Let us live

*ચાલ જીવી* *લઇએ*

તમારું એક નાનકડું એપ્રિસીએશન શુ કમાલ કરી શકે છે એ જોવું હોય તો...

તમારા પપ્પાને કહો કે આ ઝભ્ભો તમને બહુ સારો લાગે છે

મમ્મીને કહો કે તારા ગાલ પર જે ખાડા પડે છે એ મને ગમે છે

પત્નીને કહો કે ડાર્લિંગ આજે તે જે શાક બનાવ્યું છે એનો સ્વાદ સાચે જ અદ્ભૂત છે.

તમારા નાના ભાઈને કહી દો કે એને બ્લેક શર્ટ સ્યુટ થાય છે.

બહેનને કોલ કરીને કહી દો કે તારી બહુ યાદ આવે છે

તમારા મિત્રને કહો કે આજે તે જે શર્ટ પહેર્યું છે એમાં તું  એકદમ હીરો  લાગે છે

તમારી સાથે કામ કરતા સહકર્મીને કહો કે આજે તે કામ મારા કરતાં પણ સારું કર્યું છે.

તમારી નીચે કામ કરતા માણસને એક સ્માઈલ આપીને થેન્ક યુ કહી દો.

બસ નાની નાની વાતોથી જ તો બને છે આ મસ્ત મજાની લાઈફ. ચાલ જીવી જ લઈએ!

💃🏻💃🏻💃🏻💃🏻

Speak up please

*............कहना  ज़रूर.............*

कभी  जो आये मन में  कोई  बात  
उसे  कहना  ज़रूर
न करना  वक्त  का इंतज़ार
न होना  मगरूर ।

जब  पिता  का किया  कुछ
दिल को  छू जाये
तो जाकर  गले उनके
लगना  ज़रूर।
कभी  जो आये मन में  कोई  बात  
उसे  कहना  ज़रूर

बनाये जब  माँ  कुछ तुम्हारे मन का
कांपते हाथों  को
चूम लेना ज़रूर।
कभी  जो आये मन में  कोई  बात  
उसे  कहना  ज़रूर

जब अस्त व्यस्त  होके  बीबी
भूल कर  खुद को
घर  संवारती नज़र  आये
तो धीरे  से उसके कानों में
"बहुत  खूबसूरत  हो "कहना ज़रूर
कभी  जो आये मन में  कोई  बात  
उसे  कहना  ज़रूर

आये जूझ  कर दुनिया  से
हमसफर जब भी
सुकून  भरे कुछ  पल साथ
गुजारना  ज़रूर ।
कभी  जो आये मन में  कोई  बात  
उसे  कहना  ज़रूर

बच्चों को  लगा कर गले
जब तब
व्यस्त  हूँ  पर दूर नहीं  इक पल भी
ये बतलाना  ज़रूर ।
कभी  जो आये मन में  कोई  बात  
उसे  कहना  ज़रूर

जड़ें  कितनी भी गहरी  हों
रिश्तों की सीने में
पनपते रहने की खातिर वक्त वे वक्त
इज़हार की बौछार  करना ज़रूर
कभी  जो आये .......

नहीं  भरोसा  वक्त  का 
साथ किसी  का कब  छूट  जाये
कोई अपना  न जाने  कब रूठ  जाये
तबादला  हो जाये दिल या  दुनिया  से किसी  का
उससे  पहले  दिल की बात
पहुंचाना ज़रूर ।

न करना  वक्त का इंतज़ार
न होना मगरूर
कभी जो आये , मन में
कोई बात उसे कहना ज़रूर

Good relationships keep us healthy

*Good relationships keep us happier and healthier.* Period.

IF you want to be happy, nurture good relationships. That's wonderful, right?
But how do you fix your life if you don't happen to have good relationships?

An 'epidemic of loneliness'
To be honest,

only about 50 percent of People have "meaningful in-person social interactions" on a daily basis -- and the numbers are worst for Generation Z.
40 percent of People say they "sometimes or always feel their social relationships are not meaningful."
20 percent describe themselves as, "lonely or socially isolated."
28 percent of older adults live alone.
From a pure physical health perspective, researchers say loneliness is as bad for you as smoking 15 cigarettes a day.

How are you supposed to nurture good relationships if you find yourself in a rut where you don't have that many relationships to begin with?

Can I have a volunteer? સ્વયંસેવક
Finally, it seems that science has come up with an answer. _The key way that people seem to be able to break the cycle of loneliness and begin to develop good relationships is to_ *volunteer.*

Yep, it's that simple. *Volunteering "helped feel less isolated"*

What's more, volunteering was especially helpful for older people, who are more likely to be lonely in the first place. And perhaps not surprisingly, it turns out _volunteering is scalable_ : *the more often you volunteer, the more relationships you're likely to develop.*

Why it works
Most obviously, volunteering is simply an opportunity to meet other people, which is sort of a prerequisite to developing good relationships.

You're also meeting people under altruistic circumstances, where by definition *you're there for something OTHER THAN YOUR OWN BENEFIT.*

Volunteering also combats the "LOSS of MEANING" that often accompanies loneliness. "By volunteering for social causes that are important to us, we can gain a SENSE OF PURPOSE, which in turn may shield us from negative health outcomes."

Finally, people who volunteer and thus combat loneliness and develop relationships are less likely to develop cognitive decline. Volunteering leads to increased engagement and stimulation, which in turn can help with relationships.

*सेवा परमो धर्म     ही हमारी संस्कृति*

Doctor is not your enemy

*Doctor is not your enemy*

To,
Dear Patients,

Medicine was once seen as a noble profession. The healing touch that banished all ailments, comforted those in pain and alleviated suffering. This image is slowly eroding.

The doctors have now become the enemy. It may sound dramatic but the reality is such that we are hounded, persecuted and second-guessed for most of our professional lives that we lose focus on why we joined this profession the first place. I wrote this so the doctors can be heard and for you to know that we are not your enemy.

The Internet is not at all trustworthy.  Google does not hold any medical license.

I have told my patients this countless times in the humblest of manner, sound and sensible medical advice comes from years of training and learning medicine and not from reading countless articles from the Internet.

The doctors cannot be overruled by your relative who feels insulin makes your diabetes worse because of an article he read on a celebrity wellness blog.

