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Lifestyle diseases like diabetes and hypertension have a tendency to quietly enter the house of our physical bodies, much like unbidden and unwelcome guests. In most of the cases, repeated attempts to entice these to depart and scour around for some greener pastures are unsuccessful. After the first stage of shock and denial has passed, a state of active acceptance comes about. The basic principle of a peaceful coexistence eventually gets followed.

Diabetes is labelled as a silent killer. This unwelcome guest has a tendency to enfeeble almost all the organs of the body. Its special affection gets directed towards ones which are already in a state of disrepair. These could be our heart, eyes, kidneys, feet or any other organ or limb which catches its fancy. Nerve endings get compromised. Initially, some tingling sensations may be there, more bothersome at night. Over time, sensations may be lost completely, leading to problems which do not even get felt.

Excessive thirst and frequent urination are the well-known symptoms of diabetes. These could easily get ignored and we could chug along in our lives, blissfully ignorant of the arrival of this unbidden guest amidst us. With urine, the body also ends up ejecting some minerals. The disease leaves one feeling tired and exhausted.

The alpha and beta of diabetes

At the core of this affliction is an organ known as the pancreas. Due to genetic reasons or owing to prolonged abuse, there are times when it refuses to behave like an alpha male. It ceases to run on all its twelve cylinders. It does not produce enough insulin, the hormone which controls blood sugar levels in the body.

The beta cells in our pancreas not only produce insulin but also govern the sugar level fluctuations in the body. So, the higher the level of blood sugar, the higher is the fluctuation of sugar levels in general. The fact that South Asian genes happen to be more susceptible to attracting this disease does not really comfort someone who is actually suffering from diabetes.

There are those in whose case the cells that produce insulin are selectively lost. They would qualify to be suffering from Type 1 diabetes.

The body surely needs sugar to keep active and kicking. But when the sugar intake is more than what it can handle, insulin production lags behind its demand. The pancreas is unable to keep pace. Those whose pancreas has started losing its efficacy over a period of time get categorized as having Type 2 diabetes. Often, obesity rules. The battle of the bulge gets lost. Pear pressure kicks in.

Then there is a portion of humanity which shows signs of an imminent onset of diabetes. These could be called pre-diabetics. Surely, there is some hope for them, provided they adopt an active lifestyle, change their diet pattern, and do not allow diabetes to walk in.

The delicately nurtured amongst our species, when they happen to be in the family way, face the risk of gestational diabetes.  Though it is a temporary condition, they end up having a higher predisposition towards Type 2 diabetes.

Sharing some key observations

Yours truly is neither a physician nor a person even remotely connected with the field of medicine. Nevertheless, here is a summary of what one has learnt so far. Some of you might find these of use. These observations pertain to Type 2 diabetes.

Blood sugar levels are a function of the following major factors:

  • Stress: The higher the stress levels, the higher the blood sugar levels. A prolonged challenging situation – whether on the home front or on the office front – could reduce the immunity levels of the body and increase the sugar levels.

Laughing things off helps, so does the company of those who exude positivity. Building up inner resilience reduces the impact of external circumstances, and thereby helps in controlling sugar levels better.

  • Physical activity is a basic factor. Be a couch potato or a chair tiger and repent at leisure. Regular brisk walks and light exercises help. But these produce results only after about six weeks, by which time the body forms a habit and starts demanding its daily dose of whatever physical regime you decide to follow.

Pottering about in the garden or in the kitchen and doing household chores provides some protection. Climbing up stairs and not using an elevator helps. Living life with lesser dependence on your favourite Ferrari helps.

But nothing to beat the efficacy of either cycling or a brisk walk, which is closer to the way a soldier would typically walk. Sweating it out is a key factor. It also helps with heart-related issues.

Much like a tube light needs an initial surge of additional power to get going, the body also needs an initial impetus of will power to walk the first 500 meters. Thereafter, once it has warmed up, a brisk walk often sounds more like a cake walk.

  • Medication cannot be taken lightly. It needs to be taken regularly, on time. This implies that meals required to keep the body and soul together also need to be taken on time, day after day.

