SlideShare une entreprise Scribd logo
1  sur  19
Contentsof Section1: Introduction.
Chapter2-How didthisbookoriginated.
2.1-My experiencesinmymedicineandpaediatricpractice made me towrite thisbook.
2.2-My experiences,inmylife,otherthanmyprofessionalpractice,alsomade me towrite thisbook.
2.3-How,did I getthese ideas?Bythe war of questionsandanswers,inmymind;
2.4-Needforreadingthisbook.
2.5-Good and badpeople:
2.6-How people becomerichandpoor.
2.7-‘My views’tomake ‘My India’a ‘Developedcountry’,
2.8-We are all dependent.
Chapter 2: How did this book originated.
2.1 My experiences inmy medicine andpediatric practice made me to write
this book
As usual,anyreaderwhoreadsany bookinhis life,whenhe isspendinghisvaluable time in reading
the book, money to purchase the book and his mind to think over the book, will have some
questionsinhis mind like – who is this author? Why did he write this book? How did he get these
ideas to write this book? What is there inside the book? Is it really possible to achieve all these
goals? How our political, administrative and the people of India will respond to his views?
Of course,these were the frequentlyaskedquestions as I spoke about my views on my nation with
some of my known people, friends, doctors, engineers, and officials.
Let me answer these one by one at the appropriate chapter.
My experiences in the medicine and paediatric practice made me to write this book. Some of my
experiences are here.
1. I am a Paediatrician by my profession, worked at various hospitals like JSS hospital - Mysore,
“Holy cross Hospital”- Kamagere - Kollegal Taluk - Chamarajanagar District, Holy cross hospital -
Chikmagalur,Hassan Institute of medical college - Hassan, Vaatsalya group of Hospital - Mysore in
Karnataka.
2. I had seen many patients coming to our Hospital with various health problems like Pneumonia,
Gastroenteritis,meningitisetc.WhenIsaw them for the first time they had some nose golden ring,
ear golden ring ect. When I saw them for the next time one of them were missing. Because they
mighthave soldit for the expense that they have to meet for the hospital. I often heard the things
like, selling the sheep, cow, house, land for various reasons and they are becoming poorer and
poorerday byday. These typesof scenarioswere commonlyseenin the rural places like Kamagere,
but not in the urban places like Chikmagalur or Mysore.
3. The babyor the childmaybe sufferingfromsome disease,somuchbut,the parents are not ready
to admitthe baby to the hospital andrequestingforsome oral medicines,becausethey are not able
to bear down the hospital expenses. These are commonly seen in my rural practice.
4. Many babies are born with the weight around 1.75 to 2.25 Kgs because of intrauterine growth
retardation due to poor maternal nutrition. If we look in to the mother, they were anaemic (Hb 5
grms% or even less) and malnourished. Even, if the baby weighs 3 Kgs. or 3.5 Kgs weight at birth,
most of the times the weight gain was not up to the mark as we expect. It is again because of
impropernutrition to the mother and that leads to inadequate breast secretion and later the child
will alsogetthe impropernutrition.These typesof scenarioswere commonprior to 2007 in my rural
paediatric practice.
5. Nutritionrelatedproblemslike Malnutritionandvariousdeficiencydisordersare rampantbecause
people have no food in their house or may be due to improper cooking technique. These are
common in rural areas.
6. In our OPD we explain‘take thissyrup1ml in the morning’,mostof the time, people are not able
to understand how much is 1 ml, and they may give either more are less. People give wrong
dosages,evenafterdemonstrationortheywill missthe dosage,thismaybe because of the illiteracy
of the care giveror they maynot be able to recollectthe measurement. They were commonly seen
in my rural paediatric practice.
7. We, as doctor give lot of advice to the people like buy these medicines, eat these food etc, but
many people in our country are not able to afford the food and medicine that we advice.
8. Many people inourcountrysimplypushingtheirlifewithdisease (e.g.congenital heart disease in
paediatrics).Eventhoughmedical science cangive remedyforthese problems,people cannotafford
the treatmentandwithdisease theysomehow pushthe lifeuntil the death captures them. Some of
the schemes developed in the recent years like ‘Yashaswini scheme’, ‘Suvarna Arogya Chaitanya
schemes’ for the school children is serving such adults and children in the recent years.
9. At the time of discharge from the hospital, it is a hell for the poor people. They beg a lot for
concession;theyroamall overthe village togetfew hundredsof rupees. It is miserable situation to
see and that helpless situation hurts a lot but still we are helpless.
10. Most of the snake bitesScorpionstingsetc;are due to poorhousing,lackof toiletfacilitiesin the
house etc.
11.Most of the poisoning, hanging, suicide etc, are due to upsets in the life, like, not able to repay
the loanedmoney,notable to get suitable job,notable toprovide foodforthe family,lossof crops
in the land due to over or under raining etc.
12. Most of the diseaseslikeMalaria,Tuberculosis,Worminfestationetc,are verymuchprevalentin
rural areas. People are getting these diseases following migration for coolly or may be because of
poor housing or may be because of improper drainage system.
13. Many patientscomingtome are not able to tell the age of the child, not remembering the date
of birth,notable to carry out mostof the function in the hospital like going from OPD to Lab. Some
do not able to read the written and sign boards. They are all common in rural hospitals.
14. Fewpregnant women are brought to the hospital after a prolonged bleeding, or after the baby
die in the process of delivery etc. If we ask them they give thousands of reasons like no
transportation, rain, waiting for husband, waiting for money, went to some other hospital where
doctor was not available etc.
15. People were struggling hard to arrange money for CT scan when their relative / son land up in
head injury around the years 1996 – 97. I was thinking ‘They are poor and I am also poor, why is it
so?’
16.Baby with congenital heart disease, diagnosed ante natally - the parents refuse to go to
cardiology centre to get the echo done for to prognosticate the disease. Kamagere-5.5.11.
17.Parents of preterm baby with RDS, refuse to go to higher centre, to put the baby on ventilator
and for surfactant therapy, they tell the paediatrician that ‘you do whatever you want and that is
possible at your centre, we are not able to go to the higher centre or else give hundred percent
guarantee,thenwe will sell ourpropertyandwill get the treatment at higher centre’, these type of
talk by them reflects their economy.
18.Doctors at peripheral hospital try ambuing for a baby with Meconium aspiration syndrome /
congenital pneumonia/RespiratoryDistress Syndrome / recurrent prolonged neonatal apnoea, till
the baby develops interstitial emphysema, because the parents are not ready to take the child to
higherentre for ventilator support, where the chances of baby going for interstitial emphysema is
less.
19.Diseases like Tetrology of Fallot is not diagnosed till the age of 3 months, that is till the baby
througha cyanotic spell.Thatbabywas delivered in a taluk hospital where there is a paediatrician,
but the childwasnot crossedthroughthe paediatricianfromthe time of birth,because the childwas
deliveredonSaturdaynightbythe nursingstaff and the mother with the child was discharged from
the hospital onMonday earlymorningthusthe childwasescapedfromthe eyesof the paediatrician.
Nexttime the baby was taken for to the hospital for BCG immunisation on Thursdays, where there
were 100 to 200 children,one paediatrician could not see all the children, so the child escaped the
paediatrician’svisit.The DPT 1st
and 2nd
doses were given at the house, by the field health staff. So
the baby wastakento the nearby100 beddedhospitalonly after the cyanotic spell with the history
of convulsions, where it is diagnosed as TOF and referred to cardiology centre.
20. Is the ear buds selling at the roadside people are prepared with hospital waste cotton used to
clean blood and pus? May be possible, some of the microbiologists in pollution control board may
say yes for this statement.
21.One day, 11 month old baby girl was brought to my OPD, at2 PMwith the history of fever since
morningandone episode of convulsion1hour ago,lastedforfew minutes.Boththe mother and the
grandmotherwere daily wage coolie working in digging and putting cables for telecommunication
services. And they were from Andrapradesh and the baby was kept beside the road over the
mattress under a tree, but as the day passed the shade of the tree changed. With fever the baby
came under the direct sunlight and thus the temperature of the baby had gone up and thrown
convulsion.
22.One of the microbiologists was delivering her lecture on biomedical waste management in
NIMHANS, Bangalore on 23.3.11. That time she told that, in one family, both the father and his
productive sondiedinthe hospital becauseof hepatitisB infectioninayear span. Later it was found
that the fatherwentfora walkwitha slipperandaneedle infectedwithHepatitisBvirusthrown out
of one of the clinic pierced the slipper and he bleed and got the injury to the sole later the same
slipperwasusedby the son and he also got the prick by the same needle and he also bleed and he
recognisedthatthere isa needle inthe slipperandhe removedit. Father died with the diagnosis of
hepatitisBinfectionandthe sondied,one yearafterthe deathof hisfatherwiththe same infection.
Thus, improper (waste) disposal of the needle from one clinic consumed two productive lives and
left the family with no earning members.
23.Quality of the drugs are not assured because most of the clinics and nursing homes uses the
drugs which are cheap and has got lot of margins between the hospital price and the MRP.
24.Most of the hospitalswill notmaintain some of the life saving drugs like prostaglandin E1 in the
hospital pharmacybecause,itiscostlyandif,that drug isnot utilizedwithinthe expiry,then,itisthe
loss for the hospital. If some newborn is delivered in such hospital with some duct dependent
congenital heart disease, then the child reaching the cardiac centre for further treatment is
uncertain.
25.Quality is not assured in all the hospital, in all the areas like, no one know how the hospital is
maintaining asepsis. Autoclave machine may or may not be present, it might have gone for repair
but the workin the hospital will continue asitis.Autoclaved materialsmaybe utilisedin the OT, but
the dressingtrymay not be sterilisedregularly.Noone issure,thatthe people workinginthe labare
usingnewsetsof kitsfor everysample (some timeone kit may be utilised for several samples till it
becomespositive andlabel thatpatientaspositive).Qualityof the sisterswill not be known and it is
not assessed periodically, they may administer wrong dose of medicine, administer syrup in the
place of drops, wrong route of administration, not able to recognise the changes in the patient at
right time, may not be very serious in infection control like, if they have less supply of gloves /
slippers, the sister may be doing dressing wearing one gloves from morning till noon, remove it
before takingthe lunch,maybe anotherpairglovesinthe noon,and doing dressing for hundreds of
wounds – removingsuturesandsoon - thusshe may spreadthe infectionslike HIV, hepatitis and so
on.
26.Once the obstetrician at 12.30 am was telling ‘she is sitting in the labour room for the past one
and half hours trying for the anaesthetist to do caesarean section. The case was - ‘Primi in labour,
6cm dilatedcervix,bigcaput,overcrowding of cranial bones i.e. the cephalopelvic disproportion in
obstructionwithfoetal distress’.The full time anaesthetist of the hospital was on leave for some of
hispersonnel work,anotheranaesthetist, who is ready to come to this hospital is engaged in some
other surgical emergency in the nearby hospital. The patient was already visited many hospital
before theyland up in this hospital, the initial hospitals gave trial but not succeeded. In this case a
competent obstetrician is ready to work in one of the peripheral hospitals, but she may not get all
the supporting staff all the time like anaesthetist, paediatrician and so on.
27.Trained birth attendant giving trail of labour and sending the pregnant women at the last stage
whenshe notice some signof complicationlike meconium, decreased foetal movement, excessive
bleeding and so on. The time gap between the onset of signs and identifying the same by the TBA
and the time theyreachthe appropriate healthcare facilitywilldecidethe life and death of the two
people that is the mother and the baby.
28.Some womenmaydie because of PPH(Postpartumhaemorrhage – bleedingfollowingdeliveryof
the child, due to improper contraction of the uterus). Such women may reach the hospital with
shock, they may get the treatment immediately but they may die within few minutes before the
physiologycomestothe normal.The people will tell the hospital isnotgood;patientwasalive when
she reached the hospital.
29.A child goes to the clinic with cough and fever for three days, gets some medicine, the parents
administer the same medicine for 2 – 3 days, the child looked better for them, so they will forget
giving the medicines. After some 2 – 3 days they go to another doctor, he will ask about the
medicinesgiveninthe lastattackof fever and cough, the parents may, neither has the prescription
nor has taken the half empty medicine bottles, so the doctors will write some medicines and will
send the child home. After some three days the child was looking somewhat not good to the
parents,sothey take their child to the another doctor in the nearby city and get the token number
60 and the childwill be seen by the doctor at 3PMand the doctor will notice respiratory distress in
the child and will advise admission at the major centre. The child was brought to the hospital with
the mother,andthis childinstead of going to the higher centre will be taken back home to arrange
some money and to take the husband along with them. The husband will come home at 7PMand
listentothe wife,thenhe will gotohisowners house / friends house / loan renders house and will
be back home at 11PM with or without money since it is the evening time, so the initiation of the
treatmentwill be postponed to uncertain days and the pathology inside the body is progressing to
the reversible (withorwithoutsequel / morbidity) or irreversible (mortality) extent. May be in the
middle of the night or in the next day the child will reach the major centre with the father having
thousandrupeesinhand.The doctor examinesthe childinone of the hospitalsin the major city and
will tell ‘this baby’soxygensaturationis very low and it is not maintaining the saturation even with
10 lts / minof free flowoxygen,soitneedsventilatorsupport,we have ventilatorsuitable for adults
but notfor small children,so,gotoanotherhospital where paediatric ventilator is available, by the
ambulance which has ventilator in it’. But that type of ambulance is not available at that place, so
theystart theirjourneyfor80 to100 kms takingrisk,aftersome 2 to 3 hoursof intensive discussion.
The child may or may not reach the hospital where the paediatric ventilator is available.
30.In,some hospitals 2 – 3 newborns will be put in one open care system (where we are supposed
to put onlyone babyperopencare system),whenthere islotof deliveriesand this may not be seen
all the time. In some of the hospitals, many open care systems may be available but not the sick
babies.
31.The medicinesandthe equipmentswhichare notused regularly, but they may be the life saving
drugs may not be available in the hospital or got expired and which is not looked in to. In small
hospitalsandPHC,unavailabilityof laryngoscope,nocellsfor the laryngoscope, laryngoscope which
is not working, laryngoscope which is kept in the almera and locked by the in charge sister to
maintain the stock perfectly, absence of proper sized ambu bag mask, absence of appropriate
volume ambu bag, cylinders with no oxygen in it, absence of appropriate sized paediatric endo
tracheal tubes, are the common scenarios and they may be very essential at some time, but
maintainingthe same isthe costlyaffairasit isnot usedfrequentlyandthe returnsare alsoless. The
attendees will not be willing to pay for the same if the patient dies.
32.An unskilled health person doing ambu to the child in respiratory failure with adult ambu mask
and bag, because it is available easily in the hospital may lead to death of the child by the
compression of the larynx by the rim of the big ambu bag mask.
33.Instruments in the hospital which are not in regular use may not be in good working condition
e.g. open care system, ventilators, photo therapy units, laryngoscopes, suction apparatus, oxygen
cylinder flow meters, and so on.
34.We as the doctors refer the child in respiratory failure to the higher centre just with oxygen
(some ambulance may not have the facility of providing oxygen or the oxygen cylinder may be
empty) even though that child or adult need the ventilator support, he may or may not reach the
higher centre.
35.People with high cognition and hard work from the beginning of their study till second pre
university education will enter in to the medical profession and become doctors. The get good
training,recognise the problemwell andtreatthe patientwell,assessthe prognosiswell andexplain
the same to the attendees in an understandable way, but may not be available at the needy time
because theymighthave just gone for having food after working for twelve hours of continuously,
theymighthave justenteredintothe sleepinthe middle of the night or they may be on the way to
their hospital or struck in the traffic. On the other hand the initial resuscitation which is most
importantwill be done by the medical staff who work for six to eight hours in the hospital on shift
basis,who have average cognition, not perfectly skilled, not had much opportunity to handle such
type of skills and not aware about the minor aspects of the skills e.g. they may not choose
appropriate sized ambu bag, ambu bag mask, connector to the oxygen, may leave a minor gap
betweenthe mask and the face, thus all the air is leaking from the sides or there is little flexion of
the head causing kink in the trachea and thus the air is not effectively entering the chest and not
making the chest to rise.
36.Most of the consultantswill be visiting three to six hospitals on call basis. They may be working
for 12 to 14 hours in a day, but they may be spending 30 to 40% of their working time on the road
itself, that means they may be spending three to four hours on the road in their car in most of the
major cities to travel from one hospital to another hospital.
37.In small citiesandvillagesmostof the doctorswill be seeing200to 250 patientsperday and they
may be gettingonlytwoto three minutes time per patient as against the recommended time of 10
to 15 minutes of time per patient. Thus they may be working for 10 to 14 hours in a day seeing the
routine cases throughout their life may forget, most of the theoretical aspects of the disease.
38.The presentorganisationof nationlike scatteredvillages,single farmhouses,scatteredhouses,at
some place awayfrom the mainvillage due toreligious / caste reasons consumes lot of semiskilled
healthworkingstaff toadministerthe programmesrelatedtohealthandthisalsomakes the system
not to achieve 100 % results in the programme. This type of administration of the programmes
becomes costly as one health worker need to spend his whole day just to visit one house in the
periphery near some forest walking for many kilometres from his PHC.
39.No uniformity in population distribution, no uniformity in the population visiting particular
hospital, no uniformity in hospital building – equipments - staff and the facilities available in the
hospital, extreme compromise in finance and corruption in government sector, high margins in
private sector,unavailabilityof skilledpeople all the time,skilledpeople moving from place to place
for variousreasons,bighospital andlesspatients,smallhospitalsandmore patients,more beds and
lesspatientsandlessbedsmore patients, referring the patients from hospital to hospital and from
cityto city for variousreasonslike unavailabilityof concernedspecialist –unavailability of ventilator
– unavailabilityof diagnostictests–unavailabilityof imaging makes the patient to spend lot of time
inthe ambulance andif itis hisprecioustime,thendeathcan occur in this transportation especially
if he is travelling in ordinary vehicle for this type of roaming.
40.People sleepinfrontof the hospital gate leavingtheirwifeandchildreninsidethe hospital. Many
hospitals do not have any place for the sake of the attendees. e.g.: ‘Husband /son / relative of the
female surgical wardorthe female medical ward’or‘the father/brotherof the paediatricward’will
be made to sleep under some tree / in some open space / in the corridors outside the hospital
