tag:blogger.com,1999:blog-15405691958751839312024-02-08T08:59:47.837-08:00Dr Anil KhetarpalLaparo-Endoscopic Surgeon. Med-Enterpreneur. Free-Thinker. Devotee of Lord Krishna. Non-Conformist. Avid-Reader. Bariatric Surgeon. Philantropist.Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.comBlogger206125tag:blogger.com,1999:blog-1540569195875183931.post-77567637883411805602012-07-31T11:04:00.007-07:002012-08-01T18:08:26.387-07:00Sweat is, at times, pricier than blood<div dir="ltr" style="text-align: left;" trbidi="on">
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Certain things in life are not cultivated;
they either exist or they don’t. I feel my penchant to become a Surgeon had
been an ordeal of my ultimate destiny, and I carried this as a part of my
Kismet. I suffered my own share of ups and downs in the pebbly ride of my
professional voyage; yes, I used to feel less jinxed during the gall-filled
moments that could have overpowered someone with fewer proclivities to
accomplish a defined aim. No one is blessed the Godspeed just like that; one
has to earn every pie of it. <o:p></o:p></div>
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<br /></div>
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Since my early college days, I had always
been so excited to see myself as a Surgeon that I used to work very hard to
have a firm grasp of my subjects. Had I not been innately motivated to wear the
white coat one fine day, chances are ripe that a stumble upon could have sucked
on my energies and I would have either not succeeded in my profession, or would
have changed my profession altogether. I had a pretty normal college life. I
also used to feel bogged down at times by the work burden , but then the next
moment, when I started to realize that these are the stepping stones of me
being ushered into the league of Surgeons, all the associated uncertainties and
boredom used to thwart away. <o:p></o:p></div>
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<br /></div>
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Sweat is, at times, pricier than blood; I
have always given it my one hundred percent whenever something required hard
work and dedication in my professional realms; yes, there had been this driving
force that I had to be the best, and it worked most of the times. The
‘hurry-hurry’ person eats goat; the one who takes his or her time eats beef.
Even to this day, I don’t consider myself to be a veteran; every day is a day
to learn something new, and that is precisely the beauty of a mind captivated
by surgical sciences.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-44410880074228810322012-07-31T11:04:00.005-07:002012-08-01T18:10:54.798-07:00Déjà vu or Programming?<div dir="ltr" style="text-align: left;" trbidi="on">
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Have you ever looked upon the sky on a cloudy
night? If you have, I am sure your gaze must have got transfixed with little
deviance of your mind. That is the power of Nature; or shall we say some kind
of déjà vu? If you ever happened to be alone in a beach and observe the tides,
chances are bright that you would have attained exemplary nothingness in your
mind. Have you ever got drenched in monsoon with no acquaintances nearby? How
did that feel? Would you want to re-experience the enchantment of those moments?
How do you feel when you come across a face that eludes nothing but innocence?
Aren’t you left spellbound?</div>
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<br /></div>
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<o:p></o:p></div>
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Why do we feel at ease in certain situations?
Why do we feel longed for in certain situations? Do these events and occurrences
belong to some sort of left-over representations of our numerous celestial avatars?
Or Nature has coded us in a way that we feel warmth, contentment and joyous in the
company of its primordial elements? What effect does thunder-lightening induces
on your psyche? Do you think fear originates from objects and subjects or from
within your own self? Do you believe in the eternity of love? I place my bet on
the fact that love is the precursor of the Mother Nature. Every man for himself
and God for us all; self-preservation is the first law of nature. But then what
is ‘self’?<o:p></o:p></div>
</div>Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-17282393207405425532012-07-31T11:04:00.001-07:002012-08-01T18:15:46.741-07:00RML Hospital, My Alma Mater<div dir="ltr" style="text-align: left;" trbidi="on">
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During my stint at my Alma Mater, Dr R M L
Hospital, New Delhi, I used to start seeing my admitted patients and in
spite of starting my ward rounds early, these used to extend till early
afternoon. This exercise used to be followed by surgeries in Operation Theatre; those were the days when RML Hospital was known as Willington Hospital. The
patient load at Dr R M L Hospital used to be colossal, and we had to work
really hard taking care of all the patients in our unit. Once our unit chief
went for a vacation and could not join on time due to his own reasons. In those
days, I and one of my very able colleagues, managed the unit on our own. Those
were such good days; work used to be the only passion. <o:p></o:p></div>
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<br /></div>
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The entire hospital staff was
like an extended family. When we used to perform some good case, we used to
celebrate with the nurses and other medical staff by arranging fast food. I
made some real good relations with staff nurses out there; and even to this day
