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Dr K K Aggarwal

Clot dissolving therapy or angioplasty in early acute heart attacks

By Dr K K Aggarwal
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Outcomes are comparable between primary removal of clot in heart artery with stent angioplasty and clot dissolving drugs in patients with ST–elevation heart attacks who present early.


The STREAM study found that stent angioplasty is the best if it can be done within one hour of presentation to the hospital and in those who presented within three hours of chest pain and stent angioplasty cannot be done in one hour, there was no difference between the two treatments (stent angioplasty of clot dissolving drugs) in the primary composite end point of major adverse cardiovascular events at 30 days.

Eating foods in their natural form is always better

By Dr K K Aggarwal
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An elephant is obese, eats sugarcane and yet does not develop diabetes. I am sure if he is given 10% sugar drinks everyday or made to eat 30% sugar containing sweets, he too would end up with diabetes.


The natural form of sugarcane is eating sugarcane in its raw form, the second form is sugarcane juice, third is gur (jaggery), fourth is shakkar and fifth is white sugar.

The more you eat foods in their natural form, more the health benefits you will get from that food.

Food is Brahmin and contains the same consciousness as you have. Refined food loses its consciousness and is not beneficial to the health.

Similarly, wheat flour with bran is better than flour without bran, which is better than suji, which is better than maida. Maida (refined flour) is the final product and if taken every day, it can cause heart disease, diabetes and high blood pressure.

Heart Aphorisms: Ten Commandments for a Healthy Heart

By Dr K K Aggarwal
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  1. Exercise and walking keeps heart talking
  2. High blood pressure puts heart under pressure
  3. Eating more salt makes heart halt
  4. Smoking thrills but kills
  5. Tobacco invitation to cancer death and destruction
  6. Rich fat food does heart no good
  7. Larger the waist line shorter the heart line
  8. Hard drink pushes heart to brink
  9. Heart attack immediate medication only solution
  10. Smoking and health you cannot chose both

Are We Honest?

By Dr K K Aggarwal
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Most of us are relatively honest. If I introspect myself, I consider myself as an honest doctor but when I go deep into introspection, I see that I am only relatively honest. I have given money to the TTE to get a reservation in a train, buy a cinema ticket in black, pay money to the electrician to get my electricity in time during functions etc.

Corruption is corruption whether it is for one rupee or 1 lakh rupee. Many of the current so called anti–corruption campaigners have purchased their houses by paying in black. Accepting donations from people who are not honest and from people who are donating from their unaccounted money is also corruption.

Only corrupt people approach a corrupt person and therefore for him every one is corrupt. The vice versa is also true.

Cycling can cause erectile dysfunction

By Dr K K Aggarwal
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Age, diabetes, hypertension, obesity, high lipid levels, smoking, drugs, heart disease, upright cycling for more than 3 hours a week can cause erectile dysfunction in males. Those who drive cycles for more than 3 hours a week should do so in reclining position and not upright position.

A man is considered to have erectile dysfunction when he cannot acquire or sustain an erection of sufficient rigidity for sexual intercourse. Any man may, at one time or another during his life, experience periodic or isolated sexual failures.

The term “impotent” is reserved for those men who experience erectile failure during attempted intercourse more than 75 percent of the time. Heart disease increases the risk for later erectile dysfunction. Erectile dysfunction may be an early warning sign of future heart disease. Men with erectile dysfunction without an obvious cause (e.g., pelvic trauma), and who have no symptoms of heart disease, should be screened for heart disease prior to treatment since there are potential cardiac risks associated with sexual activity in patients with heart disease.

Eight of the 12 most commonly prescribed medications list impotence as a side effect and it is estimated that 25 percent of cases of erectile dysfunction are due to drugs. Depression, stress, or the drugs used to treat depression can result in erectile dysfunction.

Neurologic causes of erectile dysfunction include stroke, spinal cord or back injury, multiple sclerosis, or dementia. In addition, pelvic trauma, prostate. Surgery or priapism may cause erectile dysfunction.

A less obvious factor, but of increasing importance, has been the possible association of erectile dysfunction with bicycling.

Anything that places prolonged pressure on the pudendal and cavernosal nerves or compromises blood flow to the penile artery can result in penile numbness and impotence.