exposingthemselvesforthe riskof bitesof insects/scorpions/snakesapart fromthe sufferingslike
excessivecoldinthe midnightorhotinthe noon.Let us lookinto the possibilitiesandthink way our
people need to suffer like this; the possibilities are,
a. Not affordable.
b. Ethical issues.
c. Business of stealing.
d. Interference with the hospital work.
e. Making quarrel with the staff.
f. Possibility of mal handling of the patient on treatment.
g. Misconduct with the female attendees and so on.
41. One of the lab in charge of one authorised blood bank was telling that they get only 4 to 5 bags
of bloodina weekforthattheyhave to do Elisatestfor HIV,HCV, HBsAg, and they have to do these
testssome time once in 2 to 3 days and its works out costly for the hospital. The conventional Elisa
try contains96 wells,andata time theycando Elisatestfor 92 patientswith 2 positive controls and
2 negative controls.If the labgetsmore samplesthenitworkoutcheaperperinvestigation,the man
power will be utilized well, and the cost for the patient is going to decrease.
42.Very good obstetrician making the diagnosis of the obstructed labour with foetal distress for
pregnant women brought from one PHC by the ASHA worker, but will not be able to do caesarean
section due to many reasons.
43.Trainedbirthattendantbringingthe pregnantwomenafteraprolongedtrail of labourat home to
the PHC, when many complications are already set in, to the baby and to the mother and that
cannot be managed at that centre.
44.Many womendyingof PPH,evenafter reachingthe hospital because thathospital does not have
the blood bank with it.
Like this the problems related to my professional life will continue and it is endless.
Thus we can assess relation between the national economy and the incidence of diseases and
treatment outcomes / life expectancy / age of marriage / job opportunity / crime / poverty / life
style and so on.
We,especiallyourleaders - social reformersneedtothinkonsuch issues when they are making the
policies. VPA – MV – MN will give solution for all these things.
2.2 My experiences, inmy life, other than my professional practice, also
made me to write this book
1. A newhouse wasconstructedopposite the oldhouse,onthe otherside of the road. The aunty of
the three year old child shifted their family to the new house. The child was attached to the aunty
verymuch.So, wheneverthe childgetsthe chance the childusedgoto the aunt's house crossingthe
road presentbetweenthe twohousesescapingthe eyesof the mother. Not all the days were same
for the child.One daythe childwas hitbythe fastmovingbike.Inthataccidentthe child had serious
injury to the head.
2. Two childrenaged four years were playing together. They saw something is present in one soft
drinks bottle, and they thought it as soft drinks and one child started to drink the same. It was
organophosphoruspoison mixed with some water, brought from one estate to spray on the plants
infestedwithsome pests in their house garden by their parents. The child, who drank that poison,
stored in the soft drink bottle became sick, became drowsy, had difficulty in breathing, which was
noticedbythe otherchildand that childinformedthe same tothe child's mother and then the child
was brought to the hospital and treated.
3. People has lot of desire in their mind to work, they work from morning till evening even at the
age of 70 Years for very low daily wages because they don’t have any other source of income.
4. A man aged 30 Years, with sound body and mind, with good skill is able to earn very less wages
which may be sufficient only to feed himself or at the most his family, because the system is like
that. Added burdens like diseases – travelling – construction of some small house, will make the
person ‘loaned person’ that will remain on his head till his death. Here, it is not possible to blame
the ownersalso,because, he is also not getting good cost for the product that he sells, most of the
times he also suffers loss.
5. Whenever,Itravel throughthe bus,Isee people, that to young and energetic, sit under the tree
and chat, because they do not have any other job better than that. But when I talk to them, they
have the strong desire to work. But they don’t know what to do.
6. Whenever,Itravel from Kamagere to Ramapura, the lands on either the side always remain dry
without any crop. This I am seeing from my childhood. The situation is same in most of the places,
where ever, I travel in south India except for few areas like Kaveri riverbed and other few places.
7. I had seenmanyschools where childrenlearn,teacherteachesunderdangerousroof, which may
collapse at any time.
Like this many more instances we can write and it is endless.
VPA – MV – MN will give solution for all these things.
2.3How, did I get these ideas? By the war of questions andanswers, inmy
mind
You have gone through the big list of my experiences in my professional and normal life that
triggered the war of questions and answers in my mind. The war of questions and answers are as
follows.
Q: Why people are strugglingsomuchfor,getting the investigations done / buying the medicines /
not willing for admission? Not willing to go to higher centre for further treatment? And so on.
A: Because they may not be having the money with them right now / they may be waiting for the
moneyfromsomeone /theyare not aware of the place where the doctorisreferringthe patient/so
on.
Q: Why they are not having money with them? Are they not working? Are they not getting any
income from their profession?
A: Yes,theymaybe working,butthatmay be sufficientonlyforleadingtheirnormal life, like having
two or three time’s food and buying some cloth, sending their children to the schools run by the
government or some private school with less fees.
Q: Why they are not getting little more income so that they can manage this type of unexpected
events in their life, even if they are not going to construct the house of their won.
A: Theyare the people,whogotodifferent places for daily wages / they have little land with them
and theydothe agriculture lookingatthe sky(Rain) / theyfollow unscientificmethodsof agriculture
/ theyundergorepeatedlossinagriculturedue to lack of rain – infestation of the plants – low price
for their products – so on.
Q: Why these people need to depend only on the rain, they can dig some well and get the water /
they can store their products till they get the good rate for products / so on.
A: Rainis uncertain/he alreadydigged,some twotothree openwellsandtwotothree bore wellsin
his 4 to 5 acres of land, each worked only for two to three months and then dried / he sprayed the
pesticide forhisland,andmaytimesforhiscrop, withthis,the yieldis also less, and every year, the
same infestations,attacksthe plant/ the farmer compares the interest with the rise in price for his
agriculture product/the rise inprice isuncertainand he cannotovercome the marketing mafia / he
also has the fear that, he may lose the products with the insect and pest attack of his agriculture
product,if he storesthe thingsinhis old damaged kattcha - tailed house/ taking RCC air tight Pakka
house forrent andstoringthe agriculture productmay workoutcostlyforthe ‘farmer with loan’, so,
he thinks better to sell the products for whatever rate he gets and let me free from the burden of
loan, with this type of earning, he may find difficulty in leading the life, leave about the savings.
Q: Is it so? Then how to improve their income?
A: Better irrigation, adoption of good agricultural methods, good rate for their products, good
preservation technology, and agriculture related industries to add value to their products grown.
Q: Betterirrigationforagriculture needswater?Openwellsare dry / bore wells are also dry / water
inthe canalsisnot flowingall the time /there are scarcityof waterand lotof disputesrelated to the
water due to insufficient generation of water due to less rain. So, what to do for the water?
A: Earth’ssurface is coveredmore withwater,thanthe land.So, get the water from where ever it is
present.
Q: Water is present more in the sea? Will you get it from their?
A: No,it isnot goodfor domesticuse,anditisnot goingto flow withgravity, it is the end station for
the water.
Q: Then, from where you will get water? Will you go to the other end, which is the origin of the
river?
A: No,because,at the starting point of the rivers the water is less / they are the forest areas in the
peaksof the hills/the landinclinationismore and thus that places are not suitable for creating the
canals / we will not get continuous belt of land for creating the canal to make the water to flow to
the drought prone areas, so we have to titrate the level where there is more flow of water is
available /continuousbeltof land is available for creating the canal / which is at the borders of the
forest and agriculture lands / which gets all the water generated in that river catchment area.
Q: Oh, is it so, that mean you are targeting the river, somewhere in its course, where the flow of
water is more, is it so?
A: Yes we need to depend on the rivers to irrigate the drought prone areas.
Q: It isalready done in the society, government has already constructed many dams and supplying
the water, then what is the new thing that you are going to achieve?
A: Many damsare presentinthe nation,manywaterrelateddisputesare alsopresent in the nation,
and lot of area is suffering with the drought is also present, that means the present dams and
reservoirs are not full filled the need of all the places of India, especially those which are drought
prone, presence of disputes indicates that the water that we store or the storing capacity of our
present reservoirs are less than the demand of the society / states, dams store limited amount of
waterand whichdependsonthe rainwaterinthe rainy seasons, any excess water which generates
above the capacityof the reservoirwill automaticallyjointhe seawithoutanyuseful contribution to
the people,andthe storedwaterinthe dams becomesemptymaybe inthe beginningorthe middle
of the summer,soall the dams puttogethermaybe servingthe populationtocertainextent but not
to the full extent. So we need to go for alternate methods of irrigation, also utilising the present
system of all irrigation related structures to fulfil the irrigation related need of the people.
Q: Oh, thatmeanyou will dependonone bigriverwhichisable tofulfil the irrigation need of all the
places of this nation.
A: No,we cannot dependononlyone river, forall ourirrigationrelated activity, sometimes there is
more rain inone rivercatchment area, which leads to flood, sometimes there is no rain or less rain
inthe same catchmentarea whichleadstodroughtlike situation, because of this reason we cannot
depend on only one river irrigating all the lands of the nation.
Q: That mean which all rivers, you depend for your irrigation project.
A: Of course all the riversof the nation,sothat when there is rain in one river catchment area, then
this river will feed all the areas of the other rivers, and on the other hand if there is less rain or no
rain inone rivercatchmentarea thenthis river will receive the water from the river with more rain
inits catchmentarea,and overthisthe backup of water will be done by the ever flowing rivers like
Ganga and Yamuna,and the deficiencyincreatedbyutilisationof these water to the different parts
of the nation will be fulfilled by the Brahmaputra river water at it level below 250 / 300 mts AMSL.
Q: That means your irrigation project will supply all the parts of India?
A: Yes,my presentplancoversall the needypartsof the India;I needtosee the State J & K, indetail,
so, at present I have not concentrated on J & K.
Q: If yousupplywatertoall the landsof India,will theybecome betterand will this nation becomes
developed, all the problems of the people will solve?
A: No,onlythe landsgetsufficientwaterwiththisirrigationproject.The nationbecomesbetteronly
whenall the people in the nation gets sufficient food for their life, gets good education, and leads
good life. All these are possible only by the cooperation, coordination in the work, which leads to
productivity.
Thistype of war of questions and answers went in my mind for many years, and every instance as I
mentionedearliertriggered me to come out with some solution, that made me to write thesis like
book, and then go behind the leaders to get my ideas to become the reality.
I thankthe IndianPostal service foritssincere service atleastinthe process of making this message
reachingthe offices of all the ministersof the central government,all the chief ministers’ and all the
governors’of the states.NowIam usingthisbookas the weapontocreate awareness among all the
people, so that I could see some positive change in the society when I am alive.
2.4Needfor reading this book
Readinga bookinvolvesmanystages,like,getting information regarding the book (through media,
newsletters,friends,teachers,wellwishers, or through ads), searching for it, purchasing it, reading
it, analyzing it, then, either remembering the contents of the book or forgetting it.
Sometimes, we are forced to remember the contents of the book, may be for the sake of giving
examsonthat subjector,we may have to use the skills and knowledge present in the book to lead
the life or, we may have to remember the contents of the book in order to teach (if we are in the
teaching profession) or, we enjoy remembering the subject (if we really love and involve in the
subject).
Somehow, we will come to know about the availability of the book, we try to get it, and read it.
Afterreading,we mayforgetthe contentsof the book,if itis not prickingtoour mind. We may have
differenttypesof expressions while reading and after reading, depending on the contents of book
and also on how we perceive the book in our mind. Most of the times we give our appreciation
aboutthe bookto whoeverisreadytolistentous,like’ wonder full, marvellous, nice book, genius,
informative and others’ and the story ends there.
But, this book is not like that, if you have a mind, you will weep while reading this book, you will
shout if you look in to some of the facts and figures, you feel relaxed when you see the simple
solutionforthe problems,youlookatyourchildandthe youngergeneration when your mind starts
imaginingthe “model villageandmodel nationconcept”,andyouwill develop‘strengthtobuild this
nation’ as you complete the reading.
The contentgivenhere appliestoall of us,like,me,myfamily, you, your family, and all of us. I feel
thisisthe book, youwill nevergoingtoforgetinthe restof your life, because it is your life – my life
– and the life of our nation.
I am writingthisbook,because my special senses sensed the nation and myself are in terrific way,
my mindgotlightened by the various scenes that, I had seen in the nation, and by the words that I
had heard - which made me to think about myself and about my nation.
I accept that, I am responsible for whatever thoughts that I have expressed and for whatever plan
that I had writtenin this book. Since I had written this book, you, the readers, and the responsible
citizens may ask me to go ahead with the work that I had mentioned in this book to make our
country a developed nation (if, all of you feel that implementing this book will make our nation a
developedone). In that case, I have to accept the task that, I had explained in the book and I need
to involve in all the works of all the fields like property documentation, survey, creation of RCS,
revolutionizing the field of agriculture and industries, modification in the field of education and
health, and my final goal of achieving the model village and model nation concept.
I accept the truth that I am not a good father to my children, but I am a good thinker for my nation,
because I spend less time with my children and more time for writing this book.
Since,Ihear onlyslidinganswersfromall the top people without having a strong power of thinking
and visiontobuildthe developednation,Iamutilizingthisbooktocreate awarenessinthe minds of
all the people,aboutthe possible ways,bywhichwe canimprove ourselvesandthe nationin which
we live and I accept this truth in front of all the people, that I am using this book as the weapon to
solve all the problems in our nation. I have a hope that, soon after the publication of this book, all
those people who read this book will raise their voice to build the nation.
If I am giventhe responsibilityof carryingoutthispreciouswork,thenIhave to do all the works, “by
ordering(like adivan),aswell asworking(like aJaw an)’,‘teachingaswell aslistening’,‘preachingas
well asstudying’, ‘writingaswell as digging’, ‘ maintaining white collar, as well as involving in the
precious soil’. And this is the work which requires love for the nation even during the deepest of
sleep, affection in work in all the time of the day, perfection in the work in every step of activity,
enthusiasmforworkwhichneverexhausts,sacrificingthe life formaintainingthe unity and“Dharma
of the world”onthe base of “Truth and non violence”asitwas practicedby our “Mahatma Gandhi”.
2.5Good and bad people.
Thisworldand the society is a mixture of many good and very few bad people. A person becomes
good or bad in the society by the type of thoughts that generates with in his mind, the various
actionsthat he executeswiththe influence of histhoughtsthatis generated in his brain, and by the
action induced influences on others physical – mental – social - economic life.
As one thought arises in our brain, another thought also arises simultaneously telling the first
thought that it is bad or good and thus indirectly influences the action to be carried out. The
thoughtwhichisresponsibleforthe initiationof the action may be called as the ‘First thought’, the
thoughtswhicharises simultaneously with the first thought in our mind, influencing or instructing
the first thought, like either to go ahead with the action or not (or the first thought is right or
wrong),dependingonthe type of firstthought,isthe ‘innersoul’orthe ‘innerconscious’. Whenthe
first thought is bad and the second thought instructs the first thought not to carry out the action
since it is going to harm others physical – mental – social –economic life and if the first thought is
not listening to the second thought and executes the action, then the person becomes bad in the
society.
If we act accordingto our innersoul,thenmostof the time we will not be committing any mistakes
inour life andthuswe will notbecome badinthe society.Butstill there isapossibilityof committing
mistake ineveryone’slife andthiscanhappenwithoutthe knowledge of the person who executes
the action.A personwhoexecutesactions knowingly which is considered as bad in the society and
he doesit evenafterhisinnersoul tellinghimthatnotto carry out that actionbecause that can lead
to damage to others physical - mental – social - economic life, but still he commits the action and
that becomes the ‘sin’.
If we listentothe innersoul (secondthought)present in our mind, then we will not become bad in
the society. Since some people,neitherlistentothe innersoul,norlogicallythink on their own, but
still carry out the work by some influence, thus they commits mistakes and becomes bad in the
society and get the mind disturbance because of many reasons like getting more money in short
time,propertybyanymeans, becoming famous through any body’s work and others and thus they
makes the population group of ‘Bad people’.
A goodpersonwhogetsthe problembecause of the actionsof the badperson will be disturbed, but
temporality and the memory may vanish as he is out of the problem.
The memory of the action that the bad person executed is going to remain inside his brain
permanently, because it is going to be a strong long term memory as the person is going to
rememberthe eventrepeatedlyashe seesthe personsomewhere,ashe listen’sthe personthrough
some body or any event or the material which is present in the scene will make the bad person to
recall the event and thus there is war of thoughts begins inside the mind of the bad person. This
war between the first thought and the second thought continues and there is repetition and
recurrence of bad memory in his mind till his death and this leads to the loss of concentration,
disturbancesin the peace, lossof logical thinking, inabilityin assessing the consequences in his life.
A person who moves close to the bad person will move in front of him without any change in his
mental status even though he had undergone temporary disturbance, because he is not aware of
the process of disturbance and that disturbance was temporary. But the mind which created the
problem will soon be disturbed, because that mind knows how it created the problem.
Most of the persons who commits the mistakes listening only to the first thought of their mind,
thinksthattheyare wise and can fool anybody in the world, and thus they plan the action thinking
that the othersinthe worldwill not come to know about the process. Most of the time the person
whocreatedthe problem will try to divert the concentration of the people thinking that by this he
can escape from that situation and this itself will leads to the clue to identify the culprit. It is true