they visit me on Raksha Bandhan to tie the sacred rakhi on my wrist. The days
were never dull; there was a chutzpah in every moment. There was so much to
learn from life, which was pacing at an aggressive momentum to load us with the
fundamental values of this profession. As time passed by, I became quite
popular in Dr R M L Hospital and on rare days when I used to be a bit late, I
was missed by my colleagues and seniors during those absent minutes. <o:p></o:p></div>
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<br /></div>
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Those days were so lustrous, so
spirited that memories of those days still lie lily-fresh in my mind. Those
days made me the self-willed and headstrong individual that I am this day; I
have never allowed a day to bygone without really putting its events into the
machinery of my brain for an in-depth analysis. To think is what I love the
most; thoughts are my constant companions and I can never be left alone in this
world.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-16664327737485809942012-07-31T11:03:00.005-07:002012-08-01T18:45:42.253-07:00I love you all my patients<div dir="ltr" style="text-align: left;" trbidi="on">
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A lot of times my poor patients give me such
honeyed comments that I am taken aback. I am taken aback instantaneously without
my will or efforts. They call me their messiah, and they never forget to bring
me home made delicacies, hand made gifts during the festive season. They love
the fact that I take interest in their lives. They feel ingratiating that I
know most of their family members by names. It is no that I am approached for
the medical disorders by my close-held horde of patients; they approach me for
their personal and social problems as well. They trust me that whatever advice
I would render would be the best one and that is the driving force in such
situations. I have been made to intervene a lot of family feuds where I hold
regard from both the parties involved in bad blood; and in most of the cases,
my decisions have been duly respected. I feel good. </div>
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<br /></div>
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I am not a doctor for whom
there exists a demarcating line between professional and personal worlds. A lot of things that I do professionally embark on
my personal spheres and the vice versa is also substantially true. Sometimes I wish
I had copied down all the incidences of my life that happened after I started
my hospital; I have seen the aspects of life and relationships in such a
diversity that I am sure a lot of human behavior related theories could have
been inferred from my experience. And I don’t want to be self-aggrandizing to
take all the credit back home myself; I am sure a lot of doctors feel the same
way. Patients come to us and uncover their problems in details. In a lot of
cases, the source of their problems lies in their lives, in their minds, in
their relationships. We become witness to them and this never ending process of
learning keeps on going and going.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-58121415626262844302012-07-31T11:03:00.003-07:002012-08-01T18:49:44.955-07:007 tips for anger management<div dir="ltr" style="text-align: left;" trbidi="on">
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<b>Arrange a timeout:</b> This is imperative; only
those who have practiced it know its importance. Whoever told you that counting
till 100 is for kids only must have smoked something gross. You ought to take a
break from the circumstances of the heated moment, to be able to assess the
situation from a different perspective.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Take deep breaths: </b>Yes ! If you know how to
meditate, you are so close to master the art of killing the angst prematurely.
Deep breathing takes your concentration away from the problem and in turn,
dilutes its memories. It is said one who knows art of breathing knows exactly
how to keep anger under check.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Drink some water:</b> More the merrier! It has
been shown in numerous experiments that drinking water does something
detrimental to the life span of anger and you must note that down. To enhance
the effects, drink every gulp with a lot of savoring. Make your affair with
water a grand one and prized one.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Get some physical exercise:</b> Physical
exercises are known to provide that vent for suppressed emotions. People go on
for instant running, or weight lifting or brisk walking or any form of exercise
they indulge in, the moment they start feeling their anger level escalating.
Exercises release a spurt of positive hormones which restores the body’s
environmental mileu to the optimal level.<o:p></o:p></div>
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<br /></div>
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<b>Think before you speak:</b> Only fools speak just
like that; a cultivated mind knows the words that would be shooting from the
lips. Anger suppresses the tolerability and wrong selection of words can create
mayhem; don’t allow yourself to get provoked and think twice before you utter a
sentence.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<b>Identify possible solutions: </b>Focus on
something that takes your attention away from the anger source. Identify the
reasons for your outburst and look out for the measures to contain it right
there. Remind yourself that anger won't fix anything, and might only make it
worse. As they say ‘Don’t go near the water until you learn how to swim’.
