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Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Thursday, March 24, 2022

Yoga: 'Is it validated?'

In 2015, I somehow managed to contract a gut infection and was admitted in the hospital for about 10 days.  During the prolonged recuperation period post-discharge, I resolved that I should do something about my health/immunity.  I decided to take up yoga lessons and enrolled myself at a local yoga teacher's class.

Since then I have been doing yoga asanas, pranayama, meditative exercises, walking, and mild weight training, while taking adequate quantity and quality of mostly vegetarian diet.  Even though I am not practising vigorous yogic asanas, I make sure I do them regularly - more than the duration or intensity, I score high on consistency.  Yoga has become a way of life, something that I do as a daily routine.  

This has kept me going since then without any adverse health event, bar an occasional upper respiratory infection, and I continue to maintain my weight and fitness at a reasonable level.    

I have also advised patients that I see to take up yoga to maintain health, and/or to reduce the symptoms of disorders such as anxiety and stress.  I have tried to modify my own medical practice by incorporating holistic healing techniques, including Ayurveda and yoga, in collaboration with a qualified practitioner.

However, I have also realised that yoga is fraught with misconceptions and scepticism.  Generally, I divide the naysayers into two broad groups: sceptics and bigots.  The former are those who are genuinely sceptical about the health benefits of yoga; that is, they want to do it, but are uncertain about the overall effect of doing yoga.  They are more trusting of allopathic medical systems, and cast a distrusting eye over anything eastern/oriental.  

Then there are the bigots, by which I mean adherents of dogmatic religions who have been brainwashed into believing that anything outside their own religious practice is worthy of condemnation and derision.  These are the incorrigibles who will go to any extent to discredit, vilify, demonize and discourage anything that is remotely sanatanic, be it yoga, consecrated food, worshipping images/idols, or wearing bindis, for that matter.  

I quote a few examples.  A few years ago, a pastor in the US famously called yoga a 'demonic' practice.  When I was working in the UK, an Egyptian-Arabic doctor colleague spoke very condescendingly of yoga, and was dismissive of its healing power. 

Ironically, even in India, where yoga originated yugas ago, it has been reduced to a 'new age' fad, a necessity that we have taken to vicariously because the West has taken a fancy to it.  'Whatever they do, it must be good for us too,' seems to be the thought process behind the revival of yoga in our society, reflective of the underlying western bias thanks to the Macaulayian education system that we are all products of.  

In Bangalore, at a certain missionary hospital I was working in, a physician colleague of a certain denomination, inquired if yoga was 'validated' as a treatment when I said that I was advising my patients to do yoga.  He remained sceptical even after I explained that it was, and suggested that yoga was being promoted because of the wave of saffronization that was sweeping across the country!  

His religious bias against yoga became apparent when, during a later encounter, he was all for incorporating tai chi as a therapeutic practice in the treatment of neurological movement disorders, but evidently not yoga.  Perhaps, anything that was remotely sanatanic in its origin was a strict taboo for him due to his evangelical disposition.       

I find that sceptics, bigots and allopathy-chauvinists are quick to ask if yoga is 'validated' as a therapeutic intervention, fully ignoring the fact that the so-called evidence-based allopathic interventions hardly cure chronic illnesses, and worse, cause harmful adverse effects.   

More and more studies are confirming the physical and mental health benefits of yoga, such as those conducted at the premier neurosciences centre in the country, NIMHANS (in Bangalore), which has a dedicated yoga research centre.  These studies have been published in leading Indian journals, notably, the Indian Journal of Psychiatry, and at least on one occasion, in a special yoga supplement of the British Journal of Psychiatry.

But since we seem to value western opinion so much, I shall quote examples from western studies: in 2019, researchers in the USA found that yoga and breathing exercises improved the symptoms of Major Depressive Disorder after just one session, with cumulative effects in the long term [1].  A meta-analytic study published in the peer-reviewed journal in 2013, showed that yoga had beneficial effects on hypertension [2].  

