May 4  2015, Monday
Continuing Cause of Action
Dr KK Aggarwal 6. Section 24-A of the Consumer Protection Act reads as under : - 7. This reveals, therefore, that the complaint could be filed within a period of 2 years from the date when the cause of action had accrued. This period could also be extended by the Court by recording reasons.

1. 8. In the present case, the respondent was operated by the petitioner on 1.11.2008. Inspite of that, the respondent had pain and suffering for which he went to the PGI on 21.1.2010 and he was operated in the PGI on 10.2.2010. Since the pain and suffering of the respondent continued after being operated by the petitioner on 1.11.2008, therefore, the respondent had continuous cause of action. Moreover, the alleged medical negligence of the petitioner was more revealed when the respondent needed another operation which was got conducted in the PGI on 10.2.2010. (Dr.(Major) Rajesh Gupta vs Kashmiri Lal on 12 July, 2011; STATE CONSUMER DISPUTES REDRESSAL COMMISSION, PUNJAB, SCO NOS.3009-12, SECTOR 22-D, CHANDIGARH.)

2. Hon’ble Supreme Court in the case of V.N. Shrikhande, has submitted that in a case of medical negligence no strait jacket formula can be applied as to when the cause of action arose. If the negligence is latent, then the cause of action occurs when it comes to the knowledge of the patient. (V.N. Shrikhande (Dr.) v. Anita Sena Fernandese (2011 CTJ 1 (SC) (CP)).

3. " Moreover, this is the case of medical negligence and the cause of action remains continuous till the patient or the complainant comes to know about the real injury." ( CONSUMER CASE NO. NCDRC 104 OF 2002)

4. I (2006) CPJ 16 (NC) (Dr. Shyam Kumar Vs. Ramesbhai Harmanbhai Kachhiya) wherein it has been held that the cause of action arose only when the respondent actually came to know about the failure of the operation.

5. 2012 (1) CPR 199 (NC) (Jai Prakash Gupta Vs. Dr. Devendra Lal Chandani) wherein it has been held that medical negligence may provide continuous causeof action.

In the instant case it is the allegation that even after the THR was done by the OP No.1 the sufferings of the patient continued and ultimately on getting the opinion of Dr. Sen Chaudhuri the complainant came to know that the THR was wrongly done by OP No.1. In view of the aforesaid decision and in view of the facts and circumstances of the case, we are of the considered view that the cause of action is continuing one and petition of complaint cannot be said to be barred by limitation.
("State Consumer Disputes Redressal Commission: Smt. Sheuli Das vs Dr. Kanchan Bhattacharyya on 29 October, 2013)
Physical illness can trigger depression
If you have depression, a thorough physical exam and careful medical history should be evaluated to pinpoint a physical source of the problem for an appropriate treatment.

In depression not only look for what’s going on in the mind and brain but also check what’s going on in the body. Many medical problems are linked to mood disturbances.

Over fifty percent of heart attack survivors and those with cancer report feeling depressed. Depression is also linked to diabetes, Parkinson’s and other chronic conditions.

Depression too can affect the course of a physical disease. Depression is linked with slower recovery from a heart attack and an increased risk for future heart trouble.

Thyroid disorders also affect mood. Overactive thyroid can cause mania and under active thyroid can cause depression. Other medical conditions associated with mood disorders include certain neurological conditions (multiple sclerosis, Parkinson’s disease, Alzheimer’s), other hormonal imbalances, and lack of vitamin B12.
• TOI: The city police have given hints that they are ready to investigate the mysterious death of talented cricketer Ankit Keshri but said they cannot proceed merely on the basis of a suo motu complaint filed by a human rights body. "We will investigate only if we receive a complaint from the cricketer's family.

• TOI: Viki Vaurora, a passionate campaign er for medical marijuana, says it is time to bust the myths around the much maligned weed. He is hosting India's first ever Medical Cannabis Conference series that starts in Bengaluru on May 10, to spread awareness about its uses, especially in palliative cancer care

• TOI: The 'Maximum City' takes a massive toll on the heart: 80 Mumbaikars died every day due to heart attacks between March 2014 and March 2015, up from 67 deaths daily during the same period the previous year.

