by Kent M. Keith
People are illogical, unreasonable, and self-centered.
Love them anyway.
If you do good, people will accuse you of selfish ulterior motives.
Do good anyway.
If you are successful, you will win false friends and true enemies.
The good you do today will be forgotten tomorrow.
Do good anyway.
Honesty and frankness make you vulnerable.
Be honest and frank anyway.
The biggest men and women with the biggest ideas can be shot down by the smallest men and women with the smallest minds.
Think big anyway.
People favor underdogs but follow only top dogs.
Fight for a few underdogs anyway.
What you spend years building may be destroyed overnight.
People really need help but may attack you if you do help them.
Help people anyway.
Give the world the best you have and you’ll get kicked in the teeth.
Give the world the best you have anyway.
Filed under Death, honest, Inspiration, life, love, Opinion, paradox, people, poem, poetry, secret, success
One of the those songs,whose music ,composition and every word is appealing.Just lifts your mood up.
I have tried adding a translation for all those who don’t understand Hindi
Ek Din Bik Jayega, Maati Ke Mol
Jag Mein Reh Jayenge Pyare Tere Bol
Dooje Ke Hothon Ko Dekar Apne Geet
Koi Nishani Chhod, Phir Duniya Se Dol
(A day will come when you will get sold for the price of clay.
All that will be left in the world will be what you have said.
So, give your songs to someone’s lips
Leave a mark, then leave this world
A day will come)
Anhoni Path Mein Kaante Lakh Bichaaye
Honi To Phir Bhi Bichhda Yaar Milaye
Yeh Birha, Yeh Doori
Do Pal Ki Majboori
Phir Koi Dilwala Kahe Ko Ghabraye
(Misfortune may place a many obstacles in your way
But fortune will unite you with your lost beloved
This longing, this separation
These two moments of helplessness are transient
So why would a braveheart be scared ?)
Dhara Jo Behti Hai Milke Rehti Hai
Behti Chara Ban Ja Phir Duniya Se Dol
(A flowing stream never stops till it meets the sea
Become that flowing stream, then leave this world)
Parde Ke Peechhe Baithi Saanval Gori
Thaam Ke Tere Mere Man Ki Dori
Yeh Dori Na Chhoote, Yeh Bandhan Na Toote
Bhor Hone Wali Hai Ab Raina Hai Thodi
(Behind the curtain sits the elegant beauty
Holding the string to your and my heart
May the string not snap, may the bond be intact
The dawn is about to erupt, just a little night left)
Sar Ko Jhukaye Tu Baitha Kya Hai Yaar
Gori Se Naina Jod Phir Duniya Se Dol
(What are you waiting for still, my friend
Look in her eyes, then leave this world)
Video for the Song
Shimona Kanwar, TNN | Oct 9, 2013, 12.54 PM IST
CHANDIGARH: Psychological stress is driving the youth of Chandigarh towards the consumption of
cannabis, and the numbers are more than the national average.
A study conducted by the department of community medicine at the Government Medical College and Hospital-32 (GMCH) found that cannabis usage among city males in the age group of 19-21 on a national scale was 3.9% of the total users, which was a little higher than the 3% reported among the current male users of the same age group in the general Indian population survey (with data from the United Nations Office on Drugs and Crime).
The study – conducted among 256 randomly selected college-going male students in Chandigarh, with an objective of studying substance abuse pattern among them – included DAV-10, GMCH-32, government post-graduate colleges in Sector 46 and 11, and PU campus. Published in the August issue of the Journal of Clinical and Diagnostic Research, the study found that the prevalence among men aged 19-21 in city colleges was 52.7%, with law students on top (76.2%), followed by students from the arts stream (62.5%). Alcohol was the most commonly used substance (53.5%), followed by cigarettes (27.3%), tobacco (8.2%), cannabis (6.8%), opium (3.4%) and solvents (1.3%), with 49% of users doing it on a daily basis, and 23% doing it weekly.
Among the reasons cited for substance abuse, the topmost was relief from psychological stress (66%), followed by the easy availability of intoxicants(46.9%).
One of the authors, Dr Sandeep Singh Sarpal, said: “We were surprised to know the figures of cannabis users which have outnumbered the national average.”
