Thursday, November 4, 2021

Another great opportunity to serve humanity..

Money makes Friends, Blood Makes Brothers"

"The only postive thing about me is my Blood group" 

Last evening, 3 Nov '21, when I contacted Dr. Sitalakshmi, St Johns hospital in Bangalore, she asked me to get ready for a voluntary apheresis procedure this morning. It was a great God given opportunity this morning to voluntarily donate platelets through an apheresis procedure for 2 kids aged 4 and 12 suffering from critical bone marrow illnesses. 

Click here for my earlier posted detailed researched explanation of the apheresis procedure, what it is and how safe it is ..

3 months back I had donated whole blood, my 41st donation. Since then every two to three weeks I have been doing platelet apheresis, where the whole blood is passed through a centrifuge and only platelets are separated, about 200ml or 3x10 ^^11, and the blood is sent back to the body. 

Today a 4 year old kid and 12 year old kid, waiting for bone marrow transplants at St Johns Medical college Bangalore benefitted from 100 ml each of my platelets.

From a whole blood donation, they get 70 ml platelets, but from each platelet  apheresis they collect 200 ml platelets, equal to about 3 whole blood donations. More effective and productive. To the donor it makes more sense. Since my last whole blood donation, after three months the next whole blood donation would have helped just one patient,  but the four platelet apheresis procedures have benefitted at least 8-12 needy patients.

The Key Performance Indicator (KPI) of any voluntary blood donation is the number of critically ill patients who have benefitted. 

My friend Sandra from Goa had this to say, " You should create awareness as  more people can benefit. A person like you creating awareness and a hospital creating awareness is very different. More people will come forward when people like you tell others....and, do  not create awareness under the umbrella of any hospital".

My only fear is awareness creation should not be misconstrued as selfish image building. Being a socially beneficial activity,  I request more people to come forward and donate blood or specific blood components.

I have no words to thank and appreciate the blood bank department from St. John's MC Bangalore, led by Dr. Sitalakshmi and her capable team of senior residents and others, who have been a humble and selfless source of inspiration for the donors. A big thanks to all of you .. ๐Ÿ™๐Ÿ™

George 

Tuesday, October 26, 2021

Very sensible advice ..

เดฎുเดทിเดž്เดž เดตเดธ്เดค്เดฐเดงാเดฐിเดฏാเดฏ เด’เดฐു เดตൃเดฆ്เดงเตป เดคീเดตเดฃ്เดŸിเดฏിเตฝ เดเดธി เด•เดฎ്เดชാเตผเดŸ്เดŸുเดฎെเดจ്เดฑിเตฝ เดฏാเดค്เดฐ เดšെเดฏ്เดฏുเด•เดฏാเดฏിเดฐുเดจ്เดจു .

เดŸിเด•്เด•เดฑ്เดฑ് เดชเดฐിเดถോเดงเด•เตป (เดŸി เดŸി เด‡ ) เด…เดฏാเดณുเดŸെ เด…เดŸുเดค്เดค് เดตเดจ്เดจു เดŸിเด•്เด•เดฑ്เดฑ് เด†เดตเดถ്เดฏเดช്เดชെเดŸ്เดŸു. 

เดตൃเดฆ്เดงเตป เดคเดจ്เดฑെ เดฌാเด—ിเดจുเดณเดณിเตฝ เดคിเดฐเดฏാเตป เดคുเดŸเด™്เด™ി.

" เด‡เดตിเดŸെ เดŽเดตിเดŸേเดฏോ เด•ാเดฃเดฃം"

เดตൃเดฆ്เดงเตป เดคിเดฐเดš്เดšിเตฝ เดคുเดŸเดฐเดตെ เด…เดคൃเดช്เดคിเดฏോเดŸെ เดชเดฐിเดถോเดงเด•เตป เดชเดฑเดž്เดžു.

"เดžാเตป เดคിเดฐിเดš്เดš് เดตเดฐുเดฎ്เดชോเตพ เดคാเด™്เด•เตพ เดŸിเด•്เด•เดฑ്เดฑ് เด•ാเดฃിเด•്เด•เดฃം". 