Either lower down your threshold of the repetitive stimulus that causes you
anger or plainly learn to modulate your mind using bundles of practicality.<o:p></o:p></div>
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<br /></div>
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<b>Use humor to release apprehension:</b> Humor is
the antidote for all anxieties and angst. Use it effectively and watch your humor-proclivity-index
breaking records along the y-axis. Don't use cynicism or sarcasm, though — it
can hurt feelings and make things worse by contributing to misunderstandings
and keeping grudges.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-74643921417397562182012-07-31T11:03:00.001-07:002012-08-01T18:54:53.363-07:00First illness of my life<div dir="ltr" style="text-align: left;" trbidi="on">
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During the first week of my life, beneath my
seemingly glowing angelic skin, not everything was as normal as it appeared. As
the days passed, my skin color started turning yellow. I started regurgitating
out and turned sluggish. As if I started paying out for my past life’s sins in
eagerness; how else can one relate a childhood illness? I was examined by the
pediatrician and was diagnosed to be suffering with ‘Neonatal Jaundice’, a
condition that takes place soon after birth and is characterized by development
of deep jaundice. I was given conservative treatment at first, which included a
lot of intravenous fluids and allied medications. </div>
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<br /></div>
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My parents passed sleepless
nights on my hospital bed, as in those days infant mortality was quite high and
refractory neonatal jaundice was not a common phenomenon. Hopes were taking a
jolt and gloom was the predominant emotion in my family. It was then that my
pediatrician announced to subject me to an interventional procedure, exchange
transfusion. This is a process in which the blood is made to pass through a
machine in which the blood is filtered to thwart the toxic levels of bilirubin
and other metabolites. I was made to undergo left sided exchange transfusion
that very night; by that time my face had lost all its sheen and vitality &
I had started getting dehydrated. But then as they say ‘faith will move
mountains’, affection of my parents and competency of my doctor put me back on
the pedestal of life, with double the vigor.<o:p></o:p></div>
</div>Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-69151892134224381292012-07-31T11:02:00.005-07:002012-08-01T19:01:35.051-07:00Random moments to cherish<div dir="ltr" style="text-align: left;" trbidi="on">
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The olive-coated voice of your love interest
when you met first.<o:p></o:p></div>
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The chutzpah of childhood.</div>
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<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
The thrill of overpowering someone in a game
where you had been an underdog.</div>
<div class="MsoNormal" style="text-align: justify;">
<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Your highest academic exploit.</div>
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<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
The all time favorite tune of yours; which
you consider yourself to be a part of.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
The moment when you realized that life has
more hidden meanings than some of the supernatural teleserials put together.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Mixed feelings when you flip down one of the
old family albums.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Waiting in the crisp attire and bated breaths
to be interviewed for the first time in your life for that 9 to 5.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
Touch of icecream to the tip of your tongue.<o:p></o:p></div>
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Cumulative sound of hundreds of cuckoos, on a
bright spring morning.<o:p></o:p></div>
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Pulling the window curtains to allow first
ray of light enter your room.<o:p></o:p></div>
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Cuddling with your kid.<o:p></o:p></div>
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Suddenly coming to know that you actually
shed tears watching a film.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
The day you converted a foe to a friend.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
The affection in your parents’ eyes when you outperformed
yourself to make them happy.<o:p></o:p></div>
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When you start relating bits of your life
with quotes from others (and you actually spend hours searching quotes).<o:p></o:p></div>
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Someone calls you with such an incredibly
familiar tone that you instantly succumb to an induced déjà vu.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-55529739121690441492012-07-31T11:02:00.003-07:002012-08-01T19:05:26.279-07:00Keep it simple, keep it fair<div dir="ltr" style="text-align: left;" trbidi="on">
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I start my morning ward rounds
very early in the morning. I believe that the first rounds of the day should be
the most committed
ones as one can
devote a lot of time to the patients. And I must say, I have been
bestowed with some of the most efficient nurses and staff that make this
exercise a tonic for the day ahead. The rounds incorporate a lot of clinical examination,
asking questions, reviewing lab reports, assessing clinical progress, answering
queries, sensitizing about the change of treatment when required, counseling
etc. I have an intense inclination to see things going on in an orderly way in
my hospital. I take note of every patch of dust on the floor and every cripple
in bed sheets. I feel bad when a patient complains that air conditioning in his
room was not working properly during the night. I feel bad when a patient tells
me that he had to press the ‘Nurse Call Button’ two times before he was
attended by someone. Initially, when I had started my hospital, I used to get
irate with such complaints and the concerned staff had to bear the brunt. As
the time passed, the number of such episodes started decreasing, and my
paroxysms of anger started getting evanescent. Now I don’t easily get angered
by such things. By getting angered and displaying wrath, one can never achieve
an objective fully. Anger handicaps the ability to use the conscience clearly,
and in healthcare sector, we just can’t let ourselves work without our
conscience and insight at proper places. I have made it mandatory for all the
new staff to attend an induction program. This has been in practice at my
hospital much before it started in most of the corporate hospitals in India; I
learned about this in details during my stints at Hong Kong in early nineties.
And I have seen the benefits. People joining my organization clearly get to know what their
objectives and how do
they fit in a certain role; that eases my load and spares me from
unnecessary worries.<o:p></o:p></div>
</div>Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-64143793338309845602012-07-31T11:02:00.001-07:002012-08-01T19:08:02.420-07:00Potential Power of Prayer<div dir="ltr" style="text-align: left;" trbidi="on">
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I believe that the authority of prayer is
first felt by the realization of what a prayer is all about. Prayer has power
and it forms the sacred cord between us and God. It's a sense of God's assent
in our dominions. People have different thoughts about possibilities that a
prayer beholds. To some of us, prayers stimulate our own belief-cells and by
virtue of positive thought process, we accomplish what we had been praying for.
