Make meaning of your life ..

It was depressing to hear about some instances of cancer that had hit my close relatives and was wondering how to face it physically and psychologically that I decided to have a look for an interesting article. It was then that I hit upon an interesting HBR article that mentioned how to handle the difficulties and life changes associated with cancer.

I happened to read the HBR article, the real life reflections, by London Business School Professor Dan Cable "The most powerful lessons my cancer taught me about life and work" (click here) which is condensed here into just three points.

1. Identify the stories you have been telling about yourself, your actual and earlier activities, your purposes of life

2. Choose a better story about the same activities but with a different meaning and emphasis

3. match your behaviors to the new story so that your new meaning of the stories can make better connection

Cancer patients, most of them would have been earlier chasing their careers, often ignoring family life, work life balance etc. When the news of cancer strikes them like a bolt from the blue, they scramble around to find new meaning to their life. Often at this point they realise it is not worth running behind the pleasures and rewards life offers and instead start concentrating on the small pleasures and relationships of life, often enriching them.

The third point of matching behaviours to suit the new story is what transforms the life. If earlier people were behind money, fame and reputation, suddenly one finds people going after work life balance, peace, yoga, daily exercises, spirituality and the like. 

This transformation is worth going after after one realises the shortcomings of life. So when life gives you a shock or redirects it, instead of losing hope and entering a state of despair, find new meanings for your life and adjust your life to these new meanings, let what Prof. Dan Cable did with his personal life on realising he was affected by cancer. Now he has a new and different meaning for life and is happy with it.

George.

Third apheresis at SJMC 20 oct '21 and clearing lot of doubts ..

Yesterday, being a holiday, I called up Dr Sitalakshmi at St. John's asking whether there was any need of platelets. She asked me to come by 11 am. From 11.20 am to 1.30 pm, as usual in earlier cases, I donated platelets. I am very thankful for the SJMC staff, it was again a great and pleasant experience for me.

I also got to talk with the PG doc Dr. Ashley for two hours on Amazon, Jeff Bezos, global history, Peter Diamandis, Yuval Noah Harari  and so on. Also about human migration from Africa 66,000 years back till 25,000 years back to Cape Horn  South America. Since the process should happen only under medical supervision, the interactions with the doctor and understanding about his studies, work life balance etc, helped me to pass time fast.

 

Naturally when I speak about apheresis to others, what people usually ask is how safe is it ?. Earlier a whole blood donation would be over in 20 minutes, there is only some blood drain from your body, but during apheresis, it is recirculation of the blood after passing through an external centrifuge machine that takes out the platelets from the blood, the rest of the blood reenters the body, this is the cause for this doubt among the people. 

 

Some questions I had to answer to people regarding apheresis. My own family members started questioning my discretion as regards the procedure. With my limited medical knowledge and help from uncle Google, I could get some relevant info, hope it turns out useful for potential future donors.

 

1. Can infections come from the centrifuge or the kit ? Enough care is taken in the machine to prevent any infections through blood, the doctors say. After every process, I am more than confident it is cleaned well before the blood of the next patient is passed through it. Moreover, the external kit for doing an apheresis is very costly, about INR 14000/-. It is sterilised enough and kept in sterile conditions, so no cause for worry.

 

2. Is whole blood donation safer than apheresis ? Medical literature quotes that the risk of medial complications is less in apheresis, than with whole blood donation. 

Overall, evidence in the literature suggests that the frequency of reactions to apheresis donation is less than that seen in whole blood donation, though the risk of reactions requiring hospitalization is substantially greater.  Jeffrey Winters, pubmed.gov

Click here for the abstract of a paper on Complications of Donor Apheresis, pubmed.gov, nih.gov, National Library of Medicine. The paper claims that the complications though less than whole blood donation, the complexity of complications could be greater in apheresis. 

3. What are the side effects of apheresis ? Some close family members and close friends were sceptical and questioning me on the side effects of apheresis. From medical literature of all these years, (that is the only evidence we have of any complications), the only side effects can happen only during the apheresis procedure.

Some people have side effects from apheresis. These may include an allergic reaction, fatigue, nausea, dizziness, or low blood pressure. You may feel numbness, tingling, and itching. Most side effects will stop when the treatment ends - Learning about Apheresis, Uty of Alberta

Click here for a doc by University of Alberta on the side effects of Apheresis. 