Oral medication is convenient. At times, if it is unable to bring blood sugar levels within control (fasting values in the range of 70-100 and other values being in the range of 120-200), the physician may prescribe insulin injections.

Insulin has a singular advantage of the necessary hormone reaching the blood stream directly. But the flip side of using insulin, or any other anti-diabetic agent, is the risk of blood sugar dropping down to such dangerous levels as 60 or below. Symptoms could be tiredness, giddiness, excess sweating, palpitation and even coma and other          complications. This could even prove to be fatal.

To avoid such complications, a bar of chocolate, some dry fruits and biscuits should always be kept handy. Sugar cubes could also help. A glucometer needs to be used to immediately check the blood sugar levels and the incident reported to one’s doctor.

  • Diet is a crucial factor in managing diabetes. Our scriptures often extol the virtues of leading the life of an ascetic or a monk. Diabetes propels us towards such lofty goals in life. Controlling our taste buds is a serious challenge and needs nerves of chilled steel. When a piping hot junk food item like a ‘samosa’ comes up in front of us, or when a ‘rasgulla’ gets lovingly offered by an otherwise well-meaning friend, the deep reserves of our tenacity have to be marshalled to refuse these and instead pick on a green salad.

Even fruits like mangoes and bananas are harmless, if taken in moderation and if in the absence of any other item on our plate.

Some tests and parameters

  • Regular checks on blood sugar levels (fasting as well as postprandial, PP) are highly recommended.

For fasting level to be correctly ascertained, during the previous night, except for plain water, nothing else should be consumed after 10 PM. Medicines to be taken after the test. Normal breakfast can be had after about 30 minutes.

For PP, a reading would need to be taken two hours after breakfast, with nothing else being consumed in the meanwhile. Any deviation from this procedure can be brought to the notice of one’s physician.

  • Once in six months, our physician may recommend a test known as HbA1C. This one tells us the weighted average of our sugar levels over a period of the past three months, thereby indicating the extent of control we have exercised over ourselves during that period. A value below 7 would normally indicate a fair amount of control, though the exact value is best decided between the doctor and the patient.
  • Frequent eye and feet check-ups are necessary. Once in a year, functioning of the kidney needs to be reviewed by means of appropriate tests.

When prolonged tension leads to hypertension

Yet another lifestyle disease which creeps up on one is that of high blood pressure. If left unattended, this could result in the hardening of arteries, cardiac problems and an increase in one’s intraocular pressure in the eyes. Keeping this on a strict watch is in some ways even more crucial than regular monitoring of blood sugar levels.

Of doctors and miracle cures

The role of a doctor in managing diabetes is more akin to that of a guide. The hapless physician has no clue as to what our daily meals comprise and the amount of liquors and desserts we gobble up at social events.

Often, we may come across miracle cures made by those who are proficient in alternative streams of medicine, claiming to get us rid of diabetes in a short period of time. If followed, these could achieve good results in the short run, but could do more harm to the body in the long run. The reason is simple – these are not sustainable. In a controlled environment, these cures could really work. But when we are back in the civilization, living our routine lives and facing all the harsh slings and arrows of Fate, the short-term benefits could simply evaporate. However, there is a general belief that some medicines from alternative streams do work as supplements, somewhat nullifying the side effects of allopathic medicines.

A helping hand from the government  

One has no statistical evidence, but there is no doubt that those suffering from this lifestyle disease do end up suppressing the economic growth of the country they inhabit.

Revenue-hungry governments world over could think of imposing a hefty ‘sin tax’ on all things sweet. Tax breaks can be offered to those who suffer from a lifestyle disease. The delivery of public health services can be strengthened.

The civic authorities would do well to ensure that there are adequate provisions for bicycle tracks and for taking brisk walks in open spaces for its denizens. Public transporters could pitch in by ensuring availability of diabetic diets to those who might be in need of the same.

The trick of managing a lifestyle disease

The real control of diabetes and other lifestyle diseases rests in our own hands. Guided by a competent physician, management of these is no rocket science.

Basically, the trick lies in holding our chin up, looking ahead to a joyful life with clear eyes, and marching on with our lives, wearing this affliction as a badge of honour on our sleeves, aspiring to evolve spiritually, with nary a wrinkle on our forehead.

