Wednesday, June 6, 2018

Healing and Healing Power


Healing and Healing Power

Yes, healing power is a myth.

You are born with it and it is more often than not interfered intentionally or unintentionally.

Often doctors and their attendants are to be blamed.

Let me state a few facts.

Healing power is inborn and fast in the faetus.

Placenta more so than in the faetus.

Any derangement in the faetus, it leads to fibrosis before immune cells are formed or associated with minor congenital abnormalities.

I have done some research work on the placenta and yet to figure out the exact mechanism.

There is a very large nano-molecule called fibronectin and I have coined the name molecular glue for its eternal virtue.

It is both a healer and a protector molecule.

I call it a protector since it can attenuate immune reactions orchestrated by the placental mechanisms.

Do not confuse this with fibrin which can be seen without a microscope.

Healing is faster in kids and slower in the elderly.

In the elderly, it is compounded by metabolic syndromes, poor blood and nerve supply.

Healing is faster in the head and it gradually slows down as one reaches the foot.

The bottom line is any injury heals by itself within 6 weeks the most, unless it is interfered with by an external agency (doctors, their attendants, more so in this country by the well wishers).

Now how one can apply this knowledge.

I will give you few stories.
 
First and foremost one has to give a psychological booster.

I undertake to heal by a fixed time scale.

I add two weeks one upfront and one afterward (usually 10 days in the beginning and 4 days at the tail end of the healing process).

I add 2 weeks and it is a farce by the nature.

But I have my reasons.

Often, they have gone to quack healers.

I need to assess the damage done.

I clean it myself (never delegate) with liberal quantity of saline and never with soap and water.

Water is hypotonic and causes intense pain and hypertonic saline deforms young and dividing cells.

The detergent in soap is antithesis to healing.

It dissolves the cell membranes and the cells bust in no time.

Of course, the soap can be used to clean the normal parts.

The nurse if attending has to count the swabs used and disposed and I estimate the volume of saline used.

That is to make the viable cost in private practice.

Never use antiseptics but rarely Betadine (an iodine solution, good antiseptic and very expensive and never in thyroid patients).

Cover with absorbent material (not available in this country) and a swab on top and ask them to come back after 10 days.

If things warrant 10 day supply of standard antibiotics in full course (they only buy 3 day supply and that is what is intended by me).

Case one

This was a poor farmer from Maiyanganaya.

Bitten by a snake while harvesting (cutting) paddy.

The tip of the ring finger gone and bone exposed but healthy.

He was covering his finger with his handkerchief.

I took the handkerchief and put it in the dustbin and said no handkerchief until I tell you. 

Bit of authority (psychological in part) and get the compliance well attended, on the first day.

I told him in eighty weeks (8) it will be all back to normal minus the tip.

Did the cleaning and and put the sterile absorbent stuff and anchored it safely.

Gave a sling and he has to wear it with hand upwards (prevent oedema an inherent anti-healer).

Antibiotics yes with the bone exposed.

Strict instruction “No handling of the wound” and a postprandial blood sugar on the day of the next arrival in 10 days.

He was not pleased and wanted to come back in three days.

Said No and “No Charges” for the first visit. 
He could pay for the second visit in 10 days. 
I wanted him to come back to me; not go to another guy.

He has to buy only the antibiotics from the nearest pharmacy.

Sure enough he came back, the bone that was exposed was almost covered with skin.

I was pleased.

Skin cover is essential for healing.

(If you want to know about in depth healing go to a burn unit and see for yourself. It is a different kettle of fish).

Come back in another 10 days.

In three visits it was all but healed.

Healed in 40 odd days and he did not have to come back for the last visit.

I had two bonus weeks as intended.
 

Case Two

It was simple matter, a carpenter had got his thumb trapped in a machine.

He came with the wound exposed with part of the skin of the tip of the thumb missing.

Where is the skin?

My opening question.

Put it in a bin.

Go back and bring it and no treatment without it.

He came back with the skin, curled up and dry.

I put it in a saline dish and told him to sit there until I am ready to put it back.

With difficulty, I figured out the orientation (finger prints were not useful).

10 days antibiotics, a sling and come back in 10 days.

Thumb is important and any infection whole hand is gone.

Well this was the fastest healing, in two weeks he was OK.

I was a miracle healer for him.