The doctors don’t hurt you on purpose 

I was nauseated after reading an article recently regarding a teenager’s excruciating and horrifying experience while being treated for dengue fever in a hospital. The mother claimed that he was stabbed and prodded with needles while he was still awake and that his cries of pain brought tears to her eyes. It had all the makings of a sensational piece of news. Imagine having to send all patients to the operating theatre for blood taking under general anaesthesia!

We don’t pray for you to fall sick. And we are there for you when you do. You must have the mental finesse and the discerning capacity to know the difference.

Doctors DON'T CREATE complications to earn more.

We are not paid extra for every patient we admit or manage. We are not paid extra if your Appendix is hidden deep down and needs some extra efforts to take it out.

You must understand that medicine is not an exact science and every doctor practices according to his or her best judgement.

If we have to keep you in the ward or prescribe a different antibiotic for your chest infection it isn’t because we mean harm or we are trying to profit from your illness. It is simply because we are doing our job. To care for you. And please don’t make it impossible for us to do just that.

We request you to please cooperate with your doctor and follow his advice.

You must be forwarding more than fifty useless messages.

  At least forward this message to your contacts.

*We pray for your good health.*

By
DAN

How to save ourselves in fire accident

સૂરતના ટ્યૂશન ક્લાસિસ અગ્નિકાંડ ની દૂઃખદ ઘટના બાદ લોકોમા પણ “ફાયર ઍસ્કેપ” બાબતે જાગૄતિ જરૂરી છે.

ઘર, હૉટેલ, મૉલ જેવી બિલ્ડીંગની આગમા ઘેરાઇ જાઓ ત્યારે નીચેની તકેદારી રાખો.

(૧) સળગતી આગમા ઘેરાઇ જાઓ ત્યારે સૌથી પહેલી અને સૌથી અગત્યની બાબત એ છે કે રઘવાયા (પેનિક / panic) ના થઇ જાઓ બલ્કી તરત દિમાગ ચલાવીને બચવાના પ્રયાસો વિશે વિચારી લો. રઘવાયા થવાથી તમારા કાર્યક્ષમ નિર્ણયોના બદલે તમે અવળો નિર્ણય લઇ બેશો એની પૂરી શક્યતા છે.

(૨) તરત જ નજીકના નિકાસ દ્વાર સુધી પહોંચો. નિકાસ દ્વાર પર જ જો આગ લાગી હોય તો તેનાથી દૂરના દરવાજા-બારીનો ઑપ્શન વિચારી લો.

(૩) પાણીની સગવડ ઉપલબ્ધ હોય તો સમગ્ર કપડા પલાળીને ભીના થઇ જાઓ જેથી આગમાં જલવાની શક્યતા ને ઘટાડી શકાય. ભીના રૂમાલ/દુપટ્ટાને મોઢા આગળ વિંટાળી લો જેથી માથું સલામત રહી શકે અને ભીના રૂમાલ દ્વારા શ્વાસ લેવાથી ધુમાડો શ્વાસમા આવી જવાની ઘટનાથી બચી શકો.

(૪) આગની દુર્ઘટના વખતે લોકો આગ થી નહીં પણ ધુમાડાથી બેહોશ થઇને વધુ મરે છે. તેથી રૂમમા ફેલાયેલા ધુમાડાથી બચવા જમીન સરસા પડી જાઓ. ધુમાડો હંમેશા રૂમમા ઉપર તરફ ઘેરાયેલો હોય છે. ફ્લોર લેવલે તમને જરા વધુ શ્વાસ લેવાની શક્યતા મળશે. મગરની જેમ ક્રાઉલીંગ કરતા જઇને નિકાસ દ્વાર તરફ જાઓ.

(૫) ઘર મા / હોટલ મા હો તો બાથરૂમ તરફ જાઓ. શાવર અને ઍક્ઝોસ્ટ ફેન ચાલુ રાખો. બાથટબ હોય તો તેને પાણીથી પુરૂ ભરી દો જે તમને આગની જ્વાળાથી બચાવશે.

(૬) અગ્નિશામન સાધનો/ ફાયર એક્સ્ટીંગ્વીશર વાપરતા ના આવડતું હોયતો તેનાથી આગ ઓલવવાના પ્રયત્નમા સમય ના બગાડો, પણ જલ્દી તે આગવાળી જગ્યા છોડી દો.

(૭) લિફ્ટ નહીં પણ સીડીનો ઉપયોગ કરો એ તો સૌથી વધુ કોમન સૂચના છે પરંતું યાદ રાખો કે ચાલુ આગમાં જેમ બને તેમ નીચેના ફ્લૉર પર જાઓ. ગ્રાઉન્ડ ફ્લૉર તરફ જવાથી બચવાના ચાન્સ વધુ રહે છે કારણકે ઉપરના માળ તરફ જવાથી તો આગની જ્વાળાઓ અને ધુમાડો વધુ ને વધુ ઉપર ના માળે ફેલાશે.

(૮) દરવાજો/બારી ખોલતા પહેલા ચોક્કસ થાઓ કે તેની પાછળ આગ લાગી નથી, અને પાછળ ધુમાડો નથી. કદાચ એવું બને કે દરવાજો /બારી ખોલતાવેંત આગની લપકતી જ્વાળા અથવા ધુમાડો અંદર ધસી આવે. આવા સંજોગોમા ધુમાડો અંદર ના પ્રસરે તે માટે દરવાજા ની નીચેની ફાટમા પગલૂંછણીયું, કપડાં કે ન્યુઝપેપર ભરાવીને ફાટ પૂરી દો.

(૯) પાટિયા, દોરડા, કપડાં, ચાદર, પડદા, દુપટ્ટા જેવા જે હાથ લાગે તે સાધનોથી લટકીને નીચેના માળ/સલામત જગ્યા તરફ જવાની કોશિશ કરો. બિલ્ડીંગમા ફીટ કરેલી પાણી/ગટર ની પાઇપલાઇન પકડીને સાવચેતીથી સલામત સ્થળે સરકવાની કોશિશ કરો.

