Sunday, November 1, 2009

Chow,ಸೀಮೆ ಬದನೆ

I never knew this not native to India.It is a south american vegetable!this is really a wonderful vegetable again that can be made into a Pickle as well as Payasam and fried into a bhaji as well as cooked with lentils to make a side dish to go with rice!(ಸೀಮೆ ಬದನೆ)

ivy gourd(ತೊಂಡೆ ಕಾಯಿ)

Tindora or 'Little gourd' is a typically Indian vegetable that is used to make anything from pickle to is supposedly has a low glycemic index and hence advised in Diabetes.(ತೊಂಡೆ ಕಾಯಿ)


A very common vegetable that is ever used in Coastal Karnataka.Though it found elsewhere the distinct taste is usually missing.It is popular because of it's keeping quality.When I was young we had no electricity and we used to store this for months together suspended using dried covering of banana stem.(ಬಾಳೆ ನಾರು) Usually this vegetable is cooked as sambar along with drumstick.


This is popularly called "ladies finger" in India,though I don't know why,Okra as it is really called in English.this particular variety is native of coastal Karnataka.I have not seen this particular variety elsewhere is less slimy.Known as Bhindi in Hindi and ಬೆಂಡೆ  in Kannada

Indian dill

This is another popular Indian green leafy vegetables.In Kannada it is called sabbasige soppu.(ಸಬ್ಬಸಿಗೆ)

Monday, October 26, 2009


A wealthy family commissioned an author to write its history, but stipulated that he would have to soft-pedal the fact that an uncle had ended a life of crime in the electric chair.

They were delighted by how the author coped: "Uncle William occupied a chair of applied electronics in a leading government institution. He was held to the post by the closest of ties and his death came as a real shock." 

Sunday, September 6, 2009

Weigh option

'We were not rich.we had enough to sustain us.My father was a businessman in a small town which he is even now and so am I.
There were no servants at home and we are four siblings.Apart from us there were about 15 servants working at our small mill and we had to feed them too.
We were school going children then,I am talking about the seventies.And mom had to prepare us and send us to school in time.
There were no maids at home,no piped water in the kitchen,no washing machine,no grinder,no kitchen appliances to speak of.
My mother managed all.She did everything-waking the children in the morning,arranging everything including water to bathe as we had no water heaters in the bath,feed them and send them to school.After that the process of taking care of the servants started.She had to feed them in the afternoon, there were fifteen of them mind you!
And when we returned from school she had to feed us all, and on top of it she was the one who looked after our progress in the school as dad used to be busy with his work.
She is in her seventies now and very healthy.'
Consider the present scenario,we have two maids,have all the possible kitchen appliances,piped water,washing machine and what not.
But things do not work as it used to back then.Many a times we find it difficult to look after the progress of our children,we have only two!'
A friend of mine who is in his forties recounted the tale of his family,how things were 25 yrs.ago, not in the nineteenth century .
See what has happened today.We have everything,but almost all the work is done by machines.Earlier we used to walk to school or to work.Today we do not walk anywhere.
There are some small things which we can ourselves do, like doing some washing or cleaning our clothes on week ends,washing our cars,cleaning our rooms at least once or twice in a month,do some things like carrying our files to the boss ourselves in the place of a subordinate staff,carrying our own provisions home,helping the spouse in whatever way we can........
No,we do not do it.
When the family doctor,if you have one,says you have high blood pressure or diabetes then we realize the need to exercise and join a gym or a club.Even then we take a car to reach the place,the distance which if you walked every morning will be exercise enough.
(Does any of us realize the cause of many disorders like hypertension,back ache,obesity,diabetes are indirectly   caused by lack of proper exercise early in life?)
Had you done that to begin with you would have probably been healthy after all!
Why are we so dependent on hired labor or machines which, if we avoid using, except in exceptional need,all the problems will not arise at all.Or may at least be postponed until our old age.
Do we hear the bell tolling?

Sunday, August 16, 2009

ಮಜ್ಜಿಗೆ ಹುಳಿ

ಇದೊಂದು ಕಾಡಿನ ಸಸ್ಯ,ಮನೆಯಲ್ಲಿ ಬೆಳೆಯಲೂ ಸಾಧ್ಯ.ಮಳೆಗಾಲದಲ್ಲಿ ಮಲೆನಾಡಿನಲ್ಲಿ ಸ್ವಾಭಾವಿಕವಾಗಿ ಬೆಳೆಯುತ್ತದೆ.ಗೊತ್ತಿಲ್ಲದವರು ತಿಳಿದುಕೊಳ್ಳಬೇಕಾದ ವಿಷಯವೊಂದಿದೆ.ಇದು ಸ್ವಲ್ಪ ತುರಿಕೆಯ ಸಸ್ಯ.ಇದರ ಕಾಯಿಯೂ ತುರಿಸುತ್ತದೆ.ಅರ್ಧ ಭಾಗ ಮಾಡಿ ಬೇಯಿಸಿ ಅದರ ಬೀಜ ತೆಗೆದು, ಬೇಯಿಸಿದ ನೀರು ಕೂಡ ಉಪಯೋಗಿಸದೆ, ಬೇರೆ ತರಕಾರಿಯಂತೆ ಮಜ್ಜಿಗೆ ಹುಳಿ ಮಾಡಬಹುದು.
Curry fruit is a tropical vegetable growing in the wild in rainy season.It can be cultivated at your kitchen garden too.The fruit can be eaten as a vegetable. I have seen this in coastal Karnataka.I have seen people growing this and it gives fruits almost round the year if grown. It has to be cut into halves, boiled till soft and when cooled press between thumb and forefinger to remove seeds.(seeds do itch)After that it can be made into MAJJIGE HULI in usual manner. For those who don't know the recipe of majjige huLi - take a cup of grated coconut(about 100 gms. to 250 gms. of Curry fruit.),add a spoon of salt and two green chillies and grind to a fine paste. add this and a glass of water(this is supposed to be bit thin gravy) into the cooked curry fruit and boil.In the end add a cup of butter milk.After adding butter milk do not boil. Temper with curry leaves,mustard and chopped red chillies. Best served with parboiled rice.

Sunday, August 2, 2009

Down the memory lane

Shall I start it from positive perspective?He was one of the best best person I ever had the privilege of meeting.Though he is no more with us and that I have not seen him in his last 30 years,I still remember him.He was a very disciplined person and expected the same from everyone under his mercy.I was,for he was my teacher.He was a surgeon, a teacher,a very able administrator and to cap it all a decent human being.Dr.R.H.N.Shenoy was a man whom you can never forget if you have met him once in your life and he was my teacher for a full three years,luckily.
It was the mid seventies when he was transfered to Bellary Medical College where I was in my second year of M.B;B.S.We had arranged a reception to him and one of my friends had informed me about Dr.shenoy being a singer.During his reply to our welcome I started shouting from behind a desk(we never wanted to be spotted on the very first day)'sir,a song please'.He coolly looked in the general direction of the shout and started-kaahe ko raar machaye,a song made immortal by K.L.Saigal and we were stunned by his voice.That was the beginning,Dr.Shenoy never forgot me,for he had realised it was me who had shouted and I was under the impression that he never saw me shouting!
Then came the 77 elections.I was an opposer of the internal emergency enforced by Mrs.Indira Gandhi and I plunged into election campaigning not realizing that it was none of my business. I had to finish my studies. The elections took nearly 2 months and I never attended my classes.And then came November 77 and I still remember,it was a Thursday and time for Surgery class by Dr.Shenoy who incidentally was the principal too.At the end of the class he seriously looked at me and said'Mr.Bhat,meet me after the class in my office"I knew the axe was going to fall and it did.
I entered his office and stood like a criminal caught in the act,and he tells me-Mr.Bhat,you do not have sufficient attendence this year and I will be refusing to let you take your examination in December,why did you not attend your classes he asks.I tell him-sir I was not well.'What was wrong?'sir I met with an accident,Where? Sir in Mangalore,So?, Sir I had a fractured leg,'Who treated you?', Sir my uncle,'Where is the X-ray',Sir at home.Says he'Mr. Bhat don't tell me this cock and bull story,I know what is the reason,you went and canvassed during that election.And started his harangue.Said he,'You people,you don't realize it is none of your business to play politics while in college and now see what is the consequence,you can not write your examination.You write your exams in May and you can take your final year in December and let me watch you and see how you manage to do it.That was the last thing any teacher could have told me.It used to be very common for a student to loose that kind of challenge in Medical Colleges those days.A teacher could and did see that a particular student passed or failed.I was quite arrogant and should not have told but told anyway-'sir I will do it'He said 'all the best to you'.Though I secretly hoped he would relent at the last moment,he did not.And I had to take that term exam six months later.
As a matter of record nobody in our college had managed to take pre-final and final year exam in the same year and got away with it.
Under such circumstances it was a routine to inform the parents about the fact.And there used to be a printed format which was filled and sent to the parent.Usually students who faced my predicament wanted to prevent exactly this and were able to get a blank one and send it to parents advising them not to worry if they received similar notice.As I was no exception,I too went to the college office the next day to do just that.To my dismay the concerned clerk showed me a handwritten letter addressed to my father.Our principal had personally written it!Ultimately my father came to know about this.He was so broadminded that he never said a word to me.He was the greatest man I came across in my life.
After a couple of months I was returning to class from the hospital after work(medical students work in the hospital in the mornings and attend theory classes in the afternoons)and right in front was coming our dear Dr.Shenoy from the opposite direction.One thing I have to concede,when it came to admonishing students his language was so flowery and fluent, we had no chance to interrupt(In fact it was very entertaining).'Where are you going?' (Sir,to attend my theory class.)I know how you attend your classes,you people,you attend political meetings,don't attend classes and wander in the corridors,what are you doing here,counting pigs?-I studied in Bellary which is famous for pigs!This went on for 5 minutes and finally he let me go my way.Later I realized he was angry with me because my father had written to him holding the Principal responsible for my behavior(not attending the classes).You know according to Hindu philosophy the Guru is supposed to be like father in GURUKULA(equivalent to a residential school which mine was)
In the year '78 I wrote my final exam,and fortunately I had passed,a feat as I've already mentioned,nobody in the past had done it in our college.
On my first day as intern I was posted to emergency ward,and to my horror our dear Dr.Shenoy was waliking towards me.'what are you doing here he barks'- sir I am on emergency duty.As what?As a houseman.He looked as though he didn't believe me and asked'did you pass bhatta?'and I can never forget the way he extended his hand and shook mine and said 'congratulations,doctor' A lesser mortal would have seen that I never passed the examination but not our dear DR.Shenoy.
One day I asked him why he had rejected a very good offer from a private hospital with a generous package of compensation for which his reply with a mischievous smile was that it was not a teaching hospital. (ಅಲ್ಲಿ ಹುಡುಗ್ರು ಇಲ್ವೋ)When it came to teaching he was a dear!

