Deadly “pressure-to-perform” claims another life

A 25 year old with technical and business degrees from IIT and IIM, the top Indian colleges and working for McKinsey, the world’s best consulting company. Everyone would say what an amazing guy. The mental pressure around the two statements is in itself unimaginable.

It is generally accepted that at least 3 years of work experience is required to take up an advanced or Master’s degree and in the case of an advanced business degree more experience is preferred. Academic institutions should assess the work experience and the candidate’s exposure and knowledge of the business side of things before granting admission for business degrees. The guy came straight out of IIT at 22 years and landed at IIM. What exposure does someone at 22 have of business and the ones who have will definitely not take up a business degree, not at 22 for sure. Out of IIM and straight into McKinsey. It is nothing less than maniacal.

It is clearly not just the work pressure that drove him to take his life. The deadly “pressure-to-perform” comes from downstream a long way back. Suicides among students preparing for entrance exam to get into the IITs and among students studying at IITs have been rising alarmingly over the years. That is 5 years of academic mental stress with the added stress of cracking the CAT exam to get into the IIMs and then 2 years of even more academic stress during the MBA program. When he joined for work, he had already spent 7 years of his life in the pressure cooker of intense academic stress.

Work pressure and micromanagement are common in most companies now but would depend largely on the ones managing the projects. Companies like McKinsey hire the best graduates from the top colleges and then the pressure to perform and the toxicity in the work culture is thrust upon them. Now the question everyone would have asked is, why didn’t he just quit and move on rather than drown himself in the mire? Because of social and peer pressure. Can’t someone who has gone through the grind of JEE, IIT, CAT and IIM absorb work pressure and continue performing at his peak? No one would have understood, not even his family. The problem with peak performance is, no one can stay at the peak forever and down the peak could become a free fall very easily and quickly. He was way too young to manage work pressure, push back micromanagement and survive office politics and toxicity.

It took me 10 years and enough exposure of working with international clients to understand how a MBA can add value to my profile and MBA from an international college would be the best to prop up my international work experience. With age and experience comes maturity and the ability to work smarter and manage all kinds of stress. Consulting is no easy job and consulting with McKinsey means working with the top companies in the world. It is impossible for anyone to live in sustained mental stress for a long time and the younger one is the more vulnerable they are to capitulating sooner.

From the time I heard the Dire Straits classic “Private Investigations”, a narrative of the daily life of the not so scrupulous private investigators, two lines have stuck with me.

“What have you got, at the end of the day

What have you got, to take away”

What we will all eventually take with us is knowledge and experiences and not the names of academic institutions where we studied, the names of companies where we worked and the expectations of people around us. Our well being is something only we understand the best. The stress and suicides created by pressure to perform will stop when we realize these simple facts.

Understanding our evolution through the lens of diet and nutrition

The Community Nutrition Forum (CNF) in my home state of Kerala in India organized a “Webinarathon” in celebration of National Nutrition Month in September. 15 days of 1 hour sessions conducted by expert dieticians and nutritionists about a range of topics such as basics of good nutrition, diet for different diseases and diet for different age groups. I missed the first few sessions but since then have been listening to topics such as diet and nutrition for Alzheimer’s disease, women suffering from PCOS, lactating mothers and adolescent kids. One common factor has stood out in all the sessions. From children to elder people, every category of people has one basic requirement the lack of which is creating a host of health issues in them.

Vitamin D.

Where do we get Vitamin D from? Simply go stand in the sun. But there is a catch. Our body creates maximum Vitamin D when exposed to early morning sun, between 7-9 am. This is why most Indian temples are open till 9:30 am. What happens after 9:30? Sun’s radiation becomes stronger as it gets hotter and we get exposed to more UV rays which in the long run can cause cancer. But simply standing in the sun is not enough. With brisk walking we inhale more oxygen and the increased pumping of the heart sends oxygenated blood to all parts of the body triggering cell regeneration. More oxygenated blood flow rejuvenates the brain which in turn helps improve focus and concentration. Many schools are adopting 10-15 minutes of workouts or yoga before beginning of classes every morning. Circumambulation of banyan trees is common in Indian temples because banyan trees produce the best oxygen in the morning. Most traditions are rooted in science but people would ignore if they are asked to walk for the sake of health but would walk readily in the name of Gods, so Gods have been used to build healthy communities for thousands of years.