The sample size of the students from different streams included engineering (92), medical (32), arts (24), and law (21), besides others
Yesterday ,research work carried out by our team was quoted by Hindustan times highlighting the substance use pattern among the students in the city
57% male college students in city into substance abuse’
Vishav Bharti, Hindustan Times
Chandigarh, October 08, 2013
First Published: 21:06 IST(8/10/2013)
Last Updated: 21:41 IST(8/10/2013)
More than 50% of the male college students in Chandigarh are into substance abuse, including alcohol,
smoking and tobacco chewing. The fact has come to the fore in a study conducted by department of internal
medicine of Government Medical College and Hospital, Sector 32 (GMCH-32).
The study titled ‘prevalence, pattern and familial effects of substance use among the male college students -a
north Indian study’ was published in the Journal of Clinical and Diagnostic Research.
For the study, a total of 256 male college going students were interviewed from different colleges. The study
found that 57% students were into substance abuse.
As far as the nature of the substance is concerned, the study found that alcohol tops the chart with 54% use.
It was followed by smoking with 27%, tobacco chewing 8%, cannabis 7%, opiate use 3% and solvent use
In this study, none of the students reported use of cocaine, amphetamine, sedatives or heroin. No student
reported injections as a source of drug abuse.
Highlighting the frequency of the use, the study found 49% of the users were using the substance on daily
basis, while 23% used it on weekly basis.
While highlighting the reason of use, the study observed that 66% were using for relief from psychological
stress and easy availability was another common reason of substance abuse.
The study also suggested some lifestyle-related interventions in order to reduce the problem of substance
abuse. “There is an utmost need to educate and counsel young students regarding harmful effects of substance
abuse. Health education may be imparted in the school curriculum. Parents should also be educated on what
was the best way to discourage their wards against drugs,” it observed.
Tobacco chewing 8%
About 94% substance abusers spend their pocket money on buying substance of their choice. 9% reported
that they had started using substances before attaining the age of 10. 97% were aware about the ill-effects of
substance abuse. 48% said they had tried to stop using substances at some time or the other. 4% said they
had undergone counselling to get rid of substance.
Substance abuse by streams
What’s substance abuse
Substance abuse can simply be defined as a pattern of harmful use of any substance for mood-altering
purposes. Medline’s medical encyclopedia defines drug abuse as “the use of illicit drugs or the abuse of
prescription or over-the-counter drugs for purposes other than those for which they are indicated or in a
manner or in quantities other than directed.”
The complete article is available from
Prevalence,Pattern and Familial effects of substance use-A North Indian Study
News Link in Hindustan Times
Patients perspective on Doctors
When the death knocks upon the door, the doctor is looked upon as a God
When he accepts the challenge, he is looked upon as an Angel
When he cures the patient, he is looked upon as a Common man
When he asks for the fee, he is looked upon as a Devil
Ashish Khanna, 1998 batch
Connections-May 2013 (Volume 10, Issue 2)
The Oxford dictionary definition of Anaesthesia is “insensitivity to pain, especially as artificially induced by the administration of gases or the injection of drugs before surgical operations”. The Merriam-Webster dictionary defines Anesthesia as “loss of sensation and usually of consciousness without loss of vital functions artificially produced by the administration of one or more agents that block the passage of pain impulses along nerve pathways to the brain” Synonymous: yes?
Anyone would agree that the difference between Anaesthesia (British English) versus Anesthesia (American English) is above and beyond the addition of a single alphabet of the English language. I started my journey as an anesthesia resident in a country where Anaesthesia was the correctly spelt version of the branch of medicine that dealt with this specialty. Today, three years after re-training the art and re-learning Anaesthesia to be spelt as Anesthesia in the United States, it is time to look back and ponder on the finer points.