that, boththe truth and the liesleave theirfootprintsalongthe path it walks. We are all very small
infront of the world,and itis notpossible tocheatthe entire populationall the time,the course and
consequenceswill take its own way and nobody knows what happens at what time, and the world
will take its own turn as the consequences arise.
Some of the badpeople will have fixedthoughts, they will not move beyond their level of thinking
and if it is a wrong perception then it is going to cause more harm to the people. 100 ordinary
people havingawrongfixedthoughtwill notcause muchharm to the society,butone top person of
the societyhavingafixedthoughtwill cause severe damage tothe society.Itisvery much necessary
to analyze ourthoughtsfromtime to time withourexperiences in life. It is necessary to accept the
truth that everybody wants to lead their life in their own way they want, not harming the others.
Any one, especially the top people- leaders - people in power- policy makers - decision dictators
shouldnotcome to a conclusionwithafixedthoughttellingthat‘thisisnot possible’ or ‘it has to be
done only in this way’ and others, until they analyze the complete situation, the root cause, the
evaluationof the problems,manysolution options available for the problems, and advantages and
disadvantages of each solutions.
2.6How people become richand poor.
People become rich by two ways: legally becoming rich or illegally becoming rich.
The path of legally becoming rich is a difficult path. To become legally rich, the person has to work
hard for longhours,hasto sacrifice manyambitionsinhislife,willnotbe able to enjoyluxuriouslife,
and if this person leads a simple life, then he may save some money, and becomes legally rich.
Fewpeople becomes rich by various ways, these people may earn money in all the possible ways.
These people do not give more money to the people, who are working under them, even if he is
getting more money from them. These groups of people does not mind to tell lies, manipulate
things,harmsomeone,kill someone ordowhatevertheywanttobecome rich.Thispersonbecomes
rich andthose people whoare comingincontact withsuch personasthe workersor as the customer
are going to become poor.
People become poor by many ways. People becomes poor by their own mistakes like not working
hard, notunderestimatingthemselves,spendingmore money on various materials which are not at
all required for leading simple life, trusting bad people in the ambition of becoming rich early,
investing all the money in the hand of bad man and so on. Many people may be working with the
bad person,andthe bad personmaybe gettinglotof income fromthembutthe bad person will not
give anything to anyone even after working for many years under him.
Thisworldand the society is a mixture of many good and very few bad people. A person becomes
good or bad in the society by the type of thoughts that generates with in his mind, the various
actionsthat he executeswiththe influence of histhoughtsthatis generated in his brain, and by the
action induced influences on others physical – mental – social - economic life.
As one thought arises in our brain, another thought also arises simultaneously telling the first
thought that it is bad or good and thus indirectly influences the action to be carried out. The
thoughtwhichisresponsibleforthe initiationof the action may be called as the ‘First thought’, the
thoughtswhicharises simultaneously with the first thought in our mind, influencing or instructing
the first thought, like either to go ahead with the action or not (or the first thought is right or
wrong),dependingonthe type of firstthought,isthe ‘innersoul’orthe ‘innerconscious’. Whenthe
first thought is bad and the second thought instructs the first thought not to carry out the action
since it is going to harm others physical – mental – social –economic life and if the first thought is
not listening to the second thought and executes the action, then the person becomes bad in the
society.
If we act accordingto our innersoul,thenmostof the time we will not be committing any mistakes
inour life andthuswe will notbecome badinthe society.Butstill there isapossibilityof committing
mistake ineveryone’slife andthiscanhappenwithoutthe knowledge of the person who executes
the action.A personwhoexecutesactions knowingly which is considered as bad in the society and
he doesit evenafterhisinnersoul tellinghimthatnotto carry out that actionbecause that can lead
to damage to others physical - mental – social - economic life, but still he commits the action and
that becomes the ‘sin’.
If we listentothe innersoul (secondthought)present in our mind, then we will not become bad in
the society. Since some people,neitherlistentothe innersoul,norlogicallythink on their own, but
still carry out the work by some influence, thus they commits mistakes and becomes bad in the
society and get the mind disturbance because of many reasons like getting more money in short
time,propertybyanymeans, becoming famous through any body’s work and others and thus they
makes the population group of ‘Bad people’.
A goodpersonwhogetsthe problembecause of the actionsof the badperson will be disturbed, but
temporality and the memory may vanish as he is out of the problem.
The memory of the action that the bad person executed is going to remain inside his brain
permanently, because it is going to be a strong long term memory as the person is going to
rememberthe eventrepeatedlyashe seesthe personsomewhere,ashe listen’sthe personthrough
some body or any event or the material which is present in the scene will make the bad person to
recall the event and thus there is war of thoughts begins inside the mind of the bad person. This
war between the first thought and the second thought continues and there is repetition and
recurrence of bad memory in his mind till his death and this leads to the loss of concentration,
disturbancesin the peace, lossof logical thinking, inabilityin assessing the consequences in his life.
A person who moves close to the bad person will move in front of him without any change in his
mental status even though he had undergone temporary disturbance, because he is not aware of
the process of disturbance and that disturbance was temporary. But the mind which created the
problem will soon be disturbed, because that mind knows how it created the problem.
Most of the persons who commits the mistakes listening only to the first thought of their mind,
thinksthattheyare wise and can fool anybody in the world, and thus they plan the action thinking
that the othersinthe worldwill not come to know about the process. Most of the time the person
whocreatedthe problem will try to divert the concentration of the people thinking that by this he
can escape from that situation and this itself will leads to the clue to identify the culprit. It is true
that, boththe truth and the liesleave theirfootprintsalongthe path it walks. We are all very small
infront of the world,and itis notpossible tocheatthe entire populationall the time,the course and
consequenceswill take its own way and nobody knows what happens at what time, and the world
will take its own turn as the consequences arise.
Some of the badpeople will have fixedthoughts, they will not move beyond their level of thinking
and if it is a wrong perception then it is going to cause more harm to the people. 100 ordinary
people havingawrongfixedthoughtwill notcause muchharm to the society,butone top person of
the societyhavingafixedthoughtwill cause severe damage to the society.Itisvery much necessary
to analyze ourthoughtsfromtime to time withourexperiences in life. It is necessary to accept the
truth that everybody wants to lead their life in their own way they want, not harming the others.
Any one, especially the top people- leaders - people in power- policy makers - decision dictators
shouldnotcome to a conclusionwithafixedthoughttellingthat‘thisisnot possible’ or ‘it has to be
done only in this way’ and others, until they analyze the complete situation, the root cause, the
evaluationof the problems,manysolution options available for the problems, and advantages and
disadvantages of each solutions.
2.7 ‘My views’ tomake ‘My India’ a ‘Developedcountry’
In thisbook,I am tryingto focuson variousproblemthatare existinginthe presentIndia with some
of the referencesquotedas“factsand figures,”the effectsof these problemsonthe developmentof
the nation and on the family economics, and the solution for these problems. Other than
references,all thoseviewsmentionedinthisbookare myownpersonnel viewsforthe development
of thisnation. AndthisI am bringingout in the form of a book in order to create awareness among
the responsible citizens of the nation to think in this way, and I am just writing a board to the path
whichleadsourcountryto the developed status. This may not be the only path to achieve the goal
of developed status; there may be other paths also available to achieve this goal. I request, those
who are interested in the development of the nation to read this book, especially those who are
working for it, including our leaders and officials.
Government of India may also be going through this book and they may consider this book to
implementatnational level. Sometimes, some of you may feel that the views written in this book
are not good, in that case you write to the GOI with reasons, if possible before GOI considers my
project at your own risk. Or, if you feel that the views present in this book are good then also you
can write the lettertothe GOI at yourownrisk,tellingthatthe viewsare good, in that case GOI may
consider my project for implementation, thus I may get a chance to do this precious work.
I requestall the readersnotto come to a conclusiontill you read the entire book, understanding it,
analyzingitandthinkaboutthe overall productivity. Ialsorequest the readers not to create groups
in order to support the views or to oppose the views, and start doing the strike to take up the
projector not to take up the project. Letus become more scientificandpractical,you(orthe group)
also write the book in a scientific way with reasons, your plans for the problems and how you are
going to achieve the developed status of the nation and if your solutions are good, then GOI may
consider your views to reach our country to the developed status.
I don’tmind,whichprojectis going to achieve the status of developed country and who is going to
achieve thatgoal. I chose thispath of writingthe bookto create awarenessamongthe people,after
listening to many people’s helplessness to achieve these goals.
I alreadymentionedinthisbookthatitis justa ‘signboard’to the path;we needto passthroughthe
entire pathto reachthe destinyof ‘Developedstage’.There are lotof works have to be done during
this course. We may have to write hundreds of books of this type to guide the people working for
thisprojectfromthe grass root level till the policy maker level. This book is just the beginning and
not the end. It isnecessaryto interact with many allied specialties, and involving all the people of
different segments is necessary to achieve our goals.
It isalso importanttoconsiderthe people causingobstacletoanyof the development.It is not at all
possible tochange the mindsetof some of the badpeople. We need to be more careful in tackling
such situations arising at different stages. I feel all the people of the nation will identify such
personalities and teach them a proper lesson at correct time so that they don’t create problem for
the progress. People’sparticipationatrighttime isveryessential toidentifyevilpersonearly and to
take necessary action before that person causes damage to the society, and thus all of us can
participate in the growth of the nation and for our personnel growth.
I am writingthisprojectafterthinkingalot,analyzingmany experiences, listening to many people,
understandingthe humanphysiology –emotions –sex – relationships – attachments – involvement
– degree of theirwork – love andaffection. The worldexists,notonlyforme to live,butall of ushas
to live. A child cannot live without the support of the care taker; a student cannot become wiser
without the support of the teacher, a political party cannot exist without the supports of the
members, a nation cannot function smoothly without the support of all the states and all the
nations. In the sense ‘We are all dependent’.
My request to all the readers is, don’t come to a conclusion until you completely read this book;
understandthe contents,andanalyzingthe total outcome.Inbetweeninthe processof reading,you
may feel thatyouare notgoingto benefitfromthisprojectbecause youare already rich;thisproject
isgoingto decrease myincome,onlythe poorisgoingto benefitandothersare notgoing to benefit
fromit and so on. This maybe the possibility,if Iwasconcentratingonly on division and re division
of resources and not thinking on the process of productivity. The project aims at increasing the
overall productivitybyutilizingthe everysecondof the entire population, every square centimetre
of the land available, every technology which helps in the acceleration of the productivity in an
efficientandcoordinatedfashion,withnolossin the process of processing, transportation, storage
and ultimately,qualityproductsandqualitylife isachieved in an affordable, smooth, hygienic way.
The benefitof increasedproductivityisnotonlygoingtobenefitthe poor,butthe share also goes to
the rich. Only disadvantage may be for the segment of the people who use their crooked skills to
earn easily by illegal ways, not working in a productive way, escaping from tax and so on, such
people willhave problemsbecauseall the events are going to be recorded spontaneously in all the
fields like agriculture, industry, education, health, business ect.
2.8 We are all dependent.
Anylivingorganisminthisworldcannotleadthe life independentlywithoutthe helpof the nature. I
repeat‘we are all dependent’. A single cell livingorganism‘Amoeba’needthe helpof the nature for
its nutrition and oxygen; A nation needs the help of another nation, a family need the help of
another family, a person need the help of another person and so on.
May be because of geographical reasons and administrative purposes the world is divided in to
nations, national administration aims at the development of the nation. The development of the
nation is directly and indirectly going to influence the development of the individual and the
development of the individuals is going to influence the development of the nation.
For example the life styleof an individual depends on the salary that he is getting; the salary of his
groupof similarindividualsisdecidedbythe economyof the nation. If an individual earnsmore,the
nation gets more tax, and the nation is at the benefit. If the nation gets more tax, then there is
better public infrastructure like roads, better mileage and less repair of the vehicles, more saving
with better life style for an individual and this benefit the individual.
A nation is a composition of living and non living things. Living includes the population, animals,
plants,andtrees. Nonlivingincludes ores, mines, land, rivers, lakes, buildings, infrastructure, and
others. The compositionof the nationcanalso be listedasvillages,towns,cities, forest, agriculture
land, and others. A nation with better natural resources, better technology, and better working
atmosphere takesthe nationtoa developedstatus. The natural resourcesare the god’s gift and we
may notbe able toincrease it.If we use it effectively,economicallyand in a proper way, the natural
resourceshelps the nationtoreach the developed status, if we do not use the natural resources in
an eco friendly way we will land up in problems. Utilization of the nature needs knowledge, skill,
technology, and experience.
Knowledgecomesfromeducation,skillcomesfromrepeated doing, technology comes from better
thinking,andexperience comesfrom remembering the past. For all these thinks we need a better
mindwitha strongbody. We needto constructour mindwiththe helpof educationandwe needto
buildourbodywiththe helpof hard work. For constructing the better mind and a strong body, the
basicrequirementishealth. Health is a continuous state of physical, social, and mental well being
and not merely the absence of disease or infirmity and the person should be able to lead
economicallyproductivelife. Healthdependsonthe genetics, health of the father and the mother,
nutritioninpregnancy,absence of disease in pregnancy, delivery, neonatal, childhood, adolescent
and adultperiods,care andnutrition,absence of disease inthe individual, lifestyle of an individual,
exercise, environment, and others.
Nationisa compositionof individuals. The entire population can be classified into productive and
dependentpopulation. The dependentpopulationsare the children and the elders; the productive
populationare the youngadults. We needtoshape the childrenforthe sake of future,andwe need
to get the experiences of the elders to minimize the injuries on ourselves in the process of
experimentation.
Educationgivesknowledge,knowledge givesusthe power of better thinking, better thinking helps
in the evolution of technology, better technology increases the velocity of productivity. The
economy depends on the speed of productivity and the quality (Life and the functioning of the
material produced).
A nation with one hundred crores loving people will not bring any change in the nation. A nation
with one hundred crores people without love and affection for the nation with the mind to work
hard and earnmore makesthe nation a site for internal quarrel and unhappiness. One intelligent,
educated, influential man is sufficient to disturb the peace of the entire nation and the world. So
the developmentof the nationdependsonthe ‘peopleof the nationwholovesthe nationandatthe
same time thinksbetterfor the construction of the nation by utilizing their education, knowledge,
experience, technology, and most important is, involving in the work with love and affection’.
Involvementwithloveandaffectionwillincreasethe speedof productivityandthusthe economy. A
person with many qualification, high knowledge, and lot of experience without involvement is
equivalent to a dead man. Education, gaining knowledge, getting experience, developing
technology, involving in the work all needs concentration. Concentration is the phenomenon of
mind,whichneedsthe peace andhealthof the mind. Peace basically depends on the thoughts we
have inour brain,and alsodependsonthe processof forgetfulness. Itis easy to forget if somebody
harms you(the peace in us may be disturbed for a moment), but it is difficult to forget if you harm
somebody and our brain will remember the event till its death and thus the peace is disturbed
permanently. So, the concentration depends on how much mistakes that we do in our life - ‘the
more the mistake the lessthe concentration’. Concentration determines the involvement and the
efficiencyinthe work. Withoutthe concentrationwe maynotbe able to involve in the work, it also
affects the efficiency. Involvement and efficiency determines the productivity, productivity
determines the individual economy, and all the individuals put together determines the national
economy.
So, it is necessary to guide our younger generation like our children and the adolescents through
suitable education,where they have concrete type of thinking and chances of going wrong is high,
and thus we need to create a society of people with ‘less mistakes’.
Create the thoughts in the minds of common people like ‘that they are living, because they are
working, but not because of someone is helping them’ and it is possible for everyone to lead a
descentlife if theyworkbetterandif they get good returns for their work, thus they will be able to
have goodhouse,bettereducationfortheirchildren,and will be able to manage the financial crisis
due to ill health, and there is no place for the word like ‘loss’.
Now, everyone is working on their own, thus there is productivity and thus there is sustainability.
Sustainabilitywithbetterqualityispossible onlyforminorityof the people, but not for the majority
of the people.The aim of this project is to bring coordination among the various segments of work
force by utilisingall the manpowereffectively,bringmassiveincrease in the productivity, and bring
the reality of quality, sustainable life for all the people.
If a person is staying at one nation he should be the citizen of that nation both physically and
mentally, and he should love his nation when he is awake and also in his dreams.
If a personstayinginone nationandif,he is the citizenof thatnationphysically - in his voters id and
if he is mentally the citizen of some other nation, then that nation who gives shelter to him is at
danger,evenif thisnumberissingle,andif this number is more, then the nation is at more danger.
Thisappliestoall the nations, and if the national leaders are ‘mentally retarded in this aspect’ and
not able to identify such people in the nation, then the sufferers are the people of the nation
including the leaders.
They are, ‘My views’ to make ‘My India’ a ‘Developed country’, I wish you will accept it.

