Thursday, May 22, 2008

Naxalism in India vis a vis Terrorism

The most important fact- one is responsible for his own decisions.
Second important quote- choices have consequences.
Terrorists and naxals have opted for such life, every one in their (same) situation has not become same way, has not followed the same path.
Still I have full sympathy for them. In my opinion naxalism in India has born out of ignorance and inadequacy on part of administration, administrators and facilities in our country. It is due to failure of the well to do people to make people understand that they are the part of the system. Most of the people feel its because of leftist influence, but in fact its just that they are leading the masses, the support which they enjoy is not because of some Marx, its because of our own administrators' and leaders' ignorance who enjoy the facilities sitting in the big towns and cities.
To me an individual actively associated with naxal activity is some one whose life has been lit by the light from the wrong side of the society. That wrong side is Marxism. But responsibility of leaving the dark area in the society is ours. Whatever is the cause.
So in my opinion, we should have full sympathy with them and try to convince them and make them learn the reality of the world.
I think up to some extent same thing employs for terrorism except the fact that most of the time its supported by some or other state/ country which can't do the work on its own so they are firing by using the unofficial army. But in that case when our own people start supporting the enemies, we have to look in to our selves. Though no society in this world is fully clean having 100% social justice and caring for human rights, but we must try to achieve that ideal state. once we try to do that, terrorism loses support in our own citizens, its no more terrorism, its guerrilla war. Its not that simple but I think we can understand like that and try to make better out of the situation.

Tuesday, May 20, 2008

Caste system of India: Devil and Unavoidable

Caste system is the single most important factor in present India. If we see the history of Indian civilization aand compare it with those who have recent human populations, we find it comparatively lesser complicated. India has more than two thousand ethnic groups, and every major religion is represented, as are four major families of languages (Indo-European, Dravidian, Austro-Asiatic and Tibeto-Burman languages) as well as a language isolate (the Nihali language spoken in parts of Maharashtra). Further complexity is lent by the great variation that occurs across this population on social parameters such as income and education. Only the continent of Africa exceeds the linguistic, cultural and genetic diversity of the nation of India. It should be noted that Indo-Aryan, Dravidian, Tibeto-Burman and Austro-Asiatic are mainly linguistic terms and denote speakers of these linguistic groups.

Although 80.5% of the people are Hindus, India, with 13.4% of its population Muslim, is also home to the third-largest Muslim population in the world after Indonesia and Pakistan. India also contains the majority of the world's Zoroastrians, Sikhs and Jains. Other religious groups include Christians (2.3%), Buddhists (0.8%), Jews and Bahá'ís.

There are 216 languages with more than 10,000 native speakers in India. The largest of these is Hindi with some 337 million (the second largest being Bengali with some 207 million). 22 languages are recognized as official languages. In India, there are 1,652 languages and dialects in total.

Hindi dialects 422,048,642 41.03% 336 M

Bengali 83,369,769 8.11% 69.9M

Telugu 74,002,856 7.19% 69.7 M

Marathi 71,936,894 6.99% 68.0 M

Tamil 60,793,814 5.91% 66.0 M

Urdu 51,536,111 5.01% 60.3 M

Gujarati 46,091,617 4.48% 46.1 M

Kannada 37,924,011 3.69% 40.3 M

Malayalam 33,066,392 3.21% 35.7 M

Oriya 33,017,446 3.21% 32.3 M

Punjabi 29,102,477 2.83% 57.1 M

Assamese 13,168,484 1.28% 15.4 M

Bhili/Bhilodi 5,572,308 0.665%

Maithili 12,179,122 1.18%

Santali 6,469,600 0.63%

Gondi 2,124,852 0.253%

Kashmiri 5,527,698 0.54%

Sindhi 2,122,848 0.253%

Nepali 2,076,645 0.248%

Konkani 2,489,015 0.24%

Tulu 1,552,259 0.185%

Dongri 2,282,589 0.22%

Kurukh 1,426,618 0.170%

Meitei (Manipuri) 1,270,216 0.151% 21

Bodo 1,221,881 0.146%

Sanskrit 14,135

The northern Indian languages from the Indo-European family evolved from Old Indo-Aryan such as Sanskrit, by way of the Middle Indo-Aryan Prakrit languages and Apabhramsha of the middle Ages. There is no consensus for a specific time where the modern north Indian languages such as Hindi, Marathi, Punjabi, Sindhi, Bengali and Oriya emerged, but CE 1000 is commonly accepted. Each language had different influences, with Hindi/Urdu and closely related languages being strongly influenced by Persian and Arabic. The South Indian (Dravidian) languages had a history independent of Sanskrit. However in later stages all the Dravidian languages had been heavily influenced by Sanskrit. The major Dravidian languages are Tamil, Telugu, Kannada and Malayalam.