(૧૦) કોઇ રસ્તો નથી બચ્યો અને તમારે જો અમુક ઉંચાઇએથી કુદવું જ પડે તેમ છે તો પ્રમાણમા ખૂલ્લી જગ્યા જોઇને એવી રીતે ઉભી દિશામા કૂદો કે તમારા પગ જમીન પર પહેલા આવે. જમીન ને સ્પર્શ થતા વેંત તરત ઘુંટણ થી પગ bend કરી દો એના થી ઘુંટણ માં ઈજા ઓછી થાય છે અને ગૂંલાટી મારીને રોલ થઇ જવાની માનસિક તૈયારી રાખીને કુદવું. તમારું પોતાનું વજન વત્તા ઉંચાઇથી મારેલો કુદકો આખરે તમારા શરીર નું તેજ મોમેન્ટમ બનાવે છે. જમીન પર પડતાવેંત ગુંલાટી મારી દેવાથી મોમેન્ટમા ભેગી થયેલી સમગ્ર ઉર્જા બિખેરાઇ જાય છે અને શરીર ને વધુ મોટા પ્રમાણમા અસ્થિભંગ થવાથી બચાવે છે.

ફાયર એસ્કેપના આ નિયમો વાંચી ને યાદ કરી રાખો. ફેમિલી સાથે ચર્ચા કરો ને બધા પોઇન્ટ યાદ કરી રાખો.

ચેતતો નર સદા સુખી !

આભાર

Exercise and mental health

*COUNTERPOISE*

*EXERCISE is New EFFECTIVE PRESCRIPTION* for all psychiatric illnesses

The general attitude of medicine is that you treat the primary problem first, and exercise was never considered to be a life or death treatment option. Now that we know *EXERCISE IS SO EFFECTIVE, it can become as fundamental as pharmacological intervention, lower levels of anger, anxiety and depression, higher self-esteem, and overall improved moods with exercise.*

_The fantastic thing about it is that, if you’re in a psychotic state, you’re sort of limited with what you can do in terms of talk therapy or psychotherapy._ ```It’s hard to receive a message through talk therapy in that state,``` whereas *with exercise, you can use your body and _not rely on Emotional Intelligence alone._*

Conclusion:-

*Physical exercise may be a helpful way to* reduce mental health disorders in the context of inpatient psychiatry by targeting anxiety, depression, anger, psychomotor agitation, and muscle tension and addressing stressors and triggers and *to develop a more balanced and integrated sense of self.*

https://journals.sagepub.com/doi/10.1177/2164956119848657

Camera and memories of places

Lo-fi memories

To REMEMBER Your Vacation,
FORGET Your Camera

Does capturing a special moment on camera mean keeping it forever,
or never really having it in the first place?

Research suggests that the act of taking photos distances (distract) you from your experiences, and weakens your ability to remember them.
Taking pictures weakens our memory of the scene in front of us.

~My 12-Megapixel Brain~
The basic takeaway here is that cameras impact our memories
— but it's not clear exactly how or why.

One theory is that
cameras, when they're not used mindfully, distract us and distance us from the present moment. We SPLIT our ATTENTION between life itself and using the gadget in our hands. Since you can't form a vivid memory without paying attention, it makes sense that we'd lose track of scenes we photographed.

Another slightly different theory
involves a concept known as OFFLOADING. Basically, _we outsource a lot of mental chores_ — like REMEMBERING friends' phone numbers or mapping out driving routes — to our phones. we're becoming mentally dependent on computers, less likely to remember information itself than how to access it online. The internet, and our gadgets, have essentially become EXTERNAL BRAINS. ```Whether that's a good or bad thing is a matter of opinion,``` but it's clear that by taking a picture of something, you free your brain to forget it. It knows the scene been offloaded to your camera — _your other brain._

Which means IT'S UP TO each of US TO MAKE that DECISION. WHAT MEMORIES DO YOU WANT IN your actual, HUMAN BRAIN, and which ones are you fine offloading?
It's a personal choice,
but the next time you see something you want to remember the lo-fi way, it might be worth it to put your phone down — or at least concentrate as you click.

Blood pressure agnxgd heialth

According to a recent study, only 3 out of 4 INDIVIDUALS in India with HYPERTENSION have EVER had their blood pressure MEASURED.‼
More than half the number of Indians aged 15 to 49 years with hypertension were NOT AWARE of their hypertension status‼
It is important to get an annual checkup done after the age of 30 even if you have no family history of hypertension, are not diabetic or don’t have any other lifestyle-related disorder. For those in the high-risk category, a checkup is advised every month. ‼

_It is also imperative to spread the message of prevention and encourage people across various age groups to check their blood pressure at regular intervals._

🧂Limit sodium intake to under 2,300 milligrams a day (one teaspoon of salt) and get plenty of potassium (at least 4,700 mg per day) from fruits and vegetables.

🚴🏼‍♂prescription for better health - bicycles. - alternatives to drugs, in a bid to avoid side effects and improve cost efficiency.

Strength really is a buffer to mortality, being strong is as big a mediator in terms of long-term health as anything. And more importantly, it extends your health span, so you can maintain a higher quality of life for longer.
Starting around age 40, most people begin to lose muscle mass. It’s imperceptible at first but accelerates to about a pound per year by the time you’re 50. It’s easier to mitigate the slope of that decline by training more when you’re younger than it is to try to rebound when your muscle has wasted away.
A new JAMA study revealed that if you can do 40 or more pushups in a row, you’re 96 percent less likely to deal with heart problems in the next decade than someone who can’t do 10.

Rabies a serious problem

Rabies is a fatal disease and 2 incidents have highlighted its menace .
A 6 years old boy was mauled to death by a number of stray dogs in MP recently while playing outside his home.
A Norwegian woman holidaying in Philippines catches  Rabies from a stray Puppy  and then travels back home in Norway, develops disease there and dies . Norway which was free from Rabies and she came in contact with several people who might have infected too. No one has died of Rabies in Norway for 200 years and efforts to prevent the spread of the disease are now on there. There is also a risk of human to human transmission.
Most people including many Medical ones are rather casual about Rabies ( Dog and other animal bites ) are rather casual about Rabies prevention by appropriate vaccinations . Even our pets are not mandatorily and regularly vaccinated .
India ranks very high in annual rabies death which could be entirely prevented by updated vaccination policies .
Thousands still continue to die from dog bites in India ,sadly ...
If you Care...about yourself and family:  ask your doctor and get your self those shots .... best as pre exposure prophylaxis !! And pets too !!