If you look at the current the allopathic treatments for these very conditions, you will find that antidepressants can only increase serotonin and other neurotransmitter levels in the brain, but cannot address the root cause of depression.  Similarly, antihypertensives can symptomatically reduce the BP, but cannot cure hypertension.  Both these groups of medications are associated with their own unique side-effects. 

Researchers from Washington State and Ohio State Universities found that yoga can improve body image, which may be helpful in the treatment of eating disorders [3].  Again, there is no definitive treatment in the allopathic psychiatric system for any of the eating disorders, and mortality rate for anorexia nervosa, even with standard intervention, remains very high. 

For the sceptics among you, I would suggest that you ask yourself these questions: Is there any harm in doing yoga?  Clearly not, if done under proper guidance.  Is it beneficial for physical/mental health?  Several studies seem to indicate so.  Can it be the sole treatment for all conditions?  No, one has to judiciously use the right treatment technique for the right condition, or even combine allopathic, other complementary, or any of the yogic practices for a good therapeutic effect.  

Further, more than a therapeutic intervention, I see yoga as a preventive measure; a positive medical/psychiatric practice that can promote good health through balancing the body, mind and spirit.  Surely, with these conditions satisfied you should have no hesitation in accepting yoga as a holistic healing practice, unless religious bigotry prevents you from doing so.  

Which brings me to the bigots.  I have no solution for the bigots out there.  If bending your body a certain way in the pursuit of healthy body/mind is an affront to your religious belief, then it must be based on a very rigid and insecure premise [4], and frankly, it is your loss.  A case in point: similar sentiments were behind the decision to eliminate suryanamaskar from the very first International Yoga Day event in 2015 (but we did it anyway!).

Finally, the decision to do yoga has to come from within you.  Sanatana Dharma does not believe in enforcing any particular practice on anybody.  Watch videos and read books on the topic of yoga if you are unsure.  You can begin by reading the book Light on Life by the yoga master, B K S Iyengar, which clearly elucidates the spiritual nature of yoga.  Speak to those who are already doing it and ask if they have noticed any beneficial changes.  

And only if you are fully convinced, take up yoga classes from a trained practitioner.



Picture: How-To-Meditate-Making-The-Most-Of-Meditation.jpg (815×588) (meditationlifeskills.com)

References:
  1. https://www.researchgate.net/publication/313806681_Treatment_of_Major_Depressive_Disorder_with_Iyengar_Yoga_and_Coherent_Breathing_A_Randomized_Controlled_Dosing_Study (reported in bu.edu/brink)
  2. https://www.researchgate.net/publication/239948768_Effectiveness_of_Yoga_for_Hypertension_Systematic_Review_and_Meta-Analysis 
  3. https://cpb-us-w2.wpmucdn.com/u.osu.edu/dist/1/10560/files/2020/12/Cox_Tylka_2020_Conceptual-Model.pdf (reported in PsychologyToday.com)
  4. Quote attributed to Sadhguru Jaggi Vasudev
  

Thursday, May 7, 2020

The Covid-19 pandemic - Observations and Lessons to be learnt

The Coronavirus pandemic of 2020 has left us stupefied and unable to cope with the havoc wreaked upon our ostensibly modern societies. 

Here in India, what were the changes that occurred in our society during the unprecedented lockdown period?  

How did we cope with the sudden confinement that was impinged upon us by extraneous circumstances?

More importantly, what are the lessons we need to learn going forward from this wake-up call?  

What changes do we need to bring about in ourselves, our communities, and the world as a whole, if we are to prevent the impact of any similar future catastrophe and thrive as one humanity?



I attempt to answer these questions in this video, made using all the news clippings, forwarded messages and videos, that I received and came across during the Covid-19 pandemic. 

The predominant colours in the video are yellow – which indicates infectious diseases, and red – which indicates danger/emergency.

I wish to thank all writers/creators of messages and videos whose work I have used in the making of this video.  




