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ashokbhatia

When it comes to the oeuvre of P G Wodehouse, Stephen Fry says that ‘You don’t analyse such sunlit perfection, you just bask in its warmth and splendour.’

With due respects to him, yours truly would beg to differ. As someone who suffers from the 3rd and final stage of a pleasurable affliction alluded to as Wodehousitis, I cannot but analyse the sunlit perfection of his narratives. In a world full of hatred and conflicts, one survives on the metaphorical juice of the oranges of his whodunits. Unless one analyses, one does not extract the maximum possible juice out of these luscious oranges. My Guardian Angels have conspired thus, and I just cannot help myself.

Allow me, therefore, to capture here some of the life-enriching lessons which dot the vide canvas of one of his works, Something Fresh – tips on well being, riding the socio-economic divide, the spirit…

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ashokbhatia

Lifestyle diseases like diabetes and hypertension have a tendency to quietly enter the house of our physical bodies, much like unbidden and unwelcome guests. In most of the cases, repeated attempts to entice these to depart and scour around for some greener pastures are unsuccessful. After the first stage of shock and denial has passed, a state of active acceptance comes about. The basic principle of a peaceful coexistence eventually gets followed.

Diabetes is labelled as a silent killer. This unwelcome guest has a tendency to enfeeble almost all the organs of the body. Its special affection gets directed towards ones which are already in a state of disrepair. These could be our heart, eyes, kidneys, feet or any other organ or limb which catches its fancy. Nerve endings get compromised. Initially, some tingling sensations may be there, more bothersome at night. Over time, sensations may be lost completely, leading…

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When it comes to the oeuvre of P G Wodehouse, Stephen Fry says that ‘You don’t analyse such sunlit perfection, you just bask in its warmth and splendour.’

With due respects to him, yours truly would beg to differ. As someone who suffers from the 3rd and final stage of a pleasurable affliction alluded to as Wodehousitis, I cannot but analyse the sunlit perfection of his narratives. In a world full of hatred and conflicts, one survives on the metaphorical juice of the oranges of his whodunits. Unless one analyses, one does not extract the maximum possible juice out of these luscious oranges. My Guardian Angels have conspired thus, and I just cannot help myself.

Allow me, therefore, to capture here some of the life-enriching lessons which dot the vide canvas of one of his works, Something Fresh – tips on well being, riding the socio-economic divide, the spirit of enterprise, the art and craft of delegating tasks, communication, exploring career options, the art of badmouthing seniors, becoming indispensable, suspecting everything, the true meaning of chivalry, being a superman, expressing one’s love, behaving like a millionaire, avoiding nervous breakdowns, being spiritual and the like.

By no means are these exhaustive. Many of you may have a different view of this work of Plum’s. Well, here is my humble take.

Health is Wealth

Following the prescription dished out by Ashe Marson – Larsen Exercises (all twenty nine of these), scientific deep breathing, cold baths and brisk walks –  helps one to remain as fit as a fiddle. Plenty of fresh air and no cigars are highly recommended. Cities may resent exercising in the open. But perseverance pays, and a sense of indifference sets in soon enough. Owners of nearby hotels, if any, regard one without a smile. The hotel employees continue to perform their duties impassively. The children are no longer interested in looking at one. Even the cat keeps rubbing its backbone against the railings unheeding.    

A frugal diet based on nuts and grasses helps. Understandably, this needs nerves of chilled steel, denying the sumptuous feast which would invariably be on offer. Prudence needs to prevail over greed. Pleasures of the table are best forsaken. Of course, it helps to have loving daughters like Aline Peters around who will do likewise and set a fine example for their fathers to behave. They themselves may suffer pangs of hunger at night. Their turning pale and thin may get commented upon by aspiring lovers. But the feudal spirit must prevail.  

Even the chewing habits assume significance. Lord Emsworth is of the view, as shared by him with Adams, the head steward at the Senior Conservative Club, that partaking large mouthfuls of food amounts to one digging one’s own grave with one’s teeth. Food should never be gobbled, he believes; Americans do this when young and ruin their digestion. Each mouthful needs to be chewed at least 33 times before being allowed to slide down the hatch.

Mr Peters shows to us that it is fatal to get angry at meals. His case proves that temper and indigestion are positively correlated with each other; as one goes a notch higher, so does the other. Thinking beautiful thoughts helps. Earlier, he had been advised by a New York specialist to avoid nervous breakdowns by taking up a hobby. That is how he had become an avid collector of scarabs.  