Acceptance is the key

*Acceptance*

When we don't accept an undesired event, it becomes *Anger*;
when we accept it, it becomes *Tolerance.*

When we don't accept uncertainty, it becomes *Fear*;
when we accept it, it becomes *Adventure.*

When we don't accept other's bad behaviour towards us, it becomes *Hatred;*
when we accept it, it becomes *Forgiveness.*

When we don't accept other's Success, it becomes *Jealousy;* when we accept it, it becomes *Inspiration.*

Acceptance is the key to handling life well.

One old mattress and mother

*એક જુનું ગોદડું*                                    
તમારાં લક્ષરીયસ આવાસનાં “સ્ટોરેજ” માં
એક જૂનું ગોદડું ગડી વાળીને રાખી મુકજો.

જેમાં તમારી માતાએ , તમારા સ્વજનોનાં જુના કપડાં
કાપી, ગોઠવી ને, તમારી પતંગની દોરની રઝળતી લચ્છીના દોરા વડે,
કામગરા હાથથી એનાં ટેભાં લીધા હશે.

એની  ખોળ સીવી હશે પોતાના જુના સુતરાઉ સાડલાંમાંથી,
જેનો પાલવને ગોદડું શોભે એમ ગોઠવ્યો હશે.

એ પાલવ ,
જે તમારા ઇષ્ટ માટે ઇષ્ટદેવ સામે પથરાયો હશે.

એ પાલવ,
જેની નીચે સંતાડીને માતાએ તમને અમૃત પાયું હશે,
ને પછી એ જ પાલવ વડે દુધિયા હોઠ લૂછી આપ્યા હશે.

એ પાલવ,
જેના છેડે બાંધેલો રૂપિયો તમને ભમરડો ખરીદવા મળ્યો હશે.

એ પાલવ નીચે
પિતાના રોષથી બચવા તમને શરણ મળ્યું હશે.

એ પાલવે
તમે પડી આખડી ને આવ્યા હશો ત્યારે તમારા ધૂળ મિશ્રિત
આંસુ લૂછયાં હશે ને પછી છાનામાના પોતાની આંખમાં
આવેલ પાણી પણ લૂછી લીધું હશે.

ઈમ્પોર્ટડ બ્લેન્કેટમાં જ્યારે અનિંદ્રા સતાવે ત્યારે,
એ પાલવવાળા ભાગને તમે છાતી નજીક  રાખી
એ ગોદડું ઓઢી જજો.

તમને ઊંઘ આવી જશે:
બાળક જેવી.

❤👶🏻❤

Marrying a woman doctor

MARRYING A FEMALE DOCTOR
Written by Dr Bakhtawar Shah

To all those who want doctor girl as their wives, you guys are not only opting for a degree or a package i.e good looks, status,degree,family background but an individual who has her own mind set, her own choices, her own decisions. Here is what you guys have to accept if you are marrying a doctor:

1. Medicine is not a 5 year of education and then a perfect job. Unlike other degrees it's a continuous process of educating yourself, so don't get upset when she gives you the baby to take care for 3 hours while she is completing her chapter. (Not always the smiling baby, but crying, pooping, vomiting baby too at times)

2. Getting into a medical college was not an end time decision, like ohh let's be doctor and ending up in a medical school. It was a 20 year old decision. They have studied for it, strived for it for years. So in all this struggling periods our moms never asked us to cook, clean, take care of relatives and guests (most of the times we were in our rooms or academy when they came). So they literally don't know how to cook biryani, kormay. They can learn if they decide to be stay at home moms "if they decide". So don't expect us to be a perfect cook for you. Except for the weekends they can show you some serious cooking skills.

3. Doctors don't have a 9 to 5 job. Sometimes it is and sometime they even have to go to the hospital at mid night disturbing your sleep too, and sometimes we don't come home for like 36 hours. So deal with it patiently. And if they come after that routine they are equally tiered as you are so don't expect them to be a perfect happy face wife and cook for you and kids.

4. We take decisions of life and death so basically may be she has a better decision making power than you. Sometimes she will ask for your assistance sometimes she won't. So this thing should never ever hurt your male ego. Always be open to it.

5. They work in an environment where there is frequent dealing with opposite gender, male nursing staff, male consultants, male HO, male residents and male patients. They can call her, msg her at anytime. Basically they share a bond which is just like family because life at a hospital is totally different you have to rely on each other regardless of gender race or creed otherwise surviving the hospital life is impossible. They have their own issues, inside jokes, fights. So open yourself and your mind for all such situations. Your wife will have to deal with them no matter what.

6. Seeing life and death on daily basis, dealing with cranky attendants, listening to the aggressive lectures of consultants will effect her mood. She will have more mood swings than a normal girl. So you have to be there when she is low due to loss of patient, when she is excited when she saved a life and when she is cranky for no reason when she dealt with HOD's bullshit.

7. She will love you more than anyone else could because she has seen the pain of losing dear ones so closely, she will cherish every single moment with you and will try to make small happy occasions as beautiful as possible because she knows how fragile life is more than anyone else. She will take good care of you and kids because obviously this is what she has been learning for years now. She will never take you for granted, never ignore your small efforts, will always praise your little things because she knows how important it is. She will love you for yourself, your nature, for what you are as a person not for you status or money because she can afford her expenses herself. She married you because she saw a perfect partner in you not an ATM machine.

So, I request all men, there is nothing more perfect and beautiful than finding a doctor wife because we are just too good but before marrying her you need to understand what it's like to have a doctor as your spouse and make yourself ready for all. In the end it's a perfect journey full of love, surprise, commitment and faith.

Healthcare and NABH in India

We live in a  country where a chemist gives Cap Omez when asked "khali pet wala capsule",gives tab Dicloplus when asked "hare patte wali goli and gives MTP kit when asked "bacche girane wali goli" but govt is planning to make  NABH mandatory.

We live in a  country that could not control OTC sale of a single drug in 70 yrs,where every second person is a self proclaimed doctor /Quack but govt plans to make NABH mandatory.

We live in a country where a lady doctor is called sister.. physician is called vadya ji but the quack is always  called Dr.sahab...And govt plans to make NABH mandatory.

We live in a country where freeloaders are ready to get operated in a road side tent ,provided it is free,  but govt plans to make NABH mandatory.