เดตൃเดฆ്เดงเตป เดŸിเด•്เด•เดฑ്เดฑ് เด‡เดฒ്เดฒാเดคെเดฏാเดฃ് เดฏാเดค്เดฐ เดšെเดฏ്เดฏുเดจ്เดจเดคെเดจ്เดจ് เดชเดฐിเดถോเดงเด•เตป เดŠเดนിเดš്เดšു. เด•ുเดฑเดš്เดš് เด•เดดിเดž്เดž് เดคിเดฐിเดš്เดš് เดตเดจ്เดจ เดชเดฐിเดถോเดงเด•เดจ് เดตൃเดฆ്เดงเตป เดคเดจ്เดฑെ เดเดธി เด•്เดฒാเดธ് เดŸിเด•്เด•เดฑ്เดฑ് เด•ാเดฃിเดš്เดšു.เดชเดฐിเดถോเดงเด•เดจ് เด•ുเดฑ്เดฑเดฌോเดงം เดคോเดจ്เดจി.

'เด’เดฑ്เดฑเดจോเดŸ്เดŸเดค്เดคിเตฝ เด…เดฏാเดณെ เดžാเตป เดตിเดฒเดฏിเดฐുเดค്เดคാเตป เดชാเดŸിเดฒ്เดฒാเดฏിเดฐുเดจ്เดจു'.

เดคീเดตเดฃ്เดŸി เดธ്เดฑ്เดฑേเดทเดจിเตฝ เดŽเดค്เดคിเดฏเดช്เดชോเตพ เด…เดฏാเดณെ เดชുเดฑเดค്เดคിเดฑเด™്เด™ുเดตാเตป เดชเดฐിเดถോเดงเด•เตป เดธเดนാเดฏിเดš്เดšു.

เดคเดจ്เดฑെ เดฒเด—്เด—േเดœ് เดŽเดŸുเด•്เด•ാเตป เด’เดฐു เดšുเดฎเดŸ്เดŸുเด•ാเดฐเดจെ เดตൃเดฆ്เดงเตป เดตിเดณിเดš്เดšു.

เดšുเดฎเดŸ്เดŸുเด•ാเดฐเตป เดฒเด—്เด—േเดœ് เดŽเดŸുเดค്เดคെเด™്เด•ിเดฒും เดชെเดŸ്เดŸെเดจ്เดจ് เด…เดค് เดคാเดดെ เดตെเดš്เดš് เดจเดŸเดจ്เดจു เดชോเดฏി. เด…เดฏാเตพ เด…เดŸുเดค്เดค เด•เดฎ്เดชാเตผเดŸ്เดŸുเดฎെเดจ്เดฑിเตฝ เดตเดจ്เดจിเดฑเด™്เด™ിเดฏ เดญംเด—ിเดฏാเดฏി เดตเดธ്เดค്เดฐം เดงเดฐിเดš്เดš เด’เดฐു เดธ്เดค്เดฐീเดฏുเดŸെ เดฒเด—്เด—േเดœ് เดŽเดŸുเดค്เดค് เด…เดตเดฐോเดŸൊเดช്เดชം เดจเดŸเดจ്เดจു เดชോเดฏി.

' เดšുเดฎเดŸ്เดŸുเด•ാเดฐเดจെ เด•ുเดฑിเดš്เดš് เดจിเด™്เด™เตพ เดŽเดจ്เดค് เดตിเดšാเดฐിเด•്เด•ുเดจ്เดจു ..๐Ÿ˜‡.?' 

เด‡เดค് เด•เดฃ്เดŸ เดชเดฐിเดถോเดงเด•เตป เดตൃเดฆ്เดงเดจ്เดฑെ เดฒเด—്เด—േเดœ് เดŽเดŸുเดค്เดค് เด’เดฐു เดŸാเด•്เดธി เดตിเดณിเด•്เด•ാเตป เดธเดนാเดฏിเดš്เดšു.เดชเดฐിเดถോเดงเด•เดจോเดŸ് เดจเดจ്เดฆി เดชเดฑเดž്เดž เดตൃเดฆ്เดงเตป เด’เดฐു เดจൂเดฑു เดฐൂเดชാ เดจോเดŸ്เดŸ് เด…เดฏാเดณെ เดŽเตฝเดชിเดš്เดšു เดŽเดจ്เดจിเดŸ്เดŸ് เดชเดฑเดž്เดžു "เดฆเดฏเดตാเดฏി เด‡เดค് เด† เดšുเดฎเดŸ്เดŸുเด•ാเดฐเดจ് เด•ൊเดŸുเด•്เด•เดฃം.

