CULTURAL QA 07-2021-06 Being a compilation there may be errors
Respected friends, These QA are from Quora and I have compiled some interesting ones tofriends. I am not compiling tough QA. Answers are precise. I found member Sri Rajaram KrishnaMurthy questioning my knowledge.Also he adds pages as response . I request the member to kindlyread- Being a compilation there may be errors. Since I am advised by some good members not to respond and create issues I am notresponding to his response mails. But there is a limit to my patience. Sincerely, GopalaKrishnan 6-7-21 Q1 Willdoctors prescribe testosterone? A1 Ray Schilling 16 yearsin general practice where I examined many patientsUpdated March 17 Yes, doctors prescribe testosterone to those who are deficient and are inneed of it. These are mostly aging men in their 60’s or older who no longerproduce testosterone. A blood test is ordered. If the testosterone is low, testosteronereplacement can be ordered either by testosterone-gel or by testosteroneinjection. A man who is on testosterone replacement therapy should have follow-upblood tests every three months. The hormone level is kept inthe high-normal level. The doctor cannot prescribe to younger men who have normal testosteroneproduction, just because they want to perform better in sports or they hope toget more powerful ejections. It is a myth that this wouldwork, because there is a hormone feedback between the circulating testosteroneand the pituitary gland and the hypothalamus. Blood testosterone tests in these cases are in the high normal range oftestosterone. It is illegal for the doctor to prescribe testosterone in suchcases. The doctor would risk losing his/her licence to practice medicine. The hormone feedback cycleinvolves FSH and LH and the hypothalamic releasing hormones. When you overdose on testosterone, the feedback circuitsshut down your own production of FSH and LH, which can result in testicularatrophy and lack of sperm production. That cannot be good for the younger manwho may want to start a family. Q2 Howdo you get rid of an airlock in a water purifier? A2 Donald Ard , worked atUS Navy Submarine Service (1969-1992)Answered June 1, 2020 Airlock or air binding iscaused by air being trapped in a system. The only remedy is to get rid of the air. Find a way to vent the air or to pre-fillthe system. Possibly by disconnecting a fitting at the highest point in the systemand allowing water to flow out before reconnecting the fitting. Q3 Whatdoes the wait staff in fine dining restaurants think of people who want to taketheir leftovers home? A3 Erin Morrey professor,mom, and wife; trying to keep it all in order! Sat My husband was once given his boss's credit card to take me out to a nicedinner after he closed a particular deal for him. We went to a great place thatspecialized in steaks. We chit-chatted with our waiter and eventually ended uptalking dogs with him, and we told him about our two Bassett-Lab mixes. When we left, in addition to not batting an eye when I asked to take therest of my meal home, he asked if he could give us a couple of bones for ourdogs! They were big, thick steak bones with some meat left on them. He saidthey often had people who didn't want to take their leftovers home, so theywould cut off the eaten part and put the bones in a bowl specifically forcustomers' dogs. Super, super nice and our dogswere thrilled! Q4 Manyanimals have parents that take care of their young like humans, but do any haveobserved “grandparent” relationships? Or do only humans place value on thegeneration after their kids? A4 Jennifer Larson StudiedNursing at University of South Dakota (Graduated 1996)Thu Elephants are one of the bestexamples of multi-generational family units in the wild. Breeding herds are led by the matriarch, usually the oldest and wisestfemale. The herd is composed of her daughters and granddaughters that will staywith the herd for life. Bull elephants stay with the herd until they are intheir teen years, acting as protectors, and eventually move off to formbachelor herds under the guidance of an older, dominant bull. Old bulls teach the youngerbulls how to behave and without that older male influence, young bulls havebeen known to get dangerously aggressive, attacking humans and evenanimals like rhino. >From birth to death, every individual is part of the society, which Ithink it >can be fairly called. Q5 Why is my water purifier releasing warmwater? Dr. Aquaguard did not have any hot or cooling facility. What is theproblem? A5 Pavan Dhanoji, BCAScience & Computer Science, Kalaburgi, Karnataka, IndiaAnswered April 6,2020 I think, this question you mustask to your doctor aquaguard Firstly the water which you are drinking is from the reverse osmosistechnology, in the reverse osmosis it removes salt, bacteria, and anotherimpurities from the water, where the water which is purified is so purifiedthat it contains nothing an but a water after the reverse osmosis there is aprocess of UV purification this kills bacteria, germs, viruses, present inwater, again There is an additional process where they add minerals