4. What happens during apheresis ? What is the process of Apheresis ? 

Image courtesy, med.utah.edu

The process of apheresis involves removal of whole blood from a patient or donor. Within an instrument that is essentially designed as a centrifuge, the components of whole blood are separated. One of the separated portions is then withdrawn and the remaining components are retransfused into the patient or donor - med.utah.edu

5. Is apheresis safe for me? Yes, apheresis donations are very safe. Each donation is closely supervised by trained staff who observe the donors throughout the process. Only a small percentage of your platelets are collected, so there are no risks of bleeding.  www.leehealth.org

6. What are the medical conditions that are treated with apheresis precedure ? Stanford Healthcare talks of the different medical conditions that can be treated with apheresis. Conditions treated with apheresis may include: (courtesy Stanford Healthcare), links provided for more detailed study

Stanford Healthcare claims to deliver the highest levels of care and compassion,.

• Breast cancer
• Colon cancer
• Graft versus host disease
• Hodgkin's disease
• Leukemia
• Lymphoma 
• Multiple myeloma
• Myeloproliferative disorders
• Sickle cell disease
• Small cell lung cancer
• Thymoma

My experience at SJMC during the apheresis procedure is getting very interesting  day by day as I get to know more each time by interacting with the very informed professionally trained medical professionals available there for helping the people. Very informed and professional competent friendly doctors and staff at the blood bank are a real asset to the hospital. Reached home by 2 pm.

 

In total it was an interesting and good experience.. Experience is what matters in the present day world. You will get all wealth and leisure in life, but rich experience and knowledge one can get only by personal interaction with real life situations and knowledgeable individuals. Thanks to St. Johns Medical College doctors once again.

George 

My first IKEA purchase ..

Ikea is already a household name in Europe and US. I have been hearing lot about it and been watching videos and even read cases done on it.
 

Here is what Forbes has to say about it - IKEA was founded in Sweden in 1943 by 17-year-old Ingvar Kamprad. IKEA operates 422 stores in more than 50 markets. Nearly 70% of the stores located in Europe. The best countries for IKEA are Germany (15% of sales) and the U.S. (14%). The retailer added 19 stores last year, including its first store in India in Hyderabad. Ikea received 957 million store visits in 2018 and 2.5 billion to Ikea.com. It offers roughly 9,500 products.

Ikea generated sales of Euro 39.6 billion in 2020. From sales of about Euro 21.5 billion in 2008, Ikea has grown in 2020 to about Euro 39.6 billion, ie. about 60% in ten years. Very decent and modest growth considering the fact that this GREEN industry cannot grown like other modern businesses.

 

The other day I made my first purchase at Ikea on the Ikea India app. From Bangalore Chennai etc we can only make online purchases till now. Very soon I am sure Ikea's physical store will open in Bangalore, that is what I have been told. My purchase was a steel bedside table costing about Rs 800/-. I was surprised to find that the same table is available at Amazon as an Ikea product at Rs 1300/-. The design w sleek and excellent. Great value for the INR 800 I spent on it.

 

I remember it was about 4 years ago, that I first did a case discussion on Ikea in the class. IKEA has grown very big and in India they have set up their head office in Hyderabad and their big store in Mumbai.  Ikea is operating in an industry that is fully dependent on nature and greenery. If there are no trees, Ikea does not exist. This raises a major question about the scaling up of this industry naturally, unless one comes with innovative sustainable measures for scaling up.Ensuring availability of hard and soft woord across the year in different geographies is a real challenge for the company. Availability of hard wood, soft wood is a challenge in India. With the increasing rate of deforestation, Ikea is in a very piquant state in India as citizens are aware of the environmental degradation such a consumerist culture in wooden furniture can bring to India.

 

Planned deforestation in select areas in the country growing select type of wood and usage of particle board can make big difference in India. Rubber trees are harvested after almost 15 years of its growth and loss of yield, when its wood is used for making strong durable furniture.

Will Ikea be able to bring bout an innovative wood growing and logging method in India to satisfy the needs of the world ? Who will be the credible and reliable competitors for Ikea in India and the world ?