Bertie Wooster and Jeeves would heartily approve of a sunny disposition of this nature. So would Ashe Marson of the ‘Something Fresh’ fame.

(Inputs from Dr B S Suryanarayana, Additional Professor, Department of Medicine, JIPMER, Pondicherry, are gratefully acknowledged)

(Illustrations courtesy www)

(Related Posts:

https://ashokbhatia.wordpress.com/2013/05/05/o-my-beloved-when-would-you-depart

https://ashokbhatia.wordpress.com/2013/08/04/getting-india-in-the-pink-of-health

https://ashokbhatia.wordpress.com/2014/10/06/handling-the-diabetes-tsunami-in-india

https://ashokbhatia.wordpress.com/2015/07/01/how-diabetes-helps-us-to-improve-our-sq)

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Just in case you ever feel that you have evolved into a headless chicken and have ended becoming a zombie chasing deadlines and goals with not even time to breathe, try coming over to Pondicherry.

For many of us, our lives are so much filled with stimuli, not to speak of the onerous responsibilities we carry on our slender shoulders. It is not possible for us to sit still and do nothing, much less relax, even for a few minutes. We have no time for meditation. Nor do we have time for some simple yoga exercises. We are always doing something or the other. How proud we feel in telling someone that we do not have time for this or that. Our fragile ego gets a much-needed boost. In place of being ‘human beings’, we have become ‘human doings’.

Often, relatives from distant parts of the world call up to check as to what they can do if and when they land up in Pondicherry. When they are told that the beauty of Pondicherry lies in the fact that they have the option of doing nothing here, one can either hear an astonished gasp or just suffer a long silence over the phone.

There are times when life becomes too exciting and one yearns to get a wee bit bored. The good news is that a brief spell of boredom does lead to a feeling of inner peace. And once we get used to it, with little practice, we could learn to really relax. Then we start enjoying our chance to have a real conversation with ourselves. We ask ourselves where our lives are really headed. We wonder as to what our goal in life is, and whether we are really working towards that or have we got trapped in the quicksand of our materialistic ambitions. The payback is tremendous.

Most of the times, our anxiety and inner struggle happen to be a product of a restless mind which is forever looking for some diversion, as if it is afraid to allow us to be calm and be with ourselves.

While rushing to office, we are wondering if we shall make it for that crucial meeting on time. When we enter the conference room, we are anxious as to which colleagues would be puncturing holes in our image by raising some obnoxious concerns. At lunch time, we shall be worrying about the maid who might be stealing something from the bedroom cupboard at home. Every ten minutes, we shall check our messages or mails, just in case that critical one we had sent to the big boss the other day has elicited any response.

By evening, we are a bundle of frayed nerves. Upon reaching home, we shove some morsels down the hatch so as to keep our body and soul together. Some phone calls get made. Then we slouch in front of the idiot box and try to improve our track record of being a couch potato. The day ends. The next one begins. The cycle gets repeated ad nauseam. We end up becoming a zombie.

You can be said to have attained the exalted state of zombie-ness when you go through the motions of life in a lifeless manner; when you have surrendered your free will to your guardian angels, who have been allowed to take decisions for and on your behalf; and, when instructions received from the boss during your working hours make you spend sleepless nights in the comfort of your bed.

The beauty of doing nothing is that it teaches us to clear our mind and relax. When the mind is rested and stilled, it becomes sharper and stronger. It becomes more focused. Creative juices start flowing freely.

The art of nothingness does not make sense logically. But when practised, it propels us on the path of spirituality. The resulting bliss is something to be personally experienced.

Let all this not scare you off. Pondicherry has a lot on offer – sea breeze, exotic food, tissue restoratives which lift your spirits temporarily, cultural events, book launches, off-beat movies, dance classes, horse riding, scuba diving, heritage walks…….the list goes on. But if you simply wish to give your life a break, it is the place you would do well to head to!

 

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When Kalidasa speaks of Summer in Ritusamhara, he not only talks of the hot and dusty earth but also of the comfort of fountains and lily ponds, the moonlit nights spent either on cold slabs of marble or on terraces, the expectations of a good monsoon soon to follow and the affairs of the heart. He touches upon the manner in which lovers prepare for courtship in this harsh season. The use of fragrant flowers and sandal paste gets mentioned. The mention of soft sounds of the anklets worn by lissome damsels fires up one’s imagination.

