Wednesday, October 18, 2023

3 lives and their rescue

The dog- who never failed me- For the last three years he had been faithfully coming to escort me from the car park –even during the COVID days– to my OPD– and always reappearing to say goodbye-he never asked for anything- his friendship was total - his wagging tail only revealed his emotions. Be it summer, winter and rain- he never made an excuse –he was there– we talked through our eyes– said goodbye once he left me in my department. One day I found him missing from the car park – I knew something was amiss- OPD was full of patients– soon I was listening to their rumblings–and I heard a low painful howl just outside my consulting room window. I was aghast.My fears had come true. I found him lying in a pool of blood – unable to move– there is something very pathetic about a hurt animal – they are like a paediatric patient– they cannot complain clearly– tell us where it hurts– it is depressing. Placed some food and water– he was hungry and thirsty– some car at the car park had reversed his car by accident on his rear leg– he had bled–badly– called up an vet NGO– good people are still there in the world–they responded– within half an hour he was picked up – and taken to their hospital– he survived. I am waiting for him to rejoin– he is still recuperating.
2. Squirrel– Their mother had abandoned them-must be a surrogate mother otherwise you cannot commit such blasphemy – they could not open their eyes–they were so vulnerable. They squeaked when hungry- you could not be cold hearted like their mother- picked them up– caressed them– built a soft cotton bed – they both snuggled– finding comfort in the warmth of each other's body– like a kangaroo hug. Took a small syringe and fed them milk– they tried to open their eyes in gratification– could not. One of them survived – the other could not – grew up and then i released him to the wild. He joined his gang – he was born to be free– and that is where I left him.
Nest and the bird During my early morning walk-two small birds – came together – did not take a home loan– decided to build their own nest– bit by bit they struggled-they picked up small pieces of earth– glued them together– before they could turn their house into a home- one morning the sweeper– just swatted the nest out– i was aghast. The birds had lost their home but had left their hearts behind– suddenly after a week –I saw them busy flying back and forth . piece by piece – they built it back– it took days – but persistence pays– always be afraid of a person who shows up every day regularly. I had strictly warned the sweeper. They were now ready with a cosy home– to welcome their eggs and their little ones. I felt good

