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HEALTH & STRESSmanagement

SPEAKER: DR.B.BAPUJI B.Sc., M.B.,B.S.,N.D.

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Physical Healthhas

a lot of bearingon

Mental Stress,

The other side of the Coin !

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ILL-HEALTH AFFECTS THE INDIVIDUAL’S

• PERFORMANCE • ORGANIZATION- absence, loss of man-hours, substitution,

work disruption, medical reimbursement etc.• FAMILY and its HAPPINESS.

• FINANCIAL SAVINGS get drained.• CHILDRENS’ Careers are affected -

particularly in Brain & Cardiac surgeries, Renal & Liver transplants, Cancer patients..

* USA is losing three times the budget of NASA annuallyonly for lower back and neck problem cases.

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An Individual whether a Man or a Woman suffers from 4 to 6 of the following list of the Diseases by the age of

30 years and above* Cervical Spondylosis* Lumbar Spondylosis* Chronic Digestive problems* Respiratory Allergies Ch.Sinusitis & Asthma* High Cholesterol* High Blood pressure* Heart Attacks* Diabetes.M.

* Over-weight* Osteo-arthritis* Insomnia

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His Health ?

His Stress Net Result –

He is leading a highly compromised Life.

One never realizes the importance of Health until one gets bedridden.

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A reasonable Health &

A right Mental attitude are

mandatory to

reduce Stress

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MEDICAL STATISTICS OF GOVERNMENT OF INDIA

-In 1950, the average Life span of an Indian was 37 years.-In 2002, it has improved to 63.5 years.

This improvement has been achieved due to the control of Communicable Diseases through

Immunization and various Control programmes with the help of WHO.

Though the Indian is living up to 63.5 years, He is down with Multiple Chronic problems right from the

age of 30 plus.

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The Life Span in the most developed Countries like U.S.A, Japan, U.K, Sweden & Germany has gone up to 80 Years. If people start living so long in a population without reasonable

Health, then they will be a big Burden on the economy of even the most developed Country like U.S.A.

Total Annual Medical Budget of U.S.A used to be8-10 Billions $ per annum in 60s. Today, America is

spending 3 Billions per day i.e 1000 Billion $ per year.

25% of its total Annual Medical Budget i.e 250 Billion $ are spent on last one year care of the elderly.

In U.S.A 35% of the population is not yet covered by insurance even today !

?

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WHY IS THIS SITUATION ?

1. Not enough emphasis is given to the management of Chronic illnesses either by WHO or the Governments of Developed and Developing Countries.

This is because the results are not perceived immediately.

2. Governments are ignorant that educating people on mere Dietary Discipline, Regular Exercise to suit the age and Health status of the individuals and Life Style changes will go a long way in improving the quality of Life. It can SAVE Billions of Dollars even for the most developed Countries who are struggling with the increase in the Life span of their people.

3. It is not the Life expectancy/Span that counts, It is the Quality of Health of the population that is important.

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According to “Campbell’s Law” in Engineering

StatisticsStatistics is a good tool, provided used

wisely but remember Statistics is like a Bikini,

what it reveals may be quite amusing. But

what it conceals is more Vital.

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FAMILY PHYSICIAN CONCEPT DISAPPEAREDToday, 4 or 6 problems of the individual are not tackled by

a single Doctor. The patient himself decides to go to the Specialist.

* How can a patient decide whether he should undergo a battery of Tests or a particular Surgical procedure and who should co-ordinate the 4 or 6 prescriptions of the Specialists ? Usually, a Specialist never takes in to account what the other specialists have prescribed.

* This is because a Specialist looks only into his field of Specialization. 60% lab.investigations & surgical interventions

are unnecessarily done all over the world, is an open fact.•Reasons: Defensive Medicine, to meet the costs of overheads,

Capital &interest repayment expenditure of Corporate Hospitals

It is the role of Family Physician or Company Doctor To help the individual in such situations. And if needed, He should

be in position to discuss with the Specialist on behalf of the patient.

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IMPACT OF ILL-HEALTH

* Ill-Health affects an individual and his Performance, it affects the Family, its Happiness

and its Finances.

* The impact of Salary earner's Ill-Health could be so severe as to drain away all the financial

savings of the family, affect the future career of his Children and Domestic relationship.

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IMPACT OF ILL-HEALTH......contd.

* A Child's sickness could result in severe emotional drain on the whole family, influencing

its entire life style.

* A Chronic Invalid, bedridden member of the Family at home may make so many demands on the time, energy and finances of the family that

may have difficulties in coping up with the situation.

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“To live is not sufficient. we need also the Joy of Living;

and the Joy of Life requires Health.

Above all, we need the Health which embraces the Body, the Mind

and the Soul."

Alexis carrel

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HUMAN BODY A Highly Complicated Structure.

HEART-

* In Adults, has 60 miles length of blood vessels.

* In a 70 year life span of a man Heart Pumps 250,000 gallons (1 million Liters) of Blood.

* May have beat 3.5 billion times.

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CORONARY ARTERY DISEASE AND BY-PASS GRAFT(CABG)

Venous grafts get closed within few months to 6 years period.Arterial grafts (left Mammary & Radial artery) can last for

many years.

Aorta

Circumflex artery

Anterior descending

CABG Venous graft

1st Septal

Right coronary Artery

Left Coronary Artery

Posterior Descending

Left Mammary

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150 mm of Hg

10 mmof Hg

Cross section of Artery of Heart Cross section of Vein from the Leg used as Venous graft

Gross difference in the Caliber of Blood vessels used in CABG

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Fat gets back to where it was in 30% of the cases, on the same day in rest of the 70% cases, within

6 months.

Balloon Angioplasty and putting a STENT(PTCA-Percutaneous transluminal coronary angiography)

Tunica External (External layer)

Tunica Media (Middle Muscular layer)

Tunica Intima (Endothelial Layer)

Balloon deflated & withdrawn within 120 Seconds

Atheromatous Plaque (Fatty bump)

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Stent

Inner lining of the Blood vessel

Problems with the Stent

1. Once placed, It can not be retrieved.

2. It is an obstruction to smooth flow of Blood. Hence the person has to take anticoagulants daily for some time, with weekly blood tests.

3. Since it is a foreign body, The inner lining of the blood vessel reacts and the cells multiply and engulf the stent and eventually cause total closure of the blood vessel within 6 months. It will be mandatory for the patient to go through CABG.

4. Nowadays, medicine impregnated stents are being experimented for not allowing these cells to multiply. Regarding these STENTS recently introduced, data is awaited!

5. Angioplasty is useful only in very limited number of cases to borrow time in a young person below 35 who has a single or maximum two critical blocks.

Diagrammatic

CABG & Angioplasty cont…..

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It is the deposition of Fat beneath the inner layer of the blood vessel that has to be arrested and whatever is deposited that has to be reversed. Angioplasty and CABG are palliative which are only temporary solutions to overcome an inch or two of obstructions. They should be taken up judiciously where blocks can be fatal if

not attended to.

It is the question of Health of 60 mileslength of blood vessels.

How can there be a mechanical solution for a metabolic disorder ?!

CABG & Angioplasty cont…..

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LIFESTYLE SHIFT CAN UNCLOG ARTERIES

Strict changes in Diet and Lifestyle, not only prevent Heart attacks but can actually reverse the clogging

of arteries, according to a small but pioneering study reported late 80s.

The Study showed that a Vegetarian Diet, Moderate Exercise and an hour a day of Yoga and Meditation

could produce reversal of Atherosclerosis.

Study conducted by: DR. DEAN ORNISH Director of Preventive Medicine & Research Institute, Sausalite, California, U S A.

Atheromatous Plaque

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Saturated Fat in the

Blood

Fat in the

Blood

Fat

1. Dietary Fat

2. Body’s own fat

3. Exercise & Medication

THREE INTER-CONNECTED TANK PHENOMENON(to understand how diet , reduction of excess weight & exercise can reduce the

fatty blocks in the blood vessels)

Saturated Fat in Diet and Body’s Fat

Stores

Fatty blocks in the blood

vessels

The fatty blocks automatically reduce in thickness, If 1, 2 & 3 are taken care.

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Esophagus

Gallbladder P ancreas

Duodenum

Stomach

Ascending colon

Descending colon

Appendix

J ejunum

Ileum

Small intes tine

Transverse colon

Liver

Rectum

DIGESTIVE SYSTEM

HUMAN BODY-A Highly Complicated

Structure

Kidney

Bladder

Uraters

UrethraURINARY SYSTEM

* KIDNEY - Each kidney has 1 Million filters.

