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!

GURUTATVA: DR. SHRINIWAS KASHALIKAR

We have many preferences and priorities. We have different role models. We have different individuals whom we respect. We find different idols in society. In the quest of truth we find many phenomena to adore.
Usually there is confusion and hence conflicts in our lives.

The spiritual literature usually affirms that guru is the ultimate. There is nothing beyond guru. But there are others who maintain that KULADEVATA is most important. There are many other opinions as well.

For many of us; accepting guru as the ultimate sounds difficult to accept and digest; in view of the human form of the guru. The guru (and even prophet or incarnation) in human form with though stupendous, yet limited accomplishments when compared with eternal, omniscient, omnipresent and omnipotent God.

Often there is a nagging question as to whether the KULADEVATA should get preference or a guru?

While KULADEVATA is usually accessible to many Hindus; this phenomena is usually not found in many Hindus and Non-Hindus. Further, there is perennial confusion about guru; in view of their credentials and capacity to guide us to God.

For those who have access to KULADEVATA and guru; there is a dilemma about whom to give priority. Objectively looking at it; the KULADEVATA as well as the human form of the guru are the products of the same omniscient, omnipotent and omnipresent God.

Whom should we give preference?

In the course of practicing NAMASMARAN according to the advice of our guru; we gradually realize that kuladevata is a bounty of the omniscient, omnipotent and omnipresent God; through which we are oriented to Him; and the guru is the bounty through whom we get closer to Him.

Later; through NAMASMARAN; we realize that; the essence of KULADEVATA and the essence of guru; is actually extremely pleasant, empowering, vitalizing and immortalizing bounty; very much present and evident in our conscience.

This perception gradually gets culminated in the realization that this essence of KULADEVATA, guru and all the deities and adorable entities; is the same as GURUTATVA.

This GURUTATVA; is truly the direct communion with God i.e. ultimate truth.

This can be (though not exactly, accurately or appropriately) compared with motherhood and fatherhood. We love and adore our mother and father and in the course of maturity; begin to worship the motherhood and fatherhood in nature.

GURUTATVA is a universal, eternal and the most sublime bond between us; and God (truth). When we happen to follow, dedicate and consume ourselves in the preachings of our guru; we actually imbibe or get merged into the source of our consciousness and our conscience; the GURUTATVA!

role of endovascular intervention in stroke treatment– By Dr. Sunil Bhargava
MD, DNB, MNAMS, STA certified equivalence CCST (UK)


Endovascular therapy is a well-established treatment modality for a variety of cerebrovascular central nervous system disorders. Neuroendovascular approaches provide treatment options for conditions previously thought to be untreatable. Ongoing device developments and refinements continue to revolutionize the field. These refinements, along with a better understanding of the disease process allow minimally invasive neuroendovascular techniques to be used for treatment acute ischemic stroke and stroke prevention.

The majority of ischemic strokes are due to thromboembolic arterial occlusion
75% occurring in the ICA distribution. While mortality from middle cerebral artery strokes is low, there is a high morbidity, with only 20 – 25% of patients returning to an independent lifestyle. Posterior circulation strokes are more ominous, with significant mortality rates, up to 86.4% in one study. Over the past few years, there has been intensive investigation of intravenous thrombolytic therapy for the treatment of acute ischemic stroke. At the present time, only tissue plasminogen activator (t-PA)/Urokinase, when administered within three hours of symptom onset, has definitively been shown to be an effective therapy.

The benefits of this therapy were demonstrated in the National Institutes of Neurologic Disorders and Stroke (NINDS) sponsored trial in 1995.This trial led to the FDA approval of t-PA for stroke treatment in June 1996. At present, only a small fraction of potentially eligible stroke patients are receiving treatment. The primary reason that patients are not eligible for this treatment is the very short, three-hour time window from symptom onset in which the agent should be administered. Intra-arterial recombinant t-PA (rt-PA) is suggested to be more effective than intravenous rt-PA. In local intraarterial (IA) thrombolysis, fibrinolytic agents are infused distal to, proximal to, and directly within thrombotic occlusions of main stem cerebral arteries, using an endovascular micro catheter delivery system. The dosage used is 0.3 mg/kg, up to a maximum of 10-20 mg intra-arterially. Direct infusion of thrombolytic agent near the thrombus allows greater concentration of agent, fewer systemic effects, more rapid dissolution of large
or multiple clots and an opportunity to carry out gentle mechanical disruption of the clot with the delivery catheter and wire. IA thrombolysis also has a number of potential disadvantages, including manipulation of a catheter within cerebral vessels, potentially increasing vulnerability to hemorrhage; the requirements for systemic heparinization during catheterization to deter catheter-induced thrombosis; and delay in initiation of thrombolysis.
The procedure is labour and capital intensive, and the number of facilities skilled in IA thrombolysis is small. Intra-arterial thrombolysis may be used in the anterior circulation (carotid circulation) up to 6 hours after onset of symptoms, although better results have been shown when administered within 3 hours. It is also used up to 12 – 24 hours after onset in posterior (vertebrobasilar) circulation lesions, because of the poor prognosis without therapy.