To some of us, prayers activate positively skewed energy chakras of Nature and
help making us and our wishes in rhythm. To some of us, prayer is an outlet to
communicate our feelings with God, and he blesses us just like a parent would
do. Whether prayer is the astrophysical entity or a soliloquy, I can’t say with
certainty; however, I have realized that a prayer has a lot to do with our own
energy fields and power of belief.<o:p></o:p></div>
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<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I believe that we experience the stellar power
of God when our wishes start getting fulfilled. We realize that God has been
reaching out for us all along and the realization of establishment of bimodal
dialogue is one of those priceless feelings one never forgets. Apostle Paul wrote
to the people of Ephesus about God's yearning for us in a quite exquisite way "that
we may no longer be children, tossed to and fro and carried about with every
wind of doctrine, by the cunning of people, by their craftiness in deceitful
wiles." In prayer, the essence of our hearts and minds are streamlined to
stir the super conscious and in this effort we also stimulate our own
subconscious mind; the forces, in unison, make the most of the miracles. Prayer
has such transforming power that it is said ‘Courage is fear that has said its
prayers’! And along the same lines it is also said that the function of prayer
is not to persuade God, but rather to change the nature of the person who prays.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-87684489382400063222012-07-31T11:01:00.005-07:002012-08-01T19:14:03.647-07:00Random Childhood Memorabilia<div dir="ltr" style="text-align: left;" trbidi="on">
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A dry May and a dripping June bringeth all things in tune. Such are the ways of childhood; some sunshine and some shades and what you get is a perfect blend of life in return. During my growing years, I tried my
hands at every possible sport. And as I did that I found as if I was having a
look at my own inner
world, from different dimensions and varying focal lengths, of course.
I used to be the ace shooter for my basketball team and contributed heavily in
a series of triumphs in various tournaments. Playing basketball gave me that
urbane edge, that stylish connotation. I used to play cricket also; my primary role
was that of an off-break baller, though I fitted in the skin of an all
rounder perfectly; I
loved to keep the wickets on ‘as and when required’ basis. I used to
score runs when in need, used to be electric in field and used to rough up the
umpire on an odd day.</div>
<div class="MsoNormal" style="text-align: justify;">
<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I was this typical Indian
teenager, full of fracas and froth. The days gave enough reasons to be jubilant,
and the night gave enough reasons to sleep tight. As the final exams of 9<sup>th</sup>
class were approaching, my jig at sports blessed me with fractured patella bone
(right sided), and to my apprehension, I had to miss the classes for a good two
months. It came as a shock, as an eye opener you may say. It was so difficult
sitting at home and not doing any activities that mention sports; it was like
arriving at a screeching halt from a full throttle ride. It was one of the
palpable Kafkaesque experiences of my life, and I can still feel the gloom that
used to haunt me then.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-38727684136473607332012-07-31T11:01:00.003-07:002012-08-01T19:30:19.422-07:00Glory, uninterrupted.<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
Let your triumphs define you. There are two broad
types of triumphs, or rather two kinds of ability displayed in the achievement
of triumph by us. There is, first, the success either in big packages or small packages
which comes to the man who has in him the innate power to do what few other can
match; and what no amount of training, no determination or will power, will
enable any run of the mill man to do unless the urge is pure and unyielding. The
quality which the man possesses may be that which enables him to run a fifty
yards in six and three-fourth seconds, or to play twenty separate games of chess
at the same time blindfolded. No amount of training of body or mind would
enable any good ordinary man to perform any one of these accomplishments. <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
This is the most outstanding and
distinguishing kind of success and it can be attained only by the man who has
in him the quality which separates him in kind no less than in degree from his
fellows. But much the commoner type of success in every walk of life, in small
moments and in small packages. This kind of success is open to a voux populi,
if only they seriously determine to achieve it. It is the kind of success which
is open to the average man of sound body, intact insight and fair mind, who has
no remarkable mental or physical attributes, but who gets just as much as
possible in the way of work out of the aptitudes that he does possess. As it is
said popularly ‘every man must skin his own skunk’, we are the designers &
the architects of our successes. <o:p></o:p></div>
</div>Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-78576646465312774062012-07-31T11:01:00.001-07:002012-08-01T19:31:53.247-07:00An affair to remember<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
I remember my early days in operation
theatres when I used to observe the procedures being done by my professors; it
used to give me such a giant thrill those days. I used to observe every single
happening in operation theatre with a child-like keenness; the dazzling sight
of newly arranged surgical instruments; magic-like burst of rays from OT light,
as if the light would heal in itself; the pre-operative fervor in preparing the
patient; the penultimate moment before the scalpel touches the skin to make
first incision; everything seems so astutely fallen in proper places. <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
As a child and a youth, the scene in films
where they used to depict an Operation Theatre with a room that had a red bulb,
an authoritative bulb I must say, used to make me feel the moments of anxiety
that relatives of a patient had to experience while waiting outside Operation
Theatre with their glances fixed on that red bulb. Even today, I am pretty
moved by the relatives who wait outside the Operation Theatre to receive the
best news at the earliest. How can one not move by such events? I mean we have
our own emotional side, which turns vulnerable at times; and certain virtues
don’t loose their sheen with the passing days. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Compassion is a quality that a
patient always tries to find out in his doctor, and the moment he sees a hint
of that, his faith swells with multitudes. I make it a point to keep the
relatives amply updated about the status of their patient who remains inside
the ‘red bulb’ territory for this is the next best thing I can do apart from
operating the patient in my best skills; I feel this is one small step in
making the world a kind place.<o:p></o:p></div>
</div>Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-64279179268894404412012-07-31T11:00:00.005-07:002012-08-01T19:33:51.435-07:00Good looking apples are sometimes sour<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
Life is a glorious outcome of little pieces
of randomness where events are not as random as they seem in the first sight.