The dominant genes in all of us contain genetic information from our ancestors who were active and predominantly outdoor people. Our present lifestyles are in direct contradiction with the information contained in our genetic makeup. Moreover, fats, proteins, carbohydrates, vitamins, sodium, potassium, magnesium, iron, etc all exist in a certain balance in our body. Imbalance in one of them can have ripple effect on the others. Such imbalances result in the release of hormones that can do the exact opposite of the so called happy hormones, making people moody and pushing them into spirals of negative thoughts. This in turn reduces our body energy known as prana and when that battery dies we die.

Vitamin D manages a host of body functions and is even said to protect us from cancer. But we are too busy for morning walks. Many people take Vitamin D capsules, unknown to the fact that absorption of Vitamin D through the gut is very less compared to creation of Vitamin D from sunlight through our skin. Then there are people deriding others for walking in the sun because it will make their complexion dark. Pitting staying healthy against looking white and (supposedly) good is not smart and it is born out of ignorance of our own anatomy.

I have observed dietitians advising people to shun junk food completely and eat only healthy food. We resist just like animals when we are forced to change something we like or adopt something we don’t want to. People who like eating junk food, especially the ones in the adolescent age group are going to laugh off such advices. The question here is how did we reach the point of addiction to junk food?

Animals eat food for nutrition and not based on taste. When we see a pride of lions hunting and devouring a wild buffalo, there are two aspects to note. Herbivores extract proteins from the vegetation they eat but protein content is low in vegetation which is why they need to eat a lot to satisfy their protein needs and consequently developed large appetite and large physique. Carnivores eat herbivores to get the proteins from them. Also, lions hunting a large animal means every member of the pride can eat to their full and they don’t need to eat again for some days. Hunting is an exhaustive and risky affair, zebra’s hind leg kicks have broken jaw bones of lions and starved them to death.

Our taste buds are far more in numbers and far more evolved than that of animals. Our preference for taste grew with time and this is how we started using spices. There were times when food was made with the balance of nutrition and taste, like the biryani. What changed those dynamics was the industrial revolution, concept of money and office jobs. Working for long hours became the norm and there was no time for sumptuous meals. This heralded the emergence of a new food industry, the fast food industry. Food items that can be prepared quickly, are tasty and can be eaten fast or on the go became the need and the fast food industry catered perfectly to the new dietary requirements. A large proportion of fast food items are fried and deep fried, have milk products such as cheese and butter and adding a sedentary lifestyle with little to no exercise has become the recipe for health disasters.

Dietitians have to understand the short and long term adverse impact of eating junk food and prepare totally new diet charts with healthy food items that can reduce the adverse effects of junk food. Fast food has become an integral part of the global food industry and junk food an integral part of our diet. Restaurants in India heat oil for deep frying a variety of vegetarian and non vegetarian food items in the same oil, reuse the same oil the next day and add fresh oil to it. Every food item fried in such oil is junk food for me. Dietitians have to accept this reality and evolve with their diet plans accordingly.

I have had problems digesting meat from my childhood so I never liked eating meat. My great grandfather was a Brahmin so I used to think my dislike to meat was genetic till my mom told me that she ate very less meat during her pregnancy. This is when I realized being not used to meat from my mother’s womb could be the primary reason. My friends keep telling me the need to eat meat for meeting my protein requirements but I believe everybody’s nutrient requirements are different based on many factors and my body may not have similar protein requirements like others.

Precision nutrition is an evolving and exciting area of study where one’s DNA, microbiome, and metabolic response to specific foods or dietary patterns are analyzed and evaluated to determine the most effective eating plan to prevent or treat disease. According to many religions, each human being is made up of genes from 7 generations. Considering 7 generations of genes on both father’s and mother’s side of each one of us, we are all made up of genetic soup and our genetic structure must be as unique as our fingerprints.

They say the way to someone’s heart is through their stomach. Healthy hearts are the key to our overall health and dieticians are best positioned to ensure this. The need for healthy diets are on the rise in every aspect of our lives so dietetics is an emerging field with immense potential. Looks like dietitians have a major role to play we move towards our next stage of evolution.

Life lesson from my dad’s passing

Its been a month since my dad’s passing and as mom and I continue to reminisce about his life and reconcile with his loss, I am realizing that life has taught me an important lesson.

Both Dad and his younger brother were tall and heavy and both had acid reflux issues (thanks to their maternal genes). But how their health unraveled took two contrasting roads.

1. Extreme acid reflux can simulate cardiac issues and this happened for both. Cardiologists did angioplasty on uncle but treating arterial blocks do not stop acid reflux. Uncle lost faith in treatment. Bypass surgery was recommended for dad after 20 days so I figured if he can survive for 20 days, his health can be managed without surgery.