* LIVER - Even One-tenth of Liver can meet body's every day requirements.

* WBC - 126 Billion cells ( each with a Life span of only 9 - 12 days ) constantly circulating throughout the body, protecting us from infections.

Filter(Nephron)

* EAR -can differentiate 1600 Frequencies.

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“Medical teachers know that Half of what they teach is Untrue - the

trouble is that they don't know which Half !"

Attributed to: Dr. C.S. Burwell (formerly DEAN, Harvard Medical

School)

From the first page of a book: "CARDIOLOGY" by DESMOND G. JULIAN 4th Edition MA.MD.FRCP.,FRCP(E)FRACP

1+1=3

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Health is not a commodity that can be purchased either in a Specialist's clinic, or in a Pharmacist's

shop, or even in areputed Hospital.

You can acquire it only by your own efforts.

Remember,It is not just sufficient to acquire Health, it has to be

maintained by constant efforts.

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Medicine and Commercial Interests often make a very Unhealthy combination

The approach of Medical scientists, sometimes, seems primarily interested in

extending Medicine's Technical Prowess, with scant regard for

Ends and Values !

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like all sorts of consumerism, only more menacingly-is designed to be unsatisfying.

The prolongation of LIFE and search for Perfect Health (Beauty, Youth & Happiness)

are inherently self-defeating. The law of “Diminishing returns” necessarily applies.

MEDICAL CONSUMERISM –

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Last Century has seen the greatest triumphs of Medicalscience, but paradoxically, now more than any time in

the past three Centuries, the Medical Profession doubts

itself.

Medical field has led people to vastly inflated expectations,

which the public has eagerly swallowed.

Yet, as these expectations grow unlimited,they become difficult / impossible to fulfill.

The task facing Medicine in Twenty-first Century willbe to redefine its limits even as it extends its capacities.

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For all Medicine’s success stories, who would deny a certain Malaise ?

The Atmosphere is one of Hollow conquest.

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CONSULTATION ( should be in writing )

1. List of Present Complaints, chronologically,2. Relevant past history,3. Family History,4. Personal History - Diet, Routine, Bowel habit, Sleep, Type of work,

Habits and Addictions etc., 5. CLINICAL EXAMINATION and PROVISIONAL DIAGNOSIS,6. LAB INVESTIGATIONS taking into account the PREVIOUS TESTS,

so that Final Diagnosis is arrived at, with minimum tests to reduce the costs and the ordeal to which the patient is subjected to.

7. FINAL DIAGNOSIS.8. PRESCRIPTION & OPINION :-

i) Clear Instructions about Medication & Diet expected side effects, How long? and why etc.,

ii) If Surgery needed-Why? How Soon? Who is the Best Surgeon? Costs etc.

iii) Referrals to appropriate Specialist, if needed.

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* The Efficiency of a Physician lies in his Clinical skills, ability of differential Diagnosis, arriving at the

Final Diagnosis with minimum laboratory investigations.

*An efficient Doctor writes minimum number of Medicines, which are less expensive and have the least side effects.

* He deals with the patient with concern and compassion.

* He does not hesitate to accept his ignorance at times and does not mind to refer to a good specialist or check

for the patient from a senior colleague.

Medicine is a very vast field and Biological intricacies are too complex. A Doctor can be ignorant of some

aspects in his own Specialty at times!There can be nobody like a “Perfect Doctor”

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Until two Decades ago, a Doctor enjoyed this status:

But today, the commercialization in the various systems of medicine and unethical approach pushed the unique status

to:

You are the brother of God of Death.

Whereas the Doctor takes away the Life, as well as Money.”

The God of Death takes away the Life of the person;

“Oh Doctor! you are God.”

“Oh Doctor, I salute you;?

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If a Doctor practices sincerely with a little Concern and Compassion for the Patient, there is no dearth of Money and there will not be so many law suits against Medical Professionals.

The amount of job satisfaction the Sincere & Compassionate Doctor gets, no other profession can give that.

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Doctor - Patient rapport *If a Patient does not trust the Doctor and the Doctor

does not trust the Patient, How can the results beachieved even from the best treatment particularly in

day to day Ailments & Chronic Diseases ?

*This is exactly what is happening in the Westand same thing has crept into India these days.

*Defensive Medicine is the ultimate result whichis neither in the interest of the patient nor to the

economy of any country.

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How ignorant today's EducatedPatient is and how difficult it is,

sometimes, to handle him,Do you know ?

Please try to answer the following

Questions.

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What is the

Normal

Blood pressure ?

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NORMAL BLOOD PRESSURE

100 / 60 to 140 / 90 mm of Hg. for people below 50 years of age.

100 / 60 to 160 / 90 mm of Hg. for people after the age of 50

yrs.

* 120 / 80 and Age + 100 etc., as presumed by people, are not correct.The Blood Pressure

is never constant throughout the day.

* There is no Chronic Disease by name Low Blood Pressure as believed by

people .

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SIMILARLY, Pulse Rate

It is not constant at 72 / mt as presumed by people.

Normal Pulse rate is - 60 to 90 beats/mt.

Do you know that some people have MISSED BEATS , which is quite a normal

Phenomenon ? 4 to 6 missed beats/mt is quite normal and do not cause any problems.

Normal temperature - 98.4 F + 1It is never constant at 98.4 as presumed.

O

O

39 Sugar levels

CONFUSION OVER BLOOD SUGAR LEVEL INNORMAL PEOPLE & DIABETICS

Blood sugar

Fasting less than 110 110-126 more than 126

Sugar level from 0- 2 hours

less than 200

Less than 200

200 at least once

Sugar levels after 2 hours

less than 140

above 140 But

below 200

more than 200

Normal Person

Potential Diabetic

Diabetic

When there is a suspicion whether a person has Diabetes or not, Glucose tolerance is the

best test. The person has to give Fasting (12-14 hours from the previous night’s dinner) blood sample in the morning and then he is given 75 grams of plain glucose. Samples are drawn every half an hour for blood glucose estimation (4 samples apart from fasting sample).

0hours

2 hours

Time

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Should you walk as an exercise after Dinner ?

The answer is ---- No.

SIMILARLY,

No Bath immediately after Food intake.

You have to wait atleastfor 2 hours.

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Are you supposed to use a Pillow under the Head ?

If you do not know how to use a Pillow correctly, which is a daily affair, you are heading for serious symptoms of Cervical Spondylosis, which can create confusion with

Cardiac Chest pain.

Sleeping on the back with a thick pillow to watch TV or to read is very

bad for the neck.Sleeping on the back with a thin pillow or without a pillow, is correct. But it is

impractical .

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The only, practical and the Correct way of Sleeping and

using a Pillow is-

Through out during sleep, one changes position from right to left and left to right at least half a dozen times.

Pillow should be sufficiently & effectively

THICK to keep the

neck horizontal.NOTE: Mattress should be only 1 inch thick (cotton) and on hard bed, for sleeping.

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THE CORRECT ASPECTS OF CHOLESTEROLLEVELS

NORMAL LIPID PROFILE

TOTAL CHOLESTEROL - 160- 200 mg/dl ( HDL+LDL+VLDL) H D L - 45 - 80 mg/dl (higher the better)

L D L - 130 mg /dl or less VLDL - 27 mg / dl or less TRIGLYCERIDES - 145 mg / dl or less

TOTAL CHOLESTEROL = 4.5 : 1 H D L or less

(This ratio is most important)

For example:- 150 / 15 = 10 : 1 Unsafe | 260 / 80 = 3.2 : 1 Safe

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LDLVLDL HDL

*VLDL & 1/5 of Triglycerides are converted to LDL which tends to get deposited in the blood vessel causing blocks.

*HDL removes fat from these blocks into the blood.

1/5 of total Triglycerides

Fat Deposition Fat withdrawal

* If deposits are more and withdrawals are less, blocks develop.

*If withdrawals are more and deposits are less, blood vessels are healthy.

FATTY BLOCKS IN THE BLOOD VESSELS – Relationship to various components of lipid profile

Tot.Cholesterol

HDL

This ratio is vital

4.5

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FRAMINGHAM HEART STUDY

The good cholesterol hypothesis comes from studies like the Framingham Heart Study that followed

thousands of people for years to see who developed heart disease.

The study showed that if two people had the same levels of the bad cholesterol (LDL), but different levels of the good cholesterol (HDL), the one with more HDL was

less likely to have heart disease.

Researchers examined the biochemistry of the two molecules learned that they have opposite roles.