Saturday, October 7, 2023

The new kid in town–Plant Based Meat

File summary This document presents comprehensive information regarding plant-based meats, outlining their ingredients and production processes. It explores various types of plant-based proteins, such as textured vegetable protein (TVP), wheat gluten, pea protein, and tofu. In addition, it offers advice on how to effectively prepare and utilize these proteins for creating meat-like products such as burgers, sausages, nuggets, and bacon. Emphasising the advantages of consuming plant-based meat, including reduced saturated fat levels, elevated protein and fiber content, and potential risk reduction for certain diseases. The document strives to provide guidance and motivation for incorporating plant-based meats into a wholesome and environmentally-friendly diet. In conclusion, plant-based meat products offer substantial advantages in both environmental and health aspects compared to traditional meat products. With growing awareness of these benefits, the demand for plant-based meat is projected to continue its upward trajectory in the foreseeable future. What are plant based meats? And what are the benefits of plant based beats over animal meats: Plant-based meat is a meat substitute that is derived from plants. It typically contains ingredients such as soy, wheat, or pea protein, as well as tofu. The purpose of plant-based meat is to closely mimic the taste and texture of real meat. This option has gained popularity among individuals who desire a healthier or more sustainable alternative to animal meat due to its smaller carbon footprint and reduced water consumption. Benefits of Plant based meats Plant-based meat products offer a number of benefits over conventional meat products, including: Environmental benefit - Reduction compared to conventional meat Greenhouse gas emissions - 90% Water usage - 70% Land use - 95% Water pollution- 90% Air pollution-| 49% Health Benefits of eating plant-based meat: lower in saturated fat and cholesterol than animal meat. good source of protein and fibre. reduces your risk of heart disease, stroke, and some types of cancer especially colon.. helps you to lose weight or maintain a healthy weight.
Recipes of Plant based meat - that tastes exactly like meat Here are some video links for preparing plant-based meat products: Textured Vegetable Protein (TVP) How to Cook TVP: https://www.bobsredmill.com/recipes/how-to-make/basic-cooking-instructions-for-tvp-textured-vegetable-protein/ TVP Tacos: https://itdoesnttastelikechicken.com/easy-tvp-tacos/ TVP Sloppy Joes: https://www.thespruceeats.com/vegan-tvp-sloppy-joes-recipe-3377171 TVP Chili: https://www.thespruceeats.com/vegan-tvp-chili-recipe-3378415 Wheat Gluten How to Cook Wheat Gluten: https://theveganatlas.com/homemade-seitan-recipe/ Wheat Gluten Teriyaki Chicken: https://www.glutenfreepalate.com/gluten-free-teriyaki-chicken/ Wheat Gluten Beef Bourguignon: https://tyberrymuch.com/vegan-seitan-beef-bourguignon/ Wheat Gluten Sausage: https://itdoesnttastelikechicken.com/vegan-italian-seitan-sausages/ Pea Protein How to Cook Pea Protein: https://healthmylifestyle.com/homemade-pea-protein-powder-easy-vegan/ Pea Protein Meatballs: https://chocolatecoveredkatie.com/vegan-meatballs-recipe/ Pea Protein Ground Beef: https://www.powerhungry.com/2019/06/21/vegan-ground-beef/ Tofu How to Cook Tofu: https://www.loveandlemons.com/how-to-cook-tofu/ Tofu Scramble: https://www.noracooks.com/tofu-scramble/ Tofu Stir-Fry: https://www.wellplated.com/tofu-stir-fry/ Tofu Pad Thai: https://www.simplyquinoa.com/30-minute-tofu-pad-thai/Pea Protein Burger: https://www.menshealth.com/nutrition/g32477889/best-veggie-burger-brands/ Other How to Make Plant-Based Chicken: https://carlocao.com/how-to-make-vegan-chicken/ How to Make Plant-Based Fish: https://www.elephantasticvegan.com/vegan-fish-seafood-recipes/ How to Make Plant-Based Bacon: https://thehiddenveggies.com/vegan-bacon/ How to Make Plant-Based Sausage: https://www.liveeatlearn.com/plant-based-sausage/ The availability and variety of plant-based meat products on the market, including popular brands and where they can be found. The popular brands of Tofu available in indian market Desi Treat is a popular Indian brand of tofu that is made with non-GMO soybeans. It is available in a variety of textures, including firm, extra firm, and silken. Desi Treat tofu is also available in a variety of flavours, such as smoked and masala. desitreat.in Desi Treat tofu brand Morinaga Morinaga is a Japanese brand of tofu that is also popular in India. It is known for its high quality and consistent taste. Morinaga tofu is available in a variety of textures, including firm, extra firm, and silken. Soyfit Soyfit is another popular Indian brand of tofu. It is made with non-GMO soybeans and is available in a variety of textures, including firm, extra firm, and silken. Soyfit tofu is also available in a variety of flavors, such as garlic and chili. Urban Platter is a popular Indian brand of organic food products. It offers a variety of tofu products, including firm tofu, silken tofu, and tofu bhurji. Urban Platter tofu is made with non-GMO soybeans and is free of preservatives. urbanplatter.in Mooz Mooz is a popular Indian brand of organic tofu products. It offers a variety of tofu products, including firm tofu, silken tofu, and flavoured tofu, such as smoked tofu and peanut chili tofu. Mooz tofu is made with non-GMO soybeans and is free of preservatives. moozformaggio.in Nutritional Information of a Plant-Based Meat Diet compared to RDA( Recommened Daily allowance in an Adult)Vitamins and Minerals A plant-based meat diet can provide a wide array of vitamins and minerals, but it's important to ensure that individuals following this diet meet their recommended daily allowances (RDA) for essential nutrients. 
Below is a general comparison of key vitamins and minerals found in plant-based meat alternatives compared to the RDA for adults: Protein: Plant-based meats are typically rich in protein, providing a good alternative to animal-based protein sources.  2.Iron:  Plant-based meats often contain iron, but it's worth noting that the iron from plant sources (non-heme iron) is not as easily absorbed by the body as the iron from animal sources (heme iron). Consuming vitamin C-rich foods alongside plant-based iron sources can enhance absorption. 3. Calcium: Plant-based milks and some plant-based meats are fortified with calcium. It's crucial for bone health and nerve function. The RDA for calcium in adults typically ranges from 1000 to 1300 mg per day.  4. Vitamin B12: Vitamin B12 is naturally found in significant amounts only in animal products. Many plant-based meat alternatives are fortified with B12. The RDA for vitamin B12 is 2.4 micrograms per day for adults. 5. Vitamin D:  Vitamin D is essential for bone health and immune function. It can be obtained from fortified foods, including some plant-based milks and cereals. The RDA for vitamin D varies but is generally around 600 IU (15 microgram. ) for adults under the age of 70. 