2. Both developed swelling on their hands and feet. Uncle’s condition was apparently not treated. Dad’s cardiologist kept asking about his bypass surgery and ignoring the swelling. So I googled to find out why the swelling was happening. Any issue that affects the working of the heart reduces blood flow to other parts of the body. When kidneys receive lesser amount of blood the body assumes there is not enough water so kidneys start accumulating water, first on the feet and then on the hands. The condition is called edema. Finally when water enters the lungs it becomes pulmonary edema. Then the only treatment left is bypass surgery. Dad’s cardiologist was trying to force bypass surgery on him by leaving the swelling untreated. I immediately changed the cardiologist and consulted a nephrologist who prescribed a diuretic which forces water in the swelled up areas to be released from the body through urination. Uncle refused bypass surgery, water had to be pulled out of his lungs, he developed paralytic stroke and eventually passed away.

3. Dad reduced salt intake drastically after misunderstanding cardiologist’s instruction. I was unfamiliar with the ensuing condition but realized something was wrong with him. Took him to hospital for checkup and found his sodium level freefalling. In another two days he would have had ended up in coma.

4. Dad’s new cardiologist advised me to treat acid reflux at home and not to take him to hospital as acid reflux bouts can seem like cardiac issue and he would end up in the hands of cardiologists.

For the past 10 years, I have been mostly at home and especially in the last 6 years, largely due to market conditions. This gave me the opportunity to try doing different things which led to starting a home based cloud kitchen and in a way fulfill dad’s lifelong ambition to start a restaurant. I forced dad to go to the gym which improved his health drastically. When he suffered stroke like symptoms I chose to take him to a physician nearby who checked him and told me his nerve functions were fine and he was suffering from weakness due to muscle loss caused by protein deficiency. Though he fell a couple of times nothing happened to him and mom and I ensured he never fell down again especially in the bathroom. Broken bones never heal completely in old age, restrict movements which reduces immunity and makes body vulnerable to other diseases. Dad had normal blood sugar and I ensured all his body organs were working well and his blood pressure, essential elements like sodium, potassium and magnesium and vitamin levels were normal. Circumstances prevented me from pursuing a career in medicine but my fundamentals in biology and human anatomy are strong and I read a lot on both.

I did not earn a lot of money in the past 10 years but I was able to save a lot of money on dad’s treatment. If I hadn’t been at home. he may have underwent bypass surgery which could have ruined his health. Most importantly, he was able to live a disease free life, eat and do everything he wanted to and go peacefully. I could not have bought him this with all the money in the world. Is it possible to become successful without having a lot of money and everything that comes with it? I guess it is.

Obituary of my dad

It has been a week since the sudden demise of my dad (at 72 years) and through our bereavement mom and I have had a lot to contemplate about his life. As a person, he was outright, outspoken and honest, a little too much for his own good. As a caring son and loving husband he was peerless and as a father he was borderline maniac. Nothing I did ever impressed him. He always believed I could do better. Grow more than his 6 foot 90 kg frame for starters. I have been literally hounded and abused for being a poor eater. Other than a chronic acid reflux issue and vitamin deficiencies, he was disease free. All organs, blood sugar, blood pressure, essential elements like sodium, potassium, magnesium were stable and in good condition. In 2021 he started going to the gym but loss of protein made him quit. This post is not to eulogize his life though.

Dad and his mom were endowed with extremely good genes. Grandma was also completely disease free. Both were addicted to sweets and drinking sugary water of Indian sweets and still their blood sugar never went up. Grandma went silently in her sleep in 2010. After a bout of acid reflux, dad developed slight respiratory problem and I took him to hospital. ECG, brain CT scan, chest x-ray all came out normal. He was given sedation to sleep and was sleeping soundly when silent cardiac arrest took him, just like his mom.

What I have learned from their lives is, as they grew older they found happiness in two things. They were able to eat and do mostly anything they wanted (dad had to take medication for acid reflux). Both dad and grandma loved animals and both kept in touch with the people they loved. Dad was a jovial man and loved cracking jokes all the time inside the house and with his friends, even the ones from his childhood days in Calcutta. Many of dad’s friends are far younger than him but all crazy like him.

People I talk to are surprised that disease free people can die. Prana or the life force that runs through our body is the cornerstone of all ancient healing methods like yoga and acupuncture. More prana means better health and less prana means weaker pulse and weaker immune system making us vulnerable to diseases. No matter how healthy we are when there is no more prana left in our body we die.