By explaining these, my aim is to stress upon and bring out the complexity cropped up in our social and national life. There has long drawn mixing of races, languages and civilization in this part of the world. The fact is that even after so many centuries (no one knows exactly about the time period) there are adequate signs of existence of all those groups. No one has been devastated/ eliminated. I feel we should be proud of that. But our politicians and few short sighted intellectuals, both for their own mean purposes, try to deepen the furrows and utilize the history for their own purpose. This demographic variation was sought as basis for division of the country on religious grounds. Luckily by our leaders many more divisions have been prevented. Of course our democracy has worked as the basis to mitigate all the problems.

Dear friends, caste system is not only due to the caste system of ancient India which had divided as per the profession in to 4- varnas. There are different “jaat” in each varnas and many more divisions and subdivisions. And after all these divisions the hierarchy keeps maintained at every level starting from varnaas till the sub- sub caste.

Now where is the problem? Problem was in untouchability. The untouchability feature in the caste system is one of the cruelest features of the caste system. It is seen by many as one of the strongest racist phenomenon in the world. This one factor we as Indians, as Hindus are trying to overcome. But few people have started taking benefit of their birth in those communities. When the social stigma attached was going to die, they want to keep the memories alive so that they can take benefit out of it in socio- political terms.

There can be everlasting discussion about these things. The fact is that caste system if untouchability excluded, was the result of evolution and civilization. Cruelty associated if we leave the untouchability factor, has never been different from the usual contemporary behaviour anywhere in this world.

In my opinion this caste system is like self made social and political cocoon of India and Indians. I request every one to forget this caste muddle and to come out of it and come forward to live and enjoy the world as a free individual.

Monday, May 19, 2008

My prescription for happiness: From Rajnish to Baba Ramdeo, all inclusive!

In olden days life was easy. Most of the people used to live managing their day today concern and if that is accomplished, forget themselves in the feet of god! Probably they did not even know a word called happiness which could have been imagined separate from life!
With increasing mechanistion and division of labor which means increasing civilization, people became busier and life more complicated. Something was missing in this fray. They looked around and found that it could be named as happiness! But they were not clear how it comes, how it looks like . . .. all they knew that it is essential component of life. People became confused about the meaning of “happiness”. And the confusion continues. Many people have tried to understand the reason of loss of “comfort”, “happiness” even in presence of all physical amenities for the same. Every one claims that his idea is the best.But to me it appears like description of an elephant by the seven blinds! From sex to saints to karma yoga every thing has been tried and spoken about. Then which one is correct? Or at least which one is the best?
As a physician I have analysed the usefulness of all of these different methods of achieving happiness. In my opinion, every claim is only partly correct! As good as the description of the elephant by the seven blinds. What matters is customization of the therapy for different person/ patient to me!
Starting from happiness through sex and celebration given by Rajnish, to yoga - sadhana which seems to have reincarcinated with different computer babas like Ramdeo, all has its own limited but important role in human life. Its dose, period and mode of delivery need to be decided properly. Every method has to be used precisely in a particular person depending upon his merit. I have mastered this complicated issue; please contact me for free help if you need.

Why our politicians play cheap ………………politics . . . …………

Because they are running out of ideas which can bring better life to our citizens. Every one in the history of India who played a major role starting from lord Rama, lord Krishna, chanakya and chandragupta, Akbar, Gandhi and Ambedakar . . . . had original ideas and they were the best for that time. Even later people like Nehru, Indira and Rajiv had some original vision for the country which was reasonably good for the country and the world. At present our politicians are mentally bankrupt. So, they are trying to use the names of the past heroes to protect their own bread. It is applicable to every politician without exceptions (except me).

They also find that the people are running for the shortcuts. People want quick fixes. No one is ready to wait. People go by caste, religion, region, language and still lower subdivisions found day by day which was never heard of earlier . . . . . . Our leaders are no more people with noble ideas and solutions of the problem. They no more show the ways! They have become the followers of their supporters. If the supporters say jai sri ram! Jai sri ram becomes their election slogan! Up to some extent even this is fine. But if a leader can’t see the dangers or the falsies of the popular feelings, he doesn’t deserve to be called so. And not only that, he should show the way out of it which should be better and acceptable . . . . . . hope we will get one such leader soon . . .. . . or else wait for me.

