Pranam Q1 Traits ? Do any one consider? weigh? analyse? Never. If doctor does not talk people don't like him; some do not like loquacious doctors; some do not like doctors who do not prescribe; some do not who over prescribe; some do not like shabbily dressed; some do not in suit; some do not like small pot hole clinics; some do not the palace structure; so traits is again an acting may be or really tto; if the patient survived GOD IS DOCTOR; or Doctor is dog. Over charging when paying through one's nose is a bad one; but when Govt or the corporate pay , a great one. Nowadays I find advt in TV in all languages; a girl or a man smiles for all which is termed as FALSE; DOCTORS ALSO HAD TO DO THAT IF IN PAIN. A doctor who is known as simple as unrevealing his traits and talents is the best. 20% are the greatest on earth; but 80% are worshipped by the fools. Q2 Why India?; what about other nations even if it is Kenya. A tourist is termed as a VISITOR; what a visitor shall do at your home only the visitors of any nation can do. And learn the laws and the customs of the lands from the pamphlets provided by the tourism. If possible have the APP to say in their language selective words needed. Q4 repeated because someone else now answered; plug or unplug ; all gadgets are manufactured nowadays only to last 3 to 5 years only. in your TV if you test colors, you will find a rectangular black shade which indicates that it will wait until another 2 years. Basic settings will last a few years more than setting in dynamic etc and sound patterns varied as cinema movies etc. But the real audio video vision is lost if you keep in one pattern only; for that one can buy a black and white and a color 32" enough. Similar is the Home theater ,washing machine , mixie , water heater etc. Q5 Sleep is not prohibited as you breathe; one or two hours ,or always, or often sleeping -may require doctor attention. "Fiesta" is allowed. Q6 Forget about nation to nation; suppose from the old area where you lived, you were to shift, to a new colony, well you have to start your new life; if young fine; but aged you are off. American educated children will bunk in India as if uprooted. I have seen many families, who came to live in India, within a year, going back. Q7 How do we use wall fans? ceiling fan is not necessary. Many nations do not have these provisions. Q8 Can I get an answer ?; can we privatise the parliament?. Railways will be privatised; once railways all over the earth was only a private one. Parliament cannot be except the canteen. KR IRS 16822
On Tue, 16 Aug 2022 at 08:50, 'gopala krishnan' via Thatha_Patty < [email protected]> wrote: > CULTURAL QA 08-2022-16 > > BEING A COMPILATION THERE MAY BE ERRORS > > Q1 What are some traits of genuine doctors? > > A1 Tiny Nair, Cardiologist at PRS Hospital, Trivandrum Updated 5y > > Check for these signals > > 1. Deaf Doctor – despite high end scanners and biomarkers, the most > important clue that clinches a diagnosis and decides prognosis is medical > history. If your doctor is not focusing on your complaints (Deaf to your > problems) and is fiddling with his WhatsApp instead, it is better to > start your search engine all over again. > > 2. Overconfident – Assuming that you have not gone with a viral fever or > running nose, any complicated medical problem needs careful analysis to > make a diagnosis. Just after listening to your problem with a cursory > glance at your medical record, this doctor says, this is nothing, I shall > cure you 100 percent, Chance are high that you are meeting an unethical > doctor. We never promise a cure to anyone, we can’t. > > 3. Go to google - Not to diagnose your illness; but to check for the > doctor’s publications – so that you know his academic standings (pubmed or > research gate). Remember, a good doctor also has a good standing among > his peers, shown by his publications. > > 4. Too Many or Too Few Tests - Most complicated medical illnesses need > tests, and your doc is likely to order them. If he is not ordering at all > or over-ordering, be careful. You go to your doctor with a intermittent > occasional chest pain, your doc is likely to ask for an ECG. If he > doesn’t or if he directly asks for a high end test like angiogram, add a > pinch of salt before you gulp it. > > 5. Check his medical degrees, this is true especially in India. In the > US, all doctors are MD, so not an issue. But in India medical degrees > come from A to Z, with many just worthless. (eg. FICA – fellow of Indian > College of Angiology, a degree carried by many Indian GPs, who don’t even > know the expansion of these letters). You can buy them outright. No Good > doctor will ever flaunt a worthless degree. The standard degrees are MBBS, > MD, DM, MS, MCh, DNBE, (all Indian) and MRCP, FRCP, FRCS (UK), BE / BC FACC > etc (US), European Board Certification (FESC etc.) the list continues. > > 6. A patient might appreciate a doctor simply because he makes him feel > better, which is by no means a small thing. We do want to feel better > after consulting our doctor. But if you wish to know about his