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Dr K K Aggarwal

Think positive and think different – Dr K K Aggarwal

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 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 held to fight for justice in the 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 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 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 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 expressed in this write up are entirely my own.

While people are concerned about cancer, which still remains a controversial issue, there are other future health problems caused by use of mobile phones especially smart phones. Prolonged use of mobile phone can cause neck pain, dry eyes, computer vision syndrome, anxiety (ringxiety), phobias (nomophobia) and insomnia.

Addressing a press conference on the occasion of World Environment Day, Padma Shri & Dr. BC Roy National Awardee, Dr. K K Aggarwal, President Heart Care Foundation of India; Dr. Narendra Saini  Secretary General Indian Medical Association; Dr. Sanjay Gupta, Senior Orthopedic Surgeon at Moolchand Medcity; Dr. J Nagpal Sr. Psychiatrist and Padma Shri Awardee and Dr. A K Grover Sr Eye Specialist Ganga Ram Hospital said that in India, the hazards of radiation are much more than in the West because of active and passive mobile phone radiations and also because of combined use of other radiations such as from computers, microwaves and frequent x-ray done by doctors.

Fifty crore people in the world use mobile phones. These phones release low power radio frequency waves, which transmit radio frequency radiations from 500-800 mGH through the antenna placed near the head.

Heart Care Foundation of India conducted a survey, which included 25 nurses of one hospital, 25 office staff of one public company, 25 media desk executives of one electronic TV media house and 87 family physicians from all across Delhi. The observations were as follows:

 Use of Smart phones

 

  • Ten percent office staff, 20% nurses and 60% media house desk executives and 31% family physicians used smart phones. Amongst family physicians, 11.5% spent < 30 minutes on their smart phone daily; 7% 30-60 minutes; 3% 60-90 minutes; 2% 90-120 minutes; 4% 120-240 minutes and 9% > 240 minutes.
  • 80 % office staff, 80% nurses, 80% media desk executives and 41% family physicians are on Face book. Amongst family physicians, 26% used it for less than 15 minutes; 7% 15-30 minutes; 9% between 30-60 minutes; 2% between 60-90 minutes and 5% more than 120 minutes. 25% family physicians connected to Face book from their phones.
  • 20 % office staff, 30% nurses, 70% media desk executives and 25% family physicians have a Twitter account. Among family physicians, only 50% used it regularly and 25% used it daily. Of the daily users, 90% used it for less than 5 minutes.
  • Only 7% family physicians blogged.
  • Thirty-six percent family physicians retrieved emails from their phone.

 Smart phone addiction, a new disease

  • On an average, nurses recharged their phone battery twice in a day; media desk executives and doctors did it three times in a day.
  • Sixty-one percent doctors find someone to call as soon as they leave their office or as soon as their flight lands.
  • Seventy percent family physicians keep their cell phone with them constantly. Even at home they keep it in their pocket or right next to them.
  • 43% of them fiddle with their cell phone whenever they have downtime (even when they are not on the phone or they only have a very few minutes to kill).
  • 33% of them always feel anxious about their cell phone, especially when they are unable to use it (meeting, plane, class, church)
  • 28% of them are uncomfortable and fidgety when they are not using their cell phone.
  • 7% family physicians feel the need to talk on the phone almost all the time.
  • Sixty-three percent of family physicians sleep with their cell phone under the pillow or on a night stand right next to the bed.  This number is 20-50% for nurses, office staff and media desk executives.

Nomophobia

Sixty percent of youth aged 20-30 years fear losing their mobile phone, called nomophobia; 43% of family physicians suffer from nomophobia.

Cell phone anxiety

  • 43% family physicians experienced high levels of anxiety, stress, or insecurity, whenever they were without their cell phone.
  • 50% of the mobile phone users experienced ringxiety.
  • 25% family physicians sometimes believed their phone was ringing, but when they answered it or listened longer they found that it wasn’t ringing at all (phantom ringing).
  • 15% family physicians reported feeling stressed when they received their cell phone bill and then experienced shock once they actually saw the amount.
  • 22% family physicians reported being unable to resist special offers on the latest cell phone models.