We live in a country where "bakri ka doodh "is considered panaceafor low platelets , "jhada"is considered sure shot treatment of Enteric fever, gomutra cures cancer, public has to be offered monetary incentive/bribe  to make them understand the importance of institutional deliveries  but govt plans to make NABH mandatory.

We live in a  country where an excise officer is supposed to inspect Labor room, Drs are answerable to illiterate politicians and the illiterate politicians are supposed to frame policies for the nation
But govt plans to make NABH mandatory.!
Shame to Govt agencies controlling healthcare

Life is like a Cup of tea

Spiritual Story by "Unknown"
--------------------
"Life is Like a Cup of Coffee"
--------------------
"A group of alumni, highly established in their careers, got together to visit their old university professor. Conversation soon turned into complaints about stress in work and life.

Offering his guests coffee, the professor went to the kitchen and returned with a large pot of coffee and an assortment of cups - porcelain, plastic, glass, crystal, some plain looking, some expensive, some exquisite - telling them to help themselves to the coffee.

When all the students had a cup of coffee in hand, the professor said: "If you noticed, all the nice looking expensive cups have been taken up, leaving behind the plain and cheap ones. While it is normal for you to want only the best for yourselves, that is the source of your problems and stress.

Be assured that the cup itself adds no quality to the coffee. In most cases it is just more expensive and in some cases even hides what we drink. What all of you really wanted was coffee, not the cup, but you consciously went for the best cups... And then you began eyeing each other's cups.

Now consider this: Life is the coffee; the jobs, money and position in society are the cups. They are just tools to hold and contain Life, and the type of cup we have does not define, nor change the quality of life we live.

Sometimes, by concentrating only on the cup, we fail to enjoy the coffee. Savor the coffee, not the cups! The happiest people don't have the best of everything. They just make the best of everything. Live simply. Love generously. Care deeply. Speak kindly."

What is important after The result of exam

તેંડુલકર દસમા ધોરણમાં નાપાસ થયા હતા અને આજે મહારાષ્ટ્ર બોર્ડના દશમાં ધોરણમાં સચિન ઉપર એક પાઠ ભણવામાં આવે છે.
અમિતાભ બચ્ચન રેડીયો ની પરીક્ષામાં ફેઈલ થયા હતા અને આજે આખી દુનિયા બચ્ચનસાહેબના અવાજ ઉપર ફીદા છે.
પૂજ્ય મોરારીબાપુ દશમામાં ત્રણ વખત નાપાસ થયા હતા પરંતુ આજે ત્રણ વખત પીએચ.ડી. કરેલા લોકો પણ પૂજ્ય બાપુને નવ-નવ દિવસ સુધી પલાઠીવાળીને સાંભળે છે.

પ્રમુખસ્વામી મહારાજે ધોરણ:૬ સુધી અભ્યાસ કરેલો છતાંયે વિશ્વમાં હિન્દુ ધર્મનો પ્રચાર અને પ્રસાર કરતા હજારો મંદિરો તથા સ્કૂલ- હોસ્પિટલ નુ નિર્માણ કર્યું.

મહાત્મા ગાંધી, આલ્બર્ટ આઈન્સ્ટાઈન, વિન્સ્ટન ચર્ચિલ, બિલ ગેટ્સ, ધીરુભાઈ અંબાણી વગેરે મહાનુભાવો પણ નાપાસ થયા હતા અથવા ઓછા માર્ક્સ લાવ્યા હતા.

એનો મતલબ એવો નથી કે નાપાસ થાય એજ સફળ થાય પરંતુ નાપાસ થયા પછી પણ સફળ થઈ શકાય છે.
શરત એટલી કે જીવતા રહેવું જોઈએ !

માટે, કદાચ ઓછા ટકા આવે કે નાપાસ થાવ તો પણ આપઘાત કરવાનું તો સપનામાં પણ ન વિચારશો. ઉપરવાળાએ જિંદગી જીવવા માટે આપી છે, મરવા માટે નથી આપી.

જે વિદ્યાર્થીઓને આપઘાત કરવાનો વિચાર આવે એ લોકોએ રસોડાના બારણાં પાછળ સંતાઈને કામ કરતી પોતાની માતાના ચહેરા સામે ધારી-ધારીને જોયા કરવું અને પોતાની જાતને પૂછવું કે કોણ મોટું : તને ૯-૯ મહિના ઉદરમાં રાખી મોતની સામે બાથ ભીડી તને જન્મ આપનાર અને આટલો મોટો કરનાર તારી માં મહત્વની છે કે તારું પરિણામ ?
જો હું આત્મહત્યા કરીશ તો મારી વહાલી માં પર શી વીતશે ?
પંખે લટકાયેલો નિષ્પ્રાણ દેહ જયારે જનેતા જોશે ત્યારે એની શુ હાલત થશે ?

તમે બોર્ડમાં સારા માર્ક્સ લાવશો તો તમારા માબાપને અવશ્ય ગૌરવ થશે પણ તમે ઓછા ટકા લાવશો કે નાપાસ થશો તો તમારા માબાપનું માથું શરમથી ઝૂકી જશે એવો ભ્રમ મગજમાંથી કાઢી નાખજો.
મોટા ભાગના આપઘાત "સમાજમાં આપણી શું આબરૂ રહેશે" એવી ખોટી બીક ના લીધે જ થતા હોય છે.

માટે, વિદ્યાર્થી ભાઈ-બહેનો ખુબ મહેનત કરો. મહેનત કરવામાં આળસ ન કરવી. પરીક્ષા આપ્યા પછી જે પરિણામ આવે એને સહર્ષ સ્વીકારતા શીખવું !
....બને તેટલો વધારે મેસેજ ફોરવર્ડ કરો જેથી કોક બાળક ખોટું પગલું ભરતા રોકાઈ ને આત્મવિશ્વાસ દ્વારા જીંદગી માં સફળ થાય અને જીંદગી ટૂંકાવવા પહેલા વિચાર કરે.
🙂🤗👐🙏✌❤

Pesticides and fruit wash

More importantly, how worried should you be about pesticides in the first place?
*The Best Ways to Remove Pesticides From Produce*

Even the less-than-cautious among us probably give their fruits and vegetables a quick rinse under the tap before eating them. That's in an effort not only to wash off dirt and debris but also to remove any pesticides. You might go even further by using a vegetable brush or a store-bought veggie wash. How effective is all of that, really? 