Contenu connexe

Tendances

Hospitalization in children
Hospitalization in children Hospitalization in children
Hospitalization in children raveen mayi
 
Strawbridge Surgery Sponsorship Report
Strawbridge Surgery Sponsorship ReportStrawbridge Surgery Sponsorship Report
Strawbridge Surgery Sponsorship ReportStewart Strawbridge
 
Feb Staff meeting 2019
Feb Staff meeting  2019Feb Staff meeting  2019
Feb Staff meeting 2019Sammy Fugler
 
Grief in the NICU: Identifying, Understanding and Helping Grieving Parents
Grief in the NICU: Identifying, Understanding and Helping Grieving ParentsGrief in the NICU: Identifying, Understanding and Helping Grieving Parents
Grief in the NICU: Identifying, Understanding and Helping Grieving ParentsKirsti Dyer MD, MS
 
The pediatric history and physical examination
The pediatric history and physical examinationThe pediatric history and physical examination
The pediatric history and physical examination0912783694
 
HOSPITALIZATION: Effect on children and their parents
HOSPITALIZATION: Effect on children and their parentsHOSPITALIZATION: Effect on children and their parents
HOSPITALIZATION: Effect on children and their parentsShivani Thakur
 
Care of the sick or hospitalized child
Care of the sick or hospitalized childCare of the sick or hospitalized child
Care of the sick or hospitalized childReynel Dan
 
History of pediatrics
History of pediatricsHistory of pediatrics
History of pediatricsAnju George
 
Hospitalized child
Hospitalized child Hospitalized child
Hospitalized child Smriti Arora
 
It's About Children - Issue 2 2014 by East Tennessee Children's Hospital
It's About Children - Issue 2 2014 by East Tennessee Children's HospitalIt's About Children - Issue 2 2014 by East Tennessee Children's Hospital
It's About Children - Issue 2 2014 by East Tennessee Children's HospitalEast Tennessee Children's Hospital
 
178352604 case-presentation-2012-chole
178352604 case-presentation-2012-chole178352604 case-presentation-2012-chole
178352604 case-presentation-2012-cholehomeworkping10
 
Children's hospital
Children's hospitalChildren's hospital
Children's hospitalmar_solo
 
Corona treatment at home
Corona treatment at homeCorona treatment at home
Corona treatment at homeNEHA MALIK
 
Maternal perception about neonatal jaundice in eastern nepal a qualitative study
Maternal perception about neonatal jaundice in eastern nepal a qualitative studyMaternal perception about neonatal jaundice in eastern nepal a qualitative study
Maternal perception about neonatal jaundice in eastern nepal a qualitative studydineshdharel13
 
How to support & dealing with parents in nicu
How to support & dealing with parents in nicuHow to support & dealing with parents in nicu
How to support & dealing with parents in nicuOsama Arafa
 
Changes trends in hospital care
Changes trends in hospital careChanges trends in hospital care
Changes trends in hospital carelingampelli
 
2 Hospitalized child
2 Hospitalized child2 Hospitalized child
2 Hospitalized childSmriti Arora
 

Tendances (20)

Hospitalization in children
Hospitalization in children Hospitalization in children
Hospitalization in children
 
Strawbridge Surgery Sponsorship Report
Strawbridge Surgery Sponsorship ReportStrawbridge Surgery Sponsorship Report
Strawbridge Surgery Sponsorship Report
 
Dying child
Dying childDying child
Dying child
 
Feb Staff meeting 2019
Feb Staff meeting  2019Feb Staff meeting  2019
Feb Staff meeting 2019
 
Nd
NdNd
Nd
 
Grief in the NICU: Identifying, Understanding and Helping Grieving Parents
Grief in the NICU: Identifying, Understanding and Helping Grieving ParentsGrief in the NICU: Identifying, Understanding and Helping Grieving Parents
Grief in the NICU: Identifying, Understanding and Helping Grieving Parents
 
The pediatric history and physical examination
The pediatric history and physical examinationThe pediatric history and physical examination
The pediatric history and physical examination
 
HOSPITALIZATION: Effect on children and their parents
HOSPITALIZATION: Effect on children and their parentsHOSPITALIZATION: Effect on children and their parents
HOSPITALIZATION: Effect on children and their parents
 
Care of the sick or hospitalized child
Care of the sick or hospitalized childCare of the sick or hospitalized child
Care of the sick or hospitalized child
 
History of pediatrics
History of pediatricsHistory of pediatrics
History of pediatrics
 
TB case
TB case TB case
TB case
 
Hospitalized child
Hospitalized child Hospitalized child
Hospitalized child
 
It's About Children - Issue 2 2014 by East Tennessee Children's Hospital
It's About Children - Issue 2 2014 by East Tennessee Children's HospitalIt's About Children - Issue 2 2014 by East Tennessee Children's Hospital
It's About Children - Issue 2 2014 by East Tennessee Children's Hospital
 
178352604 case-presentation-2012-chole
178352604 case-presentation-2012-chole178352604 case-presentation-2012-chole
178352604 case-presentation-2012-chole
 
Children's hospital
Children's hospitalChildren's hospital
Children's hospital
 
Corona treatment at home
Corona treatment at homeCorona treatment at home
Corona treatment at home
 
Maternal perception about neonatal jaundice in eastern nepal a qualitative study
Maternal perception about neonatal jaundice in eastern nepal a qualitative studyMaternal perception about neonatal jaundice in eastern nepal a qualitative study
Maternal perception about neonatal jaundice in eastern nepal a qualitative study
 
How to support & dealing with parents in nicu
How to support & dealing with parents in nicuHow to support & dealing with parents in nicu
How to support & dealing with parents in nicu
 
Changes trends in hospital care
Changes trends in hospital careChanges trends in hospital care
Changes trends in hospital care
 
2 Hospitalized child
2 Hospitalized child2 Hospitalized child
2 Hospitalized child
 

Similaire à S1c2 chapter 2-how did this book originated.

172205403 meningocele-case-study
172205403 meningocele-case-study172205403 meningocele-case-study
172205403 meningocele-case-studyhomeworkping8
 
Growth and development
Growth and developmentGrowth and development
Growth and developmentskylands
 
Reproductive_Justice_2
Reproductive_Justice_2Reproductive_Justice_2
Reproductive_Justice_2Lenore Gaudin
 
106427165 39078672-case-study-pleural-effusion
106427165 39078672-case-study-pleural-effusion106427165 39078672-case-study-pleural-effusion
106427165 39078672-case-study-pleural-effusionhomeworkping7
 
Human Growth and Development - Completed
Human Growth and Development - CompletedHuman Growth and Development - Completed
Human Growth and Development - CompletedRei
 
Weak Newborn Report
Weak Newborn ReportWeak Newborn Report
Weak Newborn ReportIshan Narma
 
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anosKMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anosProf. Marcus Renato de Carvalho
 
Lawweb.in whether parents of victim are to be compensated in case of medical ...
Lawweb.in whether parents of victim are to be compensated in case of medical ...Lawweb.in whether parents of victim are to be compensated in case of medical ...
Lawweb.in whether parents of victim are to be compensated in case of medical ...Law Web
 
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)Carlo Luna
 
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdflesterlistanco3
 
Current Journey in Stillbirth
Current Journey in StillbirthCurrent Journey in Stillbirth
Current Journey in StillbirthTaavi Aher
 
Sophie's Science Project. What is medical research?
Sophie's Science Project. What is medical research?Sophie's Science Project. What is medical research?
Sophie's Science Project. What is medical research?msschreiner
 
Birmingham Women's and children's NHS FT- Listening to our non english speaki...
Birmingham Women's and children's NHS FT- Listening to our non english speaki...Birmingham Women's and children's NHS FT- Listening to our non english speaki...
Birmingham Women's and children's NHS FT- Listening to our non english speaki...RuthEvansPEN
 
Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...
Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...
Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...RuthEvansPEN
 
Crisis and nursing intervention
Crisis and nursing interventionCrisis and nursing intervention
Crisis and nursing interventionABHIJIT BHOYAR
 

Similaire à S1c2 chapter 2-how did this book originated. (20)

172205403 meningocele-case-study
172205403 meningocele-case-study172205403 meningocele-case-study
172205403 meningocele-case-study
 
Growth and development
Growth and developmentGrowth and development
Growth and development
 
Reproductive_Justice_2
Reproductive_Justice_2Reproductive_Justice_2
Reproductive_Justice_2
 
106427165 39078672-case-study-pleural-effusion
106427165 39078672-case-study-pleural-effusion106427165 39078672-case-study-pleural-effusion
106427165 39078672-case-study-pleural-effusion
 
Human Growth and Development - Completed
Human Growth and Development - CompletedHuman Growth and Development - Completed
Human Growth and Development - Completed
 
Weak Newborn Report
Weak Newborn ReportWeak Newborn Report
Weak Newborn Report
 
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anosKMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
KMC - "Madre Canguro" - A Metodologia Mãe Canguru: 40 anos
 
Lawweb.in whether parents of victim are to be compensated in case of medical ...
Lawweb.in whether parents of victim are to be compensated in case of medical ...Lawweb.in whether parents of victim are to be compensated in case of medical ...
Lawweb.in whether parents of victim are to be compensated in case of medical ...
 
92124988 case-study
92124988 case-study92124988 case-study
92124988 case-study
 
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
Pregnancy-Related Concerns and Pre-natal Care - MAPEH 8 (Health 2nd Quarter)
 
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
123healthunit2-2prenancy-relatedconcernsandpre-natalcare-161018095107.pdf
 
Reaction and care of hospitalized child
Reaction and care of hospitalized childReaction and care of hospitalized child
Reaction and care of hospitalized child
 
A4031032
A4031032A4031032
A4031032
 
Birstudy
BirstudyBirstudy
Birstudy
 
Current Journey in Stillbirth
Current Journey in StillbirthCurrent Journey in Stillbirth
Current Journey in Stillbirth
 
Tailoring immunization programmes in Sweden
Tailoring immunization programmes in SwedenTailoring immunization programmes in Sweden
Tailoring immunization programmes in Sweden
 
Sophie's Science Project. What is medical research?
Sophie's Science Project. What is medical research?Sophie's Science Project. What is medical research?
Sophie's Science Project. What is medical research?
 
Birmingham Women's and children's NHS FT- Listening to our non english speaki...
Birmingham Women's and children's NHS FT- Listening to our non english speaki...Birmingham Women's and children's NHS FT- Listening to our non english speaki...
Birmingham Women's and children's NHS FT- Listening to our non english speaki...
 
Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...
Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...
Birmingham Women's and Childrens' NHS FT- Listening to our non english speaki...
 