6. Omega-3 Fatty Acids: Some plant-based meats, especially those made from algae, contain omega-3 fatty acids, important for heart and brain health. The RDA for omega-3 fatty acids varies, but a typical recommendation is at least 250–500 mg of EPA and DHA combined per day. 7. Zinc: . Zinc is essential for immune function and wound healing. Many plant-based foods contain zinc, but the bioavailability can be lower than from animal sources. The RDA for zinc is 11 mg per day for adult males and 8 mg per day for adult females. It's important for individuals following a plant-based diet to consume a variety of foods to ensure they are meeting their nutritional needs. Consulting with a healthcare provider or a registered dietitian can help create a well-balanced plant-based meal plan tailored to individual requirements. The popular brands of pea protein powder in the Indian market: bGREEN by MuscleBlaze Plant Protein Powder bGREEN by MuscleBlaze Plant Protein Powder is a popular pea protein powder in India. It is made with 100% natural pea protein and is free from added sugar, artificial sweeteners, and soy. bGREEN by MuscleBlaze Plant Protein Powder is also gluten-free and vegan. www.muscleblaze.com Mypro Sport Nutrition Plant Protein Powder Pea & Brown Rice Protein Mypro Sport Nutrition Plant Protein Powder Pea & Brown Rice Protein is another popular pea protein powder in India. It is a blend of pea protein and brown rice protein, which makes it a good source of essential amino acids. Mypro Sport Nutrition Plant Protein Powder Pea & Brown Rice Protein is also free from added sugar, artificial sweeteners, and soy. Fast&Up Vegan Plant Protein Fast&Up Vegan Plant Protein is a popular vegan protein powder in India that is made with a blend of pea protein, rice protein, and quinoa protein. It is also fortified with digestive enzymes to help with digestion and absorption. Fast&Up Vegan Plant Protein is free from added sugar, artificial sweeteners, and soy. MyFitFuel MFF Plant Pea Protein MyFitFuel MFF Plant Pea Protein is a popular pea protein powder in India that is made with 100% natural pea protein. It is free from added sugar, artificial sweeteners, and soy. MyFitFuel MFF Plant Pea Protein is also gluten-free and vegan. AS-IT-IS Nutrition Pea Protein Isolate AS-IT-IS Nutrition Pea Protein Isolate is a popular pea protein powder in India that is made with 90% pea protein isolate. It is free from added sugar, artificial sweeteners, and soy. AS-IT-IS Nutrition Pea Protein Isolate is also gluten-free and vegan. These are just a few of the popular brands of pea protein powder available in the Indian market. When choosing a pea protein powder, it is important to read the label carefully to make sure that it meets your individual needs. Here are some popular brands of wheat gluten in the Indian market: Urban Platter Vital Wheat Gluten Urban Platter Vital Wheat Gluten is a popular brand of wheat gluten in India. It is made with 100% natural wheat gluten and is free from added sugar, artificial sweeteners, and soy. Urban Platter Vital Wheat Gluten is also gluten-free and vegan. urbanplatter.in Holland Vital Wheat Gluten Holland Vital Wheat Gluten is another popular brand of wheat gluten in India. It is made with 100% natural wheat gluten and is free from added sugar, artificial sweeteners, and soy. Holland Vital Wheat Gluten is also gluten-free and vegan. www.indiamart.com Anuhi Wheat Gluten Anuhi Wheat Gluten is a popular brand of wheat gluten in India. It is made with 100% natural wheat gluten and is free from added sugar, artificial sweeteners, and soy. Anuhi Wheat Gluten is also gluten-free and vegan. Anuhi Wheat Gluten Indibak Gluten Super Indibak Gluten Super is a popular brand of wheat gluten in India. It is made with 100% natural wheat gluten and is free from added sugar, artificial sweeteners, and soy. Indibak Gluten Super is also gluten-free and vegan. Vegetarian Gluten Powder Vegetarian Gluten Powder is a popular brand of wheat gluten in India. It is made with 100% natural wheat gluten and is free from added sugar, artificial sweeteners, and soy. Vegetarian Gluten Powder is also gluten-free and vegan. These are just a few of the popular brands of wheat gluten available in the Indian market. When choosing a wheat gluten, it is important to read the label carefully to make sure that it meets your individual needs. Potential concerns or considerations for people with specific dietary needs or restrictions when consuming plant-based meats: Soy allergy:. There are many plant-based meats available that are soy-free, such as those made from pea protein, wheat protein, or lentil protein. Gluten intolerance or sensitivity:. There are many plant-based meats available that are gluten-free, such as those made from pea protein, lentil protein, or tofu. Sensitivity to other ingredients: Some people are sensitive to other ingredients commonly found in plant-based meats, such as coconut oil, carrageenan, or MSG. Start slowly: If you are new to eating plant-based meats, start by eating a small amount to see how you tolerate them. Some people may find that they need to gradually increase their intake of plant-based meats over time. Talk to your doctor or a registered dietitian: If you have any questions or concerns about consuming plant-based meats, talk to your doctor or a registered dietitian. They can help you create a meal plan that meets your individual needs and restrictions. Here are some reputable websites and scientific studies that provide additional information about plant-based meats and their benefits: Websites: Good Food Institute: https://www.gfi.org/ Plant Based Foods Association: https://plantbasedfoods.org/ The Vegetarian Resource Group: https://www.vrg.org/ Scientific studies: Plant-based meat alternatives: Are they better for you and the environment?: https://www.hsph.harvard.edu/nutritionsource/plant-based-meat-alternatives/ by the Harvard T.H. Chan School of Public Health The environmental impacts of plant-based meat alternatives: https://www.ox.ac.uk/news/2021-06-08-environmental-impacts-plant-based-meat-alternatives by the University of Oxford The health benefits of plant-based meat alternatives: https://www.heart.org/en/healthy-living/healthy-eating/eat-smart/nutrition-basics/plant-based-meat-alternatives by the American Heart Association If you are new to eating plant-based meat, there are a few things you should keep in mind: Start with small amounts and gradually increase your intake. Experiment with different flavours and textures. There are many different ways to cook plant-based meat. Find recipes that you enjoy. With a little planning, you can easily incorporate plant-based meat into your diet. It is a delicious and healthy way to reduce your intake of animal meat. So if you want to make your little contribution for saving the climate of the planet, and live a long and healthy life– try switching over to plant based meats- it is a healthy alternative. hHere are some YouTube videos on how to take care of plant-based meat: They Said We Should All Be Eating Plant-Based Meat, But Is It Really Healthier? by DoctorOz Plant Based Food Is NOT Healthy - Dr. Bobby Price by Dr. Bobby Price Podcast: Plant-Based Meats: Part 1 by NutritionFacts.org Is Plant-Based Meat Healthy? by Oswald Digestive Clinic Are plant-based meat substitutes healthier for us? by Diet Doctor YouTube Take care of plant based meatttps://docs.google.com/document/d/1vtaA7NLeKPBLb1X9b6jkaPXBFoozAMhTmtTxAaAFrHA/edit?usp=sharing