• TOI: 41.3% of all girls aged 19 in India having married, according to just-released data from the 2011 census. Of over 10 million girls of this age at the time of the census, more than 4.1 million were married or already divorced, separated or widowed.

• Union road transport and highways minister Nitin Gadkari on Saturday said the Centre would invest Rs 20,000 crore to revamp road infrastructure in the northeast.
Heart Care Foundation of India, a leading national non-profit organization celebrated World Earth Day jointly with Indian Medical Association, the Ministry of Earth Sciences, Govt. of India
  • A recombinant subunit vaccine significantly lowered the risk for herpes zoster in adults aged 50 years or older without immunosuppressive conditions, suggested a randomized, placebo-controlled, phase 3 trial published online April 28 in the New England Journal of Medicine.
  • The US Food and Drug Administration (FDA) has approved the first spray-dried fibrin sealant to control bleeding during surgery. It is approved for use in adults to help control bleeding from small blood vessels when standard surgical techniques, such as suture, ligature, or cautery, are ineffective or impractical.
  • A new study suggests that retrievable inferior vena cava filters do not further improve outcomes in patients with severe acute pulmonary embolism who receive anticoagulation therapy. The research revealed that the combination of retrievable vena cava filter plus anticoagulation did not reduce the risk for symptomatic recurrent pulmonary embolism at 3 months compared with anticoagulation alone. The findings are published in JAMA.
  • Hematopoietic cell transplant (HCT) recipients appear to be at an increased risk of developing skin cancer, suggests a systematic review published online in JAMA Dermatology.
  • Young patients with type 1 diabetes who received several years of tight glycemic control vs conventional glycemic control were much less likely to require ocular surgery decades later, suggested new data from the Diabetes Control and Complications Trial/Epidemiology of Diabetes Interventions and Complications (DCCT/EDIC) studies published in the April 30 issue of the New England Journal of Medicine.
Dr KK Spiritual Blog
Can a mantra or sound be used as a medicine?

The answer is yes. The difference between a Mantra and a sound is that Mantra sound is an energized sound with medicinal values. There are many aspects of Mantra as a sound:
  • The type of sound matters. It is well known that chanting of vowel sounds produces interleukin-2 in the body, which has the same action as that of aspirin and works like a natural painkiller. Chanting of nasal consonants produces delta activity in the EEG and has similar action like tranquilizers. Chanting of other consonants has different actions in the body for example chanting of LUM reduces fear, VUM reduces attachments, RUM reduces doubt, YUM increases love, HUM increases truthfulness and AUM non–judgmental activities.
  • Mantra sounds can be vibratory or non–vibratory. Vibratory sounds use nasal consonants and vibrate bones starting from mandible, spine, and the automatic plexus lying along the spine. Chanting of nasal consonants leads to parasympathetic state.
  • Any Mantra chanting associated with reduced respiratory rate leads to parasympathetic state of the body. Ideal is to reduce the respiratory rate to 4 per minute and then continue it for next 20 minutes that means 80 breathes in 20 minutes. This can be done by chanting for exam–le the whole Gayatri mantra in on respiratory cycle.
  • How one chants also matters. The yogic way of chanting is when the mind is in the mantra or the chanting. This leads to deeper relaxation.
  • Whether you chant with the understanding the meaning of the Mantra or not also matters. If you do, then the chanting benefits will be more. Foreigners do not understand the meaning of Indian Mantras but yet they get benefits. But if they chant with understanding the meaning of the Mantra, the health benefits will be more.
  • Chanting a mantra with its meaning in the mind invokes the power of intention. It’s like getting connected to any search engine on the internet and typing your query. Your consciousness in our body is the internet and the intention the search button.
  • Chanting a mantra with its meaning in the mind also results in emotions and expressions which have an added advantage.
  • Overtone chanting has additional benefits. The new sound heals not only those who are chanting but also those who are listening and bystanders.
  • Group chanting is more powerful. If 1% population chants together, rest 99% also gets the benefits.
  • One can also do distance healing by chanting at a far distance. The only way one can explain this is by understanding consciousness as an internet cum social site model. In this understanding, each one of us has our page in the internet (soul) as well as a page in the cloud internet (spirit). All our pages are connected with every person in this earth through the cloud internet. People can chant at a distance and their audio file with intent automatically gets posted on their soul internet and the cloud internet. The person for whom we are chanting the prayer gets the benefit whenever he is connected to the cloud internet.
  • During chanting the mind diverts. Continuously chanting of Mantra for 12 seconds means concentration, 12×12 seconds is contemplation and 144×144 seconds is meditation. So by concentrating on the object of concentration, the mantra, one can avoid diversion of the mind.
  • The intensity or the loudness of the chanting sound also matters. Higher the loudness less will be the effects. Japa meditation involves two hours of Mantra chanting to get the benefit. In a non Japa meditation, these benefits can be acquired in 20 minutes. Thoughtless chanting is more powerful than verbal Mantra chanting. Vipassana is chanting without Mantra where you are just aware of the breath and one has to do this type of meditation for hours together to get the benefit.
  • In Chautha or Teravi (mourning period), we have one hour of chanting of Mantra or prayers. This helps relax the mind, shifts one from sympathetic to parasympathetic mode. In the initial 15 minutes, there is sympathetic overactivity and the person is restless. As the time passes, parasympathetic state takes over and by the time one hour is over, parasympathetic state is at its full blown activity and at that time getting connected to cloud internet is easier.