These days having stylish wooden furniture at home has become a style statement which has led to a consumerist culture among youngsters to acquire more and more wooden furniture even though there is no real need for it at home. We have to wait and see what will be the big change that Ikea can bring about in the youngsters of the country ? 

 

Mail me at geasaw@gmail.com for a case on Ikea.  

 

George

My second apheresis at St. Johns Hospital, Bangalore.

On 30 September 2021, I made a call to Dr. Sitalakshmi, in charge of the St Johns Blood transfusion service, but could not contact her. Later she called me back to ask whether I was ready to donate platelets for a pregnant patient. I readily agreed. She had called me a week earlier (two weeks after my previous apheresis) but I was busy with classes and could not bunk from work.

 

On 31 September , I reached St Johns blood bank at 8.45 am. The two hour process started  at 9.15 and was over by 11.15 am. After taking 10 minutes rest and a fruit juice, I walked almost a km to State Bank of India branch in Industrial area in Koramangala for some banking related work. Perfectly fit.

The platelets help in blood clotting. This time about 100 ml, 3 x 10 ^^11 in number was collected and given for a pregnant lady who was suffering from excessive bleeding in the hospital. I wish the donation becomes useful for her.

Platelets, or thrombocytes, are small, colorless cell fragments in our blood that form clots and stop or prevent bleeding. Platelets are made in our bone marrow, the sponge-like tissue inside our bones. Bone marrow contains stem cells that develop into red blood cells, white blood cells, and platelets. -www.redcrossblood.org

Platelets are tiny blood cells that help your body form clots to stop bleeding. If one of your blood vessels gets damaged, it sends out signals to the platelets. The platelets then rush to the site of damage and form a plug (clot) to fix the damage. -                 www.urmc.rochester.edu

 

Thrombocytopenia (low platelets count) signs and symptoms:

• Easy or excessive bruising (purpura)
• Superficial bleeding into the skin that appears as a rash of pinpoint-sized reddish-purple spots (petechiae), usually on the lower legs.
• Prolonged bleeding from cuts.
• Bleeding from your gums or nose.
• Blood in urine or stools.        - www,mayoclinic.org
  

Low platelet count is symbolic of Leukaemia. Platelets usually survive in the blood for 7 - 10 days and die naturally. 

What is a healthy platelet count - A normal platelet count ranges from 150,000 to 450,000 platelets per microliter of blood. Having more than 450,000 platelets is a condition called thrombocytosis; having less than 150,000 is known as thrombocytopenia.  www.hopkinsmedicine.org

Here is a good link on blood and its constituents from the Uty of Oklahoma Health Sciences Centre, click here.

Life makes meaning when we give, not when we amass for ourselves .. When I tell others about blood donation and apheresis, I get mixed reactions from people.  Most of them are appreciative, but a bit cautious. Some of them raise concerns of hygienic blood transfusion services, while others find it bothersome to go to a blood bank, stand in queue and spend half an hour for humanity. But generally on the whole the response is positive and appreciative.

After blood donation with the knowledge that it is going to help at least three or four needy patients, there is a great feeling of having done something for fellow human beings without any hope of returns. Before the process, one is given two Calcium tablets and after the process, a can of fruit juice. 

 

With no tiredness and no lethargy, blood donation opens an infinite resource of positivity and optimism in your mind and body, helping everybody in your contact to bubble with zeal, confidence and energy. Ever since I started this process from the Govt. Medical College, Trivandrum, Kerala in 1984, there has been no looking back. We also have a great committed blood donation team at St. Johns hospital with whom I have become friends, Dr. Sitalakshmi and Dr. Ashley, especially after my forty third donation.

 

George

An Amazon Echo dot for Dayabhavan orphanage

After our visit to Dayabhavan two weeks back, Anila and myself decided to give an Amazon echo dot (gen 3.0) to Dayabhavan at Kunigal, Tumkur. Dayabhavan is an orphanage run by Malankara Orthodox Syrian church in Kunigal, Tumkur, Karnataka, India with 70 boys, non-HIV infected of HIV parents. 

Amazon echo dot is an Artificial Intelligence enabled voice controlled smart speaker with excellent audio reproduction capabilities.