Case Three

The case three was bizarre.

Wound in his leg diagnosed as a non-healing squamous cancer.

I looked at the pathologist report and tore it to pieces.

I told him, I can even heal cancers but I need three months.

His problem was he was a mild diabetic (on oral diadetic treatment) with a wound.

He has to come daily for insulin and post insulin blood sugar which I changed to once in three days when the correct estimate of Semilente was made.

Yes, it took three months to heal and he always came back to me.

I was a cancer healer in his mind.

 
 Fourth Case
 
The fourth case illustrated the most bizarre episode.

One should not live near to a hospital or far away places like Maiyanggana.

Both have adverse effects on healing.

She was an old lady.

The words got round I was a healer.

I told her I cannot treat her.

She asked why?

No answer from me.

My reason was if I took over this case, the attendant doing the wound dressing in the nearby General Hospital would be very cross with me.

Besides she was related to him.

I get all this information from the nurses.

I never ask probing questions.

Then with one of the nurses insistence, I took over her treatment.

First the post-prandial blood sugar was normal and that was a bonus.

The tendons of the back of her leg muscles were exposed and it was deep and skin cover was all but nothing.

The attendant had done all the damage to the granulation tissue.

Stuffed it with absorbent material which I got as a gift from the pharmacy when I left New Zealand.

She has to have strict bed rest and out only for toilet.

No antibiotics.

See me in 10 days or if the absorbent material is smelly.

She came back in 5 days, it was in good shape early signs of skin growing but redressed the wound all the same with new absorbent material.

Come back in 10 days.

This went on till the skin cover was complete and my absorbent material was over. It was very tender skin cover and I told her it will take another six months for the skin to be rough and do not come back to me if she injures it again. 
She never came back and it was my last healing session.

Episiotomy
Word of caution about the incision that is made at the time of normal delivery to prevent perineal injury.
Please do not get a raw intern to stitch it up (they can learn it elsewhere) since most of them have no idea.
Demand a senior guy in attendance, if your GP is not available, to finish the job.
 

Sensory System and Psychology of Pain


Sensory System and Psychology of Pain


This is the medical stuff for a layman to understand pain and pleasure principle.


The reason for me focusing on this is that two guys on the YouTube try to impose their own interpretation in a convoluted manner (confusing even for a medical guy in retirement) of the brain and its function.


The bottom line is, even if one studies the brain and its nervous system, the entire life, he/she would not understand them fully.


Equally, in one hour verbal presentation one won’t do the justice to the enormous amount of work and research done including meditation (mind you not the transcendental meditation of the New Age guys).


I hated neurology and the study of anatomy of the brain.

My professor of anatomy tried to teach us over three hundred cross sections of the brain “by heart” without its application to clinical work in the first year. 
We had to study it overnight and answer his question.

I got my worse Viva Vose rating of E (out of 5 A to E) on a Friday afternoon.


After this I went to my advisor and told her that I am going to leave the medical faculty for good and pursue a better career.


She was flabbergasted and ask me why?


I told her what the heck of learning all this stuff if I am going to a be a simple general practitioner and not a neurologist.


She took me to the professor who is no more and presented my concern and the stern action of mine that would follow.


He asked me are your serious (not the same outburst as of Tennis Star John McEnroe's)?


Yes was my answer.


I do not remember the next part of the dialogue (with the heat on) but I remember him saying you need to know only 10% of it at the examination.


I ask him why don’t you do that?


He had no answer and asked me to read the Clinical Anatomy by Ellis.


He also advised me not to divulge the conversation to my fellow beings, which I never did till we left the anatomy block.


Now I will dispense 1% of that 10% to you but before getting to the boring stuff let me tell you a real life story.


We had a small gang of Ceylonese doctors in our locality and we used to have frequent dinner parties and wine. 
Yet, I could not meet one of the very senior guys who worked alone in the remotest location as a G.P.

One day, I got a call and he invited me for lunch and closing the conversation he asked me for a favor.

He said his wife is mortally fearful of pain and I should remove the big toe nail, of one of her legs (cannot remember which) causing problems for her for some time (caused by bad footwear).


I said no problem and make it a day on a Sunday, I was not on call.


He wanted to come and pick me up and I said I did not want him to leave her at home by the time he goes back the local anaesthetic effect would wear off.