เดฎേเดฒിเตฝ เด†เดฐെเดฏും เดตേเดทം เดจോเด•്เด•ി เดตിเดฒเดฏിเดฐുเดค്เดคเดฐുเดคെเดจ്เดจും เดชเดฑเดฏเดฃം".
เดคിเดฐിเดš്เดšെเดค്เดคിเดฏ เดชเดฐിเดถോเดงเด•เตป เดšുเดฎเดŸ്เดŸുเด•ാเดฐเดจെ เด•เดฃ്เดŸเดช്เดชോเตพ เด…เดฏാเดณോเดŸ് เดชเดฑเดž്เดžു "เดจിเด™്เด™เตพ เดšെเดฏ്เดคเดค് เดถเดฐിเดฏാเดฏിเดฒ്เดฒ. 

เดเดคാเดฏാเดฒും เดˆ เดชเดฃം เด…เดฏാเตพ เดจിเด™്เด™เตพเด•്เด•് เดคเดจ്เดจเดคാเดฃ് เดตേเดทം เดจോเด•്เด•ി เด†เดฐെเดฏും เดตിเดฒเดฏിเดฐുเดค്เดคเดฐുเดคെเดจ്เดจ് เดจിเด™്เด™เดณോเดŸ് เดชเดฑเดฏാเดจും เดชเดฑเดž്เดžു ".

"เด•്เดทเดฎിเด•്เด•เดฃം เดธാเตผ" เดšുเดฎเดŸ്เดŸുเด•ാเดฐเตป เดชเดฑเดž്เดžു "เดคിเดฐเด•്เด•ിเดจിเดŸเดฏിเตฝ เดžാเตป เดชเดฑเดฏാเตป เดตിเดŸ്เดŸു เดชോเดฏി เด…เดคൊเดฐു เด…เดจ്เดงเดฏാเดฏ เดธ്เดค്เดฐീเดฏാเดฃ്. 

เดธ്เดฅിเดฐเดฎാเดฏി เดžാเดจാเดฃ് เด…เดตเดฐുเดŸെ เดฒเด—്เด—േเดœ് เดŽเดŸുเด•്เด•ാเดฑുเดณ്เดณเดค് .เดžാเดจเดคിเดจു เด•ൂเดฒിเดฏൊเดจ്เดจും เดตാเด™്เด™ാเดฑുเดฎിเดฒ്เดฒ.เดคാเด™്เด•เตพ เด† เดตൃเดฆ്เดงเดจെ เด•ാเดฃാเตป เด‡เดŸเดฏാเดตുเด•เดฏാเดฃെเด™്เด•ിเตฝ เด…เดฆ്เดงേเดนเดค്เดคോเดŸ് เดชเดฑเดฏเดฃം เด†เดฐേเดฏും เด’เดฑ്เดฑเดจോเดŸ്เดŸเดค്เดคിเตฝ เดตിเดฒเดฏിเดฐുเดค്เดคเดฐുเดค് " .

เดจാเดฎാเดฃ് เดฏเดฅാเตผเดค്เดฅ เดถเดฐിเดฏെเดจ്เดจാเดฃ് เดจเดฎ്เดฎുเดŸെ เดงാเดฐเดฃ...

เดฏാเดฆൃเดถ്เดšിเด•เดฎാเดฏോ เด…เดฒ്เดฒാเดคെเดฏോ เดชเดฒเดช്เดชോเดดും เด…เด™്เด™ിเดจെ เด†เดฏിเดค്เดคീเดฐാเดฑുเดฎുเดฃ്เดŸ്......
เด† เด…เดนเด™്เด•ാเดฐเดค്เดคിเตฝ เดจാം เดชเดฒเดช്เดชോเดดും เดฎเดฑ്เดฑുเดณ്เดณเดตเดฐിเดฒെ เด•ുเดฑ്เดฑം เด•เดฃ്เดŸെเดค്เดคാเตป เดถ്เดฐเดฎിเด•്เด•ാเดฑുเดฃ്เดŸ്.....