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TO IMPROVE HDL LEVELS IN THE BLOOD(High Density Lipoprotein, “good component”,“vacuum cleaner” in the blood vessels )

There are no Medicines to improve HDL levels in the blood.But, there are four methods to improve it.

1. Your Diet should contain more amount of vegetable fibre. (skin- of green & leafy vegetables, some fruits).

2. Physical Exercise (“25 mts Yoga for You”).

3. Moderate quantity of Alcohol promotes HDL levels.

4. Prerogative of female gender. Female hormones before menopause protect Women from Heart attacks 10 times compared to men. During menstrual cycles, the female hormones keep the HDL levels high in a woman.

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LOW CHOLESTEROL IS ALSO NOT GOOD FOR HEALTH

Low Cholesterol (less than 160 mg /dl) levels are associated with an increased risk of mortality from other causes like:

1. Cancer

2. Liver damage.

3. Respiratory diseases

4. Injuries

5. Accidents

A statistical study report published in JAMA(Journal of American Medical Association)

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TO REDUCE TRIGLYCERIDES

Since 1/5 of Triglycerides are converted to LDL (bad constituent ), and LDL is one of the contributors of

Total Cholesterol levels, If one can maintain

Total Cholesterol / HDL ratio to less than 4.5 , one need not worry about Triglycerides if the levels are

below 500 mgs/dl. However, to reduce Tryglycerides in the blood,

Remember

- One has to cut down on CARBOHYDRATE intake in Diet i.e

Rice,Tubers, Sugar, Sweets, Desserts & Alcohol

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Raw Foods

Salads Fruits (Except grapes)

Cucumber Banana, Apple, Oranges Carrot Sweet lime, Guava, Tomato Pineapple, Sapota, Beetroot Papaya, Watermelon, Radish Muskmelon, Jackfruit, Tender Cabbage Custard apple etc., Capsicum

Onions Dry fruits - Almonds Soaked groundnut (12 hrs) - Cashew Sprouts (24 hrs) - Date Coconut - Pistachio

- Raisin

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PHYSICAL MENTAL HEALTH HEALTH lowered 1. Ignorance of Moral Drop in the and Ethical values threshold to 2. Lack of Professional face a given and Domestic Commitment Problem 3. Lack of Contentment 4. Lack of Positive attitude 5. Ego

HEALTH

STRESS

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MENTAL HEALTH Depends on....

1. MORAL and ETHICAL VALUES as far as our Conduct at Home, at Work place and in Social circles is concerned.

2. PROFESSIONAL and DOMESTIC COMMITMENT are highly essential and a Balance has to be maintained.

3. CONTENTMENT about Personal Possessions, whatever is judiciously earned.

4. POSITIVE ATTITUDE to any Problem.5. Shedding EGO.

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EGO

EGO is defined as Undue Assertion of Oneself due to -

1 POSITION 2 MONETARY STATUS 3 RELATIONSHIP

You are recognized only by your- CHARACTER, CONDUCT, EFFICIENCY and CONCERN for Others.

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FOUR important STEPS:-

1. Mandatory ANNUAL HEALTH CHECK-UP consisting of a clinical Examination by a Competent Physician & simple urine andblood tests for Every One after the age of 30 years.

This is essential because Bio-chemical changes in the body precede much earlier than the actual Physical symptoms of

the Disease.

2. Basic knowledge of common types of AILMENTS so that preventive and curative steps can be taken.

3. How to assess your own HEALTH ?

4. Knowledge of FACTORS that PRESERVE and RESTORE

one's Health.

MANAGEMENT of PHYSICAL HEALTH

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PHYSICAL HEALTH MANAGEMENT - STEP I

ANNUAL HEALTH CHECK-UP TESTS ( FOR PEOPLE above 30 YEARS OF AGE )

A) For Everyone 1. Complete Urine examination 2. Complete Blood picture, ESR 3. Fasting & post Glucose blood Sugar (75 gms or 1gm / kg body weight, sample to be drawn 1 hour after) 4. Blood Urea 5. Serum Creatinine 6. Serum Cholesterol & lipid profile 7. Serum Uric acid

* go to the laboratory with no tea or coffee even without sugar in the morning (can take water); BUT, *Remember, to finish the previous night's dinner before 8 p.m i.e., 12 to 14 hours of fasting required before the blood sample given next day morning.

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B) ADDITIONAL TESTS for some people

7. ECG - (If there is a family incidence of Diabetes.M., Hypertension and Heart attacks) 8. STRESS ECG - (TMT Once in 2 years after 40 years)

9. PLAIN X-RAY CHEST PA & LAT.Views- (If the individual is or was a smoker until last year) 10. LIVER FUNCTION TESTS -(If the individual takes Alcohol more than 2-3 times a week) 11. PROSTATE SPECIFIC ANTIGEN- PSA

(for men after 40 years) 12. PAP'S STAINING OF CERVICAL SMEAR- (for women to detect Uterus cancer early) 13. MAMMOGRAPHY- (once in a year for women if a lumpy or nodular feel in the Breast)

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A) BASIC KNOWLEDGE OF COMMON DAY-TO-DAY AILMENTS

Cold, Sore-throat, Head-ache, Nausea, 1 - 2 Vomitings, 2 - 4 Loose motions, Indigestion, Abdominal discomfort, Lack of Sleep, feeling of Vague Sickness, Body-aches, Fever, etc.

Today, the Educated Patient is committing the biggest

Blunder in handling the above simple problems and paying a

very heavy price in the long run. Do you know how ?

PHYSICAL HEALTH MANAGEMENT - STEP II

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In a case of Fever, when an Educated Patient goes to a Consultant Physician in India , 95% of them give the

following type of prescriptionon the very first day of the fever.

1. CHLOROQUIN tab 2 bid for two and half days (for Malaria)

2. CIPROFLOXACIN 500 mg tab bid x 5 days (for Typhoid)3. CO-TRIMOXOZOLE - DS tab 1 bid x 4 days (for Urinary tract

Infection)4. STEMATIL tab 1tid 5. CALPOL tab 1qid6. INCIDAL tab 1tid7. COBADEX cap1od8. SANTAVENI tonic 2 tsp tid 9. DIET - EAT WHATEVER YOU WANT & RICH FOOD !!

Patients literally compel the Doctors to write these Prescriptions. * Prescription should cost more than the Consultation fee; * Longer the Prescription, better is the Doctor; * One of the Medicines is unheard of & * Not easily available, - are the patients’ views about a “Competent Doctor”

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Fever subsides next day.What was the fever ? Was it MALARIA ? Was it TYPHOID ? or Was it URINARY TRACT INFECTION ?

Nobody can make out because it was a Pharmacological gang rape of the fever!

Patient discontinues Ciprofloxacin after two days, becausehe thinks it is too expensive, powerful and harmful.

Fever recurs on the fourth day and continues for weeks creating

confusion about the diagnosis as the lab. tests subsequently are

inconclusive, and Specialists start labeling it as PUO / FUO (in USA).

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Latest Abbreviation for an undiagnosed Fever lasting for more than 10 days is –

P P P

P - PERSISTANT for the PATIENT

P - PERPLEXING for the DOCTOR

P - PYREXIA means FEVER !!!

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In USA a DOCTOR does NOT write MEDICINES untilDIAGNOSIS is CONFIRMED

Doctor- Patient trust is totally non existent in USA.

The Patient is subjected to a number of tests- expensive and cumbersome. After the tests results come, no conclusion is drawn. The Patient is referred to other specialists who in turn put him through further tests pertaining to their respective

specialty. “Joint responsibility is no responsibility!”

A 30 year old CEO of a company in Detroit, seen at least 15 Specialists in 3 months period without attending Office for reeling sensation due to Cervical Spondylosis and heaviness in the fore-head due to Sinusitis, spending 20000 $. Yet no commitment on the Diagnosis, leave aside starting any treatment. Patient started worrying that if his problem could not be diagnosed in USA then it must be a very serious, mysterious incurable problem and developed Anxiety Neurosis for which he is yet to see a Psychiatrist.

This is what is known as defensive Medicine. The Doctor all the time tries to save his Neck, let what may happen to the Patient!

WHO IS AT LOSS ? This is the other extreme of what is happening in India.

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In all the day-to-day ailments, the Initial treatment should be….

* Skip the next solid Meal for a few hours to 48 hours;

* Remain on suitable Liquid Diet;

* Take at least 8 to 10 glasses of plain Water in 24 hours;

* Take rest if Temperature is high and can take Paracetemol (crocin) every 6th hourly even on empty Stomach.

# Seek the Family/Company Doctor's advice if symptomsdo not show decline in 48 hours.

# In 80 - 90% cases, No tests, No medication and No Doctor will be required.

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In an Acute Illness when one does not follow Dietary restriction the Medicine doesn't work!