Crisis and nursing intervention
Crisis and nursing interventionCrisis and nursing intervention
Crisis and nursing intervention
 

Plus de Shivu P

Impact of Environment on Health of humans
Impact of Environment on Health of humansImpact of Environment on Health of humans
Impact of Environment on Health of humansShivu P
 
Comments on NWDA's (National Water Development Authority) methodology of ILR ...
Comments on NWDA's (National Water Development Authority) methodology of ILR ...Comments on NWDA's (National Water Development Authority) methodology of ILR ...
Comments on NWDA's (National Water Development Authority) methodology of ILR ...Shivu P
 
Save earth
Save earth Save earth
Save earth Shivu P
 
Sustaining breast feeding together
Sustaining breast feeding togetherSustaining breast feeding together
Sustaining breast feeding togetherShivu P
 
Breast feeding week
Breast feeding weekBreast feeding week
Breast feeding weekShivu P
 
Method matters in inter linking rivers
Method matters in inter linking rivers  Method matters in inter linking rivers
Method matters in inter linking rivers Shivu P
 
Summary of the book 'views to make this world developed'
Summary of the book 'views to make this world developed'Summary of the book 'views to make this world developed'
Summary of the book 'views to make this world developed'Shivu P
 
Preface to this book
Preface to this bookPreface to this book
Preface to this bookShivu P
 
The author dr shivu
The author dr shivuThe author dr shivu
The author dr shivuShivu P
 
Contents of this book - section chapter (Includes all the chapters)
Contents of this book - section   chapter (Includes all the chapters)Contents of this book - section   chapter (Includes all the chapters)
Contents of this book - section chapter (Includes all the chapters)Shivu P
 
Abbreviations used in this book
Abbreviations used in this bookAbbreviations used in this book
Abbreviations used in this bookShivu P
 
S13c18 chapter 18-different blocks in the model village (auto cad drawings).
S13c18 chapter 18-different blocks in the model village (auto cad drawings).S13c18 chapter 18-different blocks in the model village (auto cad drawings).
S13c18 chapter 18-different blocks in the model village (auto cad drawings).Shivu P
 
S13c17 chapter 17-facts and figures on waste management.
S13c17 chapter 17-facts and figures on waste management.S13c17 chapter 17-facts and figures on waste management.
S13c17 chapter 17-facts and figures on waste management.Shivu P
 
S13c16 chapter 16-facts and figures on urbanisation.
S13c16 chapter 16-facts and figures on urbanisation.S13c16 chapter 16-facts and figures on urbanisation.
S13c16 chapter 16-facts and figures on urbanisation.Shivu P
 
S13c15 chapter 15-facts and figures on unemployment.
S13c15 chapter 15-facts and figures on unemployment.S13c15 chapter 15-facts and figures on unemployment.
S13c15 chapter 15-facts and figures on unemployment.Shivu P
 
S13c13 chapter 13-facts and figures on some statistics.
S13c13 chapter 13-facts and figures on some statistics.S13c13 chapter 13-facts and figures on some statistics.
S13c13 chapter 13-facts and figures on some statistics.Shivu P
 
S13c10 chapter 10-facts and figures on poverty.
S13c10 chapter 10-facts and figures on poverty.S13c10 chapter 10-facts and figures on poverty.
S13c10 chapter 10-facts and figures on poverty.Shivu P
 
S13c8 chapter 8-facts and figures on life style practices.
S13c8 chapter 8-facts and figures on life style practices.S13c8 chapter 8-facts and figures on life style practices.
S13c8 chapter 8-facts and figures on life style practices.Shivu P
 
S13c7 Chapter 7-facts and figures on infrastructure.
S13c7 Chapter 7-facts and figures on infrastructure.S13c7 Chapter 7-facts and figures on infrastructure.
S13c7 Chapter 7-facts and figures on infrastructure.Shivu P
 
S13c6 chapter 6- facts and figures on health
S13c6 chapter 6- facts and figures on healthS13c6 chapter 6- facts and figures on health
S13c6 chapter 6- facts and figures on healthShivu P
 

Plus de Shivu P (20)

Impact of Environment on Health of humans
Impact of Environment on Health of humansImpact of Environment on Health of humans
Impact of Environment on Health of humans
 
Comments on NWDA's (National Water Development Authority) methodology of ILR ...
Comments on NWDA's (National Water Development Authority) methodology of ILR ...Comments on NWDA's (National Water Development Authority) methodology of ILR ...
Comments on NWDA's (National Water Development Authority) methodology of ILR ...
 
Save earth
Save earth Save earth
Save earth
 
Sustaining breast feeding together
Sustaining breast feeding togetherSustaining breast feeding together
Sustaining breast feeding together
 
Breast feeding week
Breast feeding weekBreast feeding week
Breast feeding week
 
Method matters in inter linking rivers
Method matters in inter linking rivers  Method matters in inter linking rivers
Method matters in inter linking rivers
 
Summary of the book 'views to make this world developed'
Summary of the book 'views to make this world developed'Summary of the book 'views to make this world developed'
Summary of the book 'views to make this world developed'
 
Preface to this book
Preface to this bookPreface to this book
Preface to this book
 
The author dr shivu
The author dr shivuThe author dr shivu
The author dr shivu
 
Contents of this book - section chapter (Includes all the chapters)
Contents of this book - section   chapter (Includes all the chapters)Contents of this book - section   chapter (Includes all the chapters)
Contents of this book - section chapter (Includes all the chapters)
 
Abbreviations used in this book
Abbreviations used in this bookAbbreviations used in this book
Abbreviations used in this book
 
S13c18 chapter 18-different blocks in the model village (auto cad drawings).
S13c18 chapter 18-different blocks in the model village (auto cad drawings).S13c18 chapter 18-different blocks in the model village (auto cad drawings).
S13c18 chapter 18-different blocks in the model village (auto cad drawings).
 
S13c17 chapter 17-facts and figures on waste management.
S13c17 chapter 17-facts and figures on waste management.S13c17 chapter 17-facts and figures on waste management.
S13c17 chapter 17-facts and figures on waste management.
 
S13c16 chapter 16-facts and figures on urbanisation.
S13c16 chapter 16-facts and figures on urbanisation.S13c16 chapter 16-facts and figures on urbanisation.
S13c16 chapter 16-facts and figures on urbanisation.
 
S13c15 chapter 15-facts and figures on unemployment.
S13c15 chapter 15-facts and figures on unemployment.S13c15 chapter 15-facts and figures on unemployment.
S13c15 chapter 15-facts and figures on unemployment.
 
S13c13 chapter 13-facts and figures on some statistics.
S13c13 chapter 13-facts and figures on some statistics.S13c13 chapter 13-facts and figures on some statistics.
S13c13 chapter 13-facts and figures on some statistics.
 
S13c10 chapter 10-facts and figures on poverty.
S13c10 chapter 10-facts and figures on poverty.S13c10 chapter 10-facts and figures on poverty.
S13c10 chapter 10-facts and figures on poverty.
 
S13c8 chapter 8-facts and figures on life style practices.
S13c8 chapter 8-facts and figures on life style practices.S13c8 chapter 8-facts and figures on life style practices.
S13c8 chapter 8-facts and figures on life style practices.
 
S13c7 Chapter 7-facts and figures on infrastructure.
S13c7 Chapter 7-facts and figures on infrastructure.S13c7 Chapter 7-facts and figures on infrastructure.
S13c7 Chapter 7-facts and figures on infrastructure.
 
S13c6 chapter 6- facts and figures on health
S13c6 chapter 6- facts and figures on healthS13c6 chapter 6- facts and figures on health
S13c6 chapter 6- facts and figures on health
 

Dernier

Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...
Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...
Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...Call Girls Mumbai
 
Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...
Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...
Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...Sareena Khatun
 
Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...
Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...
Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...kajalverma014
 
Vasai Call Girls In 07506202331, Nalasopara Call Girls In Mumbai
Vasai Call Girls In 07506202331, Nalasopara Call Girls In MumbaiVasai Call Girls In 07506202331, Nalasopara Call Girls In Mumbai
Vasai Call Girls In 07506202331, Nalasopara Call Girls In MumbaiPriya Reddy
 
Russian Escorts in Abu Dhabi 0508644382 Abu Dhabi Escorts
Russian Escorts in Abu Dhabi 0508644382 Abu Dhabi EscortsRussian Escorts in Abu Dhabi 0508644382 Abu Dhabi Escorts
Russian Escorts in Abu Dhabi 0508644382 Abu Dhabi EscortsMonica Sydney
 
Competitive Advantage slide deck___.pptx
Competitive Advantage slide deck___.pptxCompetitive Advantage slide deck___.pptx
Competitive Advantage slide deck___.pptxScottMeyers35
 
Genuine Call Girls in Salem 9332606886 HOT & SEXY Models beautiful and charm...
Genuine Call Girls in Salem  9332606886 HOT & SEXY Models beautiful and charm...Genuine Call Girls in Salem  9332606886 HOT & SEXY Models beautiful and charm...
Genuine Call Girls in Salem 9332606886 HOT & SEXY Models beautiful and charm...Sareena Khatun
 
Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...
Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...
Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...Delhi Call girls
 
Call Girls Mehsana / 8250092165 Genuine Call girls with real Photos and Number
Call Girls Mehsana / 8250092165 Genuine Call girls with real Photos and NumberCall Girls Mehsana / 8250092165 Genuine Call girls with real Photos and Number
Call Girls Mehsana / 8250092165 Genuine Call girls with real Photos and NumberSareena Khatun
 
Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899
Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899
Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899Cara Menggugurkan Kandungan 087776558899
 
Coastal Protection Measures in Hulhumale'
Coastal Protection Measures in Hulhumale'Coastal Protection Measures in Hulhumale'
Coastal Protection Measures in Hulhumale'NAP Global Network
 
Just Call VIP Call Girls In Bangalore Kr Puram ☎️ 6378878445 Independent Fem...
Just Call VIP Call Girls In  Bangalore Kr Puram ☎️ 6378878445 Independent Fem...Just Call VIP Call Girls In  Bangalore Kr Puram ☎️ 6378878445 Independent Fem...
Just Call VIP Call Girls In Bangalore Kr Puram ☎️ 6378878445 Independent Fem...HyderabadDolls
 
74th Amendment of India PPT by Piyush(IC).pptx
74th Amendment of India PPT by Piyush(IC).pptx74th Amendment of India PPT by Piyush(IC).pptx
74th Amendment of India PPT by Piyush(IC).pptxpiyushsinghrajput913
 
Peace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdf
Peace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdfPeace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdf
Peace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdfNAP Global Network
 
Lorain Road Business District Revitalization Plan Final Presentation
Lorain Road Business District Revitalization Plan Final PresentationLorain Road Business District Revitalization Plan Final Presentation
Lorain Road Business District Revitalization Plan Final PresentationCuyahoga County Planning Commission
 
Time, Stress & Work Life Balance for Clerks with Beckie Whitehouse
Time, Stress & Work Life Balance for Clerks with Beckie WhitehouseTime, Stress & Work Life Balance for Clerks with Beckie Whitehouse
Time, Stress & Work Life Balance for Clerks with Beckie Whitehousesubs7
 
Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...
Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...
Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...gajnagarg
 
Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...
Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...
Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...kumargunjan9515
 

Dernier (20)

Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...
Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...
Bhubaneswar Call Girls Bhubaneswar 👉👉 9777949614 Top Class Call Girl Service ...
 
Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...
Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...
Call Girls Koregaon Park - 8250092165 Our call girls are sure to provide you ...
 
Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...
Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...
Cheap Call Girls In Hyderabad Phone No 📞 9352988975 📞 Elite Escort Service Av...
 
Vasai Call Girls In 07506202331, Nalasopara Call Girls In Mumbai
Vasai Call Girls In 07506202331, Nalasopara Call Girls In MumbaiVasai Call Girls In 07506202331, Nalasopara Call Girls In Mumbai
Vasai Call Girls In 07506202331, Nalasopara Call Girls In Mumbai
 
Russian Escorts in Abu Dhabi 0508644382 Abu Dhabi Escorts
Russian Escorts in Abu Dhabi 0508644382 Abu Dhabi EscortsRussian Escorts in Abu Dhabi 0508644382 Abu Dhabi Escorts
Russian Escorts in Abu Dhabi 0508644382 Abu Dhabi Escorts
 
Panchayath circular KLC -Panchayath raj act s 169, 218
Panchayath circular KLC -Panchayath raj act s 169, 218Panchayath circular KLC -Panchayath raj act s 169, 218
Panchayath circular KLC -Panchayath raj act s 169, 218
 
Competitive Advantage slide deck___.pptx
Competitive Advantage slide deck___.pptxCompetitive Advantage slide deck___.pptx
Competitive Advantage slide deck___.pptx
 
Sustainability by Design: Assessment Tool for Just Energy Transition Plans
Sustainability by Design: Assessment Tool for Just Energy Transition PlansSustainability by Design: Assessment Tool for Just Energy Transition Plans
Sustainability by Design: Assessment Tool for Just Energy Transition Plans
 
Genuine Call Girls in Salem 9332606886 HOT & SEXY Models beautiful and charm...
Genuine Call Girls in Salem  9332606886 HOT & SEXY Models beautiful and charm...Genuine Call Girls in Salem  9332606886 HOT & SEXY Models beautiful and charm...
Genuine Call Girls in Salem 9332606886 HOT & SEXY Models beautiful and charm...
 
Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...
Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...
Vivek @ Cheap Call Girls In Kamla Nagar | Book 8448380779 Extreme Call Girls ...
 
Call Girls Mehsana / 8250092165 Genuine Call girls with real Photos and Number
Call Girls Mehsana / 8250092165 Genuine Call girls with real Photos and NumberCall Girls Mehsana / 8250092165 Genuine Call girls with real Photos and Number
Call Girls Mehsana / 8250092165 Genuine Call girls with real Photos and Number
 
Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899
Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899
Cara Gugurkan Pembuahan Secara Alami Dan Cepat ABORSI KANDUNGAN 087776558899
 
Coastal Protection Measures in Hulhumale'
Coastal Protection Measures in Hulhumale'Coastal Protection Measures in Hulhumale'
Coastal Protection Measures in Hulhumale'
 
Just Call VIP Call Girls In Bangalore Kr Puram ☎️ 6378878445 Independent Fem...
Just Call VIP Call Girls In  Bangalore Kr Puram ☎️ 6378878445 Independent Fem...Just Call VIP Call Girls In  Bangalore Kr Puram ☎️ 6378878445 Independent Fem...
Just Call VIP Call Girls In Bangalore Kr Puram ☎️ 6378878445 Independent Fem...
 
74th Amendment of India PPT by Piyush(IC).pptx
74th Amendment of India PPT by Piyush(IC).pptx74th Amendment of India PPT by Piyush(IC).pptx
74th Amendment of India PPT by Piyush(IC).pptx
 
Peace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdf
Peace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdfPeace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdf
Peace-Conflict-and-National-Adaptation-Plan-NAP-Processes-.pdf
 
Lorain Road Business District Revitalization Plan Final Presentation
Lorain Road Business District Revitalization Plan Final PresentationLorain Road Business District Revitalization Plan Final Presentation
Lorain Road Business District Revitalization Plan Final Presentation
 
Time, Stress & Work Life Balance for Clerks with Beckie Whitehouse
Time, Stress & Work Life Balance for Clerks with Beckie WhitehouseTime, Stress & Work Life Balance for Clerks with Beckie Whitehouse
Time, Stress & Work Life Balance for Clerks with Beckie Whitehouse
 
Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...
Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...
Top profile Call Girls In Haldia [ 7014168258 ] Call Me For Genuine Models We...
 
Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...
Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...
Call Girls AS Rao Nagar - 8250092165 Our call girls are sure to provide you w...
 

S1c2 chapter 2-how did this book originated.

