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.!