Saturday, September 16, 2023

My relation with money

It was always torrid- It took time to realise its importance - to enjoy life you need money, otherwise you could harp on hollow talks about detachment– to let go of materialistic things in life– and embrace spiritualism– you talk about such things only when you do not have enough money in your account. Initially first i used to spend money– and then whatever at month end ( nothing was left) i tried to save– i used to look at amusement at my friends who started saving –from their first pay and very soon they had bought immovable properties– things which bought happiness in later life and not – one night fun. My thoughts were that these talks of saving money were frivolous –there is only one life– enjoy it– we can save later when responsibilities come in– but I was wrong . Everything revolves around money. You can only enjoy your hobbies, your free time - once you stop worrying about your nest. So it was eating, drinking myself silly, splurging on fine dining and fine accessories– at the end of day I was left feeling hollow and unsatisfied–whenever I needed emergency money I always ran short of funds. Start planning early. I did not– by the time I realised the importance of saving money- responsibilities had piled up – for buying a home , car, child education– needed a loan– if I had prudently saved from my initial days of earning -this would not have been the case. During our formative years– it was all debt instruments for us–post office, PPF and bank FD – safe and returns were decent-equity, mutual funds were blasphemy– not to be touched with barge pole as advised by our parents as it was akin to gambling- With no Demat account – everything was physical. If you wanted to invest in the stock market it was a long drawn affair –you had to fill up the form physically– post it and wait. Then the financial tech revolution started– and the financial world changed for better Then the lure of stock market came and initially i burnt my fingers– one tip from the TV , one from the neighbour, one at the evening party and i used to run and buy the stock without any research– initially lot of heartburn followed - lot of losses –and then i started learning from mistakes– there is no overnight potion to make you rich , patience, research, time and prudence, persistence– diversification, there is no shortcut. Try investing a part of your salary – maybe a small part– start in index mutual funds as SIP , don't try to time the market– have an emergency liquid fund for 06 months– and as your income starts to increase – increase your risk and diversification. Keep a long term perspective–3 years. Ans as you mature - keep cash flow assets– real estate, and pick up advanced investing methods– like hedging. etc Treat your credit card like a debit card—assume the money is leaving your bank account when you swipe it. Pay it off entirely every month. If an investment or financial opportunity seems too good to be true, assume that it probably is a fraud– stay away. Remember: There’s no such thing as a free lunch. Be frugal with yourself and generous with others. Create an automated direct deposit for a small amount of money into an investment account every month. Never look at the account. Don't pay any attention to it. At the end of the day it is better sitting and crying in a Merc than in a rickshaw. As fintechs evolved – now we have so many avenues to invest-at the click of a mouse - national to global, equity and debt– saving now is an easy and good habit– all frictions removed. And if you are persistent and have patience, money compounds–and suddenly you find money working for you . The earlier you develop a good relationship with money– the better it is. At the same time– do not hesitate or think twice on spending on good diet, health, books and Self improvement- these investments never go to waste - these investments compound. My only regret is that I did not listen to the wise advice of my elders initially –the saving and spending habits neurons get wired at a very young age– once wired it is very difficult to change. A book i would recommend every youngster to read The richest man in babylon Pay yourself first. This is the most important lesson of the book, and it is one that is often overlooked. When you earn money, set aside a portion of it for yourself before you pay any bills or expenses. This is called "paying yourself first." It is the best way to save money and build wealth. Live within your means. This means spending less money than you earn. It is important to track your income and expenses so that you can see where your money is going. Once you know where your money is going, you can make changes to your spending habits so that you can live within your means. Make your money work for you. Once you have saved some money, you can start to invest it. Investing is a way to make your money grow over time. There are many different types of investments available, so it is important to do your research and choose investments that are right for you. Protect your wealth. Once you have built some wealth, it is important to protect it. This means having a plan in place for unexpected expenses, such as job loss or medical bills. It also means having insurance to protect your assets. Invest in yourself. The best investment you can make is in yourself. Educate yourself and develop your skills so that you can earn more money. Surround yourself with winners. Surround yourself with people who are positive and successful. Be patient. It takes time to build wealth. Don't get discouraged if you don't see results immediately. Just keep following the principles above and you will eventually reach your financial goals. Some specific financial books that are popular among beginners include: 1️⃣ The psychology of money– Morgan Housel • Everything in life compounds • Invest in assets • Always use a margin of safety 2️⃣ I will teach you to be rich– Ramit Sethi • Create great money habits • Spend what is left after saving • Set clear financial goals 3️⃣ The Millionaire Fastlane– MJ Demarco • Control your time • Real wealth is created by solving problems • Have multiple income streams. 4️⃣ Think and Grow Rich– Napolean Hill • Diversify your investments • Surround yourself with smart people • Invest in yourself 5️⃣ Rich Dad, Poor Dad– Robert Y. Kiyosaki • Buy income-generating assets • Financial education is key • Work for money. Then let money work for you 6️⃣ Your money or your life- Vicky Robin • Simplify your life • Focus on achieving financial independence • Track your monthly expenses