Even Baxter is aware that insufficient sleep made a man pale and sallow, and he had always aimed at the peach-bloom complexion which comes from a sensible eight hours between the sheets.   

Life Below the Stairs  

Something Fresh presents to us a sneak peek into the life below the stairs in a castle.  

It takes a bevy of servants to keep things running in an orderly fashion at Blandings Castle. There is a rigid hierarchy here, backed by customs and rituals which need to be scrupulously observed. Under the auspices of Mr Beach and Mrs Twemlow, things are always done properly at the Castle, with the right solemnity. There are strict rules of precedence among the servants. A public rebuke from the butler is the worst fate that can befall a defaulting member of this tribe.

Kitchen maids and scullery maids eat in the kitchen. Chauffeurs, footmen, under-butlers, pantry boys, hall boy, odd man and steward’s-room footman take their meals in the servants’ hall, waited on by the hall boy. The stillroom maids have breakfast and tea in the stillroom, and dinner and supper in the hall. The housemaids and nursery maids have breakfast and tea in the housemaid’s sitting-room, and dinner and supper in the hall. The head housemaid ranks next to the head stillroom maid. The laundry maids have a place of their own near the laundry, and the head laundry maid ranks above the head housemaid. The chef has his meals in a room of his own near the kitchen.

There is not much of a behavioural difference between our corporate citizens and those who work below the stairs. Both love discussing the idiosyncrasies of those above them.

Beach believes that with all the breach of promise cases being foisted on to the rich men, Anarchy is getting the Upper Hand and the Lower Classes are getting above themselves. Rampant Socialism is to be blamed; so are the cheap newspapers, which tempt the Lower Classes to get Above Themselves.       

Compassion for this class of persons is a desirable quality indeed. Towards the very end of the narrative, when Joan feebly objects to Ashe Marson kissing her in the open on the pretext of a scullery-maid looking out of the kitchen window, he responds thus:

‘Scullery-maids have few pleasures. Theirs is a dull life. Let her see us.’

A Contrast in Upbringing

There is a stark difference between the upbringing of Aline Peters and Joan Valentine. This tells us why their attitudes towards life are so very distinct. The contrast between the haves and the have-nots of the society is brought into sharp focus.

One of the compensations Life offers to those whom it has handled roughly is that they can take a jaundiced view of the petty troubles of the sheltered. Just like beauty, trouble is in the eyes of the beholder. Aline may not be able to endure with fortitude the loss of even a brooch whereas Joan has to cope with situations which often mean the difference between having just enough to eat and starving. For the reward of a thousand pounds, she finds it worth her effort to accompany Aline to Blandings Castle as a lady’s maid.

Free Masonry and the Spirit of Enterprise

The narrative also draws our attention to the Free Masonry amongst those live in large cities and on small earnings. Since both Joan and Ashe contribute to two different publications of the Mammoth Publishing Company, an instant bond gets formed between the two. Ashe feels like one who meets a boyhood’s chum on a desert island.

Joan even acts as a muse and helps Ashe overcome his writer’s block, when he is trying to figure out what a wand of death could be.

‘Why, of course it’s the sacred ebony stick stolen from the Indian temple which is supposed to bring death to whoever possesses it. The hero gets hold of it, and the priests dog him and send him threatening messages. What else could it be?’

When Ashe calls himself a failure, Joan is livid and asks him to start something new. Living in the biggest city in the world, she believes, means chances of adventure are simply shrieking to him on every side. She exhorts him thus:

‘Don’t get into a groove. Be an adventurer. Snatch at the next chance, whatever it is.’

Sane advice for entrepreneurs of all hues, sizes and shapes. The ideal adventurer needs a certain lively inquisitiveness. He is not content to mind his own affairs. Joan’s eloquence has the effect of pulling Ashe out of his laziness. His sense of enterprise gets rekindled, prompting him to assist Mr Peters in recovering his scarab, despite the fact that he is not an easy person to work with.

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My dear Heart…..

ashokbhatia

heart care

Seven years back, when you protested, the plumbing had to be set right;
I became aware that you existed, now you continue working with all your might.

I feel your throb throughout my body, in my feet, in my arms, in my ears;
I hear the pulse even in my head, realize you have been there all these years.

Never have you asked for a vacation, relentlessly you go on thumping;
Supplying blood to all corners of the body, you always keep pumping.

A skip on your part and I go crazy, a flutter and things around me go hazy;
You may label me a couch potato, I always try not to be too lazy.

The soothing music of your pulse, sometime slow, sometime fast;
Like the strains of a vibrant drum filling up my being´s theater vast.