The poet might as well have alluded to the kind of summer that Pondicherry offers. Howsoever oppressive the heat may feel during the first half of the day, late afternoon onwards, a cool breeze starts blowing in from the sea-side. The trees start swaying with gay abandon. The lily ponds can be forgotten. As the sun starts packing up its bags for a night’s well earned rest and repose, denizens rush to the promenade and enjoy a leisurely stroll thereat.

If the tender coconuts on offer provide succour to a hapless traveller by the day, small garlands made up of fragrant jasmine flowers provide a welcome relief during the evening hours. One’s olfactory senses kick in. The soul drives solace. The colour of either the skin or the hair, which wears such a garland and boasts of such a treat to one’s senses, no longer matters. The mere thought of a leisurely stroll which comes with the perks of an intoxicating aroma wafting in frequently lifts one’s soggy spirits no end.

Vendors peddling frozen desserts and ice creams of all sizes and shapes laugh all the way to their respective banks. Those dishing out fruit juices and smoothies also do brisk business. Owners of outdoor cafes miss their normal rush of customers, who prefer to pop up instead at restaurants which offer air-conditioned comfort. Hotels boasting of swimming pools are hard pressed to accommodate guests who would like to take the plunge. Boutiques which offer organically made perfumes often run out of supplies. Those selling cotton garments never complain of any slackness in their business.

Like the poet envisages, cool rays of moonlight provide great comfort late in the evenings. Just lying on one’s terrace and looking up at the moon makes one forget the harshness of the hot and humid days. The sheer expanse of twinkling stars leaves one invigorated. The skies are invariably clear and one can easily see distant constellations.

The reasons for Pondicherry being attractive during summers are not hard to find. The place is small in size and one does not waste much time commuting from one place to the next. Even though it offers metropolitan comforts, it is not a concrete jungle. Mother Nature still holds sway. Environment is clean. People are friendly and cool.

An early morning dip in the sea perks one up no end. So do boat rides, surf riding and scuba diving. The crowds are lesser, making it a good time to enjoy a peaceful vacation in this little town. With lesser number of people swarming at the beaches, one can enjoy one’s private space at most public places.

As someone who has lived in Pondicherry for over two decades, one finds that the summers were almost 2 degrees cooler in the past than what one finds these days. My favourite spot is a neem tree in the backyard of my house, where I can devour a Blandings story dished out by P G Wodehouse, with a kettle full of green tea by my side, duly accompanied by some cookies.

I am sure you have perfected your own methods of enjoying the summer in Pondicherry. Feel free to share your ideas with me!

(Images courtesy www)

(A version of this appears here: https://www.pondylive.com/simple-pleasures-of-a-pondicherry-summer-starry-nights-sea-breeze-sweat-and-surf)

 

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In our lives, UBS played the role of a dynamic and bustling airport,
From which we soared in life´s azure skies, enjoying our flights of high
import;
Some took to exploring various corners of our Mother Earth,
Of CEOs, diplomats, businessmen and bankers amongst us there is no dearth.

While in UBS’ hallowed portals, we enjoyed bunking classes,
The brainy ones worked on assignments which were copied by the masses;
Cornering important books from the Central Library was a critical vocation,
For poking fun at our faculty, Student Centre was the prime location.

OB theories and riddles of Sales Forecasting kept us on our toes,
Figuring out Quantitative Techniques made us feel abysmal lows;
Twiddling our thumbs to read between the lines of a Balance Sheet,
Devouring the works of Philip Kotler was much up our street.

Weekend treks to Kasauli and Morni Hills were favourite gigs,
Midnight gorging on…

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Those who happen to be offering medical succour in the private mode at Pondicherry are always a delighted lot. The city and its environs enable a steady supply of patients to them at all times of the year.

Absence of adequate parks and public spaces discourages long brisk walks. Ready availability of tissue restoratives of an alcoholic nature further compounds the problem. Pleasures of the table often override other considerations.