Saturday, September 2, 2023

How I use my apps

Before apps came in –marketing Before the era of mobile applications, I used to thoroughly enjoy going to the bustling vegetable market in my childhood days. It was a delightful experience to grab a market bag, particularly on holidays, and immerse myself in the vibrant atmosphere. Despite the somewhat grim conditions, with the presence of cows nudging around and the occasional threat of being bitten by stray dogs or gored by bulls, I relished the opportunity to interact with the vendors and engage in spirited haggling. Even though I would occasionally fall victim to their tricks, I would return home feeling content. Afterward, I would dedicate both time and effort to thoroughly cleanse myself and the fresh produce from the market, ensuring everything was ready for storage. This routine always left me with a sense of satisfaction and fulfilment. As Tech stepped in marketing became a breeze Technology became a boon as we grew up and faced time constraints. Going to the market and finding parking became a hassle, wasting valuable time and effort. Then technology intervened. When COVID struck, it was technology and apps that kept us safe. Initially, there was resistance to using these apps, but over time, things became smoother. Friction reduced, from adding items to our cart to making a single click payment. Now, it has become an essential habit. We can order anything, at any time, at a discounted price, all from the comfort of our homes. These orders are delivered seamlessly while we continue with our daily routines. Personally, I appreciate the feature that allows us to track the rider on their way to the delivery point. Grocery advantage The vegetables came fresh, washed, packed– the fish and meat came- fresh, cleaned and hygienically packed- you just had to put it in the refrigerator.If it was not available on Swiggy, we switched to Blinkit, if not Bigbasket,Licious, Fresh We chose only the things we needed– the tendency to heap up your electronic cart with things which were not needed - just reduced unnecessary spending– . It saved time, it saved petrol, it saved parking headache, – and we got things safely delivered at any time of the day- the apps evolved– the delivery time got reduced to minutes from days – it was a win-win situation for all. It has been ages since I have visited a vegetable or fish market– Banking and investing Another thing which these apps made easy– investing– all forms -from gold, stock market, FD , crypto to other forms of alternative investments was available at your fingertips– national to international Going to the bank with a cheque in hand to deposit or transfer money is a passe–although a favourite pastime for retired people to get away from the confines of home as a little breather– meet soulmates and enjoy a cup of coffee. Otherwise with enhanced cybersecurity every transaction leaves an electronic trail– they are safe now . In fact the neo banks even do not exist physically – everything is in the cloud. Reading books and newspapers Although I still like the feel of newspapers – the newspaper apps - have made international papers to national papers reading pleasure– the apps are friendly and a pleasure to use – and the news gets updated throughout the day. Kindle was a boon– you could carry a large number of books anywhere delivered instantly into your library, you could add a bookmark–a dictionary to guide you instantly, and the cost of the books were also at a much reduced price.You could also read at night without disturbing the sleep of your spouse-as no bedside lamp was required- You can now listen to them on your Audible app-as it lulled you to sleep– when you missed listening to a paragraph– you knew it was time to doze away– and dream of the sweet stories of the book you were listening to. Music The apps have revolutionised how you listen to your favourite songs, podcasts, your favourite songs, artists at your fingertips, the whole rigmarole of tapes and CD ,s are out–listen anywhere and anytime, shuffle, build a playlist. Spotify is my favourite– and now they introduced something called smart shuffle– they automatically play your favourite next song Conferences COVID was an eyeopener– you had to have the right app to gain knowledge, from anywhere, anytime– there was no need for a massive spend on physical conferences. It was a win-win situation for all. You need one of the webcast apps and you are ready to go. AI integration This has come as a big boon – if you know how to integrate it with your apps- but the real good ones are beyond a paywall– and now you have to be a master at prompts to get the best out of it.

Friday, September 1, 2023

My journey with pen

I had a fetish for pens– fountain pens . ``` During our childhood, the school emphasised the importance of beginning our writing journey with a fountain pen. They believed that using this instrument during our formative years would help us develop a clear and proper handwriting that would last a lifetime. However, despite practising cursive writing diligently, I seemed to be cursed when it came to achieving good handwriting. ``` But during the journey, I actually started liking fountain pens. Back in our childhood days, there were no fancy gadgets to fill the ink. You had to tilt the bottle and fill up the bottom half. And, inevitably, by the time you were done, your hands would be covered in blue or black ink from Camlin. We were prohibited from using ballpoint pens because it was believed they would negatively affect our handwriting. However, I have discovered that this belief was actually a myth. Ballpoint pens are neat, offer much better handwriting, and can be preserved. On the other hand, fountain pens have become more of an accessory used to show off, but they produce the worst handwriting. Of course, the quality of the handwriting also depends on the person using the pen. During childhood, ink pens had another use. If you had a fight or didn't like a teacher, you could sneak up on them and just one swipe of the fountain pen was enough for revenge. The best part was that there was no evidence of the crime, allowing you to leave the scene without being caught. Nowadays your proficiency depends upon your proficiency on qwerty keyboard - digital signatures– etc– a stylet and a ruffpad,even the writers type their stories on the computer– it is easy to make amends – but as a doctor – i still have to scribble prescriptions- and ball point pen is my favourite– the ink is permanent- does not smudge – remains legible for a long time– the pen flows–a fountain pen is a nuisance– the writing slows down- the quality goes down- it smudges –it is hard to decipher when the patient comes to you on next visit. But holy grail of the writing world – absurdly priced - expensively advertised - an aura has been built around the uniqueness of the fountain pen and the ink–around fountain pen– a mont Blanc , a parker or a waterman, a lamy – in fact i see it as a mark of narcissism Nowadays, proficiency on the QWERTY keyboard, digital signatures, and other technologies such as stylets and ruffpads are crucial. Even writers now type their stories on computers, finding it easier to make corrections. However, as a doctor, I still find myself scribbling prescriptions. My preferred writing tool is a ballpoint pen, as the ink is permanent, doesn't smudge, and remains legible for a long time. The pen flows smoothly, unlike fountain pens that tend to slow down the writing process and decrease quality. Fountain pens also have a tendency to smudge, making it difficult to decipher when the patient comes for their next visit. Despite these drawbacks, fountain pens such as Mont Blanc, Parker, Waterman, and Lamy are seen as the holy grail of the writing world, with exorbitant prices and extensive advertising campaigns building an aura around their uniqueness. Personally, I view displaying the signature cap of these pens peeking out of one's coat pocket as a display of narcissism. when you exhibit the signature cap of the pen peeping out of your coat pocket. Ink - we were supposed to use blue-black ink, which I find to be the most horrible colour. Personally, I prefer black ink, but it carries with it a certain ominous connotation.And my favourite was Camlin– now I have switched to Parker. However, the pen, regardless of its form, will always remain an integral part of civilization. Despite the rise of keyboards and audio-to-text applications, from ballpoint pens to styluses, I still enjoy the tactile experience of holding a fountain pen in my hand. It makes me feel good, and I will continue to do so indefinitely.