I walk and I exercise, keeping both of us fit with positive…

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ashokbhatia

Often, we hear that age is a mere number,
But also wonder if it makes us dumb and dumber;
Unless proper and timely steps are taken through channels right,
The chances of our becoming dull happen to be bright.

The body needs all the care and affection it can get,
The mind needs to be kept active, not to forget;
The soul needs nourishment of a different kind,
Otherwise it is left in torment and in a bind.

The zeal of youth makes us leap light-heartedly into traps,
The spirit of adventure keeps us wandering off the known maps;
Romantics at heart, fragile in maturity, we jump at gold coins with strings attached,
We behave like zombies, often getting disappointed over chickens un-hatched.

 ZOMBIES

When advanced in age, our optimism fades, no longer making the spirits lift,
A feeling grows that our guardian angels no longer care to bear a…

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Lifestyle diseases like diabetes and hypertension have a tendency to quietly enter the house of our physical bodies, much like unbidden and unwelcome guests. In most of the cases, repeated attempts to entice these to depart and scour around for some greener pastures are unsuccessful. After the first stage of shock and denial has passed, a state of active acceptance comes about. The basic principle of a peaceful coexistence eventually gets followed.

Diabetes is labelled as a silent killer. This unwelcome guest has a tendency to enfeeble almost all the organs of the body. Its special affection gets directed towards ones which are already in a state of disrepair. These could be our heart, eyes, kidneys, feet or any other organ or limb which catches its fancy. Nerve endings get compromised. Initially, some tingling sensations may be there, more bothersome at night. Over time, sensations may be lost completely, leading to problems which do not even get felt.

Excessive thirst and frequent urination are the well-known symptoms of diabetes. These could easily get ignored and we could chug along in our lives, blissfully ignorant of the arrival of this unbidden guest amidst us. With urine, the body also ends up ejecting some minerals. The disease leaves one feeling tired and exhausted.

The alpha and beta of diabetes

At the core of this affliction is an organ known as the pancreas. Due to genetic reasons or owing to prolonged abuse, there are times when it refuses to behave like an alpha male. It ceases to run on all its twelve cylinders. It does not produce enough insulin, the hormone which controls blood sugar levels in the body.

The beta cells in our pancreas not only produce insulin but also govern the sugar level fluctuations in the body. So, the higher the level of blood sugar, the higher is the fluctuation of sugar levels in general. The fact that South Asian genes happen to be more susceptible to attracting this disease does not really comfort someone who is actually suffering from diabetes.

There are those in whose case the cells that produce insulin are selectively lost. They would qualify to be suffering from Type 1 diabetes.

The body surely needs sugar to keep active and kicking. But when the sugar intake is more than what it can handle, insulin production lags behind its demand. The pancreas is unable to keep pace. Those whose pancreas has started losing its efficacy over a period of time get categorized as having Type 2 diabetes. Often, obesity rules. The battle of the bulge gets lost. Pear pressure kicks in.

Then there is a portion of humanity which shows signs of an imminent onset of diabetes. These could be called pre-diabetics. Surely, there is some hope for them, provided they adopt an active lifestyle, change their diet pattern, and do not allow diabetes to walk in.

The delicately nurtured amongst our species, when they happen to be in the family way, face the risk of gestational diabetes.  Though it is a temporary condition, they end up having a higher predisposition towards Type 2 diabetes.

Sharing some key observations

Yours truly is neither a physician nor a person even remotely connected with the field of medicine. Nevertheless, here is a summary of what one has learnt so far. Some of you might find these of use. These observations pertain to Type 2 diabetes.

Blood sugar levels are a function of the following major factors:

  • Stress: The higher the stress levels, the higher the blood sugar levels. A prolonged challenging situation – whether on the home front or on the office front – could reduce the immunity levels of the body and increase the sugar levels.

Laughing things off helps, so does the company of those who exude positivity. Building up inner resilience reduces the impact of external circumstances, and thereby helps in controlling sugar levels better.

  • Physical activity is a basic factor. Be a couch potato or a chair tiger and repent at leisure. Regular brisk walks and light exercises help. But these produce results only after about six weeks, by which time the body forms a habit and starts demanding its daily dose of whatever physical regime you decide to follow.

Pottering about in the garden or in the kitchen and doing household chores provides some protection. Climbing up stairs and not using an elevator helps. Living life with lesser dependence on your favourite Ferrari helps.

But nothing to beat the efficacy of either cycling or a brisk walk, which is closer to the way a soldier would typically walk. Sweating it out is a key factor. It also helps with heart-related issues.