    Full attending for one hour of Chautha ceremony is only for those who are connected to the dead person and want to get distressed. These people have empathy for the diseased person. Those who have sympathy mostly show up before or after the Chautha ceremony to complete their formality.

    In Chautha, we say that Bhagwan Uski Aatma Ko Shanti De. God will forgive him only if the soul is under distress which can only happen if there are some non–fulfilled desires and these desires will always be linked to a particular person. Therefore, only those who have guilt will feel that the deceased person’s soul is not at rest.

    In a Chautha ceremony one can only remove this guilt in the parasympathetic phase towards the end of the Chautha ritual and seeks forgive and forgiveness.
  • In different religions, this has different implications. In Hinduism, we only attend Chautha of whom we know but in Islam people attend the mourning ceremony of people whom they not even know. They believe in mass prayers and pray for the soul of the diseased person. In Islam this mass prayer message gets written on the cloud internet and has mass effect in the community.

    In Islam, a person usually says Mein khuda se tumhare liye dua mangunga. They offer namaz or prayer five times in a day and when they ask for ‘dua’ for someone they put the intent in the cloud internet, which can be retrieved by others.

    In Christians, it is different. The dying patients or the relations ask the doctors and others to pray with them and not only for them.
Quote of the Day
A crust eaten in peace is better than a banquet partaken in anxiety. Aesop
Cardiology eMedinewS
  • New research presented at the Asian Pacific Society of Cardiology Congress 2015 suggests an association between polygamy and increased heart disease risk, with the level of risk and severity of heart disease increasing with the number of wives.
  • A large observational study suggests that opioid use is associated with an increased prevalence of atrial fibrillation independent of substance abuse or other known-cardiotoxic agents. The study is published in JAMA Internal Medicine.
Pediatrics eMedinewS
  • Children with attention-deficit hyperactivity disorder are more likely than other children to also have loss of control eating syndrome - a condition similar to binge eating disorder. The findings are published in the International Journal of Eating Disorders.
  • Girls' eating patterns analyzed for up to a decade starting at age 9 or 10 revealed that blood pressure levels appeared to be influenced more by eating too little potassium than too much sodium. Higher sodium intake (3,000 mg/day or greater versus less than 2,500 mg/day) did not appear to adversely impact blood pressure. The findings are published online in JAMA Pediatrics.
Make Sure
Situation: Doctor, this patient has developed acute renal failure.
Reaction: Oh my God, I forgot that he was on furosemide. I gave him a full dose of amikacin.
Lesson: Make sure, before calculating the dose of aminoglycoside (amikacin) that furosemide and other loop diuretics, which enhance its nephrotoxicity are not being given.
Dr Good Dr Bad
Situation: A diabetic patient was found to have high ESR and elevated CRP.
Dr Bad: You are suffering from an inflammatory disease.
Dr Good: It may be a part of diabetes.
Lesson: In diabetes, both ESR and CRP can be high at the same time and this can be due to IL–6 secretion by adipose tissue.