Saturday, May 17, 2008

Kashmir and India

People say Kashmir as paradise on earth. They also say it as the diamond in the Indian crown. For last 60 years it has been the flash point between India and Pakistan. So many invasions have taken place from the Pakistani side since independence. Similar number of agreements also have been done from both the sides. Except the long haul of around 17- 18 years after Shimla agreement, the reason has been regularly under trouble. After 1989 general elections, as the trouble in Punjab was almost over and a weak political group was in power in Delhi, Kashmir was painted with blood through a new style of proxy war called terrorism! Since then it is not getting controlled mainly because we don't have visionary leader anywhere in this reason at present. The present leaders are just mediocre business man type! If any one of Gandhi, Nehru or Indira type would have been alive, the death dance would have been stopped long ago!
Going to the little bit of history, this blood bath is the result of the same hatred campaign started by Britishers which resulted in separation of Pakistan. At that time few states were in confusion over their inclusion. It included Kashmir (king Hari Singh), Hyderabad (Nizam) and Junagarh (Sir Shahnawaz- father of zulfikar ali bhutto). Indian leaders tactfully (!) or by their laziness waited for the opportune time for intervention. In kashmir it was when Pakistan supported militia invaded. After invitation from the king the militia was stopped and Kashmir was integrated with Indian nation with special status which still continues. Fight to get the area under control of Pakistan army (the militia were non but undressed Pakistan army) was continued till Nehru requested UN intervention which called for peace and election by the Kashmiris to decide for their choice of nation- whether they want to be with Pakistan or with India. At that time Pakistan did not want that to happen being aware of the consequences as the people of Kashmir were annoyed with the Pakistani invasion. As his simplistic character, Nehru couldn't see the future. And the result is everlasting pain to every one concerned.
Here I must mention the role of Abdullas in Kashmir. Sheikh Abdulla who started his political carrier from struggle against feudalism under the banner of his party called muslim conference, found friend in Nehru and went ahead with changing the name of his party to National Conference and participated in Indian Independence. He was the first prime minister of the Jammu and Kashmir. After death of Nehru, he was jailed and later exiled. later in 1974 he had compromise with Indira Gandhi and became the chief minister of the state till his death. After his death his son Mr. Farooq Abdulla became the chief minister. His grand son Mr. Omar abdulla has been the foreign minister for state in the BJP led NDA government. I remember Mr. Farooq Abdulla ststing- " Kashmir is the need for secular India as it is the only example where a muslim dominated state is part of India." Recently Omar Abdulla has aired his concern about the migration of Kashmiri pandits in no uncertain terms. In my opinion, Abdullas have been clear about their roles and in present India they are one of the few really secular leaders.
At present Kashmir is one of the most unsafe places in this world. Future depends on the policy makers of India, mass of Kashmir and the leaders of the region. Altogether the paradise of this world is in uncertain depth of problems where only time will bring it out from.

Pakistan and India

Division of India in to India and Pakistan is the sad reality without which the world scenario would have been different. First of all the unaccountable monetary and human loss would not have happened. The great Indian nation would have been strong enough to silent any enemy including China.
It was the result of a planned hatred campaign. The seeds of this hatred was sown by the leaving Britishers. Added by the selfish and impatient attitude of few leaders, this hatred campaign resulted in bifurcation of this country.
Problem now is not that we are two different countries, problem is that still we are not at ease. We (both Pakistanis and Indians) are yet to recover from that hatred campaign. The fact is that hatred campaign/ other forms of attack on India comes like life saver to the rulers of Pakistan now and then. At the same time inefficient, irresponsible, selfish, liar and coward politicians/ administrators of India use blaming Pakistan and its ISI as safe corridor to come out of any difficult situation.
But among all this there are few good things on both sides. Specially when there are democratically elected governments in power in Pakistan, relations are better. Though Pakistani text books teach hate to the young Pakistanis which Indian text books don't, there have been many national friends in both the countries towards the other side. From Pakistan to name few from beginning- Khan Abdul Gaffar Khan, Mulkraj Anand, Bhuttos, Nusrat Fatah Ali Khan and so many; really i don't know most of their names. People on both the sides behave in a friendly manner. That is the biggest hope for future.
What we on either side of the border have to understand that unity and co- operation is the need as we are neighbors and together we can do a lot. The mistrust is un- treatable only between the governments, with masses all that needs is shaking hands with each other and all the confusions will be over. No one wants to un- do 1947, but every one wants peace which is necessary for development. There are few people who feel that they can cheat the other one, and I have only one sentence for them; "future will not forgive you as you ugly design is not going to remain hidden for ever".