  • 1. Contentsof Section1: Introduction. Chapter2-How didthisbookoriginated. 2.1-My experiencesinmymedicineandpaediatricpractice made me towrite thisbook. 2.2-My experiences,inmylife,otherthanmyprofessionalpractice,alsomade me towrite thisbook. 2.3-How,did I getthese ideas?Bythe war of questionsandanswers,inmymind; 2.4-Needforreadingthisbook. 2.5-Good and badpeople: 2.6-How people becomerichandpoor. 2.7-‘My views’tomake ‘My India’a ‘Developedcountry’, 2.8-We are all dependent. Chapter 2: How did this book originated. 2.1 My experiences inmy medicine andpediatric practice made me to write this book As usual,anyreaderwhoreadsany bookinhis life,whenhe isspendinghisvaluable time in reading the book, money to purchase the book and his mind to think over the book, will have some questionsinhis mind like – who is this author? Why did he write this book? How did he get these ideas to write this book? What is there inside the book? Is it really possible to achieve all these goals? How our political, administrative and the people of India will respond to his views? Of course,these were the frequentlyaskedquestions as I spoke about my views on my nation with some of my known people, friends, doctors, engineers, and officials. Let me answer these one by one at the appropriate chapter. My experiences in the medicine and paediatric practice made me to write this book. Some of my experiences are here. 1. I am a Paediatrician by my profession, worked at various hospitals like JSS hospital - Mysore, “Holy cross Hospital”- Kamagere - Kollegal Taluk - Chamarajanagar District, Holy cross hospital - Chikmagalur,Hassan Institute of medical college - Hassan, Vaatsalya group of Hospital - Mysore in Karnataka. 2. I had seen many patients coming to our Hospital with various health problems like Pneumonia, Gastroenteritis,meningitisetc.WhenIsaw them for the first time they had some nose golden ring, ear golden ring ect. When I saw them for the next time one of them were missing. Because they mighthave soldit for the expense that they have to meet for the hospital. I often heard the things like, selling the sheep, cow, house, land for various reasons and they are becoming poorer and poorerday byday. These typesof scenarioswere commonlyseenin the rural places like Kamagere, but not in the urban places like Chikmagalur or Mysore. 3. The babyor the childmaybe sufferingfromsome disease,somuchbut,the parents are not ready to admitthe baby to the hospital andrequestingforsome oral medicines,becausethey are not able to bear down the hospital expenses. These are commonly seen in my rural practice.
  • 2. 4. Many babies are born with the weight around 1.75 to 2.25 Kgs because of intrauterine growth retardation due to poor maternal nutrition. If we look in to the mother, they were anaemic (Hb 5 grms% or even less) and malnourished. Even, if the baby weighs 3 Kgs. or 3.5 Kgs weight at birth, most of the times the weight gain was not up to the mark as we expect. It is again because of impropernutrition to the mother and that leads to inadequate breast secretion and later the child will alsogetthe impropernutrition.These typesof scenarioswere commonprior to 2007 in my rural paediatric practice. 5. Nutritionrelatedproblemslike Malnutritionandvariousdeficiencydisordersare rampantbecause people have no food in their house or may be due to improper cooking technique. These are common in rural areas. 6. In our OPD we explain‘take thissyrup1ml in the morning’,mostof the time, people are not able to understand how much is 1 ml, and they may give either more are less. People give wrong dosages,evenafterdemonstrationortheywill missthe dosage,thismaybe because of the illiteracy of the care giveror they maynot be able to recollectthe measurement. They were commonly seen in my rural paediatric practice. 7. We, as doctor give lot of advice to the people like buy these medicines, eat these food etc, but many people in our country are not able to afford the food and medicine that we advice. 8. Many people inourcountrysimplypushingtheirlifewithdisease (e.g.congenital heart disease in paediatrics).Eventhoughmedical science cangive remedyforthese problems,people cannotafford the treatmentandwithdisease theysomehow pushthe lifeuntil the death captures them. Some of the schemes developed in the recent years like ‘Yashaswini scheme’, ‘Suvarna Arogya Chaitanya schemes’ for the school children is serving such adults and children in the recent years. 9. At the time of discharge from the hospital, it is a hell for the poor people. They beg a lot for concession;theyroamall overthe village togetfew hundredsof rupees. It is miserable situation to see and that helpless situation hurts a lot but still we are helpless. 10. Most of the snake bitesScorpionstingsetc;are due to poorhousing,lackof toiletfacilitiesin the house etc. 11.Most of the poisoning, hanging, suicide etc, are due to upsets in the life, like, not able to repay the loanedmoney,notable to get suitable job,notable toprovide foodforthe family,lossof crops in the land due to over or under raining etc. 12. Most of the diseaseslikeMalaria,Tuberculosis,Worminfestationetc,are verymuchprevalentin rural areas. People are getting these diseases following migration for coolly or may be because of poor housing or may be because of improper drainage system. 13. Many patientscomingtome are not able to tell the age of the child, not remembering the date of birth,notable to carry out mostof the function in the hospital like going from OPD to Lab. Some do not able to read the written and sign boards. They are all common in rural hospitals. 14. Fewpregnant women are brought to the hospital after a prolonged bleeding, or after the baby die in the process of delivery etc. If we ask them they give thousands of reasons like no
  • 3. transportation, rain, waiting for husband, waiting for money, went to some other hospital where doctor was not available etc. 15. People were struggling hard to arrange money for CT scan when their relative / son land up in head injury around the years 1996 – 97. I was thinking ‘They are poor and I am also poor, why is it so?’ 16.Baby with congenital heart disease, diagnosed ante natally - the parents refuse to go to cardiology centre to get the echo done for to prognosticate the disease. Kamagere-5.5.11. 17.Parents of preterm baby with RDS, refuse to go to higher centre, to put the baby on ventilator and for surfactant therapy, they tell the paediatrician that ‘you do whatever you want and that is possible at your centre, we are not able to go to the higher centre or else give hundred percent guarantee,thenwe will sell ourpropertyandwill get the treatment at higher centre’, these type of talk by them reflects their economy. 18.Doctors at peripheral hospital try ambuing for a baby with Meconium aspiration syndrome / congenital pneumonia/RespiratoryDistress Syndrome / recurrent prolonged neonatal apnoea, till the baby develops interstitial emphysema, because the parents are not ready to take the child to higherentre for ventilator support, where the chances of baby going for interstitial emphysema is less. 19.Diseases like Tetrology of Fallot is not diagnosed till the age of 3 months, that is till the baby througha cyanotic spell.Thatbabywas delivered in a taluk hospital where there is a paediatrician, but the childwasnot crossedthroughthe paediatricianfromthe time of birth,because the childwas deliveredonSaturdaynightbythe nursingstaff and the mother with the child was discharged from the hospital onMonday earlymorningthusthe childwasescapedfromthe eyesof the paediatrician. Nexttime the baby was taken for to the hospital for BCG immunisation on Thursdays, where there were 100 to 200 children,one paediatrician could not see all the children, so the child escaped the paediatrician’svisit.The DPT 1st and 2nd doses were given at the house, by the field health staff. So the baby wastakento the nearby100 beddedhospitalonly after the cyanotic spell with the history of convulsions, where it is diagnosed as TOF and referred to cardiology centre. 20. Is the ear buds selling at the roadside people are prepared with hospital waste cotton used to clean blood and pus? May be possible, some of the microbiologists in pollution control board may say yes for this statement. 21.One day, 11 month old baby girl was brought to my OPD, at2 PMwith the history of fever since morningandone episode of convulsion1hour ago,lastedforfew minutes.Boththe mother and the grandmotherwere daily wage coolie working in digging and putting cables for telecommunication services. And they were from Andrapradesh and the baby was kept beside the road over the mattress under a tree, but as the day passed the shade of the tree changed. With fever the baby came under the direct sunlight and thus the temperature of the baby had gone up and thrown convulsion. 22.One of the microbiologists was delivering her lecture on biomedical waste management in NIMHANS, Bangalore on 23.3.11. That time she told that, in one family, both the father and his productive sondiedinthe hospital becauseof hepatitisB infectioninayear span. Later it was found that the fatherwentfora walkwitha slipperandaneedle infectedwithHepatitisBvirusthrown out of one of the clinic pierced the slipper and he bleed and got the injury to the sole later the same slipperwasusedby the son and he also got the prick by the same needle and he also bleed and he recognisedthatthere isa needle inthe slipperandhe removedit. Father died with the diagnosis of
  • 4. hepatitisBinfectionandthe sondied,one yearafterthe deathof hisfatherwiththe same infection. Thus, improper (waste) disposal of the needle from one clinic consumed two productive lives and left the family with no earning members. 23.Quality of the drugs are not assured because most of the clinics and nursing homes uses the drugs which are cheap and has got lot of margins between the hospital price and the MRP. 24.Most of the hospitalswill notmaintain some of the life saving drugs like prostaglandin E1 in the hospital pharmacybecause,itiscostlyandif,that drug isnot utilizedwithinthe expiry,then,itisthe loss for the hospital. If some newborn is delivered in such hospital with some duct dependent congenital heart disease, then the child reaching the cardiac centre for further treatment is uncertain. 25.Quality is not assured in all the hospital, in all the areas like, no one know how the hospital is maintaining asepsis. Autoclave machine may or may not be present, it might have gone for repair but the workin the hospital will continue asitis.Autoclaved materialsmaybe utilisedin the OT, but the dressingtrymay not be sterilisedregularly.Noone issure,thatthe people workinginthe labare usingnewsetsof kitsfor everysample (some timeone kit may be utilised for several samples till it becomespositive andlabel thatpatientaspositive).Qualityof the sisterswill not be known and it is not assessed periodically, they may administer wrong dose of medicine, administer syrup in the place of drops, wrong route of administration, not able to recognise the changes in the patient at right time, may not be very serious in infection control like, if they have less supply of gloves / slippers, the sister may be doing dressing wearing one gloves from morning till noon, remove it before takingthe lunch,maybe anotherpairglovesinthe noon,and doing dressing for hundreds of wounds – removingsuturesandsoon - thusshe may spreadthe infectionslike HIV, hepatitis and so on. 26.Once the obstetrician at 12.30 am was telling ‘she is sitting in the labour room for the past one and half hours trying for the anaesthetist to do caesarean section. The case was - ‘Primi in labour, 6cm dilatedcervix,bigcaput,overcrowding of cranial bones i.e. the cephalopelvic disproportion in obstructionwithfoetal distress’.The full time anaesthetist of the hospital was on leave for some of hispersonnel work,anotheranaesthetist, who is ready to come to this hospital is engaged in some other surgical emergency in the nearby hospital. The patient was already visited many hospital before theyland up in this hospital, the initial hospitals gave trial but not succeeded. In this case a competent obstetrician is ready to work in one of the peripheral hospitals, but she may not get all the supporting staff all the time like anaesthetist, paediatrician and so on. 27.Trained birth attendant giving trail of labour and sending the pregnant women at the last stage whenshe notice some signof complicationlike meconium, decreased foetal movement, excessive bleeding and so on. The time gap between the onset of signs and identifying the same by the TBA and the time theyreachthe appropriate healthcare facilitywilldecidethe life and death of the two people that is the mother and the baby. 28.Some womenmaydie because of PPH(Postpartumhaemorrhage – bleedingfollowingdeliveryof the child, due to improper contraction of the uterus). Such women may reach the hospital with shock, they may get the treatment immediately but they may die within few minutes before the physiologycomestothe normal.The people will tell the hospital isnotgood;patientwasalive when she reached the hospital. 29.A child goes to the clinic with cough and fever for three days, gets some medicine, the parents administer the same medicine for 2 – 3 days, the child looked better for them, so they will forget giving the medicines. After some 2 – 3 days they go to another doctor, he will ask about the
  • 5. medicinesgiveninthe lastattackof fever and cough, the parents may, neither has the prescription nor has taken the half empty medicine bottles, so the doctors will write some medicines and will send the child home. After some three days the child was looking somewhat not good to the parents,sothey take their child to the another doctor in the nearby city and get the token number 60 and the childwill be seen by the doctor at 3PMand the doctor will notice respiratory distress in the child and will advise admission at the major centre. The child was brought to the hospital with the mother,andthis childinstead of going to the higher centre will be taken back home to arrange some money and to take the husband along with them. The husband will come home at 7PMand listentothe wife,thenhe will gotohisowners house / friends house / loan renders house and will be back home at 11PM with or without money since it is the evening time, so the initiation of the treatmentwill be postponed to uncertain days and the pathology inside the body is progressing to the reversible (withorwithoutsequel / morbidity) or irreversible (mortality) extent. May be in the middle of the night or in the next day the child will reach the major centre with the father having thousandrupeesinhand.The doctor examinesthe childinone of the hospitalsin the major city and will tell ‘this baby’soxygensaturationis very low and it is not maintaining the saturation even with 10 lts / minof free flowoxygen,soitneedsventilatorsupport,we have ventilatorsuitable for adults but notfor small children,so,gotoanotherhospital where paediatric ventilator is available, by the ambulance which has ventilator in it’. But that type of ambulance is not available at that place, so theystart theirjourneyfor80 to100 kms takingrisk,aftersome 2 to 3 hoursof intensive discussion. The child may or may not reach the hospital where the paediatric ventilator is available. 30.In,some hospitals 2 – 3 newborns will be put in one open care system (where we are supposed to put onlyone babyperopencare system),whenthere islotof deliveriesand this may not be seen all the time. In some of the hospitals, many open care systems may be available but not the sick babies. 31.The medicinesandthe equipmentswhichare notused regularly, but they may be the life saving drugs may not be available in the hospital or got expired and which is not looked in to. In small hospitalsandPHC,unavailabilityof laryngoscope,nocellsfor the laryngoscope, laryngoscope which is not working, laryngoscope which is kept in the almera and locked by the in charge sister to maintain the stock perfectly, absence of proper sized ambu bag mask, absence of appropriate volume ambu bag, cylinders with no oxygen in it, absence of appropriate sized paediatric endo tracheal tubes, are the common scenarios and they may be very essential at some time, but maintainingthe same isthe costlyaffairasit isnot usedfrequentlyandthe returnsare alsoless. The attendees will not be willing to pay for the same if the patient dies. 32.An unskilled health person doing ambu to the child in respiratory failure with adult ambu mask and bag, because it is available easily in the hospital may lead to death of the child by the compression of the larynx by the rim of the big ambu bag mask. 33.Instruments in the hospital which are not in regular use may not be in good working condition e.g. open care system, ventilators, photo therapy units, laryngoscopes, suction apparatus, oxygen cylinder flow meters, and so on. 34.We as the doctors refer the child in respiratory failure to the higher centre just with oxygen (some ambulance may not have the facility of providing oxygen or the oxygen cylinder may be empty) even though that child or adult need the ventilator support, he may or may not reach the higher centre. 35.People with high cognition and hard work from the beginning of their study till second pre university education will enter in to the medical profession and become doctors. The get good
  • 6. training,recognise the problemwell andtreatthe patientwell,assessthe prognosiswell andexplain the same to the attendees in an understandable way, but may not be available at the needy time because theymighthave just gone for having food after working for twelve hours of continuously, theymighthave justenteredintothe sleepinthe middle of the night or they may be on the way to their hospital or struck in the traffic. On the other hand the initial resuscitation which is most importantwill be done by the medical staff who work for six to eight hours in the hospital on shift basis,who have average cognition, not perfectly skilled, not had much opportunity to handle such type of skills and not aware about the minor aspects of the skills e.g. they may not choose appropriate sized ambu bag, ambu bag mask, connector to the oxygen, may leave a minor gap betweenthe mask and the face, thus all the air is leaking from the sides or there is little flexion of the head causing kink in the trachea and thus the air is not effectively entering the chest and not making the chest to rise. 36.Most of the consultantswill be visiting three to six hospitals on call basis. They may be working for 12 to 14 hours in a day, but they may be spending 30 to 40% of their working time on the road itself, that means they may be spending three to four hours on the road in their car in most of the major cities to travel from one hospital to another hospital. 37.In small citiesandvillagesmostof the doctorswill be seeing200to 250 patientsperday and they may be gettingonlytwoto three minutes time per patient as against the recommended time of 10 to 15 minutes of time per patient. Thus they may be working for 10 to 14 hours in a day seeing the routine cases throughout their life may forget, most of the theoretical aspects of the disease. 38.The presentorganisationof nationlike scatteredvillages,single farmhouses,scatteredhouses,at some place awayfrom the mainvillage due toreligious / caste reasons consumes lot of semiskilled healthworkingstaff toadministerthe programmesrelatedtohealthandthisalsomakes the system not to achieve 100 % results in the programme. This type of administration of the programmes becomes costly as one health worker need to spend his whole day just to visit one house in the periphery near some forest walking for many kilometres from his PHC. 39.No uniformity in population distribution, no uniformity in the population visiting particular hospital, no uniformity in hospital building – equipments - staff and the facilities available in the hospital, extreme compromise in finance and corruption in government sector, high margins in private sector,unavailabilityof skilledpeople all the time,skilledpeople moving from place to place for variousreasons,bighospital andlesspatients,smallhospitalsandmore patients,more beds and lesspatientsandlessbedsmore patients, referring the patients from hospital to hospital and from cityto city for variousreasonslike unavailabilityof concernedspecialist –unavailability of ventilator – unavailabilityof diagnostictests–unavailabilityof imaging makes the patient to spend lot of time inthe ambulance andif itis hisprecioustime,thendeathcan occur in this transportation especially if he is travelling in ordinary vehicle for this type of roaming. 40.People sleepinfrontof the hospital gate leavingtheirwifeandchildreninsidethe hospital. Many hospitals do not have any place for the sake of the attendees. e.g.: ‘Husband /son / relative of the female surgical wardorthe female medical ward’or‘the father/brotherof the paediatricward’will be made to sleep under some tree / in some open space / in the corridors outside the hospital exposingthemselvesforthe riskof bitesof insects/scorpions/snakesapart fromthe sufferingslike excessivecoldinthe midnightorhotinthe noon.Let us lookinto the possibilitiesandthink way our people need to suffer like this; the possibilities are, a. Not affordable. b. Ethical issues.
