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Dr K K Aggarwal

Direct all your energy towards the should and nor the ego

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The epic Mahabharata can also be understood as a science of inner Mahabharata happening in everybody’s mind.

Lord Krishna here symbolizes with consciousness and the five Pandavas with five positive qualities of a person and they are – righteousness (Yudhishthir), being in focus (Arjuna), power to fight injustice (Bheem), helping others (Sahdev) and learning to be neutral in difficult situations (Nakul). Panchali indicates 5 senses which can only be controlled when these five forces are together.

Dhratrashtra symbolizes with ignorance, Duhshasan with negative ruling quality ( dusht while ruling) and Duryodhana (dusht in yudh) with one who is not balanced in war.

To kill the negativity in the mind, one has to take conscious based decisions. Every action, if directed towards the consciousness or the soul, is the right action. To kill the 100 Kauravas (the 100 negative tendencies a person can have) controlled by Duryodhan and Duhshasan along with Shakuni (the negative power of cunningness), one has to redirect one’s positive qualities towards the consciousness and take right decisions.

The five Pandavas (positive qualities) made soul (Lord Krishna) as their point of reference (Sarthi) and won over the evils (Kauravas).

Bhishma Pitamah, Karana and Draunacharya, all had winning powers individually but they all gave support to the negative thoughts and made Duryodhana as their point of reference and ultimately had to die.

The message is very clear – if one directs his or her positive powers towards ego as the reference point in long run, they will be of no use and, in fact, will be responsible for one’s destruction.

In Ramayana, Ravana was a great scholar but he directed all his energies and powers towards his ego and ended up in misery.

One should cultivate, therefore, positive mental attitude, positive thoughts instead of directing them towards desire, attachment or ego and should direct them to soul/consciousness for a positive outcome.

About the author: Dr K K Aggarwal is Padma Shri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA [ blog.kkaggarwal.com]

Use accessible, affordable and safe quality medicines in India

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I was invited to be a part of inaugural session on the subject ‘pen House Consultation on Accessibility to Quality Medicines in the Supply Chain’ organized at India Habitat Centre on Friday, 15th February, 2013 by the Partnership for Safe Medicines India (PSM).

The symposium was inaugurated by Mr. Keshav Desiraju, IAS, Health Secretary, Government of India.

Apart from me, those who participated in the inauguration function were Mr. Praful D. Sheth, Vice President International Pharmaceutical Federation; Dr. Dilip G. Shah, Secretary General, Indian Pharmaceutical Alliance, Mumbai; Dr. G.N. Singh, Drug Controller General India (DGCI), Government of India; Padma Shri awardee Dr. Ranjit Roy Chaudhary, Founder Delhi Society for Promotion of Rational Use of Drugs;  Mr. C.P. Singh, IAS, Chairman, National Pharmaceutical Pricing Authority; Ms Mridula Jain, Joint Secretary, Ministry of Commerce, Government of India and Ms Reena George, Lawyer, Supreme Court of India.

The meeting was organized by Mr. Bejon Misra Founder, Partnership for Safe Medicines India.

Introducing the seminar, Mr. Sheth said that as on date, substandard drugs only constitute 5% and spurious drugs constitute 0.5% of drugs.

Dr. Ranjit Roy Chaudhary focused on the importance of rational use of drugs. He said that misuse of drugs and side effects of drugs are enormous but can be prevented; if not they can cause death. He said people go to hospital to get well and not to get sick.

Mr. Shah said that if in two words I have to define the role of pharma, it would be ensuring a supply chain of quality drugs.

Dr. GN Singh, Drug Controller General India said that any drug which is approved by DGCI, whether popular brand, unknown brand or drugs sold under a chemical name, is same as far as quality and standard of drug is concerned. He said that substandard drugs used to be 8-10% about 10 years back but because of good manufacture practices, now they have been brought down to 4-5% and we aim at reducing it to 1% in another five years.

Mr C P Singh said that every process in making a drug costs money. But affordability is an issue inIndia.