We had a book on local anaesthesia and peripheral nerves in the casualty and I photocopied the detailed innervation (mind you our undergraduate training was not at its best) of the particular side, (one photocopy was enough, the other side is a near enough mirror image) of the big toe.

When, I went there lunch was laid out and I said let me have cup of tea and finish the job first.

I looked at her face and told her I could take it out in a flash without local and she almost “flashed out” that very moment.


That was my preparation of the brain analgesics and how ever much, I inject local anaesthetics, she would panic, all the same.


I started with injecting all the big nerves first with the tiniest needle I took with me and closed on with (mind you big toe has complex innervation) near enough tiny peripheral nerves.


I told her it takes few minutes for the local to act and had some beer with, now my friend, in the meantime.

Finally, as a precaution I injected local around the toe and in a whisk, I took the nail out in one go, when she was not, focusing on it.

Is that it?

She asked me.
I told her I could now take the other toe nail out without a local (as a post surgery booster of her anti pain chemicals).

We had a quiet evening that day and all they wanted me was to stay in New Zealand.

By then, I have decided to come back home and that was the biggest mistake I have made in my life.

Mind you pain is 5% physical and 95% psychological.


These guys on YouTube are fear (psychological, too) mongers and do not listen to them.

They confuse your inner feeling and your self.

Tuesday, June 5, 2018

Mind, Body and Spirits


Mind, Body and Spirits


This brief won’t do justice to enormous volume of conceptions and misconceptions that are floating around globally both verbally and digitally.


The intention is to highlight the trends.


The onus is for one to avoid falling into the pit or avoid pitfalls.

1. Reality

2. Perception

3. The Gap

4. Do not fill the Void or the Gap with spirits.


The bottom line is there is a gap between reality and perception and this gap is widening very fast and the scientific inquiry cannot fill the void.


Religious dogmatism and fundamentalism is on the wane.

Science (Has fallen into the pit by its own faith and belief in its methodology) is lagging behind.

A new syndrome of New Age Mafia has come into existence and gobbling innocent and gullible minds, especially the young.

This holistic and spirits domain are worse than the religion.

They are not formulating a fall back position or scenario but leave behind a wide open gap.


At least standard religions stood the test of time.


The New Age Phenomenon came into existence after end of the psychedelic saga of LSD.

The world wide use of mind enhancing drugs are on the increase.

These can be used by these new gurus with scandals.

Lot of self acclaimed Gurus, Spiritualists,Charlatans and Psychotherapists have taken center stage of confusion and more confusion.


Existential crisis is emerging slowly but surely.


How to be one or two steps ahead.


1. Know that there is a gap (may be big or small) between reality and perception.


2. Perception is subjective and that is where one’s individuality counts.

That is the human nature.


3. Do not try to explain the gap with your own (or others) subjective reality unless you can validate your own stance.

It is not easy.


4. Be your own master and do not be a stooge or servant of a superior being human or otherwise.


5. Stick with the mind and body duality (no soul or spirit in between).


6. Treat you mind as supreme (many methods) and body would fall in line.


7. Once you secure your own individuality be mindful and do not impose it on others.


In other word be loving and compassionate to all living beings (start with the cat and the dog).

Sunday, June 3, 2018

A Philosophical Question


A Philosophical Question

Philosophy is the first order discipline, in that it asks an appropriate (in time, place, person and context) question, never wanting a simple answer.

Even one tries to answer, the true philosopher would never believe, it upfront.

That actually leads to the second order disciplines like religion which became redundant over time due to dogmatism.

That lead to the scientific inquiry (Kalama Sutta, brandishing 13 qualifications for inquiry,  was a fore runner) which got muddled in the material physics (5% of total) leaving behind 95% of the virtual (dark matter and dark energy) matter, in the universe unexplained.

We are yet to comprehend the total and somewhere down the line mankind coined the irrational words, conventional truth and absolute (ultimate), masking the simple truth.

I think mankind wants to be in the dark and never want to come out of the Deep Mind Pit, they already are in.

I call it, the virulent brain virus that retard our escape from the tight entanglement without a logical treatment in sight!
Are we free to exercise our free will?