Resources:

News clippings: From the daily, Deccan Herald (www.deccanherald.com)
Music: Breathing Planet by Doug Maxwell, YouTube

Links to resources:
https://upload.wikimedia.org/wikipedia/commons/thumb/c/c3/Maslow's_hierarchy_of_needs.png/1280px-Maslow's_hierarchy_of_needs.png
https://mpower360.files.wordpress.com/2014/11/final_logo_1.jpg
https://images.pexels.com/photos/362689/pexels-photo-362689.jpeg?auto=compress&cs=tinysrgb&h=750&w=1260
https://farm4.static.flickr.com/3202/5862187567_1b3ae784c1.jpg
http://m.cdn.blog.hu/pe/pekingikacsa/image/Crowd-India-C-588.jpg
https://c1.staticflickr.com/5/4017/4351008070_7c04884bc6.jpg
https://farm8.staticflickr.com/7246/7518336132_2a0db0cccf_z.jpg
https://farm4.staticflickr.com/3655/3582266087_44b8bc85ea_z.jpg
https://c.pxhere.com/photos/a5/95/tea_plantation_landscape_scenic_greenery_agriculture_india_crop_fields-1390278.jpg!d
https://c1.staticflickr.com/3/2295/2205184489_a665982731_b.jpg
https://live.staticflickr.com/4093/4894253589_b32b94282a_b.jpg
https://upload.wikimedia.org/wikipedia/commons/thumb/1/19/WhatsApp_logo-color-vertical.svg/1200px-WhatsApp_logo-color-vertical.svg.png
http://fragmentsofevolution.org/wp-content/uploads/yoga_140156971.jpg
https://cdn.pixabay.com/photo/2018/04/21/15/21/meditation-3338691_960_720.jpg
https://upload.wikimedia.org/wikipedia/commons/thumb/c/c1/Pet_parrots_in_Cuba.jpg/150px-Pet_parrots_in_Cuba.jpg
http://whatchareading.com/wp-content/uploads/2015/01/Netflix_Logo_Digital-Video.png
https://upload.wikimedia.org/wikipedia/commons/b/bb/Prime_logo.png
https://upload.wikimedia.org/wikipedia/en/c/c4/The_office_poster.jpg
https://upload.wikimedia.org/wikipedia/en/5/5a/Zee5-official-logo.jpeg
https://upload.wikimedia.org/wikipedia/commons/6/6d/Chandigarh_(North_India)_(399407625).jpg
https://upload.wikimedia.org/wikipedia/en/a/ab/Indian_Premier_League_Logo.png
https://upload.wikimedia.org/wikipedia/commons/8/87/LH_95.jpg
https://upload.wikimedia.org/wikipedia/commons/6/6f/Earth_Eastern_Hemisphere.jpg
https://upload.wikimedia.org/wikipedia/commons/thumb/7/7c/2019-nCoV-CDC-23312.png/1200px-2019-nCoV-CDC-23312.png
http://blog.vitaminhaat.com/wp-content/uploads/2020/03/coronavirus_1.jpg
http://omgnews.today/wp-content/uploads/2018/07/2018-07-10T065319Z_1_LYNXMPEE690FX_RTROPTP_4_WHATSAPP-INDIA-FAKENEWS-1024x683.jpg
https://c1.staticflickr.com/3/2295/2205184489_a665982731_b.jpg
https://live.staticflickr.com/4093/4894253589_b32b94282a_b.jpg
https://upload.wikimedia.org/wikipedia/commons/0/00/Biohazard_symbol_%28black_and_yellow%29.png
https://upload.wikimedia.org/wikipedia/commons/thumb/1/19/WhatsApp_logo-color-vertical.svg/1200px-WhatsApp_logo-color-vertical.svg.png
http://fragmentsofevolution.org/wp-content/uploads/yoga_140156971.jpg
https://cdn.pixabay.com/photo/2018/04/21/15/21/meditation-3338691_960_720.jpg
https://en.wikipedia.org/wiki/File:Wireless-icon.png
https://www.flickr.com/photos/wileyb-j/7518336132/

