Saturday, December 29, 2007
The open source healthcare space is getting hot :)
For physicians by physicians. DocSite Registry™ demonstrably improves care with minimal disruption to office workflow for a modest price. DocSite Registry is a patient-centric, all conditions registry bringing evidence-based medicine to the point of care without stifling each physician's individualized excellence.
Success one patient at a time
Physicians use the registry to manage chronic, complex and preventive health needs for individual patients or entire patient populations. DocSite Registry graphically organizes relevant clinical information from the patient record to save time during office visits, and supports proactive management of clinical conditions across all patients in the practice showing care elements that are due or out of range.
Measure and report
DocSite Registry allows you to measure and track the care of one patient, as well as populations of patients in your practice. Participate in any clinical integration, health collaborative or quality-based initiative with confidence knowing you have been managing patients using nationally recognized evidenced-based medical guidelines aligned with outcomes measures."
Finally - a commercially available free or low cost EMR !
• FDA Cleared Devices (internal and external)
• Cell Phone (acting as a “Hub”)
• Bluetooth® (“wireless”)
• Enterprise Level Interactive Voice Response
• Intelligent Call Routing
• Nurse/Agent Awareness
The result is a truly ubiquitous healthcare solution (“Healthcare Anywhere”).
MedApps “listens” around the “Body Area Network” monitoring a patients body, providing a more robust picture of the patient’s health, and bridging the gap between patient and healthcare provider.
MedApps encourages a more active lifestyle by integrating invisibly into a patient's daily activities. Accurate, timely readings help stabilize patient conditions, providing the ability for earlier intervention and enabling a patient to control their disease, instead of the disease controlling the patient."
Friday, December 28, 2007
1. We profile hundreds of thousands of attorneys, using information from state courts and bar associations, websites, and lawyers themselves.
2. We calculate each lawyer’s Avvo Rating, to help you sort through the profiles.
3. You contribute your firsthand experiences by rating attorneys that you’ve worked with."
It's just a matter of time avvo will start doing this for doctors too !
Check out the screenshots ! Delivering healthcare is a complex process - which is why automating it is a tough task. Otherwise, you'll end up as another horror story. " A hospital I talked to two years ago indicated that as the result of its major initiative of Health Information Systems (HIS), it already had a complete HIS in place that provided an integrated information system accessible by doctors, nurses, pharmacists, and administrators. One year later, when talking to an IT manager of this hospital, to my surprise, I was told that they were going to re-do the entire system because the system they put in place earlier did not support their business needs. Unfortunately, according a report by the Standish Group, if you have four IT projects going on, three of them will ultimately end up to a similar fate. Only 28 percent of software projects succeed where American companies spend annually upwards of $275 billion on about 200 thousand application software projects. Please see the Resources section for more information."
Great list of Indian medical journals available online, for people looking for peer-reviewed medical articles relating to Indian conditions !
Sims, the Ocala lawyer, incorporates India into her law practice with a twist on the typical outsourcing model.
After a positive experience with doctors on a trip there, she started MD in a Box. For $90 an hour, the company links lawyers with Indian doctors who screen potential cases, analyze records and perform medical research. The same service with American experts costs between $500 and $800 an hour, Sims said.
The company's most powerful tool is also its most technologically advanced. Lawyers can hire an MD in a Box doctor to be present during depositions using Skype, a software program that allows the doctor to listen to the proceedings in real time. If the Indian doctors catch a defense expert making a medically suspicious claim, they quickly send literature or rebuttal questions to aid the cross-examination."
New roles for Indian doctors !
It seems that a family member on holiday in India was undergoing emergency medical surgery and the medical records were needed faster than a courier could get them there. I was struck by the irony of the situation.
Consider this: you can travel anywhere on the planet or pay for your hotel or other purchases by the swipe of a credit card, where the payee authenticates your credit limit.
In essence, your financial information can and is transmitted to wherever it is required in the bat of an eyelid. And yet, the thing that matters most to us, our health and our health records, is pretty much stuck in the Stone Age.
Your medical information, history of medical treatment, surgeries, allergies and so on are recorded on paper and all this stays where it is recorded. If this information is not made available to doctors when and where it is needed, it is pretty useless and could mean the difference between life and death."
McHealthcare - Delivering Consumer-Driven Healthcare: "McDonald’s consumer focus offers some important lessons for the healthcare providers to ponder as they are forced to transform into more consumer-driven organisations."
Thursday, December 27, 2007
Next year, Aniskovich says, the company will start a direct-to-consumer service that for $60 a year will offer e-mail, text or voice-mail reminders about prescriptions and appointments. He says that since 'txtspk' can be confusing, the service asks users to type in their own message reminders so they will be familiar with the message when it arrives.
A company called Smile Reminder in Lehi, Utah, lets businesses such as dentists and spas automatically send text and e-mail messages to remind customers of appointments. For dieters, a company called Sensei Inc. in Boca Raton, Fla., part-owned by insurer Humana Inc., will send weight-loss advice and information to Sprint and AT&T mobile-phone users for a weekly fee starting at $5.75. The information shows up in a multimedia format, rather than as a text message."
Wednesday, December 26, 2007
Here's a first person account of how Mr Rajat changed his life !
" Today, when I look back at 2007 especially January to July, I realize that “ simple determination and basic fundamentals can enable one to achieve almost anything “. Well that’s how I lost 44kgs in 6 months. No doctors, no dieticians, no gym. This is how my story goes …….
It was Nov.,06. I was in full bloom of my glory --- 110kgs and bulging from all sides. I used to hate my mammoth size and appearance but had learnt to live with it. Never thought it was possible to come back to normal size. But the incident in the flight from Mumbai to
From that day onwards my resolve started growing and finally from 15th Jan.,07 I started my journey on weight reduction. I scanned through the net for an ideal diet and exercise regime but the message I largely got was
The calorie intake has to be lesser than calorie output.
Fruits, boiled vegetables are good enough to provide all the nutrients.
Walking/jogging are the best form of exercises.
Yoga is also very good coupled with aerobics.
Better to break exercise in two parts – morning and evening.
So I started with vigorous walks both morning and evening. Initially I would do about 8 kms and gradually stepped it up to 20 kms ( 10 in the morning and 10 evening). Twice a week to break the monotony I would swim about 2.5 to 3 kms. Simultaneously I started reducing my diet.