Much like a tube light needs an initial surge of additional power to get going, the body also needs an initial impetus of will power to walk the first 500 meters. Thereafter, once it has warmed up, a brisk walk often sounds more like a cake walk.

  • Medication cannot be taken lightly. It needs to be taken regularly, on time. This implies that meals required to keep the body and soul together also need to be taken on time, day after day.

Oral medication is convenient. At times, if it is unable to bring blood sugar levels within control (fasting values in the range of 70-100 and other values being in the range of 120-200), the physician may prescribe insulin injections.

Insulin has a singular advantage of the necessary hormone reaching the blood stream directly. But the flip side of using insulin, or any other anti-diabetic agent, is the risk of blood sugar dropping down to such dangerous levels as 60 or below. Symptoms could be tiredness, giddiness, excess sweating, palpitation and even coma and other          complications. This could even prove to be fatal.

To avoid such complications, a bar of chocolate, some dry fruits and biscuits should always be kept handy. Sugar cubes could also help. A glucometer needs to be used to immediately check the blood sugar levels and the incident reported to one’s doctor.

  • Diet is a crucial factor in managing diabetes. Our scriptures often extol the virtues of leading the life of an ascetic or a monk. Diabetes propels us towards such lofty goals in life. Controlling our taste buds is a serious challenge and needs nerves of chilled steel. When a piping hot junk food item like a ‘samosa’ comes up in front of us, or when a ‘rasgulla’ gets lovingly offered by an otherwise well-meaning friend, the deep reserves of our tenacity have to be marshalled to refuse these and instead pick on a green salad.

Even fruits like mangoes and bananas are harmless, if taken in moderation and if in the absence of any other item on our plate.

Some tests and parameters

  • Regular checks on blood sugar levels (fasting as well as postprandial, PP) are highly recommended.

For fasting level to be correctly ascertained, during the previous night, except for plain water, nothing else should be consumed after 10 PM. Medicines to be taken after the test. Normal breakfast can be had after about 30 minutes.

For PP, a reading would need to be taken two hours after breakfast, with nothing else being consumed in the meanwhile. Any deviation from this procedure can be brought to the notice of one’s physician.

  • Once in six months, our physician may recommend a test known as HbA1C. This one tells us the weighted average of our sugar levels over a period of the past three months, thereby indicating the extent of control we have exercised over ourselves during that period. A value below 7 would normally indicate a fair amount of control, though the exact value is best decided between the doctor and the patient.
  • Frequent eye and feet check-ups are necessary. Once in a year, functioning of the kidney needs to be reviewed by means of appropriate tests.

When prolonged tension leads to hypertension

Yet another lifestyle disease which creeps up on one is that of high blood pressure. If left unattended, this could result in the hardening of arteries, cardiac problems and an increase in one’s intraocular pressure in the eyes. Keeping this on a strict watch is in some ways even more crucial than regular monitoring of blood sugar levels.

Of doctors and miracle cures

The role of a doctor in managing diabetes is more akin to that of a guide. The hapless physician has no clue as to what our daily meals comprise and the amount of liquors and desserts we gobble up at social events.

Often, we may come across miracle cures made by those who are proficient in alternative streams of medicine, claiming to get us rid of diabetes in a short period of time. If followed, these could achieve good results in the short run, but could do more harm to the body in the long run. The reason is simple – these are not sustainable. In a controlled environment, these cures could really work. But when we are back in the civilization, living our routine lives and facing all the harsh slings and arrows of Fate, the short-term benefits could simply evaporate. However, there is a general belief that some medicines from alternative streams do work as supplements, somewhat nullifying the side effects of allopathic medicines.

A helping hand from the government  

One has no statistical evidence, but there is no doubt that those suffering from this lifestyle disease do end up suppressing the economic growth of the country they inhabit.

Revenue-hungry governments world over could think of imposing a hefty ‘sin tax’ on all things sweet. Tax breaks can be offered to those who suffer from a lifestyle disease. The delivery of public health services can be strengthened.

The civic authorities would do well to ensure that there are adequate provisions for bicycle tracks and for taking brisk walks in open spaces for its denizens. Public transporters could pitch in by ensuring availability of diabetic diets to those who might be in need of the same.

The trick of managing a lifestyle disease

The real control of diabetes and other lifestyle diseases rests in our own hands. Guided by a competent physician, management of these is no rocket science.

Basically, the trick lies in holding our chin up, looking ahead to a joyful life with clear eyes, and marching on with our lives, wearing this affliction as a badge of honour on our sleeves, aspiring to evolve spiritually, with nary a wrinkle on our forehead.

