---------- Forwarded message ---------
From: 'N Sekar' via iyer123 <[email protected]>
Date: Mon, Dec 25, 2023, 12:08 PM
Subject: Re: [iyer123] CULTURAL QA 12-2023-25
To: <[email protected]>, Kerala Iyer <[email protected]>,
Rangarajan T.N.C. <[email protected]>, Chittanandam V. R. <
[email protected]>, Mathangi K. Kumar <[email protected]>


Thanks Sri G K.

Q 5: Ronaldo deserves our love, respect and praise for this one quality
alone.  It is a very valuable lesson to the millions of  young fans of his.
Even if a handful realize this, the world would be a better place to live
in.

Although we come from a land which taught us

" Matha, Pitha, Guru, and (then) Deivam" meaning Mothers tower above all,
still we need inspiring stories like this, to help us remember our own
traditions, culture and the way our elders were treated - with love,
affection and respect.

Good  lessons are welcome irrespective of where they come from -  East or
West or anywhere else.

Rig Vedham tells us " Let Knowledge come to us from  ALL SIDES". All sides
include West, I suppose.

Thirukkural says
" Epporul yar yar vai ketpinum Apporul
Maipurul kanbathu Arivu"
Meaning
What matters is WHAT is said and not WHO said it (wherefrom is implied).

Apart from the purpose to annihilate the Rakshaas, Rama in Ramayana teaches
us:

Mathru, Pithur and Guru Bhakthi and how
even if you have to differ from your parents and Gurus - how to do it with
respect and reverence, without giving offence, so much so even they agree
with you eventually.

Our generation was brought up listening to " Pravachanams" on Ramayana and
the
Mahabharatha, Bhagavatham,  Nala Sarithram and the like; and there were no
big auditoriums, concert halls etc. and no U tube either.

Most of these speeches, lectures were given within the Temple premises. But
their reach was far and wide.

One of the reasons we have degenerated is because these practices are dying
a slow death and also because we have done away with moral subjects like
Avvai Patti's Aathichudi and the like.

It is good that someone from the West reminds us of our own, forgotten
values. Thanks Ronaldo.

N Sekar



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On Mon, Dec 25, 2023 at 8:48 AM, 'gopala krishnan' via iyer123
<[email protected]> wrote:

CULTURAL QA 12-2023-25

All the below   QA are from Quora DIGEST to me  on   25-12-2023.

Selected quora answers generally interesting are included .Still they   need
not be 100% correct answers.

Compiled and posted by R. Gopala Krishnan, 80,  former ITS 7024  on
25-12-2023.

Q1      When did you realize small things matter?

A1      Utkarsh Vajpai, Writerpreneur Updated 5y

I can explain it by a short but real story.

Once there was a boy who had a shop of book binding in front of a reputed
educational institution. All the students and professors used to give their
notes to him for binding.

The boy was very much fond of gaining knowledge so he used to study every
set of notes that he got to bind. For many years he continued to do the
same.

Then on the basis of his study, one day he tried to do an experiment.

He brought a magnet and thought of generating current through it. He tried
for several times but nothing happened. He read again and tried again, once
twice, thrice, endless times but nothing happened.

At last, he became furious and threw the magnet and to his surprise he saw
a small deflection in the current measuring device. A theory was born that
day.

Later, he thought to display his work in front of the professors of that
reputed institution.

When he showed his work, out of jealousy one of the professor stood up and
asked,

 “It is admirable that the movement of magnet shows a small current but  What
good will this small current do, it’s of no use!”

All the other professors giggled on his remark.

After a bit of a silence, the boy said,    “Well Sir, in that case What
good is a new born baby? Do you kill a new born baby solely based upon the
fact that the baby is very small?”

There was stun silence and later on the theory got approved. The boy turned
out to be the biggest scientists of all time.

The boy was Michael Faraday.The theory was Electromagnetic Induction.

The institution was The Royal Society.

Q2      How fragile are humans physically?

A2      Silk Road, AI Expert13h

- We can't survive without oxygen for more than a few minutes. If our brain
doesn't get enough O2, it gets permanently damaged and we die.

- We can't regrow our limbs or organs like some lizards or starfish. If we
lose an arm or a leg, we have to use prosthetics or wheelchairs.

If we lose a kidney or a liver, we have to wait for a transplant or
dialysis.

If we lose our eyesight or hearing, we have to use glasses or hearing aids.

We can't handle extreme temperatures or pressures like some tardigrades or
deep-sea creatures.

If we go too hot or too cold, we get burned or frozen. If we go too high or
too low, we get altitude sickness or decompression sickness.