Here's how effective the most popular produce-washing methods really are:

Plain water:
tap water only reduced the residue of five different pesticides by 20 percent, at most — but at least it's something. Distilled or filtered water may be more effective, and a good several-minute soak can go even further, especially for cutting down on bacteria.

Soap:
Soap isn't meant for washing food, and it's not clear how effective it is against pesticides. It could also possibly seep into the produce, making you ingest another non-food chemicals on top of the ones you were trying to wash away. NOT recommend.

Commercial veggie washes:
that washing certain fruits and vegetables with a commercial veggie wash was NO more EFFECTIVE than rinsing them under tap water for a minute when it came to getting rid of pesticides. The verdict: don't waste your money.

*ViNEGAR* :
washing (tomatoes) in a vinegar solution significantly reduced the residues of six different pesticides, some by as much as 94 percent. And vinegar reduced 98 percent of the bacteria (on apples and pears). Cheap, nontoxic — what's not to like? Try filling a spray bottle with one part vinegar to three parts water and keep it next to the sink.

*BAKiNG SODA* : soaking (apples) in a baking soda and water solution for 12–15 minutes can remove almost every trace of pesticides from the fruit's surface. If you have the time, this one's a winner for sure.
It should be mentioned that _none of these fixes can remove pesticides that have already seeped into the fruits and vegetables._  ~If you're really worried (which you probably shouldn't be), general preparation methods like peeling, cooking, and canning can remove a substantial amount of pesticides throughout the production. Peeling goes further than washing by removing the layer that the pesticides have reached; cooking (Open / covered?)  and canning works because many pesticides degrade in heat.~

How to spend the Sunday

How To Make The Most Of Your Sunday,

Sundays can end up being a day of anxiety about the work week ahead, which is only made worse by indecisiveness about how to spend your time. Deciding before Sunday about how you’re going to allocate your day. This could mean deciding on Friday that Sunday is going to be a day for you to focus on your needs and less socializing or maybe you’ve wanted to get some things done and productivity is your focus. Whatever your intention is for Sunday, thinking about what you’ll do ahead of time may help eliminate what calls as "decision paralysis" on Sunday morning, where you’re feeling conflicted about what to do and where to go and instead end up doing nothing at all. 
If you’re thinking, I don’t know what I need or what to do with my time, you’re not alone.

All constitutions should take an ojas day.
ojas is an essence that is our vitality, immunity, and energy tank. Ojas depletes if we do not take care to restore it. This tank is refuelled by doing things we love, eating things we love to eat and enjoying ourselves without any goal attached. It’s about waking up and being entirely guided by how you feel and the things you want to do,

*Making Sunday—an ojas day* - if not full at least half day
This means you’re waking up and doing things from an intuitive place. By listening to your body and needs, you’ll naturally do the things you’re inclined to do. With no goals in mind, you'll eat the things your body wants to eat and do the things your body feels inclined to do. 

you may be thinking, you want me to have one day when I do nothing productive?
The answer is yes. 

Even though it feels completely unproductive to be without goals and a plan, it's actually productive, because it recharges the body. So when we do have to be in action mode again, we can approach tasks with greater clarity and focus.

An Art of Doing NoThing

Are we running out of patients

Are We running out of patients.

I wanted to become a doctor as I thought this is one profession where we are making a change and taking away someone suffering. But over years the trust in the profession and the pride of being a doctor is diminishing.
Before I joined MBBS I wanted to be a cardiologist, after few years into med school I realized there was too many factors in medicine which can change the outcome which are not in your hand. I took up general surgery thinking as I surgeon I would have more control over the outcome than as a physician. During my MS training saw that Fear Tactic was very much part of counseling of patient to get them to agree for surgery ( Indicated or non-indicated ). Having seen multiple mortality and morbidity after surgery which could have been avoided as there was no absolute indication.  I decided to take up cosmetic surgery as there is no conflict of interest, I whole heartedly agree the procedures I do are not necessary, Patient asks for a procedure and I have the skills to perform it. Never push patient for procedures, the decision to undergo a cosmetic procedure is completely patients.

A young girl had consulted a few months back for buccal fat removal as she felt her face was little chubby. She had undergone few other cosmetic procedures in past and had features of BDD ( Body dismorphic disorder ) I refused to do any procedure as it was not right for her and advised she lose some weight the face would change accordingly.  We gave her a diet regimen to follow so that she can lose 5kgs over 2 months. Today after 8 months she again came for consultation saying she has lost lot of weight and wanted fat grafted in face as it was sagging.  On enquiring further how she lost so much weight she said she got Bariatric surgery done. I was shocked she was 72kg before and now 50 kg and she is constantly losing weight every month. Which doctor in sane mind would do Bariatric procedure in a 25 year old who weighs 70 odd kilograms. It was performed at a big hospital  in Bangalore and when she went back to surgeon saying she is unable to control weight loss and reaching below 50 Kg she has been advised high sugar diet and ice creams every few hours.

For a person with Hammer everything looks like a nail waiting to be hit. Today we produce so many excess doctors that there are not enough patients. Today a young laproscopic surgeon will fight tooth and nail and say all asymptomatic gallstones need to be operated. A endocrine surgeon will say all lesions in thyroid needs total thyroidectomy. A urologist will say all Ca Prostate will need surgery even if patient 90 years old.  A bariatric surgeon will  say all need a band around their stomach. An orthopedician will operate all disc prolapse and replace all knee and hips. A general surgeon will eradicate appendix in his area and a gynecologist eradicate uterus. Physicians will reduce the normal values of sugar and BP to make everyone diabetic and hypertensive. A pediatrician will every year get a new vaccine into the guidelines. A psychiatrist will go on inventing diseases from Pediatric Depression to pediatric Schizophrenia.  And the worst part is they will come up with science to support their vested interest.

I believe health and healthcare cannot co exist. We as a profession have failed to regulate ourselves , over time general public trust in doctors is reducing. The day is not far when Doctors trust in Doctor will also erode.  Its High time we stop this false propaganda of Doctor shortage and regulate our numbers and quality. If associations of each branch do not act now and regulate the profession day is not far when science from medicine will vanish and it will remain pure business.