He was a teacher par excellence,to the core,and without a batch of students to harangue he could never sleep.
An year ago he breathed his last after having done a surgery lasting for three hours at the age of 84 years.
After 1978 there was not a single day with me not remembering him at least once.Every time a student of Dr.Shenoy meets another they have a new issue to recount about him.May God rest his soul in peace.

Sunday, July 5, 2009


Family practice is both a pleasure and many a times nuisance.One has to be ready to act devil's advocate.If the advice is beneficial to the receiver everything is fine.Else!
Many a time we see young parents pampering their children,yes,babies do need pampering but not to the extent of spoiling them.Most of the times it is exactly this.You know a couple gets a much wanted child and it becomes all important to them.Everything is taken care of.The child starts growing,obviously,and the parents start expecting too much.
The most common mistake that the parents do is ignore the child,in a sense that it is only a child and will understand nothing.Wrong,a small baby of about 6 months starts understanding,I know this as only a family physician can.Immunize a baby at 2 months,it will forget.but when you have administered the vaccine at 6th month you are in trouble.The baby then on will recognize you as an enemy!If a baby can have that long a memory imagine what will be happening to the inaction of the parent!The baby will remember!
Never ever give the baby anything unless you are very sure about the need.If the baby asks for something that you can afford and is reasonable do not refuse.On the other hand if the demand is not reasonable never yield.Still better give the child whatever you can afford and that should be reasonable.
Once the child is old enough to understand, explain whatever you can and if you don't know never lie.Children are very smart and will immediately realize if you do.And once you are caught in a lie the trust is gone and you can't regain it.
Eventually the child starts going to school.Remember your childhood.Every parent wants the child to do well,naturally.But judge your child's capacity.Do not have unrealistic expectations.contemporaries of your child may be scoring well and your child unfortunately may not.Remember, the education is not made to order.One child may have the aptitude for the subjects taught and another not.But in the prevailing circumstances there is nothing that can be done, until university level.Do not lose heart,every child can not become a doctor or engineer and need not be and nothing is lost.Ultimately what is important is that the child should become responsible citizen of the country.
I am not arguing that academic success is not important,but if unfortunately a child is not very good academically all is not lost.
Remember that Bill Gates is a college drop out and so is many important people in the society.
Usually parents want their children to achieve what they wanted and could not.They want their children to fulfill their dreams. Your children can't be you a couple of decades after your childhood.
and never ever decide or dictate to the child what it should do or not do.Let it decide as the generation today is smarter than what it was a couple of decades ago,they have their own wishes,likes and dislikes.
If you decide what your child is going to do or not do you will have a child no better than you!

ಇಂಗು ತಿನ್ನಬೇಡಿ.