(Copyright IJCP)
IJCP Book of Medical Records
IJCP’s ejournals
CPR 10
Total CPR since 1st November 2012 – 101090 trained
Video of the Day
Rabies News (Dr A K Gupta)
Can RIG be given locally to a healed wound?

Yes. If anti–rabies vaccination has not been started, then RIG can be given locally without disturbing the scab.
Sameer Malik Heart Care Foundation Fund
The Sameer Malik Heart Care Foundation Fund is a one of its kind initiative by the Heart Care Foundation of India instituted in memory of Sameer Malik to ensure that no person dies of a heart disease because they cannot afford treatment. Any person can apply for the financial and technical assistance provided by the fund by calling on its helpline number or by filling the online form.

Madan Singh, SM Heart Care Foundation Fund, Post CAG

Kishan, SM Heart Care Foundation Fund, Post CHD Repair

Deepak, SM Heart Care Foundation Fund, CHD TOF
eIMA News
Private hospitals, clinics on 24 hour strike in Tamil Nadu: PTI
Chennai: Private hospitals and clinics in Tamil Nadu embarked on a 24-hour strike today starting 6 AM, demanding among others, protection to medical professionals and hospitals from attacks in the event of deaths of patients. The strike call was given by the state chapter of Indian Medical Association (IMA) and 33,000 members attached to it, besides 3,500 members of the Indian Dental Association, stayed away from duty, Dr C N Raja, Honorary State Secretary, IMA, Tamil Nadu State Branch, told PTI.

About 16,000 professionals attached to the Tamil Nadu Government Doctors Association had also extended support with the doctors working with black arm badges, he said. "There has been an increase in attacks on doctors and hospitals in the event of an untoward incident even after good treatment. It has become an organised crime to extract money out of doctors. They are now scared to work and we wanted to create an awareness among the public and government," he said.

He called for stricter implementation of the Tamil Nadu Hospital Protection Act, 2008, which makes attacks on doctors and hospitals an offence and also demanded that such places be declared as 'Protected Zones.'

He said hospitals and clinics were not delivering Out Patient (OP) services while routine surgeries were not being performed, but "emergency services and in-patients were taken care of," he added. The government had invited the doctors for talks next week, he said.
Nepal Earthquake: Doctors offer to do complex surgeries in India; IMA ready to bear all expenses
Sunday, 3 May 2015, DNA | From the print edition
India is one of the countries that has offered help to Nepal, saying if the patient wants any complex surgery which is not currently possible in Nepal, they are ready to take back those patients in India. Indian Medical Association (IMA) has ready to bare the all expenses.

The authorities in Nepal, taking care of the rehabilitation programme in the country, says that if they are unable to manage complex surgery of the inured in the country, they will refer these patients to India. In last five days, more than 1000 surgeries performed. However, the authorities say that the main challenge will be to provide the treatment to the people who staying in peripheral areas.

India is one of the countries that has offered help to Nepal, saying if the patient wants any complex surgery which is not currently possible in Nepal, they are ready to take back those patients in India. Indian Medical Association (IMA) is ready to bare the all expenses.