When one follows Dietary restriction, there is no need of any Medicine!

There is an important principle in Ayurveda, the oldest traditional system in INDIA-

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Do all Allopathic Medicines require food intake prior to administration ?

“ NO ” Only the following group of the Medicines

and some specified medication have to be taken orally after food.

A. Analgesics and Analgin, Asprin, Saridon anti-inflammatory Anacin, Brufen, Nimesulide drugs Ibugesic, Voveran, Mobizox Indomethacin, etc.,

B. Anti-malarial drugs Chloroquin phosphate (Lariago), Pyralfin/Malocide/Metakelfin etc.,

C. Steroids Decadran, Betnelan, Betnesol, Wyselone, Deltacortil Prednesalone etc.,

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Infact, Most of the antibiotics like - Ampicillin, Norfloxacillin, Ciprofloxacillin etc., have to be taken

empty stomach.(excepting Erythromycin)

Do you know that one type of oral Diabetic medicine (Sulfanylurea group)

& Insulin have to be taken half an hour before food intake? The

other oral medicine(Biguanides) have to be taken immediately after

food ? These days some pharmaceuticals are manufacturing both the above medicines in the same

tablet.When should this tablet be taken?!!

Medicines for Heart and Blood pressure can beadministered empty stomach, maintaining time

schedule is very important.

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“Your body has remarkable recuperative power

when it is left alone.”

“We unfortunately, interfere too early, too often

and too much with it due to pessimistic approach

and over cautiousness.”

DR.HERBERT.M. SHELTON

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•In 400 B.C., Hippocrates, the father of Modern Medicine, recognized the healing forces inherent in living organisms.

He called these forces “NATURE’S HEALING POWER”.

•The role of a Physician was to assist these natural forces by creating most favorable conditions for healing process.

•This is the actual meaning of Therapy which comes from the Greek word “Therapeuin” means to attend.

• •Today instead of assisting the body, we are substituting

and interfering with the body’s functions.

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Human body & its Defense

Do you know that if our defense system fails, it takes only 4 sec. for the Bacteria to reach Brain from a fresh superficial wound

in the hand and cause fatal Meningitis or Encephalitis.

1. 126 Billion white cells (WBC) in a 70 kg. man2. Anti-bodies3. Compliments: C1 - C17

Antibody Harmful Chemical

Antibody

WBC

WBC

Bacterium

Neutralized

Complement BacteriumCell wall destroyed

Bacterium

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DATE 6 a.m. 12 Noon 6 p.m. 10 p.m.

1/9 99 100 101 102 2/9 100 100.6 102.4

103 3/9 100.4 101 103 104 4/9 101 101.6 103.4

104.2

HOW TO MAINTAIN A CORRECT TEMPERATURE CHART, DO YOU KNOW ?

In a case of Fever, temperature chart is very important tosuspect or diagnose the type of fever. Many a people do

not have the slightest idea about it and those who maintain "some" Temp. chart has

no relevance.

A good Temperature Chart in a case of Fever:

Paracetemol tablet or syrup depending on the age of the patient, can be given only at the above timings if the temp. is

above 98.4 F, not in between.

O

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Physical Health Management - Step II

B) CHRONIC DISEASES I. Birth defects Can be prevented by avoiding...

-Medication of any type -X-rays to the Abdomen & back -Scans during the 1st three months of pregnancy

The development of organs in the Fetus takes place during the first

three months of pregnancy and anything that interferes during this period can cause Birth defects.

.A Defective child is a life long Liability and Stress.

Like any manufacturing defect cannot be totally corrected, God'smanufacturing defects are much more difficult to handle.

Only an Obstetrician is competent to prescribe.

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II. HEREDITARY DISEASES

DIABETES MELLITUS (High Blood Sugar)

HYPERTENSION (High Blood Pressure)

CORONARY ARTERY DISEASE (Angina and Heart attacks)

A Person with Family History of above problems, hasto take certain precautions after the age of 20 as shown

in the next slide; Otherwise he will develop the problems much

earlier than his Parents had.

50% of our Health is Inheritance.The other 50% we mess up due to Ignorance & Negligence.

71

An Individual with a Family history of Diabetes.M., High blood Pressure and Heart-Attacks, has to take the

following:

FIVE PRECAUTIONS: 1. Cannot afford to be Over-weight.

2. Cannot take Oily foods, (particularly saturated fats) & Sweets liberally. The list of foods in daily life containing saturated fats which promote Bad Cholesterol in the blood is given in the next slide.

3. Cannot go without regular Exercise.

4. Cannot indulge in Smoking.

5. Cannot afford to take Alcohol liberally.

72

FOODS CONTAINING SATURATED FATS IN OUR DAILY DIET

NON-VEGETARIAN FOODS, EGGS &DAIRY PRODUCTS like:- Whole milk- Curd- Cream- Cheese- Butter- Ghee- Milk Sweets & Desserts- Milk chocolates- Milk beveragesVANASPATHI (Hydrogenated oils)COCONUT OILPALMOLIEN OIL

A few of the items given above can be minimized or avoided to reduceTotal Cholesterol levels particularly LDL & VLDL in the blood.

73

Ideal weights for Men

Height Small frame Medium frame Large frame

Ft In Cms lbs kgs lbs kgs lbs kgs

5 2 157 112-120 50-54 118-129 53-58 126-141 57-64 5 3 160 115-123 52-56 121-133 55-60 129-144 58-65 5 4 163 118-126 53-57 124-136 56-62 132-148 59-67 5 5 165 121-129 55-59 127-139 58-63 135-152 61-68 5 6 168 124-133 56-60 130-143 59-65 138-156 63-70 5 7 170 128-137 58-62 134-147 61-67 142-161 64-73 5 8 173 132-141 60-64 138-152 63-69 147-166 67-75 5 9 175 138-145 62-66 142-156 64-71 151-170 68-77 5 10 178 140-150 64-68 146-160 66-73 155-174 70-78 5 11 180 144-154 66-70 150-165 68-75 159-179 72-81 6 0 183 148-158 67-72 154-170 70-77 164-184 74-83 6 1 185 152-162 69-74 158-175 71-79 168-189 76-85 6 2 188 156-167 71-76 162-180 73-82 173-194 78-88 6 3 191 160-171 73-78 167-185 76-83 178-199 80-90 6 4 193 164-175 74-79 172-190 78-86 182-204 82-92

74

Ideal Weight for Women Height Small frame Medium frame Large frame

Ft In Cms lbs kgs lbs kgs lbs kgs

4 10 147 92 -98 42-45 96-107 44-49 104-119 47-544 11 150 94-101 43-46 98-110 45-50 106-122 48-555 0 152 96-104 44-47 101-113 46-51 109-125 49-575 1 155 99-107 45-50 106-116 47-53 112-128 51-585 2 158 102-110 46-50 107-119 49-55 115-131 52-595 3 160 105-113 48-51 110-122 50-55 118-134 54-615 4 163 108-116 49-53 113-126 51-57 121-138 55-635 5 165 111-119 50-54 116-130 53-59 125-142 57-645 6 168 114-123 52-56 120-135 54-61 129-146 60-665 7 170 116-127 54-58 124-139 56-63 133-150 60-685 8 173 122-131 55-59 128-143 58-65 137-154 62-705 9 173 126-135 57-61 132-147 60-67 141-158 64-725 10 178 130-140 59-63 136-151 62-69 145-163 66-745 11 180 134-144 61-65 142-155 64-70 149-168 68-766 0 183 138-148 63-67 144-159 65-72 153-173 69-79

 

75

Should you stop Vegetable Oils in Diet when Cholesterol levels in the Blood are high ? - NO.

•One who has high Cholesterol levels, should cut down animal source of Fat

(saturated fats) in the Diet and never cut down on the intake of vegetable oils (unsaturated Fats), Otherwise it will result in Total

Cholesterol in blood to go up due to break down of body fats and pooling into blood.• In Diabetics- Control of blood sugar levels, In Hypothyroidism,

maintenance of T3 ,T4 & TSH levels are more important than Diet and Medication

to bring down Cholesterol levels.* One should continue to use normal quantities of Vegetable oil in

diet, but reduce Animal source of Fats and hydrogenated Veg. Oils to

reduce Bad Cholesterol.

Hence,One can have fried stuff as long as it is in Vegetable oil.

based on: Ref- page 269, 13th edition “Rypins’ Medical Licensure Examinations”

76

Certain Foods have bearingon precipitating or aggravating

an Allergic problem,Do you know ?