Saturday, August 19, 2023

I get high on medical conferences-without malice towards none at all

I get high on medical conferences. I am from the medical profession specialising in the field of dermatology. Dermatology is a profession which thrives on conferences– one conference fades into another– like our country which is perpetually on election mode– Dermatology is perpetually on a conference mode– each patting their back– about how successful their conference was. Our annual conferences were a grand affair–knowledge, food, entertainment, venue– a heady cocktail of the best of the best– always looked forward to– planning started much in advance. And every year post conference we came back bloated – with food , entertainment and a little knowledge which lasted till the next conference, The initial days Got introduced to medical conferences soon after doing my PG–initially I was very serious in approaching a conference– would be in the venue on time– and would be the last person to leave the hall– take notes– and collate them once back to the room- plan the next day's speakers. The first day – CME day– was a one hall affair- so nothing much running about to do. You collect your coffee – and get mesmerised– by the amount of knowledge overflowing in the hall. One of the earlier conferences which I have vivid memories was the international conference at Ashoka Hotel– new Delhi– those were the halcyon days–speakers were too good so was the ambience and the entertainment - was wide eyed at the lavish spread of food - i became a diehard fan of conferences - Amjad ali khan-i remember that while tuning up his Sarod got irritated and rebuked the waiters who were putting up and clanking plates for dinner at the background– and then he rendered his recital to perfection. Then it dawned on me, as I gained experience attending conferences, that there was a recurring pattern: the same speaker discussing the same topic, just changing the locations and shuffling through slides. Sometimes they seemed disoriented, as evidenced by their first slide on the presentation where they had forgotten to update the venue information. There was no original research being presented; the so-called "new" ideas were simply rehashed versions of what had already been published in Western literature. It took me some time to realise that national conferences served a different purpose: they were primarily for socialising, networking, and making connections. If you wanted to gain knowledge, you were better off exploring other avenues. Conferences were more about indulging in the excitement and extravagance, rather than focusing on intellectual growth. The presentation and the presenters Speakers with substance borrowed from Western literature I remained deeply intrigued by specific speakers, particularly those who recounted their firsthand accounts of utilising innovative drugs or techniques within their own practices. These individuals adeptly merged elements from Western literature and practices with Indian sensibilities, imparting a wealth of knowledge upon me. Their curious minds constantly sought out fresh ideas, and it was through introspection that I grasped the multitude of possibilities lying beneath the mere words on a page – numerous avenues for interpreting and creatively implementing pharmaceuticals or refining surgical procedures. Ultimately, my attention zeroed in on these exceptional speakers, allowing me to gain invaluable insights that greatly influenced my daily professional endeavours. Speakers with impressive slides– san content Some speakers concentrated more on putting some funny caricature on their slides– the caricatures really were very well thought about –hoped their scientific content was also as well thought about as their funny caricatures as it took the attention away from the main content. The Originals and experts Some speakers who took the podium were an expert in that field striving to bring knowledge from the lab table to the bedside– they spoke with authority quoting from their own experience– no frill slides– in fact the slides were simple black and white Mostly they were foreign speakers as i realised that from whatever esteemed institutions from India one may be– not an iota of original research has transcended from lab to bedside, all the research funds always gets diverted towards frivolous expenditure in the bargain the department gets a new machine or a new research paper to publish which is of hardly any use- i realise when most of our speakers were -self acclaimed, self proclaimed and very few were self made. The PG level speakers Then there were a set of speakers- who copied verbatim from books–unaware that the audience they were talking to were not PG students– some faltered on the slides– you could make out it was made by his residents. The topical experts Then over the years people became so called topical experts- they caught hold of one topic- mainly on which they had written their thesis- and expanded and proliferated like the East Indian company– on the opium trade– not a morsel of original research or ideas. Sister societies evolved into topical societies–and once the international journals and papers became available at the touch of a finger– the halo of knowledge began to fade . Pay to Play The worst speakers were the ones who had conflict of interest- they had sold their soul to the pharma industry which did not have any conscience.Pharma industry was profit driven– they always had their pound of flesh– at the expense of patients. The holy grail of Hippocrates' oath had turned 180 degrees to the hypocrite's oath– courtesy the pharma industry– as soon as they put up their first slide–you knew that he had been sponsored. The mentors Some speakers had the zeal of mentorship in them. The way they used to teach the newbies whenever they put up a query to them was a pleasure to watch– they explained it so lucidly in the corridors of conferences or wherever you could accost them– they never needed a podium - i always stood at the fringe and listened to them But some were so good- that you did not mind if they exceeded their time.Few speakers had rehearsed their presentation to perfection. Speak or perish became the motto for some – it had some kind of narcissism attached to it. The audience: They are of different characters, of different motives, and come with different agendas. The serious ones There was a group of doctors– hats of to their dedications and zeal for knowledge, they were always sitting in the front rows oblivious of everything– drinking in every word of the speaker -taking notes– and at the end of day their conference bags were full of knowledge and not from the curios from the exhibition area–but this lot is now becoming an endangered species. The politicians The audience– some came to politicise- you be sure that this guy is standing for some organisational posts– when someone whom you have never met– suddenly tries to be friendly– or you start getting unsolicited messages on your WAP from unsaved numbers . E voting– was one of the best things to happen– suddenly in a WAP group a chap who has been a perpetual lurker -suddenly starts everyday Good morning wishes– putting irrelevant comments of appreciation to become visible– – you know election time has come–and after elections suddenly – they vanish again– some to lick their wounds – some to enjoy the fruits of labour– for lifetime, some do perform– exceptionally well. The Thailla -semias Then there is another group of audience– who hardly enter the halls– they are more interested in freebies and collecting gift tokens from the exhibition stalls. At the end of the day they are duck walking laden with bags– you have to separate the bags- to find as to whether you are addressing the right chap . The merrymakers Then there is a group of participants–they come on the first day to register and last day to collect the CME certificates-then off sightseeing with the family– conference is a big break for them from their busy private practice– of late a good step has been taken where the accompanying person is not allowed inside the hall. The elusive GBM Once out of inquisitiveness i tried to attend the so