academic > excellence, you either have to search internet or ask other doctors about > him. > > 7. Quality is in Details – Most senior doctors will personally take a > detailed history and a thorough examination before arriving at a > diagnosis. Be careful if he is not. > > 8. A good doctor would finally tell you all that he has made up of your > illness, the treatment plan, the outcomes and also the uncertainties. A > doctor who is not ready to do that and says “eat this and you would be > alright” is not alright. > > 9. A good one always seeks second opinion on complicated problems, we do > it so often. Refer to a colleague and ask if something else lights up in > his mind. This only shows that the doctor is worried about finding > solution to your problem, not thrusting down his ego down your throat. > > What about Top 10 List? > > Once I was travelling with senior American cardiologist, (holding a senior > position in the American College of Cardiology; ACC) in a transatlantic > flight. The inflight magazine showed this list of “Americas top > cardiologist”. Surprisingly, it turned out that this very senior ‘academic’ > cardiologist in the US has Never heard the names of any of those “TOP 10” > cardiologists listed in that magazine!!! > > Today money can buy anything, both in India and US; Name, fame and > photoshoot inclusive. > > So choosing a good doctor is not an easy task. > > Edit 1. — The Diplomas I missed out (D ORTHO, DGO, DLO…… ETC) thanks > Runak. > > Q2 What are some best tips and tricks for people visiting India > for the first time? > > A2 Intekhab Alam, Avid traveller Updated 6h > > Never travel in a Sleeper class. > > Back in 2016, I was travelling to Rajasthan in the sleeper class. A young > couple from France boarded the train and sat right next to me. After > conversing for a while, I asked them why did they take the train and why > choose the sleeper class? > > She said she wanted to experience the “real India". Fast forward 3 hours, > they were irritated beyond limits. The toilets were unclean, people kept > bothering them and to top it all, they were sweating profusely. > > If you plan on using the train, book second class AC tickets. It won't > take away the Indian experience that you're seeking. > > Always check the water supply before using public toilets > > It goes without saying that you should probably avoid using the public > toilets. However, if you can't keep it in, make sure to check whether the > toilet has an active water supply. Word of warning, you won't find toilet > papers anywhere. So, good luck with the public toilets. > > Lodging > > Do not compromise with lodging. If you're travelling, you will find > plenty of cheap places to crash for the night. If you're using them, do a > thorough background check. Check whether the toilets have hidden cameras > or not (it is more common than you can imagine). Pretty sure you wouldn't > want to regret your stay over a few bucks. > > Bargaining skills > > If you're a foreigner visiting India, there's a 100% you will get > swindled by the local vendors. They ask for 10x more than the actual > price. If you want to hold on to your budget, make sure you have your > bargaining skills refined. > > Street food > > Go easy on the street food. Do not overeat. Always carry your own water > bottle. You'd definitely not want to spend your day coming in and out of > the toilet. > > Apart from the above, India is THE place to travel. The people here are > super friendly and at times you may find that creepy. However, remember > most of them do not mean you any harm. In fact, you will across families > who will invite you over for lunch/dinner.Have a safe trip! > > Q3 How is blood-cell plasma formed? > > A3 Ken Saladin, Former professor of histology (microscopic > anatomy)Aug 9 > > It’s simply called blood plasma, not blood-cell plasma. > > Blood plasma > > Most of the plasma is water, which is absorbed into the bloodstream from > the intestines and continually exchanged back and forth with the fluid in > one’s tissues. > > Next to water, the most abundant component by weight is protein—albumin, > fibrinogen, and a few different kinds of globulin. One of these, > gamma-globulin, is made by certain immune cells that develop from the B > lymphocyte type of blood cell. All the rest of the plasma protein is made > by the liver. > > Most of the plasma components listed under nutrients and electrolytes > below come from the diet, absorbed from the intestines. However, the > liver makes the lipoproteins, excretes much of the cholesterol into the > blood, and both provides and removes (in a balanced exchange) glucose, > iron, and amino acids. > > The lactate and nitrogenous wastes are products of body metabolism that > the blood acquires from many different organs, and the gases, of course are > exchanged between blood and air in the lungs. > > Q4 Does unplugging a TV when not in use make it last longer? > > A4 Gopala Krishnan,Former Assistant General Manager 1996-2004 at > Department of Telecom (1966–2004)Just now > > I am writing from Chennai, India. I am having MI