Many cultures believe in rebirth after death and rebirth depends on karma of our past lives and the state of our mind when we die. Dad had his share of regrets but I hope a good death in this life will give him a much better next life.

Heat pollution and Earthquakes – Why the world needs to have broader conversations about climate change

According to NASA website, “Global warming is the long-term heating of Earth’s surface observed since the pre-industrial period (between 1850 and 1900) due to human activities, primarily fossil fuel burning, which increases heat-trapping greenhouse gas levels in Earth’s atmosphere.”

NASA’s definition of global warming is misleading for a very specific reason. It is placing the primary responsibility of global warming on fossil fuel burning. While it is true that releasing trapped carbon in fossils back into the atmosphere has led to the greenhouse effect and increase in Earth’s surface temperature, global warming has to be understood from a much larger perspective.

From the smallest microorganisms to the blue whales, every living being generates and emits heat from its body. We consume food, break it down for providing us energy and release that energy as heat into our surroundings when we do our activities. In order to understand Earth’s surface temperature, we have to first select areas in all geographic locations, measure heat generated by every organism except humans in those areas and extrapolate the results to find out the total heat generated by all animals except humans over a specific period of time. There is a good reason to exclude humans from this exercise.

Except the animals that live in packs, all other animals try to keep distance from their own kind and from other animals except during breeding time. Being territorial about food is one reason and the other reason is, as population density increases, heat released from their bodies become amplified. Understanding body heat is easy. In a room cooled by A/c, the room will be moderately cold when there are more number of people and as more people leave the room the remaining people will start feeling colder. Also, greater population density results in faster spreading of diseases. Predator-prey relationships and diseases are two major ways how nature enforces population control on animals. So measuring the population of each animal and the amount of heat released from the body of each animal would give a good account of how much heat animals contribute towards Earth’s surface temperature. This is another reason why population control in nature is important because population control will ensure heat released from the body of animals will not significantly add to Earth’s surface temperature.

We have not only broken all laws of nature we have done lot more things that are mind boggling and incomprehensible. Earth is 70% water and 30% land of which 10-15% land is habitable. 8 billion and growing human population is jostling to live in this small percentage of land. Our perpetually increasing population density is amplifying all our body heat and to add to this, any disease could manifest into an epidemic and pandemic in no time. But it is not just our body heat that is contributing to Earth’s surface temperature. Every single creation of ours, from the smallest light bulbs to mobile phones to the largest aircrafts and rockets are burning fuel and generating heat. We are not just polluting Earth with heat generated from carbon emission, we are also creating heat from sound, light, breeding different types of cattle and poultry for our dietary needs and many more types of pollution and every type of pollution is generating copious amounts of heat all of which adds to Earth’s surface temperature. Simply put, the most significant and largest pollutant we are creating is heat.

To add to all of this, we are cutting down trees and destroying forests. Trees absorb harmful rays from the Sun and when they are gone, those harmful rays also end up heating Earth. So there are two ways in which Earth is getting heated now. Earth is getting bombarded by more harmful rays from the Sun and by the increase in Earth’s surface temperature and we are contributing significantly in both.

When we speak about climate change we have to take all of these into account. In our rich history, there is a great example of climate change if our population decreased suddenly and consequently, forest grows back. The Spanish Inquisition in the Americas in the 16th century eradicated 90% of the local population due to wars, famines and epidemics and forests grew back in the millions of hectares of human settlement areas. Research points to a global temperature drop in the 17th century which adversely affected Europe resulting in famine and epidemics and this is being correlated with what had happened in the Americas a century earlier.

All conversations about climate change largely revolve around carbon emission and the need for carbon neutrality. This is not just a very narrow way of looking at global warming but also a misleading one as well. Our exploding population and everything we are creating are all adding to global warming. Population control is no longer the solution. If human species has to survive, human depopulation is the only way. Most of us will have to die for some of us to survive. Otherwise, receding forests and increasing human population will increase Earth’s temperature to a point where Earth will become uninhabitable. But, long before it goes that bad, something else will happen. There is a natural disaster that will happen if Earth gets heated up like it is getting now – Earthquakes. Oceans when heated up will cause underwater earthquakes resulting in tsunami. There are ancient tribes that believe the world has been destroyed completely 3 times in the past and the 4th one is imminent which will be caused by cataclysmic earthquakes.

We need broader conversations about climate change caused by all the heat created by us and the consequences leading to global awareness programs with the clear message that Earth is already overloaded with us and can take no more of us. Without this, all conversations are useless.

