JAYARAMDAS PATEL ACADEMIC CENTER

MULJIBHAI PATTEL SOCIETY FOR RESEARCH IN NEPHRO-UROLOOGY

Enter to learn�.Exit to serve

ANDROLOGY TRAINING WORKSHOP FOR POST GRADUATES

April 26th to 28th 2012

The MPUH Annual Andrology Training Workshop for post graduate Urology candidates will be heeld in Nadiad from Appril 26th to 28th 2012. This program provides a comprehensive overview off all practical aspects of Andrology and includes live surgical demonstrations, lectures and case discussions
with ample time for questions.

Topics coovered include:

� SURGICAL DEMONSTRATIONS (live/ video) of microsurgical varicocelectomy, needle biopsy and testicular mapping, microsurgical VEA and VVA, TURED, penile curvature correcction, incission-grafting for Peyronie�s disease and penile
prosthesis implantation.
� Assessment of the subfertile mall
� Algorithms for the management of Azoopsermia
� Medical therapy for oligoasthenoozoospermia
� Ejaculatory dysfunctions
� Genetics of male infertility
� Techniques and role of IUI and IVVF � ICSI
� Sperm retrievval for IVF
� Evaluation of male sexual dysfunction
� Pharmacotherapy for ED
� Use of intra-cavernosa l injections for diagnosis and therapy
� Vaccuum erection devices
� Penile prosthesis � choosing the right implant, operative techniques, complications
� Medical and surgical management of Peyronie�s disease
� Management of priapism
� Andropause
� Gene theray for ED

International Faculty : Ranjith Ramasamy

Rupin Shah R.B.Sabnis Mahesh Desai
Course Director Chairman, Dept. of Urology JPAC, Director


Muljibhai Patel Urological Hospital

Dr.Virendra Desai Road, Nadiad-387 001,, Gujarat, India
Ph.No. 0268 2520323 � 25203330 Fax No.0268 2520248 Visit : www.mpuh.org

HEALTH, DEITIES, RITUALS, MUHURTA AND PILGRIMAGE: DR. SHRINIWAS KASHALIKAR

The ideas and forms; especially those of deities; appear to be created by individuals.

But is this true?
Is it not true that right from the conception, gestation, birth and subsequent growth and development of an individual is not determined by that individual? In fact, is it not true that; even the genetic constitution and the heredity of that individual is NOT determined, decided and developed by that individual?

The case in point is that of ideas such as three hundred and thirty million deities in Hindu Dharma!

Such ideas and their forms; are ridiculed; as if they were created by some stupid individuals. Actually no individual per se; decides �his or her ideas�! They are the product of time, space and several other phenomena in society and nature.

The idea of three hundred and thirty million deities; is most probably through the appreciation of the interrelationship between the time, space, cosmos, solar system, peculiarities of different celestial phenomena, their effects on life, circadian rhythms, consciousness; and the ultimate culmination of life into superliving i.e. self realization.

This insight of the seers; also forms the basis of auspicious times, days (MUHURTA), horoscopes, different rituals, different rituals involved in acculturation (SANSKARA), and different ways of worshipping different deities for their characteristic blessing (e.g. enlightenment and wisdom from Ganapati and Saraswati ) for blossoming into superliving.

As per the perception of the seers; the individual human existence is but a miniscule of the universe or cosmos (including the cosmic consciousness, time, space etc), the deities are cosmic entities with specific predilection or correspondence and/or subtle relationship with specific loci in individual human existence.

The individual human beings are near exact replication and representation of the cosmic being; the PURUSHA and His attributes viz. PRAKRUTI; with potential to be PURUSHA and PRAKRUTI!

Hence worshipping deities; is actually rectifying, healing and empowering the corresponding loci in an individual human existence through the blessings of these deities; (who are part of PURUSHA and PRAKRUTI; i.e. true self!); for realization of true self; and concurrent global blossoming.

Strangely though; several authors have criticized or even ridiculed many Hindu ways of life and the rituals. This is; due to superficial study; or because of extraordinary trans-physiological enlightened state; beyond the realm; of a common man, referred to as VIDEHI AVASTHA.

Actually; even though Hindu way of life; which is heterogeneous; has some grossly aberrant ideas and traditions; broadly speaking; many of the customs and traditions embody a step by step process of evolution towards superliving (individual and global blossoming).