Wednesday, May 14, 2008

terrorist attacks in India

friends,
after life few people every politician gets a mood to move his tongue. nothing else. but even that reflects their blood. who ever talks, it sounds more political than the real concern or plan. i say after 60 years of independence and so much of revolution in communication, our demography which can suit any group in this world, how come our security personnels (including the intelligence agency and mainly i mean them only)remain clue less! what government plans for that? thats the real concern. those who are dead will never com back- at least learn from them- but we don't feel like learning. its because the politicians are thick skinned people. they don't bother about the masses. they don't feel the pain of others. Thats why we get attacked like this.
Dr. Manish Kumar

Monday, May 12, 2008

communication with a patient's father

Patient's father


Tonic- Clonic Seizures

My 8-month old son has a tonic-clonic seizures attacking almost everyday (averaging 20 shouts per day). He is not able to raise his head. Is this curable? Until when my son will suffer?

We spent too much for his treatment, but to no avail.

Manish (myself) -

fits in child hood

Please get an EEG done and preferably an MRI as well. If u can't afford MRI please get at least CT scan of brain done.
Fits in child hood if associated with fever alone is nothing to worry or else we should not ignore it.
Waiting for ur reply-
Dr. Manish Kumar

Patient's father


Thanks Dr. Manish

My baby undergo the following:
1. New-born Screening : Normal
2. EEG : Tonic-Clonic Seizures
3. CT Scan : Normal
4. MRI is scheduled few months

Dr. Manish, let me make it clearer as to what really the case of my baby all about for your further analysis:

1. Both families (mine and my wife's) doesn't have any history of Epilepsy or the like.
2. This happen 5 days after they left in the Hospital (he was about 12 days old).
3. New born screen test says "Negative" to any disease.
4. 2 weeks after the incident, we consult a doctor (pedia-neuro)
5. My baby undergo EEG...and the diagnose was "Tonic-Clonic Seizures"
6. The said doctor, was the only pedia-neuro doctor in our province/island.
7. We take second opinion from other pedia-neuro doctor across the sea.
8. The advise was the same, so we decided to stick on our doctor to avoid extra expenses.
9. Presently, he is taking these medicines:
- Topamax (Topiramate)
- Rivic Acid (Anti-Convulsant)
- Otril
- Macrobeetlysine Syrup
- Depakine Syrup
10. We are visiting the said doctor every month or twice a month depending on the attacks.
11. There is a development (i.e attacks occurs less frequent)

My concern no is: Can my baby has a chance to live a normal life (even attacks occur) since until now, he can not raise his head, he don't know how to swallow foods/milk, he moves rarely when he is awake (but his eyes transfer from one place to another faster than normal). We are also wondering why when he is asleep, he seems to be normal : He is stretching his body and laughs (both he can't do when awake).

Correction

Result for EEG : Multi focal Sharps

Manish (myself) -


going further

EEG has made it clear that ur baby needs treatment. MRI will put the final nail. few conditions can be corrected surgically and baby will be free from medications. but i think instead of firing in air we should wait for MRI pictures. MRI should be done with EPILEPSY PROTOCOL or else it will not be useful. please send me pics, comment by radiologist doesn't satisfy neurosurgeons like me.
please keep in touch anyway.
Dr. Manish Kumar

Patient's father

EEG reading is abnormal due to the presence of rare multi focal sharps from both temporo-occipital areas and fronto-central areas.
There is no MRI in our area at present.

Manish kumar wrote:
hello, medications are ok. u may need to increase the dose if seizure reccurs. sorry i did not know that philipines doesn't have MRI! in india we have one on every corner! well thats not "the" investigation. If its there its better (JUST TO SATISFY HIM). Most of the gross anatomical abnormalities can be seen by CT. But if u don't have MRI till date means u don't have neurosurgeon who can use it for epilepsy surgery minimum for next 10 years. That leaves u with no choice but to continue the medications. I hope and wish ur baby comes around.
thanks
Dr. Manish

Patient's father

wrote:

Dr. Manish,
In the Philippines, MRI is also available. What I mean is, in our province/Island it will be available by mid of this year. Have to check if there's any neorusurgeon in our province (24hrs ship travel to manila). Since we don't have much resources for now, me & my wife decided to wait until june, hopefully. Dr. Manish, is my baby's disease curable? or shall he suffer for the rest of his life?