called GBM- where important decision about the administrative function was taken– i was surprised as to why people fought to become the host city– was it for prestige, was it for augmenting the profession or there was more to it that meets the eyes– well it was better to leave a sleeping dog lie. I was impressed by the doctors who sat in the GBM when wonderful lectures were simultaneously taking place in the halls– always wondered if they must have attained Nirvana in Dermatology. Quiz The best part of the conference was the National quiz– it was a real enriching experience and was a sight as we saw the young PG students spar off wonderfully crafted questions by the quizmasters. Half of the questions – the veterans had no clue – but we sat grim faced as if we knew everything– like an impression given by a clueless examiner when he does not know the answer given by the student is right or wrong but sagely nods his head. The questions were wonderfully curated and the quizmasters were a pleasure to watch – the way they smoothly conducted them– some of them could give the professional quizmasters a run for the money. The orations I have never attended international lectures– but I found the orations in our conferences– just a Linkedin profile of the speaker– with his or her achievements– during the oration time- other halls came to a standstill – it was the best time to go to the poster presentation area. The exhibition area Initially i was enamoured by the freebies doled out by the pharma companies, as i wanted to impress my spouse when i get back- used to collect the junk– even the flyers– and read them— in fact we had to collect two sets of each freebies– one for our respective consultant– carry the double load throughout the day, i just left going to the exhibition centre-as i saw through the marketing gimmick of the pharma chaps. Only the bags – served their purpose– now with app based marketing the bags are now a passe. Galderma bag– the most coveted souvenir– it was so much in demand that people use to line up like a new product launch in an Apple i store– they even punched out your id card– so that you do not come back for a second one– i still wonder what was so enticing about the bag– that people got attracted to. Now the pharma companies have become more stringent on their freebies after the new rules have kicked in– as a result the footfall has dropped significantly in the exhibition areas. Chairpersons The chairpersons–some where too good- short crisp, sticking to time some were so obnoxious– that if the speaker had 20 min– they would gobble up 10 min - some taking time to introduce themselves– and if you are from a govt institution– the easiest way to get reimbursement, at the same time without the pain of presenting –participating as a chairman was the easiest way– you even got a plaque. Shift in Focus The fascination for the topics changed–especially among the youngsters–it shifted from clinical to cosmetic surgery, not even cold steel surgery– dermatology took a turn it became industry driven– the idea was if you had spent crores for getting your PG seat– it was time to reap it back with vengeance . Clinical dermatology was dying because it was not paying- only a gratitude from a patient would not fill your stomach – except for a few fossilised stalwarts who religiously attended clinical lectures– sat in the first few seats– always took notes– and it was a pleasure seeing their appetite for knowledge. Now anything to do with cosmetic dermatology like lasers, fillers, peels – will have the hall bursting at its seams–as we enter the race to pump up the wealthy and beautify the healthy. Attended a few workshops and found the doctor as dysmorphic as the patient– a perfect normal smile – convincing the patient that it is crooked, perfectly normal wrinkles– counselling for hours to wipe it out– the patient lying still for hours to get their new crop of hair– but that is where the mullah was– the workshops were bursting at seams. But i am hopeful dermatology like life will come full circle– clinical derm satisfies your soul while cosmetic derm your pocket. The evening banquet Evening gala dinner– is one of the talking point of the conferences– actually now sometimes the accommodation is little far away from the venue-so some guys just stay back till the whole procedure ends– and it is a sight– the drinks, the food , the dances , the entertainment by bigwigs– all flows and are in plenty– massive extravaganza– you feel you are in a Mughal court So after the first day of gala dinner– the next day - the hangover makes you late reaching the conference venue– by the second day– the spices and curry and the spirits have taken their toll– you yearn for a simple dal roti- and pray for the conference to end. And people seemed to attend a lot of parallel mini banquets at different venues– and the next day exchanging notes. The food After the first few conferences– I got the trick– migrate towards the counter with plain Dal and tawa roti– and whole fruits if it was not cut– if you wanted to survive the gastronomic onslaught of three days of day and night feasting. You were spoilt for choice– some people it was hard to preserve both the array of collected bags and the food line– you had to navigate skilfully between mounds of bags lying on the floor to reach the food counter-and there i always got confused– rotis were 10 types, dal 5 types, a salad counter, a fruit counter– laden like the feast of Mughal court– but after three conferences i honed my diet plan– it was dal and Roti from the first day. Who said – in India people die of malnutrition? Food coupons – in yesteryears– the food was on coupons– and you had to be real careful in preserving them, you could always dole out them if you did not feel like attending and especially to someone who has come with family,then came barcoding– on your delegate tag– that was better– you need not worry about your coupons getting lost . Accomodation The accommodation– being in a government job– we always scrounged in some govt mess or guest room – and was surprised to see the fresh graduates attending the conferences bragging about their 3 star accommodations , private pick up and drop vehicles– i remember one conference– the dancing went on late into the night– when i came out of the venue, as the private taxis whizzed past– i had to trudge back on foot– i always wondered about their paying capacity– but later learned that there was more to it that meets the eyes. The Poster Presentation This section was a mine house of information.But you had to dig them out– unique cases , unique presentations– very neatly made– you could spend hours in this section–especially skipping then heavy lunch. Because the next day a new set replaced the old- then came the E posters– The E posters stayed there - you could lazily browse – I always liked the poster presentation– although sometimes the panel of judges were rigged to give favours- the case presentations were really an honest effort – by the residents – and i always made it a point to read each one. The transformation Suddenly the number of conferences proliferated like the hair locks of Medusa. One main body just proliferated into a number of sister societies like a chapter in a book. Each topic became a topical society– each chapter in a book became a new society – became a SIG– and each sister society had their own sister conferences – and each conference merged into another throughout the year. It felt like walking down a lane in Gariahat– where hawkers– sell their wares– shouting that there's is better– than the others–so did the conferences COVID transformed me For me– I stopped attending conferences after COVID - it taught us you do not need such elaborate paraphernalia to gain knowledge- you need a laptop and net–you gain knowledge anytime and anywhere– it was a colossal waste of resources to attend such extravaganza. But I also realised we human beings were social animals– conference animals who were so long caged by the epidemic– just wanted physical conferences to be back with a bang. I tried to understand the itch– but could not– perhaps everyone is wired differently. To be continued__________