Severity of anxiety

  • The mean social media addiction score (calculation based on 17 dependence questions) for doctors was 5.5. (Any score of more than 8 requires social media curfew and social media holidays along with counseling).
  • Only 6% family physicians reported feeling no anxiety at all.
  • Mild anxiety (score < 4) was present in 43% family physicians (average score 3)
  • Moderate anxiety (score 5-7) was present in 25% of family physicians (average score 6).
  • 26% family physicians had a score of > 8 indicating presence of social media addiction (average score 10).
  • The mean social media addiction score (calculation based on 17 dependence questions) was 6.3 for office staff, 9 for desk executives and 8 for nurses.

Mobile phone as a cause of conflict

  • 26% family physicians had been teased because they had their cell phone even while working out or doing some other activity.
  • 48% doctors said that their personal cell phone use had increased significantly.
  • Face book was the cause of conflict in 20 % of situations for a family conflict (second to TV).
  • 23% family physicians experienced problems at work because of their cell phone use.
  • 18% family physicians had had problems with family or friends because of the cell phone use.

 Mobile phone as a cause of disturbed sleep

  • On an average, office staff spent 20 minutes, nurses 30 minutes and media house desk executives 60 minutes surfing on their smart phones on the bed.
  • 26% family physicians were disturbed by a smart phone alert in the night; 7% reported getting disturbed daily (average 3 times).
  • Only 40% doctors and 30% of nurses, hospital staff and media executives would stop using their mobile phones 30 minutes before sleep.
  • 50% mobile phone users woke up in the night because of smart phone alerts.
  • 40% people had disturbed sleep pattern because of smart phone use.

Mobile phone use while driving

Using or talking on a mobile phone while driving is more dangerous than driving under the influence of alcohol. Using mobile phone while driving reduces reaction time by 30% compared to people under the influence of alcohol and 50% compared to persons without alcohol. The reaction time under the influence of mobile phone is half a second longer. This amounts to a car traveling with a speed of 70 miles /hour to cover a distance of 46 feet before stopping.

36% doctors said that they receive emergency calls on mobile when they are driving. When they stop and answer, 20% of the calls are marketing calls enough to get frustrated and 30% of the calls are emergency calls from their patients.

 Mobile phone as a cause of day time distraction

  • 32% family physicians reported being distracted by a smart phone alert during a meeting.
  • 30% of non doctors said that they got distracted in a meeting because of an SMS or email alert.

 Mobile phone breaks and holidays

 Only 48% family physicians took cell phone breaks while at work.

Use of mobile phone in the Operation Theatre

In a US survey of cardiopulmonary bypass technicians published in the journal Perfusion, 50% used a smart phone during surgery, 43% in a cardiac OT, 50% talked on cell phone and 50% texted on their phones. In cardiac OT, 20% perfusionists accessed emails, 15% used internet and 3% checked or posted on social networking sites during surgery.

A similar survey conducted by Heart Care Foundation of India in one of the corporate hospital in Delhi found:

  • Ninety percent of nurses and 50% of OT technicians also reported taking calls during the surgery.
  • Ten percent doctors, 20% nurses and 50% technicians would check their messages (SMS) even during surgery.
  • No doctor or nurse tweeted during the surgery, but 50% of the technicians who have a Twitter account said that they do use Twitter and tweet during the surgery.
  • None of the doctors, nurses or technicians used their emails or accessed their Face book accounts during surgery.
  • Doctors do talk and attend to their mobile phones while surgery is going on and communicate through a nurse or a junior who works as a bridge between the surgeon and the caller.

The reason given for picking up the phone was to rule out emergency calls, but the reason for use of SMS or Twitter was boredom.

Computer vision syndrome

Computer vision syndrome is a temporary condition resulting from focusing the eyes on a computer display for protracted and uninterrupted periods of time.

Some symptoms are headaches, blurred vision, neck pain, redness in the eyes, fatigue, eye strain, dry eyes, irritated eyes, double vision, vertigo/dizziness, polyopia and difficulty refocusing the eyes. These symptoms can be further aggravated by improper lighting conditions (glare or bright overhead lighting) or air moving past the eyes (overhead vents, direct air from a fan).