An early onset of diabetes sets in, leaving the few cardiac specialists, endocrinologists and diabetologists in the pink of financial health. Those practicing general medicine and dentistry can be found twiddling their thumbs, trying to manage the crowds of eager patients rushing to their doorsteps. Ophthalmologists, nephrologists and urologists also have no reason to complain of any slackness in business.

Couples in the reproductive age group do not shy away from their bounden duty to keep the species of Homo sapiens alive and kicking. This explains the overflowing waiting rooms in the clinics of those who specialize in obstetrics and gynaecology. It follows that practicing pediatricians are never short of customers willing to top up their coffers.

The wide range of cuisine that is on offer is exotic indeed. Owners of eateries, roadside stalls and lavishly furnished dining halls of jazzy restaurants and hotels can be found laughing all the way to their banks. But Pondicherry’s gifts to our gastric juices also end up enriching another tribe – that of gastroenterologists.

The municipal authorities ensure that pavements in key shopping areas of Pondicherry either remain cluttered with start-ups of all kinds peddling their wares or are in a perennial state of disrepair. The primary benefit of these uneven pavements reaches the limited number of orthopedic doctors and clinics in the town.

Add to this the singular reluctance of two-wheeler drivers to wear helmets, and one realizes why the hapless neurosurgeons also wear a constipated look and have dark circles below their eyes most of the times.

The per capita availability of educational seats and the corresponding jobs available to the youth of Pondicherry continue to be inversely related. Frustration builds up early. Understandably, the place gets labeled as the suicide capital of India. But practicing psychiatrists could be seen pulling their own hair out in their tax consultant’s offices year after year, trying to minimize their tax payouts.

Trying to make a career choice these days? Consider the option of becoming a doctor and setting up shop in Pondicherry. You shall be handsomely rewarded.

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Pondicherry offers spiritual spots where you can meditate,

Also, watering holes which make your spirits levitate;

Pondicherry beckons you several times in a year,

So you may know something about wines and beer;

 

A unique bliss, a strong kick, soaring high,

Once you relish some Scotch and rye;

In a metro, as a hassled techie, you face a lot of strife,

Here, a whiskey and soda may restore your belief in life;

 

Problems on the job could have given you the blues,

Some tissue restoratives down the hatch may offer some clues;

A recent break up could have dampened your spirits,

A spirit-soaked sojourn may help to forget the nasty bits;

 

A lime daiquiri could help you to celebrate a success better,

Unless your credit card is blocked, says your bank’s letter;

Peaceful and responsible boozers this city does not mind,

Sozzling up guests running away from their daily grind;

 

Your sorrows in vodka and champagne you may drown,

But speeding on the beach road attracts a policeman’s frown;

Mixing driving with drinking is surely a sin,

Cruise along without the aid of any rum and gin;

 

If you misbehave with females post your spirited binge,

Hearing of unpleasant consequences may make you cringe;

If the idea is to discover that a Margarita is not a wine,

There is not much fun in attracting a fine;

 

Creating a public nuisance is just not done,

Unless you want others to think you had many more than one;

Sleepy bovines lumbering along on streets may not utter a cry,

But they follow Gandhian ideas and are strictly dry;

 

Dogs chasing you may sound pickled in rum,

But sinless they live, expecting you to keep mum;

Cats crossing your way may look drowsy with a martini,

They might just neglect you, treating you like a genie;

 

Even if you come over with a juicy idea of simply doing nothing,

Lazing about after a couple of shots could be just your thing.

 

Forget your troubles, wipe away those tears,

When you come to Pondicherry, just say ‘Cheers’!

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Pondicherry has a unique charm for people of different hues, sizes, shapes, ethnicity and faiths. Some drive down with the singular purpose of unwinding and experiencing a spirit-ed upliftment of sorts. But many others pop up over a weekend, merely to soak in its spiritual ambience. Some hang around a wee bit longer, so as to be able to experience its spiritual vibrations. Many others keep coming back and even decide to settle in the city or its surroundings.

Spirituality and religion form an integral part of the allure of Pondicherry. Other than many spiritual hotspots and historic temples which it can justifiably boast of, the place is a spring-board of sorts for many places which would please a spiritual seeker as well as a religious devotee.