Ms Mridula Jain, Joint Secretary, Ministry of Commerce, said that more and more of exports of medicines in other countries are by default controlling the quality and safety. Today, Indian pharmaceuticals are present in trade over 220 countries.

Inaugurating the conference, Mr. Desiraju said that all stake holders need to work in symphony with each other with an objective to provide safe quality drug. He said that everybody knows that making a spurious medicine is a criminal act. What is important is to improve the quality and make sure that substandard drugs are not sold. He said that word ‘generic’ does not mean that the drug is substandard. He also showed concern on the rising problem of drug resistance. He also expressed concern that medical colleges today are producing doctors who are not as trained as they used to be in the past. The art and science of diagnosis is missing in them.

I participated in the symposium as the National Vice President (Elect), IMA and elaborated on the role of medical practitioner in accessible and affordable medical care to the community.

As per WHO, one in 10 hospital admissions leads to an adverse effect and one in 300 admissions in death. As per American Medical Association, 2000 death occur every year from unnecessary surgery, 7000 from medication errors in hospitals, 20000 from other errors in hospitals, 80000 from hospital acquired infections, 1.06 lakh deaths from adverse effects of drugs. In total, 2.25 lakh deaths occur every year in US due to unintentional medical errors. The incidence is between 10-17% in all cases.

As per CDC, 7 lakh people visit hospital emergency department every year because of wrong use of medication. Till 1994, one lakh people used to die every year in US alone because of preventable medical errors. When compared to Alzheimer’s, less than 50% people die in a year and only 17,000 people die of illicit drug used in the same year.

US has been able to prevent one lakh deaths every year under 1,00,000 campaign.

A point was raised that it is the duty of DGCI to inform every doctor on regular basis about new introductions on drugs, banning of drugs. It was also said that doctors should write cheapest drugs maintaining the quality and safety.

Ending the seminar, Mr. Bejon Misra said that most important is focus on consumer education.

Why do we regard trees and plants as being sacred?

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The upper part of the plants, the leaves, flowers and fruits are worshipped as sacred and offered to God. As per the Bhagwad Gita, these have satvik properties. Roots of any plant are tamsik and not offered in pooja or eaten during pooja days. The same is true for the stems of plants, which have rajsik properties.

Fresh and live fruits have the same spirit and life force as in the human beings and are considered sacred the same way as any human being.

Human life also depends on plants and trees. They give us the vital factors that make life possible on earth: food, oxygen, clothing, shelter, medicines etc.

Ancient scriptures suggest the planting of a minimum of ten trees. We are also urged to apologize to a plant or tree before cutting it to avoid incurring a specific sin named soona.

Many trees and plants like tulsi, peepal etc., which also have medicinal value, are worshipped.

Stay Away From Stress during Examination Days

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Exam stress can lead to depression and suicide. Prescriptions for anti depressant drugs, so called ‘happy drugs’ increase amongst teenagers in the age group 16-18 years in full time education during exam days. This figure crosses 20% in school population in the West.

To create awareness about the rising problems of stress in the Indian context, Dr Aggarwal said that the fear of failure, fear of letting down are the two most common factors leading to suicide and depression.

Children also use drugs to keep awake during exams and end up with addictions. Anticipatory anxiety peaks before exams resulting in adverse affects on the body and mind and therefore, a suboptimal performance. Stress not only causes palpitations and tense muscles but also reduces the ability to make decisions, act or express oneself including organization of thoughts. Stress during exam makes it difficult to read and understand questions and even to recall terms and concepts.

A study has shown that 45 minutes of afternoon nap improves the declarative memory. Declarative memory is the memory of events learnt and understood earlier during the year. Not taking an afternoon nap or night sleep may cause the child end up with transient loss of declarative memory. Sleep appears to help “set” these declarative memories and makes them easier to recall. The other type of memory is “procedural memory,” which applies to skills and has no impact with the midday nap.