Cycling-induced impotence, is primarily a problem of serious cyclists. The penile numbness is attributed to the pressure on the perineal nerves whereas the erectile dysfunction is thought to be due to a decrease in oxygen pressure in the pudendal arteries.

Recreational cyclists, those who cycle for less than three hours per week and men who cycle in a reclining position avoid the sustained intense pressure on the penile nerve and artery and are less likely to experience sexual side effects. Continued cycling in a seated upright position can reduce the penile oxygen levels lasting 10 minutes.

Think positive and think different

By Dr K K Aggarwal
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The Mantra to acquire spiritual health is to think positive and differently. 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.

Seven behaviors cut heart deaths

By Dr K K Aggarwal
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Seven heart–healthy behaviors can reduce the risk of death from cardiovascular disease. In a prospective study by Enrique Artero, PhD, of the University of South Carolina and colleagues and published in the October issue of the Mayo Clinic Proceedings, those who met 3–4 of the American Heart Association’s ‘Simple Seven’ heart–health criteria had a 55% lower risk of cardiovascular mortality than those who met no more than two of those practices over 11 years.


Four core behaviors

  1. No smoking
  2. Normal body mass index
  3. Engaging in physical activity
  4. Eating healthfully

Three parameters

  1. Cholesterol lower than 200 mg/dL
  2. Blood pressure lower than 120/80 mm Hg
  3. Not having diabetes

Why do We Burn Camphor in Any Pooja?

By Dr K K Aggarwal
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No aarti is performed without camphor. Camphor when lit burns itself out completely without leaving a trace.

Camphor represents our inherent tendencies or vasanas. When lit by the fire of knowledge about the self, the vasanas burn themselves out completely, not leaving a trace of ego.

Ego is responsible for a sense of individuality that keeps us separate from the Lord or consciousness.

In addition, camphor when burns, emits a pleasant perfume. This signifies that as we burn our ego we can only spread love and nothing else.

Every arthritis is not same

By Dr K K Aggarwal
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Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.Every arthritis is not the same. While osteoarthritis, also called as green arthritis, may require only painkillers and rehabilitation exercises, the red inflammation arthritis called rheumatoid arthritis, if not treated early and aggressively can end up with serious deforming complications.

Any arthritis in young women of child-bearing age should not be ignored, especially if it is worse in the morning and improves by movement. Most of them will have high platelet count on blood examination. These patients require aggressive treatment with disease-modifying drugs within days of the onset of symptoms and diagnosis. Approximately 1-2% of population may have this type of disease.

Osteoarthritis, on the other hand, is a disease of age 50+ and is due to wear and tear of various joints in the body and break down of the cartilage cushion in the joints. It mainly affects the weight-bearing joints like the knees, hips, neck and lower back joints. Inflammation is not a major feature of osteoarthritis. The experts said that another form of joint disorder is due to gout which is never seen in people below 40 years of age and is almost never seen in young women before the onset of menopause unless there is a known underlying kidney disease and never seen in children.

The progression of osteoarthritis can be arrested with appropriate exercises, weight reduction and preventing posture and movement that worsen the disease.

Typical wear and tear of osteoarthritis is caused by sitting cross legged, doing Padmasana, squatting, other non physiological postures, sitting on low level surface like floor and low chairs, doing push-ups, going up and down on stairs, etc.

Most yoga postures should be done under medical supervision and should follow with a counter yoga exercise.

Most patients of serious arthritis end up with treatment with other systems of medicines or with quacks.

Sacrifice a goat and clear the board exam: It’s scientific

By Dr K K Aggarwal
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“Students in tribal-dominated Jhabua district in Madhya Pradesh and adjoining villages in Gujarat believe that sacrificing got can make them pass an exam. Ranapur, 45 km from Jhabua, an idol of Baba Dongar, a tribal god is making all wishes come true. Here, photocopies of exam admit cards are tied around trees and in return for their entreaties coming true, the supplicants promise to offer the god a goat, a hen or a bottle of liquor. Some 500 animals are sacrificed here every day and there are more than a dozen such priests who do the slaughtering.”


This story was published in TOI and may be correct as per mythology provided one understands the mythology.

In mythology riding means controlling, sacrificing means killings and animals are symbolized by human natures and behaviors.

For example, mouse is the vahan (vehicle) of Ganesha and symbolizes that to overcome obstacles one needs to control one’s greed. Similarly, owl is the vahan of Laxmi and means that for righteous earning, one should be able to control one’s foolishness.