My normal diet was 2 eggs in the morning with 2 slices of bread and a glass of juice. Lunch comprised rice/noodles and soup. Dinner was always heavy post 3 to 4 drinks with mouthwatering snacks. Gradually, over a month, I came down to fruits in the morning – no lunch – fruits/ boiled vegetable at night with lots of hot water through the day.
Within 15 days I could see the results. On 1st Feb. 100kgs. And I was extremely motivated. By Valentines day 96 Kgs…… mid March 88Kgs …… end April 75Kgs and 66Kgs by end July.
There was a lot of advice coming around from various sources. Do this….. don’t do this, are you feeling weak and so on. At one point of time I got very scared even though I was feeling at the top of the world. The family physician gave me one simple advice. Listen to your body. If there is something wrong your body will tell you. Do not ignore those signals such as spin in the head, giddiness, cramps etc. I felt none.
Today I am maintaining myself between 65 and 68Kgs and feel great. If you are keen on shedding Kgs build up a resolve and go for it. If a guy like me can do it anybody can, so go ahead and do it. At any point of time you feel like talking to me please feel free to write to me on my mail address ---- email@example.com
Best of luck,
Since a picture is worth a thousand words, here's a before and after !
Tuesday, December 25, 2007
You can read the full book here online. Excellent examples of what you can do to protect yourself and fight for your rights !
Here is a basic primer."
Excellent advise if you find yourself getting frustrated and upset. Full of useful tips and practical tools !
* What happened
* Why did it happen
* What to do to prevent it from happening again.
Root Cause Analysis is a tool for identifying prevention strategies. It is a process that is part of the effort to build a culture of safety and move beyond the culture of blame.
In Root Cause Analysis, basic and contributing causes are discovered in a process similar to diagnosis of disease - with the goal always in mind of preventing recurrence."
Does this mean that the law finally recognises that decisions involving their own bodies and reproductive rights are best made by patients - and not by bureaucrats ?
This is a great resource for analysing medical errors - and preventing them !
This is a new handbook that incorporates Root Cause Analysis, a widely understood methodology for dealing with patient safety-related issues allowing for clear and more rapid communication of information up and down the organization, thus speeding the process of safety improvement.
Monday, December 24, 2007
Where is all this going? In the same way that young people increasingly experience the world through social networking channels (check out the new Zune by the way), service industries are reaching for technologies that will seamlessly connect them to new virtual markets. Healthcare is no exception. In fact, the opportunities here may be even greater than those of other industries considering the vast sums of money being spent by consumers, employers, and governments on healthcare delivery and wellness. "
In many ways this would be the story of American automobile manufacturing all over again were it not for the fact that not all patients can or will go overseas for treatment. But as the world grows flatter, in much the same way that the Japanese and Koreans have transformed the auto industry, global competition is making American healthcare a target for some revolutionary changes. And contemporary IT will play a significant role in all of this by making health information, healthcare quality, and pricing totally transparent and by facilitating communication and collaboration between care teams and patients across the seven seas."
The interest of physicians in redesigning medical practice focuses on dealing with opportunities and problems that embrace both patient care and practice economics:
Growing patient demand for prevention-focused primary care services
A need to improve practice efficiency by controlling the expenses of contracting with third-party payers
A need to develop innovative financing arrangements that are patient friendly rather than dictatorial.
The reengineering of practice operations to improve patient service and convenience"
Sunday, December 23, 2007
was launched to eliminate language barriers and improve the quality of health care for people with Limited English Proficiency (LEP). Symbols and universal and can be part of a viable and dynamic system that can assist all people, regardless of their reading skill level, to feel more comfortable and confident within a
health care facility.
providing such services as education, screening, and medication monitoring as they work collaboratively with physician colleagues to help patients meet their goals.
The Role for Pharmacists
Pharmacists can get involved in the care of patients who have or are at risk for developing diabetes; some activities include:
Identifying patients at risk for Type II diabetes due to known risk factors
Conducting blood glucose screening of patients with risk factors
Offering point-of-dispensing services including reminders for proper preventive care and glucose testing
Disease state management
Providing patient education
Strategies to Improve Communication Between Pharmacy Staff and Patients: Training Program for Pharmacy Staff
Saturday, December 22, 2007
Very thought-provoking questions !
Friday, December 21, 2007
1. What do you want the patient to do as a result of your document? Make sure that everything in the document supports that goal.
2. Use short simple statements that are jargon-free. If you must use jargon, include a dictionary of those terms at the end of the document.
3. If you are using a question and answer format, phrase the questions exactly as your patients do.
4. Prune your text. Take out unnecessary words, even paragraphs. Does everything in the text support the goal of the document?
5. Browse through Dr. Spock's Baby and Child Care for a wonderful illustration of writing that stood the test of time for clarity.
6. Ask some patients to proofread a draft for you and indicate where they got stuck in the document. Where did they have to stop and re-read? What questions did they have as they went along, and were those questions answered? What do the patients think they were supposed to do as a result of reading the document?"
Susan Keane Baker: Presenter and Speaker on Service Quality for Health Care Organizations
Thursday, December 20, 2007
Having a sexual problem is bad enough - and the added stress of the involunatary " infertility " makes it even worse. This often becomes a negative vicious cycle, which is hard to break.
The traditional response was to go to a sexologist or psychiatrist for counselling - with expectedly poor results, because talking does not make the problem go away !
The next step was to forget about the sex altogether and just focus on having a baby by going to a gynecologist for an artificial insemination. Often, this can be very hard on the ego - and it's not easy to make time to go to a doctor's clinic for these super-busy couples. The result is often that the baby-making gets postponed year after year - often until it's too late !
We are very pleased to sell a Comprehensive DIY Fertility Treatment Kit online . The kit costs only Rs 4400 ( about US $ 100 only) and includes the following:
1. An Ovulation Prediction Test Kit, to help you determine your "fertile time"
2. Self-Insemination Kit, to help you insert the sperm in the vagina
3. A Penile Vibratory Stimulator, to help you ejaculate
4. Non-Toxic Condoms, to collect the semen
We feel this simple kit will help many more Urban Stressed Infertile Couples to have their own babies ! It's much easier than going to a doctor - and much less expensive and more fun !