Free writing can clear mental stress: By spending 30 minutes each day for four days to write out your innermost thoughts and feelings, one can significantly boost mental and physical health. In expressive writing therapy, students are encouraged to express whatever is on their mind, letting their hopes and fears flow out in a natural, unrestrained way. It’s akin to keeping a journal, but more focused on the things that might be bothering you or triggering stress. While writing, the students need not worry about the punctuations. It’s all about stepping back and thinking about things in a different way, making linkages. Writing out emotions eases stress and, in turn, boosts the immune system.

Memories of traumatic events are not suppressed by the people who have experienced them and can be clearly recalled. In a five-year study, scientists atDalhousieUniversityinHalifaxfound that pleasant events were more difficult to recall than unhappy ones.

 

HCFI Tips

  1. Children should   not be compared: it can lead to anger or depression in the child.
  2. Appreciate unconditionally whatever the child has achieved.
  3. Avoid giving false promises such as “if you come first, you will get a bike”. When that happens, “You are not yet 18 – so you can’t get a license. This time, settle for a bicycle and later we’ll get that bike”. Broken promises hurt the child.
  4. Avoid anger chain. For example, the father unleashes his anger on the mother (because she does not answer back), and she takes it out on the child (because of the same reason). And the child takes it out on books or studies or younger sibling or hired help at home!
  5. Do not force your expectations on the child. For example, you should only become a doctor.
  6. Avoid giving the child two conflicting messages like mother asks child to study and father says – “do not force him.”
  7. Make   your   child   exercise   daily,   learn   pranayama   and meditation.
  8. Provide your child with balanced and nutritious diet.  Avoid overeating or long hunger periods. Restrict caffeine, give more water.
  9. Ensure adequate sleep with a consistent schedule to improve concentration, memory and mood, it also reduces irritability.

 

Euphoria, reaction, adjustment and liking: The four phases in life

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Dr. Anil Goyal was recently elected as the President (Elect) of Delhi Medical Association. In one of his felicitation function, I said that he is going to be in a euphoric period for some time.

It’s a normal phenomenon and well described in Vedic laws. This phenomenon also explains why there is an ‘elect post’ in any organization. Dr. Anil Goyal is going to serve as President (Elect) for one and I am serving as Vice President (Elect) of National IMA for one year.

People are often elected to serve as an ‘elect’ for one year before they take charge of the main post for which they are elected.  It has some scientific basis.

Whenever you take up any new assignment you go through four phases

1. Phase of euphoria

2. Phase of reaction

3. Phase of  adjustment and

4. Final phase of liking.

When you win, there will be a period of euphoria and this will last till everybody congratulates you. During this period, when you attend a function, you expect people to congratulate you.

This will be followed with a phase of reaction (period may vary) where you start reacting as you will have to give time for the post work for which you are elected.

Over a period of time you adjust. These three phases of euphoria, reaction and adjustment should be over while you are in the Elect post.

Once you take over the main post, you should be able to perform from day one and that is what the last phase of liking is.

 

Doctors are often blamed that they do not go to rural areas

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I have the following points to make:

  • Open medical college/s, only in rural areas so that a budding doctor does his internship and three years PG in the same area.
  • Many young doctors go to Saudi Arabia to earn a tax-free income so that they can start their own clinic or medical setup. These doctors can be convinced to work in rural areas, if they are given income tax-free salary for serving in rural areas for two years.
  • All doctors who document 10% of free service should be given incentives that are normally given to any trust or society, which includes income tax rebate, non-commercial rates for house tax etc.
  • Every citizen inIndiashould be insured. When driving without insurance is an offence then how come the costliest machinery in the world human body is allowed to walk out of the house without insurance. Government should make insurance compulsory and those who cannot afford, the government should pay for their insurance. Once everybody is insured, hospitals across the country will be automatically established in rural areas.

 

 

Why do we do Pradakshina?

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We cannot draw a circle without a centre point. The Lord is the centre, source and essence of our lives. We go about doing our daily chores, recognizing Him as the focal point in our lives.  This is the significance of pradakshina, which is a Sanskrit word meaning circumambulation or walking in a circle around the deity.