Copied from LGS,  Facebook surgeons group

I am a happy doctor

I have studied many hrs a day to get where I am.

I have worked relentlessly for 36 hrs., and come home to do normal things

I have not slept many nights to take care of unknown people.

I have experienced the saddest moments of my life when I have lost a patient. I have mourned with patients with and kin

I have experienced happiest moments of life when I could save a gravely ill patient.. I have had tears of joy when someone delivered a baby.

I gave up a lot of pleasures of my life to reach to this level.

I took no hesitation in cleaning the dirtiest of wounds ,stool n urine of patients. Still feel no hesitation cleaning a patient.
I have put in my heart and soul into my profession.

I do not get any special concessions or support from the government.

I have a family and a right to good living too.

I take pride in being a doctor...one who is there for all irrespective of caste,class,creed,religion or status..

PLEASE DO NOT BELITTLE MY PROFESSION ...
I'm still in India to serve inspite great opportunities abroad itself shows my love and loyalty to my country....
Value it before it's too late to find good doctor in future in country.

God save this country.

Let’s all Doctors post it on fb and tweet and show our pain and displeasure to the current health system and affairs in our country.
United we stand.

Health care in current era. An opinion.

Fwd...

Are We running out of patients.

I wanted to become a doctor as I thought this is one profession where we are making a change and taking away someone suffering. But over years the trust in the profession and the pride of being a doctor is diminishing.
Before I joined MBBS I wanted to be a cardiologist, after few years into med school I realized there was too many factors in medicine which can change the outcome which are not in your hand. I took up general surgery thinking as I surgeon I would have more control over the outcome than as a physician. During my MS training saw that Fear Tactic was very much part of counseling of patient to get them to agree for surgery ( Indicated or non-indicated ). Having seen multiple mortality and morbidity after surgery which could have been avoided as there was no absolute indication.  I decided to take up cosmetic surgery as there is no conflict of interest, I whole heartedly agree the procedures I do are not necessary, Patient asks for a procedure and I have the skills to perform it. Never push patient for procedures, the decision to undergo a cosmetic procedure is completely patients.

A young girl had consulted a few months back for buccal fat removal as she felt her face was little chubby. She had undergone few other cosmetic procedures in past and had features of BDD ( Body dismorphic disorder ) I refused to do any procedure as it was not right for her and advised she lose some weight the face would change accordingly.  We gave her a diet regimen to follow so that she can lose 5kgs over 2 months. Today after 8 months she again came for consultation saying she has lost lot of weight and wanted fat grafted in face as it was sagging.  On enquiring further how she lost so much weight she said she got Bariatric surgery done. I was shocked she was 72kg before and now 50 kg and she is constantly losing weight every month. Which doctor in sane mind would do Bariatric procedure in a 25 year old who weighs 70 odd kilograms. It was performed at a big hospital  in Bangalore and when she went back to surgeon saying she is unable to control weight loss and reaching below 50 Kg she has been advised high sugar diet and ice creams every few hours.

For a person with Hammer everything looks like a nail waiting to be hit. Today we produce so many excess doctors that there are not enough patients. Today a young laproscopic surgeon will fight tooth and nail and say all asymptomatic gallstones need to be operated. A endocrine surgeon will say all lesions in thyroid needs total thyroidectomy. A urologist will say all Ca Prostate will need surgery even if patient 90 years old.  A bariatric surgeon will  say all need a band around their stomach. An orthopedician will operate all disc prolapse and replace all knee and hips. A general surgeon will eradicate appendix in his area and a gynecologist eradicate uterus. Physicians will reduce the normal values of sugar and BP to make everyone diabetic and hypertensive. A pediatrician will every year get a new vaccine into the guidelines. A psychiatrist will go on inventing diseases from Pediatric Depression to pediatric Schizophrenia.  And the worst part is they will come up with science to support their vested interest.

I believe health and healthcare cannot co exist. We as a profession have failed to regulate ourselves , over time general public trust in doctors is reducing. The day is not far when Doctors trust in Doctor will also erode.  Its High time we stop this false propaganda of Doctor shortage and regulate our numbers and quality. If associations of each branch do not act now and regulate the profession day is not far when science from medicine will vanish and it will remain pure business.

Copied from LGS,  Facebook surgeons group

Papa's friend request

પપ્પાની ફ્રેન્ડ રીક્વેસ્ટ
-ડૉ. નિમિત્ત ઓઝા (દિવ્ય ભાસ્કર, કળશ પૂર્તિ)

અમૂક ઉંમર સુધી આખું ઘર આપણું હોય છે. આપણી દરેક પ્રવૃત્તિઓ, વર્તન અને વાતો આપણા ઘરના સભ્યો માટે સાર્વજનિક હોય છે. કોઈથી કશું સંતાડવાનું હોતું નથી. અમૂક ઉંમર પછી આપણા જ ઘરમાં આપણને એક અલગ ઓરડો ફાળવવામાં આવે છે. આપણા મોટા અને સમજદાર થવાની એ સૌથી કમનસીબ વાસ્તવિક્તા છે કે એક જ છતની નીચે રહેતા હોવા છતાં પણ મમ્મી-પપ્પાથી આપણી દીવાલો અલગ થઈ જાય છે. વૃદ્ધિ પામવાનો એક ગેરફાયદો એ પણ છે કે સમજણ આવતાની સાથે જ પ્રાયવસીના નામે આપણી આસપાસ દીવાલો ચણીને આપણે મોટા થયાની ઉજવણી કરીએ છીએ. વાતો કરવા માટેની સૌથી સાર્વજનિક જગ્યા ગણાતા ઘરનું વિભાજન થઈને ધીમે ધીમે ખાનગીકરણ થતું જાય છે.

કોઈપણ જાતની પરમીશન લીધા વગર ગમે ત્યારે જેમના ખોળામાં બેસી જતા અને જાહેરમાં જેમના કપડા પલાળતા, એ જ લોકોએ થોડા વર્ષો પછી આપણા રૂમનો દરવાજો ખખડાવીને પૂછવું પડે છે કે ‘અંદર આવીએ ?’. સંતાનોને મા-બાપથી તેમની ઉંમર કે દીવાલો નહીં, તેમના સિક્રેટ્સ અલગ કરતા હોય છે.