Of Spiritual Enlightenment

Besides meditating at either the Shri Aurobindo Ashram or the Matri Mandir, one can experience a heady spiritual upliftment merely by sitting quietly at a secluded place on the beach; being in communion with Mother Nature, aptly represented by the greenish blue waters of the Bay of Bengal.

Seeing the relentless rolling in of waves, deeply inhaling the salty air, pouring out one’s heart to the endless sea, watching the sun or the moon rise, following the movements of seagulls flying by – all these help one to attain a state of inner calm. Batteries get charged up. One can get back to one’s materialistic pursuits with a renewed vigour.

A dynamic awakening

But spiritual awakening comes about not only by adopting a static practice like meditation. It also has a dynamic dimension, which manifests itself through the mundane experiences of life.

Consider the unique experience of driving on the Pondicherry roads. It teaches one the virtues of Humility and Courage. When a millennial on his racing bike overtakes one from the left, one’s Receptivity improves. Bovines squatting on the roads quietly assert their democratic rights over whatever little road space is on offer, thereby teaching one the value of Equality. When a bus driver who believes he is driving an auto rickshaw instead suddenly honks from the side, a sense of Generosity coupled with the fear of life and limb helps one to offer him a right of way. The auto driver who delves unduly deep into the pockets of a lay visitor to Pondicherry also imparts a valuable instruction in Generosity.

Finding a parking space on the main thoroughfares needs loads of Perseverance. Upon a hapless pedestrian avoiding being run over by a speeding car, a sense of Gratitude towards the Divine descends. Sincerity of purpose is required while crossing a narrow road where two wheelers use a two-way as a four-way lane. When a traffic cop endowed with a stiff-upper-lip takes a lenient view of one’s inadvertent adventures on the road, vibrations of Goodness can be felt. When one has battled through the streets and reached one’s abode safely, a sense of Peace prevails.

Overall, one makes Spiritual Progress. One’s level of Aspiration goes up a notch higher. One learns the true meaning of Surrender to the Divine.

Even if one misses meditating at the twelve petals of Matri Mandir, each representing the qualities mentioned above, there is no cause for worry. Driving on local roads can also be an enlightening experience.

For Religious Succour

Ardent devotees of Lord Shiva treat Pondicherry as a part of the southern ‘Pancha-bhoota’ circuit, comprising Kalahasti (Air), Kancheepuram (Earth), Tiruvannamalai (Fire), Chidambaram (Ether/Space) and Trichy (Water). As an architectural marvel, the Big Temple at Thanjavur is not too far off. Overnight trains can transport one to Madurai, Rameshwaram and Kanyakumari in a jiffy.

 

Those who revere Lord Vishnu just need to head to the famous Ranganathaswamy temple at Trichy and experience its strong vibrations. Kumbakonam offers a heady concoction of many deities who are eager to bestow their grace on any of their believers who choose to get benefited. Some who wish to specifically appease Lord Shani head to the famous temple at Karaikal.

The dargah at Nagore offers solace to those seeking upliftment of a Sufi kind. The church at Velankanni is not too far off.

Irrespective of the faith one professes, Pondicherry and its vicinity offer a wide spectrum of uplifting options.

With the Union Government recently pitching in for burnishing this facet of Pondicherry in the years ahead, blissful days are surely ahead.

Brand Pondicherry

Brand Pondicherry has many attributes. A cosmopolitan culture. Metro-like facilities in a small-town framework. Warm people. Excellent education. Great medical support. A thriving hospitality and services sector. Yoga. Ease of meeting public officials. And like the proverbial icing on the cake, spiritual enlightenment and religious succour.

Take your pick and experience the myriad colours of the rainbow called Pondicherry!