Pradakshina is done only in a clockwise manner. The right side symbolizes auspiciousness. During pradkshina we remind ourselves to lead an auspicious life of righteousness, with the Lord on our right side. Also every point on the circumference of a circle is equidistant from the centre. This means that wherever or whoever we may be, we are equally close to the Lord. His grace flows towards us without partiality.

Indian scriptures enjoin us – “Matrudevo Bhava, Pitrudevo Bhava, Acharyadevo Bhava” i.e. “May you consider your parents and teachers as you would the Lord”. With this in mind we also do pradakshina around our parents and divine personages.

After the completion of the traditional worship (pooja), we customarily do pradakshina around ourselves. In this way we recognize and remember the supreme divinity within us, which alone is idolized in the form of the Lord that we worship outside.

Profession, passion and fashion

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I have written about this topic earlier too, but this is an update. Profession is at the level of physical body and mind, fashion is at the level of ego and passion is at the level of the soul. If your passion, profession and fashion are in synchrony with each other, you are a perfect leader.

If you are not passionate about your profession, you can never be successful. To be passionate about your profession is only not important, it is also equally important to let others know about your passion for your profession.

When you do so, it becomes a fashion. Our aim in life should be to let people know that you are passionate about your profession.

When the passion is too much, it becomes an obsession.

In a multispecialty camp organized by Heart Care Foundation of India in association with East Delhi Walkers’ Association, over 2000 people were examined by a team of medical experts led by Padmashri & Dr. BC Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India and National Vice President (Elect), India Medical Association.

Addressing a gathering of over 2000 people, Dr. Aggarwal said that everybody should walk at least 80 minutes a day and brisk walk 80 minutes in a week. Brisk walking means walking 80 steps per minute.

Dr. Aggarwal also interacted with senior heart surgeons: Dr. Sujay Shad, Dr. Rajesh Kaushar, Dr. Mubeen Mohammad, Dr. Sandeep Singh and Dr. Baldev  Sekhon.

In the discussion, the experts said that sore throat in children should not be neglected, especially if it is without cough and nasal discharge. Streptococcal sore throat can bite the heart permanently. Timely antibiotic in these patients can prevent permanent heart damage.

Interacting with other experts, Dr. Chanchal Pal, Dr. Shashi Bala, Dr. Prachi Garg, Dr. Pooja Garg, Dr. Varun Arya, Dr. Mini Mathur and Dr. NK Bhatia, Dr. Aggarwal said that it is better to get a swine flu as seasonal flu as mortality and morbidity is low. He said that prevention of flu involves respiratory hygiene, cough hygiene and hand hygiene. Respiratory hygiene means staying 3 feet away from the person who is coughing or sneezing. Cough etiquettes means not to cough in hands or handkerchief but on the side sleeves of the shirt. Hand hygiene means washing hands thoroughly with a soap and water after touching nasal secretion.

Dr. Sanjay Gupta, Sr. Orthopedic, Moolchand Medcity said that people who have joint knee problems should not use Indian latrines.

Dr. Sweta Gupta, infertility expert, said that today with advance techniques, it is possible to deliver a child in every family.

Dr. NK Bhatia, Sr. Transfusion Specialist, said that everybody can donate blood from the age of 16 to 65.

Dr Mini Mehta, Dr Nischal Gupta, Dr Saloni Tomar,  Dr Rashmi Bhaskar, Dr Chetali Jain, Dr  Rohit, Dr Gyanendra, Dr  Shelja and Dr Neeraj Gupta Homeopathic Cardiologists of India said that time has come for homeopathic doctors to specialize in cardiology and practice as homeopathic cardiologists.

Over 2000 people were trained on how to revive a dead person using the technique Hands Only Cardiopulmonary Resuscitation. The Foundation has trained over 30000 people in the last four months.

Love in Ayurveda

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Euphoria, reaction, adjustment and liking are the four fundamental phases of any relationship. When a person gets engaged to a girl, both goes through a phase of euphoria where they can talk to each other for hours. This phase lasts for six months to three years.