ફક્ત ફેસબુકનું જ નહીં, ઉંમર વધવાની સાથે દરેક સંતાનની જિંદગીનું સેટિંગ પણ ‘પબ્લિક’માંથી ‘પ્રાઈવેટ’ થતું જાય છે. નિશાળમાં બનેલી દરેક ઘટનાઓ ઘરે આવતાની સાથે જ મમ્મી પપ્પાને કહી દેનારા આપણે, હવે ‘માય લાઈફ’ના બેનર હેઠળ આપણી બધી પ્રવૃત્તિઓને ‘પર્સનલાઈઝ’ કરી નાંખીએ છીએ. એકાંતની શોધમાં નીકળેલા આપણે ધીમે ધીમે એકલા પડતા જઈએ છીએ.

અપરિચિત અને અજાણ્યા હોય એવા હજારો લોકો સાથે ફેસબુક પર ફ્રેન્ડઝ બનેલા આપણને, મમ્મી કે પપ્પાની ફ્રેન્ડ રીક્વેસ્ટ સ્વીકારતા પહેલા જો વિચારવું પડે તો સમજવું કે હવે એક જ ઘરમાં આપણે પાડોશીઓ છીએ. મોટા થવાની સાથે આપણું વિશ્વ વિસ્તરતું જાય છે અને મમ્મી પપ્પાનું વિશ્વ આપણામાં સીમિત થતું જાય છે.

પપ્પાએ મોકલેલી ફ્રેન્ડ રીક્વેસ્ટનો અર્થ એ નથી કે એમને આપણા પર નજર રાખવી છે. એમને તો ફક્ત એમની નજરમાં આપણને રાખવા હોય છે. આપણા ફેસબુક અપડેટ્સથી પણ મમ્મી-પપ્પા આપણો મૂડ જાણી લેતા હોય છે. એમને એટલો હક તો આપવો જોઈએ. એમની સાથે બેસીને વાતો કરે, એવો પણ આગ્રહ ન રાખનારા દરેક મા-બાપને હક છે કે એટલીસ્ટ એમના સંતાનની ફેસબુક સ્ટોરીઝ અને વોટ્સ-એપ સ્ટેટ્સ જોઈ શકે. પપ્પાની ફ્રેન્ડ રીક્વેસ્ટ, એ આપણી જાસૂસી કરવાનું કોઈ ષડયંત્ર નથી. આ એમણે ખુલા દિલથી મોકલેલો મૈત્રી પ્રસ્તાવ છે. તેઓ કહેવા માંગતા હોય છે કે બહુ જીવ્યા પિતા-પુત્ર બનીને, ચાલ હવે મિત્રો બનીને જીવીએ.

પપ્પા કે મમ્મીની ફ્રેન્ડ રીક્વેસ્ટ, એ બીજું કાંઈ નથી પણ તેમણે શોધી કાઢેલો એક નવો રસ્તો છે ફક્ત એટલું જ જાણવા માટે કે એમનું સંતાન મજામાં છે કે નહીં ! આપણને એવો કોઈ હક નથી કે આપણા મજામાં હોવાની વાત પણ એમનાથી ખાનગી રાખીએ.  જેઓ આપણી રગેરગથી માહિતગાર છે, એમને ફેસબુક પર બ્લોક કરવાનો કોઈ જ અર્થ નથી. આ દુનિયામાં આવ્યા બાદ આપણને સૌથી પહેલી ‘લાઈક્સ’ એમની જ મળેલી, જેમની ફ્રેન્ડ રીક્વેસ્ટ આપણે હજુ પણ પેન્ડિંગ રાખી છે.   
-ડૉ. નિમિત્ત ઓઝા

Small hospitals

Small Hospitals..hv 2b saved..
----
Traditionally the USP of small Hospitals of India has been their affordability, easy accessibility ,the compassionate doctors working in these small hospitals and the personal rapport these small hospitals establish with the local population.

Till a couple of yrs back one could easily have started a small 10-15 bedded hospital with miniscule investment.The modest running cost of a small healthcare facility made it a sustainable and popular model of healthcare delivery and the resulting decent net profits made it a lucrative option for thousands of doctors across India .
Besides providing jobs to lacs, this concept of healthcare delivery made doctors independent,confident ,free from clutches of the terrible external world and irrepressible.
Naturally it was this freedom that caused much hurt burn and unease to many (Bureaucrats,Politicians and Me lords specially).

Even, doctors working in govt. sector and corporate hospitals had this option and never ever felt insecure.They always had the option to start their own hospital whenever they felt unsatisfied in the job.It is this concept of healthcare delivery which has allowed lacs of Indian doctors to live and work with dignity and pride. I

In a society badly infested with corruption in public services life of an ethical doctor is often miserable in the govt sector too.
It is this model of healthcare delivery that has protected thousands of Indian doctors from "a cruel corporate world" where vultures r always ready to suck even the last drop of blood of their employees.
...
But now things r changing fast.
This model of healthcare delivery is in real trouble.
Now even in tier 3 cities and small towns one needs to invest in crores to start a small 25 bedded hospital (Minimal bed strength mandatory for most insurance scheme).
...
Expensive technology, skyrocketing land prices,things like NABH,and considerable increase in overhead expenses have exponentially increased the running cost of a small healthcare facility. For example, Pollution control board fee which never bothered hospital owners much in the past, was silently increased to 10 times in Rajasthan in the last 5 yrs and surprisingly no one is questioning the authorities .
Then there are ever increasing medicolegal and consumer court issues which always hang like a sword on our neck and create a kind of fear psychosis.
We should always remember that Small hospitals can never compete with Big corporates when it comes to facilities,funds,use of technology and scale but Small Hospitals still survived all these years and performed well because despite offering cheap and affordable healthcare they were always a profit making entity ,thanks to our low running cost and direct supervision.
After cashless Health insurance schemes like Ayushman, affordability won't be an issue for public ,giving a big edge to corporate hospitals.
Then how do the small hospitals survive ??..is a million dollar question which must be answered with utmost priority.Not only the doctors and owners of small hospitals but doctors working in corporate hospitals and govt. sector should be equally worried because they are going to suffer equally.
The biggest challenge of all our Medical Associations and we individually, hv today, is to save this endangered entity called "Small Hospitals."
...
Today the world is laughing at BSNL and Jet Airways.... Tomorrow We,the doctors could be the laughing stock.!