 ಪ್ರಸಂಗ ಒಂದು.
 ನಾನಾಗ ವೈದ್ಯಕೀಯ  ವ್ಯಾಸಂಗದ ಅಂತಿಮ ವರ್ಷದಲ್ಲಿದ್ದೆ,ರಜೆಯಲ್ಲಿ ಊರಿಗೆ ಬರುತ್ತಿದ್ದವ ನನ್ನೆದುರಿಗೆ ಸಿಕ್ಕಿದ ನನ್ನ ಸಂಬಂದಿಕ ಇಂಜಿನಿಯರಿಂಗ್ ವಿದ್ಯಾರ್ಥಿಯನ್ನು ನೋಡಿ  ಅಲ್ಲೇ ನಿಂತೆ.ಆರು ತಿಂಗಳಲ್ಲಿ ಹತ್ತು ವರ್ಷ ಪ್ರಾಯ ಜಾಸ್ತಿ ಆದವರಂತೆ ಕಾಣುತ್ತಿದ್ದವನನ್ನು ವಿಚಾರಿಸಿದಾಗ ಸಿಕ್ಕಿದ ವಿಷಯವಿಷ್ಟು.ಆರು ತಿಂಗಳ ಹಿಂದೆ ಅವನಿಗೆ ಜ್ವರ ಶುರುವಾಗಿತ್ತಂತೆ.ಆಗ ನಮ್ಮ ಪರಿಸರದಲ್ಲಿ ಒಬ್ಬ ಹೋಮಿಯೋಪತಿ ವೈದ್ಯರಿದ್ದರು.ಅವರಲ್ಲಿ ಚಿಕಿತ್ಸೆ ಪಡೆಯುತ್ತಿದ್ದವರಲ್ಲಿ   ಈ ಹುಡುಗ ಒಬ್ಬ.ಅವರೇನೋ ಹೇಳಿದ್ದರಂತೆ ಈ ಕಾಯಿಲೆ ವಾಸಿ ಆಗದ್ದು,ಇನ್ನು ಬದುಕುವ ಸಾಧ್ಯತೆ ಕಡಿಮೆ ಅಂತ.ಅದನ್ನ ನಂಬಿ ಈ ಹುಡುಗ ವಿದ್ಯಾಭ್ಯಾಸ ಬಿಟ್ಟು ಮನೆಯಲ್ಲಿ ಸಾವನ್ನು ಕಾಯುತ್ತ ಕುಳಿತಿದ್ದ.ಅವನಿಗೆ ಆಗಿದ್ದಾದರೂ ಏನು ?ಸುಲಭವಾಗಿ ವಾಸಿಯಾಗಬಹುದಿದ್ದ ಕ್ಷಯ ರೋಗವಷ್ಟೇ.ಇದೇನೂ  ಅಜ್ಜಿ ಕಥೆಯಲ್ಲ.೧೯೭೮ ಇಸವಿಯಲ್ಲಿ ನಡೆದ ಘಟನೆ.ನಾನಾಗ ವಿದ್ಯಾರ್ಥಿಯಾದ ಕಾರಣ, ನಮ್ಮೂರಲ್ಲಿದ್ದ ವೈದ್ಯರ ಮೂಲಕ ಅವನಿಗೆ ಚಿಕಿತ್ಸೆ ಕೊಡಿಸಿ ಕಾಯಿಲೆ ವಾಸಿ ಆದ ಮೇಲೆ ಅವನ ವ್ಯಾಸಂಗ ಮುಂದುವರಿದು ಇಂದು ಒಂದು ಪ್ರತಿಷ್ಟಿತ ಉಕ್ಕು ಕಾರ್ಖಾನೆಯಲ್ಲಿ ಉನ್ನತ ಹುದ್ದೆಯಲ್ಲಿದ್ದಾನೆ.ಆ ಹೋಮಿಯೋಪತಿ  ವೈದ್ಯ ಮಹಾಶಯನ ಮಗ ಅಪ್ಪನ ವೃತ್ತಿ ಮುಂದುವರಿಸಿದ್ದಾನೆ.ಈಗಲೂ ಇಂತಹ ಸಲಹೆ ಕೊಡುತ್ತಲೇ ಇದ್ದಾನೆ ಅಂದರೆ ನಮ್ಮ ಜನರ ಹುಂಬತನ ಎಷ್ಟು ಎಂದು ಅಂದಾಜು ಮಾಡಬಹುದು.ಇವರಿಗೆ ಬಲಿಯಾಗುವುದು ಅವಿದ್ಯಾವಂತರಾಗಿದ್ದಲ್ಲಿ ಅರ್ಥ ಮಾಡಿಕೊಳ್ಳಬಹುದಿತ್ತು.ಆದರೆ ಅಲ್ಲಿ ಹೋಗುವ ರೋಗಿಗಳಲ್ಲಿ ವಿದ್ಯಾವಂತರೇ ಹೆಚ್ಚು.
ಇದೀಗ  ಐದಾರು ವರ್ಷಗಳ ಹಿಂದೆ ಇದೇ ವೈದ್ಯ ಮಹಾಶಯನ ಸಂಬಂದಿಯೋರ್ವ ನನ್ನ ಬಳಿ ಬಂದಿದ್ದರು.ಅವರದ್ದೂ ಇದೇ ಕಥೆ.ಬಾಯಿಯಲ್ಲೇನೋ ಹುಣ್ಣು ಅಂತ ಇದೇ ವೈದ್ಯರ ಬಳಿ ಚಿಕಿತ್ಸೆ,ಹೆಚ್ಚು ಕಡಿಮೆ ಎರಡು ವರ್ಷ,ಪಡೆದರೂ ಪ್ರಯೋಜನವಾಗದೆ ಬೆಂಗಳೂರಿಗೆ ಹೋಗಲು ಸಲಹೆ ಬೇಕಾಗಿತ್ತಂತೆ.ಅಲ್ಲಿ ಹೋಗಿ ತೋರಿಸಿದಾಗ ಬಂದ ಫಲಿತಾಂಶ ನಾನು ಗ್ರಹಿಸಿದ್ದೇ ಆಗಿದ್ದು ಮಾತ್ರ ಶೋಚನೀಯ.ಅವರಿಗೆ ಕ್ಯಾನ್ಸರ್ ಆಗಿತ್ತು.ಚಿಕಿತ್ಸೆ ಬಹಳ ಹಿಂದೆ ಆಗಿದ್ದರೆ ವಾಸಿಯಾಗುತ್ತಿತ್ತು,ಈಗ ಹದ್ದು ಮೀರಿ ಹೋಗಿದೆ ಅಂತ ತಜ್ಞರು ಅವರನ್ನು ಹಿಂದೆ ಕಳುಹಿಸಿದ್ದರು ಮತ್ತು ಆರು ತಿಂಗಳಲ್ಲಿ ವಿಧಿವಶವಾದರು.ಆಗ ಈ ವೈದ್ಯ ಮಹಾಶಯ ಹೇಳಿದರಂತೆ,ಅವರು ಇನ್ನೂಹೋಮಿಯೋಪತಿ  ಚಿಕಿತ್ಸೆ ಮಾಡಿಸುತ್ತಿದ್ದರೆ ಕ್ಯಾನ್ಸರ್ ವಾಸಿಯಾಗುತ್ತಿತ್ತು ಅಂತ!
ಪ್ರಸಂಗ ಎರಡು.
ನನ್ನ ಕುಟುಂಬದಲ್ಲಿ ಕೆಲವು ಪಾರಂಪರಿಕ ವೈದ್ಯರಿದ್ದಾರೆ.ಎಲ್ಲರೂ ಎಲುಬು ತಜ್ಞರೇ.೧೯೩೦ ರಿಂದ ಈ ವೃತ್ತಿ ಮಾಡುತ್ತಿದ್ದವರನ್ನು ನನಗೆ ನೋಡಿ ಗೊತ್ತು.ಆಗಿನ ಕಾಲದಲ್ಲಿ ಸರಿಯಾದ ವ್ಯವಸ್ಥೆ ಇಲ್ಲದ ಕಾರಣ ಎಲುಬು ನಿಜವಾಗಿಯೂ ಮುರಿತಕ್ಕೊಳಗಾಗಿದೆಯೋ ಎಂದು ನೋಡುವ ಪರಿಸ್ತಿತಿ ಇರಲಿಲ್ಲ.ಹಾಗಾಗಿ ಈ ವೈದ್ಯರು ಹೇಳಿದ್ದೇ ನಿಜ ಎಂದು ತಿಳಿದು ಚಿಕಿತ್ಸೆ ಪಡೆಯುತ್ತಿದ್ದರು.ಎಷ್ಟೋ ಸಂದರ್ಭದಲ್ಲಿ ವಾಸಿಯೂ ಆಗುತ್ತಿತ್ತು.
ಒಂದು ಬಾರಿ ನನ್ನ ತಂದೆಯ ತಂಗಿ ಕೈ ಮುರಿದುಕೊಂಡು ನಮ್ಮ ಮನೆಗೆ ಬಂದು ನಮ್ಮ ಒಬ್ಬ ದೊಡ್ಡಪ್ಪನಲ್ಲಿ ಚಿಕಿತ್ಸೆ ಕೊಡಿಸಬೇಕೆಂದು ಹೇಳಿದರು.ನಾನೂ ಇದನ್ನೆಲ್ಲಾ ನಂಬುವ ಜಾತಿಯಲ್ಲ.ಅವರೋ ಬಿಡುವ ಜಾತಿಯಲ್ಲ.ಆಗ ನಾನು ನನ್ನ ವೈದ್ಯಕೀಯ ಪದವಿ ಪಡೆದು ಹೌಸ ಸರ್ಜನ್ ಆಗಿ ಕೆಲವೇ ದಿನ ಆಗಿತ್ತು.ಏನೇ ಹೇಳಿದರೂ ಕೇಳದೆ ನಮ್ಮ ಸವಾರಿ, ನಮ್ಮದೇ ಕುಟುಂಬದ ವೈದ್ಯರು,ಅವರ ಬಳಿ ಹೋಯಿತು.ಅವರೇನೋ ನೋಡಿ ಚಿಕಿತ್ಸೆ ಮಾಡಿ ಕಳುಹಿಸಿ ಬಿಟ್ಟರು.ನಾನು ನನ್ನ ಕೆಲಸದ ಮೇಲೆ ಹಾಸ್ಟೆಲ್ ಸೇರಿದೆ.
ಒಂದು ತಿಂಗಳ ಬಳಿಕ ಊರಿಗೆ ಬಂದಾಗ ನಮ್ಮ ಅತ್ತೆಯ ಕೈ ಬಾತು ಹೋಗಿತ್ತು.ನನ್ನ ಒತ್ತಾಯದ ಮೇರೆಗೆ ಎಕ್ಸ್ ರೆ ಮಾಡಿ ನೋಡಿದಾಗ ಕೈಯ ಎರಡೂ ಎಲುಬು ತುಂಡಾಗಿ ಅಡ್ಡದಿಡ್ಡಿಯಾಗಿ ಇದ್ದದ್ದು  ಯಾರಿಗೂ ಗೊತ್ತಾಗುತ್ತಿತ್ತು.ಆಮೇಲೆ ಸರಿಯಾದ ಎಲುಬು ತಜ್ಞರ ಸಲಹೆ ಮೇರೆಗೆ ಚಿಕಿತ್ಸೆಯಾಗಿ ಸರಿಯಾದರೆನ್ನಿ.ಇದೂ ವಿದ್ಯಾವಂತರೇ ಮಾಡಿದ ಕೆಲಸ.
ಪ್ರಸಂಗ ಮೂರು.
ನಾನು ವೃತ್ತಿ ಜೀವನ ಶುರು ಮಾಡಿ ಸ್ವಲ್ಪ ದಿನವಾಗಿತ್ತು.ನನ್ನ ಸ್ನೇಹಿತರೊಬ್ಬರಿಗೆ ನಾಯಿ ಕಚ್ಚಿತ್ತು.ಆಗ ಹೊಕ್ಕಳಿನ ಸುತ್ತೂ ೧೦ ಚುಚ್ಚುಮದ್ದು ಕೊಡಬೇಕಾಗಿತ್ತು.ಈಗಿನ ಹಾಗೆ ಕೈಗೆ ಚುಚ್ಚುವ ಇಂಜೆಕ್ಷನ್ ಅಲ್ಲ.ಅವರೇನೋ ನೋವಿಗೆ ಹೆದರಿ ಹತ್ತಿರದ ನಾಟಿ ವೈದ್ಯರೊಬ್ಬರ ಬಳಿ ಹೋಗಿದ್ದರು.ರಾತ್ರಿ ಸುಮಾರು ಎರಡು ಘಂಟೆಗೆ ನನಗೆ ತುರ್ತು ಕರೆ ಬಂತು.ಅವರು ಏನೇನೋ ಮಾತಾಡುತ್ತಿದ್ದರು,ಹುಚ್ಚರ ಹಾಗೆ.ಚಿಕಿತ್ಸೆ ನೀಡಿದ ಮಹಾಶಯನ ಪ್ರಕಾರ ನಾಟಿ ಔಶದಿಯಲ್ಲಿ ಮೊದಲು ಹುಚ್ಚು ಹಿಡಿಸಿ ಆಮೇಲೆ ಬಿದಿಸುವುದಂತೆ!ಸರಿಯಾಗಿ ನೋಡಿದಾಗ ರೋಗಿಗೆ ದತ್ತೂರದ ಸೊಪ್ಪಿನ ಚಿಕಿತ್ಸೆ ಕೊಡಲಾಗಿತ್ತು.ಈ ವೈದ್ಯರು ಏನು  ಮಾಡುತ್ತಾರೆ ಗೊತ್ತೇ?ಮೊದಲು ದತ್ತುರದ ಸೊಪ್ಪು ತಿನ್ನಿಸುವುದು.ಆಗ ರೋಗಿಗೆ ಮತಿ ಭ್ರಮಣೆ ಆದ ಹಾಗೆ ಕಾಣಿಸುತ್ತದೆ.(ಹಾಗೆ ಎಲ್ಲರಿಗೂ ಒಂದೇ ಪ್ರಮಾಣದಲ್ಲಿ ಆಗುವುದಿಲ್ಲ)ಆದವರಿಗೆ ಹುಚ್ಚು ನಾಯಿ ಕಚಿದ್ದು,ಇಲ್ಲದವರಿಗೆ ಕಚ್ಚಿದ ನಾಯಿ ಹುಚ್ಚಲ್ಲ ಎಂದು ತೀರ್ಮಾನ ಮಾಡಿ ದುಡ್ಡು ವಸೂಲು ಮಾಡುತ್ತಾರೆ.ಆಮೇಲೆ ಅವರನ್ನು ರಾತ್ರಿಯಲ್ಲಿ ಆಸ್ಪತ್ರೆಗೆ ಸೇರಿಸಬೇಕಾಯಿತು.ಅಂತೂ ಕೊನೆಗೂ ಇಂಜೆಕ್ಷನ್ ಕೊಡಲೇ ಬೇಕಾಯಿತು.ಅಲ್ಲದೆ ಆಸ್ಪತ್ರೆ ವಾಸವೂ ಆಯಿತು.
ಇಲ್ಲೊಂದು ತಮಾಷೆ ಏನು ಗೊತ್ತೇ?ಹೀಗೆ ಇಂಗು ತಿಂದ ಮಂಗನಾದ ವಿಷಯ ಯಾರೂ ಯಾರಿಗೂ ಹೇಳುವುದಿಲ್ಲ.ಹಾಗಾಗಿ ಇಂತಹ ವೈದ್ಯ ಮಹಾಶಯರ ವ್ಯವಹಾರಕ್ಕೆ ಏನೂ ತೊಂದರೆಯಾಗುವುದಿಲ್ಲ.ಅದೇ ಒಬ್ಬ ಸರಿಯಾಗಿ ಕಲಿತ ಆಧುನಿಕ ವೈದ್ಯ ಪದ್ದತಿಯವರಲ್ಲಿ ಹೀಗಾದಲ್ಲಿ ಕೋರ್ಟಿನ ಕಟಕಟೆ  ಹತ್ತುವ ವರೆಗೆ ಅಥವಾ ಅವನ ಆಸ್ಪತ್ರಗೆ ಬೆಂಕಿ ಹಾಕುವ ವರೆಗೂ ಜನ ತಯಾರು.
ಪ್ರಸಂಗ ಇನ್ನೊಂದು.
ಇಲ್ಲೊಬ್ಬ ಇನ್ನೊಬ್ಬ ಪಂಡಿತ ಇದ್ದಾರೆ.ಇವ್ರು ಕಾಮಾಲೆ ರೋಗ ತಜ್ಞ.ಕಾಮಾಲೆ  ರೋಗದಲ್ಲಿ ಎ,ಬಿ,ಸಿ,ಡಿ ಮತ್ತು ಇ ಎಂಬ ವಿಧಗಳಿವೆ.ಸಾಮನ್ಯವಾಗಿ ಬರುವ ಕಾಮಾಲೆ ಎ  ಜಾತಿಯ ವೈರಸ್ನಿಂದ ಬರುತ್ತದೆ,ಇದು ಸುಮಾರು ಆರು ವಾರಗಳಲ್ಲಿ ಸ್ವಲ್ಪ ಮಟ್ಟಿನ ಆಹಾರದ ಪಥ್ಯದಿಂದ ತಾನಾಗೇ ವಾಸಿಯಾಗುತ್ತದೆ.ಆದರೆ ನಮ್ಮ ಜನ ಕೇಳಬೇಕಲ್ಲ.ಕಾಮಾಲೆಗೆ ಆಧುನಿಕ ಪದ್ದತಿಯ ಚಿಕಿತ್ಸೆ ಕೊಡಿಸಬಾರದು,ನಾಟಿ ಮದ್ದೇ ಸರಿ ಎಂಬ ಒಂದು ತೀರ್ಮಾನ ಅಕ್ಕ ಪಕ್ಕದವರೆಲ್ಲಾ ಸೇರಿ ಮಾಡಿರುತ್ತಾರೆ.
ಈ ಎ ಜಾತಿಯ ರೋಗ ಪ್ರಕಾರಕ್ಕೆ ಅವರು ಮದ್ದು ಮಾಡುವುದರಲ್ಲಿ ಎತ್ತಿದ ಕೈ.ಹೇಗಾದರೂ ಗುಣವಾಗುತ್ತದೆ.ಮತ್ತೇನು?ಅದೂ ಎಂತಹ ಪಥ್ಯ?ತಲೆಗೂ ಎಣ್ಣೆ ಹಾಕಬಾರದು.ಹಲಸಿನ ಮರದ ಮಂಚದಲ್ಲಿ ಕೂಡ ಮಲಗಬಾರದು!ಹಣ್ಣು ತಿನ್ನುವುದು ಬಿಡಿ,ಹಳದಿ ಬಣ್ಣ ಯಾಕೆ ಇಷ್ಟು ವರ್ಜ್ಯ ಎಂದು ಮಾತ್ರ ಯಾರೂ ಹೇಳುವುದಿಲ್ಲ.