Wednesday, December 19, 2007
One reason for this sad state of affairs is that the entire medical system is built around the doctor. This is crazy! Healthcare is a service industry, and should be designed around the patient. The best way of doing this would be empowering patients with information, so they know how to get the best medical care, in partnership with their doctor.
Unfortunately, patient education seems to be no one's baby, as a result of which it is a relatively neglected area. This is a shame, because the potential cost-benefit ratio is huge! For the investment of a small amount of money, it's possible to improve the healthcare millions of patients receive. Patients represent healthcare's largest resource - and they have been untapped so far. If we can make intelligent use of patients, and help them to make use of their intelligence, everyone will benefit!
An investment in patient education is one of the most cost-effective ways of improving healthcare in India. Well-informed patients will take much better care of themselves, and information therapy will help to make medical care much more patient-centric.
This can be a major opportunity for pharmacists. So far, chemists in India have been treated as "baniyas", who only sell medicines. This is partly because most of them have only focused on making money, by selling products. They do not provide any value addition. However, the traditional small chemist shop is now under threat, as the large retail healthcare chains enter India. Just like the small "mom and pop" grocery stores are closing down because Indians prefer to shop in large malls, the large pharmacy chains will wipe out the small chemist, because of their financial muscle and ability to provide better service. The only way the small chemist can counter this threat is by providing better service to his patients. Patients are thirsty for information, but their doctors are often too busy to talk to them. If pharmacists (who are also professionals and expert in their field) can take the time and trouble to educate their patients, their customers will remain faithful to them!
The good news is that there is a lot of patient educational material which is now freely available. It's easy to adapt this – and to translate this into local languages. This investment in patient education will actually help pharmacists to increase their business!
Tuesday, December 18, 2007
Is there a safe and simple home remedy for your nagging cough ?
Is your child's fever serious ? When should you take him to your doctor ?
Your husband has chest pain. Should you panic ? Is this heartburn ? Or a heart-attack ?
Solutions to the daily health problems we all encounter every day can start with this comprehensive self-care guide from Healthwise.
While health care crises of cost, quality, and staffing continue to make headlines, Healthwise has been helping people transform their role from passive recipients of health care to active, engaged partners.
Since 1975, people continue to use and trust the family of Healthwise Handbook to help them:
Do more for themselves.
Ask for the care they need.
Say “no” to the care they don’t need.
Used by employers, hospitals, and health plans, the family of Healthwise self-care handbooks are proven to help improve self-care, reduce unnecessary doctor and emergency department visits, and increase consumer loyalty. They are the "aspirin" in the information formulary, because they offer solutions to many common health problems for very little cost. They help a family make basic decisions about:
Prevention, home treatment, and when to call a health professional.
How to make wise decisions about tests, medications, and surgeries.
How to make lifestyle choices to improve health.
People turn to the Handbook about seven times a year. One client reported saving an estimated $34.5 million in unnecessary doctor and ER visits in just 30 months with the Healthwise Handbook . Over 30 million copes of the Healthwise Handbook have been sold worldwide !
The unique feature of this new edition is Go-to-Web icons which direct you to the online Healthwise Knowledgebase for more in-depth information, combining the convenience of print with the depth and currency of the Internet.
Covers more than 200 common health problems.
Provides help with topics ranging from ear infections to diabetes with clear, easy-to-understand information and full-color illustrations.
Go-to-Web icons connect to the online Healthwise Knowledgebase.
You can order this invaluable book online now ! This is the authorised low-cost high-quality Indian reprint of the latest US edition. We will ship to Indian addresses only . It's only Rs 395 ( including the cost of couriering to your address in India). It's a great gift to give to your family members and employees too !
We ship to Indian addresses only !
Essentially, the genre of the photonovel challenges a more traditional educational approach because it has the learner as the main subject in the pedagogical process."
These are a great way of teaching patients , since they combine story telling with pictures - and they are so easy to produce with today's technology !
Monday, December 17, 2007
Although health plans are increasingly embracing consumer-oriented product designs and strategies, many have left the consumer in the dark.
“It is hard to believe that an industry that plays such an important role in the lives of consumers
doesn’t provide regular statements that answer basic questions about benefits, funds and care,” says Dan Spirek, senior vice president and chief solutions officer of The TriZetto Group, Inc.
As healthcare costs continue rising to record levels,1 consumers are taking on greater responsibility for both costs and decision-making, and they need information with which to manage these responsibilities effectively, Spirek says.
“Here’s an opportunity for our industry to step up and deliver a solution to a fundamental consumer problem.”
Healthcare payers are ideally positioned to deliver the information and guidance that consumers
need, but few have taken steps to meet these needs. If payers hope to play a central role in the
changing healthcare market, they can’t afford to ignore their constituents’ needs for transparent
information. Payers that don’t take steps to deliver critical information to key constituents—members, providers, employers and brokers—will lose market share to those that do."
Making health and benefit information transparent through personalized consumer statements—the topic of this paper—is one innovative way that payers can advance their transparency strategies and further engage members.
The consumer statement also can direct members to appropriate health and wellness programs, provide discount coupons for fitness-center membership, explain incentive programs, deliver information about upcoming educational seminars, and more. The consumer health and benefit statement is more than just a snapshot in time; it is also a way for payers to drive greater usage of their web sites and further engage members to help them make sound financial and health decisions.
TriZetto® is releasing a series of papers that explore transparency and its implications for payers. This paper, the second in the series, focuses on transparent health and benefit information and how personalized consumer statements help meet member needs for information and guidance regarding benefits, funds and care.
To request a copy of the first paper, Healthcare Goes Retail: Consumer and Provider Cost
Transparency for the Emerging Consumer Retail Healthcare Market, please visit www.trizetto.com. Upcoming papers will cover key areas such as how integrated technology solutions can help payers make the evaluation and selection of healthcare benefits and services more enjoyable for consumers; and why payers should focus on care coordination and integrating health incentives across members and providers, instead of settling for narrowly defined pay-for-performance programs for providers.