The next phase is the phase of reactions and fighting on smaller issues. This phase will end up with adjustment after a variable duration depending upon the family counseling available.

The last phase in any relationship is the real spiritual love and liking for each other.

The first euphoric phase of love relationship is medically called Infatuation. It starts when two persons are attracted to each other and is due to release of adrenaline like neuro-chemicals like phenylethylamine, dopamine and norepinephrine. Dopamine makes them feel good and norepinephrine stimulates the production of adrenaline which makes the heart beat faster. These chemicals also make one feel euphoric, energized, and float on air.

The last chemical oxytocin is the cuddling chemical which makes the women and men calmer and more sensitive to the feelings of others. It plays an important role in romantic love as a sexual arousal hormone that signals orgasm.

The final stage of a relationship usually starts after seven years and is the stage of attachment. The chemicals involve in this are endorphins. These morphine-like opiates calm and reassure with intimacy, dependability, warmth, and shared experiences.

These hormones are not as exciting as phenylethylamine but are more addictive. The longer two people have been in a relationship the more likely it is that they’ll stay in that relationship as they get addicted to the endorphins. It is the absence of endorphins that make long-time partners yearn for each other when apart. Absent endorphins also play a part in grief from the death of a spouse.

Mark Goulston, at theUniversityofCalifornia, said “Adrenaline-based love is all about ourselves, we like being in love. With endorphins, we like loving”.

The stages in between are the stages of reaction and adjustment and represents the normal reactions of the men or women to stress and strains.

As per Ayurveda a person is made up of body, mind (mind, intellect and ego) and soul. Infatuation is at the level of body and the mind. Attachment is at the level of soul and the reactions and adjustments are at the level of mind, intellect and ego.

From Ayurveda point of view a person can have a Satvic mind (calm and poise), Rajsic mind (aggressive) and a Tamsic mind (inertia and destructive). The first infatuation and the last attachment phases of relationship are all Satvic states and the in between states are Rajsic or Tamsic.

This is one reason why newly wedded couples are given Satvic food for the initial few months including a cup of hot milk with sugar before going to the bed.

The relationship of a person can also be classified at the levels of physical body, mind, intellect, ego and the soul. All depends upon the need and the resultant satisfaction.

Rarely the husband and wife will be able to fulfill the role of all the relationships. They may me physically together but not mentally.

It is quiet common for the partners to have separate relationships to satisfy respective needs. They may have multiple relationships apart from the wife who is only for the physical needs. They may have separate friend to satisfy their mental needs (with whom they can open out and share), another for intellectual needs and a guru for the spiritual needs.

Natural foods and not supplements prevent heart disease

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One should take seasonal and locally grown natural food and vegetables grown out of organic farms. Eat less, dinner lighter then lunch, eat natural and in moderation- are few of the mantras.

Eating food supplements can be harmful. According to the American Heart Association (AHA), supplementation with beta carotene and vitamin E, either alone or in combination with each other or other antioxidant vitamins does not prevent heart disease.

High dose vitamin E supplementation (400 IU/day) may be associated with an increase in all-cause mortality.

Supplementation with vitamin C does not prevent a second heart attack.

Beta carotene supplementation may be dangerous and should be discouraged.

Vitamin E supplementation may be of benefit for only secondary prevention of heart patients with chronic renal failure who are undergoing hemodialysis.

The AHA concluded that current data do not justify the use of antioxidant supplements for the prevention or treatment of cardiovascular disease risk.

The above recommendations apply to supplementation only. Diets that are rich in natural antioxidants are associated with lower cardiovascular mortality.

Saraswati Vandana

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Saraswati = one who gives the essence (sara) of the true self (swa)

Sanskrit Mantra

Yaa Kundendu tushaara haaradhavalaa, Yaa shubhravastraavritha|

Yaa veenavara dandamanditakara, Yaa shwetha padmaasana||

Yaa brahmaachyutha shankara prabhritibhir Devaisadaa Vanditha|

Saa Maam Paatu Saraswatee Bhagavatee Nihshesha jaadyaapahaa||

English Translation

“May Goddess Saraswati, who is fair like the jasmine-colored moon, and whose pure white garland is like frosty dew drops; who is adorned in radiant white attire, on whose beautiful arm rests the veena; whose throne is a white lotus; and who is surrounded and respected by the Gods protect me. May you fully remove my lethargy, sluggishness, and ignorance.”

