President, Cardiological Society of India
Additional Professor, Cardiac Anaesthesia
AIIMS, New Delhi
Poplar Bluff Regional Medical Center, USA
</b> Dear friends, it is really great pleasure and honor indeed for me to welcome very important dignitaries coming all the way from United States and from Delhi. Dr. H K Reddy is the president of American Association of Cardiologist of Indian Origin all the way from St. Louis. Dr. Reddy, I welcome you to the premises and campus of WCCPCI 2015 at Abu Road, Shantivan, Rajasthan, India on 6th of September. I have with me Dr. Poonam Malhotra, she is a professor of cardiac anesthesia in All India Institute of Medical Sciences and she believes a lot in continuing medical education and also in public health education at large.
</b> What do you think Poonam, you are coming for last three or four years in this conference? Do you find this conference is different as compared to what we do in cardiac anesthesia or in any other allopathic conference in a five star or a seven star hotel? Do you find the culture, the ambiance and the environment is congenial with a healthy heart here or it is toxic to the heart?
</b> Thank you Dr. Chopra for inviting me to this lovely place again and again every year. Believe me, this is one conference I want to come to discover myself in a very new way. Every time I have gone back, I found a different and a new me. So that happens when our thought process, our environment and what we are listening and hearing and interacting with changes to a large extent. I may have done some 20-21 conferences, lucky enough to be in AIMS to do all that, but all the conferences as you rightly said, whether in AIMS for educative purposes as CMEs or workshops, or in a five star hotel, take back an academic message and do not give us what we need for a body. I think for a body you a good IQ, you need a good EQ, you need a good SQ. A spiritual Quotient is as important as an IQ and most of us doctors in our MBBS curriculum are taught everything except three things
</b> Thank you Poonam. I think Poonam very nicely expressed, if I really make a small concluding remarks of what she said that we all have intelligence and she said it is the intelligence, which may be in the consciousness, which may be in the mind, which can be also present in each and every cell of the body. Like we have 60 trillion cells in the body and there are 6 trillion chemical reactions occurring every second, how do they occur? It is only by intelligence. That is what she expressed and when we talk of intelligence, intelligent derived its word from inter means in between and liga means choice making. We do not know in allopathic conference how to make choices, because what we talk there is only statistical value, target organ, 04
</b> I think I totally have to agree with you. The patient and doctor both are not divine. I think they do not have positive energy. So to continue what Poonam is saying, I think this conference gives you a lot of positive energy, happiness and satisfaction, stress free environment. This is the only place that I have been to as you know, with Marita Hernandez, I go all over the world. This is the only place I feel happy when I come here. So it is the same thing, an interventionalist, they are not happy, if I guess with themselves, with the procedure, and the patient is not happy, both are not happy, the environment may be negative in a certain way. I think, what you are saying is perfect because they have to bring their happiness, positive energy, a spiritualistic approach, holistic approach and you feel like you are treating a human being and not just an object, not a business type of situation. I think those are the problems.
</b> I think Dr. Reddy has brought a very important point. I never thought he is so intelligent, he is. He said it is the energy. The source of divinity is energy. What we call in our scripture as Prana. We also call in English as a vital force. We also call it as Ruha in Arab or Ru in Islam. We also call it as Qi in China and Chi in Japan. That is what he was talking about. I think if we have a prana as an interventional cardiologist and if we have a prana as a patient success has to be 100%. This answer I heard for the first time and wonderful. I asked this question to Ashok Seth, he said I am not sure, but he is very sure and very confident. I think this world has come, world of wisdom is fantastic, that it is the energy, which needs to be enliven. We say “enliven your prana, enliven your ojas and enliven your tejas,” then only we can have divinity everywhere and the result will be success to 100%. Dr. Reddy, you are involved in the interventional cardiology in a very very big way, I know about you, what exactly you do. What do you think is the role of preventive cardiology in the arena of interventional cardiology?