Today’s insurance benefit plans are evolving from more traditional products to those reliant upon medical case management, incentives for improved outcomes, member lifestyle change and increased member health accountability. Thus, the demand for information is great – as is the need for insightful data and analysis."
Consolidating all care services into one center makes receiving those services much easier for the patient. And referring doctors like it too, because they know their patients are getting the best care. A centralized cancer center also offers several benefits in a business sense. For instance, it offers easy accessibility for referrals for outpatient radiology and laboratory services.
Because of these and other benefits, the concept of a consolidated center is becoming more prevalent. Several oncologists are trying to copy our concept by offering patient-centered care in an all-in-one facility."
You can adapt these excellent instructions and model letters anytime you need to ask your insurance company to cover a new ( and possibly experimental) medical treatment.
Sunday, December 16, 2007
The study, published in the current issue of the Archives of Internal Medicine, found that the systems significantly increased patient satisfaction with test results communication. Patients also were more satisfied with the information they received for treatments and conditions associated with their results, Healthcare IT News reports.
Researchers surveyed 570 patients who visited 26 ambulatory clinics that adopted Results Manager, an automated test results system embedded in an electronic health record system. Patients were surveyed before and after the system was adopted, as well as at clinics that did not adopt the system."
Friday, December 14, 2007
What a simple idea ! Make you wonder why everyone doesn't do it. And if checklists are so important for doctors, they are even more important for patients !
Thursday, December 13, 2007
Monday, December 10, 2007
Thursday, December 06, 2007
Tuesday, December 04, 2007
My favourite patients are entrepreneurs. They are good at making decisions - and for taking responsibility for themselves !
Monday, December 03, 2007
" Lots of possibilities
- Logical: Payer, Provider, Risk-holder
- Mind boggling: Citibank, NRA
- Established players: Harvard Medical School, Microsoft
- New players: Hdox, American Well
Do we know how this will play out?
No, NO-ONE YET KNOWS!
Don’t let anyone kid you otherwise."
Richard Dale lists 26 possible business models !
- Immature standards (for portability of data)
- Difficulty reaping economic benefits where funding for PHR originates
- Perverse incentives of the healthcare system
- Desire to improve healthcare
- Increasing cost of poor health in direct and indirect costs to business
- Business opportunities driven by PHR infrastructure
Sunday, December 02, 2007
A Website to Improve Asthma Care by Suggesting Patient Questions for Physicians: Qualitative Analysis of User Experiences | Hartmann | Journal of Medi
Saturday, December 01, 2007
Thursday, November 29, 2007
Saturday, November 24, 2007
To better manage your diabetes through a patient-physician partnership and goal setting.
Medical research and clinical experience have shown that optimal management of diabetes significantly reduces the known complications of this disease, including blindness, heart attack, kidney failure and loss of a limb.
You can expect your physician to provide the following services, which are an essential part of diabetes management.
- OFFICE VISITS - every three months for reviewing your progress.
- MONITORING - blood pressure, other vital signs, foot examination and hemoglobin A1c.
- ANNUAL SCREENING - lipids, microalbuminuria (test for kidney protein), eye examination and monofilament testing (sensory examination of feet).
|Weight/Body Mass Index:||Current:||________/______||Ideal:||_______|
|Hemoglobin A1c (<>||Current:||_______||Goal for 6 months:||_______|
|Blood pressure (<>||Current:||_______||Goal:||_______|
|Total cholesterol (<>||Current:||_______||Goal:||_______|
• Schedule follow-up appointments every three months or as indicated by your doctor.
- Monitor blood sugars at home at the agreed testing frequency: _______.
- Work toward attaining the personal goals noted above.
Main reason for today’s visit: _____________________________________________
Other concerns I would like to discuss if there is time: _______________________
Check all that apply:
o I have prescriptions that need to be refilled.
o I need a school or work excuse.
o I need a referral for my insurance company.
o I need the attached forms filled out.
o I would appreciate prayer today.
Patient’s name: __________________________________________________________
Date of birth: ___/___/___
Developed by Cornerstone Family Health, Williamsport, Pa. Copyright © 2003 American Academy of Family Physicians. Physicians may photocopy or adapt for use in their own practices; all other rights reserved. “Focusing on Today’s Visit.” Redka JW. Family Practice Management. June 2003:59-60, www.aafp.org/fpm/ 20030600/59focu.html.
Friday, November 23, 2007
Virtual Office Visits: A Reachable and Reimbursable Innovation - October 2007 - Family Practice Management
The Ideal Medical Practice Model: Improving Efficiency, Quality and the Doctor-Patient Relationship - September 2007 - Family Practice Management
We all want to remain healthy and well and we expect our doctors to help us to do so. However, this is a big mistake ! While doctors are very good for making you better when you fall sick, they are not good at keeping you healthy. After all, doctors are illness specialists, not wellness specialists ! In fact, most doctors have pretty unhealthy habits themselves ( even though you would expect them to know better !); and I sometimes feel that most doctors would not recognize a well person because they never see one ! ( For example, I am an infertility specialist, and see only infertile patients all day long. I never see fertile women, so though I help infertile women become fertile, I am not really an expert on optimising natural fertility !)
Things were different in the past. In China, doctors were paid as long as the family was healthy. If someone fell sick, payments were stopped until he recovered, because the fact that the person fell ill meant that the doctor was not doing a good job . This was a very sensible approach – and it’s one we should consider revisiting !
Unfortunately, today we seem to have lost our commonsense . We don’t trust our own bodies; and everything has become medicalised . We blindly do what doctors tells us to do – pop a pill; do a scan, run a test – the list is endless !
We need to regain control over our bodies – and the true experts are people like Mr Dalmia . He is great role model, and we can learn from his personal experience . Though he is apologetic that he is not a doctor , in fact I think this is his biggest advantage – he does not see the world through a doctor’s “illness” lens.
We have a rich and ancient heritage . Ayurveda is the Science of Life – not the science of just treating illness. I believe that people are the largest untapped healthcare resource – and if we want to remain in the pink of health, we’d be much better off learning from each other, rather than depending upon doctors.
Thursday, November 22, 2007
Humble enough to doubt what you know; and
Wise enough to face the hard facts when better evidence comes along."
This is from the book, Hard Facts, by Jeffrey Pfeffer and Robert Sutton, which talks on Evidence-Based Management.