The decision to leave your own country after finishing a residency always comes with a pinch of salt. As you look to expand your clinical and academic training beyond the horizon, you are faced with the uncertainty of the unexpected. The challenge is a system of medicine distinctly different from your home country and a culture to healthcare that demands considerable understanding. A question that I am very often faced with when I make my frequent trips back home is “What is different about Anesthesia practice in the United States?” It might come as a surprise to a lot of people if I say “nothing at all” in reply. Well, what is different is not Anesthesia or Anaesthesia, only the fine print!! The other very frequent question that is thrown at me is the almost rhetorical “Is it better there?” Let me step back today and say let’s keep all this better – worse talk aside. It never was and it will never be fair to compare two vastly different systems of medicine. As I direct this piece of writing to those friends of mine who are faced with doubts and internal struggles before they leave the comfort of their own homes I would like to emphasize one singular fact: forget about quality of medicine or quality of life and remember the biggest challenge is the ability to train to re-train or put
in more simple words another residency program after a prior residency in your home country. Starting a residency program in Anesthesia under the Accreditation Council for Graduate Medical Education (ACGME) at the Cleveland Clinic Foundation, I realized early on that the essence of getting the most out of this education is to wipe my slate clean and restart again. Tell the world that you are trained in your specialty in your own country and you are capable of doing your thing does provide you with the much-needed independence of clinical work at times, but can be your worst
enemy if you want to acquire new knowledge. It is important to understand that there will be days where the attending will hold your hand when you are doing a procedure that you have done so many times before or might tell you that “this is the way it is done here”. Days, when you need to keep you’re your ego at home. Days when you will feel your neurons are struggling to cope with erasing old skills and acquiring new skills for the same procedures again. But, hey did you want to do things the way you were doing them in your own country? That said, what is the reason you
made this trip across 4000+ miles half way across the planet? The answer to these questions will help you understand that unless you let your guard down in a foreign land and show that you are an open book you will never learn anything new and in essence never grow as a clinician. Medicine is repetitive science; it is very easy to be lulled into a false sense of satisfaction practicing the same
things over and over again, the same very way every day. The only way to appropriately imbibe your area of expertise and to mature as a clinician is to step out and see what else can be done differently and is being done differently. My message here is not to train in the United States after training in India, but to train at different places and in that process acquire a new set of skills all the time.
Going further, another area of distress for the physician from India as he or she steps onto alien soil is the cultural aspect of medicine. The interaction between peer groups as resident doctors and patient physicians as healthcare providers is different to say the least. As you move away from the “yes sir/ma’am” policy to “yes Dr. XYZ” even when that Dr. XYZ might be your department chair, you will quickly realize that you have to prove your worth as a resident by the sheer quality of your work and not the weight of your courtesy and multiple salutations directed to your staff. Decision making for the betterment of your patient is another area where the young resident here is thrown into the deep end every single day. An ICU attending will ask you for your plan, and so will your anesthesia attending in the operating room. And yes, your plan will be plan that will be executed as long as you can justify it. And that holds true for every provider from the lowest level of an intern to upwards.
Protecting patient privacy and respecting that the patient is the true owner of his or her healthcare information is another moot point here. Not to discuss patients with names or anything that could identify them, not to talk about them in the hospital corridors or the escalators is a habit that is difficult to get rid of. The tendency to try to force your decision as a clinician on the patient or the patient’s family is also something that we live by all the time in India. The patient is the master of his/her own destiny here and whether it be morbid obesity, chronic smoking in a vasculopath or narcotic abuse in a chronic pain patient, your job will be to ask them whether they feel they can change theirlifestyleand not to enforce that change on them. Difficult times will also revolve around “End-of-Life” decisions in the ICU and DNR (Do Not Resuscitate) statuses. The ability of families here to think very practically for their dying loved ones and to let go of them when there is point of futility, is commonplace. Another challenge that is
beyond the understanding of anesthesia and different from back home, and is something that you
have to deal with on a regular basis.
How can I forget to include in my set of challenges also, the change from using pharmaceuticals as brand names versus names of salts back home. Or the different abbreviations that come inherent with another healthcare system. Yes, I gave my senior resident a quizzical look when he said “Did you tube your patient” ( a.k.a intubation) or “Can you do the A-line first?” ( a.k.a arterial line) or “ Is he off the vent ?” (weaning from the ventilator) or “When is your ICU patient going to the sniff?” (a.k.a skilled nursing facility). There are numerous more such which define the distinct cultural differences in healthcare here in the United States.
As I look back today, I know that things have evolved for me as a clinician but also more importantly as a human being. I look at medicine differently; I look and understand a patient’s emotions differently. That to me is the pivotal change. For all those fellow friends who are getting ready to step out on this often-treaded path of training in another country after training as a specialist in India, I hope this writing will give a better idea of what to expect. All said and done, the
difference is not in quality of healthcare or the quality of life that you can expect to live, but in what you can assimilate from the new system of medicine.
In the end, it is not Anesthesia versus Anaesthesia, and it really does not matter!
Headstone of Internet Era
A wonderful cartoon depicting how the future gravestones on this technocratic generation would like .
Perfect example of “Technology That Touches Lives – Everywhere“