News websites:
https://www.news18.com/news/buzz/social-media-becoming-primary-source-of-fake-news-on-coronavirus-study-2594307.html
https://timesofindia.indiatimes.com/entertainment/hindi/bollywood/news/ibrahim-ali-khan-bonds-with-sister-sara-and-mum-amrita-singh-over-household-chores-amid-lockdown/articleshow/75325090.cms
https://www.gqindia.com/entertainment/content/indian-royals-self-isolating-multi-crore-palaces
https://www.bollywoodhungama.com/news/features/malaika-arora-shares-a-sun-kissed-selfie-pens-a-note-of-gratitude-amid-lock-down/
https://www.gqindia.com/binge-watch/collection/7-best-movies-on-netflix-amazon-prime-video-and-disney-hotstar-that-earned-rs-100-crore/
https://www.afternoonvoice.com/lamb-meat-gone-overpriced-amid-covid-19.html
https://www.livemint.com/news/india/covid-19-patients-will-be-cremated-irrespective-of-their-religion-bmc-chief-11585577157692.html
https://www.businesstoday.in/latest/trends/it-is-very-easy-trump-after-namaste-exchange-with-irish-pm-amid-coronavirus-outbreak/story/398138.html
https://www.dailymail.co.uk/femail/article-8153619/Infectious-disease-specialists-warn-COVID-19-survive-soles-shoes-five-days.html
https://www.indiatoday.in/education-today/news/story/covid-19-lockdown-west-bengal-schools-and-colleges-to-remain-closed-till-june-10-1668965-2020-04-20
https://www.livemint.com/news/india/-covid-19-an-opportunity-to-create-lasting-memories-for-children-11585630001656.html
https://www.financialexpress.com/industry/covid-19-impact-more-staff-in-services-sector-companies-to-work-from-home-in-future-as-well/1940050/
https://www.livemint.com/news/india/online-weddings-in-vogue-as-lockdown-leaves-no-space-for-lavish-indian-nuptials-11587705957823.html
https://www.indiatvnews.com/lifestyle/news-10-days-10-games-indoor-game-ideas-to-play-with-your-kids-at-home-602362
https://www.citywatchla.com/index.php/cw/los-angeles/19519-overpopulation-global-warming-covid-19-modern-plague
https://www.scmp.com/magazines/post-magazine/short-reads/article/3080360/why-covid-19-human-overpopulation-problem
https://www.indiatoday.in/sports/cricket/story/covid-19-pandemic-ab-de-villiers-virat-kohli-auction-cricket-gear-from-ipl-2016-match-vs-gujarat-lions-1671635-2020-04-27
https://www.pinkvilla.com/entertainment/news/kiara-advani-recounts-her-fan-moment-salman-khan-i-was-smitten-first-time-i-saw-him-527990
https://www.bbc.com/news/world-asia-india-52198588
https://www.hindustantimes.com/delhi-news/residents-rethink-daily-menu-as-meat-shortage-hits-hard/story-IDyEzwVx0wXLusleR82rWL.html
https://indianexpress.com/article/trending/trending-globally/namaste-is-the-new-hello-prince-charles-goes-desi-opts-for-namaste-to-greet-people-6310765/
https://www.npr.org/sections/goatsandsoda/2020/04/07/828317535/coronavirus-is-changing-the-rituals-of-death-for-many-religions
https://www.indiatoday.in/education-today/news/story/7-activities-to-keep-your-kids-busy-during-covid-19-lockdown-1664334-2020-04-07
https://news.abplive.com/news/india/covid-19-coronavirus-weddings-during-lockdown-lockdown-does-not-stop-these-couples-from-getting-married-1200043
https://www.cntraveller.in/story/surviving-coronavirus-lockdown-practical-tips-covid-19-indian-wellness-retreats-mumbai-maharashtra-bengaluru-karnataka-uttarakhand/
https://www.thehitavada.com/Encyc/2020/4/27/Practice-Yoga-at-home-to-beat-COVID-19-virus.html
https://www.templepurohit.com/mantras-slokas-stotras/shanti-mantra/om-purnamadah-purnamidam/
https://greenmesg.org/stotras/vedas/om_purnamadah_purnamidam.php

Sunday, September 23, 2018

The coco-nutty professor


A Harvard professor has gone on record declaring coconut oil to be "pure poison."  

