BALANCE

 

Balance is something that modern societies have ignored, and they are paying a huge price for it. Whatever your intelligence, whatever your competence, education, and qualifications – if you do not have the necessary balance, you will not succeed. You will not go very far in your life.

The most important thing for people who are seeking to be successful – whether in the corporate sector, in politics, in the military, or any other field – is balance. 

Only if you have a balance that is not disturbed by external situations, are you capable of making use of the competence and intelligence within you. Otherwise, even the most wonderful qualities that one may have will go waste, simply because of lack of balance. 

Hatha yoga brings this balance.(Control/regulator) Homeostasis. Internal vs external environment 

Above all Balance. (TxA2 & PGI2) CV Risk

Right Balance 

Neither believe (trust) not disbelieve 

Ease vs disease 

आपके काम आना चाहिए/ आपके लिए काम करना चाहिए / 

जो काम करता हैं (that has worked)/"यह तुम्हारे लिए काम कर गया।"

signs of a good doctor

1) Jo patient ko na loote

2) Jo hamesha patient ke bhalai ke bareme soche

3) Jo khudke benefit bareme km soche

4) 

PRESCRIPTION (P-DRUG)

 

Hypertension Treatment

• Country Differences:

  • In the USA: ACE inhibitors (e.g., Lisinopril) are often the first choice for hypertension due to high prevalence of comorbid conditions like diabetes.
  • In India: Calcium channel blockers (e.g., Amlodipine) are commonly preferred due to cost-effectiveness and better efficacy in salt-sensitive hypertension.

• Doctor Differences:

• A cardiologist may prefer beta-blockers (e.g., Metoprolol) for a patient with coexisting heart disease.
• A general practitioner might choose a diuretic (e.g., Hydrochlorothiazide) due to affordability and simplicity.

In contrast, countries relying on the WHO Model List of Essential Medicines may prefer Hydrochlorothiazide due to its inclusion as a cost-effective option.

Impact of Treatment Guidelines

Treatment guidelines provide evidence-based recommendations that directly influence P-drug selection.

• Example 3: Hypertension

• USA (ACC/AHA Guidelines): Recommends ACE inhibitors (Lisinopril) or ARBs (Losartan) as first-line P-drugs for hypertension, especially in patients with diabetes or chronic kidney disease.
• UK (NICE Guidelines): Suggests calcium channel blockers (Amlodipine) as the first choice for hypertension in older adults or Black patients.
• India: Diuretics (Hydrochlorothiazide) are often selected due to affordability and inclusion in national guidelines.

Understanding Clinical Guidelines

• Example 1: Hypertension Treatment

• Doctor A: Interprets the American Heart Association (AHA) guidelines and emphasizes ACE inhibitors (Lisinopril) for hypertension in diabetic patients due to their protective renal effects.
• Doctor B: Focuses on the same guidelines but prefers ARBs (Losartan) because they are equally effective and have a lower risk of cough as a side effect.

"All diseases need not to be treated with a drug."

• Example 1: Hypertension

  • Non-drug approach: Lifestyle modifications such as regular exercise, low-sodium diet, weight loss, and stress reduction can be effective in controlling mild hypertension.
  • Rationale: Drugs may not be immediately necessary, especially in borderline cases.

PDL MR COMMUNICATION

 

https://iris.who.int/bitstream/handle/10665/69177/WHO_EDM_PAR_2004.3_eng.pdf?sequence=1

Ethical criteria for medicinal drug promotion

https://iris.who.int/bitstream/handle/10665/38125/924154239X_eng.pdf?sequence=1&isAllowed=y

INDIAN MEDICAL COUNCIL (Professional Conduct, Etiquette and Ethics) Regulations, 2002

(AMENDED UPTO 8th OCTOBER 2016) 

https://www.nmc.org.in/wp-content/uploads/2017/10/Ethics-Regulations-2002.pdf

The Gazette of India

https://www.nmc.org.in/documents/e_Gazette_Amendments/Ethics%20-%2010.12.2009.pdf

Code of Medical Ethics Regulations, 2002

https://www.nmc.org.in/rules-regulations/code-of-medical-ethics-regulations-2002/

LOK SABHA UNSTARRED QUESTION NO.4422 TO BE ANSWERED ON 19TH JULY, 2019 UNETHICAL PRACTICES 4422. SHRI SYED IMTIAZ JALEEL: 

https://sansad.in/getFile/loksabhaquestions/annex/171/AU4422.pdf?source=pqals

Indian Medical Council (Professional Conduct, Etiquette and Ethics) Regulations, 2002 (Published in Part III, Section 4 of the Gazette of India, dated 6th April, 2002) MEDICAL COUNCIL OF INDIA NOTIFICATION New Delhi, dated 11th March, 2002

https://wbconsumers.gov.in/writereaddata/ACT%20&%20RULES/Relevant%20Act%20&%20Rules/Code%20of%20Medical%20Ethics%20Regulations.pdf

Shastri Bhawan, New Delhi March, 2024 Subject: Uniform Code for Pharmaceutical Marketing Practices (UCPMP) 2024 — reg. Sir / Madam,

*UCPMP 2024 for website_0.pdf 

नाहं कालस्य, अहमेव कालम|

 नाहं कालस्य, अहमेव कालम|

MAI AHAM NAHI HU

MAI AATMA HU

https://acharyaprashant.org/en/articles/naaham-kaalasya-ahamev-kaalam-1_593683c

Bhagavad Gita (Chapter – 4, Verse – 7)

Whenever there is rise in evil, whenever ignorance and arrogance rise, obviously the result is suffering. The Lord does not drop physically somewhere from the heavens. The metaphor must be understood. It does not mean when there will be people of certain kinds who would be behaving in evil ways then some avatar will descend from the skies. What it simply means is that whenever the ego inflates, the consequence is suffering and suffering itself calls for its cessation. You do not like to suffer. This call of cessation of suffering itself is the coming of the Lord.

The ego is caught in a quandary. It likes to be inflated but it does not like to suffer. But the natural consequence of its own inflation is suffering. It likes to be big, it likes to act powerful, but the more powerful it acts, the more it suffers and suffering is something it does not like. So the very inflation of the ego, the very rise of ego, the very increase of evil, is also a parallel increase in the urge to dissolve the evil, the suffering, the ego. The Lord doesn’t come from anywhere; the ego sees its own futility, its vanity and surrenders. 

 “Everything we hear is an opinion, not a fact. Everything we see is a perspective, not the truth.” [Marcus Aurelius]