I guess this would be the businessman's version of the Serenity Prayer , which states -
God grant me the serenity to accept the things I cannot change;
courage to change the things I can;
and wisdom to know the difference.
HELP recently organised a talk on - The Natural Way to Healthy Living. This was given by Mr Dalmia, one of India's leading industrialists. He is an excellent role model of how to live a healthy life !
Here's his talk - in full !
I am a businessman not a Doctor. My age is 66yrs. As per Reader's Digest test few years ago it was determined as 40 yrs. I took last medicine in 1967 and have not suffered from any illness since then. In last 40 yrs I have lost 4 working days due to catching cold in Cal monsoon. My experience confirms that disease-free living is possible without foregoing all pleasures of life. What is being shared, even I do not practise 100%, but I am conscious. Till 1975 my life style was not any different from others. It changed gradually. By the time I was 40 yrs old a lot of improvement had taken place. Looking after your BODY is like driving a car, when it deviates from its path, the driver corrects the course in time. If one is sensitive and responds, it is possible to correct before it is too late. Whatever is being shared is based on my own experience/analysis and interaction with Naturopath Doctors. If mothers want their children to lead a disease-free life they should inculcate right habits during childhood. Modern medicine is very good for emergency, particularly accidents, but not for every day life.
Every 'BODY' like every individual is different. All medical sciences works on averages. We must understand the limitation of average. Haven't you heard the sad story of a man, who drowned himself in a pond average 3 ft deep'.
A. Disease-free body is not muscular body of gym. Immunity gives disease-free body.
1. Causes of disease a. inheritance or b. own life style. Control life style before disease forces you to change. Disease is caused by accumulation of toxins in body ie elimination process not satisfactory. We allow toxins to accumulate upto the tolerance limit. Even after that by taking medicines we try to suppress it rather than eradicate.
2. Dr Swaminathan was a very strict naturopath. He was confident that if he was to drink a glass full of all types of bacteria nothing will go wrong with his body. How many Doctors can claim this? Immunity is affected by lifestyle. Western children have much lower level of immunity than Indian children, who live in more unhygienic conditions. Too clean homes are not good for children. US children now are developing allergy to simple things like groundnut. Instances of death by eating groundnut have also been reported.
3. Body's capacity to rejuvenate - Human BODY has immense capacity to rejuvenate, provided we help it and at least donot interfere. It is a masterpiece feat of Almighty and is impossible to match.
4. Toxins = waste from food + dead cells ++. Some food waste is more difficult to eliminate. Some practices/processes help waste elimination. We clean our house daily and some intense cleaning periodically. Are we careful re internal body cleaning? Do we do some intense cleaning of our internal body at all?
5. Ext vs int hygiene - Few people brush teeth at the back. Even fewer are aware of the internal cleanliness status of their body. Emphasis is on cleanliness of the visual parts. We need to learn how to improve internal hygiene. Mothers need to inculcate proper habits for good internal hygiene from childhood.
6. Obesity is a sign of ill health. Today people want to remain slim for looks. Classic joke "There is no such thing as an obese centenarian."
7. Body systems are very strong when young, as such one tends to develop wrong habits which one cannot cope with at a later age. Stop bad practices before they tend to become a habit. One gentleman weighed himself daily in say 10gm units. He will endeavour to eliminate any extra gm next day before it became permanent part of the body.
B. Toxins elimination
1. Accumulation of TOXINS is like Slow poisoning - realisation comes too late. If we put a frog in a bucket of hot water, the frog will try to jump out. If the frog is put in a bucket of water at room temperature, and heat is applied gradually, it stays there till it is too late. Unfortunately our knowledge re warning signs is poor, hence we donot pay heed to such signs. Fever or any other need to take medicine is already late. Even then we suppress the sign and ignore the cause. We seem to have got habituated to live with unhygienic conditions in our internal body.
2. Gaseous toxins removed through breathing - Lung volume for an average person is 5 litres, but most people inhale 1 lit +/-. As a result quality of air in the lungs is dirty. We clean our external body daily, house daily but make no efforts to clean our lungs. Pranayam helps cleaning of lungs. In Pranayam emphasis is on exhaling to get rid of accumulated toxins. There are 108 types of Pranayams. Some are meditational eg Anapan, Sukh Pranayam, Nadi Shodh, Anulom-Vilom etc. Kapal Bhati, Bhastrika emphasise on exhaling. Standard practice during pranayam is that time to exhale is twice the time to inhale. Laughing also helps cleaning of lungs. CORRECT WAY TO BREATHE IS TO LET STOMACH ALSO BLOAT DURING INHALING LIKE A NEW BORN CHILD DOES. I am told that Baba Ramdev was paralysed and regained normal body functions with the help of Pranayam and Yoga. I also understand that anyone practising Transcendental Meditation pays reduced premium on medical insurance in USA.
3. Liquid toxins removed through urination & sweat. We should drink 2-3 litres of water daily. Any liquid intake is not same as water intake. Air-conditioning prevents toxins elimination thru sweat - a contradiction for disease free life style.
4. Solid waste removed through stool. Have we ever experienced absolute clean intestines? Can we interpret inside happening by looking at our stool? Our knowledge re this very deficient. Ideal is 1motion for 1 meal. Effortless, smooth and quick elimination are some signs of clean intestine. Look at tongue. If intestine clean, no deposits on tongue - not necessary to clean tongue. Do we know what to do, if any problem with stool passing other that laxatives? Now a days there is a machine which washes the colon known as 'Colon Irrigation or Hydrotherapy'. There are yogic kriyas given below.
Case story - One patient was very sick - unable to stand/walk. Doctors were not sure if he will survive through the night. Heavy Enema eliminated the accumulated toxins. He passed comfortable night and was ready to run next morng even before eating any food.
5. Fasting helps detoxification - Fasting for health is not like modern days fasting by ladies for religious rituals. For detox one has to live for a few days on liquid food or only water. One naturopath lived for 23 days on water alone with full rest. At the end of the period higher energy that before fasting. An alt can be to have 4days cycle - 1st day only liquid, 2nd day fast, 3rd day liquid & 4th day solids. Cycle may be repeated. Naturally solid food has to be light food. Child's concept of light food is a piece of cake and that of balanced food a piece of cake in both the hands.