Dr Guna Raj Lohani, chief of the curative service division, Nepalese Ministry of Health and Population, who heads medical relief intervention, told DNA over phone from Kathmandu, " All foreign medical teams worked very hard around the clock for treating the patients." He added, " All doctors are very cooperative. We have created a special gynaecology ward, where a lot of pregnant women are receiving treatment. Doctors from India who are here for relief work are offering to take the patients to India for complex surgery. Currently, there is no such need, but if the need arises, we will definitely ask them to do that." He added, "There are enough doctors who have arrived in Nepal for medical relief work. The main challenges are, we have yet to reach the remote areas, valleys and peripheral areas. Now, with the army people, we want to reach these areas to give medical support."

With the help of the local ministry, the World Health Organisation (WHO) has set up a team to assess healthcare facilities. The team has found that hospitals in four of the worst-affected districts are completely destroyed, or too badly damaged to function. Five other major hospitals, providing important care in the districts, were found to be functioning, but urgently need medical supplies.

WHO staff have been working round the clock to assess the damage inflicted on Nepal's hospitals and clinics by the earthquake. WHO's Nepal representative, Dr Lin Aung, said, "This information will be a vital tool in guiding the short-to-medium-term response by national and international healthcare providers, determining where to move teams and supplies in the country." The teams visited 21 hospitals in 12 of the most severely-impacted districts to gather information. They found that a total of 17 hospitals were still operational. Many hospitals told the assessment teams that they were experiencing a shortage of supplies, including essential medicines, surgery kits, IV fluids, antibiotics and suturing materials, while tents and mattresses were also required.

WHO has already provided essential medicines and supplies to treat 1,20,000 people for three months, as well as trauma and surgical kits. Additional supplies, including urgently needed medical tents, are scheduled to arrive in Kathmandu this weekend. A team of 13 doctors, including super specialists from various parts of the India last two days working in Kathmandu. Dr Ashok Gupta, plastic surgeon from Bombay hospital, who heading the team, he said, "We met the health ministry official and offer a help were we can bring back the patient to the India for a complex surgery. IMA is ready to bare the cost of the treatment. Last two days we are working with the help of Inspector General of Police, Nepal. Our doctors performed the surgeries, and provide the medication to more than 500 patients." IMA Comments: UMA has offered to airlift ten patients and get their surgeries done at Delhi and near by places.

Pilot Team of IMA (HQs) for help to earthquake affected Nepal

Dr. Gunaraj Lohani
The Director of Health Services
Department of Health and Population
Ministry of Health

Sub:- Pilot Team of IMA (HQs) for help to earthquake affected Nepal

Dear Sir,

We in India and IMA (HQs) representing Medical professional across the country are deeply concerned about the loss of human life and despair following the natural calamity that took place in Nepal. Several hundreds have died and thousands have been injured. This is a very sad event and we being doctors desire to relieve the pains of the affected.

Sir, this is a call for humanity and our medical ethic always remind us to help those who are in tremendous pain. On behalf of the President and Honorary Secretary General of Indian Medical Association (HQs) and the Disaster Management Cell of the Indian Medical Association (HQs), wish to depute a team of Specialist Doctors/Primary Care Physicians to treat the injured and save the life of thousands affected as well to share the relief work which is the demand of the day and call for the same.

In case, certain high risk patients or those in need for specialized / critical treatment, we can be helpful in airlift to few of patients with one care taker for each who require specialized operative treatment in India at certain designate hospitals at India.

I request you to give the necessary permission to the IMA Team of Specialist Doctors / Primary Care Physicians to join your doctors, hospitals and some of the NGOs to extend a helping hand to the great efforts your team is undertaking under your leadership. Please find the needed documents.