Computer vision syndrome affects some 90% of the people who spend three hours or more a day at a computer.

BlackBerry thumb

Overuse of the thumb to operate a mobile device may lead to BlackBerry thumb.

BlackBerry thumb is a neologism that refers to a form of repetitive strain injury caused by the frequent use of the thumbs to press buttons on PDAs, smartphones, or other mobile devices.

It is also called wiiitis, nintendinitis, playstation thumb or cellphone thumb.

Thumb lacks the dexterity that the other four fingers have. This is especially common in those who use these devices for such activities at high speeds comparable to that of touch typing.

Symptoms of BlackBerry thumb include aching and throbbing pain in the thumb or sometimes other fingers and in the wrist.

Other diseases

  • Wii Knees, Touch-Screen Finger, Text Neck, and the dreaded Smartphone Saggy Face, Phantom Vibration Syndrome.
  • Wii knees; Tenderness or soreness in the knees from excessive use of the Nintendo Wii Fit. Similar in nature to tennis elbow.
  • Saggy face (saggy jowls, double chins and “marionette lines” often develop from the angles at which people use their trendy new mobile devices. Leaning your head to hold your mobile phone in between your face and shoulder is believed to cause facial skin and muscle to lose its elasticity more quickly than normal).

HCFI and IMA suggestions to prevent and treat mobile phone addictions

  • Face book holidays: One should take a full one week face book holiday if one is suspected to have social media addiction.
  • Electronic curfew:  Everybody should have 30 minutes of electronic curfew before they sleep. (Electronic curfew means not using mobile phones and other mobile devices for 30 minutes before sleep).
  • Use mobile only when mobile.
  • Limit mobile talk time to less than 2 hours a day
  • Once the battery is discharged, call it a day for mobile use.
  • Follow the formula of “20-20-20” to prevent dry eyes: Every 20 mins, focus the eyes on an object 20 feet (6 meters) away for 20 seconds or close the eyes for 20 seconds, at least every half hour.
  • To prevent computer vision syndrome, spend less than 3 hours on a computer.
  • Using other fingers to press buttons on handheld device can prevent BlackBerry thumb.

 

1.       One needs to distinguish between Paraphiliac and non-paraphiliac rapists. Paraphiliac rapists have excessive sexual desire. Paraphiliac offenders commit sex offences because they are sexually aroused by the act. On the other hand, non-paraphiliac sex offenders are instigated by violations or ego-hurt or for taking revenge.

2.       False allegations of rapes can occur in situations like: if one of the partners in live-in relationship refuses to marry, if two consensual partners are caught in the sexual act by the society, someone exploits secrete of the other person.

3.       Under the influence of alcohol one loses intellect and may end up in raping somebody if instigated.

4.       Chemical castration is reversible and the effect of the injection lasts only 3-6 months. The injections are costly and need to be given by medical doctors.

5.       Chemical castration in the long run leads to thinning of the bone (osteoporosis), feminine characteristic and increased tendency for cardiovascular diseases.

6.       Chemical castration drugs are not safe and healthy.

7.     In long run influential people convicted for chemical castration will start paying bribes to doctors and get a water injection in place of chemical castration injection.

8.       Chemical castration does not mean dissolving the male organ with a chemical. It only means reducing the blood testosterone levels to that of pre-puberty levels.

9.        Non-injectible oral drugs which block the action of testosterone are costlier and need to be taken every day. Therefore, they cannot be a part of chemical castration as punishment.

10.       Surgical removal of testis will remove sexual desire permanently and the same can only be given as a punishment in patients who are spending life-term in the prison.

11. Depoprovera is another injection which can be given every three months to patients with paraphiliac sexual abnormality.

12. Deprivation of sex and non-fulfillment of sexual desires is one of the main causes of rapes.

13.   If female commercial sex workers are banned in the society, the incidents of rape will increase as sexually deprived people with strong sexual urges will end up raping the minors.