ಇತ್ತೀಚಿಗೆ,ಯಾವಾಗಲೂ,ಮಗುವಾಗಿದ್ದಲ್ಲಿಂದ,ನನ್ನ ಬಳಿ ಬರುತ್ತಿದ್ದ,ಈಗ ಇಂಜಿನೀರ್ ಆಗಿ ಬೆಂಗಳೂರಿನಲ್ಲಿ ಕೆಲಸ ಮಾಡುತ್ತಿರುವ ಒಬ್ಬ ಹುಡುಗ ಇದೇ ವೈದ್ಯರಲ್ಲಿ ಹೋಗಿದ್ದ.ಆ ಮಹಾಶಯನೋ,ಒಂದು ತಿಂಗಳ ಕಾಲ ಔಷಧಿ ಕೊಟ್ಟದ್ದೇ ಕೊಟ್ಟದ್ದು.ನಡೆಯಲೂ ಕಷ್ಟವಾಗುವಂತಹಾ ಸುಸ್ತು ಅಂತ ನನ್ನ ಬಳಿ ಬಂದಾಗಲೇ ನನಗೆ ಈ ವಿಚಾರ ಗೊತ್ತಾಗಿದ್ದು.ಏನೋ ಆ ಹುಡುಗನ ಆರೋಗ್ಯ ಮೊದಲು ಚೆನ್ನಾಗಿದ್ದ ಕಾರಣ ದುರಂತವೇನೂ ಸಂಭವಿಸಲಿಲ್ಲ.