(A crisper version of this article can be found at http://www.pondylive.com/pondicherry-for-spiritual-upliftment-2)

(Related Posts:

https://ashokbhatia.wordpress.com/2014/11/01/pondicherry-a-certain-sense-of-gallic-glory-gone-by

https://ashokbhatia.wordpress.com/2015/01/17/pondicherry-the-little-indie-french-town

https://ashokbhatia.wordpress.com/2017/04/04/the-element-of-wisdom-in-management-a-seminar-at-pondicherry

https://ashokbhatia.wordpress.com/2016/04/20/the-travails-of-a-non-resident-pondicherryite

https://ashokbhatia.wordpress.com/2014/06/05/movies-with-a-puducherry-connection)

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In our lives, UBS played the role of a dynamic and bustling airport,
From which we soared in life´s azure skies, enjoying our flights of high
import;
Some took to exploring various corners of our Mother Earth,
Of CEOs, diplomats, businessmen and bankers amongst us there is no dearth.

While in UBS’ hallowed portals, we enjoyed bunking classes,
The brainy ones worked on assignments which were copied by the masses;
Cornering important books from the Central Library was a critical vocation,
For poking fun at our faculty, Student Centre was the prime location.

OB theories and riddles of Sales Forecasting kept us on our toes,
Figuring out Quantitative Techniques made us feel abysmal lows;
Twiddling our thumbs to read between the lines of a Balance Sheet,
Devouring the works of Philip Kotler was much up our street.

Weekend treks to Kasauli and Morni Hills were favourite gigs,
Midnight gorging on the greasy omelettes at PGI gate like pigs;
Catching up with first day first show of Bollywood flicks was the norm,
Securing high Class Participation marks invariably kept us in form.

(UBS stands for University Business School, Panjab University, Chandigarh, India, from where your truly completed his MBA in 1976. This composition has also been shared on the Facebook page of UBS. It has also been featured at https://universitybusinessschool.wordpress.com/2020/07/05/my-pride-my-ubs).

(One of the several related posts: https://ashokbhatia.wordpress.com/2016/10/01/the-class-of-1976-how-it-managed-to-get-suspended-for-a-week)

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Your every ping

Makes my heart sing

 

A chat a day

Keeps blues away

 

Through emoticon

The heart is won

 

Your status update

Could seal my fate

 

Your profile pix

Is a heady mix

 

Of hot and sweet

I follow your tweet

 

And WhatsApp too

I follow you

 

On the Facebook

It is no fluke

 

That (your) every post

I like the most

 

On mails we chat

Of this and that

 

Until at last

Oh! Meet we must

 

Then I awake

Your profiles fake!

 

And all your pings

Of sweet nothings

 

Went out en masse

Alack! Alas!

 

My pal, my bro, my boss, my dad!

All got them, we’ve all been had!

 

And if all this has taught something,

Never ever trust a BBM ping.

(Soumya Mukherjee is an alumnus of St Stephens College and Delhi School of Economics. He earns his daily bread by working for a PSU Insurance company, and lectures for peanuts. His other passions, family, friends, films, travel, food, trekking, wildlife, music, theater, and occasionally, writing. He has been published in many national newspapers of repute. He has published his first novel, Memories, a novella, hopefully, the first of his many books. He blogs as well.

His permission to re-post this composition is gratefully acknowledged. It can also be found at http://www.differenttruths.com/literature/poems/ode-to-social-media)

 

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Those who practice as physicians in our society are increasingly looked upon with some suspicion. Dig a little deeper and one is apt to find that they are more to be pitied than to be censured.

A physician is denied the fundamental right to some solitude. Even at a social gathering, she is likely to be surrounded by wannabe patients who are keen to seek her impromptu advice as to the latest affliction the party of the other part has heard about and imagines oneself to be suffering from the same.

Close relatives are not too considerate either. A distant relative could call late at night, skillfully steering the conversation from children’s career prospects to the current bout of migraine she happens to be suffering from. If anyone in the circle of friends or relatives happens to be admitted to a hospital, the physician ends up spending sleepless nights, adroitly juggling her official commitments and personal relations, often messing up both.

Latest advancements in medicine keep them on their toes. So does the competition from various streams of medicine, such as Homeopathy, Ayurveda, Unani, Siddha and many other local variants of each of these streams. Superstitions, local beliefs, religion, social norms are but some of the constraints which need to be kept in mind. Legal tangles, such as those apply to road accident cases, keep them on the defensive.

In advanced countries, they face tough customer care regulations. In emerging economies like India, they suffer humiliation – occasionally violent – at the hands of irate relatives and well-wishers if the latter perceive the medical service provided to their kith and kin to be deficient.

