had extensive cancer. He took me into confidence and played a game with the family. We gathered all the family members and told them that with the surgery this cancer had been cured. A party was organized in the evening to celebrate the cure. The magic happened; he lived almost a symptom–free life for the next 9 years. I have tried this on many of my patients thereafter and it works. The probable explanation was loss of fear of death, a confidence in his doctor and faith in himself. The way to live up to the age of hundred is to go on working in life. My great grand–father–in–law was 75 years old, when I got married. That year, he gathered all family members across the world and said that his purpose of life was over and, he would like a collective family photograph and like to quit the world. Nothing happened for a year and on 20th July next year, he again played behaved the same way. Family from across the world gathered but he remained alive for another year. This went on for three years. Suddenly, we played a spiritual trick on him and told everyone to convince him that he is going to live for 100 years as he has many more work of the family to be done. Every year, we gave him law students from within the family to be taught (he was a lawyer himself), or gave him the responsibility of finding a boy for some eligible girl in the family. We made him teach and search for suitable bride/bridegrooms for years together and he actually died at the age of 100 years. This is the beauty of positive attitude in life.

Say no to FNAC in prostate cancer

By Dr K K Aggarwal
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Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas. 

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination. 

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance. 

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable. 

When positive, the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor node metastasis (TNM) prognostic group staging system. 

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma. 

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.

Say no to FNAC in prostate cancer

By Dr K K Aggarwal
Filed Under Wellness | Tagged With: , , , | | Comments Off on Say no to FNAC in prostate cancer

Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas.

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination.

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance.

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable.

When positive the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor, node, metastasis (TNM) prognostic group staging system.

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma.

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.

Say no to FNAC in prostate cancer

By
Filed Under Wellness | Tagged With: , , , | | Comments Off on Say no to FNAC in prostate cancer

Over 95 percent of malignancies arising in the prostate are adenocarcinoma. The remaining types include urothelial carcinoma, basal cell carcinoma, small cell carcinoma, lymphoma and sarcomas.

Core needle biopsy of the prostate is used to determine whether or not cancer is present in men with an elevated serum PSA level and/or an abnormal digital rectal examination.

The recommendation is to take multiple core biopsies under transrectal ultrasound guidance.

Primary diagnosis of prostate cancer by using fine needle aspiration is not acceptable.

When positive the combined Gleason score, based upon architectural features of the prostate cancer cells, should be reported because it correlates closely with clinical behavior and has been incorporated into the tumor, node, metastasis (TNM) prognostic group staging system.

One should also report number of positive cores, the percentage (or length) of cancer in the positive core, the presence of perineural invasion or extraprostatic extension, and the presence of histologic types other than conventional adenocarcinoma.

The accuracy of pathological diagnosis of prostate cancer can be improved by using immunohistochemistry markers.