Bertie Wooster and Jeeves would heartily approve of a sunny disposition of this nature. So would Ashe Marson of the ‘Something Fresh’ fame.

(Inputs from Dr B S Suryanarayana, Additional Professor, Department of Medicine, JIPMER, Pondicherry, are gratefully acknowledged)

(Illustrations courtesy www)

(Related Posts:

https://ashokbhatia.wordpress.com/2013/05/05/o-my-beloved-when-would-you-depart

https://ashokbhatia.wordpress.com/2013/08/04/getting-india-in-the-pink-of-health

https://ashokbhatia.wordpress.com/2014/10/06/handling-the-diabetes-tsunami-in-india

https://ashokbhatia.wordpress.com/2015/07/01/how-diabetes-helps-us-to-improve-our-sq)

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Those who practice as physicians in our society are increasingly looked upon with some suspicion. Dig a little deeper and one is apt to find that they are more to be pitied than to be censured.

A physician is denied the fundamental right to some solitude. Even at a social gathering, she is likely to be surrounded by wannabe patients who are keen to seek her impromptu advice as to the latest affliction the party of the other part has heard about and imagines oneself to be suffering from the same.

Close relatives are not too considerate either. A distant relative could call late at night, skillfully steering the conversation from children’s career prospects to the current bout of migraine she happens to be suffering from. If anyone in the circle of friends or relatives happens to be admitted to a hospital, the physician ends up spending sleepless nights, adroitly juggling her official commitments and personal relations, often messing up both.

Latest advancements in medicine keep them on their toes. So does the competition from various streams of medicine, such as Homeopathy, Ayurveda, Unani, Siddha and many other local variants of each of these streams. Superstitions, local beliefs, religion, social norms are but some of the constraints which need to be kept in mind. Legal tangles, such as those apply to road accident cases, keep them on the defensive.

In advanced countries, they face tough customer care regulations. In emerging economies like India, they suffer humiliation – occasionally violent – at the hands of irate relatives and well-wishers if the latter perceive the medical service provided to their kith and kin to be deficient.

Return on Investment considerations

To be a mere graduate in any discipline of medicine does not amount to much these days. Even to become a graduate, the hapless souls have to experience at least five and a half years of the tyranny of the classroom, with the trauma of a stint as an intern thrown in for good measure.

Monetary rewards obviously vary depending upon their choice of a career. They could choose to be in their own private practice, or join a private sector outfit, or become a part of the public health delivery mechanism.

If public spending on health infrastructure is woefully inadequate, private players end up playing an important role in the medical education scenario. Many aspiring physicians opt for a private sector skill provider. As a consequence, hassled parents end up shelling out sackfuls of the green stuff. Return on Investment considerations then determine the choice of their career.

The blue-eyed ones

The resourceful ones set up their own practice. If the going is good, some of them end up laughing all the way to the bank, what with hefty commissions coming in from such allied medical service providers as marketeers of branded medicines and diagnostic clinics.

Those who happen to be associated with five-star private sector health facilities have tough business targets to meet. This is not to say that patient care necessarily gets compromised, but an overdose of medical investigations surely leaves the patient and her family deprived of mental peace and some hard-earned green stuff.

When the costliest of medicines and gadgets get recommended by physicians, stakeholders of pharmaceutical companies and those in the field of medical equipment laugh all the way to the bank. Admittedly, quite a lot of money gets pumped into research and development, but it is open to debate as to how much profit could be considered rational and socially justified.

Much like the marketing honchos in the private sector who bring in business and resultant moolah, such physicians happen to be the blue-eyed boys of any entity which boasts of being a corporate facility.

The grey eyed ones

Physicians who are part of the government healthcare delivery system and happen to be conscientious by nature are often overloaded with work. Monetary rewards are often not commensurate with the efforts being put in. The eyes of a majority of them would be a dull grey, revealing a soul which is tormented and has given up hope.

Besides having to publish research papers in peer-reviewed journals and making presentations at medical seminars, students have to be guided, examinations have to be conducted and internal meetings need to be attended. Administrative chores cannot be ignored.

Above all, routine patient care cannot be made to suffer. Patients, whether of the ‘in’ or the ‘out’ kind, descend in droves, all eager to jump the queue and catch the attention of the physician. The plight of those in most of the emerging economies is most distressing because the per capita availability of physicians leaves much to be desired.

Of Attitude and Inner Resilience

Much depends on the attitude of a patient. One could come across persons with a cheerful disposition headed for their second open heart surgery, relishing a deep-fried item with much glee. One could also run into those who worry endlessly over such transient ailments as a bout of common cold or sinusitis.