For every little thought there lies a motive in the backseat; conscious,
unconscious or subconscious. We win friends in our life times; the friends who
remain there with you to vitiate the poisonous fangs of adversities; we earn
enemies in our life times; the enemies who fail to recognize you as the
flesh-and-soul versions of their own alter-egos. <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
You know a man by the sweat of his brow and
the strength of his word. Life
would present before you an assortment of masquerades, for you to judge and
make the choices that help you soar high. If you want something, take positive
action to get it: Ask, and it shall be given you—don’t just sit there hoping
that something will turn up. As you brew so shall you drink; it’s as simple as
that. You expect to see ghouls and you would start seeing them; you focus on
the wafer-thin stream of white light and you would start seeing it. We,
ourselves, are responsible for the opportunities we get and for the chances
that we miss.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Probably the only difference between
stumbling blocks and stepping-stones is the way we use them.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-35106747541933324082012-07-31T11:00:00.003-07:002012-08-01T19:37:33.421-07:00God gives nuts, but he doesn’t crack them<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
Life is an equal opportunity beneath the
sheaths. It doesn’t eschew one at the face value, but embraces people with a
clear mind and warrior instinct. The chances are equal; everyone gets the same
supply of sunrays and morning whiff of air. Everyone has been given the
measures to experience dejection and pleasure. Hope thrills everyone;
opportunity strikes every door; a 6 year old’s smile charms every sinking soul;
people perceive the tastes and smells equally; the sight of a blooming flower
is soothing to eyes, both to a child and a veteran.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
God gives senses and instinct to attain an
understanding with the available options, and then to explore them in the way
you like it to reap the best results. Just like they say ‘Trust in Allah, but
tie your camel’. One is expected to toil for one’s needs and desires, for
nature is automated in this very way; nothing bequeaths you just like that,
there is an intact, and sometimes complex, purpose behind the curtains. Its us
who have the power to make a difference in the way we live our lives. Like they
say in Yiddish, Everyone is kneaded out of the same dough, but not baked in the
same oven.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Since birth, we are exposed to different
philosophies, different cultures, different religions and different bent of
minds; we must practice our own inner intellect and intuition to select a path
that illumines the way to our destinies. We must be more receptive to changes;
like they say if the Stone Age children had obeyed their parents, we would
still be living in the Stone Age. Every mind is a factory in itself that has
the ability to churn something really new; we must stop being repetitive for
this defies the primordial purpose of life. Seek out the truths with open mind
and embrace the source of pleasure, which lies just inside your own shell.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-89312305363582151852012-07-31T11:00:00.001-07:002012-08-01T18:04:50.451-07:00The legend, Sushruta<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
Whenever I get sometime, I like to explore
the lives of past surgeons and doctors to know their thought process, their
times and their contributions to the society.
I feel, like most of my colleagues, extremely fascinated by the life of
Sushruta. Sushruta, the father of surgery, who lived nearly 150 years before
Hippocrates, brilliantly described the fundamental principles of surgery in his
famous ancient treatise 'Sushruta Samhita' (1,2) in 600 B.C . Sushruta taught
the surgical demeanors to his students on various modules, such as, giving incisions
on fleshy fruits and vegetables (like watermelon, cucumber, gourd etc.),
probing on moth infested and worm eaten wood which acquires soft consistency etc.<o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Sushruta strongly believed and advocated that
knowledge of both surgery and medicine are essential to make a good doctor who
otherwise is akin a bird with only one wing. Sushruta had been a staunch
believer in importance of knowing anatomy well for anyone who wished to become
a doctor, or a healer. For most of use,
it would be hair-raising to know about knowledge base of Sushruta even in those
days. Shushruta has astutely described surgery under eight heads C hedya
(excision), Lekhya (scarification), Vedhya (puncturing), Esya (exploration),
Ahrya (extraction), Vsraya (evacuation) and Sivya (Suturing). <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
On of the famous sayings of Sushruta that is
often quoted in high-profile seminars these days says, ‘Any one, who wishes to
acquire a thorough knowledge of anatomy, must prepare a dead body and carefully
observe and examine all its parts’. Upon knowing the legends of Sushruta, one
automatically tends to think of the role and scope of pre-surgical anesthesia
in those days. Sushruta famously writes that wine should be used before
operation to produce insensibility to pain. The patient who has been fed, does
not faint, and he who is rendered intoxicated, does not feel the pain of the
operation. It makes me feel so inspired when I turn around pages of history in
want of surgeons who contributed in their own ways. They had eaten more salt
than we have eaten rice. Long live Sushruta ! <o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-41838759647293487962012-07-31T10:58:00.001-07:002012-07-31T10:58:33.686-07:00Only love is real<div dir="ltr" style="text-align: left;" trbidi="on">
<br /></div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-67045065660998127652012-06-30T07:28:00.000-07:002012-07-21T17:13:41.911-07:00Kindness is non-negotiable<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
Practice kindness to the pith.