  • 7. c. Business of stealing. d. Interference with the hospital work. e. Making quarrel with the staff. f. Possibility of mal handling of the patient on treatment. g. Misconduct with the female attendees and so on. 41. One of the lab in charge of one authorised blood bank was telling that they get only 4 to 5 bags of bloodina weekforthattheyhave to do Elisatestfor HIV,HCV, HBsAg, and they have to do these testssome time once in 2 to 3 days and its works out costly for the hospital. The conventional Elisa try contains96 wells,andata time theycando Elisatestfor 92 patientswith 2 positive controls and 2 negative controls.If the labgetsmore samplesthenitworkoutcheaperperinvestigation,the man power will be utilized well, and the cost for the patient is going to decrease. 42.Very good obstetrician making the diagnosis of the obstructed labour with foetal distress for pregnant women brought from one PHC by the ASHA worker, but will not be able to do caesarean section due to many reasons. 43.Trainedbirthattendantbringingthe pregnantwomenafteraprolongedtrail of labourat home to the PHC, when many complications are already set in, to the baby and to the mother and that cannot be managed at that centre. 44.Many womendyingof PPH,evenafter reachingthe hospital because thathospital does not have the blood bank with it. Like this the problems related to my professional life will continue and it is endless. Thus we can assess relation between the national economy and the incidence of diseases and treatment outcomes / life expectancy / age of marriage / job opportunity / crime / poverty / life style and so on. We,especiallyourleaders - social reformersneedtothinkonsuch issues when they are making the policies. VPA – MV – MN will give solution for all these things. 2.2 My experiences, inmy life, other than my professional practice, also made me to write this book 1. A newhouse wasconstructedopposite the oldhouse,onthe otherside of the road. The aunty of the three year old child shifted their family to the new house. The child was attached to the aunty verymuch.So, wheneverthe childgetsthe chance the childusedgoto the aunt's house crossingthe road presentbetweenthe twohousesescapingthe eyesof the mother. Not all the days were same for the child.One daythe childwas hitbythe fastmovingbike.Inthataccidentthe child had serious injury to the head. 2. Two childrenaged four years were playing together. They saw something is present in one soft drinks bottle, and they thought it as soft drinks and one child started to drink the same. It was organophosphoruspoison mixed with some water, brought from one estate to spray on the plants infestedwithsome pests in their house garden by their parents. The child, who drank that poison, stored in the soft drink bottle became sick, became drowsy, had difficulty in breathing, which was noticedbythe otherchildand that childinformedthe same tothe child's mother and then the child was brought to the hospital and treated.
  • 8. 3. People has lot of desire in their mind to work, they work from morning till evening even at the age of 70 Years for very low daily wages because they don’t have any other source of income. 4. A man aged 30 Years, with sound body and mind, with good skill is able to earn very less wages which may be sufficient only to feed himself or at the most his family, because the system is like that. Added burdens like diseases – travelling – construction of some small house, will make the person ‘loaned person’ that will remain on his head till his death. Here, it is not possible to blame the ownersalso,because, he is also not getting good cost for the product that he sells, most of the times he also suffers loss. 5. Whenever,Itravel throughthe bus,Isee people, that to young and energetic, sit under the tree and chat, because they do not have any other job better than that. But when I talk to them, they have the strong desire to work. But they don’t know what to do. 6. Whenever,Itravel from Kamagere to Ramapura, the lands on either the side always remain dry without any crop. This I am seeing from my childhood. The situation is same in most of the places, where ever, I travel in south India except for few areas like Kaveri riverbed and other few places. 7. I had seenmanyschools where childrenlearn,teacherteachesunderdangerousroof, which may collapse at any time. Like this many more instances we can write and it is endless. VPA – MV – MN will give solution for all these things. 2.3How, did I get these ideas? By the war of questions andanswers, inmy mind You have gone through the big list of my experiences in my professional and normal life that triggered the war of questions and answers in my mind. The war of questions and answers are as follows. Q: Why people are strugglingsomuchfor,getting the investigations done / buying the medicines / not willing for admission? Not willing to go to higher centre for further treatment? And so on. A: Because they may not be having the money with them right now / they may be waiting for the moneyfromsomeone /theyare not aware of the place where the doctorisreferringthe patient/so on. Q: Why they are not having money with them? Are they not working? Are they not getting any income from their profession? A: Yes,theymaybe working,butthatmay be sufficientonlyforleadingtheirnormal life, like having two or three time’s food and buying some cloth, sending their children to the schools run by the government or some private school with less fees. Q: Why they are not getting little more income so that they can manage this type of unexpected events in their life, even if they are not going to construct the house of their won. A: Theyare the people,whogotodifferent places for daily wages / they have little land with them and theydothe agriculture lookingatthe sky(Rain) / theyfollow unscientificmethodsof agriculture / theyundergorepeatedlossinagriculturedue to lack of rain – infestation of the plants – low price for their products – so on.
  • 9. Q: Why these people need to depend only on the rain, they can dig some well and get the water / they can store their products till they get the good rate for products / so on. A: Rainis uncertain/he alreadydigged,some twotothree openwellsandtwotothree bore wellsin his 4 to 5 acres of land, each worked only for two to three months and then dried / he sprayed the pesticide forhisland,andmaytimesforhiscrop, withthis,the yieldis also less, and every year, the same infestations,attacksthe plant/ the farmer compares the interest with the rise in price for his agriculture product/the rise inprice isuncertainand he cannotovercome the marketing mafia / he also has the fear that, he may lose the products with the insect and pest attack of his agriculture product,if he storesthe thingsinhis old damaged kattcha - tailed house/ taking RCC air tight Pakka house forrent andstoringthe agriculture productmay workoutcostlyforthe ‘farmer with loan’, so, he thinks better to sell the products for whatever rate he gets and let me free from the burden of loan, with this type of earning, he may find difficulty in leading the life, leave about the savings. Q: Is it so? Then how to improve their income? A: Better irrigation, adoption of good agricultural methods, good rate for their products, good preservation technology, and agriculture related industries to add value to their products grown. Q: Betterirrigationforagriculture needswater?Openwellsare dry / bore wells are also dry / water inthe canalsisnot flowingall the time /there are scarcityof waterand lotof disputesrelated to the water due to insufficient generation of water due to less rain. So, what to do for the water? A: Earth’ssurface is coveredmore withwater,thanthe land.So, get the water from where ever it is present. Q: Water is present more in the sea? Will you get it from their? A: No,it isnot goodfor domesticuse,anditisnot goingto flow withgravity, it is the end station for the water. Q: Then, from where you will get water? Will you go to the other end, which is the origin of the river? A: No,because,at the starting point of the rivers the water is less / they are the forest areas in the peaksof the hills/the landinclinationismore and thus that places are not suitable for creating the canals / we will not get continuous belt of land for creating the canal to make the water to flow to the drought prone areas, so we have to titrate the level where there is more flow of water is available /continuousbeltof land is available for creating the canal / which is at the borders of the forest and agriculture lands / which gets all the water generated in that river catchment area. Q: Oh, is it so, that mean you are targeting the river, somewhere in its course, where the flow of water is more, is it so? A: Yes we need to depend on the rivers to irrigate the drought prone areas. Q: It isalready done in the society, government has already constructed many dams and supplying the water, then what is the new thing that you are going to achieve?
  • 10. A: Many damsare presentinthe nation,manywaterrelateddisputesare alsopresent in the nation, and lot of area is suffering with the drought is also present, that means the present dams and reservoirs are not full filled the need of all the places of India, especially those which are drought prone, presence of disputes indicates that the water that we store or the storing capacity of our present reservoirs are less than the demand of the society / states, dams store limited amount of waterand whichdependsonthe rainwaterinthe rainy seasons, any excess water which generates above the capacityof the reservoirwill automaticallyjointhe seawithoutanyuseful contribution to the people,andthe storedwaterinthe dams becomesemptymaybe inthe beginningorthe middle of the summer,soall the dams puttogethermaybe servingthe populationtocertainextent but not to the full extent. So we need to go for alternate methods of irrigation, also utilising the present system of all irrigation related structures to fulfil the irrigation related need of the people. Q: Oh, thatmeanyou will dependonone bigriverwhichisable tofulfil the irrigation need of all the places of this nation. A: No,we cannot dependononlyone river, forall ourirrigationrelated activity, sometimes there is more rain inone rivercatchment area, which leads to flood, sometimes there is no rain or less rain inthe same catchmentarea whichleadstodroughtlike situation, because of this reason we cannot depend on only one river irrigating all the lands of the nation. Q: That mean which all rivers, you depend for your irrigation project. A: Of course all the riversof the nation,sothat when there is rain in one river catchment area, then this river will feed all the areas of the other rivers, and on the other hand if there is less rain or no rain inone rivercatchmentarea thenthis river will receive the water from the river with more rain inits catchmentarea,and overthisthe backup of water will be done by the ever flowing rivers like Ganga and Yamuna,and the deficiencyincreatedbyutilisationof these water to the different parts of the nation will be fulfilled by the Brahmaputra river water at it level below 250 / 300 mts AMSL. Q: That means your irrigation project will supply all the parts of India? A: Yes,my presentplancoversall the needypartsof the India;I needtosee the State J & K, indetail, so, at present I have not concentrated on J & K. Q: If yousupplywatertoall the landsof India,will theybecome betterand will this nation becomes developed, all the problems of the people will solve? A: No,onlythe landsgetsufficientwaterwiththisirrigationproject.The nationbecomesbetteronly whenall the people in the nation gets sufficient food for their life, gets good education, and leads good life. All these are possible only by the cooperation, coordination in the work, which leads to productivity. Thistype of war of questions and answers went in my mind for many years, and every instance as I mentionedearliertriggered me to come out with some solution, that made me to write thesis like book, and then go behind the leaders to get my ideas to become the reality. I thankthe IndianPostal service foritssincere service atleastinthe process of making this message reachingthe offices of all the ministersof the central government,all the chief ministers’ and all the
  • 11. governors’of the states.NowIam usingthisbookas the weapontocreate awareness among all the people, so that I could see some positive change in the society when I am alive. 2.4Needfor reading this book Readinga bookinvolvesmanystages,like,getting information regarding the book (through media, newsletters,friends,teachers,wellwishers, or through ads), searching for it, purchasing it, reading it, analyzing it, then, either remembering the contents of the book or forgetting it. Sometimes, we are forced to remember the contents of the book, may be for the sake of giving examsonthat subjector,we may have to use the skills and knowledge present in the book to lead the life or, we may have to remember the contents of the book in order to teach (if we are in the teaching profession) or, we enjoy remembering the subject (if we really love and involve in the subject). Somehow, we will come to know about the availability of the book, we try to get it, and read it. Afterreading,we mayforgetthe contentsof the book,if itis not prickingtoour mind. We may have differenttypesof expressions while reading and after reading, depending on the contents of book and also on how we perceive the book in our mind. Most of the times we give our appreciation aboutthe bookto whoeverisreadytolistentous,like’ wonder full, marvellous, nice book, genius, informative and others’ and the story ends there. But, this book is not like that, if you have a mind, you will weep while reading this book, you will shout if you look in to some of the facts and figures, you feel relaxed when you see the simple solutionforthe problems,youlookatyourchildandthe youngergeneration when your mind starts imaginingthe “model villageandmodel nationconcept”,andyouwill develop‘strengthtobuild this nation’ as you complete the reading. The contentgivenhere appliestoall of us,like,me,myfamily, you, your family, and all of us. I feel thisisthe book, youwill nevergoingtoforgetinthe restof your life, because it is your life – my life – and the life of our nation. I am writingthisbook,because my special senses sensed the nation and myself are in terrific way, my mindgotlightened by the various scenes that, I had seen in the nation, and by the words that I had heard - which made me to think about myself and about my nation. I accept that, I am responsible for whatever thoughts that I have expressed and for whatever plan that I had writtenin this book. Since I had written this book, you, the readers, and the responsible citizens may ask me to go ahead with the work that I had mentioned in this book to make our country a developed nation (if, all of you feel that implementing this book will make our nation a developedone). In that case, I have to accept the task that, I had explained in the book and I need to involve in all the works of all the fields like property documentation, survey, creation of RCS, revolutionizing the field of agriculture and industries, modification in the field of education and health, and my final goal of achieving the model village and model nation concept. I accept the truth that I am not a good father to my children, but I am a good thinker for my nation, because I spend less time with my children and more time for writing this book.
  • 12. Since,Ihear onlyslidinganswersfromall the top people without having a strong power of thinking and visiontobuildthe developednation,Iamutilizingthisbooktocreate awarenessinthe minds of all the people,aboutthe possible ways,bywhichwe canimprove ourselvesandthe nationin which we live and I accept this truth in front of all the people, that I am using this book as the weapon to solve all the problems in our nation. I have a hope that, soon after the publication of this book, all those people who read this book will raise their voice to build the nation. If I am giventhe responsibilityof carryingoutthispreciouswork,thenIhave to do all the works, “by ordering(like adivan),aswell asworking(like aJaw an)’,‘teachingaswell aslistening’,‘preachingas well asstudying’, ‘writingaswell as digging’, ‘ maintaining white collar, as well as involving in the precious soil’. And this is the work which requires love for the nation even during the deepest of sleep, affection in work in all the time of the day, perfection in the work in every step of activity, enthusiasmforworkwhichneverexhausts,sacrificingthe life formaintainingthe unity and“Dharma of the world”onthe base of “Truth and non violence”asitwas practicedby our “Mahatma Gandhi”. 2.5Good and bad people. Thisworldand the society is a mixture of many good and very few bad people. A person becomes good or bad in the society by the type of thoughts that generates with in his mind, the various actionsthat he executeswiththe influence of histhoughtsthatis generated in his brain, and by the action induced influences on others physical – mental – social - economic life. As one thought arises in our brain, another thought also arises simultaneously telling the first thought that it is bad or good and thus indirectly influences the action to be carried out. The thoughtwhichisresponsibleforthe initiationof the action may be called as the ‘First thought’, the thoughtswhicharises simultaneously with the first thought in our mind, influencing or instructing the first thought, like either to go ahead with the action or not (or the first thought is right or wrong),dependingonthe type of firstthought,isthe ‘innersoul’orthe ‘innerconscious’. Whenthe first thought is bad and the second thought instructs the first thought not to carry out the action since it is going to harm others physical – mental – social –economic life and if the first thought is not listening to the second thought and executes the action, then the person becomes bad in the society. If we act accordingto our innersoul,thenmostof the time we will not be committing any mistakes inour life andthuswe will notbecome badinthe society.Butstill there isapossibilityof committing mistake ineveryone’slife andthiscanhappenwithoutthe knowledge of the person who executes the action.A personwhoexecutesactions knowingly which is considered as bad in the society and he doesit evenafterhisinnersoul tellinghimthatnotto carry out that actionbecause that can lead to damage to others physical - mental – social - economic life, but still he commits the action and that becomes the ‘sin’. If we listentothe innersoul (secondthought)present in our mind, then we will not become bad in the society. Since some people,neitherlistentothe innersoul,norlogicallythink on their own, but still carry out the work by some influence, thus they commits mistakes and becomes bad in the society and get the mind disturbance because of many reasons like getting more money in short
  • 13. time,propertybyanymeans, becoming famous through any body’s work and others and thus they makes the population group of ‘Bad people’. A goodpersonwhogetsthe problembecause of the actionsof the badperson will be disturbed, but temporality and the memory may vanish as he is out of the problem. The memory of the action that the bad person executed is going to remain inside his brain permanently, because it is going to be a strong long term memory as the person is going to rememberthe eventrepeatedlyashe seesthe personsomewhere,ashe listen’sthe personthrough some body or any event or the material which is present in the scene will make the bad person to recall the event and thus there is war of thoughts begins inside the mind of the bad person. This war between the first thought and the second thought continues and there is repetition and recurrence of bad memory in his mind till his death and this leads to the loss of concentration, disturbancesin the peace, lossof logical thinking, inabilityin assessing the consequences in his life. A person who moves close to the bad person will move in front of him without any change in his mental status even though he had undergone temporary disturbance, because he is not aware of the process of disturbance and that disturbance was temporary. But the mind which created the problem will soon be disturbed, because that mind knows how it created the problem. Most of the persons who commits the mistakes listening only to the first thought of their mind, thinksthattheyare wise and can fool anybody in the world, and thus they plan the action thinking that the othersinthe worldwill not come to know about the process. Most of the time the person whocreatedthe problem will try to divert the concentration of the people thinking that by this he can escape from that situation and this itself will leads to the clue to identify the culprit. It is true that, boththe truth and the liesleave theirfootprintsalongthe path it walks. We are all very small infront of the world,and itis notpossible tocheatthe entire populationall the time,the course and consequenceswill take its own way and nobody knows what happens at what time, and the world will take its own turn as the consequences arise. Some of the badpeople will have fixedthoughts, they will not move beyond their level of thinking and if it is a wrong perception then it is going to cause more harm to the people. 100 ordinary people havingawrongfixedthoughtwill notcause muchharm to the society,butone top person of the societyhavingafixedthoughtwill cause severe damage tothe society.Itisvery much necessary to analyze ourthoughtsfromtime to time withourexperiences in life. It is necessary to accept the truth that everybody wants to lead their life in their own way they want, not harming the others. Any one, especially the top people- leaders - people in power- policy makers - decision dictators shouldnotcome to a conclusionwithafixedthoughttellingthat‘thisisnot possible’ or ‘it has to be done only in this way’ and others, until they analyze the complete situation, the root cause, the evaluationof the problems,manysolution options available for the problems, and advantages and disadvantages of each solutions. 2.6How people become richand poor. People become rich by two ways: legally becoming rich or illegally becoming rich.