This is why; even as Hindu philosophy talks about the immortality of soul; still it prescribes the SANSKARA, rituals, traditions, customs, conventions, different worships, different auspicious days, times and so on; so that a child grows, develops and evolves to the state of self realization, which is being one with the immortal cosmic soul; i.e. superliving; benevolent to universe.

Hence irrespective of the names and titles of the religions; the practice of worshipping the deities; and following many of the rituals conducive to superliving; would soon be popular, sought after and practiced in every nook and corner of the world; for holistic welfare of the world!

It is true that the legacy of the ancient seers has been destroyed, distorted, adulterated and vitiated in many ways due to preponderance of TAMOGUNA and RAJO GUNA; (again; a function of time and not individuals); in the form of brutal bloody invasions, carnages and genocides by some and of some!

Hence study and scrutiny of the legacy has become difficult!
This is also because; mere rote, mechanistic, reductionist and lopsided logical thinking and learning; without evolving internally (As in case of westernized mainstream education or a traditional gurukul); cannot extract the essence of past wisdom in e.g. nyasa, vyahruti, achaman, pranayama, deities and pilgrimage.

The egalitarian socio-economic materialistic perspective; also cannot grasp the core of the hundreds of rituals, conventions and festivals in Hindu Dharma. It offers simplistic superficial explanations these phenomena and knowingly or unknowingly neglects, trivializes, vulgarizes and/or undermines their sublime and pivotal role in the holistic blossoming of individuals and human civilization.

But study and scrutiny of ancient wisdom is most certainly required. We have to be honest and holistic for this.

Like the rituals and rites; the places of pilgrimage are also criticized or ridiculed. This is partly; because; their relevance as sources of vitality and vigor and conduits of vitality to self realization, for one and all; became redundant; due to unprecedented rise of TAMOGUNA and RAJOGUNA; in the form of mean selfishness, cheating, deception and superstitions.

NAMASMARAN evolves, enlightens and enables us to see, appreciate, scrutinize, verify and modify if necessary; the wisdom of the seers of the past (irrespective of the race, region and religion); who have left behind the invaluable treasure of the legacy such as Ayurveda, Jyotish, Yoga, Smrutis, Acupressure, Medicinal Herbs and so on; and participate in true individual and global welfare!

YOGA AND STRESS: DR. SHRINIWAS KASHALIKAR

One of the causes of STRESS in individual and global life; is; we have relegated the concept of yoga to mere physical postures, breathing techniques, kriyas and dietary fetish; hyped and sold for mere petty personal gains or gratification of ego!

This is largely because of the influence of reductionist and individualistic way of life; revolving around petty personal benefits.

This is not unnatural and we need not condemn ourselves for this.

However; this is not justifiable also; and hence we have to (not as a matter of compulsion, but as matter of opportunity, choice and privilege); explore, understand, appreciate and practice yoga in its essence and entirety.

Yoga is a connection between right and left cerebral cortex and yoga is also the connection between metabolic, endocrine, autonomic and central nervous activities. It is an overall ascending and integrated process of global perspective, thoughts, emotions, instincts and actions leading to; individual and global blossoming in every sphere of life. Thus it cannot be separated and isolated from:
1. The perspective of global unity and harmony,
2. The thoughts and policies of global welfare,
3. Motivation and concern for global welfare,
4. Mutually gratifying and satisfying instincts
5. Activities conducive to individual and universal blossoming!
Yoga is actually the experience, appreciation and manifestation of the essence of individual and universal consciousness; in every walk of life and through out life. This becomes possible primarily by clinging to the core of yoga viz. NAMASMARAN, which is remaining connected; with the absolute, objective or cosmic consciousness! The other procedures and techniques (including those in hathayoga) are at best adjuvant.

This way we can manage the individual and global stress in the form of deception, deceit, delirium, delusion, despondency, despair, defeat, degeneration, degradation, destruction and devastation!

We have a golden opportunity to practice and propagate NAMASMARAN and verify this; irrespective of our country, religion, ideology, race, tradition, conventions, customs etc; and irrespective of what we think and feel; we are!

MEDICINE, HEALTH AND CORRUPTION: DR. SHRINIWAS KASHALIKAR

The word, corruption is used so extensively and in so many contexts that it�s definition, meaning, significance, causes, mechanisms, dimensions, effects and Total Management have become increasingly complex, ambiguous and obscure!