Modern Medicine Doctors are totally ignorant about it as they haven't been trained on this aspect.This is precisely the reason, that the desired relief does not come in spite of a

battery of Medication. Fish and Sea-foods are well known for triggering Allergic reaction in some people.

In Bronchial Asthma & Allergic problems

77

IN ALLERGIC PROBLEMS...

The food stuffs (list shown in slide 75) have to be avoided for 1 to 6 weeks, prior or during an attack of common Allergic

problems like :

A. RESPIRATORY - RhinitisALLERGIES - Sinusitis - Allergic Pharyngitis - Allergic Bronchitis - Eosinophilia - Bronchial Asthma

B. ALLERGIC SKIN PROBLEMS

C. AUTO- IMMUNE DISEASES

Note: In B & C, the food stuffs (specified in the slide 79) will have to be withheld 100% for few Months to a Year.

78

What is an Auto-Immune Disease?

In an auto-immune disease, the antibodies produced in the body against Bacteria in the past, start attacking ones own tissues causing chronic inflammation and serious

impairment of the organs affected and sometimes permanent residual damage. Examples:

Rheumatoid Arthritis(multiple Joints), Psoriatic Arthritis (multiple joints), Psoriasis(Skin), Pemphigus(Skin), Scleroderma (Skin), Lichen Planus (Skin), Leucoderma (Skin), Ulcerative Colitis (Colon) , Multiple Sclerosis (Nerves), SLE(Connective tissue of Skin, joints, kidneys & other organs), Sarcoidosis (disease of unknown reason affecting Lungs),Ankylosing-Spondylitis (Inflammation of whole spine, a crippling disease), Idiopathic Thrombocytopaenic Purpura (Platelet depletion in Blood), CollagenDisease(Connective tissue of multiple organs), Amyloidosis (infiltration of tissues with insoluble Protien fibrils), Eale’s Disease(Eye-Retinal allergic vasculitis), Myasthenia Gravis(weakness of muscles of face and swallowing &later other muscles)

79

1. ANIMAL SOURCE OF PROTEIN: Milk, Curd, Butter Milk, Butter, Cheese,Milk

Chocolates,Milk Beverages, Milk Sweets/Desserts, Eggs, Non-vegetarian foods.

2. FOODS CONTAINING: Colours, Preservatives,Synthetic food additives Soft drinks, Sauce, Jam, Jellies, Ketchup, Colours in Sweets,Pastries,Cake ready to eat packed foods, Bread, Biscuits, Chocolates, Toffees, etc.,,

3. CERTAIN FRUITS Grapes, Citrus fruits like Lemon, Oranges, Sweet

lime, Guava, Custard apple, Pineapple, Goose berry, raw Tamarind, raw Mango & other sour fruits and uncooked vegetables.

Other fruits like Banana, Apple, Papaya, Sapota , Melons, Jackfruit, Pears etc., can be taken before 7 p.m.

FOODSTUFFS TO BE AVOIDEDin Allergic conditions and Auto-immune Diseases

In auto Immune diseases since restrictions are for a long period, one can have Calcium & Vitamin D substitution prescribed by the Physician

80

One may wonder What is left for eating?

THE FOLLOWING FOODSTUFFS ONE CAN HAVE:

Rice,Chapathies, Parathas, all varieties of Vegetables including Tubers, Pulses, Cereals, normal Salt, Chillies and other spices, fried foods, Idli, Dosa, Vada, uthappa, Puri,

Chole batura, non-citrus fruits like Banana, Papaya,Apple, Sapota, Pomogranate, Jack fruit, ripe Mango,Water melon,

Masc. Melon etc.,

Not at all difficult to follow for afew weeks to a few months.

Not Life long ! Otherwise, It is not worth Living !

THERE IS NO CHOICE EITHER !

81

How this list of food stuffs to be avoided, has been arrived at ?!

• Based on practices regionally by various communities in India and they have been passed on from generations during the past few centuries.

• My own parents’ 40 years of experience who were renowned Naturopaths.

• Various restrictions prescribed by Indian systems (Alternative systems) of Medicine in certain disease.

• Our own clinical experience of 25 years.

Response to these restrictions for a limited period, has been overwhelmingly encouraging. It is for the Modern Medicine to take up research to standardize the regimen and also to look into objectively, what ingredients in Animal Protein, Synthetic colors, food additives, preservatives and citrus fruits cause aggravation or precipitation of Allergic & Auto-Immune Diseases.

82

III. ACQUIRED DISEASES

INFECTIONS- Viral fevers - Tuberculosis- Hansen's disease etc.,

METABOLIC DISEASES- Diabetes Mellitus- Obesity,Gout etc.,

Why people are getting prone for Infectious Diseases and developing Metabolic Disorders even at a young age?

83

IV. DEGENERATIVE DISEASES(ageing problems)

- CERVICAL SPONDYLOSIS (Neck problem)

-LUMBAR SPONDYLOSIS (Lower back problem)

- OSTEO-ARTHRITIS (of weight bearing joints like knees)

- OSTEOPOROSIS (Depletion of Calcium from bones)

-PRE-MATURE CATARACT (Lens of the eye getting opaque)

Why is this

premature ageing ?

84

These problems also have increased in incidence,

Does any one realize why this trend ?

V. DISEASES OF UNKNOWN REASON even today in spite of all our advancements

in diagnostic techniques

-MALIGNANCIES (Cancers) -AUTO IMMUNE DISEASES: Rheumatoid Arthritis (multiple Joints), Psoriatic Arthritis (multiple joints), Psoriasis (Skin), Pemphigus (Skin), Scleroderma (Skin), Lichen Planus (Skin), Leucoderma (Skin), Ulcerative Colitis (Colon) , Multiple Sclerosis (Nerves) SLE (Connective tissue of Skin, joints, kidneys & other organs), Sarcoidosis (disease of unknown reason affecting Lungs), Ankylosing-Spondylitis (Inflammation of whole spine, a crippling disease), Idiopathic Thrombocytopaenic Purpura (Platelet depletion in Blood), Collagen Disease (Connective tissue of multiple organs), Amyloidosis (infiltration of tissues with insoluble Protien fibrils), Eale’s Disease (Eye-Retinal allergic vasculitis), Myasthenia Gravis (weakness of muscles of face and swallowing & later other muscles)

85

HOW TO ASSESS ONE'S OWN HEALTH ? Ask yourself six questions:

1. Have I been getting proper Sleep these days ? 2. Do I have a satisfactory and spontaneous Bowel movement everyday ? 3. Do I have a good Appetite ? 4. Do I enjoy my day's Work ? 5. Is my Chest measurement more than the Abdominal girth? 6. Am I cool and composed while dealing with people?

PHYSICAL HEALTH MANAGEMENT - STEP III

If answers to any one or more questions given above is not in affirmation, then your Health is not alright.

You don't have to rush to a Doctor or go through tests.What you have to do

is, to…Bring in a little change in your Lifestyle.

86

PHYSICAL HEALTH MANAGEMENT STEP IV

FACTORS

that

PRESERVE and RESTORE

your

HEALTH

87

FACTORS THAT PRESERVE AND RESTORE HEALTH.......

1A

REGULATED

DAILY ROUTINE

88

Medically it has been proven that our internal functionsare conditioned to particular timings of the day.

Every Living being has a definite daily routine excepteducated Human being!

A regulated routine, at least 6 days in a Week, has alot of bearing on our Health.

89

What is the best Daily routine one can have ?

What is the remedy for people who have shift duties at the workplace ?

90

DAILY ROUTINE CHILDREN ADULTS ( < 15 years ) 5.00 a.m. up from the Bed 5.30 a.m. Yogic exercises 6.00 a.m. up from the Bed7.00 a.m. Breakfast 8.00 a.m. 8.00 a.m. BREAKFAST

1.00 p.m. LUNCH in 1.00 p.m. LUNCH School

4.00 p.m. Seasonal fruits 4.00 p.m. TEA + Milk

8.00 p.m. DINNER 8.00 p.m. DINNER10.00 p.m. Retire to Bed 11.00 p.m. Retire to Bed

Note: People working in shifts should know that no shift should be changed in less than 15 days.

91

GOOD

DIETARY

HABITS

FACTORS THAT PRESERVE AND RESTORE HEALTH.......

2

92

CRITERIA OF A GOOD DIET

* Should be pleasant to look at.* Should smell good.* Should taste good.* Should be nutritious.

* Even if above four conditions are met, the most important aspect is, it should be of one's liking.

93

Good Dietary habits...