That's it for you Keralites.... you have been consuming poison all these thousands of years!  Now that the good professor has declared it, you will soon be extinct.

Apparently professor's nutty video has gone viral... it might as well have gone bacterial.

For it is typical of the toxicity and condescending attitude western academicians have towards all things eastern.  This stems from a deep level of ignorance of the frogs in the western well for whom there isn't anything worth considering outside of their own narrow well.

Even if coconut oil were to be rich in saturated oil, to declare it to be pure poisonous is... well, rich, coming from the society that loves its Coca Colas, Pepsis, McDonald's and KFCs. 

Sugar is poisonous.  So is alcohol.  So is smoking.

Driving is hazardous.  So is flying.

Eating meat is unethical and unhealthy.

Yet people go about merrily indulging in all these on a daily basis.




In India, it is inconceivable to imagine life without the coconut tree and its many products featuring prominently in daily affairs.  

From cooking to hair oil to rope making to fuel to religious rituals to even carrying you on your last journey to the crematorium, the ubiquitous coconut tree is as useful, versatile and sacred as the cow.

Coconut oil has more fat than lard, the professor says.  But we haven't yet arrived at the most perfect health-friendly food suitable for the entire population... research is ongoing. 

You can't gulp down bottles of olive oil just because it has more PUFA.  Oil is oil.  Use it sparingly and judiciously.  Whether it is sunflower, safflower, olive, canola, groundnut or coconut oil.



Image source: https://www.prevention.com/beauty/a20428276/coconut-oil-cures-for-your-skin-and-hair/




Friday, January 26, 2018

69th Republic Day: Wishlist for the Nation

26th January 2018. 

It is that day of the year when we gather to witness the Nation's military and cultural razzmatazz.  The only time of the year when we get to see some discipline on display!

When I am asked what I would be doing on the 26th, I nonchalantly say 'watch the parade.'  Others generally laugh at the answer, as though I am being facetious. 

They probably expect me to say that I would be doing something worthier instead, like visiting overcrowded malls.  No people, I mean it.  I do watch the parade.  If that's odd, so be it. 


This year's observations:

1. Touching moment when the President shed tears after presenting the Ashoka Chakra posthumously to the deceased soldier's wife and mother.  Never seen this happen before.

2. The same President in high spirits; laughing and cheering towards the end of the parade when the BSF women's contingent did the acrobatics on motorbikes.  Extremes of emotions!

3. The best tableaux (IMHO): Maharashtra with Chatrapati Shivaji Maharaj, followed by Assam with its depiction of masks - Ravana and other characters of Ramayana. 

4. Unique tableau by Karnataka: only animated animal models; no people on it (P.S.: the baboons rocked!).

5. Not one, not two, but TEN chief guests!  The Singapore PM was right next to PM Modi, and was probably taken aback by the discipline on display!  

6. Mesmerizing effect when the overhead camera showed the cadets marching away with robotic precision.

7. But the highlight this year had to be the BSF women's daredevilry on motorbikes; another first this year!


All these are fine.  But I do not want the discipline, decorum and bonhomie to be confined to the annual jamboree.  I want good things to happen in our Nation 365 days of the year. 

So here's a wishlist of things that I would like to see happen for the collective good of the country and humanity in general:

1. Population level to come down.  There are one too many of us!  This, IMHO is the most urgent need of the country, because every other civic problem, arguably, is related to this one factor.