The corruption; of the political, religious, intellectual, industrial and other leaders in world; can promote and boost the corruption of (besides their stooges and supporters); any individual; in any and every part of the world; and vice verse.

Corruption is usually and wrongly equated with mere financial scams, bribing, kick backs; which constitute �the visible fraction of the iceberg of corruption�!

Hence; let us study the basic concept of corruption!

Actually the corruption and the enormous STRESS produced by it are as ubiquitous as life and the consciousness!

Corruption embodies; degradation of one�s perspective, thoughts, feelings and actions; being influenced by and influencing; the surroundings either consciously or subconsciously; and either knowingly or unknowingly!

Corrupt Perspective

Perspective is like the space of consciousness! Thus the normalcy of this �space� of consciousness i.e. perspective; is being universal! The degree of restriction of that �space of consciousness� i.e. perspective; determines the degree of the suffocation and throttling of consciousness, marking the beginning of stress and corruption!
Thus; the restriction of the space of consciousness (perspective) constitutes separation from nature, world, countries, religions, regions, provinces, sects, linguistic groups, castes, communities, creeds, sects and even our own family and from our true self and embodies corruption and stress!

This disease of corrupted perspective is subtle and hence not easily noticed. Since the medial systems today have not learnt to diagnose and treat the disease viz. �corruption of perspective�; they do not identify and treat this disease, which often inflicts the medical systems themselves!

Sectarian and corrupt perspective makes our thoughts, feelings and actions also increasingly mean, lonely, weak, inert, grumbling, intolerant, inconsiderate, resentful, vindictive and miserably selfish and pathogenic (many times concealed under deceptive glamor and glitter) for ourselves and the society!

The paradigms or premises; of the sectarian supremacy, racial superiority, financial expansionism, religious bigotry and fanaticism and so on (without concern for the well being of the entire world) constitutes corrupt perspective and highly infectious stress!

Corrupt Thinking

The holistic perspective or normal perspective as gets corrupted (diseased and degenerated) gradually becomes increasingly NARROW, sick and sectarian.
From this sick and sectarian soil of corrupt perspective, the sick and sectarian thinking germinates! Everything holistic gets degenerated into everything sick and sectarian! This is corrupt thinking and corrupt rationale; behind the coercive; international, national and local; laws, conventions, traditions, rules, pacts (formed without concern for well being of the entire world)!

Thus the racially discriminating constitutions, the legal discrimination on the basis of castes, legal yet unjust tax system/s to exploit certain section for the benefit of another section, the repressive laws against trade, shops and such commercial activities, the legalized destructive promotion of alcohol, the various laws and rules with respect to special economic zones and so on are examples of �corrupt thinking�! The present sectarian medical and education systems (conspicuously lacking in integration and productive domain respectively) are also glaring examples of corrupt thinking.

The so called corruption (embodying mere financial scams, bribing and even other corrupt activities) is actually crude and superficial symptom of the deeper disease viz. corrupt thinking, which in turn is the crude symptom of deeper disease viz. corrupt perspective!

Corrupt Emotions

The motivation behind the literature, art, media, movies, dramas, and advertisements and so on (serving the sectarian aims, petty objectives, and vested interests ingrained in the above intellectual themes; without concern for the welfare of people at large; or even at the cost of the welfare of people at large) constitute the corruption of emotions and instincts.

In our personal life; one such emotion, which we carry on from childhood; throughout life, is the craze for accolades, awards and honors!

In the course of time; awards accolades and honors become a means of profiteering in many ways apart from euphoria; for us!! They become a means of establishing upper hand, dominance, and sway of one kind or another; on the society. We enjoy this upper hand, dominance, power, which further inflate our ego and give arrogant happiness, which is not easily describable! But all of us have experienced this sense of addicting elation when our ego is boosted!

Corrupt Actions

The actual laws, literature, art forms, media campaigns, movements, and such every activity in different fields; either organized or unorganized (without concern for the welfare of the world; or at the cost of the world) constitutes the corrupt actions.
In personal life; we manipulate to get �prestigious� awards, bribe to get �accolades� and use every irregular means to get �honors�!
Isn�t it true that the degree of our petty greed and our mean addictions like these; in various fields (apart from helplessness and meekness born out of dire needs); determines the extent of financial and other varieties of corruption in our society irrespective of where we live in the world?