Despite the increased rate of symptomatic hemorrhage with intra-arterial administration of rt-PA, many trials have still demonstrated improved clinical outcomes versus placebo Of particular note is the first Phase III trial of IA thrombolysis, the Prolyse in Acute Cerebral Thromboembolism II (PROACT II) trial (5). In PROACT II, patients within 6 hours of symptom onset with symptomatic M1 or M2 middle cerebral artery (MCA) occlusions were randomized to receive IA thrombolysis with systemic heparinization vs. heparinization alone. The prespecified primary outcome in PROACT II, a good or excellent score on the modified Rankin Scale of handicap, was achieved by 40% of the IA group vs. 25% of control patients (p=0.043). In addition, recanalisation rates 2 hours after initiation of infusion were markedly increased in the IA group. Intracerebral hemorrhage rates at 36 hours were increased in the IA group; however, no difference in overall mortality between the two groups was observed.
Another potential role for intra-arterial rt-PA is for postoperative stroke patients. The risk of stroke is approximately 2.9% in the immediate postoperative period. During a recent multicenter study of intra-arterial rt-PA administered during the immediate postoperative period, good results were obtained with only minimal complications. The local delivery of thrombolytic agent reduces systemic effects. Only patients who had previously undergone intracranial surgery had an unacceptably high complication rate. Further research is being conducted in the use of mechanical thrombolytic devices, as well as laser clot fragmentation. The advantages of these approaches include lack of systemic and hemorrhagic complications. Better public awareness is also needed, since fewer than 5% of eligible stroke patients actually receive thrombolytic therapy. In addition, faster diagnosis with MR diffusion and CT perfusion may help to identify patients who can benefit from thrombolysis.
Carotid artery stenting has important role in preventing stroke. It is of particularly suitable in case unfit for surgery, unfavorable anatomy, tandem lesions and relatively poor medical risk.

GOOD MORNING: TOTAL STRESS MANAGEMENT: DR. SHRINIWAS
KASHALIKAR

According to some, the time from 2.30 a.m. to the sunrise and according to some, the period of two hours before the sunrise constitute BRAHMAMUHURTA.

As the name suggests this time is the best time for conceiving, understanding, experiencing or merging with BRAHMA, the eternal truth, the eternal purity and the eternal bliss. This is the time of liberation from the shackles of every kind.

This is not a matter of belief but of experience; for those; who have experienced the joy of getting up at this time!

There is a Sanskrit shloka [verse], which depicts the sub-classification of this enchanting period.

PANCHA, PANCHA USHAHKAALA SAPTAPANCHAARUNODAYA
ASHTAPANCHA BHAVET PRAATAH SHESHA SURYODAYO MATAH

It means:
55 GHATIKA after the sunrise of previous day the USHAH KAALA the time of USHAA begins. After 57 GHATIKA, the time of ARUNODAYA and after 58 GHATIKA; the time of PRAATAH begins. The sunrise is SURYODAYA.

The day is constituted of 60 GHATIKA. GHATIKA is approximately equivalent to 24 minutes.

With the grace of God we are alive and see this beautiful sunrise and a chance of self realization. Hence it is most important to remember the name of God in the morning. Secondly, due to the grace of mother earth the fortune is granted to us to walk on her body through out the day. So; there is a tradition to be grateful (and express our gratitude in prayer as given below); to her before we start our day. This wisdom of wisdom; helps us to unite with the BRAHMA; of which we and the whole universe are extension. We are empowered by the Brahma and supported by various forces in the universe. This practice of expressing gratitude in morning makes us humble and environment-friendly!

The prayer is as follows:

SAMUDRAVASANE DEVI PARVATASTANAMANDALE
VISHNUPATNIM NAMASTUBHYAM PADASPARSHAM KSHAMASVA ME

The meaning is:
Oh goddess earth, who is clad in the beautiful attire of oceans and the mountains are whose bosoms and who is the wife of Lord Vishnu, I offer my grateful salutations to you and ask for forgiveness as I put my feet on you [touch you with my feet].

This prayer orients us appropriately in such a way that it opens up our hearts to the glorious bounties of earth and her love towards us. It starts nourishing us as well as gives us the perspective of loving our mother earth, which is so much essential for awakening our responsibilities towards her.

Then we pray
KARAGRE VASATE LAXMI KARAMADHYE SARASVATI
KARAMULE TU GOVINDAM PRABHATE KARADARSHANAM
The meaning is:
At the tips of the hand there stays Laxmi the goddess of prosperity
At the middle stays the goddess of knowledge Sarasvati
At the root of the hands stays Lord Govinda i.e. Lord Vishnu
Hence we watch our hands with reverence!

This is such a wonderful prayer! It helps us to reveal and establish the connections between the deities, which are the sources of our power. It helps us explore the potentials of prosperity, profundity and fulfillment in our life and thereby helps us develop respect for ourselves. Such respect as you know is essential for taking due care of our body while simultaneously directing it to do things in life which would help us in gaining holistic health.

There is one more and simple prayer in SHUKLA YAJURVEDA. It is as follows.

BAHU ME BALAMINDRIYAM HASTAU KARMA VEERYAM
AATMA KSHATRAMURO BHAVA
I pray that my arms and my all organs be strong and my soul and my heart be the healers.
SHUKLA YAJURVEDA 20.7.

This is real good morning and beginning the day with such a good morning is the beginning of total stress management! It is as if we have inhaled the healing spirit from the universe and are ready to heal and blossom ourselves and the others; throughout the day!

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
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