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Dr K K Aggarwal

Medical Profession Follows Krishna and Not Rama

By Dr K K Aggarwal
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Teachings from both the epics of our country are taught to every child during school age. The first being Ramayana and the second being Mahabharata. Ramayana depicts Lord Ram as the savior of truth and a person who lives an in atmosphere of truthfulness till the end. Ramayana probably is a reflection of the collective consciousness of Satyuga where the majority of the people believed in truthfulness.

Then came an era of Tetya or Dwapara yuga where the definition of dharma (to hold people together) changed as per the collective consciousness of the people. The teaching of Lord Krishna in Mahabharata was that you have to live with truthfulness but speaking a lie can be your dharma in special situations. He said that a lie which can save somebody’s life without affecting any other person may be spoken and a truth, which if spoken can hurt somebody or is not going to harm anybody if not spoken may not be spoken.

Today we are living in Kalyuga and Krishna of today is every medical doctor treating a patient. For the interest of the patient and the society if doctors were to follow the principles of Rama, miseries would have increased. We as medical professionals are taught the example of Krishna and not Rama. We are taught that our utmost duty is the comfort of the patient. In doing so we are taught not to tell a dying person that he is going to die or not to tell a cancer patient that he is going to die in the next two to three months.

As a part of our social commitment a job of a medical professional is to save the life of a person. Everybody knows that prostitution is a crime but both Govt. of India and National AIDS Control Organization (NACO) have a program in which they distribute free condoms to the commercial sex workers. Similarly, all addicts during de–addiction are provided drugs as a part of the prescription though the quantity has been defined as to be lower than 5 grams. All addicts are treated and not put behind the bar.

The Law today state that an attempt to commit suicide is a crime (section 309 of the Indian Penal Code 1860) and consuming a drug is also a crime. But medically a doctor would look it differently. For him attempt to suicide is linked to an underlying depression and the patient needs a treatment and not jail. Addiction is a disease and every addict on similar grounds need de–addiction program and not jail.

The country’s Law is very harsh and needs to be changed. Probably when the law was made addiction was not considered a disease.

Punishment for a person attempting to commit suicide should be to get a compulsory treatment for depression in a time bound manner and for an addict to get a complete de–addiction done in a time bound manner.

The answer is not punishment but rehabilitation. But till the Law is changed, the only way medical professionals can help patients with attempted suicide is to write that it was accidental and patients who are addicts is by showing that either it was accidental ingestion or he or she ingested an unknown substance.

Most of the doctors are taught not to do urine or blood test in such cases because if the test comes out to be positive, the police will have no other alternative than to arrest the addict and put them behind the bar.

The Law says that possession of cocaine in anybody’s house can amount to imprisonment. Will the same law apply to the Chief Minister or Lt. Governor of a state if cocaine is found in their state or Prime Minister of President of the country if cocaine is found in their country?

But if we look from the angle of law makers under section 64A in the NDPS Act, there is a provision that the court can direct drug addicts to get rehab done in a Govt. de–addiction centre. But most of the doctors are unaware about this. Doctors can easily label a patient as drug addict and save them. But how many people would like to be labeled as an addict or prefer a Govt. centre when best of the private sector de–addiction centers are available.

The bailable arrest of doctors in Rahul Mahajan case is a clear indication for the medical professionals to stop thinking that they are next to GOD and they have any social responsibility. They should follow the rule book of the law and state observations as they are.

What type of a vegetarian are you?

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

Lacto–ovo–vegetarian consumes dairy products and eggs but no meat, poultry, or seafood
Lacto–vegetarian eats dairy products but not eggs, meat, poultry, or seafood
Ovo–vegetarian eats eggs but no dairy products, meat, poultry, or seafood
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 cancer as well as increased longevity. Vegetarian diets are typically lower in fat, particularly saturated fat, 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 the 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).

One should treat every individual with 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.