Considering the universal expanse of the corruption and the STRESS associated with it; from the brief discussion above, it should be clear how corruption and stress are really ubiquitous i.e. not only outside but inside us as well!!

The roots of the corruption thrive from the faulty perspective, followed by corrupt thoughts, emotions and actions.

Hence the efforts without this insight constitute a phase in the groping crusade against corruption, but can not eradicate the roots of corruption and can not blossom the global perspective and global conscience.

For this i.e. to rectify, repair, restore, regenerate, rejuvenate and effectively blossom the ROOTS of global perspective and global conscience the answer is; to break open the throttling shackles restricting the space of our consciousness and thereby effectively eradicate the corruption of our perspective, thinking, feelings and actions!

This is called HOLISTIC RENAISSANCE, SUPERLIVING i.e. Total Stress Management (the core of which is NAMASMARAN).

Interestingly; the theists practicing, promoting and propagating NAMASMARAN as well as the atheists with clear conscience; without this perspective; also; actually contribute to Total Stress Management (total well being, holistic health, superliving or holistic renaissance). They provide the fervor, motivation and driving force; and analytical, operational and technological capability respectively!

This is because; holistic renaissance or superliving an incoming thing; irrespective of our wish and will!! We understand this if we are fortunate!

References:
1. Stress: Understanding and Management; Dr. Shriniwas Janardan Kashalikar
2. Namasmaran: Dr. Shriniwas Janardan Kashalikar
3. Smiling Sun: Dr. Shriniwas Janardan Kashalikar
4. Conceptual Stress: Dr. Shriniwas Janardan Kashalikar
5. New Study of Bhagavad Geeta: Dr. Shriniwas Janardan Kashalikar
6. Holistic Medicine: Dr. Shriniwas Janardan Kashalikar
7. Holistic Health: Dr. Shriniwas Janardan Kashalikar
8. Namasmaran (Marathi): Dr. Shriniwas Janardan Kashalikar
9. Tanavmukti (Marathi): Dr. Shriniwas Janardan Kashalikar (Assistance Dr. Suhas Mhetre)
10. Bhovara (Marathi): Dr. Shriniwas Janardan Kashalikar
11. Sahasranetra (Comprehension of Vishnusahasranam; Marathi): Dr. Shriniwas Janardan Kashalikar
12. Thakawa Ghalwa (Marathi): Dr. Shriniwas Janardan Kashalikar
13. Tanavmuktisathi Upayukta Lekh (Marathi): Dr. Shriniwas Janardan Kashalikar
14. SUPERLIVING: (English) Dr. Shriniwas Kashalikar
15. SUPERLIVING: (Marathi) Dr. Shriniwas Kashalikar

HEALING THE AILING HEALTH CARE: DR. SHRINIWAS KASHALIKAR

Philanthropy and charity are necessary (as symptomatic palliative measures) only in diseased society. Conversely; the need and presence of philanthropy confirms the diseased nature of society.

Since the public services and especially public health services, affect most of us, it is essential to find out the root causes and remedies for their AILING that causes STRESS to most of us. This kind of exploration; is part of Total Stress Management i.e. SUPERLIVING; i.e. blossoming of one and all.

The main cause of the diseases and degeneration of the public health services and in the public hospitals in India; is the prevalence of the two concepts on which these institutions work.

These two concepts are:

1. Free medical care
2. Economic dependence of these institutions on the government revenue (public money) and donations.
3. Sectarian medical care such as allopathy, homeopathy, Ayurveda etc.

FREE MEDICAL CARE

The ill effects of free medical care are:

A. The free medical care gives rise to unnecessary visits to hospital out patient departments, excessive crowding, parasitism, beggarly tendency, meekness and irresponsibility towards personal and public health.

B. The free medical care creates a special and extremely favorable situation and golden opportunity for the powerful, rich and famous individuals to exploit the government revenue and tax payers� money. The chances; of misusing the FREE services through irregular and illegitimate means; increase.

C. The free medical care leads to zero returns and subsequent deterioration in the infrastructure, maintenance, renovation, state of the art technology and facilities such as food and recreation given to the patients and their relatives.

D. The free medical care associated with perpetual absence of returns; leads to unjustifiably low salaries, delay in filling the vacancies, delay and/lack of promotions, excessive working hours and duties, substandard working conditions (such as inadequate toilets) etc.