- We can't live forever like some jellyfish or lobsters. As we get older,
our cells start to wear out and our organs start to fail.

We get diseases like cancer, diabetes, Alzheimer's, etc. We need drugs and
machines to keep us alive.

So yeah, humans are pretty fragile physically. But that doesn't mean we are
hopeless.

We have something that most animals don't have: Big brains.

We can use our intelligence and creativity to overcome our limitations and
adapt to our environment.

We can invent tools and technologies that help us survive and thrive.

We can cooperate and communicate with each other to solve problems and
achieve goals.

We can explore and discover new things that expand our knowledge and
horizons.

So don't be sad about being fragile. Be glad about being smart.

Q3      Can you give some information about Parsis?

A3      Parsis, who follow Zoroastrianism, are seen as a small group in
India. There are about 60,000 Parsis in India, and Pakistan has around 1100.

They came to India to escape persecution in their home country, Iran. Even
though they faced tough times, they embraced Indian culture, language, and
the country itself.

Parsis are known for being prosperous – some are very rich businesspeople.
They also hold significant positions in law, media, consultancy, and civil
and military service, making them powerful and influential.

They've made important contributions to Indian arts and culture.

Additionally, Parsis are known for their generosity – they're real
philanthropists.

It's interesting to note that they've never tried to find or create another
homeland.

As Johann Wolfgang von Goethe said,

Everything great and intelligent is in the minority."

And, by the way, today is Nowruz, the Persian New Year! Happy Nowruz to
everyone!

Q4      Why do hospitals often give patients ice chips rather than liquids
when they are thirsty?

A4      Scott Krager, Lives in Portland, OR 20h

Now, this might sound counterintuitive. A patient is thirsty and rather
than giving them a refreshing glass of water, a nurse comes over with a cup
of ice chips. What gives?

Well, there's a method to the madness.

Firstly, when certain patients are considered a high risk for aspiration,
like after surgery or when they're very ill, giving them liquids can
actually be dangerous. Aspiration is when something enters the airway or
lungs by accident, which can lead to pneumonia or other complications. Not
the kind of extra 'adventure' you want in a hospital.

Ice chips, on the other hand, melt slowly and in small amounts. So by
sucking on ice chips, patients can stay hydrated without the risk of
swallowing a large volume of liquid that could end up going down the wrong
pipe. It's about controlling the intake.

Secondly, in some cases, patients are required to have an empty stomach for
certain procedures or tests. Ice chips can provide some hydration and mouth
comfort without significantly adding to stomach contents. Also, if there's
a chance of surgery, docs want that stomach as empty as possible, even when
it comes to liquids.

Now, let’s talk about the digestive system. After surgery or during certain
illnesses, the digestive system can be a bit sluggish to wake up and start
working properly again. Sipping on liquids might lead to nausea or
vomiting, whereas ice chips melt and trickle down in such small amounts
that it’s less likely to upset the stomach.

And of course, there's the matter of ice chips being a soothing remedy for
dry mouth, which is a common side effect of the supremely arid hospital
air. It's also a bit of comfort care, honestly. There's something soothing
about the coolness and the slight crunch that distracts from the
less-than-pleasant aspects of a hospital stay.

So, in the ever-busy halls of hospitals where every action usually has a
reason behind it, ice chips serve as a simple, yet smart solution for
patient care.

I mean, I'm sitting here in Portland, OR, wishing we could solve more of
life's problems with something as straightforward as ice chips. Alas, most
things aren’t as simple as soothing thirst with frozen water.

My note- I have an experience of surgery to my relative CMC Hospital,
Vellore. We were told, to keep water ready, while he was brought. We gave
only water. But it was before 30 years. Now medical systems have much
changed.



Q5      Can you tell about importance of mother to us?

A5      Jai Narayan,Mar 26

 “A journalist asks Cristiano Ronaldo:

"Why does your mother still live with you?"Why don't you build her a house?"

Cristiano Ronaldo replies :

"My mother raised me and she dedicated her life for me. She would go to
sleep hungry, just to let me eat. We had no money at all. She worked 7 days
a week & nights as a maid to buy my first shoes so I could be a player.

All my success is dedicated to her and because of her and as long as she
has a life, she will always be by my side, she has everything I can give.

She is my refuge and my greatest gift."

My note- What a beautiful answer. If all middle age/old age  think about it
in this manner?

My parents were with me after I got settled in my life. Before the birth of
my daughter my mother became the Late. Then on my father used to me with me
till he got bored/ old enough not to make journeys and lived in native home.

Q6      What made you cry today?