</b> I think preventive cardiology is 99%, only 1% is intervention. I tell all my patients in USA that this is not the way to do it. I have to do it, I have no choice, but know I do not like to do these things one more time and I also joke with them that Obama says only one stent for one patient. He says no more. I just try not to hurt their feelings, you know, you like continue your the team of thinking, so I just try to infuse some positive energy into the patient and make them feel good. If you criticize and if you have negative statements towards them, they have negative energy again. So basically I learn a lot from your conference from this place and I carry it to USA and then actually they say, “that is really good. I never thought that.” The American patients, they do not think of these things, spiritualistic things, only when they go to church, the priest has to say something good, but apart from that they come to me , “you say something nice, I like it.”They are very spiritualistic. Human beings are mostly spiritualistic. That is the distinguishing feature compared to other animals, right. So we need spiritual, we have spiritual appetite and the appetite is satisfied here, so we need more of these conferences.
</b> Fantastic expression. Dr. Reddy says we have a spiritual appetite and we get a fulfillment in a conference like this, very beautiful expression. We become more blissful if there is a spirituality within us and a spirituality outside us and a spiritually everywhere,a very nice expression by him quoted Obama, he said “one stent per person not more than that.” What does it mean? It is very simple, that stent is not the answer. How many stents you will put in 60 miles of the blood vessels right from the head to the toe. It is not feasible, it is not practical and I think the answer is, in divinity and spirituality, if we have nice motions and nice emotions, we are going to create a huge impact on the health of the heart, but if we have toxic emotions our heart also becomes a toxic being, whatever, number of stents you put again they will get blocked and get restenosed. Still we do not know, why some stents block and why others don’t? Again, the same thing, the environment. The milieu interior within you and the milieu interior outside you so called milieu exterior, so exterior and interior, when there is no proper amalgamation or there is no proper equilibrium is bound to create toxicity. Very nice sir, Dr. Reddy, I think your expressions are outstanding, so I feel you have become more like a spiritual interventional cardiologist. That is the new nomenclature we can give you and not only interventional cardiologist. Poonam, I think you are doing lot of cardiac anesthesia in a place like Delhi, where there is a huge volume of rush of patients. What do you think, when the patients are subjected to cardiac surgery or interventions, what is the feeling of those people, so far as the heart is concerned? Do their blood pressure rise? Do their pulse rise? Are there any pacifiers which you adopt as a cardiac anesthetists to calm them down?
</b> Yes. That is a very very good question, which is my observation over a period of 17 years, I am no authority on the subject, but if I compare the mortality and the morbidity of patients who are coming in for complex cardiac surgeries, before we see a patient for a day or so earlier, All India Institute is a high volume centre, our patients get admitted tonight and they are operated next morning and they are with you for five days and at the sixth day, they are in the ward and then discharged, but a patient with impure thoughts, with lot of anxiety, with a lot of family tensions is the one who is going to be morbid and sick. This patient is a patient who may or may not do well. The morbidity will remain high even in the postop period, 12
</b> I think Poonam has mentioned a very very important point, that a smile on a doctor’s face and a smile on the patient’s face make all the difference. The same thing was expressed by Dr. Reddy that energy, so called positive energy in an interventional cardiologist and energy in a patient makes the outcome in a perfect order. She mentioned, it is the smile, it is the laughter and we should know how this emotion is a divine emotion. It is only given to human begins. I have yet to see an animal laughing or animal smiling. It is only human beings that smile, but they have forgotten the smile because they are all the time in a toxic environment. If you see, that it is the smile which is a tranquilizer, it is a smile which is an energizer, it is a smile which is a stabilizer, it is a smile which is a happy energizer, it is the smile which is an energizer and it is a smile which is a equipoiser. See the potential of a smile but people do not smile. A baby laughs 400 times a day, but an adult not even four times a day. I am sure, getting a clue from what Poonam said that a doctor should smile at least unconditionally.
</b> I say one thing, you see a small child when he is scared of crackers, he comes and sleeps in his mothers lap, a one-year old, he has seen the crackers for the first time, he becomes indifferent and oblivious to the world and he sleeps. As human beings, when we grow up, we become so attached to the environment that we don’t become indifferent and if you are giving positivity and you are giving proteins there is peace in the patient and positive outcome.
</b> So I am really happy that both the speakers who are joined in their own field of cardiac anesthesia and interventional cardiology, one from India and one from the USA, both have the same opinion. They are totally identical in their thinking, identical in their approach and they mention very clearly that time has come, we need to change our perception from intervention to spirituality and if you bring spirituality intervention will have a better outcome and Obama’s thinking will be right, not many stent, only one stent and may be after sometime no stent. Thank you very much.
</b> Thank you Dr. Chopra.