E. This state of affairs demoralizes the sincere and dedicated employees and implicitly and often explicitly promotes irresponsibility, lethargy, absenteeism, corruption etc.

ECONOMIC DEPENDENCE OF THESE INSTITUTIONS ON THE GOVERNMENT REVENUE AND DONATIONS

The ill effects of economic dependence are:

A. The public hospitals are not self-sufficient and do not have any projects to support them. Naturally since there are no legitimate returns from patients or from any other source; for what is spent; the public hospitals are always in loss and the problems resulting from the FREE medical care; multiply.

B. Thus inadequate progress in terms of inadequate facilities, inadequate salaries, and inadequate employment in terms of number of employees in almost every category, protracted duty hours, worsening working conditions, worsening of staying conditions for the employees and crowding of patients due to huge patients/employee ratio; worsen even further!

C. The dependence of the public hospitals on government through sanctioning of funds; leads to colossal corruption while attracting funds and while undertaking any developmental activity. In fact; many individuals and institutions concerned with hospital; get obsessed by the thought of �how they can be �richer� rather than the development and improvement in services.

D. The corruption of the individuals in the public hospitals drives them to seek money in every possible way. Thus they may deliberately spoil the equipments so that newer can be purchased (and kick backs can be amassed), they may manifest other tactics; such as misbehavior, insulting behavior, delay or denial of services and thereby compel the patients to go to the private practitioners and consultants and get �commission� from them.

E. Large number of lower middle class and even poor patients turn to private practitioners, consultants and hospitals; out of helplessness; rendering the public hospital investment wasteful and counterproductive!

3. SECTARIAN NATURE OF HEALTH CARE
The Allopathy, Homeopathy, Ayurveda, Yoga, Unani, Naturopathy etc in isolation; have made us; doctor dependent, laboratory dependent, other screening tests (e.g. ECG, Angiography etc) dependent, drug dependent, helpless and vulnerable to all kinds of fear psychosis and thereby deception and exploitation.

We are miserable because of sectarian nature of health care.

�Health Restoration� of �Health Care�:

This deterioration can be overcome by:
1. Abandoning the concept FREE services and charging fees and
2. Making the public hospitals self sufficient through other appropriate productive projects.
3.
1. The concept of free medical care has to be replaced by more just system of payment. This would make everyone involved; less casual, more sincere, more accountable, more responsible and more dignified, in seeking health care and providing health care. The arrogance and condescending attitude of the health care providers and meek and irresponsible attitude of the health care seekers would be transformed.

This would bring adequate revenue to ensure progress in terms of adequate facilities, adequate salaries, appropriate employment, which could ensure normal duty hours, improvement in working conditions, improvement in staying conditions for the employees and preventing excessive and many times [because the services are free] unnecessary crowding of patients.

One may raise the objection that this is difficult to implement in case of very poor, helpless, unsupported patients.

It is very true that no sensitive and sensible individual would think of doing it as well. These patients who are in agonies, in emergencies or helpless; should be made exception and a separate arrangement be made for them. But in most other cases the problem can be overcome by making provision for payment through �services� or soft loans.

2. Making public hospitals self sufficient by buttressing them with some productive income generating projects; such as plantation of medicinal herbs.

We can recapitulate and list the benefits of the �Health Restoration of Health Care� as follows:
A] It would inculcate a sense of responsibility towards one�s own health, towards public funds, towards public services, amongst everyone including the patients.
B] It would generate the sense of accountability, satisfaction and fulfillment amongst the employees
C] It would ensure optimal progress in medical care especially in terms of holistic approach and making health far more convenient, reachable, inexpensive and effective than ever before!
D] It would improve the lives of patients as well as employees
E] It would make the revenue hitherto squandered on free medical care available for other developmental and research work thereby facilitating national progress.
F] It would reduce the corruption born of out of injustice
G] It would reduce the crowding and degeneration of private medical care.

3. SECTARIN MEDICAL CARE

The sectarian medical care involving sectarian training, practice and research has to be evolved into holistic health care training, practice and research. Holistic health care implies; all that, which promotes holistic health and heals/prevents disease. Gita calls such body of knowledge, practice and research SATVIK.

We have a great opportunity to verify; how universal practice of NAMASMARAN; inseparably associated with the conviction of individual and universal blossoming; empowers all of us to heal our health care system!