Duration of CPR May Be a Factor in Kids’ Survival

By Dr K K Aggarwal
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Some children with in–hospital cardiac arrest can benefit from longer duration of cardiopulmonary resuscitation (CPR), a study has found. In the study among survivors, neurological outcome was favorable for the majority of patients. Of the 3,419 children included in the study, 28% survived to hospital dischar

ge, and 16.6% of these survivors had CPR longer than 35 minutes, according to Renée Matos, MD, MPH, of the University of Pittsburgh School of Medicine, and colleagues. A total of 60% of these survivors with longer–duration CPR achieved a favorable neurologic outcome, they reported in the study published Jan. 21 in Circulation: Journal of the American Heart Association.

In the mid–1990s, authorities considered pediatric CPR futile beyond 20 minutes’ duration or when more than two doses of epinephrine were provided.

Even though longer–duration CPR can benefit some children, the reality is that after the first 15 minutes of CPR, survival rate declines rapidly. Survival decreased by 2.1% for every minute of chest compressions over 15 minutes.

When CPR was longer than 35 minutes, those in the Surgical Cardiac category had the best survival to hospital discharge rate (25%), followed by, Medical Cardiac –– 21%; General Surgical –– 13%; General Medical –– 10% and Trauma –– 8%. ([Medpage today)

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.

Depression Should Be Treated In Patients with Diabetes

By Dr K K Aggarwal
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Presence of depression in diabetic patients is the most important factor leading to erectile dysfunction in such patients.

An India cum US study published in the Journal of Urology, depression and erectile dysfunction are related to each other in the form of a vicious cycle. Depression instigates erectile dysfunction and erectile dysfunction perpetuates the symptoms of depression.

India is the diabetic capital of the world and both the incidence and prevalence of diabetes are increasing day by day.
It is, therefore, important for the family physician to look for presence of depression in patients with diabetes.
Diabetic patients who complain of erectile dysfunction in the study also have higher prevalence of high blood pressure and cholesterol abnormalities. These patients were also of older age with uncontrolled diabetes, history of smoking and longer duration of diabetes.

It was also shown that patients who develop erectile dysfunction also had diabetes, eye disorders, neuropathy and peripheral vascular disease.

Effective control of diabetes may reduce both depressive symptoms and erectile dysfunctions in such cases.

The Concept of Second Opinion

By Dr K K Aggarwal
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In legal system when you are not satisfied with a judge, you re–appeal in the same court and if you are still not satisfied, you go to double bench before going to higher court.

Practice the same when you take a second opinion about your health.

Never go to a different doctor. First go to the same doctor and ask him to give his opinion again and, if you are not satisfied, then go to a team of two doctors and finally go to a doctor with qualification higher than the initial doctor. If your second opinion is from another doctor, it may invariably be wrong or partial.

Can blood pressure be higher in one arm?

By Dr K K Aggarwal
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A small difference in blood pressure readings between arms is normal. However, a difference of more than 20 mm Hg for systolic pressure (top number) or more than 10 mm Hg for diastolic pressure (bottom number) can be a sign of an underlying narrowing of the main arteries to that arm.

A difference of 10 to 15 mm Hg for upper systolic pressure that shows up repeatedly is a risk marker for vascular disease and future heart attacks.

Always have the doctor check both your arms for blood pressure and whichever is higher, use that arm for future blood pressure readings.

My answer is yes; now tell me your problem

By Dr K K Aggarwal
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This was the best statement I have ever come across in my life. One of the medical superintendents at Moolchand Hospital when he joined had this statement on the wall behind him. It clearly indicates that he was sitting to solve the problem and not to create problems.

If all the service provider agencies follow this statement, the scenario of the country can change. Our job should be to solve problems and not find mistakes. None of us is 100% truthful, honest or hardworking. Each one of us will have some positive points and some negative points. Our job should be to remove our negative points and convert them into positive.

Remember, the SWOT analysis taught in marketing i.e. “Strength, Weakness, Opportunity and Threat”. Our job should be to convert our weakness into strength and threat into opportunities.

Choose to become a father before you are 40

By Dr K K Aggarwal
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Men should think about becoming fathers much before 40 years in order to minimize the effects of age on fertility and outcomes of pregnancy. The ideal age to become a father is between 25–35 years.

The age of sperm donors as per recommendations should be less than 40 years of age. Beyond this age, the sperm quality is reduced considerably and this may adversely affect fertility and pregnancy outcomes.