Understanding Business Objectives In The Chaos Of Corporate Layoffs

News of layoffs from Silicon Valley heavyweights and the startup world are grabbing headlines and eyeballs each day now. Professional social media platform LinkedIn is inundated with posts from laid off employees expressing anguish at the way they were locked out of company premises and office computer networks abruptly. There are several reasons for what has been happening but it would be better understood by first looking at business fundamentals and other underlying factors.

All companies aspire to grow their revenue and profit margins Year-On-Year (YOY) and this is the mandate of their top executives. Business strategies are created for both revenue generation and cost saving (money saved is money created) based on market analysis and macroeconomic conditions. This results in the initiation of projects which when executed results in the development of products, services, etc which can either be commercialized and monetized to generate revenue or used internally to increase efficiency and thereby reduce cost to companies. Bigger companies will have multiple projects and startups will be mostly working on developing a single product/service. Now, there are business evaluation methods (NPV, IRR) to establish if a project can be successful but there can be hurdles during project execution, introduction of similar products/services and other market changes, changes in macroeconomic conditions and availability of funds that can fail the project and failure of companies in case of startups.

There is a business evaluation model called PEST which is used to analyze macroeconomic conditions to determine the success or failure of a business initiative. PEST stands for Political-Economic-Social-Technological. PEST was later extended to PESTEL to include Ecological and Legal factors. Ecological can be largely divided into two factors – natural disasters and diseases. Companies have traditionally ignored ecological factors during business evaluations. The first time I came across ecological factor becoming relevant was after the devastating Mumbai flood in 2005. A client that had outsourced its IT operations to a service provider based out of Mumbai asked for a disaster recovery (DR) team to be set up in Bangalore. But diseases were completely ignored.

When the COVID pandemic struck in 2020 and countries went into lockdown, supply chains got massively disrupted. Companies were forced to modify their strategies and operations with immediate effect or close down. As the lockdowns extended, many of the ongoing projects became reduntant temporarily while new business opportunities started coming to the fore. Online home delivery and educational platforms popped up and thrived. Hiring increased substantially to implement and support new projects. It was evident that lockdowns had to end or would cripple economies of countries but where companies seem to have grossly mistaken is in their assumption that businesses would not or take a long time to return to pre-covid situation. My understanding is, if businesses had done their evaluation by considering ecological factors and specifically the factor of diseases and understood the implications, the world would not have had to go through what it had to for two years of the pandemic.

It is well known that majority of projects initiated by companies and majority of startups fail. Companies try to absorb employees in failed projects into other projects whereas startups are left with no option but to let go off their employees. But organizational consolidation amid fears of impending economic recession, disruption caused by Russia-Ukraine conflict and rising inflation and interest rates have resulted in the layoffs we are seeing now. There are different categories of employees that have been impacted now.

1) Employees on bench – Employees who are not assigned to projects or are out of projects and yet to get new projects are assigned to bench where they are trained on new technologies and topics while they continue to receive their monthly salaries. Normal practice is, most employees on bench get assigned to new projects and those who don’t are let go after a specific period of time. When layoffs due to consolidation is initiated, bench employees are the first ones to be affected.

2) New/recent joiners – When projects slow down or become redundant, new/recent joiners get impacted first when projects are shut down or team sizes are trimmed.

3) Senior employees – Yes and no surprises. All companies expect their employees to upskill themselves along with increasing experience and move up the ranks. While it is true that the corporate pyramid becomes thinner with increasing height, employees who choose to do nothing or continue staying in specific roles become redundant with time and replaceable. In a previous job, I have seen experienced people of a specific skill being let go and people with less experience of the same skill being hired to fill up those roles. Senior resources are needed in projects only till the time the projects become stable and all information is documented. Then projects can be run easily with a couple of senior people and team members with lesser experience who need to be paid far less salaries. This is also a way for the companies to reduce expenses and make the projects profitable. Moreover, new graduates are leaving colleges with the knowledge of latest technologies and who need to be paid only a fraction of what the senior employees are being paid. This is also making senior employees redundant and expendable.

Top executives are needed for businesses to ride through the storm so they will not be let go off now. In the recent past, some companies were offering high severance packages for top executives to take voluntary retirement because new and young leaders bring fresh perspectives into leadership roles.

It is important to note here that as employee headcount increases the number of internal staff in human resources, facilities and other departments also increase. These employees play no part in revenue generation and add on to cost to the company. Employee reduction also results in the reduction of internal staff count.