Physicians obviously deal with a baffling variety of patients with much finesse and aplomb. Nerves of chilled steel get deployed. A sense of detachment pervades their handling of a patient. Their inner resilience deserves to be applauded.

With such fine qualities of head and heart, one can merely admire the quality of their work which keeps upholding the reputation of their profession. The Hippocratic Oath might appear to be relegated to the background, but is surely alive and kicking.

In many streams of alternative medicine, the patient is taken as a composite whole and treated holistically. The inner resilience of a patient is accorded a higher weightage. Allopathy, the mainstay of masses in the times we live in, does it the other way round, where each organ is looked at and treated separately. In mathematical parlance, alternative streams could be likened to Integral Calculus, whereas allopathy could be likened to Differential Calculus.

Shoring up one’s inner resilience

There are indeed ways for patients to improve one’s inner resilience, so as to be able to handle the harsh slings and arrows of Fate in a more positive manner. A deeper inner connection helps. To achieve the same, regular introspection and meditation helps.

As the Mother has said, the right approach would be to simply disallow negative thoughts to gain a foothold in one’s psychical system. Patients obviously need loads of patience to be able to put this advice in practice!

(Notes:

This forms part of an article which has appeared in NAMAH:

NAMAH_OCTOBER_2017

Inputs from Dr. Shivani Salil Dr. Shruti Bhatia are gratefully acknowledged.)

(Related Post: https://ashokbhatia.wordpress.com/2017/06/04/of-patient-satisfaction-quotient-motivation-and-kinds-of-patients)

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AyurvedaAyurveda, the Indian science of physical and mental well-being, is more than 5,000 years old. It may lack the kind of scientific rigour which Western thought demands, but its recommendations are highly effective.

Much of this knowledge gets passed down from one generation to the next in an informal manner – not by means of written texts but by way of sheer practice.

Here are some tried and tested recipes which could help one in facing challenges of a physical nature.

Gastritis 

  • Lightly roast ajwain seeds (50gms), cumin seeds (50 gms) and asfoetida  (1 gm) in ghee
  • Grind to powder and add 1 tablespoon of rock salt
  • Store in a glass bottle and use 1 tablespoon of powder before all meals with lukewarm water.

Heartburn 

  • Cold coconut water (1 cup)
  • Cold rice milk (half cup), if taken immediately when symptoms arise.

Constipation

  • 1 banana followed by a cup of warm milk with green cardamom daily at nighttime.
  • 6-8 figs and black raisins soaked overnight to be chewed in the morning followed by warm water

Lack of sleep 

  • Warm milk with ghee 5 drops, turmeric half teaspoon and honey 1 teaspoon
  • One hour before going to bed, watch or read any thing that soothes your frayed nerves and makes you smile and relax.

Chest congestion 

  • Roast 5 pods of garlic in mustard oil and apply it on chest every morning and evening.

Fever

  • Squeeze half lemon for its juice and add same amount of honey to the lemon juice.
  • Drink with warm water and sit with 2 blankets wrapped around.

These treatments are tested on oneself and have been found to be quite effective. This is traditional knowledge which is being shared here so all may benefit.

(Image, courtesy the world wide web, used only for representational purposes)

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A health seeker often gets to revisit some of the long forgotten science lessons learnt in the early years of his life.

Einstein’s theory of relativity

It gets understood more easily when a minute spent on a treadmill sounds likeScientist Albert_Einstein fifteen minutes snoozing on the bed. Thirty minutes spent on a dentist’s reclining chair feels like thirteen hours spent in the company of one’s mother in law.

The mystery of the formula linking energy and mass also unfolds. Wisdom eventually dawns that E (Energy and Enthusiasm) to achieve a heightened state of well-being is equal to the product of ‘m’ (mental peace and positivity) and ‘c’ squared, where ‘c’ stands for conviction or faith in the treatment opted for.

Much like the speed of light, each kind of treatment has a unique upper limit to heal, beyond which one moves into the realm of prayers, divine intervention and spirituality. This is a universe which is surely not governed by the conventional laws of science as we understand them today.

First Law of Motion

Newton is found to be dead right when he postulates that a stationary object moves only when an external force is applied to it. When a couch potato is toldScientist IsaacNewton-1689 by the good doctor to exercise regularly, much will power needs to be summoned. Social challenges like the sudden appearance of a maid servant or the newspaper boy to collect his dues need to be handled. Startled glares from a younger person living across the street have to be summarily ignored. Presence of relatives and friends has to be managed. Ridicule hurled at one from any quarter needs to be summarily rejected, so the object, in this case the health seeker’s physical body, can get moving.