เดŽเดจ്เดจാเตฝ เดจเดฎ്เดฎเดณേเด•്เด•ാเตพ เดตเดฒിเดฏ เดถเดฐി เด…เดตเดฐാเดฃെเดจ്เดจ് เดคിเดฐിเดš്เดšเดฑിเดฏുเดจ്เดจเดคിเตฝ เดจാം เดชเดฐാเดœเดฏเดช്เดชെเดŸുเดจ്เดจു.

เดฎเดจเดธ്เดธിเดฐുเดค്เดคി เดตാเดฏിเด•്เด•ുเด•. เดœീเดตിเดคเดค്เดคിเตฝ เดชเด•เตผเดค്เดคുเด• .....
เดธ്เดตเดจ്เดคം เดญเด•്เดคി, เด†เดฐോเด—്เดฏം, เดธเดจ്เดคോเดทം, เดฎเดจเดธ്เดธเดฎാเดงാเดจം, เด‰เดฑเด•്เด•ം เด‡เดคിเดจേเด•്เด•ാเดณ്‍ เดชเดฃเดค്เดคിเดจ്‌ เดช്เดฐാเดงാเดจ്เดฏം เดจเดฒ്‍เด•เดฐുเดค്‌.

เด•เดฃ്เดฃുเดจീเดฐ്‍ เดคുเดŸเดฏ്เด•്เด•ുเด•,เดช്เดฐเดชเดž്เดš เดธൃเดท്เดŸാเดตിเดจെ เดตเดฃเด™്เด™ുเด•... เดจเดฒ്เดฒเดคുเดฎാเดค്เดฐം เดตിเดšാเดฐിเด•്เด•ുเด•, เดจเดฎുเด•്เด•് เด•ിเดŸ്เดŸിเดฏเดคെเดฒ്เดฒാം เด…เดจുเด—്เดฐเดนเด™്เด™เดณാเดฃെเดจ്เดจോเตผเด•്เด•ുเด•...

เดธเดค്‌เดซเดฒเด™്เด™เดณ്‍ เดฎാเดค്เดฐം เดคเดฐുเดจ്เดจ เดฎเดฐเดค്เดคെเดช്เดชോเดฒെเดฏാเดตുเด•, 
เด•เดฒ്เดฒെเดฑിเดž്เดžാเดฒും เด…เดค്‌ เดซเดฒเด™്เด™เดณ്‍ เด•ൊเดดിเดš്เดšുเดคเดฐും.

เดชെเดฐുเดฎാเดฑ്เดฑเดฐീเดคിเด•เดณും, เดฎเดจോเดญാเดตเด™്เด™เดณും เดชൂเดจ്เดคോเดŸ്เดŸเดค്เดคേเด•്เด•ാเดณ്‍ เดฎเดจോเดนเดฐเดฎാเดตเดŸ്เดŸെ..

เดธเดฎเดฏเดค്เดคെ เด•്เดฐเดฎീเด•เดฐിเดš്เดšാเดฒ്‍ เดšെเดฏ്เดฏാเดจുเดณ്เดณเดคെเดฒ്เดฒാം เดšെเดฏ്เดฏാเดจ്‍ เด•เดดിเดฏും.

เดจเดฒ്เดฒ เด—്เดฐเดจ്เดฅเด™്เด™เดณ്‍ เดตാเดฏിเด•്เด•ുเด•..เด…เดฒ്เดฒെเด™്เด•ിเดฒ്‍ เดตിเดถുเดฆ്เดง เด—്เดฐเดจ്เดฅเด™്เด™เดณുเดŸെ เดชാเดฐാเดฏเดฃം เด•േเดณ്‍เด•്เด•ുเด•..
เด’เดฐു เดชเด•്เดทെ เด…เดคിเดฒെ เด’เดฐു เดšെเดฑിเดฏ เดตเดšเดจം เดนൃเดฆเดฏเดค്เดคിเดฒ്‍ เดช്เดฐเด•เดฎ്เดชเดจം เดธൃเดท്เดŸിเดš്เดšേเด•്เด•ാം...