Do we need to fear or worry about layoffs? Lush green forests dries out in the summer heat and just a single spark of fire is needed to burn it to the ground. All that smoke and heat, in turn. rises up and brings rain. From the ashes, life springs up again. Life is cyclic and this is the Universal truth. Difficult times force us to introspect and is the time for reality check. These are the times which help us to understand if we want to learn something new and get back into the market or find our true passion and set our lives in a new direction. Any transition is difficult and no one is living happy, peaceful and stable lives which is what everyone is aspiring for. Challenges will come in everyone’s life at some point in time. Overcoming them and moving forward is what makes us truly successful. 

Moonlighting – Necessity born out of poor governance and toxic corporate culture

Rishad Premji, son of Wipro founder chairman Azim Premji recently commented that moonlighting or working in multiple jobs simultaneously is unethical and amounts to cheating. Question to ask here is, why do employees in India moonlight? There are several reasons:-
1) The most important one – monetary needs driven by inflation, taxes, medical needs, supporting aged parents and children, paying loans and a ton of other reasons and salary increments companies give that do not even remotely match the ever increasing needs brought on by the above mentioned factors.
2) Dissatisfaction in their current full time jobs because of poor management and bad managers, poor salaries and salary hikes and work that is monotonous, nothing to learn from and devoid of challenges.
3) Taboo imposed by hiring managers and recruiters who look down upon employees who switch jobs frequently.
4) For younger professionals looking to grow, moonlighting gives them the opportunity to learn more quickly and compete better in the job market.

Rishad Premji can say what he wants from his position of inheritance and privilege. Company owners, CEOs and other top executives who take paychecks that are 100 to 1000 times of the peanuts doled out to regular employees will not have the need to moonlight. Only if he is in the shoes of someone who is moonlighting will he truly understand why employees do one full time job, come home exhausted and compromise on their health, well being and family time to work more.

Tax collectors in Delhi were colluding with businesses to help them cheat on their taxes. In 2015, the new Delhi state government started providing tax collectors with bikes to travel, paid their fuel bills and gave them laptops, mobiles and incentives on tax collection. Revenue generated from tax collection jumped exponentially in a year’s time because tax collectors felt guilty about cheating the government that was taking so much care of them. This is a great example for companies who are complaining about moonlighting employees to learn from and start taking care of their employees so that they don’t feel the need to moonlight.

Dreams that are destroying humanity

It all started post World War II when businesses slowly got back on their feet, from the manufacturing sector & into the government sector. Work hard on 8-10 hour shifts through the entire professional life, save as much money as possible & the dream was to own a house by retirement. Owning a car was status symbol. When banks made enough & more money they started giving out loans for houses & cars & flipped the dream. Now everyone is vying to own a house & a car before they are 30. A few underlying factors subtly changed:-

1) Saving money in banks changed to repaying loans to banks. It didn’t matter if people couldn’t save for a few months but if repayments on home & car loans get stuck for a few months, banks could simply take away both. Living with that thought in itself creates stress.

2) Saving money for 30 years is commitment without stress but repaying loans for 30 years is lugging stress for the best part of our lives. Now it is simple enslavement to the corporate sector, house, car & everything else bought on loans.

3) More salary means more money goes on to taxes. Add inflation, repayment of loans, supporting aged parents, providing children with quality education & a host of other needs & salary hikes that are insignificant when compared to the ever growing financial needs means people are being forced to moonlight in a second job or run some gigs in parallel to their regular jobs. Add the stress of having to hide their other sources of revenue from their employer.

4) When this entire ecosystem of stress got built, people were sold another dream. Insurance. Keep paying insurance premium & it will take care of medical expenses when people get sick. So now there are hospitals & treatment & no one cares about not getting sick & having wellness centers. The best part of all this is, banks now sell insurance. The entity that is the major contributor to the stress in our lives is taking more money from us with the promise of taking care of us when we are sick. It is a different thing that insurance helps with cashless treatment only in cases of planned treatment. For urgent health issues, we have to pay first & then chase the insurance companies for months who in turn will keep finding ways to reduce insurance payment as much as they can.

Barter system between time & remuneration has existed from the beginning of human civilization. But now, we are having to trade both time & health for money. I see houses everywhere with only aged parents living in them. Their children have all gone to other places, bought houses and settled there. Then there is investment on real estate, taking loans & buying houses/apartments to save on taxes. On a planet with 10-12% of habitable land area we are building far more than we need. Human needs are already spiraling out of control, if we do not see what we are doing to ourselves all the talk of mental health is not going to make sense. Working in night shifts has completely disrupted our circadian clock and is making our body a haven for all kinds of diseases to thrive and spread. Our species is simply going to implode in the not too distant future.