1. TIMINGS: should be fairly fixed.

If you are delayed by more than an hour, skip the Meal, manage with fruits or liquids. you may

compensate what you have missed in the next meal !

“An untimely meal is a Poison"

94

2. HOW MANY TIMES ONE SHOULD HAVE COOKED FOOD IN A DAY ? PEOPLE * Below 20 years of age and

pregnant women - 3 times * 20 years to 60 years - 2 times * Above 60 years - 1 time only

ONCE A DAY - IS A SAGE.

TWICE A DAY - IS A WORDLY MAN.

THRICE A DAY - IS A SICK MAN.

That is -If you do not want any restrictions in the type of food,Otherwise the moment restriction is imposed it will increase Stress.

95

One may eat a number of times in a day to prevent Duodenal Ulcer as advised by Medical people,

but one lands up in:

(i) Eating more than required in the day, and if one restricts the quantity, one is not satisfied and will feel at the end of the day, that one has not eaten at all. (ii) It leads to indigestion as secretions can not be poured so often.

Liver

Gallbladder

Stomach

DuodenumCommon Bile duct

Duodenal Ulcer

Pancreas

Pancreatic duct

esophagus

96

EGG is also considered as Non-Veg. from nutritionpoint of view. Saturated fats in yellow of the egg

and other Non-veg items promote Cholesterollevels in the Blood.

** Chicken & Fish contain least amounts of saturated fats in Non-veg foods.

3. NON-VEGETARIAN after the age of 20ONLY twice A WEEK

97

4. FAST ON LIQUID DIET, one full day in a week (preferably MONDAYS)

Liquids that can be taken throughout the day until the next day morning are -

Not more than 3 cups

Lime juice Butter milk Milk Fruit juice Coconut water (in 24 hours) clear soup etc.

Total 6 - 8 6 glasses

times + of

in a day water

Coffee,Tea, Boost,

Maltova, Horlicks etc..

98

Fasting to be avoided by those....

* Who are severe Diabetics on heavy dose of oral medication or on Insulin.

* People who have Tuberculosis and are under treatment.

* Who are suffering from Hyperthyroidism.

* Who are severely Anaemic < 9 gms Hb.

* Who have Hypoglycemic Spells.

99

5. WATER INTAKE

(i) Never drink Water while taking solid food. (can have before or after 10 minutes)

The reasons are:

a) Water occupies a certain volume in the Stomach and one cannot eat proper quantities in the Meal.

b) The Hydrochloric acid which protects us from various Bacterial, Fungal and Parasitic infestations, becomes ineffective due to dilution.

100

(ii) Throughout the day, one must consume a minimum of 2 litres of Water,

intermittently.

THIS PREVENTS ONE FROM..

* Mouth ulcers, Hyper-acidity, Heart burn, Gastritis, Duodenal ulcer, Indigestion ,

Flatulence , Dyspepsia , Constipation, Piles, Fissures, Fistula.

* Urinary stones

* Gall stones

101

Most of the common Digestive problems are due to 4 reasons

3. Irregular timings of Food.

4. Number of times eating and in between munching.

5. Drinking water with Food.

4. Not drinking enough Water through out the day.

102

6. HAZARDOUS INGREDIENTS IN OUR DAILY FOOD (i) VANASPATHI (Hydrogenated Vegetable Oil)

-Is a good raw material for Cholesterol in blood. Hence to be avoided at home. Any vegetable oil (refined or un-refined) is

good as a cooking medium except Coconut Oil & Palmolein Oil.

- Most of the fried foods in Hotels, Restaurants, functions and guest houses are prepared in hydrogenated vegetable oil. An Executive traveling on company’s account has to be aware of

this fact be choosy in ordering food out side.

-Un-refined Oil is much better than refined oil; but in cities it is impractical to procure un-adulterated.

- "Any oil which solidifies at room temperature,contains saturated fats and promotes LDL Cholesterol."

103

(ii) COLOURS, SYNTHETIC FOOD ADDITIVES AND

CHEMICAL PRESERVATIVES - are potential Carcinogens (Cancer producing)

Even permitted colours containing Tartrazine and other chemicals

are not good for Health. Colours that are not permitted are even more

dangerous for Health.

Hence, one has to minimize the consumption of: - Soft drinks , Jam, Jellies , Pastries , Sauce ,Ketchup,

tinned and packed foods, Noodles etc.

104

I .Nutritive Sweeteners:

1. Sorbital & Fructose (known to cause acute diarrhea)

2. Aspertame: Aspertic acid, Phenylalanine

(180 times sweeter than sugar) *Can not be used in baking and cooking

II .Non-Nutritive Sweeteners:

1. Saccharin: Potential Carcinogen of Urinary bladder as long term complication(FDA warning)

2. & 3.Sucralose & acesulfame potassium: Highly stable and approved by FDA

NON-SUGAR SWEETENERS

Ref. Current Medical Diagnosis year 2000 edition

105

A chemical used as clouding and density adjusting agent in soft drinks.

Toxic Effects: Carcinogenicity In USA permissible 15 ppm. In India it is banned including Ester gum.

Suitable Substitute: Monoglycerite of esters and fatty acids.

BVO ( Brominated vegetable oil )

106

One should know What to preserve and what not to put in Fridge.

* Cooked food put in the general section of the Fridge, gets spoilt in 8 to 12 hours even with the Fridge door closed.

* The temperature range in the general section is 4 to 10 C.

* The Microbiology fact is that the Bacteria can multiply at 4 & above 4 C. Re-heating of preserved food in the Fridge even to 100 C can only destroy the Bacteria but not the Chemical poison (Endotoxin) secreted by the Bacteria.

* The Endotoxins are heat stable even at 100 degrees.

YOUR FRIDGE IS NOT A GARBAGE BIN !

O

O

OO

O

O

107

1. MILK, CURD, BUTTER MILK, BUTTER, CHEESE.2. UNCOOKED VEGETABLES3. FRUITS4. EGGS5. DRINKING WATER6. MEAT in the deep freezer7. MEDICINES 8. ALCOHOL

7. FRIDGE IS MEANT FOR KEEPING......

NOTE : Cooked Food stuff that is kept in the Deep Freezer is

preserved provided there is no power cut.

Cooked food may be kept in the Fridge from morning only

till the same day evening.

108

8. PRESSURE COOKER CONVENTIONAL COOKER

Everyday, Food is being sterilized at almost 120 degrees C temperature in a Pressure Cooker.

It is a universal fact that food cooked above 100 C,loses nutritive value.

Rice and vegetables should never be cooked under pressure.

O

O

O O

15 Minutes 35 MinutesTime taken

Volume remaining constant P T (Absolute Temperature)

115 – 120 C Temperature less than 100 C

Steam

109

Microwave Oven, How Safe is it ?!

Indian recipes are too complicated for cooking in a Microwave Oven.

To put the expensive gadget to optimum use, there will be a tendency to have as much stale food as possible.

Anything that can heat in a few seconds to the boiling point of Water, is shortcut method.There are no shortcuts in the

maintenance of Health.

Whether Microwave has any Health hazard, Data is still awaited !!

110

Have the following got any role in curing diseases ?

* “Methi” (Fenugreek)* Bitter gourd juice Diabetes.M* Jamoon (Black berry)

The answer is, an emphatic "NO"

* “Hydrotherapy”: Drinking 1½ Liters of water at a time early morning.

* Oil pulling:Gargling 3 table spoons of vegetable oil for 15 mts early in the morning without even brushing.

* Auto urine therapy.

* Garlic: in reducing Cholesterol &

CAD.

111

FACTORS THAT PRESERVE AND RESTORE HEALTH.......

REGULAR

YOGIC

EXERCISES

3

112

BENEFITS OF REGULAR EXERCISE

1. Improves Cardiac and Respiratory reserves.

2. Promotes new vessel formation and improves collateral circulation in the Heart. It also improves HDL (Good Cholesterol) levels in blood.

3. Burns Calories and lowers Blood sugar levels.

4. Movement to joints and keeps Spine flexible.

5. Improves Digestion and helps in getting rid of constipation.

6. Keeps you active through out the day.

7. Solves the problem of Insomnia.

113

“Luxury is defined as the amount of Lethargy

one can afford "

DR. B. BAPUJI

114

CONVENTIONAL EXERCISES

-like Walking, Jogging, Swimming, playing Games, attending Health clubs, Gyms, Judo, Karate, Aerobics, Yoga institutions etc., are not possible on regular basis for today's Executives, Professionals and Businessmen.