Rebirth-How it Works

Rebirth

How it Works

1. Patisandhi Citta
Patisandhi or relink is the first thought moment of a particular life (It has no beginning nor end)

2. Bhavanga sota
The life continuum 
Bhavanga calana (vibration)
Bhavanga upaccheda (arresting Bhavanga)

3. Avajjana (Panca-dvarammana)
Attention, focusing or opening towards an object 

4. Pancavinnana 
Sense impression 

5. Sanpaticchanna 
Receiving consciousness 

6.Santirana
Investigating consciousness

7.Votthapana 
Determining consciousness

8. Javana
Means run swiftly
Kusala and Akusala are generated by Javana impression which focuses on an object (sensory or mental) 

9. Tadarammana or Tadalambana
Binding to that object of 

10. Cuti
Last thought moment of a particular life 

11. Bhavanga sota (Kamma stream) 

This of course, is the breakdown of the functions but happens in an imperceptible speed; like lightening (not speed of light please).

That is why one cannot remember the immediately previous life.

For one to remember repetition and time lapse is essential (I cannot remember the 10 or 11 stages above, written in a piece of paper, by heart).

The Domannsssa citta (the fear of going down into a lower world but still preferring it to the cessation or Nirodha) that accompanies or the Somanassa citta that binds to the higher order of Deva is infatuating to say the least.
I put the Manussa World as the base and that is what we can perceive without any difficulty, of course.
Mind you it is usually downward in progress, so be mindful of the pitfalls.

Friday, June 1, 2018

Citta Santati-Bhavanga-Mental Continuity


Citta Santati-Bhavanga-Mental Continuity


(Vagga, the meaning of which is chapter and has no concomitant with mental formation).


Citta Santati is the summum bonum of Dhamma terminology.


There are many prerequisite for Dhamma.


1. Number one is Bhavanga (Life Stream) which has to exist with its mental accompaniments.


The existence of the Citta Santati is based on Kamma Principle.


2. Number two Kamma the storehouse for Citta and Cetasika (indirectly Rupa, too).


Even though mind, can exist on its own (Jhana states in Kamavacara World and Arupa Jhana in higher living order) and the body can exist without mind (mind is almost imperceptible in this order), the basic tenet in Dhamma in Abhidhamma terminology is Nama Rupa duality (Mental and Material duality).


3. Number three is the Rebirth (I do not make a distinction for the Hindu word reincarnation) principle.


4. Number four is higher beings or Devas with lofty minds (Do not confuse them with the creator god) all of them have no lofty ideas of creating a new world order except one who thinks he is the creator (the Maha Brahma) with his grandiose illusion.


All these simple gods are very good guys (all male but no females, I wonder why?) would like to associate with Somanassa Guys/Girls (I’ll describe the Somanassa and Domanassa later) to prolong their stay in heavenly abodes.


Why?


Simply to prolong their life there since they cannot acquire any merits in heaven.


They are your Divine Angles that helps you when you need them but you have to donate your merits (pin) in return.


It is a two way process.


In Dhamma, Kamma is the driving force and encompasses, the Bhavanga, Rebirth and Mind (in its all existences, this world and other worlds).


Cetanaham (volition or will ) Bhikkawe Kammam Vadami is Budhha’s simplification of the basic tenet.


The simplification ends at that point and the purpose of this brief is to extract the mental concomitants described, classified and categorized (in that sense which fully confuses the ordinary wayfarer in disbelief) in Abhidhamma.


I tuned the Manual in English and Sinhala (fortunately I did not try Pali) upside down and could not make a head or tail of it.


There is another caveat here.

The conventional truth and absolute or ultimate truth in Dhamma.


For me truth is only one it cannot have two sides likes the two sides of  a coin.


Coming from medical background grasping the 
1. Rupa (body), 

2. Vedana(feeling) , 

3. Sanna (perception), 

4. Sankhara (mental formations), 

5.Vinnana (consciousness, the better term awareness of the world within and around us) was effortless but the Abhidhamma connotation of Citta, Cetasika and Rupa was confusing to say the least.

I will leave out the Rupa or body in this piece.

Having scrutinized I have got some workaround words.