Non-linear regression analysis

Harsh slings and arrows of life make the patient understand that bodily afflictions are not necessarily explained by a linear formulation in mathematics. When it comes to good health, the link between cause and effect is never straightforward. Variables like mental attitude, reserves of will power, social mores, genetics, biological factors, environmental constraints, spiritual propensity and perhaps even factors beyond our present frontiers of knowledge need to be considered.

A person who is a chain smoker survives much longer than a non-smoking one who gets diagnosed for cancer much earlier in his life. Someone who is a happy-go-lucky person lives life to the hilt even with several arterial blocks whereas someone who takes a dim view of life in general needs to undergo repeated surgical interventions.

Laws of Thermodynamics

The patient may find that even Laws of Thermodynamics apply to the realm of life style afflictions.

Zero-th Law

If two persons are in the equilibrium of a stable relationship with a life styleJosiah_Willard_Gibbs Thermodynamics disease and lead their lives as per the Principle of Peaceful Coexistence with the said disease, it follows that they could develop a good relationship with each other as well.

First Law

The Law of Conservation of Energy applies. There is a limit to which a patient may exercise to remain fit. Other activities may have to be given the short shrift so a regular exercise regimen may not suffer.

Second Law

Over time, Entropy or disorder is bound to increase in an entity comprising a body, a mind and a soul relationship. The only way out is to keep cleansing one’s system of negative thoughts at regular intervals. By means of meditation, the patient can keep creating inner space for positive thoughts to come in and hold sway.

Some crystal gazing

Add to all this the growing uncertainty of disruptive technologies and the cause-effect equation of well-being becomes even more complex.

If one were to attempt some crystal gazing in the field of medicine, the results could cheer up a lay patient. A pill to dissolve and cure cataract could revolutionize eye care. Early detection of a would-be patient’s disposition to develop diabetes could lead to preventive lifestyle changes which could save millions from getting into the clutches of this dreaded affliction. 3-D printing of living tissue can be used to make body parts.

The implications are mind-boggling. But the fact remains that advances in medical science would merely touch the sheath and not the core of an individual patient – the soul.

Faith and the sincerity of prayer

More than a century back, Quantum physicists confirmed what our sages had held long back – that our thoughts determine the reality we experience.  Ifa1 1 (11) the mind is taken to be a canvas on which our thoughts get projected, our body could then perhaps be taken as a holographic projection of our consciousness. So, if we have a genuine intention to heal, have an abiding faith, entertain positive thoughts, and if our prayer is sincere enough, a state of better health would follow.

The challenge for a patient, therefore, is to elevate his consciousness to a level where he gets an insight to heal himself. In her book Molecules of Emotion, Candace Pert had indeed predicted that the time is not far off when a patient with a headache will simply sit in a quiet corner to meditate to elevate his consciousness to get total relief from headache instead of popping some inane pain-killer pills.

A state of bliss with no date of expiry

Undoubtedly, a patient faces a multi-faceted challenge. Besides the art of managing the affliction itself, he has to learn the science behind his disease. He needs to confront the forces of commerce which drive healthcare today. Newer discoveries in medicine do give him hope for a healthier future, if not for him but at least for some of his fellow beings.c1 (25)

Nature provides each patient with a physical body which comes with an inbuilt feature of planned obsolescence. But the indomitable spirit and the innate tendency of the soul to be blissful does not come with any date of expiry. Besides medication, exercise and proper food, his source of relief is his conscious effort to nurture the connection with his own inner self. Having faith in the medical system he decides to follow surely helps. So does a sunnier outlook and his endeavours to serve those less fortunate than himself.

(Note: Part of an article which appeared in NAMAH journal: http://www.namahjournal.com/doc/Actual/Patients-and-the-art-and-science-of-healing-Vol-24-iss-2.html)

(Related Post: https://ashokbhatia.wordpress.com/2016/05/04/the-perils-of-being-a-patient)

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Whosoever coined the term ‘patient’ in the distant past was indeed blessed patient 1with some degree of prescience. He could foresee that the poor soul will have to earn this exalted status in life the hard way. He would need to patiently await his turn in long serpentine queues at hospitals and at doctor’s clinics. He would have to be patient with his bank balance when it starts depleting the moment he is examined by a doctor. He would need to be patient and suffer the ignonimity of undergoing all the tests prescribed. He would then again have to patiently wait to report back the results to the doctor concerned. Nerves of chilled steel would be required to consume all the medications written out illegibly on a piece of paper. His reserves of patience would once again be called upon to mitigate his suffering when side effects of the drugs start tormenting him.