Reasons are: -TIME CONSTRAINT -TOURS -REQUIRES PREPARATION -A COMPANION NEEDED

Moreover, these exercises cannot be done for 5 to 6 days in a week and they lack total effect on the body.

115

“Any exercise, not done for 5 to 6 days in a week, has

No positive effect in Maintenance of Health”

DR.B. BAPUJI

116

DO YOU KNOW THAT The Physical exertion on account of Domestic and Professional reasons cannot be considered as sufficient exercise excepting in hard labor in the fields or at the construction sites. How much we over eat and how less we exert, you will be shocked when you see the following tables :

EACH OF THE FOLLOWING EACH OF THE FOLLOWING ACTIVITIES BURN ONLY FOODS GIVE AS MANY AS 200 Calories 200 Calories 12 mts of Jogging 2 slices of plain Bread 1/2 hr of Swimming 2 medium size Apples 1 hr of Walking 53 Peanuts 3 hrs of Singing 24 ozs of Beer 4 hrs of Dish washing 2 1/4 bottles of Soft drink 14 hrs of TV watching 3 cups of Tea with Sugar

based on the extracts from : HARRISON'S "PRINCIPLES OF INTERNAL MEDICINE"

117

CRITERIA FOR AN IDEAL EXERCISE REGIMEN

* Should be of short duration.

* Should be feasible wherever you are at Home, in a Hotel room or at a Guest house.

* Should not require any preparation.

* Should be easy to adopt.

* Should give :

Enough exertion, movements to all the Joints, keep the Spine flexible and should have beneficial effect on all the Vital organs including Heart and Lungs.- And one should be able to achieve Target Heart rate i.e

220 - age at the peak of Daily Exercise. Longer the duration to achieve target Heart rate, better is the Cardiac reserve.

118

I PART 12 Posture Cyclic Exercise (4+1) - 5 mts

II PART 2 Abdominal Exercises (2+2) - 4 mts

III PART 6 Yogasanas (1+2+1+1+1+2) - 8 mts

IV PART 6 Breathing exercises (4+2) - 6 mts

V PART 1 Shavasana (2) - 2 mt

TOTAL TIME = 25 mts

“25 minutes Yoga” should be done in 25 minutes only .

by DR. B. BAPUJI B.Sc.,M.B.,B.S.,N.D

DR. RANI BAPUJI N.D.

"25 MINUTES YOGA FOR YOU"

119

People after crossing the age of 30, most of them have definitely some Health problems and are too stiff due to sedentary life style. It is advised that they attempt first, the Spinal exercises for 10 minutes in the morning (any time before breakfast) and thenagain 10 minutes (before dinner) in the evening as far as possible, twice a day for few weeks.

A reasonable spinal flexibility is achieved, after 4 – 6 weeks of regular effort, and then they can attempt “25 minutes Yoga for you” regimen given in this session which is a total exercise.

An important advice, before taking up “25 Minutes Yoga”

120

Lie down flat on the back with arms stretched close to the body, palms

facing down.Feet one foot apart.

Lift up hips & waist as much as possible.

Bring the hips & waist down. Repeat 6 times.

1.

Spinal Exercises

121

Lie down flat on the back, arms perpendicular to the body, palms facing down & feet together.

Spinal Exercises cont….

2.

Now bring the left leg to the right simultaneously turning the head to

the opposite side in the same way as you have done above.

6 times alternating with the other.

Lift up the right leg up to 45 degrees and take it to the opposite side to touch the great toe to the ground(creating an angle of 90 degrees). Knees to be kept straight. Simultaneously turn your head to the right to look towards right hand.Get back to the original position .

122

Spinal Exercises cont….

3.

Lie down on the stomach, chin on the floor, palms by the side and close to the chest & feet together.Keep the

Elbows close to the body.

Lift up the Head & Chest to look towards the ceiling above the head, with elbows close to the body & feet together. Hold on to the position for ½ a minute and then relax,

Only once.

123

Spinal Exercises cont….

4.Lie down on the stomach, chin on the floor,

feet together.Put your Palms under the thighs with elbows straight and under the tummy.

a.

b.

Lift up both the legs together with knees straight and hold the position for ½ a minute.Only once.

Lift right leg as high as possible with both the knees straight and bring it down. 3 times with each leg alternating with the other.

124

Spinal Exercises cont…..

5.

Lie down on the stomach, fold the legs, hold them with the respective hands at the lower end of the leg with thumb along with

the other fingers. Spread the knees and feet 1 foot apart.

Lift up the head and chest to look towards the ceiling simultaneously pushing both the legs backwards,

Hold on the posture for ½ a minute. Only once

125

Neck Exercises

1. 2.

3.

Bend your head Less forward & more backward,6 times each alternating with the other.

Tilt your head to the side keeping the face in front, 6 times each side alternating with the other.

Turn your head to the side to look behind & come back to the original position.Then turn to the other side, 6 times alternating with the other.

Note: Neck exercises can be done sitting in a chair with the back straight(not leaning on to the back rest).

126

3

4

56

7

8

1112

10

9

Part I 12 Posture Cyclic Exercise ( 4 minutes + 1 minute rest )

Age-wise rate of doing in four Minutes 15 times 35 years & below,

10 times 36 to 50 years, 6 times 50 years and above

Part II …

Starting pose

2

1

“25 minutes Yoga for You”

127

Exercise I

Target-

20 times at

a stretch

each of the

two exercises

Part II 2 Abdominal Exercises (4 minutes)

Exercise II

“25 minutes Yoga for You”

Part III…

128

Pschimothanasana ½ mt + ½ mt rest

Sarvangasana2 mts + ½ mt rest

Padmasana½ mt + ½ mt rest

Bhujangasana½ mt + ½ mt rest

Dhanurasana½ mt + ½ mt rest

Ardhamatsyandrasana ½ mt + ½ mt + ½ mt rest

Part III 6 Yogasanas (8 minutes including ½ minute rest in between)

Wall 2 ft.

Part IV…

“25 minutes Yoga for You”

129

Part IV Breathing Exercises 6 minutes

Part V Shavasana 2 minutes

Posture for exercises 1,2,5 & 6

Posture for exercises 3 & 4

Three deep breathing Exercises – 4 minutes.

Three brisk breathing Exercises - 2 minutes.

1 2 3

456

Breathe in, slowly as long as you can, 7-8 seconds breatheout slowly (6 times each exercise)

Breathe in, & Breathe out briskly, forcefully & noisily in a rhythmic manner (1/2 minute each exercise)

“25 minutes Yoga for You”

130

FACTORS THAT PRESERVE AND RESTORE HEALTH.......

AVOIDING

EXCESSIVE

INDISCRIMINATE

MEDICATION

4

131

Harmful effects of Indiscriminate Medication

1. Individual resistance lowers.

2. Drugs themselves can induce Diseases like: Gastritis, Duodenal Ulcer, Diabetes.M., Hypertension, Strokes due to thrombosis, Migraine, Skin Allergies, premature Cataract, Auto-immune Diseases, impotency, loss of libido even Cancer. 3. Kidney and Liver failure.

A.

132

B. DRUG SITUATION IN INDIA - Pathetic

- Manner in which 6 - 8 Medicines prescribed by Consultants even for minor problems.

- Spurious and sub-standard Medication in bulk supply to Nursing Homes and even Government Hospitals.

- Banned Drugs are still prescribed and sold.

- Mammoth number of formulations licensed for manufacture…

133

* The W.H.O. has drawn up an Essential drug list.according to them, only 250 formulations are required for Rational therapy.

* Bangladesh is managing with only 70 formulations.

* According to the “Hathi committee" report, 117 drugs are enough for

Primary Health Care in India.

•Unfortunately, there are about 1, 27, 0 0 0 formulationsin Indian market and 80% of these drugs are -

INESSENTIAL IRRATIONAL

HARMFUL and drugs of DOUBTFUL efficacy

Rs. 20,000 crores per annum is the financial turnover in pharmaceutical Industry in

India, And UNLESS, Prime Minister takes initiative, this situation can not be corrected.

This situation will never be corrected during our life time.

134

UNDER THESE CIRCUMSTANCES Somebody rightly said:

“Consult the Doctor, pay his fee so that he can make his living !

Take the Doctor's prescription to the pharmacist, buy the Medicines, for he has to live !

Bring the Medicines home, throw them away, for You too have to survive !!"

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“We are putting Medicines of which we know less; into the

bodies of which we know Least!”

As somebody again rightly said…

Dr B.BAPUJI

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FACTORS THAT PRESERVE AND RESTORE HEALTH.......