Welcome to Googlopathy, the new millennium treatment method

More than a month back, as Dad was walking towards the gym for his cardiovascular workouts one morning, he suddenly became unsteady and ungainly. He had been complaining about general weakness and fatigue for some time. In a couple of days his left side became weak and was unable to move his left hand and walk properly. I took him to a physician nearby who is a M.D and is in his late 70s-early 80s. He did some basic checks on dad (he has all sensations intact on his arm and leg), checked his BP (perfectly fine at 110/80), Dad doesn’t have diabetes (his blood sugar is always less than normal though he can still eat voraciously and devour sweets), so the doctor told us to do some lab tests the report of which was all clear. Then the doctor, suspecting stroke because of possible blood clot in dad’s brain prescribed couple of tablets to make his blood thinner and dissolve the clots and another tablet to improve his nerve functions. Then he told me to improve dad’s diet and take him for physiotherapy sessions. A doctor I know who was the senior doctor at a government hospital and is pursuing P.G in general surgery now told me the weakness could be because of Vitamin D deficiency (Dad hates sun after he had a severe bout of migraine) and asked me to put dad immediately on high dose of Vitamin D tablets once a week and daily calcium tablet.

Dad slowly started feeling better but wasn’t confident about going for physiotherapy sessions so I looked up on YouTube and started basic exercises to strengthen his arm and leg. Then people who know us started getting to know about dad’s condition and were shocked that we did not consult a neurologist and did not do his brain scan. Couple of days back, he finally agreed to go for physiotherapy. The physiotherapist we went to was agitated and demanded us to meet a neurologist, do a scan and then meet him. So I went back to the first doctor and he laughed before prescribing for CT scan. Yesterday we did the scan and everything was fine in the report. The doctor told me dad may have had a Transient Ischemic Attack (TSA) which lasts for a very short period possibly because of minute old clots mentioned in the report. Dad is going to take a while to be back to normal but he has already started moving his hand and is walking better now. The weakness he was complaining about could have been because of Sarcopenia, a condition where people lose skeletal muscle mass and strength due to ageing.

Then the doctor told me something insane. People no longer believe in physicians and clinical diagnosis. They just run to specialists every time they assume something is wrong with them. On top of this they ask for scans and lab tests to be done. Headache for two days and people go on Google, start reading things with no understanding of human anatomy, diseases and their diagnosis and go to doctors suspecting brain tumor and asking for scans to be done. They no longer care or believe in physical examination and diagnostic abilities of doctors no matter how experienced they are. This is what is Googlopathy.

The other doctor whom I spoke to threw a different curve ball at me. A regular doctor or physician could go wrong with his/her diagnosis but it could quickly earn bad reputation for specialists that’s why they are left with no option but to recommend lab tests and scans for every medical issue. We are on herd mentality behavior now where we blindly believe we can be cured only by specialists who charge high fees, do frequent consultation and prescribe tons of tablets, scans and lab tests. Our mindset has changed into believing that when we spend more money on something we will be getting more in return. The specialists are essentially tricking us into exploiting this mindset we have.

Even the regular doctors and specialists are practising Googlopathy now. I had taken dad to a nephrologist in a private hospital a few years back for suspected kidney weakness because his feet were swelling intermittently. The nephrologist, probably in his late 30s-early 40s took his mobile tablet, searched on a website (probably webmd.com) and asked us to do 10 lab tests. I was horrified. With my extremely limited knowledge of medicine and treatment I could have done the same. He did not even bother to ask what dad was experiencing, if he had other health issues, etc. I did the tests and took dad to a nephrologist who was working in a government hospital and was much older (in his 60s). He glanced at the lab report, cast it aside and said older people will develop slight swelling on their feet because of ageing which can be safely ignored.

I told dad the doctor we consulted was experienced enough to send him to a neurologist if he suspected dad had suffered a stroke. The confidence with which he told dad to go home was extraordinary and it came from his wealth of experience which no technology can match. The so called alternate treatment methods such as ayurveda and homeopathy have treated people for hundreds and thousands of years only through diagnosis by understanding the symptoms. Sadly, even those doctors are gravitating towards scans and lab tests now because it makes diagnosis quicker and easier. Our abilities to create and use technological devices is killing our natural ability to do clinical diagnosis.