เดฎเดดเดฏേเด•്เด•ാเดณ്‍ เด‰เดชเด•ാเดฐിเดฏാเดตുเด•. เดšเดจ്เดฆ്เดฐเดจേเด•്เด•ാเดณ്‍ เดธൗเดจ്เดฆเดฐ്เดฏเดณ്เดณเดฎുเดณ്เดณเดตเดฐാเด•ുเด•

เดจเดฎ്เดฎുเดŸെ เด…เดฒเด™്เด•ാเดฐം เดธ്เดตเดฐ്‍เดฃ്เดฃเดฎോ เดตെเดณ്เดณിเดฏോ เด…เดฒ്เดฒ, เดฎเดฑിเดš്เดš് เดŽเดณിเดฎ, เดตിเดจเดฏം, เด•്เดทเดฎ, เดฆเดฏ, เด…เดฑിเดต് เดชเดฐോเดชเด•ാเดฐം เดŽเดจ്เดจിเดตเดฏാเดฃ്.

เดจിเดฐാเดถเดฏിเดฒ്‍ เด…เด•เดช്เดชെเดŸ്เดŸാเดฒ്‍ เด’เดจ്เดจും เดชเด ിเด•്เด•ാเดจോ เด’เดจ്เดจിเดฒും เดธเดจ്เดคോเดทം เด•เดฃ്เดŸെเดค്เดคാเดจോ เด•เดดിเดฏിเดฒ്เดฒ. 

เด†เดฐോเด—്เดฏเด•เดฐเดฎാเดฏ เดถเดฐീเดฐเดค്เดคിเดฒ്‍ เดšเดคി, เดตിเดฆ്เดตേเดทം, เด…เดธൂเดฏ เดŽเดจ്เดจിเดตเด•്เด•്‌ เดธ്เดฅാเดจเดฎിเดฒ്เดฒ.

เดฆാเดจเดงเดฐ്‍เดฎ്เดฎเด™്เด™เดณിเดฒൂเดŸെ เดชാเดตเดช്เดชെเดŸ്เดŸเดตเดจ്เดฑെเดฏും เด†เดตเดถ്เดฏเด•്เด•ാเดฐเดจ്เดฑെเดฏും เดธ്‌เดจേเดนം เดจേเดŸുเด•

เดช്เดฐാเดฐ്‍เดค്เดฅเดจ เดชเดคിเดตാเด•്เด•ുเด•.
เด’เดฐു เดฎเดฃിเด•്เด•ൂเดฑിเดฒൊเดฐു เด†เดถเดฏം เดฐൂเดชീเด•เดฐിเด•്เด•ുเด•, เด’เดฐു เดฆിเดตเดธเดค്เดคിเดฒൊเดฐു เดธเดฒ്‍เด•เดฐ്‍เดฎ്เดฎเดฎെเด™്เด•ിเดฒും เดšെเดฏ്เดฏുเด•.

เดจเดฎ്เดฎുเดŸെ เดšിเดจ്เดคเดฏാเดฃ് เดจเดฎ്เดฎുเดŸെ เดธ്เดตเดฐ്‍เดฃ്เดฃം, เดงാเดฐ്‍เดฎ്เดฎിเด•เดคเดฏാเดฃ്‌ เด…เดฒเด™്เด•ാเดฐം, เดจเดฒ്เดฒ เดชെเดฐുเดฎാเดฑ്เดฑเดฎാเดฃ്‌ เดธเดฎ്เดชเดค്เดค്‌.

เด•ൊเดŸുเด™്เด•ാเดฑ്เดฑിเดจ്เดฑെ เดจเดŸുเดตിเดฒും เดจเดฒ്เดฒเดคേ เดตเดฐൂ เดŽเดจ്เดจു เดšിเดจ്เดคിเด•്เด•ുเด•. 