6. Yogic Kriyas a. Jalneti b. Sutra/Rubberneti c. Kunjal d. Vastra dhouti e. Laghu Shankh Prakshalan - drink warm salt water say 2 glasses and perform some Asans/excercises. Repeat the process 3-4 times. Most of the water gets diverted to intestines and washes the colon. Almost clear water comes in the end. Rishis did Maha Shankh Prakshalan before tapas. With total clean system, no food, few breaths, metabolism came to stand still. Ageing process stopped. To learn more about toxins elmination through yogic kriyas/yoga and nature cure - visit a good Nature Centre. Naturopathy is serious about teaching you how to remain disease-free and not treat you like a customer to be pleased. In commerce of health they hardly tell you to be disciplined. Disciplined life style only will help develop immunity. Pl remember that a Naturopath Doctor also gets a degree from the institute. Their courses on anatomy etc. are as detailed as for Allopaths. Treatment system taught is obviously different. There are also degrees for Yoga. One young girl practised Yoga during pregnancy under the guidance of an expert. As she narrated to me, her delivery was very smooth and almost painless.
7. Case histories:
a. One man from Dubai came regularly for say 15 days to a nature centre for detox. During his normal living, he indulged in everything not allowed by Naturopathy eg meat, smoking and alcohol. His approach was to overhaul the system like any machine, use it for one year and come back for overhaul every year. During the period of stay, he followed all the disciplines of the Centre and resorted to normal practices as soon as he stepped out.
b. One Mr J of Cal goes regularly for detox. He takes some medicines regularly for old illnesses. Whenever Doctors want to increase medicines or dose, he goes for detox instead of more medicines.
Learn to use the power of DETOX in your life... and you'll start to regain the health and energy that is your birthright.
1. Hunger - Do we eat when really feel hungry or by watch. One senior industrialist asked me when I was about 12 years old whether I ever felt hungry. Looking to his seniority, I was taken aback by such a question. I did not want to be impolite by not responding. I mentioned that I felt hungry as everybody else. HE EXPLAINED THAT THIS WAS NOT HUNGER. HUNGER IS WHEN YOUR MOUTH STARTS TO WATER BY LOOKING AT THE MOST TASTELESS FOOD. All ladies know the remarks of family when food is not upto individual's taste. All because WE EAT EVEN WHEN NOT HUNGRY. Has anyone ever complained re nutrition? I can say I have never felt such hunger. Please analyse for yourself whether you eat when you are hungry or by watch.
2. Taste vs nutrition - Nutritious food must be pleasant but may not always be tasty eg Neem, Karela etc. When someone tries cheese, coca cola, he does not find it tasty. This applies even more to alcohol and smoking. But people adapt to taste of these things. We must adapt to the taste of healthy food. Ladies should see to this particularly for children.
One person went to a Swami ji and complained about his health and inability to take food. Swami ji requested to list out all the foods he liked and all the foods he did not like. After seeing the list, Swamiji said he should eat all the foods that he did not like and not eat all the foods that he liked. If this is how we adapt to taste, we can not have disease-free life.
3. Chewing is very important for proper absorption by the body. Chewing makes the bite finer and salivates it. Mother's concept is that the more the child eats, the better for him. In her pursuit
for this, she does not teach the child to chew. Mothers prepare next bite and bring it to the mouth as soon as previous one is in the mouth. As a result child learns to gulp. We have been taught to chew every bite 32 times. My perception is that the extent of chewing depends on the food eg boiled rice cannot be chewed even 32 times. Whereas certain hard/fibrous foods eg carrots or even sprouts can be chewed upto 200 times. Taste is also a reason for us to gulp. When food stays in the mouth for longer period, taste gets diluted. Hence, tendency to gulp and get the new bite for better taste.
4. Impact of Cooking/Heating
a. Roasted or boiled seed does not germinate. There is no change in chemistry of food by boiling/roasting.
b. We all consider CHHENNA to be healthy. It is considered light and full of nourishment. MAWA is considered to be heavy that is difficult to digest and not so healthy. We all know that both are milk solids. For making CHHENNA water is separated through chemical means whereas for MAWA water is removed through evaporation. Water leftover after recovering CHHENNA is considered to be very healthy as it has water soluble vitamins and minerals. As MAWA is prepared by water evaporation, these vitamins and minerals are supposed to be present in it. Chemically protein, carbohydrate and fat content of CHHENNA and MAWA are identical.
c. How long can you keep cooked food? May be for a few hours without freezing.
d. How long will raw fruits & vegetables last? May be few days.
e. What happens to sprouts everyday after germination. They are growing daily.
Roasting/boiling deprives the seed of life giving capacity. Heat has made MAWA unhealthy although its chemical nutrition is the same as CHHENA. It is obvious that although chemical nutrition may be similar, but there is difference depending on the source and how it is prepared. In my perception, cooked food is like dead body. It starts decaying soonafter being prepared. Fruits, vegetables and sprouts are live foods. For proper nourishment to sluggish or dead organs we need nutrition from living food and not dead food. On this basis, meat is even worse than the cooked vegetarian food as decay starts immediately
after slaughter. So it becomes like 24-hours old cooked food or dead body after 24hrs. Today American Institute of Cancer Research is recommending more and more use of fruits, vegetables, salads and limit meat taking to the minimum. It is my belief that in years to come they will recommend no meat at all. Possibly, if they do it today, its acceptablility in the society will be difficult. USA is very conscious when marketting a new product or idea re it's acceptability with the customer.
a. A lady had 3rd stage uterus cancer. Doctors wanted her to undergo standard treatment of radiation, chemotherapy etc. She refused any such advice and changed to 100% raw food. After 1 yr Doctors confirmed NO DETERIORATION!! It will require lot of guts on part of Doctors to confirm improvement merely by taking raw food.
b. One diabetic patient's wound was not healing after surgery, although sugar was kept under control with the help of medicines. A naturopath approached the family and suggested that his prescription be tried. When enough time was lost without sufficient progress, everybody agreed to try his prescription. His prescription was to have only raw food with even reasonable quantities of fruits such as banana, mangoes etc usually not allowed to diabetics. Sugar remained under control without medicine and the wound was healed. Sugar was under control in both the cases though by different means but healing rate improved considerably when the patient was only on raw food.