ನಾನು ಖಂಡಿತವಾಗಿಯೂ ಆಯುರ್ವೇದ ಅಥವಾ ನಾಟಿ ಮದ್ದಿನ ವಿರೋಧಿಯಲ್ಲ.ಆದರೆ ನಾಟಿ ಮದ್ದಿನ ಹೆಸರಿನಲ್ಲಿ ಜನರನ್ನು ವಂಚಿಸುವ ಜನರ ವಿರೋಧಿ,ಅಷ್ಟೇ.ಈಗೀಗ ನಾಟಿ ಮದ್ದಿನ ಹೆಸರಲ್ಲಿ ಆಗುವ ಮೋಸ  ನೋಡಿದರೆ ಎಷ್ಟು ಬೇಜಾರಾಗುತ್ತದೆ ಎಂದು ತಿಳಿಯಬೇಕಾದರೆ ನಮ್ಮ ವೃತ್ತಿಯಲ್ಲಿ ಇದ್ದವರಿಗೆ ಮಾತ್ರ ಸಾಧ್ಯ.ತೂಕ ಕಡಿಮೆ ಮಾಡಿಕೊಳ್ಳಬೇಕೆ,ಸಕ್ಕರೆ ಖಾಯಿಲೆಯೇ,ರಕ್ತದ ಒತ್ತಡವೇ.ಎಲ್ಲದಕ್ಕೂ ನಾಟಿ ಔಷಧಿ ಕೊಡುವ ಜನರಿದ್ದಾರೆ.ಆದರೆ ಅವರ್ಯಾರೂ ಪ್ರಸ್ತುತ ಇರುವ ಅಧುನಿಕ ಪದ್ದತಿಯ ಚಿಕಿತ್ಸೆಯನ್ನ ಬಿಟ್ಟು,ಔಷಧಿ ಕೊಡುವುದಿಲ್ಲ.ಹಾಗಾದರೆ ಅವ್ರು ಯಾಕೆ ತಾನೇ ಚಿಕಿತ್ಸೆ ಕೊಡಬೇಕು?
ನಮ್ಮ ಜನರಲ್ಲಿ ಒಂದು ತರನಾದ ಭಾವನೆ ಇದೆ.ಯಾವುದೇ ವಿಷಯವಿರಲಿ,ತಮಗೆ ಗೊತ್ತಿಲ್ಲ ಎಂದು ಒಪ್ಪಿಕೊಳ್ಳುವುದಿಲ್ಲ.ಎಲ್ಲದಕ್ಕೂ ತಮ್ಮದೇ ಅರ್ಥ,ಪರಿಹಾರ ಹುಡುಕುವ ಜನ ಕೊನೆಗೆ ಕೈ ಮೀರಿ ಹೋದಾಗ ಪರಿಣಿತರ ಬಳಿ ಹೋಗುತ್ತಾರೆ.ಅದರ ಬದಲು ಆವುದೇ ಸಮಸ್ಯೆ ಇರಬಹುದು,ತಜ್ಞರ ಸಲಹೆ ಪಡೆದರೆ ಹಣ,ಶ್ರಮ,ಚಿಂತೆ ಎಲ್ಲವನ್ನೂ ಉಳಿಸಬಹುದಲ್ಲಾ?


Sunday, June 28, 2009

weigh option

An eminent surgeon of Karnataka and a great teacher to boot,that was Dr.R.H.N.Shenoy in the late 70s.I remember him saying"had only streptomycin been discovered 800 years earlier than it actually was............."The great sage Shankaraacharya was supposed to have died of Tuberculosis and he I mean our teacher, always used to stress that the sage could have lived longer.It is supposed to be the case with Swami Vivekananda too. It was a dreaded disease for which there was no cure back then.I agree with him and have more to add.
Imagine a world with no modern medical science no matter what is said against it.
Had Edward Jenner not discovered vaccine against smallpox hundreds of thousands would have died of the dreaded disease every year.Imagine a world without Alexander Fleming's discovery of the antibiotic Penicillin!(we may argue about India having ideas about inoculation against diseases or about the soil containing some thing with which infections could be cured(look at Wikipedia,i can provide link if any one is interested)
Whether it is antibiotics or vaccines , insulins, anti hypertensives, hormones,antivirals or the surgical procedures,the list is endless for the invention of which we stand at the feet of modern medical science.
Since the beginning of human existence in India thousands of years ago till about 1930
the population of India was about 300 millions.It jumped to 1.2 billions in 2009 in spite of the population control measures.
The most sensitive health index-the infant mortality rate which was around 345 per 1000 live births in 1940 came down to around 15 to 25(lowest in Kerala and higher in states like Bihar).Maternal mortality came down to less than one per thousand deliveries.Diseases like Polio were almost eradicated with smallpox being totally eradicated from the face of the earth.Life expectancy at birth increased from 40 years in 1940 to 67 years today.It is no coincidence that this happened as the modern medicine developed the above mentioned tools like drugs and surgical procedures.
The much maligned Cesarean operation has reduced the incidence of would be mother dying at delivery to almost zero.And the greatest culprit of all as the various reports in the media would suggest,cardiac surgery has increased the quality of life of people who have had cardiac problem.
One may claim diseases like diabetes and heart ailments are on the increase.Yes,that is not because of medicine but because of reason beyond the control of doctors in the sense that the people themselves are responsible.Changed lifestyle is the primary reason for this spectacular increase.But it is still modern medicine that can do something to keep these under control and the patient from harms way.
I know defenders of alternate system of medicine will be at my throat for this,but let me assure you, without modern medicine which I refuse to call allopathy,we would be miserable.
There will be this matter to argue-modern medicine is too commercial.Yes,then which system is not?The basic idea behind practicing what you study is to earn a living.Just because I happened to study medicine i can not go for social service with no concern for my stomach.One can not work on empty one.
Whenever a new disease is discovered the market is flooded with cures from quacks and from alternate systems.And the discovery is by modern medicine and the miracle cure from the alternate system!If this is not because of commercial reason then what is? At least modern medicine is held responsible for commissions and omissions,alternate system is not.
Recently in this part of India we had an epidemic of chikungunya.We,practitioners of modern medicine know exactly what it is and how it can be managed.But no,we need this half baked systems telling us how to manage that particular problem!This year we have some cases of viral fever and again the press and these very same people are at it again.
OK,we have no proper cure for each viral disease(We do have anti viral treatment for many a virus) but if any branch of medicine can handle it modern medicine can.For the simple reason that it is the discovery of this system.
The so called defenders of Indian system including some Swamijis talk about the superiority of Indigenous medical practice being safe for all ailments!Without basic understanding of the issues involved they advocate the methods that suits their ulterior motives. And do you believe any medicine is free from side effects?Don't,because above normal even daily food has side effects.Try eating a couple of hundred grams of the commonly used Garlic!Or even quarter Kg. of sugar!
Do you know most of these practitioners use drugs like antibiotics and alarmingly, very potent steroids,of which they hardly have any knowledge, to achieve dramatic cures in all these viral disease?Isn't there any adverse outcome?Certainly there are but they go unreported!The reason is simple,
You know you have been foolish enough to approach quacks or people who are not supposed to use these drugs and you will hardly admit it was disastrous.And the person responsible is no way harmed.
In contrast if the outcome is adverse if a qualified person is involved people gang up and the person is harassed even if he did everything that could be done.People jump into concluding how greedy and careless the doctor was and so on and so forth.Newspapers immediately jump into the fray to condemn the person involved.What do these people know about modern medicine?Nothing.But they do have an opinion no matter what.
But ultimately it is the modern medicine that has the last laugh because it is the only system that tries to understand diseases.Modern medicine has description if not cure for all ailments.
The so called practitioners of alternate system study it not because they want to, but because of their inability to study modern medicine as the opportunity in India is limited.To establish a modern medical school it requires an elaborate infrastrucure in contrast to alternate system.The so called institutes teaching alternate systems are so numerous I wonder from where they even get faculty to teach!
Think about a patient with chest pain going to an Ayurvrdic physician.He is immediately sent to a cardiologist.That is when common sense should dictate that you go to a qualified modern medical practitioner for your needs.And if he decides it is nothing serious one can get treated by any system.
The standard explanation handed out by these alternate system is that for emergency modern medicine is needed and then they can take over.Why?Once the emergency is past there is no need for other system to take over.
In fact the proper alternate is that one should practice what is taught during studying and nothing else.And people with no qualification should be barred from declaring themselves"doctor"
The common man has to be vigilant.
(A bad case of smallpox)but for modern medicine some of us would have been like this had we survived an attack of smallpox!