ABSTAINING FROM:

- Excess Tea / Coffee

- Smoking

- Tobacco products

- Narcotic Drugs

- Excess Alcohol

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1. EXCESS TEA / COFFEE

Anything more than 2 or 3 cups /day, is considered as excess.

Excess Tea / Coffee can cause:

Acidity, Duodenal Ulcer, loss of appetite due tosluggish liver, Disrupts dietary schedule and alsocan cause missed heart beats.

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2. SMOKING / TOBACCO products can induce:

i. Coronary Spasm & Heart attack. ii Promotes Cholesterol & its deposition

in the blood vessels. NOTE: There is no difference between 1 & 40

cigarettes /day as for as Heart attack is concerned.

iii. Throat & Lung cancers have limited options even in MODERN MEDICINE

anywhere in the World.

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3. PAN MASALAS are potential CARCINOGENS (Cancer producing)

4. NARCOTIC DRUGS -It takes only two days to get addicted to a Narcotic drug.

-And it takes months of institutional treatment with lot of expenditure to cure a Drug addict with 95% failure rate.

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TO GIVE UP AN ADDICTION

* Remember, an addiction can never be given up gradually. it has

to be stopped totally and abruptly.When it is stopped suddenly,

withdrawal symptoms like- restlessness, irritability, irrationalbehavior, sleeplessness etc..develop.

* Remaining on Liquid Diet for three days helps in reducing the

withdrawal symptoms.Take Family Physician’s or Psychiatrist’s

help in havinga sedative or tranquilizer for sleeplessness.

* One has to make up one's mind before attempting total abstinence.,

then, tell Family members and Friends to co-operate.

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TWO LIMITS OF ALCOHOL

1. 2 Small (30 ml) pegs of Whisky or 1 Bottle (640 ml) of Beer / everyday.

Those who are not drinking and those who are not drinking daily need not start or need not drink everyday respectively, the above limit is the upper limit.

OR

2. Drink like fish every Saturday evening / only once a Week.

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Alcohol and its relationship to Liver and other serious Diseases

1. One who drinks regularly (2-3 times a week), has to eat high protein diet(chicken, eggs, meat etc). Otherwise liver gets damaged,.and if one eatshigh protein diet (with high content of spice and oil like in India) one isgoing to develop…

** Obesity, high Cholesterol, High blood pressure, Coronary Artery Disease, Diabetes.

BETWEEN THE DEEP SEA AND THE DEVIL,THE CHOICE BECOMES DIFFICULT !!

2. Diabetes and alcohol can never go together !!

3. Limited Alcohol may be good for Heart but.. How many people can stick to the safe limits of it ?

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But, Remember

only

1 in 1000

can stick to the limits

of Alcohol specified!

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SUMMING UP on HEALTH & STRESS Management

* Physical Health has a lot of bearing on Mental stress. * To live is not sufficient;we need also the joy of living;which definitely depends on Health. * Human body is very complicated; it’s maintenance is the wisest thing. * Medical field has become highly commercialized and unethical like any other field about which you and I cannot do anything. * A reasonable Health all of us have to aspire for and make a little effort as it is not a purchasable commodity. * Family Physician/Company Doctor has a crucial role to play in helping us. * Pessimistic approach of todays educated patient and his ignorance & misconceptions.

* MENTAL HEALTH DEPENDS ON……. Moral & Ethical values Professional & Domestic Commitment, Contentment, Positive approach and Shedding ego

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* Remain on suitable Liquid Diet for few to 48 hours when not well and then see the Family Physician or Company Doctor. * Pregnant women to take care of certain precautions in first three months of conception to avoid Birth Defects in New Born. * People with Hereditary tendency of Diabetes, High blood pressure & Heart attacks have to take certain precautions right from early age. * There are certain Foods that have bearing in Allergic problems. * Assess your own Health periodically. * Annual checkup for couples who have crossed 30. * Factors that preserve our Health and restore, to be always remembered and followed.

• Regulated daily routine• Good dietary habits• Regular yogic exercise• Avoid indiscriminate medication,• Get rid of habits and addictions* LET US AGE GRACEFULLY.

for PHYSICAL HEALTH………

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The Purpose of thewhole session, is to achieve..

that is .......

147

Having been born,

all of us have to

"go" someday !but……..

148

Let us age gracefully, breathe last

without pain and suffering, and not being

pathetically dependant on anybody

for our day to day needs.

149

Hope,

the points

could be put

across.

150

Thank you very much for all the Patience you have shown for this Marathon session.

DR B BAPUJI

151

152

Nether I desire Kingdom

nor Heaven or rebirth

I only desire that all Living beings be free from suffering.

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Dr. Balijepalli Bapuji, was born on 12th July, 1950 in a family of Doctors and Naturopaths He is the First graduate of Modern Medicine to have taken up Naturopathy as his career, in India. He has given a scientific approach to the system of Naturopathy, specifying its Scope and Limitation. His approach of practice is an integrated one in the best interest of people in restoration of Health.

Presently, He is a practicing Consultant at Nature Cure Health Care Center, Hyderabad and also the Medical Advisor to Nagarjuna Group of Industries.

He has been a visiting Guest Faculty to the following institutions on the subject of “Executive Health & Stress management” and the session has been rated Excellent in the content and as well as in the mode of presentation:

Administrative Staff College of India (ASCI), Engineering Staff College of India (ESCI),National Police Academy (NPA), Jawaharlal Nehru Institute of Development Banking (JNIDB) , Center for Organizational Development (COD) State Bank Staff Training College, ,Life Insurance Corporation of India (LIC), College of Insurance and Financial Planning (CIFA)Global Trust Bank, National Industrial Security Academy (NISA),Tata group of Industries ,Indian Oil Corporation Limited (IOCL) Bharat Heavy Electricals Limited (BHEL), National Aluminium companyLimited (NALCO), Power Grid Corporation , Satyam Computers ltd, National Thermal Power Corporation (NTPC) and many other institutions….

FORMER DEAN, Faculty of Indian Medicine (Naturopathy). University of Health Sciences, Government of A.P. He was also Superintendent of Nature Cure Hospital, Begumpet, Hyderabad, a 150- bedded, largest and the oldest institution in India, during 1980-1990. He held full additional charge as Principal of Gandhi Nature Cure College, Hyderabad., between 1985-1987, the first college conducting a University recognized Degree Course in Naturopathy.

About the FACULTY …..

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He was a keen Flier and the only one out of the 9 Cadets of the batch who had done SOLO FLYING on Pushpak Aircraft in 1970 within 17 hours of training while in National Cadet Corps.

He is proficient in English, Hindi and Telugu.

His hobby is Instrumental Music – Sitar (Hindustani)

He was initiated to Public Speaking & Training by late Sri K V K RAJU, Founder of Nagarjuna Group, who was his Friend, Guide & Philosopher.

  FOR FURTHER DETAILS:

CONTACT-

Dr. RANI BAPUJI / Dr. B. BAPUJI

Nature Cure Health Care Centre, Kantisikhara, Panjagutta, Hyderabad-500 082. INDIA.

Tel. Phone # 91-40- 23418307, 23400601 & 55627212 Timings: 9.00 a.m.---12.00 Noon.

# 91 40 23757864 (Fax) 4.30 p.m.--- 8.00 p.m.

 

Cell# 91-40- 9848096334

Email -bbapuji1@rediffmail.com & bbapuji2000@yahoo.com

Website- www.naturecurehealthcare.com & www.drbapuji.com

about the Faculty cont…..

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REQUIREMETS:

* An effective presentation can be made in a good A/C hall with Screen. Collar Mike, LCD, CPU & Key Board should be made available by the Organizers for Power point presentation (Windows 98 or 2000 ).The Doctor will be carrying a Laptop.

* 30 to 60 participants (Couples would be ideal, No Children please.)

* For all out station within India, the Professional fee charged for 4 hour programme is -Rs.20,000/- & locally in Hyderabad -Rs 10000/-. For out of India - 5000 $ (U.S), payable by Cashier’s Cheque, Demand draft or Pay Cheque on the name of Dr.B.Bapuji in Hyderabad. INDIA.

* For Out station Progarammes, apart from the Professional fee ( variable to meet the opportunity costs, based on how long DR.Bapuji has to be away from Hyderabad ), travel by air, local transport, accommodation & incidental expenses have to be borne by the inviting Company/Organization.

* Government Sector, Public Sector or Corporate Sector organizing the presentation, has to fix up the dates at least one month in advance.

Dr.B.BAPUJI Date 1st June 2003 Nature Cure Health Care Center, Kantisikhara, Hyderabad, India.

TO ORGANIZE THIS 4 hour / half a day SESSION…..