Recently there was an article 'Raw food slows down ageing'.
5. Acidic and alkaline foods - Cereals & dals are acidic foods, while fruits & veg are alkaline. In net food must be alkaline, therefore more fruits & veg. Some say max 20% Cereal+Dal, others accept upto 33%. It is a challenge for the ladies in the house how to give such a high proportion of fruits, vegetables to the family. You may mix veg in Khichri and even flour before making roti. Please remember fruits clean the body and vegetables build the body. Potato is a vegetable but not considered to be 100% vegetable, but is very healthy. It is a misconcept that Potato is fattening. It has 80% water and is too porous, hence can absorb a lot of fat without showing. It should always be taken with the skin. Fruits are predigested food, hence should be eaten separately from main meal or 30 to 45 minutes before meal. Although vegetables are not predigested, but it is also
recommended to take salads, etc. before the meal, as time reqd to digest is much lower. Nutrient density ie special nutrients/cal of intake is max in fruits & veg.
6. Milk - Most Naturopaths believe that nature has made milk only for the baby of the same species. However, everyone is unanimous that if external milk has to be taken, source has to be cow. Best is to have Dharoshna milk i.e, milk as it comes out without much delay. In any case, boiled milk is not recommended. It is better to have curd instead of milk. Alternative suggested is Soya milk.
7. Fat, salt and sugar
Fat - A perception has been developed to avoid fat for healthy diet. Fats are absolutely necessary and must form part of diet. Vit A & D are fat soluble. In absence of fat, body may become deficient in Vit A & D. Fat is very rich in calories hence its intake must be limited particularly for those who are not involved in physical labour. Fried food in any case is bad because of heat exposure. Frying temp is much higher than normal cooking temp. All ladies know that after some time, batch of frying medium needs to be changed otherwise the food may become poisonous. Obviously sustained high temperature changes the character of fat making it almost a poison.
White Sugar - taken only for taste. It has only calories. Due to lack of other nutrients, its nutrient density is nil. God has made Vit B composite with all sugar containing fruits. Vit B is required for digestion. In absence of Vit B, it takes Vit B from other parts and deprives the body of Vit B. It is also said to be Calcium thief. It deprives the body of Calcium. Net value of white sugar is negative. Sweetners like jaggery and honey are nutritious.
Common Salt: Rarely required for nutrition. Exceptional cases where salt may be required to replenish for people who sweat too much like working in hot conditions etc. Other than that its nutritional value is practically zero. Sodium deficiency is a very rare phenomenon. We all know that it tends to increase blood pressure and creates many other complications. As such it should be taken in very limited quantity for taste only.
Recent UK study showed high level of sickness among children. Their conclusion was that readymade foods contain excessive salt and sugar. Soon they intend to legislate restricting the amount of salt and sugar added to readymade foods. Choice will therefore be up to the individual to supplement salt & sugar as per his taste/wish. It will in any case not develop taste among children towards highly salty or sweet foods.
8. Sprouts - Sprouts can be prepared from different cereals and pulses. Most commonly used are Chana, Moong and Moth. However Wheat, Groundnut and Methi can also be sprouted. Methi sprout is a very good detoxifier and also helps control Cholesterol. Best is to have all varieties of sprouts. Generally, people tend to take sprouts with salt and lemon. There is nothing against lemon, but salt is not a desirable additive.
9. Micronutrients - We all know about major nutrient like carbohydrate, protein, fat etc. Ultimate difference in food value is because of micro nutrients. All cars have wheels, engine, steering, brake, etc. but not all cars are same. It is the minor additions which make all the difference between a good, better and best car. Micronutrients are like that. Lot of Micronutrients are still unknown. Hence, using maximum variety of foods is desirable. American Institute of Cancer Research emphasises that food plate should have all colours like rainbow. Green colour is due to Chlorophyl. Molecular structure of chlorophyll is identical to Haemoglobin except for Iron in the core. As such, it is the easiest raw material to produce haemoglobin. This is the main reason why emphasis on green vegetables. There are lot of micro-nutrients in Wheat Grass, Barley grass and even common grass. Haldi, Tulsi, Clove, Ginger & Lemon are natural antibiotics. We all know that mercury is a poison and cannot be consumed by the body. Tulsi is the only source of digestible mercury. This gives it the antibiotic property. Neem and Amla are very good blood purifiers. Karela is also rich in micronutrients and good for diabetics. There are lot of antioxidants in fruits and vegetables.
10. Genetically Modified food - There is a lot of talk about GM Food based diet. I understand GM food cannot generate own seed. What may be its impact over time on regeneration capacity of the people who use this regularly, needs to be understood.
11. CD/computer programme to educate children - I will suggest that someone develops a CD/computer programme to educate children re food choice. All types of food are lying on a table and children are given option to select the food from the buffet. Computer programme gives them marks based on food chosen. Children may have the option to take out some food and replace by alternative. This may develop a good concept among children regarding good and bad food as well as balanced diet. Good food chosen improves score and vice verse. PAVITRA's STORY, PK to narrate.
12. Chocolates, Icecream, Chips - A post mortem study of children 10-15yrs of age, who died prematurely was carried out in US. Blockage of artery was noticed in many cases. On checking the food habits of the children where blockage had started it showed common eating habits of potato chips, chocolate & Icecream. Today US schools are banning carbonated drinks. If we reward a child with junk food eg chocolate, the child will never understand that chocolate is bad for him.
13. Chilled water/Icecream - Digestion is a chemical process. All chemical reactions slow down at lower temp. Impact of chilled food or water in whatever form is to slowdown the digestion process.
14. Qty of food vs energy - Energy in the body depends on various factors. Quantity of food is definitely a factor but a less important factor. Among the type of audience here, lack of quantity of food cannot be a reason for lack of energy or nutrition. I strongly feel that after certain age one should reduce their food intake considerably. As per Ayurveda, one who survives on one meal a day is a Yogi; one who consumes two meals a day is a Bhogi and one who consumes more than two meals a day is a Rogi.