Your present state is an outcome of your past deeds and your future would be
shaped by what you indulge in today. All said and done, many a times we get
carried away by a flicker of sentiment and put our thinking neurons to
hibernation; an outburst of anger, hatred or revenge follows and we,
inadvertently, become the destructors of our destinies. The paroxysms of anger
have always resulted in bad blood; one must take a pause and think about the
situation from an altogether different perspective.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Human life is a constant struggle
for achieving the state of nothingness; a state where you become empty inside
as you contain everything. Quite an oxymoron, but that is the truth of life;
when you seek refuge in worldly emotions, you keep on getting jolts, one after
another. When you stop reacting to distracting stimulus and invest in true
emotions, such as love, hope and kindness, you start experiencing as if the
nature is breathing in tandem with you. Life is a bouquet of wild roses and
life is an assortment of poisonous thorns; the perception of life depends on
your perspective and thought process.</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Kindness is the non-negotiable
law of nature. Most of the awe-inspiring and heaven-sent experiences happen
when you display abundance of kindness. To forgive is kindness; to sacrifice is
kindness; the beatific display of abundant care is kindness; non-violence is
kindness; respecting others’ mental spheres is kindness; to lessen others’
burdens is kindness. Practicing kindness comes as an addiction to those who
derive the psychic pleasures out of it; when you start contributing to Mother
Nature’s equilibrium of energies by practicing kindness, you truly shine out as
the most resplendent diamond.</div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-26588678760968169582012-06-30T07:26:00.003-07:002012-07-21T17:12:06.595-07:00My memorable mornings<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
It has been such a ceremonialistic
routine all these years for me to start my day with the onset of dawn.
Sometimes, I precede dawn in making my arrival known to the folks in my
hospital. In my college days, I used to think that something is wrong either
with my reticular activating system or with my melatonin secreting apparatus.
How else could an ordinary undergraduate relate with a short sleep requirement.
A lot of people feel somnolent in the day time even after enjoying a sound
sleep of 10-11 hours in the night time; some people are blessed the other way
round. I consider myself to be a blessed identity in this aspect; I feel
extremely wakeful and fresh after a sleep of 3 hours. I mean that much sleep is
enough to get me bouncing the whole day; I wouldn’t feel like catching forty
winks. On the saddest days I have managed to sleep for 6-7 hours, and haven’t
really liked the exercise. Even my buddy-buddy patients know this fact and
don’t hesitate calling me any part of the day or night for any of the health
related concerns that they find worth bringing up to my notice. <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The first thing I do after waking up is
to remember my parents. My wake up cycle has embedded this spiritual exercise
and I do this without getting any reminders from the brain; this is a realm
where subconscious calls the shots and the body obeys. Next, I pray to almighty
to give me strength to render my best knowledge, without any prejudice, to all
my patients and to contribute my share in making their lives merrier and free
of health related worries. I have always found the time of early morning the
best for my creative imagination. This is the time when my body is in
synchronization with my spiritual activity and everything seems so tranquil,
without any preconceived notions.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-22950407243934168572012-06-30T07:25:00.001-07:002012-07-21T17:10:08.079-07:00Initial days of my brush with blogging<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
It was with at the behest of one of my
colleagues at my hospital that I spent a couple of hours understanding the
nuances of what actually a blog is. The year was 2008. The month was November.
The climatic fervor was youthful. I discovered the diamond. As a child I had
practiced writing my own diary that chronicled daily events in my own biased
version; little did I know that a lot of people are writing their diaries in
the web version for the ordinary person to read, appreciate and be inspired. A
blog is a diary in which you can pen down anything you want. It will be updated
within seconds and it will remain forever in the monarchy of internet. I was
left ensorcelled by the possibilities of creative power attained, if I started
to operate my own blog. That night I got a fragmented sleep, and wool-gathering
was the essence of the coming day. I was partially in a reverie. Oh how badly I
wanted to start sharing my observations with ordinary people, how badly I
wanted to let people know my edition of life and it’s lanes. Every life is a
story worth telling. Every life is a jamboree worth its gall. <o:p></o:p></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
The next morning, I signed up on
blogger, the official blog platform of google. Though during those days a lot
of folks were using wordpress, I was a bit cynical to host my blog on
wordpress. I don’t know why. May be it had to do with the installation process
and customization efforts that required a bit of insight knowledge of the
technology, which I was not sure whether I possessed. I was more comfortable
with the blogger interface and the options of templates and layouts it
provided. In a matter of minutes, my blog was all ready to take birth. I was as
happy as a sandboy and my mind had started working on what would be my first
blog post.</div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-54823894562042442562012-06-30T07:23:00.002-07:002012-07-21T17:08:15.034-07:00Betrayals happen; life is a pebbly ride<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
I have seen very close colleagues, dear
folks and random people betraying my trust when I was least prepared. I have
seen myself landing between rock and hard plane quite a few times, and the
memories of most aghast attempts still haunt me. These are the days when one
can really relate to one’s belongings and one’s beliefs. I have emerged out
from the tunnels of coal, remaining unstained but the process has been every
inch nightmarish. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
During such unfortunate spells, I have
cocooned myself from the fickle minded attempts at maligning my reputation.