Goats and Rams represent sexuality and sexual desires and lambs represent purity and innocence.

Goat is mentioned in mythology both as a symbol and as a vehicle of Gods. In the Samkhya system, Prakriti is depicted as a female goat (Mother Nature). The color of goat is red, black or white representing Sattva, Rajas, and Tamas.

The vehicle of Goddess Kali is a black goat. Agni rides Mesha – a ram. Kubera, the God of wealth, also has a ram as his vehicle. A ram is an uncastrated adult male sheep.

Sacrificing during exams means controlling your tamas or inertia and rajas or aggression, and controlling your sexual desires (un-castrated males).

Brahmacharya in mythology is a period where you are supposed to keep your sexual deviations and other desires under control.

So goat sacrifice does not mean physical killing of goat but killing of goat like activities within you.

Sangat and smoking

By Dr K K Aggarwal
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Sewa, Simran and Sangat are the three principles of life as per the most Vedic literature. Even Adi Shankaracharya described Sangat as the main force for living a spiritual life.

Sangat is the company of people you live with. Living in the company of good people makes one good and the reverse is also true.

The same is now being proved in the allopathic context. A study published in the New England Journal of Medicine has shown that when one person quits smoking, than others are likely to follow. One person quitting can cause a ripple effect, making others more likely to kick the habit.

  1. If your spouse stops smoking, you are 67 percent less likely to continue smoking.
  2. If your friend kicks the habit, it’s about 36 percent less likely that you’ll be smoking.
  3. When a sibling gives up cigarettes, your risk of smoking decreases by 25 percent.
  4. Your risk of smoking drops by 34 percent if a co–worker in a small office quits smoking. It is sort of like watching dominoes. If one falls, it very quickly causes others to fall.

We should treat people in groups, rather than as individuals. Friends and family need to be involved. If you want to quit, try to get close friends and family to quit as well.

Quitting smoking may have the side benefit of improving social well–being, just as it improves physical health.

Lord Krishna – The Great Teacher and Healer

By Dr K K Aggarwal
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Lord Krishna was a great teacher and a healer. He gave perfect counseling to Arjuna when he was in the state of acute anxiety, confusion, indecisiveness and depression. His supreme knowledge, skills and understanding of human relationship were responsible for convincing Arjuna that he has to perform his duty, regardless of who his opponents are.

There are basic principles to be learnt from the teachings of Bhagavad Gita to get, if one wants, to the right state of mental and physical strength.

  • The 1st principle is listen, listen and listen. In the first chapter of Bhagavad Gita, Krishna only listened to Arjuna. One must learn to listen to others. Out of 18 counseling sessions (the 18 chapters of Gita), one full session was devoted only to listening to Arjuna. Fifty percent of the emotion of a person is out once he has spoken to the Healer about his or her problems.
  • The 2nd principle is to remain non-judgmental while listening. This is beautifully described in Chapter 2 shloka 10. While listening, Krishna did not show any signs of anger to Arjuna even at those extremely difficult moments. On the contrary, He kept on smiling and listened patiently. This is another avenue where most of the healthcare workers fail in their relationship with the patients. We (doctors) sometimes become annoyed with the patients because they narrate unrelated details of their health problems. We need to understand and appreciate their predicaments.
  • The 3rd principle is that every answer should be validated by reasoning. Throughout 18 counseling sessions between Arjuna and Krishna incorporating 700 question and answers, Krishna gave proper reasoning, either experiential or based on sound logic. He never forced Arjuna to believe in what He was saying without getting convinced about it.
  • The 4th principle is that of reassurance. Krishna re-assures Arjuna on two occasions. Firstly, when he said that “I’ll appear whenever there is adharma” meaning thereby that whenever there is injustice someone will come and set it right. As a Healer, the doctor should convincingly say that “wherever there is a disease I will be there”. In Chapter 18 shloka 65, Krishna says that anyone who takes conscious decision and interprets things with full devotion, there is no reason why he or she should not become happy or healthy. He again assures Arjuna that he is going to be successful.
  • The 5th principle is depicted in the last shloka of Gita (18.78), which summarizes the importance of a good doctor-patient (teacher-student) relationship where Sanjay says to Dhritrashtra that when there is a Healer like Krishna and a patient like Arjuna, there is no reason why there will not be a victory.