A singular challenge faced by patients of all hues, sizes and shapes these days is that of continuity. Family doctors happen to be a tribe which has become almost extinct by now. Gone are the days when a personal rapport with the family doctor could work wonders, or when the emphasis used to be more on physical examination and the symptoms of the patient rather than on excessive medical tests.

The ‘haves’ and the ‘have-nots’

In a dichotomous health delivery market like that of India, we have the multitudes of ‘have-nots’ who struggle to make two ends meet. For them, a challenge on the health front is not the very first priority to be handled. The question of survival itself comes first. When the body simply revolts and there are no options left, they turn to government-run centres and hospitals and make do with whatever facilities they are able to access.

Not so for the well-heeled ones. They have the means to avail the servicespatient 2 offered by swank hospitals run by the private sector. Recourse to fancy insurance schemes becomes helpful. In any case, since health is held to be more important than wealth, a slice of the latter getting lost to restore the former is seldom bemoaned. On the contrary, the massive cost incurred on a hospital stay gets worn on their slick sleeves, much like a proud soldier would display his medals earned on the fronts, and comes in pretty handy for an uplifting ego boost.

They get to pick and choose. Word of mouth often helps. Brand recognition helps. When an emergency comes up, distance becomes the determining factor.

Upon entering such institutions, the patient is spoilt for choice. Options for accommodation include air-conditioned special rooms, deluxe air-conditioned rooms and even super deluxe suites. He is then put on an assembly line and subjected to awe-inspiring medical diagnostics. The fear of the unknown on part of the patient helps the corporate body to fulfil its obligations towards its shareholders. When a surgery is deemed necessary, the kind cruelty of a surgeon’s knife also ends up drilling a gaping hole in the patient’s pocket. Admittedly, the patient has the satisfaction of having being in safe hands and possibly also getting the necessary relief.

Sandwiched between these two layers of society are the not-so-well-heeled. They detest the dinghy corridors and the surging crowds in public institutions. They place their trust in the private outfits, get exploited financially, and end up missing the objective healthcare advice dished out by medical practitioners in government clinics and hospitals.

A Supermarket approach to getting healed

Those who are well-heeled and suffer from life style diseases have even a wider patient 3choice available to them. They are like true customers in a market economy which could be best characterized as ‘laissez faire’. Hospitals and clinics in the private sector advertise their wares smartly and entice such customers to avail their services. Once a patient has enrolled himself, a Customer Relationship Management software takes over. Greetings on birthdays and anniversaries, special screening camps, package deals – these are but some of the pretexts which get used to woo the patient for his next round of illness.

The well-heeled also have the luxury of choosing the system of medicine they wish to pursue. Allopathy is believed to be providing only interim succour or, in most cases, a basic relief. A regimen of popping the pills, exercise and food habits gets prescribed. Once they have become used to the same, life runs in an auto-pilot mode.

The well-heeled explorers

But the human nature is always on the lookout for refinements and the proverbial icing on the cake. A sense of creative dissatisfaction prevails. Despair and despondency soon take over and the search starts for an alternate system of healing. New frontiers get explored. New therapists get met. Merits and demerits of various kinds of treatments on offer get analyzed threadbare by those around, while the patient experiences the inner glow of satisfaction at being the centre of continued attraction and also at exploring new frontiers, much like a Columbus on a maiden voyage to discover Newfoundland.Patient Columbus-Day

This is not to say that an explorer-type attitude can be scoffed at. It reveals a sunny disposition on part of the inner being. The soul, unhappy at being burdened with a physical sheath which is infirm, merely endeavours to attain a state of perfection in the body allotted to it during a particular birth cycle. It uses all the powers at its command – analytical or intuitional – to achieve good health. It tries to bring about better harmony between its body, mind and soul. Wisdom gleaned from the medical fraternity as well as from the scriptures assists the soul in this task.

Besides managing a bodily affliction, patients have to confront the cold impersonality and crass commercialization of the healthcare delivery mechanism. This is but one of the perils of being a patient in today’s world.

(All illustrations are courtesy the world wide web)

(Note: Part of an article which appeared in NAMAH journal: http://www.namahjournal.com/doc/Actual/Patients-and-the-art-and-science-of-healing-Vol-24-iss-2.html)

(Related Post: https://ashokbhatia.wordpress.com/2016/05/22/the-science-of-healing)

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