Mum’s the word for me in such situations as I am an uncompromising believer in
the power of actions. I am not someone who can be made mince meat of easily;
and I believe that I have gathered this power by the realization of my inner
self. We, the humans, hold mammoth powers that lie within us, and have the
potential to transform lives. The ones who are on ever-exploring spree often
get the equations right and are able to bring a radical change in the
circumstances; others simply curse the fate and get moved in the direction of
the force that has overpowered them. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
We must be our own masters or else the
vilifying attempts of people with suppressed conscience would keep on bringing
you the dishonor and disturbance that you don’t deserve. I was taken aback in
disbelief when I first discovered that one of closest pals didn’t think twice
in cheating me with money when I was experiencing the hilliest of all the
problems. The more you are connected with your folks, the more wounded you come
out when breach of trust happens. With passing times, my armor of experiences
has grown out of proportions, and this day, I find myself at a juncture where I
am less prone to get succumbed to such baleful attempts. <o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-4560486910060757232012-06-30T07:22:00.002-07:002012-07-21T17:06:12.083-07:00Memoirs of early years<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
I remember an incidence when I had just
started my hospital. There came a patient, a rather young male who had just
entered in his thirties, after being suffered multiple burn injuries by getting
inflicted with high tension wires. At the time of his admission, the likelihood
of his survival was pretty miserable in view of clinical state. He had
sustained about 60% burns that contained both superficial and deep ones. The
patient stayed at my hospital for about 6 weeks and emerged out a winner. I
could not gather a single moment when I saw him getting hopeless or dull; he
had this verve of life – a superfluous one. At the time of discharge, his total
hospital bill was about Rs 94,000. Though we have this rule of getting payments
deposited as the expenditures soar high, we don’t follow this rule with finicky
attire. This is one rule that has been kept flexible; especially for the poor
patients, I have instructed my staff to practice more compassion than what is the
usual norm. This patient had deposited Rs 24,000 in his hospital’s account and
was left with no more money. He explained this to me and said he is not in a
position to return me the balance amount. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
I was curious to know why he did not
opt to get his treatment done at some of the government hospital where expenses
would have been far less and they even have separate burn care units with
specialists 24X7. He responded after a long silence with lachrymose eyes and a
heavy heart. What he said was enough to bolster my amour proper to a
significant extent. He said ,” Sir, I am really sorry for not being able to pay
you back for the services that you provided me when I needed them most. The
moment you first attended me, I knew I was in exceptionally safe and capable
hands. Had I not been in a penny-pinching state, I would have merrily given you
the balance sum, and I promise to return it back to you in the years to come.
What you have done to me is angelic and now I believe my mother’s words that
used to stress over the fact that one comes across angels and demons in flesh
and blood. I am yet to see a person as self-sacrificing as you.”</div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
With years of
social experience it does not take me a long time to decipher what’s going on
in a person’s mind as he speaks a certain sentence. I was sure that this person
stayed at my hospital in spite of not having any money because he trusted me
with his life. I patted him on his back and told him to attend the follow up
sessions on time. The moment he was about to leave my consultation room, I
whispered softly that I don’t need the balance amount from him. Even before I
could have finished my statement, he was brought in to tears. He cried for a
long time and I consoled him. That is what I say a seraphic relationship.
Beyond the description of ordinary words; the more I see life, the more I want
to indulge in such selfless relationships where you only spread hope, love and
compassion. Had I not been a doctor, I would certainly have not been able to
experience the tranquility that peeps in my life from such sacrosanct
experiences.<o:p></o:p></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-89298476849828872802012-06-29T11:50:00.003-07:002012-07-21T17:04:31.900-07:00Don’t play small<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
<span style="background-color: white;">Our deepest fear should not be
about our inadequacies. We are powerful beyond measures, beyond ordinary recognitions.
It must be in our light, rather than in our darkness, that should frighten us. It’s
terrifying for some of us to shine our lights as dazzlingly as we are capable,
and it doesn’t bother me to say that preponderance of people out there struggle
with this facet of life at some point in their lives. A lot of melancholy and frustration
in the world today emanates from disinclination or incapacity to shine one’s
light and to truly express the greatness that we contain within ourselves.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span style="background-color: white;"><br /></span></div>
<div class="MsoNormal" style="text-align: justify;">
If you are struggling with some
specific part of life, may be it’s time to sit and list out the possible
reasons. To identify the problem areas is the foremost step in deducing a plan
of action. If your quench for your dreams is going steel-solid, nothing should
deter you from tasting success and basking in the glory of accomplishments. Don’t
limit the trajectory of your dreams; flutter freely for the wings of your
consciousness are as much immortal as the sky and the earth are. If there’s something you’ve been
wanting for a long time but have not been able to achieve it, it’s possible
that some part of your own inner self doesn’t really want that thing or situation
you’re trying to accomplish. </div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
Put in some fuel in leveraging
self-belief. No cause is worthy enough to rob you off your dream. You are here
in this world to make things happen; nothing special would be served to you in
your plate – you have to earn every ounce of it. And here lies the beauty of
life and Mother Nature; for them ore you see your affinity with your cause, the
forces tend to align with you in making your belief getting final shape. You
have been given a human’s life; you are capable of rational thoughts and
analytical power; you are here to create your destiny yourself. The answers lie