Thanking you,
Dr. Ashok Gupta
Team Leader / Coordinator
Dr. Ashok Gupta
Plastic & Reconstructive Surgery
M.S., M.Ch., FRCS, D.Sc., FAMS
Mumbai INDIA
40 years at Grant Medical College, Mumbai
Dr. Kanchan Gupta
Mumbai INDIA
35 years at ESIS Hospitals, Mumbai
Dr. S. Shingarpure
Plastic & Reconstructive Surgery
M.S., M.Ch.
Vadodara INDIA
30 years
Dr. Anoop Verma
M. D.
Raipur INDIA
30 years
Dr. Sujit Adsul
Anaesthesio- logist
M. D.
Raipur INDIA
30 years
Dr Dilip Sheth
General Physician
Vadodara INDIA
30 years
The Medical Council of India has moved the Delhi High Court seeking quashing of a trial court order accepting CBI's closure report in a case in which its two doctors were caught on camera allegedly accepting money for granting clearance to medical colleges.

ACP Highlights 2014's Top Studies (MedPage)
1. Dual antiplatelet therapy had fewer major adverse cardiac events and myocardial infarctions beyond 12 months in patients with drug-eluting stents, though risk for bleeding increased.

2. Taking 100-mg daily aspirin did not decrease cardiovascular mortality in patients at low risk for cardiovascular events. But one limitation was generalizability, given that the more than 14,000 Japanese patients in the study differed from primary care patients in other regions.

3. Colchicine reduced the risk of recurrent pericarditis compared with placebo, but not compared with corticosteroids.

4. The American College of Cardiology, American Heart Association, and Heart Rhythm Society released new atrial fibrillation guidelines. Among them were a replacement of CHADS2 by CHA2DS-VASc (vascular disease, ages 65 to 74 years, sex category) and a stronger recommendation for anticoagulation regardless of the pattern or duration of atrial fibrillation.

5. A combination of sacubitril (a neprilysin inhibitor) and valsartan (an angiotensin-receptor blocker) reduced rates of total mortality, cardiovascular death, and heart failure hospitalization in symptomatic heart failure patients compared with enalapril. The drug combination was also associated with higher rates of symptomatic hypotension, found PARADIGM-HF investigators.
Inspirational Story
Doctor’s service!

A doctor quickly entered the hospital after being called in for an urgent surgery. He changed his clothes and went directly to the surgery block. He saw the boy’s father walking back and forth in the hall waiting for the doctor.

Once seeing the doctor, the dad yelled: "Why did you take all this time to come? Don’t you know that my son’s life is in danger? Don’t you have the sense of responsibility?" The doctor smiled and said: "I am sorry, I wasn’t in the hospital and I came the fastest I could… now, I wish you’d calm down so that I can do my work." "Calm down?! What if your son was in this room right now, would you calm down? If your own son dies now what will you do?" said the father angrily.

The doctor smiled again and replied: "I will say what is said in the Holy Bible ‘From dust we came and to dust we return, blessed be the name of God.’ Doctors cannot prolong lives. Go and intercede for your son, we will do our best by God’s grace."

"Giving advice when we’re not concerned is so easy" murmured the father. The surgery took some hours after which the doctor went out happy, "Thank God! Your son is saved!" And without waiting for the father’s reply he carried on his way running. "If you have any question, ask the nurse."

"Why is he so arrogant? He couldn’t wait some minutes so that I ask about my son’s state?" commented the father when seeing the nurse minutes after the doctor left. The nurse answered: "His son died yesterday in a road accident, he was in the burial when we called him for your son’s surgery."
Wellness Blog

Fever does not mean presence of infection. There are many situations where there may be fever without infection and hence needs no antibiotics.
  • Sepsis is a clinical syndrome, which results from the dysregulation of inflammatory response to an infection. The temperature is between 36°C to 38.30°C. Heart rate is often more than 90 per minute.
  • Symptomatic inflammatory response syndrome means a clinical syndrome, which results from dysregulated inflammatory response to any infections such as inflammation of the pancreas, inflammation of the vessels, clot formations in the veins.
  • Many antibiotics can cause fever; unless they are discontinued, fever will not subside.
  • Hyperthermia is a condition with elevated body temperature but it is not called fever. Examples are exposure to heat or heat stroke and in response to anesthetic drugs and anti–psychotic drugs.
  • Hyperthermia may not respond to anti–fever drugs.
  • When fever is more than 41.5°C, it is acute hyperpyrexia.
  • Hyperpyrexia is usually seen in patients with severe infections but it may also occur in brain hemorrhage. It responds to anti–fever drugs.
  • High temperature without infection is found in condition of hyperfunctioning of thyroid gland.
  • Recreational drugs such as Ecstasy can also cause fever without any infection.
  • Mild fever can also occur after exertion.
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Twitter @IndianMedAssn 915 followers
Reader Response
Dear Sir, Very informative news. Regards: Dr K P Shah