Manish Kumar wrote:
hello,
first of all sorry for my earlier observation about MRI. If MRI shows any surgicaly excisable lesion, probably we can make the baby free of medications. If no, then it remains a matter of chance- if the baby remains seizure free with the present medications for 3 years- under medical supervision- you can reduce the medications and wishfully it can be stoped one day.
I mean to say, it might be a curable disease. Lets wait for the MRI/ control of seizures.
Dr. Manish

Patient's father


Thank you Dr. Manish, you gave us Hope! We will wait for the MRI result and will forward the same to you..Thank you really...May God Bless you and your Family.

communication with a patient

patient-


i have seizure probs


hello doc...

i get frequent seizures n lose control over my body very quickly...
during these spells i get very confused at whats going around me n stare at one thing (anything) continuously...without realizing whats happening around me...
after and before these spells i get terrible headaches when my brain keeps pounding...n it gets out of control n pains terribly..
i have been admitted in the hospital once...but the docs havnt diagnosed the prob...
they say its more psychiatric problem than neuro,,,


Manish (myself) -

????? seizures

your condition may not be exactly seizure but if you are sure of your unhealthy status (that u r sick and u don't creat scene . . . . . . .and this is easy to decide here as i hope no one else is watching) you can take Carbamazepine (shop keeper will call it as it "tegtrital) 200 mili gram two times. Its not a harmful medicine any way. I think i can help you more if talk to me on my mobile- 09840267857.
Dr. Manish Kumar


patient-

btw...i forgot to mention...
i had suffered from a brain hemorrhage...n from my CT scan docs say i have swelling...
n they also kept me on Clonazepam 0.5 MG (x3/day) and Carbamazepine 200MG (1/2 tablet every evening)

Manish (myself) -

???????????????

r u joking with me? Any way but i am serious. Please give me full detail for proper advice.






communication with a patient's son

Patient's Son- m from mumbai India
4 month back my dad had an heart attack, doc told us that was severe heart attack,
and if we want to save his life, he need to go for angiography and angioplasty. After angioplasty and angiography he was on ventilator for 15-20 days, but he is still unconscious, when we asked doc what is the reason he told us his brain tissue is dead because of heart attack!
Now he is not able to understand anything. He is now on liquid diet. For his breathing problem doc inserted one pipe in his throat through small operation. He can't speak, not able to respond,
but some time he smiles, some time tears come from his eyes,
he can move his hand and feet, doc told me this is the condition for rest of his life.
Can anyone guide me any other treatment which we can try at least my father can understand and respond to us.

Manish (myself) -

hard luck

Friend, it is sad to say but ur father is in bad health and as other people have told, there is nothing much which can be done for him. Exercise and keep trying to talk to him even if he doesn't reply- he can understand - tell him the good things (human attitude- he can understand- if feels bad- can't do anything). And pray to god. In rare conditions few improvements may come till 2nd year. Rare- very rare- need luck- pray god.
Dr. Manish Kumar

Patient's Son- thanks for ur reply bur we are surprised. He went in to the hospital walking . . .how can it happen all of a sudden?

Manish (myself) -

your curiosity is valid. its because brain is such a tender organ, it can't tolerate a reduction in the blood supply by more than 50% for more than few minutes. if the cut in the blood supply is total brain will die within 3 minutes. and thats the limit of human interference. we have just that much time to act within.
Patient's Son- thank you very much sir for reply,
It helped me to understand the condition of my father,
we should hope for the best, god is great he'll help us in some way. Sir i had noticed while my father was on ventilator they gave him sleeping injection twice a day, does this cause any serious problem? One of my friend told me, too much of sleeping dose will create problem.


Manish: (myself) -

To keep patient on ventilator sleeping medication is essential- dosage doctors take care. More over i will tell you to imagine two different situation- you are on the back seat of a car and feel that the driver is driving badly and may land you in trouble- you may take over from the driver! But if you are traveling in a flight, even if you are a trained pilot, you can't take over the plain in other than exceptional condition. So? You enjoy the travel! In case of hospital and doctors the second condition employs. I can't treat even my father if he is not admitted in my care. Then how can you interfere? you just leave the job to those who are doing it. Trust them and pray god to show them the right path.