Researchers from the French National Institute for Medical Research has reported that miscarriages rates were higher in women whose partners were older than 40 years when compared to women whose partners are young men. This risk doubled when their partners were 45 years of age.

Older fathers are more likely to have a child with schizophrenia, heart defects, cleft lip, Down syndrome or a child being born autistic are higher if the age of the father is more than 40.

In women, pregnancy after 35 years of age is generally regarded as high risk with greater chances of birth defects and miscarriages. But, according to the researchers, the age of the male should also be taken into consideration by gynecologists.

Can a mantra or sound be used as a medicine?

By Dr K K Aggarwal
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The answer is yes. The difference between a Mantra and a sound is that Mantra sound is an energized sound with medicinal values. There are many aspects of Mantra as a sound:

The type of sound matters. It is well–known that chanting of vowel sounds produces interleukin–2 in the body, which has the same action as that of aspirin and works like a natural painkiller. Chanting of nasal consonants produces delta activity in the EEG and has similar action like tranquilizers. Chanting of other consonants has different actions in the body. For example, chanting of LUM reduces fear, VUM reduces attachments, RUM reduces doubt, YUM increases love, HUM increases truthfulness and AUM non–judgmental activities.
Mantra sounds can be vibratory or non–vibratory. Vibratory sounds use nasal consonants and vibrate bones beginning from mandible, spine, and the automatic plexus lying along the spine. Chanting of nasal consonants leads to a parasympathetic state.
Chanting of mantra is associated with reduced respiratory rate, which leads to parasympathetic state of the body. Ideally, the respiratory rate should be reduced to 4 per minute and then continue it for next 20 minutes i.e. 80 breathes in 20 minutes. This can be done by chanting, for example, the whole Gayatri mantra in one respiratory cycle.
How one chants also matters. The yogic way of chanting is when the mind is in mantra or the chanting. This leads to deeper relaxation.
Understanding the meaning of the Mantra you chant also matters. If you do understand the meaning, the chanting benefits will be more. Foreigners do not understand the meaning of Indian Mantras but yet they get benefits. But if they chant with understanding the meaning of the Mantra, the health benefits will be more.
Chanting a mantra with its meaning in the mind invokes the power of intention. It’s like getting connected to any search engine on the internet and typing your query. Your consciousness in the body is the internet and the intention the search button.
Chanting a mantra with its meaning in the mind also results in emotions and expressions, which have an added advantage.
Overtone chanting has additional benefits. The new sound heals not only those who are chanting but also those who are listening and bystanders.
Group chanting is more powerful. If 1% population chants together, rest 99% also gets the benefits.
One can also do distance healing by chanting at a far distance. The only way one can explain this is by understanding consciousness as an internet cum social site model. In this understanding each one of us has our page in the internet (soul) as well as a page in the cloud internet (spirit). All our pages are connected with every person in this earth through the cloud internet. People can chant at a distance and their audio file with intent automatically gets posted on their soul internet and the cloud internet. The person for whom we are prayer chanting gets the benefit whenever he is connected to the cloud internet.
During chanting, the mind diverts. Continuously chanting of Mantra for 12 seconds means concentration, 12×12 seconds is contemplation and 144×144 seconds is meditation. So by concentrating on the object of concentration, the mantra, one can avoid diversion of the mind.
The intensity or the loudness of the chanting sound also matters. Higher the loudness. less will be the effects. Japa meditation involves two hours of Mantra chanting to get the benefit. In a non Japa meditation, these benefits can be acquired in 20 minutes. Thoughtless chanting is more powerful than verbal Mantra chanting. Vipasana is chanting without Mantra where you are just aware of the breath and one has to do this type of meditation for hours together to get the benefit.
During Chautha or Teravi (mourning period), we have one hour of chanting of Mantras or prayers. This helps relax the mind, shifts one from sympathetic to parasympathetic mode. In the initial 15 minutes, there is sympathetic overactivity and the person is restless. As the time passes, parasympathetic state takes over and by the time one hour is over, parasympathetic state is at its full blown activity and at that time getting connected to cloud internet is easier.