Sunday, June 21, 2009

Alternate Medicine

Quacks are at it again.Modern medicine discovers disease and these self styled doctors, the appropriate treatment.Don't you think they are great?(or cheats)
Homeopathy or Ayurveda knows no Chikungunya ,Dengue or Swine flu.I am sure all decent practitioners will agree with me.Right or wrong,safe or dangerous,it is modern medicine that describes all these diseases.And it is for them to find solutions for the same.And let me assure you, we are almost there.The day is not far when we will have vaccines for all these disease.
In fact a vaccine a vaccine was invented for chikungunya.Unfortunately for us, it was the naval infectious diseases research centre of the United States that did it.But, for the U S of A, a small epidemic in this part of India is not serious enough and there was no funding for human trial.The project was abandoned some time in 1999-2000.
Meanwhile the quacks will be at it again.Miracle cures,oils and injections will do rounds again.Remember some unscrupulous practitioners use steroids in the form of injections and that does all kinds of damage.Both literally and physically.
Beware,don't go to a doctor no known to you because a friend recommends.If a doctor has a miraculous cure for these fevers probably he is a fraud.Because medicine is not one persons monopoly.If one has all have access to that invention.Probably it is not safe and not used by all.
P.S:A quack is the one who practises medicine without studying it-like an Ayurvedic physician practising modern medicine or vice versa.(The picture on the left top is the Aedes mosquito that causes chikungunya)


Like every other profession medicine also is commercialised.Otherwise why do you think people will practise it?Any professional has to live. Doctors have more responsibility than any other and how they work under pressure is unimaginable.The work load is so heavy and the schedule sometimes is so cramped that they have no time for personal life.And to add to this they are not allowed to make a single mistake.And the expectation is sky high.But they are also human beings and there is only so much that they can do.
People especially the media keeps on blaming doctors and the frequency is increasing these days.but what these people know about medicine?Nothing.And they write passing judgement without trial-guilty!
A lot has been written and is still being written about unnecessary Cesarean section operation.Does any body know what kind of responsibility a doctor has while having a pregnant woman on his hands to deliver her of the baby?The tension can be killing.You are bringing a life to the earth and the doctor has to take decision with making no delay.It is a no win situation.If it is a successful delivery,what's great about it?It happens every day.If it is not,you know what will be the outcome, irrespective of the reason,the doctor will be held responsible for the failure.Newspapers will be filled with the lapses on the part of the doctor.
The relatives concerned will question the decision for and against the particular procedure adopted.So the doctor rarely has many option in such situations.They go for Cesarean operation.And the procedure is very safe.Then where is the harm in opting for the safest alternative?It is always said in medicine that one should err on the safer side.
Take another example.Say, heart attack.Can anyone predict what will happen in the next hour when a patient has a cardiac problem?The answer is, no.what is the option in front of the treating doctor?Of course investigations.The technology is so advanced that it costs money.Medical proffesion is not about charity and they charge the patient,who else?And give value for money.more than value as one can not buy a life with the money paid to the doctor.
Let me explain,,recently I witnessed a free medical examination organised by a charity organisation.In a small village of about 5000 people, 4-5 thousand people had know why,it was free and if required they were promising investigation and free surgery!No body said anything about the investigations were unnecessary, no, not even journalists.On the other hand i saw a couple of them opting for free investigation!
Now tell me whether it is spending money people are against or the investigations as such?
Just think of a person working for six and half days in a week and anticipating some or the other emergency on the other half day for week after week and thinking of the holiday that never comes?And the public expects no delay in getting treatment.You need superman not a doctor to work according to lay expectation!
Give them a break my dear friends.
And then there is the topic of money.With all the specialisations a doctor will be 30+when he/she starts earning and he/she has to make money.Nobody will look after a doctor simply because he did not save money while he could.Doctors like you and me can not work till eternity even though they need not retire.But when they can not work?When a doctor is ill who will spend for the treatment?Nobody will come to rescue.and for this they need money.
Don't ever think doctors are greedy.They too have needs like everyone else.
Before passing judgement on doctors think about the things you know nothing about.At least the lay man knows nothing about medical profession and they don't care to know.At least not in India where doctor bashing is becoming the order of the day.
Life of a doctor is not a bed of roses as is the general perception, except, in their own family.

Saturday, June 20, 2009

Swine Flu

Swine flu is not deadly as being widely reported.Early recognition of the disease is of utmost important. There is absolutely no need for panic.And do not think all fevers are the same.Fever is a symptom that has to be diagnosed as to what is causing fever.Do not go to the chemist to buy medication without consulting your family doctor and never ignore fever.
Now that monsoon has set in it is time for mosquitos And that means Malaria and waterborne diseases.Viral fevers are also quite common.and in this part of India-coastal Karnataka chicken gunea and dengue is also to be expected.Chicken gune may not be widespread this year as it has affected people in a big way last year.Person once infected will not get that disease again.
Dengue is a possibility and local newspapers are at the guessing and judging game already.they have declared the fever as dengue.May be.So what?It is not a deadly disease as they write in kannada-ಮಾರಣಾಂತಿಕ ,it's another matter that they don't know the very meaning of the word.(it actually means fatal)
Except circulation they can not have any other motive but it actually scares people to death.Sometimes literally.
Another thing one should remember is the treatment given for these fevers are identical irrespective of whether public hospital or otherwise.
I saw last year people mistaking newspaper reports.ministers stated that the required medicine are available in government hospitals and they were right.But what people thought was that the medications were available only in government hospitals and there was panic.accepted it was debilitating but not fatal.but judgement day had indeed passed and it was declared that the authorities were hiding facts.
It is repeating this year too.But remember,Dengue is not fatal( ಮಾರಣಾಂತಿಕ ?)provided medical advise is sought at the earliest in case somebody has fever or any other disease for that matter.
One can approach his family doctor since he is equally qualified. this link has more on swine flu.

Friday, June 19, 2009


tax is fine4doing something right,fine is tax4doing something wrong!

basic idea

There was a time when the family used to visit a GP for all medical advise and treatment.the doctor used to be an elderly kind and knowledgeable and most importantly,dependable.

the times have today is on the fast can not wait,whether one is sick or healthy.there is a deadline.

once people get literate(differentiate from literate) they think they have right to express their opinion on every topic.they are right though.but when getting an opinion from a professional is concerned lay opinion has no place.

there is an oft repeated complaint in India that medical profession is no longer what it was and that it has gone really high tech.that doctors do not use their clinical acumen.partly true.

what about the patient?

Today people are too demanding.they have unrealistic ideas.

In India the alternate system also is very popular.but most of those practitioners do not practice their system with sincere devotion leading to a mixture of systems which is not good in the long run.

will write more before you start commenting which mostly will be hostile because i know i am treading over too many feet.