TV in hall and old LCD > Samsung TV in my room. A few months back one guest came told me, his MI TV > motherboard failed in lightening during a rain , and desired to have > stabilizer . Next day itself I Installed a stabilizer for it. > > TV should not be continiously used. It requires rest. It is best TV is > switched OFF for about an hour after 5–6 hours of working. > > Present day plug points are controlled by switch. Most control TV using > remote for switching ON and OFF. Many times TV may have plug point at > back of the TV. > > It is best if you are leaving home for months to remove the TV plug from > socket. Normally if stabilizer is provided, in a sudden lightening > stabilizer only will be affected and not TV. If it is winter and raining, > if switch in the plug is convenient, you can switch OFF TV from switch > rather than from remote. > > My point- A stabilizer may protect TV from surges during lightening. Best > switch OFF TV from remote rather than from switch, during a lightening > period. You will be protected by switching OFF from remote. > > Q5 Is it good to sleep during the afternoon one or two hours > daily? > > A5 Lois L. Kersey, Aug 2 > > We have all taken a nap at some point. Several people do it daily, but > little is known if they provide health benefits or, on the contrary, harm > it. That is why Dr. Evelyn Benavides, adult neurologist, specialist in > sleep medicine, clarifies and explains the pros and cons of taking a nap: > > Advantages: > > Naps are favorable as long as they do not last too long, since the ideal > is that do not exceed 40 minutes and that are not after 4:00 p.m. For > preschool children, a post-lunch nap is recommended if they need one. Some > people have the habit of napping to help them perform in their daily > activities. The important thing is that you do not exceed the recommended > schedule and time. > > Disadvantages: > > In people who suffer from sleep disorders, such as insomnia, the act of > napping causes the few hours they sleep to be spread out during the day, > which can increase insomnia. > > In older adults it is not so recommended, since they have a lower need for > sleep than younger people, reducing the duration of night sleep, which is > the one that provides the most benefits. > > ABSTRACT: > > For a nap to generate benefits, it should not last more than 40 minutes or > sleep after 4:00 p.m. Children have no problem doing it after lunch, while it > is not recommended for older adults. > > My note- Older adults get siesta after meals in th afternoon. If at all > any work is there, they are not able to concentrate and do. Result is > they sleep less in night and get up early. > > Q6 As a person who lives abroad, what is difficult about going > back to your home country? > > A6 Bhuvana Rameshwar, married for three decades Updated Sun > > I lived abroad for a decade almost as our father worked in Nairobi > University (Kenya) in engineering dept. My brothers stayed more years as I > came to India for my higher studies. We visited India once a year during > our academic vacation. Sometimes once in two years. > > Each year we felt we missed out more and more on relationships, the fun, > the festivals the celebrations. We felt out of place as our Tamil had > changed, our English was different and the people in our grandparents house > and family treated us like outsiders. Our rooms, furniture, our space taken > away. Years later we lost even our rightful share in our grandparents > property and jewels. > > We just couldn't go back to the old times again. However much we tried it > was always like we were left out of the fun. Any number of gifts, outings > and get togethers couldn't bring us all to the same wavelength. > > Slowly the fun of air travel lasted only till we reached our native town. > The same airport the sun, the cab, the roads sides with big cinema banners, > the same main roads and streets, the corner temple gave us anxiety. > Butterflies in the stomach were common in us. We weren't happy anymore to > see our extended families. We were happy to be in India, and Tamilnadu but > not in going home. There seemed an invisible line between us and our > grandparents too. > > What made it worse was the seemingly simple but most irritating question > put forth by our uncles’ wives “how many days are you all staying? ” or > when are you all going back?