 Saraswati Vandana is the first ritual performed whenever we hold any educational seminar. She represents the Goddess of knowledge. In Vedantic terms ‘knowledge’ means knowing about true self or the consciousness.

 The Goddess Saraswati is incarnated as a lady figure sitting on a lotus. She has four hands. She holds the sacred scripture (Vedas) in one hand and a lotus or a rosary in the other. With the third and the fourth hands she plays the Indian flute or veena, and sometimes a PEACOCK is shown standing nearby.

 Worshipping Saraswati means, adhering to its principles in day-to-day life. When these principles are applied for self- realization these are called INTERNAL principles and when applied for external knowledge (say your profession), these are external principles. In both situations the basic principles are the same.

 In the process of learning or teaching, the first thing is the TRUTH. Lotus with its white colour and the white cloths of Ma Saraswati in Vedic symbolic language represents TRUTH. What one learns or teaches has to be TRUTH and FACT based. It has to be true to one’s consciousness. One has to get firmly established in it. One has to make TRUTHFULNESS as a vehicle for the journey towards acquiring knowledge.

For acquiring self-happiness (true knowledge) or seeking the acquired knowledge about any subject, one can use either of the two pathways; firstly, the path of knowledge (Gnana Marg) and secondly the path of duty, devotion and discipline’ (Bhakti Marga).

The path of knowledge is important but the most difficult. By reading Vedas alone (for internal) or text books (for external) one cannot acquire the full knowledge. If this was true, no schools or colleges were required and one could have learnt sitting at home. Books and Vedas form the basis for everything but alone are not sufficient. This path of knowledge is shown by the Goddess holding the sacred Vedic book made of palm leaves (a small book) in her left hand.

The second path of learning is the path of doing your duty with devotion and discipline. This basically means listening carefully to the person giving a lecture (teacher or Guru) and sticking to what is said as discipline. With the single pointed devotion to what has been learnt, one can master the subject. The Goddess playing the Veena in two hands represents this path. As while playing or listening veena, you get absorbed in it, similarly during any learning or teaching act, you must get absorbed in it. This is the easiest path to acquire knowledge, as hardly any intellect is required (the earlier path is totally dependent on the intellect.

Once one has acquired the knowledge, implementation of the third and the last path of Karma (Karamyoga) can complete the process of learning.

It is saying ‘what you listen – you forget, what you speak – you remember; and what you do – you learn. Practicing with detachment to its fruits, using the principles of actions, contemplation (doing it again and again at same time) and repeated attempts (again and again over time) makes one perfect.

The Goddess holding the rosary in the right hand represents the path of action (contemplation and repeated actions). In the symbolic representation of the Goddess, the Veena is shown as a big object compared to rosary or the Vedas which convey that the listening of the seminar with full concentration and devotion is more important than reading about the subject or later implementing it.

The four hands have varied interpretations. It means strength and control over the mind, intellect, ego and consciousness.

One cannot create anything unless one has the knowledge of how and what to create. Knowledge is the fundamental prerequisite for creation. In Hindu mythology Brahma represents the creative force. Knowledge and Creation being inseparable, Saraswati is symbolized as being the wife of Brahma.

The peacock is symbolized by vastness (blue color) and loss of ego or pride (vanity). While learning (which is a vast subject) one must become egoless, then only the true learning will be acquired.

Saraswati has been compared to a mother as a mother looks after all the sons with equality. In learning and teaching, one has to treat everyone as equal and give more importance to the weakest students.

Some times she is shown to be sitting on swan which means ‘VIVEK’ or developing the power of discrimination between good and bad. The teacher must have those qualities of what to include in a presentation and what not to include.