ಊಟ ಬಲ್ಲವನಿಗೆ ರೋಗವಿಲ್ಲ,ಮಾತು ಬಲ್ಲವನಿಗೆ ಜಗಳವಿಲ್ಲ ಎಂಬ ನಾಣ್ನುಡಿ ಎಷ್ಟು ಸತ್ಯ ಅಂತ ಅನ್ಸಿತು ಇವತ್ತು ಮದುವೆಯೊಂದಕ್ಕೆ ಹೋಗಿದ್ದಾಗ.
ನಾವೇನು ತಪ್ಪು ಮಾಡ್ತಿದ್ದೇವೆ ಊಟದ ವಿಷಯದಲ್ಲಿ ಅಂತ ತುಂಬಾ ದಿನದಿಂದ ಯೋಚನೆ ಮಾಡ್ತಿದ್ದೆ.
ನಮ್ಮ ಜೀವನದಲ್ಲಿ ಸಾಮಾನ್ಯವಾಗಿ ಒಂದು ದಿನಚರಿ ಅಂತ ರೂಢಿ ಮಾಡಿಕೊಂಡಿರುತ್ತೇವೆ.ಬೆಳಿಗ್ಗಿನ ತಿಂಡಿ ಮಧ್ಯಾನ್ನದ ಊಟ ಸಂಜೆಯ ತಿಂಡಿ ರಾತ್ರಿಯ ಊಟ ಇಷ್ಟು ಹೆಚ್ಚಿನವರ ಆಹಾರದ ಕ್ರಮವಾಗಿರಬಹುದು.
ಯಾವುದೇ ಸಮಾರಂಭಕ್ಕೆ ಹೋದಾಗ ಬೆಳಿಗ್ಗೆ ನಮ್ಮ ತಿಂಡಿಯಲ್ಲಿ ಗಡಿಬಿಡಿಯಿಂದಾಗಿ ವ್ಯತ್ಯಾಸವಾಗಬಹುದು.ಮಧ್ಯಾನ್ನ ಊಟದ ಹೊತ್ತು ತುಂಬಾ ಮೀರಿ ಹೋಗುವ ಸಾಧ್ಯತೆಯೇ ಹೆಚ್ಚು.
ನಮ್ಮ ಶರೀರ ಮೊದಲೇ ನಮ್ಮ ದಿನಚರಿಗೆ ಒಗ್ಗಿ ಹೋಗಿರುತ್ತದೆ.ನಮ್ಮ ದಿನದ ಊಟದ ಹೊತ್ತಿಗೆ ಹಸಿವೆ ಆಗಿಯೇ ಆಗುತ್ತೆ.ನಮ್ಮ ಹೊಟ್ಟೆಯಲ್ಲಿ ಜೀರ್ಣ ರಸದ ಉತ್ಪತ್ತಿ ಪ್ರಾರಂಭವಾಗಿರುತ್ತದೆ.ಜೀರ್ಣ ರಸದ ಹೆಚ್ಚಿನ ಪಾಲು ತೀವ್ರವಾದ ಆಮ್ಲದಿಂದ ಕೂಡಿರುವ ಕಾರಣ ಆ ಹೊತ್ತಿಗೆ ಊಟ ಆಗದಿದ್ದರೆ ಹೊಟ್ಟೆಯ ಒಳ ಪದರ ಕೊರೆತ ಶುರುವಾಗಿ ಹುಣ್ಣಿಗೆ ಕಾರಣವಾಗಬಹುದು.ಅದಿಲ್ಲವಾದರೂ ಹುಳಿ ತೇಗು ,ಅಜೀರ್ಣ ಇತ್ಯಾದಿ ಸಮಸ್ಯೆಗಳು ಉಂಟಾಗಬಹುದು.
ಹೊತ್ತು ತಪ್ಪಿದರೆ ಜೀರ್ಣ ರಸ ಸಣ್ಣ ಕರುಳಿಗೆ ದಾಟಿ ಬಿಡಬಹುದು.ಆಮೇಲೆ ತಿಂದ ಆಹಾರ ಹೊಟ್ಟೆಯಲ್ಲಿ ಹುಳಿ ಬಂದು ಅಜೀರ್ಣವಂತೂ ಕಟ್ಟಿಟ್ಟ ಬುತ್ತಿ.
ಸರಿ,ತಡವಾಗಿದ್ದೇನೋ ಆಯಿತು,ಊಟದ ವಿಚಾರ ನೋಡಿ.
ಸ್ವಲ್ಪ ಆನ್ನ,ಸ್ವಲ್ಪ ಸಾರು,ಸಾಂಬಾರು,ಹುಳಿ,ಪಾಯಸ,ಒಂದೆರಡು ಹೋಳಿಗೆ ಅಥವಾ ಇನ್ನೇನೋ ಸಿಹಿ ತಿಂಡಿ,ಕೊನೆಗೊಂದಿಷ್ಟು ಮೊಸರನ್ನದ ಜೊತೆಗೆ ಒಂದಿಷ್ಟು ಉಪ್ಪಿನಕಾಯಿ.ಅಲ್ಪ ಯೋಚನೆ ಮಾಡಿ, ಇವೆಲ್ಲಾ ಸೇರಿದರೆ ಹೊಟ್ಟೆಯೊಳಗೆ ಏನಾಗಬಹುದು!
ಒಂದು ಬಟ್ಟಲಿನಲ್ಲಿ ಇವನ್ನೆಲ್ಲ ಮಿಶ್ರ ಮಾಡಿ ನೋಡಿ,ಆಮೇಲೆ ನೀವು ಊಟ ಮಾಡಿದರೆ ಹೇಳಿ!
ಈಗಂತೂ buffet ಇಲ್ಲದ ಸಮಾರಂಭ ಇಲ್ಲವೆಂದೇ ಹೇಳಬಹುದು.ಹಳ್ಳಿಯಲ್ಲಿ ಇರಬಹುದು ಅಪರೂಪಕ್ಕೊಂದು.ಅದು ಅಷ್ಟು ತೊಂದರೆ ಕೊಡಲಾರದು.
ಹಾಗಾಗಿ ನಾವು ನಮಗೆ ಅಂದರೆ ನಮ್ಮ ಶರೀರಕ್ಕೆ ಬೇಕಾದದ್ದು ಬೇಕಾದಷ್ಟೇ ತಿನ್ನಲು ಯಾವುದೇ ಅಡ್ಡಿ ಇರಲಾರದಷ್ಟೇ.
ನಮ್ಮ ನಾಲಗೆಯ ನಿಗ್ರಹ ನಮ್ಮ ಕೈಯಲ್ಲಿದೆ.
ಕೊನೆಗೊಂದು ಮಾತು.ಊಟ ಮಾಡಿ ಐಸ್ಕ್ರೀಂ ತಿನ್ನಲೇ ಬೇಡಿ.ನಿಮ್ಮನ್ನು ಕರೆದವರ ಮನಸ್ಸಿಗೆ ನೋವೇನೂ ಆಗುವುದಿಲ್ಲ.ಅವರೂ ಇದೇ ಸಮಸ್ಯೆ ಒಂದಲ್ಲ ಒಂದು ಬಾರಿ ಎದುರಿಸಿರುತ್ತಾರೆ!


ಡಾಕ್ಟರ:ಕಿವಿಯೊಳಗೆ ಹಲ್ಲಿ ಹೋಗುವ ವರೆಗೆ ಎನ್ಮಾಡ್ತಿದ್ದೆ

ರೋಗಿ:ಮೊದಲು ಸೊಳ್ಳೆ ಹೋಯ್ತು.ಹಲ್ಲಿ ಹೋಗಿ ಹಿಡ್ಕೊಂಡು ವಾಪಸ್ ಬರುತ್ತೆ ಬಿಡಿ ಅಂತ ಸುಮ್ನಿದ್ದೆ.



The definition of health in modern medicine is word by word translation of the Ayurvedic system.It says"Health is the complete physical,mental and social wellbeing,not merely the absence of desease" Why then that everytime we see an article anywhere the authors comment about modern medicine treating desease and not the person?
The answer is not hard to guess.
The origin of modern medicine is rooted in Ayurveda which was taken out of India and then they worked on the knowledge gained from there.And why not,knowledge should benefit the public,not any individual.
And hence developped the modern system of medicine which was standardised.New knowledge developped due to the continued reaserch carried out by the western scientists which they are doing even now.(to a certain extent scientists from other countries)
I have nothing against any system of medicine so long as it benefits mankind.Unfortunately research in alternate system of medicine is limited to say the least for whatever reason.Then how to decide which system to opt for?
In any ailment the primary concern has to be the proper diagnosis.Unfortunately for this investigations are must.Looking at the patient no physician can rightly diagnose unless it is a minor ailment which will be cured without any help from the physician.On the other hand if it happens to be anything serious, who is to diagnose?
Let us face the facts,right now we have this fecility only in modern medicine.And one has to go for it,whether he likes it or not.After the fact,
who is to interpret the results?Naturally a person qualified in the perticular system and after that has been settled comes the treatment part.
If one decides to go for any other form of treatment he should be certainly given a choice with clear explanation of the consequences should the choice of the patient is not suitable for the desease.But can the patient decide the future course of treatment?I think not.That is where
the primary care physician should intervene.(Regarding primary care physician in next installment.)

Primary Care

India today is at cross roads.We are fast developing people.It is like being neither here nor there,I mean we are educationally quite advanced in pockets like southern Karnataka.But unfortunately we are only literates,not all,though.Many people with no college education are more sensible that they know when to consult professionals.Many with postgraduate qualifications think they know something about everything and mess things up.
Medicine is one field where one will regret such action because what is good for me need not be so for the other person.
Every one of us have visited a doctor in our life. In the past,it used to be a local GP.Whatever he used to advise was like scripture.He used to be a friend,philosopher and guide as described in text books of medicine. Slowly we advanced and had all types of specialist doctors in our midst,that lay public started deciding whom to consult,which in the past used to be decided by the local family doctor.This is when things started to go wrong.
I am not suggesting one should not go to a specialist but before that his local doctor should be consulted and preferably give a reference so that you go to the right person and he has some idea as to from where to start,else if you approach a wrong specialist he may not be in a position to do justice to the case.
For example take a case of pain abdomen(stomach ache).It may just be just an ordinary pain or serious ailment like appendicitis where early intervention by a surgeon will save lot of complications,both physical,psychological and financial.
I get all types of questions,from people who have been coming to me for all their health needs. Children become adults and take a job in a new place where they feel lost.They find it difficult in a new place when it comes to the selection of a primary care physician.It is easy really.You may be wondering how so.Let me explain-when you need to see a doctor,go to any qualified person and explain your problem,on the other hand you can ask your previous doctor for a recommendation(many a times it so happens that your family doctor knows someone there).Make it very clear to him that you do not expect any miracles,that you are ready to undergo required tests to felicitate diagnosis and that you are ready to spend reasonably.Because we doctors encounter all sorts of people in day to day practice(it has been my experience-many people simply do not want to pay the doctor assuming he has made enough to need anything more!)Many diseases can not be clinically diagnosed and need some clinical tests.And when a doctor orders those tests people think they are being fleeced.Hardly so,because the doctor expects the patients back!And finally when he does prescribe something ask him whether you really need those medicines.Now you will tell me the doctor is awfully busy to explain,never so.On the other hand he will and should be pleased because too much expectation by the patients make the doctors to overprescribe.And if the doctor concerned is really annoyed please tell him politely that it is your health you are worried about.It is your right and his duty.And never go to him again.There are bad apples in every barrel.
One thing every one of us should understand is that there is no fast cure.It depends on the disease,and one particular doctor can't do any better than the the other.And remember there is no medicine that is "strong",medicines are either necessary or not.If necessary,however strong it may look, it is not.
You may be busy but so is the doctor.If you are in a hurry and tell the the doctor that you have no time to rest, he may not be able to help you.If you want proper care you got to spend some time and money,after all it your health.
Think about it.(dos and don'ts with doctors in the next post)