“ … as soon as we entered the same old, > nostalgic grand parents’ house. It was clear we didn't belong there. > > Hmmm… > > Q7 Can an electrician install a ceiling fan without a fixture? > > A7 Gopala Krishnan,Former Assistant General Manager 1996-2004 at > Department of Telecom (1966–2004)Just now > > You mean a U bend fixture in RCC roof which is internally put on steel > bars with a bend to keep in position? Or a strong hook which can be > connected to a beam in a tiled home? A mason will help to break open the > RCC and find steel roads to connect hook. He will plaster and after drying > ceiling fan can be mounted. A fixture to a wooden beam can be fixed by > electrician himself. > > A ceiling fan can be installed only with a fixture to connect the fan rod. > > My note- I did not want to add this in the Quora answer. For reasons > unknown, the new telephone exchange building at Vellore finished civil > works without any provision for fans. Where ever fans were required RCC > was broken, fan hooks provided, Re-plastered and after drying fans were > provided. > > Q8 Where do trains go when not in use? > > A8 Aditya Agarwal, Lives in New Delhi (2015–present)Updated Jul 22 > > Your question has two meanings. First is you mean that after reaching its > destination, where does a train go and second is when life of a train is > complete and it cannot be used as a passenger train what happens with it. > > I would give answer for both questions: > > For first one, after reaching its destination train goes to rail yard, > where it gets washed and cleaned before starting its next journey. Water > is filled in water tanks of all coaches. Many technical things are checked > in all coaches using different devices. > > Water is filled in water tank in coaches. > > For second one, when train cannot be used as passenger train, Indian > railways use it as parcel coach, freight carrier, repair workers coach. > > Passenger train converted to automobile carrier by closing windows using > metal sheet.Old passenger coach converted to new goods carrier. > > My note- Short travel passenger trains may have return trip within one > hour. In that case train doesnot goes to the yard. Cleaning and water > filling is done in the plat form itself. Eg- Brindavan express, double > decker etc from Chennai, return on the same day after an hour from > Bangalore. Similarly Bangalore Chennai express return after an hour as > Lalbag express from Chennai. After that only they go to the yard at > Chennai/Bangalore for next day trip. > > Q9 How do people in Sweden (and overall cold climate countries) > ventilate their houses? Do they open the windows? > > A9 Chris Ebbert, Lives in Sweden Jul 23 > > Opening a window would be the standard approach for ventilation, yes. And > the northern European classic of window mechanisms is this, the > inward-leaning window opening for ventilation (the Germans call it > “Kippfenster”): > > You can see it in use in this image, where the very left window is opened > in this way. > > I have not seen this used much elsewhere. You see it pretty much > everywhere in Germany, Austria, Sweden, France, and so on, but I have never > come across it in Canada, the US, China, India, the UK, or New Zealand. > > It has a good number of advantages, such as: > > it’s less visually obvious if it starts to rain, no problem birds > and rodents are less likely to enter wind won’t bang it around or slam > it shut no one can just enter through it, making this an option that > feels safe at night. > > People even leave these open as shown while going to work. There are > burglar proof versions of these, and they actually are quite burglar > proof just by default. > > Other than that, houses are built to “breathe” to a certain extent, of > course. There is a natural attrition of air at all times, through door > seals and window seals. Cat doors are actually an enormous ventilation > gate, I find, to the point where I’ve found myself compelled to build an > air lock for our cat door. > > You probably won’t find this anywhere else. > > Many houses actually have ventilation ducts for passive ventilation built > in, not unlike cars. Look closely at the gables of some houses, and they > may have a little grid there. The thing is of course that ventilation must > continue even when it is so cold outside that you can’t open any windows. > > Q10 What will happen to the permanent jobs of Indian > Railways employees after privatization? Will they all take VRS? > > A10 Kanthaswamy Balasubramaniam, Advisor and Tutor at Staff > Selection Commission Combined Graduate Level Exam (2021–present)1y > > They won’t Privatise Railways > > The Railways is too much of a Crown Jewel to be Privatized > > They may Privatize the Management of Stations, Ticketing, Booking, Food etc > and They may launch Exclusive Private Coaches and Trains but The Railways > has too much infrastructure to be privatized. > > Yes it will be slimmed down. This is already happening. In 1990 - Indian > Railways was 43% over staffed, in 2008 it was only 26% Over Staffed and > now in 2018 it is only 9% over staffed. The simple strategy is to hire > fewer people and distribute more work among the rest. > > It would take an Absolute Idiot to Privatize the Railways completely > > All the above QA are from Quora website on 15-08- 2022. > > Quora answers need not be 100% correct answers . > > Compiled and posted by R. Gopala krishnan on 16-08-2022 > > -- > 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/1617305127.1407012.1660619997652%40mail.yahoo.com > <https://groups.google.com/d/msgid/thatha_patty/1617305127.1407012.1660619997652%40mail.yahoo.com?utm_medium=email&utm_source=footer> > . > -- 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/CAL5XZooAHCRJkK1Xm40a84wr9DiHv%3DOjVqznLzNPDy2HNKESaQ%40mail.gmail.com.