Only those who are connected to the dead person and want to get distressed attend the full one hour of Chautha ceremony. These people have empathy for the deceased person. Those who wish to express sympathy, mostly show up before or after the Chautha ceremony to complete their formality.

In Chautha, we say that Bhagwan Uski Aatma Ko Shanti De. God will forgive him only if the soul is under destressed, which can only happen if there are some non–fulfilled desires and these desires will always be linked to a particular person. Therefore, only those who have guilt will feel that the deceased person’s soul is not at rest.

In a Chautha ceremony, one can only remove this guilt in the parasympathetic phase towards the end of the Chautha ritual and seeks forgive and forgiveness.
In different religions, this has different implications. In Hinduism, we only attend Chautha of whom we know but in Islam people attend the mourning ceremony of people whom they not even know. They believe in mass prayers and pray for the soul of the deceased person. In Islam this mass prayer message gets written on the cloud internet and has mass effect in the community.

In Islam, a person usually says Mein khuda se tumhare liye dua mangunga. It is possible for them as they offer Namaz five times in a day and when they ask for Dua for someone they put the intent in the cloud internet which can be retrieved by others.

In Christians, it is different. The dying patients or the relatives ask the doctors and others to pray with them and not only for them.

Blood pressure measurement may detect proneness to heart attack

By Dr K K Aggarwal
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The ankle–brachial index (ABI), a simple, non–invasive 10–minute test should be incorporated into a routine physical exam for diagnosing peripheral arterial disease in the middle aged and the elderly, especially those with heart attack risk factors like smokers, diabetics and the ones with high BP or cholesterol levels.

With the patient in a supine position, the doctor takes blood pressure readings from both arms; he then takes blood pressure readings from both ankles with a sphygmomanometer and Doppler device. ABI value is calculated by dividing the higher systolic pressure in each leg by the higher systolic brachial pressure.

ABI scores should be interpreted as follows:

Greater than 0.90: Normal
0.71 – 0.90: Mild obstruction
0.41 – 0.70: Moderate obstruction
Less than 0.40: Severe obstruction
More than 1.30: Calcification of the vessels

Presence of peripheral arterial disease may indicate associated blockages in the heart and proneness to heart attack or paralysis.

Why is Ganesha worshipped in every pooja?

By Dr K K Aggarwal
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Every Hindu ritual traditionally begins with a prayer to Lord Ganesh. The wedding ceremony too begins with a pooja of Lord Ganesha invoking him to bless the couple and to ensure that the ceremony goes off well.

Ganesha, the son of Shiva and Parvati, is the harmonious Aacharan or characteristic disposition of man. Remembered and ritually worshipped before starting a new venture, the entity of Ganesha has in store the facets of a complete man.

Ganesha’s head that of an elephant, represents wisdom, intelligence and a healthy mind capable of making sound decisions. Think before you speak, implies Ganesha’s head.

The big ears of this elephant deity signify the lending of a patient ear to the echo produced by others’ deeds and speech. It is said that half the dispute is resolved by patiently lending an ear to the words of the other. It also denotes that one must patiently listen to all sides before reaching a decision.

Ganesha’s extremely small mouth characteristically represents the need for a limited dialogue and the vanity of talking too much.

Overexpression through words results in unsought–for problems which could have been avoided.

Ganesha’s small eyes highlight the need for a focused outlook in life. Such an outlook not only re–defines and foresees the right goals, but also relieves one from the stress–manifested episodes in life.

The long trunk identifies with the power of discrimination. Ganesha’s long nose has the strength to uproot a tree and the competency of picking up a pin from the ground. Such should be the approach of an individual who should be capable of perceiving the good and bad for one’s own self, and then have the strength to overcome these against all odds.

The tusks and the small teeth of Ganesha tell us to maintain a balance between loss (broken tooth) and gains (whole tooth) in the life. Man ought to maintain his mental state so that ups and downs do not deter him from his honest endeavors.

The ample stomach of Ganapati Deva advocates the need for retaining information. Acquiring knowledge, utilizing it and retaining it for years to come, is the crux of ‘big–belly commandment’.