The Amazon Echo Dot is a voice-controlled smart speaker that uses an artificially intelligent personal assistant named Alexa to perform a broad range of activities. Alexa can play music, set alarms, control other "smart" devices in the home, play games, and answer questions by searching for information on the internet, just to name a few of its many skills - www.businessinsider.com

Day before yesterday Friday 11 Sept, Father Jinesh called me to say the product has been delivered by Amazon.  The same day evening they have finished configuring the system to their wi-fi network. The echo dot has been kept in the front visitor's room and is accessible to the inmates, the staff and visitors alike.

The purpose of donating an echo dot has been thought out very much. There are many intelligent and curious kids among the inmates at Dayabhavan. We are hopeful that the product will instill an interest in some of the children to follow a degree and profession in computer science and Artificial Intelligence. 

Kids will be able to dream of the infinite possibilities open in life in front of them only when they see the real life product. Hope this small gift from our side will motivate the kids to think of Industry 4.0 and beyond.

 

Tracking Amazon echo or Google Home, who is leading (click here) ? 

Start working with Alexa, the Amazon AI (click here) ..

George.

UN's conniving inaction in Afghanistan

United Nations should have assisted the Afghan govt when US left or taken temporary charge of the administration.  That is the purpose of UN in conflict ridden places of the world. 

UN has a lot of questions to answer in this issue..

1. Does UN want to destroy Afghanistan ? 

2. Does US favour a weak Afghan govt ?  

3. Is UN with the oi-rich enemy-of-humanity Qatar in destroying Afghanistan ? 

4. Why did UN Sec Gen Antonio Gutteres remain silent and inactive in this case ?

5. Why did UN ditch the Afghan govt and people in this time of crisis and allow enemies of humanity like Pakistan and Qatar play a destabilizing role in Afghanistan ?

Answers please, Antonnio .. 😟😟

This question was raised by my daughter yesterday when we were having a discussion at home on global issues .. 😟

A destabilized Afghanistan means a disturbed Asia. A disturbed Asia means a silent and inactive China and India, which means a golden opportunity for US to play the Good Samaritan and establish yet again its dominance of the world.

George 

An apheresis procedure at St. Johns hospital, Bangalore

I had the good opportunity of going through a voluntary 2 hour apheresis procedure on Saturday 4 Sept '21 morning to separate platelets for a cancer patient in St. Johns hospital, Bangalore.

Apheresis is a medical procedure that involves removing whole blood from a donor or patient and separating the blood into individual components so that one particular component can be removed. The remaining blood components then are re-introduced back into the bloodstream of the patient or donor. 

 

Platelets, one of the 4 components of blood, (about 3 x 10^^11 was collected), is a yellowish thick liquid separated from our blood,, about 50 - 100 ml, given to critical / terminal cancer and leukaemia patients. 

Human blood contains platelets 45% and plasma 55% by volume, platelets helps the blood to clot and prevent blood loss. 

The monitor gives progressive info

Actually I went for blood transfusion, but since my last transfusion was just 2.5 months back, they suggested instead an apheresis procedure.

A young doctor there explained to me the procedure well and uncle google also was helpful, I agreed. I was told it is a really harmless procedure, I can do apheresis, every two weeks, if I want to. This time only platelets, next time could be only plasma etc. By this, more people can donate the diff blood components. Though this was my 42nd blood donation, this was my first experience at apheresis and it was cool ..

A very safe procedure, an approximate count of platelets taken was mentioned, 3 x 10 to the power 11, (300 billion or 300,000,000,000 platelets .. ). The procedure app took 45 minutes, totally 2 hours pre-harvesting and post-harvesting in an a/c room under watchful eyes. 

Having had a good breakfast, I was given two Calcium tablets before and one orange juice packet after the procedure. I am perfectly fine after the procedure, healthy and active, no hangovers at all.

If you want to touch the past, touch a rock.  If you want to touch the present, touch a flower.  If you want to touch the future, touch a life.” – Author Unknown

Thanking Almighty God for giving an opportunity to serve society, hope this will motivate others to continue give back to society ..  🙏🙏

An ounce of practice is worth more than tons of preaching - Mahatma Gandhi

George