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Embrace positivity: feed your spiritual appetite

In prevention lies 99% solution to cardiac problems. Intervention is only 1%

Dr. HK Chopra

President, Cardiological Society of India

Moolchand Hospital

Dr. Poonam Malhotra

Additional Professor, Cardiac Anaesthesia

AIIMS, New Delhi

Dr. HK Reddy

Interventional Cardiologist

Poplar Bluff Regional Medical Center, USA

It is the spiritual appetite of human beings that differentiates them from any other species. Most people don’t acknowledge it, and that’s the root cause of disease.A smiling patient has better chances of getting cured than those with a lot of anxiety, family tensions and negative thoughts, according to observations made by Dr. Poonam Malhotra, a professor of cardiac anesthesia at AIIMS. “This is where anesthesia plays a big role in pacifying a patient with positive and nurturing thoughts,” she tells Dr. HK Chopra, President CSI.“MBBS teaches you a lot, but here is what it doesn’t – developing an emotional quotient and a spiritual quotient. That is the uniqueness of this conference conducted in a spiritual setting.” Dr. HK Reddy, the President of American Association of Cardiologist of Indian Origin, cites the importance of small positive talk with patients to make the environment positive and enhance the results of interventional cardiology.“It is the unhappiness of some kind either in the doctor or the patient that keeps interventional cardiology from being a 100% success.”

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Dr. HK Chopra

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.

Dr. HK Chopra

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?

Dr. Poonam Malhotra

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: One is the financial state. Doctors are very poor financial managers. Second are the legal aspects, because we as doctors are very vulnerable to suing and the most important the development of our own EQ and to realize our own nurturing of the Krishna consciousness, which is there in us and to make it forward into an SQ. So this conference is a conference with a difference, at least for me personally. It enhances my EQ and I go back with a greater SQ so that when I do an EQ, IQ and SQ balance in my own cardiac anesthesia conference, my conference comes out better. So it is a learning curve for me every year. Last four years, I do not know to how to thank you and to thank the God that such a place exists, where we are all mentally free of all stress and go back rejuvenated back to our works.

Dr. HK Chopra

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, 04:00 how it is influenced, effective or not effective, statistical significant or not significant. What she said is intelligence in emotions, intelligence at a cellular level and intelligence at the level of consciousness. It is this intelligence, which determines all kind of Qs, which she was mentioning. I think all those Intelligent Quotients if originate from the spirit, from the unified field or from the field of pure potentiality, or the field of infinite possibility or the field of eternity, we can achieve everything. It is not only at the physical level. Very good expression Poonam, I am sure, this message is very clear, we need to mingle science and spirituality. We have with us H.K. Reddy. H.K. Reddy is a very regular visitor, I know it. He was coming as a speaker throughout I think for last seven or eight years I am seeing. I do not know whether he has come alone this time, otherwise he comes always with his family 05.00 his wife and children everybody comes and enjoy here. H.K. Reddy, I know you are the great interventional cardiologist. You do a lot of interventions, but I find some of the interventional cardiologists say that they are perfect in their intervention, but at times, they are not able to succeed the way they want, so where is the problem? Is there a problem because there is no divinity in it, either there is no divine intervention by the doctor who is doing it or the person on whom he is doing it is also not divine. When the intervention is divine the success has to be 100%. What are your views on this?

Dr. HK Reddy

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.

Dr. HK Chopra

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?

Dr. HK Reddy

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.

Dr. HK Chopra

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?

Dr. Poonam Malhotra

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, 12:00 but when I see a smiling patient who is being spoken to nicely by a cardiac anesthetist a night before, given some with seuding word along with the tranquilizers the anxiety kept at bay and brought into an environment of harmony inside the OR, all these positive one liners or feelers within the patient makes the tissue or the protoplasm of the patient very positive. Most of our patients die from sepsis and sepsis is also kept at bay, if you give them positive thoughts, which nuture their inner self. So once your inner consciousness is very well nutured you heal better and besides a good protein diet and good monitoring care in the ICU, what you need then and there is a positive patient feeling. That positivity in a patient cures 100%. It is the same as stenting in a patient. It is the same thing, you are doing it on an open heart, you are doing it in a closed heart, but I think as an anesthetist, we play a big role in pacifying a patient with positive nurturing thoughts along with the medicines.

Dr. HK Chopra

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.

Dr. Poonam Malhotra

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.

Dr. HK Chopra

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.

Dr. Poonam Malhotra

Thank you Dr. Chopra.

Tags:
  • Heart Attack
  • MI
  • ECG
  • Hypertension
  • Bypass Surgery
  • Stent
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