If one starts thinking that I know more than the teacher, or the teacher starts behaving as if he is the ultimate, what one gets is a limited knowledge. Learning is an everlasting process and one has to shed his or her ego in this process.

After the Saraswati Vandna in any seminar, the custom is to light the lamp. It means, to initiate the learning process, which is nothing but removal of darkness or ignorance from our mind. Lighting the lamp here means removing the darkness.

Remember two Vedic principles while learning or teaching and ask the following four questions to your mind while making a presentation:

  • Is it necessary?
  • Is it the truth?
  • Will it add to the knowledge of others?
  • Has it helped me in my day-to-day Karmic life?

If the answer to any of the above is no, do not include it in your presentation.

You can smoke 10 Years of your Life Expectancy

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Two studies on smoking and mortality published this week in the New England Journal of Medicine have shown that quitting smoking helped to reduce the risk of death associated with smoking.

One study was led by Dr. Prabhat Jha of the Center for Global Health Research inToronto, while the other study was led by Michael J. Thun of the American Cancer Society.

Smokers lose at least one decade of life expectancy over nonsmokers on average.

Those who kick the habit before age 40 reduce the excess risk of death associated with continued smoking by about 90%.

Women are now as likely to die from smoking-related illnesses as men. In the early 1960s, women smokers were 2.73 times more likely to die from lung cancer than their nonsmoking counterparts; by 2010, they were 25.66 times more likely to die of the disease.

Four Phases of Relationships and The Seven Years Itch

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1. Euphoria

2. Reaction

3. Adjustment

4. Liking as the four phases of any relationship.

You get married you are euphoric, once the honeymoon is over you react with each other, over a period of times you start adjusting with each other and it may take seven years before you start liking each other.

You Can Die Because Of Treatment and Availability of Medical Technology

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Medscape gives the following 10 examples.

  1. Surgical fires: There are an estimated 600 surgical fires per year in US alone leading to devastating consequences, including disfigurement and death. The fire triangle is oxidizers, ignition.
  2. Texting while performing surgical procedures:Mobiledevices now make it easier for clinicians to be interrupted for non-work-related reasons. Half of the respondents to a 2010 survey of perfusionists acknowledged texting during heart-lung bypass procedures 2]with 15% further admitting that they accessed the Internet and 3% reporting that they visited social networking sites during procedures. These devices can divert the caregiver’s attention away from the patient or the task at hand.
  3. Dirty endoscopes and surgical instruments: Cross-contamination hazards can occur when flexible endoscopes aren’t properly reprocessed.
  4. Using technology for adults on children: Technology designed for adults are used on children as no alternatives exist. They can be risky
  5. Air embolism hazards: Intravascular air embolism is a potentially lethal complication of certain medical and surgical procedures. The largest percentage of reported events is associated with the use of central venous access devices.
  6. Devices and IT systems that don’t interface: Interfaces between medical devices don’t always function as intended and can allow dangerous conditions to exist. For example monitoring system may not communicate audible or visual alarms from an interfaced ventilator to warn caregivers of a critical patient circuit disconnection.
  7. Patient data errors in EHRs and health IT: One patient’s data can end up in another patient’s record.
  8. Radiation burns from diagnostic radiology procedures: Inappropriate use and dose levels of CT can lead to unnecessary radiation exposure for patients. Image quality typically improves as the dose increases. As a result, there is a tendency to use higher doses that are associated with greater risk to the patient. Acute reactions such as radiation burns and hair loss are relatively rare but still occur too frequently.
  9. Medication administration errors using infusion pumps: Infusion devices are the subject of more adverse incident reports to the US Food and Drug Administration than any other medical technology, according to the Association for the Advancement of Medical Instrumentation. From 2005 through 2009, more than 700 deaths associated with infusion devices were reported.
  10. Alarm hazards alarms on infusion pumps, ventilators, and other devices: sheer number of alarms in a hospital can overwhelm staff, leading to complacency and delayed response. Caregivers often turn down the volume of alarms. Too many alarms sounding can lose its purpose.