2. Poverty eradicated!  Poverty, quite simply, is unacceptable.  Economic prosperity to reach all individuals, even the poorest of the poor; no more rich/poor divide.  There should not be a single homeless person on the streets, or for that matter, any stray animal on the roads.  And I don't just mean cows; all animals to have shelters in all towns and cities of India.

3. Everybody obeys traffic rules.  No wheelies, no jumping red signals, no driving on the wrong side of the road, no jaywalking!  Discipline on the roads, people!

4. No reservations!  Only merit based admission or employment; not based on caste/religion.

5. No dynastic politics or nepotism of any kind.  No place for such phenomena in any public service institutions of a democracy.

6. Terrorism rooted out!  No safe havens; no closing the door after the horse has bolted.  Constant vigilance and prevention of attacks rather than chasing terrorists after the attacks.

7. Speedier justice for all - because justice delayed is justice denied.  No influence by the rich and famous; more errant politicians/celebrities brought to justice.   

8. Common education curriculum for the whole country across all levels: primary & secondary schools; and professional colleges, including engineering and medicine.  No divisions such as state, ICSE, CBSE, etc.  Career guidance counselling and aptitude test for all students before they embark on professional courses.  Dharma/ethics/culture to be the basis for formative education; not blind western fact based bookish education.  And yes, no capitation fees!  Parents not to be reduced to beggars to admit their children to schools.  RTE to be fully implemented.  Government schools upgraded to match city schools.

9. Health for all.  And health coverage and/or insurance for all.  Custodians of healthcare delivery to have better life.

10. More care, concern and efforts to upkeep all natural habitats and national monuments; such as our rivers, pilgrimage centres, historic buildings, architecture, arts & crafts, scriptures, forests, flora & fauna, tribes, and indigenous cultures.

11. No conversions!  No place for bigoted, narrow-minded interpretations of religious scriptures that lead to enticement/coercion to lead the gullible away from their culture/heritage/faith.  Likewise foreign residents/illegal immigrants overstaying their welcome and/or creating law & order problems to be deported back to their countries.

12. India, primarily, is a spiritual place.  Sanatana Dharma to show the way for spiritual oneness; full realization of the potential that is inherent in sanatanic statements such as: vasudhaiva kutumbakam; ekam sat vipra bahu vadanti, and sarve janaha sukhinobhavantu.  Divisionists and secessionists to be rooted out!


Wishful thinking, do I hear you say?  Maybe. 

I am well aware that these are complex, complicated and multifarious issues subject to the vagaries of multiple variables. 

But wishing, thinking and doing are the only things that are under my willful control.  And the wise say that there is a lot of power in thoughts and words.  So I will wish away!  

The above list is by no means complete, but I feel these are the most pressing needs of the Nation if it has to progress and really achieve its immense potential.  

Here's hoping that the governments and we the people work towards realising this potential.

Kale varshatu parjanyaha
Pruthavi sashya shalinim
Deshoyam kshobha rahitam
Sajjana santu nirbhayaha!

(Listen to this shloka in this video: Prarthana shloka)





Image source: 
https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiT0czMJIfLWvInl4uldd26KHX1kjXTYz-jQ4ffMfx1JparGxlP_9vDitxmN_JaVM3O9iCX14d9Vza0ZwWOA-TewJg6G9bJClial0YLRS14S_thIveROrzNx01cGocugB5tbOaQOCJnaNMC/s640/26+January+Republic+Day+2018+Hindi+Speech+Anchoring+Script+Wishes+SMS+Quotes+Message+%2526+HD+Images.jpg









Saturday, November 25, 2017

Who wants to be a doctor (in Karnataka)?

So the dust from the recent doctors' strike has settled, and the diluted Karnataka Private Medical Establishments Act has been enacted quietly.

But Karnataka has got to be the worst place for a medical practitioner.  And the KPME Act has nothing to do with this.

The KPMEA is only the latest in a long list of insults that have been meted out towards the practitioners of the 'noble profession.'

As though the tough-as-nails medical course were not enough, each of us doctors has been through hell and high water to try and eke out a living.