15. Blood Pressure - As a general belief that BP increases with age. When the arteries/pipelines are clean, heart can pump adequate quantity of blood with relatively low pressure. As the arteries get clogged, blood pressure tends to rise as any engineering student will know. This strains the heart. On the one hand our heart also has aged and has to work under higher pressure. Nothing can be worse than this for the heart. Constant care is required to prevent clogging of arteries.
16. How to murder yr Husband
There was a joke many years ago in Reader's Digest with the above title. It merely said feed your husband with very rich food and when he wants to go for exercise donot let him go on one plea or another, thereby showing how much you love him. Nobody will ever blame you for his premature death. Lot of us may be doing this ignorantly.
D. Life style
1. US Cancer statistics - One in four persons in US suffers from Cancer. This is totally due to their life style. This is also the reason why so much anti smoking consciousness has developed there. Besides tobacco, their beef eating is also possibly responsible for high incidence of cancer. I have not seen any country where steak is taken even for breakfast.
2. Indulge with responsibility - A School in Delhi, unlike most schools gives a lot of liberty to parents for letting their ward to be absent from school. They believe a child's education is incomplete without good family bonding. The Principal explains that if child's uncle/aunt have come with their kids and family is in a mood to go for a picnic, just go. As responsible parents how frequently this should be done is for the parents to decide. This is an absolute exception to what most schools allow. Similarly, as responsible individuals we have to decide regarding our indulgence. If we evaluate a doctor based on how much he allows us to indulge or a hospital based on its flooring we need to evaluate ourselves if we know enough to indulge.
3. Eating out - Eating out is so common these days. Eating out is always prone with poor nourishment and bad hygiene. Even if the establishment boils all the forks, spoons, etc. most bacteria may be destroyed but not most viruses. All establishments for eating out get business based on taste and not on nutrition. Naturally their emphasis is on taste ALONE. If our frequency of eating out is high, our nourishment goes down and risk of viral exposure goes up. One is not even sure of their cooking medium and how long it has been used before changing.
a. Sitting posture vs blood flow - In the olden days we used to work by sitting on the floor in a cross legged position. These days everybody from childhood sits on a chair. Just visualise the blood flow in the body in the two postures. All our active organs are above the abdomen. While sitting on the chair, lot of blood flows to the feet unnecessarily. To that extent, all active organs above abdomen right upto the brain receive reduced quantity of blood. Naturopaths recommend sitting in Vajrasana after meal to allow more blood and energy to organs involved in the process.
b. Stomach pumping and Nyoli Kriya are 2 activities which massage all active organs in the abdomen area.
c. Stay healthy without excercise - if we walk instead of using a car, go up the stairs instead of using the lifts, wipe the floors, stretch to access goods on the higher shelves, etc. we do not need to exercise specifically.
d. Standard of life vs standard of living - Now a days there is greater emphasis on standard of living ie indulgence, instead of standard of life.
5. Excercise - Syt GDBirla used to walk 25km daily. Instead of going on a horseback, he walked upto Kedarnath at age of 85yrs+. If he could find time, it is difficult to accept that we miss exercise due to lack of time.
E. Pollution & Environment
1. My father Syt Jai Dayal Dalmia told me in '70s
a. drinking water will be sold in bottles.
b. Air/O2 will follow
c. bio-degradabilty of certain materials in everyday use.
Please evaluate the impact of drinking water industry. How much pollution is created in transportation of so much water all over India. Disposing of the plastic bottles is a nuisance due to its non bio-degradability. Term biodegradability is somewhat understood now but in '70s it was an almost unknown term.
All these also contribute directly or indirectly in one form or the other to ill health.
There was a news article in Times of India dated 7 Oct07
London: The world moved into "ecological overdraft" on Saturday ie 6 Oct, the point at which human consumption exceeds the ability of the earth to sustain it in any year and goes into the red, the New Economics Foundation think-tank said.
Ecological Debt Day this year is three days earlier than in 2006 which itself was three days earlier than in 2005. NEF said the date had moved steadily backwards every year since humanity began living beyond its environmental means in the 1980s.
At this rate, Oxygen in the air will go on diminishing and will be substituted by Carbon Dioxide. On the one hand the forests are getting depleted due to limited consciousness regarding use of wood and paper. If it continues at this rate, my father's imagination that one day everybody carry air/oxygen cylinder for breathing will come true.
If medicine is to help us live disease-free, how do Pharmaceutical cos forecast growth? It is only because if we take one medicine today, we will need MORE medicine tomorrow. General approach today is that you indulge we are there to look after. In any case not enough emphasis for diseasefree body. When someone suggested to Dr. SR Jindal in one of the open sessions at Jindal Institute, Bangalore, to open more such institutes all over India, and if there be constraint of funds, these may be operated on commerical basis. His response was that any institute which runs on commercial basis has to please the customer. Such institutes cannot impose discipline, which is a must for disease-free life. Now there is a Centre started in US to counsel on Life Style. Counselling Doctor's problems a. takes longer than prescribing medicine b. insurance does not pay for it
a. Toothpaste cleans the teeth. This is not true. Function of tooth paste is only to lubricate. One person even suggested that it may be better to clean with soap. Salt will provide medium where bacteria cannot flourish. This was used for cleaning teeth mixed with few drop of oil. Rinsing the mouth with salt water last thing in the night possibly is better alternative than brushing the teeth.
b. Dettol etc have antiseptic properties. This is not true. Only publicity has given us this perception. These are just detergents as good or as bad as any other soap/detergent.
H. Impact on GDP
1. Many people believe that if we do not indulge, our economy will suffer. I believe, there is a good GDP and bad GDP, like productive employment and unproductive employment. GDP will fall if
a. Cancer is wiped out of USA
b. People stop smoking
2. Calamities like Earth Quake, Floods increase GDP, without increasing nation's wealth. Unfortunately nations do not keep record of Gross Domestic Wealth, like balance Sheet of a co. Even Wealth does not include education level, health level in the society. Bhutan carries out a survey regarding 'Happinesss Index' of their people.
I. Impact of change
1. Deterioration is like slow poisoning. Unless one is conscious it may not attract attention. Improvement is even slower, just as going uphill is slower than going downhill. Improvement is like adding 1 drop of colour in a bucket of water daily, nothing visible till a long time, so do not get disheartened if improvement takes time to be seen.