Dear Dr KK, ref----You Can Reverse Heart Disease, is a very good reading.
Yes its not unknown that heard disease can be reversed as you have captioned.
It will be appreciated if you may elaborate as how to change the Dharma of the new cells and even prevent or even regress cancers and heart diseases?
Dr Vinod Agarwal
IMA Videos
News on Maps
eMedi Quiz
The nerve commonly damaged during McBurney's incision is:

3.11th Thoracic.
4.10th thoracic.

Yesterday’s Mind Teaser: The blood vessel related to the paraduodenal fossa is:

1.Gonadal Vein.
2.Superior mesenteric artery.
3.Portal vein.
4.Inferior mesenteric vein.

Answer for yesterday’s Mind Teaser: 4.Inferior mesenteric vein.

Correct Answers received from: Raju Kuppusamy, Daivadheenam Jella, Dr. Neha Agarwal, Dr. Shangarpawar, Dr Avtar Krishan Dr Pandit Hantodkar, Ram Manohar Rao

Answer for 2nd May Mind Teaser: Left common carotid artery arising from brachiocephalic trunk.

Correct Answers received: Daivadheenam Jella, Dr Shangarpawar, Dr Pandit Hantodkar, Dr Poonam Chablani, Dr KV Sarma, Dr K Raju, Dr Madhusudhan G.
IMA Humor
Under the wagon

A farm boy accidentally overturned his wagonload of wheat on the road. The farmer that lived nearby came to investigate. "Hey, Willis," he called out, "forget your troubles for a while and come and have dinner with us. Then I’ll help you overturn the wagon."

"That’s very nice of you," Willis answered, "but I don’t think Dad would like me to."
"Aw, come on, son!" the farmer insisted. "Well, OK," the boy finally agreed, "but Dad won’t like it."

After a hearty dinner, Willis thanked the host. "I feel a lot better now, but I know Dad's going to be real upset." "Don’t be silly!" said the neighbor. "By the way, where is he?"

"Under the wagon," replied Willis.
Natural Fast Food is Good for Health
Natural fast food is good for health, said Padma Shri, Dr B C Roy National Awardee & DST National Science Communication Awardee, Dr K K Aggarwal.

Natural fast food consists of eating fruits, vegetables, milk products, sprouts and sattu. On the contrary, unnatural fast food, also called as junk food, is bad for the health of the heart as it is made up of refined ‘bad’ carbohydrates and either animal ‘bad’ fat or trans fats.

Sattu is a grounded roasted powder of soaked pulses and cereals. It is consumed along with fruit slices, gur or milk. Green chili, lemon juice and salt can be added to add flavor.

The commonest form of sattu is grounded roasted black gram or chana. Other common variety is grounded roasted black gram with barley.

Originally, sattu was made of seven Anaja (7 cereals, millets and pulses). The seven ingredients are maize and barley (cereals), black gram, pigeon gram or Arhar, green pea, kesari dal and kulath dal (pulses).

Sattu is a high fiber diet with low sugar producing properties. It is a cooling and refreshing fast food with anti-diabetic and anti-obesity properties.

It is a full breakfast, mid day or lunch meal and has minerals and vitamins.

Sattu drink can be sweetened by adding gur or honey, sour by adding lemon and salted by adding black or rock salt. Roasting is one of the best forms of cooking. Sattu is both a fast food and a soft drink for the summer but healthy.

The so-called energy drinks available in the market are harmful as they contain three times the caffeine content of coffee or tea.