Find that hard to believe?  I don't blame you; especially in these times when news channels proclaim striking doctors to be 'Yama's agents.'  

Consider the odds stacked against us: difficult course that one manages to scrape through; even more difficult PG entrance exams; bottle-neck in the form of dime-a-dozen medical UG colleges, but not enough PG seats; capitation fees to get into UG and PG courses; sleepless on-call nights; dog's work in the wards/OTs/OPDs; climbing mountains to establish oneself as a 'sought-after' doctor, assaults on doctors, non-recognition of foreign PG degrees, etc, etc. 

During all this, family/social life goes for a toss and you can pretty much forget about hobbies, alternative interests, and life outside the daily medical grind.  By the time you get round to your hobbies and interests again, you are well past your prime. 

One can't even change jobs like those in technical professions can.  Once a doctor, always a doctor.  You got to struggle on endlessly, even if you earn a pittance in comparison to the IT-BT lot who easily earn twice or thrice as much. 

It is a strange dilemma that a doctor finds him/herself in: deficiency in the midst of plenty.  Indian economy is up and running, but the healthcare professional strangely finds him/herself left out of the Indian success story.  


Setting up a private practice is a case of hit or miss.  You may or may not click with the patients, who can be rather fickle when it comes to following up with you, and loath to pay consultation charges.  In any case, it takes years to make a name for yourself. 

In the hospital set up, you need to tow the line of the management, and accept a pre-set salary or 'cuts' from the consultation charges, which are rather like seedless peanuts!

So you are left with a job that you do not enjoy, and that does not provide you with anything substantial to set up home and raise a family.  This is especially true if you happen to live in a high-living-cost city, such as Bengaluru. 

The effect of all this?  Disillusionment; burn out and drop outs.  I have seen many doctor friends leaving the country in search of a better deal.  Some have altogether dropped out of the profession and started business ventures.  Some have contemplated suicide.

Yes, we have encountered and are still putting up with many 'KPMEA's in our lives as doctors. 

Basically, the recent fiasco from the state government has highlighted three issues, as I see it:
  1. the general public wants first-class service at the lowest cost, preferably free of cost
  2. the doctors want a fulfilling career that provides them with financial security on par with other vocations
  3. the government (in the ideal world) would want a seamless primary and secondary care service that satisfies both stakeholders; public and healthcare professionals
At the moment, none of these three issues are being addressed, even with the implementation of the KPMEA. How can one put a cap on healthcare services without capping other non-essential services that are being allowed to jack up prices wantonly.  Go, for example, to a multiplex and see for yourself how much you have to shell out for the ticket and food. 

What is the solution?  There is none that is perfect, but we are looking at a scenario where the medical service is free to the public, but at the same time, the hospital and the healthcare providers are compensated suitably.

The state owned NHS of UK (even though many in that country find faults with it) comes to mind as a service that achieves just this.  Free healthcare funded for by the taxpayers' money that is deducted at source.  

On the other side of the pond, the US healthcare is largely privately provided, with insurance system covering the cost for the patient.

We need to look at these and other models to decide the best suitable healthcare delivery system that can be adapted to our conditions.  Mindlessly capping fees and charges in an increasingly capitalized and corporatized society is not going to cut it.

Somehow, I cannot see the present government of Karnataka making any thoughtful, pragmatic changes in this regard, given the fact that it has its eyes set on the upcoming state elections.

So, dreadful, populist measures such as Indira Canteen and KPME Act will continue to be inflicted on the unsuspecting populace, as this government attempts to revive the dynasty that has clearly done its time.  

Governments will come and go.  The doctor in Karnataka will continue to suffer.

Please also read article on assaults on doctors, and who should become a doctor in this article and video.



Image source: http://images.newindianexpress.com/uploads/user/ckeditor_images/article/2017/5/18/Consulting.jpg

Saturday, September 17, 2016

Book recommendation: Being Mortal


As a medical professional, I have had people recommending this book to me on several occasions.  Finally, after finishing this, I have realised why. 