เด‰เดชเดฆേเดถം เด•ൊเดฃ്เดŸും เดฆเดฏเดฏുเดณ്เดณ เดตാเด•്เด•ുเด•เดณ്‍เด•ൊเดฃ്เดŸും เดจിเด™്เด™เดณെ เดธเดนാเดฏിเด•്เด•ാเดจ്‍ เด•เดดിเดฏുเดจ്เดจเดตเดฐോเดŸ്‌ เดฎാเดค്เดฐം เดจിเด™്เด™เดณുเดŸെ เดธเด™്เด•เดŸเด™്เด™เดณ്‍ เดชเด™്เด•ുเดตെเด•്เด•ുเด•.

เดตീเดฃു เดชเดฐിเด•്เด•േเดฑ്เดฑ เด•ുเดž്เดžിเดจെ เด“เดฐ്‍เดค്เดค്‌ เด•เดฐเดž്เดž്‌ เดธเดฎเดฏം เด•เดณเดฏเดฐുเดค്‌. เด…เดตเดจ്เดฑെ เดฎുเดฑിเดตുเด•เดณ്‍ เดตേเด—ം เดชเดฐിเดšเดฐിเด•്เด•ുเด•..

เด“เดฐോ เดฆിเดตเดธเดตും เดชുเดคിเดฏ เดคുเดŸเด•്เด•เดฎാเดตുเด•. เดšെเดฏ്เดฏാเดจ്‍ เด•เดดിเดฏാเดค്เดค เด•ാเดฐ്เดฏเด™്เด™เดณെ เด“เดฐ്‍เดค്เดค്‌ เดตിเดทเดฎിเด•്เด•เดฐുเดค്‌, เดฎെเดš്เดšเดช്เดชെเดŸുเดค്เดคാเดจ്‍ เด•เดดിเดฏുเดจ്เดจ เด•ാเดฐ്เดฏเด™്เด™เดณ്‍เด•്เด•്‌ เดธเดฎเดฏം เด• เดฃ്เดŸെเดค്เดคുเด•.

เดจเดฎ്เดฎുเดŸേเดคു เดชോเดฒെ เดŽเดฒ്เดฒാเดตเดฐ്‍เด•്เด•ും เดช്เดฐเดถ്‌เดจเด™്เด™เดณുเดฃ്เดŸ്‌ เดŽเดจ്เดจ്‌ เด‰เดณ്‍เด•്เด•ൊเดณ്เดณുเด•. เดฎเดจเดธ്เดธ്‌ เดถാเดจ്เดคเดฎാเด•്เด•ുเด•.

เด•เดดിเดž്เดž เด•ാเดฒเดค്เดค്‌ เดจเดฎ്เดฎเดณ്‍ เดคെเดฑ്เดฑു เดšെเดฏ്‌เดคിเดŸ്เดŸുเดฃ്เดŸെเด™്เด•ിเดฒ്‍ เด…เดคിเดฒ്‍เดจിเดจ്เดจ്‌ เดชാเด ം เด‰เดณ്‍เด•്เด•ൊเดณ്เดณുเด•, เดŽเดจ്เดจിเดŸ്เดŸ്‌ เด…เดตเดฏെ เดตിเดŸ്เดŸുเด•เดณเดฏുเด•.

เดเดฑ്เดฑเดตും เดจീเดšเดฎാเดฏ เดถเดค്เดฐുเดตാเดฃ്‌ เดจിเดฐാเดถ, เด…เดคിเดจ്‌ เดฎเดจ:เดธ്เดธเดฎാเดงാเดจം เดจเดถിเดช്เดชിเด•്เด•ാเดจുเดณ്เดณ เด•เดฐുเดค്เดคുเดฃ്เดŸ്‌.

เดชോเดฏ เด•ാเดฒเดค്เดคെ เดฎാเดฑ്เดฑാเดจ്‍ เดจเดฎുเด•്เด•ാเด•ിเดฒ്เดฒ. เด‡เดจിเดฏുเดณ്เดณ เด•ാเดฒเดค്เดค്‌ เดŽเดจ്เดคാเดฃ്‌ เดธംเดญเดตിเด•്เด•ുเด• เดŽเดจ്เดจും เดจเดฎുเด•്เด•เดฑിเดฏിเดฒ്เดฒ, เดชിเดจ്เดจെเดจ്เดคിเดจാเดฃ്‌ เดจാം เดธเด™്เด•เดŸเดช്เดชെเดŸുเดจ്เดจเดค്‌. 