A6      Khushii, What more can I say Jul 2

Today our domestic help came to our house and without anyone’s permission
started looking through the refrigerator. She started eating a paratha and
when I walked in I told her it was supposed to be for my breakfast and she
could’ve asked my permission before eating. Her reply made me cry . She said

 “ I haven’t eaten anything since the last 4 days , my husband and I are
trying to repay a loan so we don’t have a grain of rice at our home. I’ve
been drinking cold water all day because it makes me feel full. However
today I just couldn’t keep going anymore, the garbage picker refused to let
me rummage through the bin for anything to eat. When I came to your home, I
couldn’t afford a no from you, so I decided to eat without asking for
anyone’s permission. I have no money for bus also , I need energy to walk
home , so I ate . “

I felt such a sting at the unfairness of life . Some people have more than
they’ll ever need while others are trying so hard to just survive.

Same yellow eyes , torn lips that mark them all .

Q7      What is the greatest piece of advice you can give me?

A7      Tiny Nair, Cardiologist at PRS Hospital, Trivandrum Updated 4y

Theory

1 AM, book open, half groggy, I curse whoever has conceptualized MD
entrance examination and MCQs. With exams being just a few days away, all
we learn is mnemonics to cram complicated disease.

Hypertension

ADPKD

Berry aneurysm /Intra Cranial Hemorrhage – 10%

Treatment – Surgical

Spleen, Liver cyst

Mnemonics – H A B I T S – HABITS, HABITS, HABITS – I repeat the ‘Mnemonic’
in my mind.

 (for the ‘non-medical’ readers, these are examples of unusual disease
which are asked in MCQ for entrance examination – the best we could do is
to remember them with mnemonics. Sometimes during examination, all that we
could remember are the mnemonic and not the fact!!!).

 ‘Why do they want us is to cram the rarest of the rare stuff, not testing
what you know, but just what you don’t know’. Suddenly I realize that in
the empty room that I was talking to myself.

May be, I am losing my mind.

***I close the book, set the alarm at 6; reset it at 5 30 and go to sleep.

That’s how we learnt medicine; Knowing a lot of theory which is useless for
all practical purposes. Its funny that people criticize the system till
they pass out; and then they become staunch supporters of this same
curriculum.

Even today, I always teach my residents and Junior doctors to learn
practical medicine by the bedside which is much more important than any
theory.

Life

The 40-something-old man had high blood pressure, little difficult to
control and hence referred to us.

 ‘Do you have any symptoms’? I asked

 ‘Yes doctor, I have some headache, especially since last night, but I was
tensed up because of the project and I did not get proper sleep’.

 ‘He has migraine in his family’ commented his wife.

Most people consider headache as a common signal for high blood pressure,
and as physicians we know how wrong they are. Most hypertensives are
asymptomatic, of course till they know they have blood pressure.

***And then the headache starts; for both the patient and the doctor.

I readjusted his medicine dosage; and told him not to worry.

I reached the hospital parking place and was ready to get into my car when
a young man came running.

 ‘sir how is *****? He is my brother; - by the way, do you remember me sir?
You saw me referred by the nephrologist’.

***My memory for faces is poor; I conjure up an artificial smile.

Then suddenly I remembered something.

 ‘You were referred by the nephrologist for ADPKD right? (ADPKD stands for
Autosomal Dominant Polycystic Kidney Disease – a rare disease where kidneys
are progressively replaced by grape like ‘cysts’ damaging the kidneys).

 ‘Yes sir, ***** is my own brother’

HABITS; H A B I T S – Some old neurons fire in my subcortical brain.

 ‘H’ for Hypertension; ‘A’ for ADPKD; ‘B’ for berry aneurysm – berry
aneurysm is a deadly kind of ‘bulges’ developing in the brain arteries; it
co-exists with ADPKD.

It can present with headache, more importantly, burst and kill – anytime.

Autosomal dominant means there is high chance that his brother has ADPKD
responsible for hypertension and an undetected bleeding aneurysm in the
brain.

I run back to the ward; leaving the brother dumbfounded at the car park. An
emergency brain CT scan is ordered, which show a leaking aneurysm in his
brain.

He is taken up for neuro surgery, and he survives.

I see him on review.

***A shaved head; but indeed, a close shave.

 ‘What did I learn? What is my piece of advice?

Even the most logical criticism of a system, can prove us wrong one day.

The deepest, humid, claustrophobic mine can harbour a unseen high-value
diamond.

262.6K views View 10,232 up votes View 161 shares

My note-Those who can appreciate satire in writing can understand  satire
in lines marked ***

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