Friday, July 28, 2023

How i am trying to pull back from wasting my time on doomscrolling

No timers–no self help books , no articles on phone addiction could help me from the time wasted on scrolling and the overwhelming feeling which drove me was FOMO and the fear of losing one's credibility and acceptance in the society. I had only two social app on my phone– twitter and whattsapp group. And even these two proved to be addictive and counterproductive– first thing i did was to turn off notifications– it did not work– there was something uncanny about your hand reaching to the phone unknowingly– then i started archiving the addictive groups and the first thing i was reaching for was the archived ones- slowly it took time– now i do not - i scan the archive group only on Sundays–and mostly clear chat them. Keep the phone in another room when you are working– did not work– and the best part about it was once you started scrolling– you lost track of time– and before you realise that you have transported yourself to another world– from where it was difficult to pull yourself back and took time to delve back into your work again. At the end of doom scroll– you felt emotionally drained out– and especially if you have left a comment or tweeted- your tendency is to again reach out - to find out a countercomment or the amount of times your tweet has been viewed-this acts like a narcotic, and sometimes i do have - solid withdrawal symptoms–i do not know which part of the brain gets addictive– but social media was addictive. Even these two apps were enough for me to waste my time. Social media was bad– i would not have spoken the same words , or would have been so uncouth if i was talking to the person physically - you know how to hide your emotions when you meet someone personally .on social media - you sometimes become passive aggressive or you are totally aggressive with a person or a group– as you are not in physical touch. Reading a book, while seeing a patient, on the dinner table, in the bathroom– during morning walks– I could not help myself– and you cannot blame the app– I missed the beauty of each activity– because the apps came knocking and interrupted me - every time I was deep diving into my work. Leaving a group especially where you are in touch with your childhood and college friends and also a group which lets you keep in touch with your profession is painful– you lose touch socially and intellectually– so would prune my groups to minimum two. We are hesitant to exit a group –but i realised– nobody will miss you for months , after sometime people will forget that you existed so leave when you want-don't feel you are indispensable - you also won't miss the group online as you go ahead in life and remain engaged in more engaging activities .I picked up three platforms where i could express myself –Medium, Google Blogs, One day Journal apps. Am trying - and they are good platform for catharsis for your feelings. Twitter scrolling still remains a problem– restricted myself to following people– which according to me has common interest. But still one tweet merges into another and once you get sucked into the wormhole–it takes a effort to prise yourself back The worst part is if you have opened your social apps within one hour of waking up in the morning - you have destroyed your peace of mind, your productivity and suddenly the day begins in a very chaotic mode. I tried Pomodoro technique, tied a rubber band to my wrist–all to no avail– it was like alcoholism– starts with a drink or two initially and at the end of the day before you realise the day starts with a drink. Like we do when we wake up - the first thing in the morning– we reach for our smartphones–it is addictive. As with my other vices– which nothing helped to quit but self determination–it would only be my self determination to quit once I decide that enough is enough. And it will be soon.