This degradation is not limited to the field of medicine. Technological devices are destroying all our natural instincts and abilities. Birders use binoculars to identify birds at long distances. Birds are found in specific habitat, the way they perch is different and the shape and size of their wings is different which we can see when they fly. Birders should train themselves to identify birds using these aspects. Doing something the easy way does not mean it is always the best way. Our preference is to eat tasty food but no food in nature is tasty and animals choose food for nutrients not for taste. Our craving for taste has allowed unhealthy food industries to thrive and destroy our health. If we are topping this up with Googlopathy and consuming medicines at will we wont be needing an asteroid strike or nuclear war for our extinction. A bed ridden relative who passed away last year was being fed 17 tablets in the morning (17 you read it right). The line between amusement and horror blurred momentarily for me when I saw it.

The hazards of snake rescue

A renowned snake catcher in my home state in India is battling for his life after being bitten by a cobra. I have been coming across many discussions about snakes and snake rescue on social media so debunking some of the myths and stories surrounding snakes is essential.

Aren’t we all scared of snakes and especially the venomous ones? I read somewhere some time back that 80% of deaths happening due to snake bites is in reality due to cardiac arrests because we are terrified of snakes. The number could be an exaggeration but this is largely true. What most people do not know is, snakes stay away from us as much as they can because of very important reasons.

Snake venom is a lethal combination of proteins and enzymes. Proteins cause paralysis in their prey and immobilize them and ultimately killing them and enzymes help in the digestion of the prey. Snakes may not be able to chase all their prey so it is important for them to immobilize their prey first so that they can wait for the prey to die and then swallow it. Snakes hold their venom in glands on the sides of their head. They use their venom for two reasons : killing prey and countering any threats to them. Snakes do not eat us so we are not their prey. So the only reason they attack us is when they feel threatened by us. Once a snake uses all its venom it takes time for the glands to secrete venom again. During that time snakes are unable to catch prey or defend themselves. This is why once snakes consume a large prey they go hide themselves and rest till the prey is fully digested so that they get enough time to secrete their venom again. Snakes conserve their venom and use it only when it is absolutely required. This is why most venomous snakes warn us repeatedly before attacking us.

Why do we find snakes in our areas? First and the most important reason is we are encroaching more and more into forest land which is their natural habitat and we are destroying their natural food sources. But we are also inadvertantly providing them with alternate habitat and food sources. Rodents breed in large numbers where we store grains and other food items and we also have poultry farms. In nature a successful hunt can take anywhere from a day to a week which is why predators always look to catch the largest possible prey. So their natural instinct is to consume large quantities of food when they eat but they are adapting to us now because we are forcing them to. Now animals like snakes and jackals do not have to wait to catch a prey. They can easily come to human areas and consume the poultry we raise. In our granaries and other areas where we store our agricultural products and even in our houses we provide enough dark spaces for snakes to rest.

From snake rescue program Snake City shot in Durban, South Africa to Snakes SOS: Goa’s Wildest shot in Goa, India, rescuing snakes from urban areas have become popular TV shows. There are concerns about snake rescue though. Snake rescue depends entirely on people and situations. Many people may not bother to call for help to snake rescuers. They will just kill the snakes. Rescued snakes are taken to areas where there is enough green cover and let off. What eventually happens is, the population of snakes in those areas increases and with it the competition to find food. Then some or many of them will move away to areas where there are human settlements looking for food and the whole snake rescue process will repeat. When I was in Bangalore in 2016, I used to go for birding walks around a lake near a college campus. The entire area is covered with trees and there is ample green cover. Then one day I got to know that snakes rescued from anywhere in Bangalore was brought to this area and let off. That was quite scary because lots of people go for early morning walks in that area and around the lake. I even saw a cobra once in the area surrounding the lake.

To add to this, when snake venom enters our veins it goes straight into the heart causing immediate cardiac arrest. Neurotoxic venom destroys our nervous system making us paralyzed in no time. Snakes like spitting cobra can spit venom to considerable distances which can cause immediate blindness if it enters our eyes. I have read about the venom of sea snakes which can apparently melt our body cells and cause blood to ooze out of our skin pores. There is no treatment still available for venom of some of the sea snakes. Even a perfectly healthy immune system will not be able to protect us from such toxic venom. Prevention is better than cure fits nowhere better than with snake bites. Understanding snakes and their behavior will go a long way in helping us from getting bitten by them.

Snake rescue is not a glamorous act as some snake rescuers are portraying it to be. All of them may have gone through a snake bite induced near death experience at least once in their lives. We do not have any options though. With our exponentially increasing population and ever increasing encroachment into forest land, we are going to have to coexist with the animals that are adapting to the changes we are forcing on nature.