  • 14. The path of legally becoming rich is a difficult path. To become legally rich, the person has to work hard for longhours,hasto sacrifice manyambitionsinhislife,willnotbe able to enjoyluxuriouslife, and if this person leads a simple life, then he may save some money, and becomes legally rich. Fewpeople becomes rich by various ways, these people may earn money in all the possible ways. These people do not give more money to the people, who are working under them, even if he is getting more money from them. These groups of people does not mind to tell lies, manipulate things,harmsomeone,kill someone ordowhatevertheywanttobecome rich.Thispersonbecomes rich andthose people whoare comingincontact withsuch personasthe workersor as the customer are going to become poor. People become poor by many ways. People becomes poor by their own mistakes like not working hard, notunderestimatingthemselves,spendingmore money on various materials which are not at all required for leading simple life, trusting bad people in the ambition of becoming rich early, investing all the money in the hand of bad man and so on. Many people may be working with the bad person,andthe bad personmaybe gettinglotof income fromthembutthe bad person will not give anything to anyone even after working for many years under him. Thisworldand the society is a mixture of many good and very few bad people. A person becomes good or bad in the society by the type of thoughts that generates with in his mind, the various actionsthat he executeswiththe influence of histhoughtsthatis generated in his brain, and by the action induced influences on others physical – mental – social - economic life. As one thought arises in our brain, another thought also arises simultaneously telling the first thought that it is bad or good and thus indirectly influences the action to be carried out. The thoughtwhichisresponsibleforthe initiationof the action may be called as the ‘First thought’, the thoughtswhicharises simultaneously with the first thought in our mind, influencing or instructing the first thought, like either to go ahead with the action or not (or the first thought is right or wrong),dependingonthe type of firstthought,isthe ‘innersoul’orthe ‘innerconscious’. Whenthe first thought is bad and the second thought instructs the first thought not to carry out the action since it is going to harm others physical – mental – social –economic life and if the first thought is not listening to the second thought and executes the action, then the person becomes bad in the society. If we act accordingto our innersoul,thenmostof the time we will not be committing any mistakes inour life andthuswe will notbecome badinthe society.Butstill there isapossibilityof committing mistake ineveryone’slife andthiscanhappenwithoutthe knowledge of the person who executes the action.A personwhoexecutesactions knowingly which is considered as bad in the society and he doesit evenafterhisinnersoul tellinghimthatnotto carry out that actionbecause that can lead to damage to others physical - mental – social - economic life, but still he commits the action and that becomes the ‘sin’. If we listentothe innersoul (secondthought)present in our mind, then we will not become bad in the society. Since some people,neitherlistentothe innersoul,norlogicallythink on their own, but still carry out the work by some influence, thus they commits mistakes and becomes bad in the society and get the mind disturbance because of many reasons like getting more money in short time,propertybyanymeans, becoming famous through any body’s work and others and thus they makes the population group of ‘Bad people’.
  • 15. A goodpersonwhogetsthe problembecause of the actionsof the badperson will be disturbed, but temporality and the memory may vanish as he is out of the problem. The memory of the action that the bad person executed is going to remain inside his brain permanently, because it is going to be a strong long term memory as the person is going to rememberthe eventrepeatedlyashe seesthe personsomewhere,ashe listen’sthe personthrough some body or any event or the material which is present in the scene will make the bad person to recall the event and thus there is war of thoughts begins inside the mind of the bad person. This war between the first thought and the second thought continues and there is repetition and recurrence of bad memory in his mind till his death and this leads to the loss of concentration, disturbancesin the peace, lossof logical thinking, inabilityin assessing the consequences in his life. A person who moves close to the bad person will move in front of him without any change in his mental status even though he had undergone temporary disturbance, because he is not aware of the process of disturbance and that disturbance was temporary. But the mind which created the problem will soon be disturbed, because that mind knows how it created the problem. Most of the persons who commits the mistakes listening only to the first thought of their mind, thinksthattheyare wise and can fool anybody in the world, and thus they plan the action thinking that the othersinthe worldwill not come to know about the process. Most of the time the person whocreatedthe problem will try to divert the concentration of the people thinking that by this he can escape from that situation and this itself will leads to the clue to identify the culprit. It is true that, boththe truth and the liesleave theirfootprintsalongthe path it walks. We are all very small infront of the world,and itis notpossible tocheatthe entire populationall the time,the course and consequenceswill take its own way and nobody knows what happens at what time, and the world will take its own turn as the consequences arise. Some of the badpeople will have fixedthoughts, they will not move beyond their level of thinking and if it is a wrong perception then it is going to cause more harm to the people. 100 ordinary people havingawrongfixedthoughtwill notcause muchharm to the society,butone top person of the societyhavingafixedthoughtwill cause severe damage to the society.Itisvery much necessary to analyze ourthoughtsfromtime to time withourexperiences in life. It is necessary to accept the truth that everybody wants to lead their life in their own way they want, not harming the others. Any one, especially the top people- leaders - people in power- policy makers - decision dictators shouldnotcome to a conclusionwithafixedthoughttellingthat‘thisisnot possible’ or ‘it has to be done only in this way’ and others, until they analyze the complete situation, the root cause, the evaluationof the problems,manysolution options available for the problems, and advantages and disadvantages of each solutions. 2.7 ‘My views’ tomake ‘My India’ a ‘Developedcountry’ In thisbook,I am tryingto focuson variousproblemthatare existinginthe presentIndia with some of the referencesquotedas“factsand figures,”the effectsof these problemsonthe developmentof the nation and on the family economics, and the solution for these problems. Other than references,all thoseviewsmentionedinthisbookare myownpersonnel viewsforthe development of thisnation. AndthisI am bringingout in the form of a book in order to create awareness among
  • 16. the responsible citizens of the nation to think in this way, and I am just writing a board to the path whichleadsourcountryto the developed status. This may not be the only path to achieve the goal of developed status; there may be other paths also available to achieve this goal. I request, those who are interested in the development of the nation to read this book, especially those who are working for it, including our leaders and officials. Government of India may also be going through this book and they may consider this book to implementatnational level. Sometimes, some of you may feel that the views written in this book are not good, in that case you write to the GOI with reasons, if possible before GOI considers my project at your own risk. Or, if you feel that the views present in this book are good then also you can write the lettertothe GOI at yourownrisk,tellingthatthe viewsare good, in that case GOI may consider my project for implementation, thus I may get a chance to do this precious work. I requestall the readersnotto come to a conclusiontill you read the entire book, understanding it, analyzingitandthinkaboutthe overall productivity. Ialsorequest the readers not to create groups in order to support the views or to oppose the views, and start doing the strike to take up the projector not to take up the project. Letus become more scientificandpractical,you(orthe group) also write the book in a scientific way with reasons, your plans for the problems and how you are going to achieve the developed status of the nation and if your solutions are good, then GOI may consider your views to reach our country to the developed status. I don’tmind,whichprojectis going to achieve the status of developed country and who is going to achieve thatgoal. I chose thispath of writingthe bookto create awarenessamongthe people,after listening to many people’s helplessness to achieve these goals. I alreadymentionedinthisbookthatitis justa ‘signboard’to the path;we needto passthroughthe entire pathto reachthe destinyof ‘Developedstage’.There are lotof works have to be done during this course. We may have to write hundreds of books of this type to guide the people working for thisprojectfromthe grass root level till the policy maker level. This book is just the beginning and not the end. It isnecessaryto interact with many allied specialties, and involving all the people of different segments is necessary to achieve our goals. It isalso importanttoconsiderthe people causingobstacletoanyof the development.It is not at all possible tochange the mindsetof some of the badpeople. We need to be more careful in tackling such situations arising at different stages. I feel all the people of the nation will identify such personalities and teach them a proper lesson at correct time so that they don’t create problem for the progress. People’sparticipationatrighttime isveryessential toidentifyevilpersonearly and to take necessary action before that person causes damage to the society, and thus all of us can participate in the growth of the nation and for our personnel growth. I am writingthisprojectafterthinkingalot,analyzingmany experiences, listening to many people, understandingthe humanphysiology –emotions –sex – relationships – attachments – involvement – degree of theirwork – love andaffection. The worldexists,notonlyforme to live,butall of ushas to live. A child cannot live without the support of the care taker; a student cannot become wiser without the support of the teacher, a political party cannot exist without the supports of the members, a nation cannot function smoothly without the support of all the states and all the nations. In the sense ‘We are all dependent’.
  • 17. My request to all the readers is, don’t come to a conclusion until you completely read this book; understandthe contents,andanalyzingthe total outcome.Inbetweeninthe processof reading,you may feel thatyouare notgoingto benefitfromthisprojectbecause youare already rich;thisproject isgoingto decrease myincome,onlythe poorisgoingto benefitandothersare notgoing to benefit fromit and so on. This maybe the possibility,if Iwasconcentratingonly on division and re division of resources and not thinking on the process of productivity. The project aims at increasing the overall productivitybyutilizingthe everysecondof the entire population, every square centimetre of the land available, every technology which helps in the acceleration of the productivity in an efficientandcoordinatedfashion,withnolossin the process of processing, transportation, storage and ultimately,qualityproductsandqualitylife isachieved in an affordable, smooth, hygienic way. The benefitof increasedproductivityisnotonlygoingtobenefitthe poor,butthe share also goes to the rich. Only disadvantage may be for the segment of the people who use their crooked skills to earn easily by illegal ways, not working in a productive way, escaping from tax and so on, such people willhave problemsbecauseall the events are going to be recorded spontaneously in all the fields like agriculture, industry, education, health, business ect. 2.8 We are all dependent. Anylivingorganisminthisworldcannotleadthe life independentlywithoutthe helpof the nature. I repeat‘we are all dependent’. A single cell livingorganism‘Amoeba’needthe helpof the nature for its nutrition and oxygen; A nation needs the help of another nation, a family need the help of another family, a person need the help of another person and so on. May be because of geographical reasons and administrative purposes the world is divided in to nations, national administration aims at the development of the nation. The development of the nation is directly and indirectly going to influence the development of the individual and the development of the individuals is going to influence the development of the nation. For example the life styleof an individual depends on the salary that he is getting; the salary of his groupof similarindividualsisdecidedbythe economyof the nation. If an individual earnsmore,the nation gets more tax, and the nation is at the benefit. If the nation gets more tax, then there is better public infrastructure like roads, better mileage and less repair of the vehicles, more saving with better life style for an individual and this benefit the individual. A nation is a composition of living and non living things. Living includes the population, animals, plants,andtrees. Nonlivingincludes ores, mines, land, rivers, lakes, buildings, infrastructure, and others. The compositionof the nationcanalso be listedasvillages,towns,cities, forest, agriculture land, and others. A nation with better natural resources, better technology, and better working atmosphere takesthe nationtoa developedstatus. The natural resourcesare the god’s gift and we may notbe able toincrease it.If we use it effectively,economicallyand in a proper way, the natural resourceshelps the nationtoreach the developed status, if we do not use the natural resources in an eco friendly way we will land up in problems. Utilization of the nature needs knowledge, skill, technology, and experience. Knowledgecomesfromeducation,skillcomesfromrepeated doing, technology comes from better thinking,andexperience comesfrom remembering the past. For all these thinks we need a better
  • 18. mindwitha strongbody. We needto constructour mindwiththe helpof educationandwe needto buildourbodywiththe helpof hard work. For constructing the better mind and a strong body, the basicrequirementishealth. Health is a continuous state of physical, social, and mental well being and not merely the absence of disease or infirmity and the person should be able to lead economicallyproductivelife. Healthdependsonthe genetics, health of the father and the mother, nutritioninpregnancy,absence of disease in pregnancy, delivery, neonatal, childhood, adolescent and adultperiods,care andnutrition,absence of disease inthe individual, lifestyle of an individual, exercise, environment, and others. Nationisa compositionof individuals. The entire population can be classified into productive and dependentpopulation. The dependentpopulationsare the children and the elders; the productive populationare the youngadults. We needtoshape the childrenforthe sake of future,andwe need to get the experiences of the elders to minimize the injuries on ourselves in the process of experimentation. Educationgivesknowledge,knowledge givesusthe power of better thinking, better thinking helps in the evolution of technology, better technology increases the velocity of productivity. The economy depends on the speed of productivity and the quality (Life and the functioning of the material produced). A nation with one hundred crores loving people will not bring any change in the nation. A nation with one hundred crores people without love and affection for the nation with the mind to work hard and earnmore makesthe nation a site for internal quarrel and unhappiness. One intelligent, educated, influential man is sufficient to disturb the peace of the entire nation and the world. So the developmentof the nationdependsonthe ‘peopleof the nationwholovesthe nationandatthe same time thinksbetterfor the construction of the nation by utilizing their education, knowledge, experience, technology, and most important is, involving in the work with love and affection’. Involvementwithloveandaffectionwillincreasethe speedof productivityandthusthe economy. A person with many qualification, high knowledge, and lot of experience without involvement is equivalent to a dead man. Education, gaining knowledge, getting experience, developing technology, involving in the work all needs concentration. Concentration is the phenomenon of mind,whichneedsthe peace andhealthof the mind. Peace basically depends on the thoughts we have inour brain,and alsodependsonthe processof forgetfulness. Itis easy to forget if somebody harms you(the peace in us may be disturbed for a moment), but it is difficult to forget if you harm somebody and our brain will remember the event till its death and thus the peace is disturbed permanently. So, the concentration depends on how much mistakes that we do in our life - ‘the more the mistake the lessthe concentration’. Concentration determines the involvement and the efficiencyinthe work. Withoutthe concentrationwe maynotbe able to involve in the work, it also affects the efficiency. Involvement and efficiency determines the productivity, productivity determines the individual economy, and all the individuals put together determines the national economy. So, it is necessary to guide our younger generation like our children and the adolescents through suitable education,where they have concrete type of thinking and chances of going wrong is high, and thus we need to create a society of people with ‘less mistakes’.
  • 19. Create the thoughts in the minds of common people like ‘that they are living, because they are working, but not because of someone is helping them’ and it is possible for everyone to lead a descentlife if theyworkbetterandif they get good returns for their work, thus they will be able to have goodhouse,bettereducationfortheirchildren,and will be able to manage the financial crisis due to ill health, and there is no place for the word like ‘loss’. Now, everyone is working on their own, thus there is productivity and thus there is sustainability. Sustainabilitywithbetterqualityispossible onlyforminorityof the people, but not for the majority of the people.The aim of this project is to bring coordination among the various segments of work force by utilisingall the manpowereffectively,bringmassiveincrease in the productivity, and bring the reality of quality, sustainable life for all the people. If a person is staying at one nation he should be the citizen of that nation both physically and mentally, and he should love his nation when he is awake and also in his dreams. If a personstayinginone nationandif,he is the citizenof thatnationphysically - in his voters id and if he is mentally the citizen of some other nation, then that nation who gives shelter to him is at danger,evenif thisnumberissingle,andif this number is more, then the nation is at more danger. Thisappliestoall the nations, and if the national leaders are ‘mentally retarded in this aspect’ and not able to identify such people in the nation, then the sufferers are the people of the nation including the leaders. They are, ‘My views’ to make ‘My India’ a ‘Developed country’, I wish you will accept it.