The Char–Bhuja Dhari Ganesha, further represents strength by virtue of his four hands in which the Lord entraps his attachments, desires and greed. Two of the arms of Ganesha, which hold a rope, symbolize control over the attachments. The laddoo or sweet in one shows command over desires and earthly delusions.

The mouse sitting near the feet of Ganesha represents greed and gluttony upon which the Almighty rides, exhibiting control over evils.

Ganesha’s physical traits are an assembly of the characteristics most desired in an individual of substance.

PCI often done at low-volume centers

By Dr K K Aggarwal
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About 25% of all percutaneous coronary interventions (PCI) in the US are performed at low–volume centers that do 200 or fewer procedures per year; 49% are done at centers that do no more than 400 such procedures annually, Gregory Dehmer, MD, of Scott & White Healthcare in Temple, Texas, and colleagues reported in the Journal of the American College of Cardiology. They also found that on–site cardiac surgery wasn’t available at 83% of centers that did 200 or fewer PCIs annually. The 2011 PCI guidelines stated that facilities doing 200 or fewer PCIs per year need to take a closer look at whether they should continue doing such procedures.

The Vedic meaning of Mahamritunjaya Mantra and the Gayatri Mantra

By Dr K K Aggarwal
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Any activity should always engage the 3 H model of Heart, the Head, and the Hand. The same has been advocated by the western scholars of today. The concept involves that while doing any work one should ask the head for choices and then refer these choices to the heart to choose one and finally order the hands to carry out that action.

In his book ‘The Seven Spiritual Laws of Success’, Deepak Chopra also talks about this. He writes that conscious–based decisions are the best decisions. Before taking any decision he recommends asking the body for the signals of comfort or discomfort and if the signals of discomfort are perceived, then one should not carry out that action.

All the above concepts come from our ancient Vedic knowledge. The two main mantras of our times are the Mahamritunjaya Mantra and the Gayatri Mantra.

The Mahamritunjaya Mantra is from the Rig–Veda and needs initiation for attaining any Siddhi. This is the greatest reliever from all evils and reads as under: Aum Trayambakam Yajamahe, Sugandhim Pushtivardhanam; Urva Rukamiva Bandhanan, Mrityor Mokshiye Mamritat. It means we worship Shiva – The Three–Eyed Lord; who is fragrant and nourishes all beings; May he protect us (bandhanana) from all big (urva) diseases (aarookam). May he liberate us (mokshiye) from death (mrityor), For the sake of immortality (mamritat, amrit); as the cucumber is automatically liberated, from its bondage from the creeper when it fully ripens.

The meaning of the mantra is the importance of the third eye and the benefits of its opening. The two eyes are at the level of the physical body. The third eye means the eyes of the mind and the eyes of the soul. It also indicates that in difficulty one should look inward from the eyes of the mind and ask for the choices. Like the cucumber, one should chose the good ones and drop the bad choices (Jo acha lage use upna lo, jo bura lage use jane do).

The mantra for the conscious–based decision comes from Gayatri mantra: Om Bhur Bhuvaha Suvaha Thath Savithur Varenyam Bhargo Devasya Dheemahi Dhiyo Yonaha Prachodayath. It means we meditate on the glory of the Creator; who has created the Universe; who is worthy of Worship; who is the embodiment of Knowledge and Light; who is the remover of all Sin and Ignorance; may He enlighten our Intellect.

It talks about the importance of conscious–based decisions and its directions to the intellect to choose the right and not the convenient actions.

The Gayatri is the Vedic prayer to illuminate the intellect. Gayatri is considered as Vedasara –– “the essence of the Vedas.” Veda means knowledge, and this prayer fosters and sharpens the knowledge–yielding faculty. As a matter of fact, the four mahavakyas or ‘core–declarations’ enshrined in the four Vedas are implied in this Gayatri mantra.

Choosing the right decision from the consciousness was later defined by Buddha. He taught that before any action ask yourself the following four questions and if the answer to any of the question is no, not to indulge in that actions. These four questions are: is it the truth, is it necessary, will the actions bring happiness to you and to the others.