to thewater, nowadays technologies. Because by the process of reverse osmosis there is low minerals in thewater so the water is used add extra minerals in water must be in condition todrink. By the process of UV purificationwhere do we light present in the chamber kills the germs, bacterias, in thewater which makes water little warmer too So you get a warmer water Q6 Whatis the maximum official stoppage or halt time in Indian trains? Some trainshave stoppage more than 20 minutes on big stations. A6 Answered by PrashantTiwari June 29 There are two types of stoppages considered in Indian Railways: Commercial Hault- A haut fromwhere passengers canboard/deboard and tickets are sold. Technical Hault - A hault wheretrain stops for loco reversal,staff change, water fillup etc. Such stops are not commercial and no ticketsare sold for these stops. Stoppage time at commercial hault depends on the type of station. It starts from as low as 1minutes to as high as 30 mins. ( scheduled) If a train has scheduled hault of 20 minutes or more then there isdefinitely a loco reversal or attachment/detachment of banker locomotives. Exceptions: A train can stop for more than 30 minutes in case ofuncleared line, technical or mechanical failure. Technical haults are usually of10–30 minutes in whichloco might get reversed, staff might get changed, water is filled in coachesand cleaning is done in coaches. You can not buy tickets for/from a technicalhault. Hope your doubts are cleared. If you have any question please ask in thecomment section. Q7 Whatis the opinion of the doctors about their last patient who comes just fewminutes before departure at night in OPD? A7 Stay home stay safe. Tiny Nair Cardiologist at PRS Hospital, TrivandrumSat Rrrrrrrg‘Doctor?’‘Yes’ ‘Doctor, whats your consultation time at home?’ ‘6 PM till 8 PM’ ‘Thanks. In that case I shall come by 8 15; by then you would be free Ithink.’ But that’s not what we dread. Invariably, the last patient would have been one who got an appointmentby haggling with my secretary or the ‘sit in’ category, who would have come andannounced that ‘I would meet the doctor and go; come what may’ type. Both often turn out to be suffering from major trouble. Over the years, the ‘lastpatients’ (at home and in hospital OPD) have had much more heart attacks, cardiac arrhythmias or evolving stroke; where thepatient believed that he has gas, dyspepsia or a vertigo. In hospital, it is called the‘last token syndrome’. Once I see him, with a major issue at my home office at 9 PM, what do Ido? Ask him to go to the hospital ER for an ECG and necessary treatment. How can we avoid this problem? Simple. Why not straight go to the ER? The answer is not so simple. It is not thepatients fault. In the Indian medical system,the doctor is always given an iconic stature; while the system is neglected. There are many excellent doctors butthey have to work in a rusted system. In contrast, in the US, the system is very strong. In a strong system anaverage doctor does well, while the reverse is not true. The system An Indian doctor might wrongly diagnose an atypical chest pain asmuscular and miss out a heart attack. In the US, all such pains wouldmandatorily have an ECG done. If the ECG shown a heart attack, andunfortunately you are in a ‘Indian’ rural hospital, you have to be content withsome aspirin and wait for the next bus to take you to the nearest town, whilein the US, the system will make sure that you are flown to a higher center in ahelicopter. It is this lack of belief in asystem that brings this ‘last patient’ to the OPD. The Ego ‘Don’t do anything without consulting me’ The patient, overwhelmed by the weight of my degrees would just do that,unless I tell him that in an emergency don’t wait for me and go to the ER. Thatcan happen if the doctor can ensure that the hospital ER is a strong system,capable of responding to a crisis. Mostly it doesn’t. The ‘last patient’ has justobeyed his doctors advise.- The ‘Over’ Reaction Just before COVID struck (Home consult is closed post COVID) I saw a lastpatient coming in with a huge plaster in his hand. Time 9 PM ‘Doctor, I was waiting for 2hours to see you’ He sat down. ‘See Mr, I am a cardiologist. This is clearly an ortho problem. Why don’tyou go to the right doctor? I am sorry but I am helpless’ He listened to me quietly.After my long lecture ended, he looked at me,and smiled. ‘My wife is your patient. Ijust came to ask if she can have a dental extraction’. ‘And this is an accident that happened a month back, I am fine and activenow’ As I told you, last patientsalways spring a surprise. Didn’t I? All the above QA are based onQuora digest on 05-07- 2021. Quora answers need not be 100% correct answers Compiled and posted by R. Gopala krishnan on 06-07-2021 This posting has 1798 WORDS and approx. 179 sentences. -- You received this message because you are subscribed to the Google Groups "Thatha_Patty" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To view this discussion on the web visit https://groups.google.com/d/msgid/thatha_patty/1903593874.1997528.1625539620876%40mail.yahoo.com.