This book offers an alternative view to our traditional understanding of the role of medicine, which we take to be to fighting death and saving lives.  In fact, we are told to 'preserve life' and to 'do not harm', which are part of the Hippocratic Oath that each one of us swears by as we graduate.  

We have an added dilemma in the Indian context, since allopathic practice is largely a western construct, based on opinions, research and writings of westerns scholars, researchers and physicians.

The ancient medical and surgical practices propounded by the likes of Charaka and Sushruta, as well as the entire system of Ayurvedic have either been relegated to the sidelines, or grouped under rather patronising categories called 'alternative therapies' and/or 'complementary therapies'.  

However, as we see in this book, ageing, the process of dying, and death itself, are the same wherever you practice in the world, or whichever system of medicine you adhere to.  And the recommendations made by Gawande through this book carry universal relevance.  

Gawande's book combines real life anecdotes, views of pioneers in end-of-life care, findings from research studies, and his own insights into these prickly issues that we often brushed under the carpet. 

As he convincingly argues, the oppressive therapies that are inflicted upon the patient - radiotherapy, chemotherapy and surgeries with little benefit in cancer treatment, to name a few - only end up prolonging the agony for the patient and his/her carer.  Medical practitioners are often hesitant to talk about death and dying, in the face of misplaced expectations of miracle cures by patients and their carers.  

Gawande draws from his own experiences as a surgeon, talks to patients with dementia and cancer, their families, and experts in the field of palliative care.  He also puts himself on the other side of the fence, and includes a touching account of his own father's battle with cancer and eventual death.  In so doing, he leaves us with pearls of wisdom on communicating with patients and their carers about death and dying.

He says, for instance, that a collaborative approach wherein the physician and the patient talk together about the choice of treatment available based on what actually matters to the patient in terms of his/her fears and hopes about the quality of life, is the best way forward in end-of-life care.  

Gawande points out that the real victory for end-of-life care would come about only when every physician and surgeon incorporates these principles into his/her own practice, thus obviating the need for a separate specialty of palliative care.

One has to take in all the stories and Gawande's interpretations if one is to find more such medical gems from this book.  This makes it recommended reading for geriatricians, palliative care specialists, and indeed, every medical practitioner.

Hardly surprising then, that Being Mortal was given as a parting gift to each of the graduating medical students recently, at the international medical school where I have taught.

Recommended reading for all medical students.


Image source: http://ecx.images-amazon.com/images/I/41v9-aUd1eL._SX313_BO1,204,203,200_.jpg

Wednesday, February 3, 2016

Article on genital TB

Medical educational article on genital tuberculosis and its treatment.













Article on egg vitrification

Can motherhood be deferred for the new-age career woman?  

Find out about the vitrification in this medical educational article.












Article on women's diet

What are the healthy foodstuffs for women in the childbearing age-group?

Find out in this article:









Image source: https://dpa730eaqha29.cloudfront.net/myedmondsnews/wp-content/uploads/2019/05/Food.jpg

Thursday, December 31, 2015

Article on heart attacks in women

We know men are more prone to having heart attacks.  

Can women have them too?  

If so, what can women do to prevent them from happening?  

Read in this medical educational article.











Wednesday, November 18, 2015

Wednesday, October 7, 2015

World Mental Health Day 2015

Medical educational article on 'Dignity in Mental Health', the theme of World Mental Health Day 2015.











Tuesday, October 6, 2015

Article on carpal tunnel syndrome

What is carpal tunnel syndrome.  

How can it be prevented.  

Find out in this medical educational article.



 








Wednesday, September 9, 2015

Article on vector borne diseases

What can be done to prevent communicable diseases such as dengue and cholera?  

Find out in this medical educational article.











Sunday, August 2, 2015

Film conversations: Dhurandhar

Chapter 1: The movie-going experience Due to prior horrid experiences related to  popcorn prices rivalling real estate rates in Bengaluru, ...