Wednesday, November 19, 2014

GRATITUDE

Gratitude is about feeling and expressing appreciation: for all we’ve received, all that we have (however little it may be), and for all that has not befallen us. It functions as an antidote for attachment to what we want but don’t have, as well as aversion to what we have but don’t want. Gratitude is the opposite of being discontented. 

It’s valuable to be aware that nearly all experiences have both “positive” and “negative” aspects. Consistent with the above quote from Ram Dass, even circumstances that are brutally physically and/or emotionally painful, often contain considerable psycho-spiritual blessings in the forms of learning, growth, and healing. Sometimes we have to work harder to locate the positive and unearth its gifts (and sometimes these become manifest only in retrospect)—but if we make the time and invest the energy to look closely and search consciously, we will find them. There is always something to be grateful for, no matter how negative or desperate things may seem.
Gratitude changes perspective—it can sweep away most of the petty, day-to-day annoyances on which we focus so much of our attention—the “small stuff” situations that bring up feelings of impatience, intolerance, negative judgment, indignation, anger, or resentment. Gratitude is a vehicle to diffuse self-pity and self-centeredness, increase feelings of well-being, and prompt mindful awareness of that which is beyond oneself—of belonging to a greater whole, and of connection to others, as well as to the world.
Over the past decade, numerous scientific studies have documented a wide range of benefits that come with gratitude. These are available to anyone who practices being grateful, even in the midst of adversity, such as elderly people confronting death, those with cancer, people with chronic illness or chronic pain, and those in recovery from addiction. Research-based reasons for practicing gratitude include:
•    Gratitude facilitates contentment. Practicing gratitude is one of the most reliable methods for increasing contentment and life satisfaction. It also improves mood by enhancing feelings of optimism, joy, pleasure, enthusiasm, and other positive emotions. Conversely, gratitude also reduces anxiety and depression.
•    Gratitude promotes physical health. Studies suggest gratitude helps to lower blood pressure, strengthen the immune system, reduce symptoms of illness, and make us less bothered by aches and pains. 
•    Gratitude enhances sleep. Grateful people tend to get more sleep each night, spend less time awake before falling asleep, and feel more rested upon awakening. If you want to sleep more soundly, instead of counting sheep count your blessings.
•    Gratitude strengthens relationships. It makes us feel closer and more connected to friends and intimate partners. When partners feel and express gratitude for each other, they each become more satisfied with their relationship. 
•    Gratitude encourages “paying it forward.” Grateful people are generally more helpful, generous of spirit, and compassionate. These qualities often spill over onto others.
Two specific ways you can practice the skill of being grateful are by writing gratitude letters and making gratitude lists. A gratitude letter is one you write to someone in your life to express appreciation for ways they have helped you and/or been there for you. Gratitude letters can be about events that have happened in the past or are happening in the present, and often help to strengthen or repair relationships. A gratitude list consists of writing down 3 – 5 things for which you’re grateful every day, each week, at other intervals, or under situation-specific circumstances. 
You can test the effectiveness of these methods by tuning in to your current emotion(s), mood, and attitude. Once you’ve done that, take a few minutes and identify 3 things or people that you are grateful for and briefly describe to yourself or in writing the reason(s) for your gratitude. Then notice how the way you feel has shifted after doing this simple brief exercise.

Thursday, September 25, 2014

The humbling art of medicine — the right to be wrong

You make some mistakes in your career as Physician but you always learn from them and over the years you improve. Many of mistakes are made due to lack of time . You may miss a symptom or sign as you are rushing through the patients.
t’s never a bad idea to get a second opinion — even if it’s from yourself.

Monday, August 25, 2014

PAIN

Everyone is familiar with placebo effects.  Just taking a pill can reduce pain you are feeling, even if that pill has no active ingredients in it.  Indeed, placebo effects help even when you are taking an active ingredient.  I know that when I have a headache, taking some ibuprofen starts helping the pain fairly quickly, even though it can take up to 30 minutes for the medication to have an effect. 

It is hard to study pain and placebo effects, because pain is subjective.  That is, you can’t know whether people are experiencing pain unless you ask them.  If people want sympathy, they might exaggerate their report of pain.  If they want to avoid worrying their friends and relatives, they might minimize their report of pain.