within you, and once you find them, you are well on your way to shining your
light in the world and infusing life in your dreams.</div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-76585597265419147072012-06-29T11:49:00.001-07:002012-07-21T17:01:16.479-07:0010 types of people you should avoid<div dir="ltr" style="text-align: left;" trbidi="on">
<div style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
</div>
<ol>
<li style="text-align: justify;"><span style="background-color: white;">Bosses who tell you to do them a
favor by putting in an extra hour of work after your shift has ended.</span></li>
<li style="text-align: justify;"><span style="background-color: white;">People who cut lines to reach the
window, without fail.</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Teachers who constantly remind
pupils about what they can’t achieve in their lives.</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Parents who fail to respect their
kids.</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Pretentious friends, who claim to
have done everything that you eye for.</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Officers who take advantage of their
governmental positions</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Coworkers who claim they had told
you so</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Friends who have their own fleet
of genuine-looking excuses when you need them the most</span></li>
<li style="text-align: justify;"><span style="background-color: white;">People with volatile tempers and
lack of motivation</span></li>
<li style="text-align: justify;"><span style="background-color: white;">Doctors who delay unnecessarily
in dispatching their duties</span></li>
</ol>
<div style="text-align: justify;">
<br /></div>
</div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-31025883796058854002012-06-29T11:47:00.004-07:002012-07-21T16:59:37.999-07:0020 things you can achieve in 10 minutes<div dir="ltr" style="text-align: left;" trbidi="on">
<br />
<div class="MsoNormal" style="text-align: justify;">
</div>
<ol>
<li><span style="background-color: white;">Burn 200 calories.</span></li>
<li><span style="background-color: white;">Take a small nap.</span></li>
<li><span style="background-color: white;">Plan a surprise party for your
colleague.</span></li>
<li><span style="background-color: white;">Get a family photograph clicked.</span></li>
<li><span style="background-color: white;">Get involved with a Child Relief
NGO.</span></li>
<li><span style="background-color: white;">Open up the window and breathe
some fresh air.</span></li>
<li><span style="background-color: white;">Read the editorial page of your
favorite newspaper.</span></li>
<li><span style="background-color: white;">Read the preface of a book and
plan the reading sessions for the week ahead.</span></li>
<li><span style="background-color: white;">Call your parents.</span></li>
<li><span style="background-color: white;">Get a reality check with your
child’s progress in his academics.</span></li>
<li><span style="background-color: white;">Prepare fruit salad.</span></li>
<li><span style="background-color: white;">Wipe out someone’s tears.</span></li>
<li><span style="background-color: white;">Organize your drawer and clean
your keyboard.</span></li>
<li><span style="background-color: white;">Make a list of ‘to-do’ activities
for the month.</span></li>
<li><span style="background-color: white;">Write an email to your future
spouse.</span></li>
<li><span style="background-color: white;">Hum a nostalgic tune.</span></li>
<li><span style="background-color: white;">Bask in the glory of silence.</span></li>
<li><span style="background-color: white;">Read the reviews of a newly
released book / film.</span></li>
<li><span style="background-color: white;">Change the passwords of your
social media identities.</span></li>
<li><span style="background-color: white;">Write a blog post.</span></li>
</ol>
<br /></div>
Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0tag:blogger.com,1999:blog-1540569195875183931.post-17616656215300332092012-06-29T11:46:00.005-07:002012-07-21T16:57:33.435-07:005 self help tactics for depression<div dir="ltr" style="text-align: left;" trbidi="on">
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Pangs of depression hold the
abhorrent capacity to incapacitate a person. In today’s life, we have a lot of
people suffering with underlying depression in view of fast changing values,
expectations and poor support system. Depending on the extent and severity of underlying
depression, you should seek medical help; depression help tactics are a grand
way to start the healing process.</div>
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<b>Setting goals are a great way to
build confidence.</b> When you set a goal for you, you instill self belief in your
dejected soul and that, precisely, acts as a panacea in replenishing your
positive hormones. </div>
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<b>Work out in improving your body
language and physical posture. </b>Practice more often to stand straight, smile
lavishly, hold your head high and maintain eye contacts. Do it in front of the
mirror and commit to memory a time you felt great; this would not just wipe the
depression to some extent, but would also help you regaining the lost
self-righteousness.</div>
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<b>Exercising is an imperative step
in releasing gush of positive hormones in your body.</b> This is no hidden truth
that exercise makes you feel better, and you must incorporate exercising in
your daily routine. It would be great if you can arrange someone to accompany
you so that you remain motivated.</div>
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<b>Don’t get burdened with a pile of
must-to-do activities</b>. Lighten down your workload and split your tasks into
smaller portions. Don’t leave a prominent window for unnecessary procrastination;
this allows you to complete your projects in a timely manner and desiccate the
pulp of problem to an extent.</div>
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<b>Surround yourself with happy, supportive
folks.</b> Spend time with people who understand you and participate in activities
that you revel in such as checking out a new dress, going out for a meal, seeing
a movie or visiting some friends. </div>
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Determining the causes of your
depression is a first-rate first step towards determining the best course of
action. In some cases depression suddenly appear in one’s life without an
easily discernible root cause; if this is the case, it would be best to see a doctor
while continuing these self-help measures.</div>
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Dr Anil Khetarpalhttp://www.blogger.com/profile/02365418422883036328noreply@blogger.com0