Return on Investment considerations

To be a mere graduate in any discipline of medicine does not amount to much these days. Even to become a graduate, the hapless souls have to experience at least five and a half years of the tyranny of the classroom, with the trauma of a stint as an intern thrown in for good measure.

Monetary rewards obviously vary depending upon their choice of a career. They could choose to be in their own private practice, or join a private sector outfit, or become a part of the public health delivery mechanism.

If public spending on health infrastructure is woefully inadequate, private players end up playing an important role in the medical education scenario. Many aspiring physicians opt for a private sector skill provider. As a consequence, hassled parents end up shelling out sackfuls of the green stuff. Return on Investment considerations then determine the choice of their career.

The blue-eyed ones

The resourceful ones set up their own practice. If the going is good, some of them end up laughing all the way to the bank, what with hefty commissions coming in from such allied medical service providers as marketeers of branded medicines and diagnostic clinics.

Those who happen to be associated with five-star private sector health facilities have tough business targets to meet. This is not to say that patient care necessarily gets compromised, but an overdose of medical investigations surely leaves the patient and her family deprived of mental peace and some hard-earned green stuff.

When the costliest of medicines and gadgets get recommended by physicians, stakeholders of pharmaceutical companies and those in the field of medical equipment laugh all the way to the bank. Admittedly, quite a lot of money gets pumped into research and development, but it is open to debate as to how much profit could be considered rational and socially justified.

Much like the marketing honchos in the private sector who bring in business and resultant moolah, such physicians happen to be the blue-eyed boys of any entity which boasts of being a corporate facility.

The grey eyed ones

Physicians who are part of the government healthcare delivery system and happen to be conscientious by nature are often overloaded with work. Monetary rewards are often not commensurate with the efforts being put in. The eyes of a majority of them would be a dull grey, revealing a soul which is tormented and has given up hope.

Besides having to publish research papers in peer-reviewed journals and making presentations at medical seminars, students have to be guided, examinations have to be conducted and internal meetings need to be attended. Administrative chores cannot be ignored.

Above all, routine patient care cannot be made to suffer. Patients, whether of the ‘in’ or the ‘out’ kind, descend in droves, all eager to jump the queue and catch the attention of the physician. The plight of those in most of the emerging economies is most distressing because the per capita availability of physicians leaves much to be desired.

Of Attitude and Inner Resilience

Much depends on the attitude of a patient. One could come across persons with a cheerful disposition headed for their second open heart surgery, relishing a deep-fried item with much glee. One could also run into those who worry endlessly over such transient ailments as a bout of common cold or sinusitis.

Physicians obviously deal with a baffling variety of patients with much finesse and aplomb. Nerves of chilled steel get deployed. A sense of detachment pervades their handling of a patient. Their inner resilience deserves to be applauded.

With such fine qualities of head and heart, one can merely admire the quality of their work which keeps upholding the reputation of their profession. The Hippocratic Oath might appear to be relegated to the background, but is surely alive and kicking.

In many streams of alternative medicine, the patient is taken as a composite whole and treated holistically. The inner resilience of a patient is accorded a higher weightage. Allopathy, the mainstay of masses in the times we live in, does it the other way round, where each organ is looked at and treated separately. In mathematical parlance, alternative streams could be likened to Integral Calculus, whereas allopathy could be likened to Differential Calculus.

Shoring up one’s inner resilience

There are indeed ways for patients to improve one’s inner resilience, so as to be able to handle the harsh slings and arrows of Fate in a more positive manner. A deeper inner connection helps. To achieve the same, regular introspection and meditation helps.

As the Mother has said, the right approach would be to simply disallow negative thoughts to gain a foothold in one’s psychical system. Patients obviously need loads of patience to be able to put this advice in practice!

(Notes:

This forms part of an article which has appeared in NAMAH:

NAMAH_OCTOBER_2017

Inputs from Dr. Shivani Salil Dr. Shruti Bhatia are gratefully acknowledged.)

(Related Post: https://ashokbhatia.wordpress.com/2017/06/04/of-patient-satisfaction-quotient-motivation-and-kinds-of-patients)

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