เดญเด•്เดทเดฃം เด•ുเดฑเด•്เด•ുเด•, เดถเดฐീเดฐเดค്เดคിเดจ്‌ เด†เดฐോเด—്เดฏเดฎുเดฃ്เดŸാเด•ും.

เดชാเดชเด™്เด™เดณ്‍ เด•ുเดฑเด•്เด•ുเด•, เดฎเดจเดธ്เดธിเดจ്‌ เด†เดฐോเด—്เดฏเดฎുเดฃ്เดŸാเด•ും. 

เดฆു:เด–เด™്เด™เดณ്‍ เด•ുเดฑเด•്เด•ുเด•, เดนൃเดฆเดฏเดค്เดคിเดจ്‌ เด†เดฐോเด—്เดฏเดฎുเดฃ്เดŸാเด•ും.

เดธംเดธാเดฐം เด•ുเดฑเด•്เด•ുเด•, เดœീเดตിเดคเดค്เดคിเดจ്‌ เด†เดฐോเด—്เดฏเดฎുเดฃ്เดŸാเด•ും.

เดœീเดตിเดคം เดคเดจ്เดจെ เด•ുเดฑเดš്เดšേเดฏുเดณ്เดณൂ..เดตിเดทเดฎിเดš്เดšും, เดฆുเด–ിเดš്เดšും เดชിเดจ്เดจെเดฏും เดชിเดจ്เดจെเดฏും เดœീเดตിเดคเดค്เดคെ เดšെเดฑുเดคാเด•്เด•ിเด•്เด•เดณเดฏเดฐുเดค്‌...

เดฎോเดถเดฎാเดฏ เดจാเดต്‌ เด…เดคിเดจ്เดฑെ เด‡เดฐเดฏെเด•്เด•ാเดณ്‍ เด…เดคിเดจ്เดฑെ เด‰เดŸเดฎเด•്เด•ാเดฃ്‌ เด•ൂเดŸുเดคเดฒ്‍ เดช്เดฐเดฏാเดธเดฎുเดฃ്เดŸാเด•്เด•ുเด•. 

เดธുเดจ്เดฆเดฐിเดฏാเดฏ เดธ്‌เดค്เดฐീ เด†เดญเดฐเดฃเดฎാเดฃെเด™്เด•ിเดฒ്‍, เดธเดฆ്‌‌เดตൃเดค്เดคเดฏാเดฏ เดธ്‌เดค്เดฐീ เดจിเดงിเดฏാเดฃ്‌. 

เดฎเดจเดธ്‌ เดธുเดจ്เดฆเดฐเดฎാเดฏാเดฒ്‍ เด•ാเดฃുเดจ്เดจเดคെเดฒ്เดฒാം เดธുเดจ്เดฆเดฐเดฎാเด•ും.

เด•ൂเดŸ്เดŸുเด•ാเดฐെ เด‡เดค് เดตാเดฏിเดš്เดšു เด•เดดിเดž്เดžു เด‡เดท്เดŸ്เดŸเดช്เดชെเดŸ്เดŸാเตฝ เดทെเดฏเตผ เดšെเดฏ്เดฏเดฃേ , เด•ാเดฐเดฃം เดจเดฒ്เดฒ เด•ാเดฐ്เดฏเด™്เด™เตพ เด…เดฑിเดฏാเตป เด•ൊเดคിเด•്เด•ുเดจ്เดจ เด†เดฏിเดฐเด•്เด•เดฃเด•്เด•ിเดจ് เด•ൂเดŸ്เดŸുเด•ാเตผ เดจเดฎുเด•്เด•് เดšുเดฑ്เดฑിเดฒും เด‰เดฃ്เดŸെเดจ്เดจ เด•ാเดฐ്เดฏം เด’เดจ്เดจോเตผเด•്เด•เดฃേ
©️

Thursday, October 21, 2021

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.

Wednesday, October 20, 2021

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,.

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 

Sunday, October 10, 2021

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


Thursday, September 30, 2021

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

Saturday, September 11, 2021

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.