14.  People under the influence of alcohol and drugs will keep raping the girls if not treated and counseled in time.

Dr K K Aggarwal is Padmashri and Dr B C Roy National Awardee, President Heart Care Foundation of India and National Vice President Elect IMA

Dr Deepak Chopra Endorses Hands only CPR10

Heart Care Foundation of India completed practical training of 10500 members of the general public in hands-only cardio pulmonary resuscitation, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal. The campaign began on 1st November and lasted till 16th November as part of the recently concluded 19th MTNL Perfect Health Mela celebrations. The training was conducted in person by Dr Aggarwal.

The following records were made

1. Crossed 10,000 number and trained 10392 members of the public in hands-only CPR over “a period of 16 days” (1st to 16th November). A total of 12613 have been trained so far.

2. Trained 1050 children and teachers in one session in multiple rescuer hands-only CPR on 1st November 2012 at Birla Vidya Niketan School using 200 human manikins.

3. Trained 201 nurses in one session in single rescuer hands-only CPR on 9th November 2012 at Constitution Club of India, Rafi Marg,New Delhi.

4. Trained 96 physically and mentally challenged students “in one session” in single rescuer hands-only CPR on 9th November 2012.

5. Trained 2217 members of the general public “in one day” in single rescuer hands-only CPR on 8th November 2012 at Constitution Club of India, Rafi Marg,New Delhi

Releasing these statistics Dr Aggarwal said that the Foundation intends to train 100,000 people in the next one year.

Dr Deepak Chopra, New Age Guru and an internationally acclaimed author, chief guest for the function said, that hands-only CPR should be taught to every school child, health care worker and relations of heart patients. He said that every effort should be made to revive a person within 10 minutes of sudden death. It is good Karma.

The CPR manta is within 10 minutes of death, earlier the better, for the next at least 10 minutes, compress the centre of the chest, continuously and effectively, with a speed of 10×10, hundred per minute.

The general public must learn CPR as Doctors often cannot reach the site or the victim cannot be taken to the medical facility in 10 minutes. Therefore, it is the public who has to learn and provide hand-only CPR, revive the heart and take the victim to the nearest medical facility.

Harshita Gupta, a 16 years old girl form Birla Vidya Niketan successfully revived her uncle last week from Cardiac arrest.

A non-stop Dil Ka Darbar will be held on Sunday, 23rd September, 2012 at Talkatora Stadium. The event will have non-stop question answer session between top cardiologists of the city and the heart patients.

Addressing a press conference, Padma Shri & Dr. B.C. Roy National Awardee, Dr. KK Aggarwal, President Heart Care Foundation of India, said that in many heart patients, a second opinion is required. Elaborating on this, Dr Aggarwal said that in one-third of situations, it is very clear that a patient needs either bypass or angioplasty and in another one-third it is equally clear that a patient needs only medical treatment. It is the remainder one-third of cases, wherein there is a debate. In such situations, it is always better that a person takes a ‘joint opinion’ instead of multiple opinions.

The Darbar will provide opportunities to patients for such opinions. Surgeons, interventional cardiologists, clinical cardiologists and preventive cardiologists, diagnostic cardiologists will sit together under one forum and answer the queries of the people who need a second opinion during the Darbar.

A second opinion is also required as to when to intervene in patients with congenital and valvular heart disease. Situations may also emerge where one needs to decide whether to go for angioplasty or bypass surgery. Replacement of aortic valve often requires a team opinion than a single opinion. Whether a patient needs a bare metal stent or a drug eluting stent also can sometimes be a matter of debate. The answer is – when in doubt go for a joint opinion and not for multiple opinions.

The conference was co-addressed by Dr G K Mani, Senior Cardiothoracic Surgeon and Dr N N Khanna, Interventional Cardiologist from Indraprastha Apollo Hospitals. Under this facility, Apollo counter will conduct free heart checkup camp (ECG, BP,) to the patients and whosoever would need specialist consultation, would be connected to their cardiologist available for counselling at their hospitals in the country. This will be first time that such a facility has been created at the Dil Ka Darbar.

The event will also have facilities of telecardiology provided by Apollo Group of Hospitals. The darbar will also have practical telecardiology setups in which one will be able to translate the ECG and other parameters of a person right to the mobile phones of the doctors sitting anywhere in the Darbar or the city.