1. Kusala


2. Akusala


3. Sasankharika cita (prompted externally or internally)


4. Asankharika cita (unprompted or spontaneous)


5. Domanassa


6. Somanassa


7. Jhana


8. Vipaka


9. Kriya


10. Magga

11. Pala


12. Sati

13. Samadhi

14. Piti

15. Sukha

16. Vitakka- Reflective thinking

17. Vicara -Sustained application to clear doubt

18. Ekaggata- One pointedness-focus of attention

19. Upekkha

20 Passadhi-tranquility

21. Panna

22. Dhamma vicaya (Investigative of the TRUTH phenomenon)

23. Ditthigatasampayuthha

24. Ditthigatavippayutta

25. Nanagatasampayutta

26. Nanagatavippayutta

27. Kamavatara

28. Rupavatara

29. Arupavatara

30. Lokuttara

To begin with Dhamma only deals with only one type of Cetasikas.

Those Kammas that have rebirth or Vipaka (resultants) states in this world in the present or in future (lives, too).


Those mental activities that have no resultant effects are called Kriya (actions and no after effects).


Domanassas by definition are Akusalas.


Somanassa are Kusalas.


Now these Domanassa and Somanassas are put in one bucket and there are 52 or 54 mental components (I do not know whether 52 or 54 is correct and I am very good in mathematics)


My gut feeling 54 is correct by using my simple mathematical talents.


Domansaa

Consists of 12 Akusal Cittas, 7 resultant and 3 Kriyas making 22 in total.

How the above calculation is derived, I do not know.


Somansaasa are 8 Kusala ciitas, 8 resultants and 8 Kriyas making 24 in total.


The total is 46 and I am 8 short in my total.


If I add another 8 from (unprompted, prompted scenario) the missing unprompted or spontaneous Kusala, I get 54 in total.


It is said that all Ciitas composite of 54 Cetasikas which in my belief is a wrong connotation.


It is either 22 in Akusala field or 24 or 32 in Kusala field.


Now the bombshell.


There are 5 Jhana states that is accomplished in this world and other worlds.

They are all related to 8 Somanassa cittas and never to Domanaasa (Akusala) cittas.


Therefore, there are 10 to 40 higher state cittas (Sotapatti,Sakadagami, Anagami, Arhth) in, Somanassa, the total in all the worlds will comprise 91 or 121 somanassa cittas or cetasikas.


1. Kamavatara 24 (8x3)

2. Rupavatara 15 (5x3)

3. Arupavatara 12 (3x4)

4. Jhana States of 10 to 40 (10x4)


Total of 61 to 91 Somanassa (Happy States)



1. Kamavatara 32 (8 +32 +8)

2. Rupavatara 15 (5x3)

3. Arupavatara 12 (3x4)

4. Jhana States of 10 to 40 (8x5)


Total of 69 to 99



Now add the 22 in Domanassa (99 plus 22 equals 121 in total).


Kamavacara (32 plus 22 equals 54 Cetasikasa with all its components) has only 54 Cetasikas.


This was a question (what is the total) posed in the book but it got 89 instead of 91 in my simple calculation.

Below is the Five (5) Jhana states.

They are complete but temporary and may last about 7 days in an ascetic.

Whereas in Rupavatara (5) and Arupavatara (4) the beings are born with that state of mind at the time of Patisandi (at least 5 in form sphere and 4 in Arupa planes of existence), the ones who achieved Lokuttara Jhana states are not born again (detached, abandoned and extinction of all conditional states).

In Rupavatara sphere, there are 5 states of existence
1.  1st Jhana
2.  2nd Jhana
3.  3rd Jhana
4. 4th Jhana
5. 5th Jhana (has five special powers)


 In Arupavatara sphere 4 states of existence
 Beings are born in these spheres as a result of 5th Jhana (has five special powers) state of achievement.


Jhana states in total in an ascending order are five only. 

There are altogether 27 states of existence but those who achieved 40 states of Lokuttara are not reborn.
1st Jhana State one attains
1. Vittakka (thought conception and attention to thought-thinkink)
2. Vichara (reflecting or on inner speech or discursive thinking)
3. Piti (rapture)
4. Sukha (joy)
5. Ekaggata (one pointedness)
2nd Jhana State
Vittaka is dropped.
1. Vicara
2. Piti
3. Sukha
4. Samadhi are accompaniments
3nd Jhana State
1. Piti
2. Sukha
3. Samadhi

4th Jhana State
1. Sukha
2. Samadhi

5th Jhana State
1. Equanimity
2. Samadhi

One has special powers when born with this Jhana (Five in number).