 In order to study placebo effects, it is important to know the regions of the brain that are involved in the sensation of pain.  Wager and Atlas first review studies in which participants were exposed to low-intensity and high-intensity heat in a functional Magnetic Resonance Imaging (fMRI) study.  The fMRI technique measures blood flow in the brain and gives researchers information about areas of the brain that are active in different situations. 

Researchers have suggested that placebo effects might reduce pain by activating opioid receptors in the brain.  Opioid receptors are the ones that opiate drugs (like morphine and codeine) activate.  The brain has natural chemicals that activate these receptors, and that helps minimize the experience of pain.  For example, research has shown that placebo effects are reduced by giving a person a chemical that blocks the activity of the opioid receptors.

One observation from these fMRI studies is that a region of the midbrain (see the figure for a sense of where the midbrain is located) is influenced by opioid receptors.  This area of the brain is affected by placebos.  In addition, areas of the frontal cortex of the brain (located in the brain above your eyes) is also related the strength of placebo effects. 

Here is where it gets interesting.  There are other areas of the frontal cortex that are involved in your ability to control your thinking. Those areas of the brain are not involved in placebo effects. However, researchers also know that if you distract yourself, that can minimize the experience of pain.  Presumably, distraction involves these brain areas that are associated with thought control.

Based on these observations, other studies using brain imaging show that distraction does reduce pain, but it uses different brain regions than the areas involved in placebo effects.  As a result, these two techniques can be added together for a more powerful effect.  That is, a combination of a placebo and distraction is better than either one alone.

Finally, the pain-reducing opiate drugs involve some of the same brain mechanisms of placebo effects and distraction, but they involve some different ones as well.  Which means that in cases of the worst pain, a combination of all three effects can be more powerful than any one alone.

You might wonder how you get a placebo effect when you have taken a real drug.  Remember, though, that just the knowledge that you have been given a drug engages some pain relief.  That happens regardless of whether that drug is a real painkiller or something inert.  So, telling someone they are getting a pain drug and then giving them that pain drug creates both a placebo effect and the relief from the drug itself.

This work is interesting in two ways.  First, it provides some new insight into how placebo effects work.  Second, it shows how the maturing science of brain imaging can help science tease apart complex mechanisms that would be hard to study without insight into what the brain is doing.

Monday, May 05, 2014

21 habits of happy people


“Happiness is a habit – cultivate it.” ~ Elbert Hubbard
Happiness is one aspiration all people share. No one wants to be sad and depressed.We’ve all seen people who are always happy – even amidst agonizing life trials. I’m not saying happy people don’t feel grief, sorrow or sadness; they just don’t let it overtake their life. The following are 21 things happy people make a habit of doing:

1. Appreciate Life
Be thankful that you woke up alive each morning. Develop a childlike sense of wonder towards life. Focus on the beauty of every living thing. Make the most of each day. Don’t take anything for granted. Don’t sweat the small stuff.
2. Choose Friends Wisely
Surround yourself with happy, positive people who share your values and goals. Friends that have the same ethics as you will encourage you to achieve your dreams. They help you to feel good about yourself. They are there to lend a helping hand when needed.
3. Be Considerate
Accept others for who they are as well as where they are in life. Respect them for who they are. Touch them with a kind and generous spirit. Help when you are able, without trying to change the other person. Try to brighten the day of everyone you come into contact with.
4. Learn Continuously
Keep up to date with the latest news regarding your career and hobbies. Try new and daring things that has sparked your interest – such as dancing, skiing, surfing or sky-diving.
5. Creative Problem Solving
Don’t wallow in self-pity. As soon as you face a challenge get busy finding a solution. Don’t let the set backs affect your mood, instead see each new obstacle you face as an opportunity to make a positive change. Learn to trust your gut instincts – it’s almost always right.
6. Do What They Love
Some statistics show that 80% of people dislike their jobs! No wonder there’s so many unhappy people running around. We spend a great deal of our life working. Choose a career that you enjoy – the extra money of a job you detest isn’t worth it. Make time to enjoy your hobbies and pursue special interests.
7. Enjoy Life
Take the time to see the beauty around you. There’s more to life than work. Take time to smell the roses, watch a sunset or sunrise with a loved one, take a walk along the seashore, hike in the woods etc. Learn to live in the present moment and cherish it. Don’t live in the past or the future.
8. Laugh
Don’t take yourself – or life to seriously. You can find humor in just about any situation. Laugh at yourself – no one’s perfect. When appropriate laugh and make light of the circumstances. (Naturally there are times that you should be serious as it would be improper to laugh.)
9. Forgive
Holding a grudge will hurt no one but you. Forgive others for your own peace of mind. When you make a mistake – own up to it – learn from it – and FORGIVE yourself.
10. Gratitude
Develop an attitude of gratitude. Count your blessings; All of them – even the things that seem trivial. Be grateful for your home, your work and most importantly your family and friends. Take the time to tell them that you are happy they are in your life.
11. Invest in Relationships
Always make sure your loved ones know you love them even in times of conflict. Nurture and grow your relationships with your family and friends by making the time to spend with them. Don’t break your promises to them. Be supportive.
12. Keep Their Word
Honesty is the best policy. Every action and decision you make should be based on honesty. Be honest with yourself and with your loved ones.
13. Meditate
Meditation gives your very active brain a rest. When it’s rested you will have more energy and function at a higher level. Types of meditation include yoga, hypnosis, relaxation tapes, affirmations, visualization or just sitting in complete silence. Find something you enjoy and make the time to practice daily.
14. Mind Their Own Business
Concentrate on creating your life the way you want it. Take care of you and your family. Don’t get overly concerned with what other people are doing or saying. Don’t get caught up with gossip or name calling. Don’t judge. Everyone has a right to live their own life the way they want to – including you.
15. Optimism
See the glass as half full. Find the positive side of any given situation. It’s there – even though it may be hard to find. Know that everything happens for a reason, even though you may never know what the reason is. Steer clear of negative thoughts. If a negative thought creeps in – replace it with a positive thought.
16. Love Unconditionally
Accept others for who they are. You don’t put limitations on your love. Even though you may not always like the actions of your loved ones – you continue to love them.
17. Persistence
Never give up. Face each new challenge with the attitude that it will bring you one step closer to your goal. You will never fail, as long as you never give up. Focus on what you want, learn the required skills, make a plan to succeed and take action. We are always happiest while pursuing something of value to us.
18. Be Proactive
Accept what can not be changed. Happy people don’t waste energy on circumstances beyond their control. Accept your limitations as a human being. Determine how you can take control by creating the outcome you desire – rather than waiting to respond.
19. Self Care
Take care of your mind, body and health. Get regular medical check ups. Eat healthy and work out. Get plenty of rest. Drink lots of water. Exercise your mind by continually energizing it with interesting and exciting challenges.
20. Self Confidence
Don’t try to be someone that you’re not. After all no one likes a phony. Determine who you are in the inside – your own personal likes and dislikes. Be confident in who you are. Do the best you can and don’t second guess yourself.
21. Take Responsibility
Happy people know and understand that they are 100% responsible for their life. They take responsibility for their moods, attitude, thoughts, feelings, actions and words. They are the first to admit when they’ve made a mistake.
Begin today by taking responsibility for your happiness. Work on developing these habits as you own. The more you incorporate the above habits into your daily lifestyle – the happier you will be.
Most of all: BE TRUE TO YOURSELF.

Tuesday, April 01, 2014

THOUGHTS

You are what your thoughts are.
you only have one weakness  and that weakness is under-estimating the part your thoughts played in creating the life you have today and that includes how your thoughts make you feel about everyone and everything.
We all underestimate the power of thoughts in shaping our life.
Thoughts make us feel loved, Thoughts make us feel hate. Thoughts make us healthy and thoughts make us sick. Thoughts make us feel strong. Thoughts make us feel weak. It is our thoughts that make us feel the way we do. Thoughts make us rich and thoughts keep us poor. It is our thoughts that attract love to us or push it away from us. All of our power, ever bit of it, lives in the thoughts we choose to think about all day long.
You have to learn to neutralise the negative thoughts which harms you and use positive thoughts to get what you want in life effortlessly.
UNDERSTAND TH EPOWER OF THOUGHTS TO LEAD AN HAPPY LIFE.