The definition of health in modern medicine is word by word translation of the Ayurvedic system.It says"Health is the complete physical,mental and social wellbeing,not merely the absence of desease" Why then that everytime we see an article anywhere the authors comment about modern medicine treating desease and not the person?
The answer is not hard to guess.
The origin of modern medicine is rooted in Ayurveda which was taken out of India and then they worked on the knowledge gained from there.And why not,knowledge should benefit the public,not any individual.
And hence developped the modern system of medicine which was standardised.New knowledge developped due to the continued reaserch carried out by the western scientists which they are doing even now.(to a certain extent scientists from other countries)
I have nothing against any system of medicine so long as it benefits mankind.Unfortunately research in alternate system of medicine is limited to say the least for whatever reason.Then how to decide which system to opt for?
In any ailment the primary concern has to be the proper diagnosis.Unfortunately for this investigations are must.Looking at the patient no physician can rightly diagnose unless it is a minor ailment which will be cured without any help from the physician.On the other hand if it happens to be anything serious, who is to diagnose?
Let us face the facts,right now we have this fecility only in modern medicine.And one has to go for it,whether he likes it or not.After the fact,
who is to interpret the results?Naturally a person qualified in the perticular system and after that has been settled comes the treatment part.
If one decides to go for any other form of treatment he should be certainly given a choice with clear explanation of the consequences should the choice of the patient is not suitable for the desease.But can the patient decide the future course of treatment?I think not.That is where
the primary care physician should intervene.(Regarding primary care physician in next installment.)


Sardar received an sms"Sender is cool,reader is fool"Sardar got angry at the insult and replied "Reader is cool,sender is fool"!!!!!!!!!!!!!


Doctors are human beings just like you and me.They do have family life.They too have private life.They too get tired and hungry.
Most of the patients do not realize this basic fact.Of course they don't need to because they are sick and that is the reason they go to doctors.True.
Once I was eating lunch at a restaurant.An educated man who is a regular of mine joined my table and started showing an infected wound full of pus right there!I am a doctor,no arguing about it but I am a human being too,and I too have sense of hygiene and like to eat in a clean surroundings.He had done the damage.It was a no win situation,protest I am damned keep quiet and the same.I stopped eating and even today if I remember that incident while eating I retch.Please have mercy.
A doctor attends a function like any other man,do not convert the wedding hall into a consulting room.Whenever you have a problem ask him when he will be available.Now that communication is no longer a problem that is the least you can do.
No doubt you pay for his service but remember that you don't own him.
After you think you are well,report your status,for he may continue your treatment for some more days and it is only reasonable that he may want to know what happened with his treatment.
Know his timings. Go well in advance so that he may get out at his appointed hour.It is another matter in emergencies.
I have seen patients coming to me during my lunch hour and claim they were in the vicinity and so dropped in!
If you have a doctor as your neighbor don't go and knock his door at inconvenient times for small problems.Ask him beforehand whether he will see you at home.By going to the house of a doctor except in emergencies puts the doctors' family in danger of catching your disease if it is indeed communicable.I always get mortally afraid when a person with communicable disease comes to my house,especially during examination season as i too have a college going son!
If possible wish your family doctor on important days because he is the last person to come to any one's mind except during an illness.
If you consider your doctor as a human being first,I think he surely will reciprocate and it will be mutually beneficial.
Happy living.

Did U Know

Did you know-
1.That the qintessential tetanus injections routinely administered after injury can not prevent tetanus?
Yes.To prevent tetanus you need to take tetanus antitoxin which is not usually given.The best thing to do is to get immunized against tetanus if you are not already immunized.The routine tetanus toxoid that is administered needs a couple of weeks to start acting and till then it can not protect you against tetanus.
What is the solution?
Get yourselves immunized beforehand(that is the meaning of immunization)
Anybody under 40yrs. should have received primary immunization.After the tetanus toxoid that is given at 15 years one should get it every 5 years.Lack of guidance and enough diligence on your part is the reason for not being immunized.Ask your GP about your status.And do not forget to properly immunize your children.
2.That typhoid can be prevented?
Certainly.An injection every 3 years can do it and it is not as expensive as you think as it would be and far more economical than the treatment.
People living in big cities are prone to get this infection if they do not watch what they eat.And they do not!
Typhoid spreads through contaminated water and so is jaundice.
3.That jaundice can be prevented?
The hepatitis B vaccine can not prevent the commonly seen jaundice because the common jaundice is Hepatitis A! (One must take this vaccine because once it attacks it runs a prolonged course)
3.That chicken pox can be prevented?
A vaccine can prevent chickenpox.
And it can be effectively be treated by an antiviral drug that is easily available.It can be cured in a couple of days if seen by a qualified doctor and detected early.Even some qualified doctors do not use those drugs,because once the patient realizes that he has chickenpox the usual practice is to seek traditional healers who make your life hell by their diet and the duration of treatment.
4.That of herpes is no deadly disease?
Yes,it is indeed caused by a virus that is similar to chickenpox virus! And it can be effectively treated the same way as chickenpox,believe me.There is absolutely no reason to believe the stories that it is is NOT!You need not seek those traditional healers and undergo the torture of their restrictions.The treatment is only for a week or so unless you are late in seeking treatment.
Have a healthy life.


A frog tells sardar"all sardars are fools"
Sardar-we are not fools.
Frog-it is useless to talk to you and jumps into water.
Sardar muses" ees mein suicide karne ki kya baat hai"

weigh option

In India we have advanced technology which is far ahead of it's time.Our educational institutions are world class.Our hospitals have the best facilities.We have very fine automobiles on our roads.But I do not think we are socially ready to adopt all these.We are in no position to integrate this development in our daily life.We lack scientific temper,social courtesy and commitment to our profession.
We should be happy that our hospitals are of world class.But are we really ready for that?I think not.Initially we must set our priorities right.Just because the facility is there it doesn't mean to say we must use it in every single occasion.Of course it may sound insensitive,it is not.
Think of a scenario.A nephew of mine gets hurt in a small accident.I know it is not much.But not our orthopaedic surgeon.He admits the boy in the high tech hospital to administer an antibiotic for the infection which is not there.Then why does he do so?It has nothing to do with medicine but administration.Simply put the concerned person has not fulfilled his quota of admissions and the hospital has not received the revenue it is due to it.The doctor is under pressure!This is technology for you.
We can not blame the hospital for this.The facility requires huge investments with real estate prices being what it is.To establish a hospital is no small job.Having invested millions on buildings and equipment it is only natural that they do deserve revenue.But is this the way?
In this kind of a situation one is forced to do it because the institution has to servive.And it has less people who can afford the cost .The solution is in finding the means to pay the required medical bill.
As a matter of fact in western countries or even in the middle east they have well established social security schemes so that in times of need a person can depend upon getting proper care irrespective of his finance.But here in India we have no such thing but insurance.That every one does not have it is a grave concern.
On one hand we have wonderful technology and on the other the common man can not afford it.It is a dilemma and ultimately a person who can afford the cost is made to pay just because he can. It is time that we started asserting our rights.Just before starting on a procedure in the hospitals we need to make it absolutely sure that the situation needs it.One can go for even a second opinion, through his primary care physician, who certainly will be happy to guide, if informed before taking a decision regarding the procedure.
We need technology but more than that we need discretion.
Any suggestions?

About Me

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Puttur, Karnataka, India
Medical doctor,arrogant,self centred,can be very helping. Concerned about the falling standards in ethics.Advocate discretion in lifestyle instead of regretting after the fact