00:0029 September will be a World Hard Day and the PGI Cardiac Center, which is advanced cardiac center,
00:08is not only for the country, but also for the village, but also for the village, which is a big
00:13authority to make the researches.
00:16They are applied to the Institute of PGI's head of the department and professor, Yashpal Sharma.
00:27Sir, let's talk about heart disease. The theme is Don't miss the beat.
00:35First, tell us that today's time, there are big problems with heart and people are neglecting them.
00:44Tell us about what are the big challenges.
00:47Basically, the biggest challenges are that there are conventional risk factors,
00:53and they have to control them.
00:57The new emerging risk factors are not aware of it.
01:01It's going to be in the sense of innocence.
01:03If someone doesn't know that the lifestyle is only for diabetes and hypertension,
01:11but this lifestyle related disease is being created because of something else.
01:16This is because of, just like as I was discussing, just like environmental degradation, this pollution, this natural disaster, this
01:27global warming, this low socioeconomic status, health illiteracy,
01:32and this one, so many like that, that circadian rhythm, this burden of time, burden of that is also causing
01:44because of sleep deprivation, loss of early sleep, delayed sleep.
01:50How this is causing so many catecholamines and adverse hormones release, which is leading on to the DNA change, which
02:03cause this many hypertensive genes,
02:09even cancerous genes, even cancerous genes, so if somebody knows that by disturbing the one can have a cancer, always
02:15we were saying that cancer incidence is not known,
02:19then how many foods adulteration, water adulteration, so at various levels, like one should have a pure water, pure air,
02:27pure food, so that there is no contamination.
02:31And that thought of things have come, just like other countries, the disease burden will also come less, as well
02:39as these diseases will also come less.
02:42And this will be a win-win situation for individual, family, nation, and the globe.
02:47Sir, sir, if you talk about it, you have told us that the PGI of this center is the second
02:57major institute that follow the other institutes.
02:59What is the big reason for them to be working and researches?
03:06It is like we have seen a lot of things in PGI of this center, that we have corrected some
03:09of the things that we have corrected,
03:12so the heart of this center is very big.
03:15So we have given the whole thesis just like cardiogenic shock with comorbidities.
03:20When we have given these thesis first, our DM residents felt like we have to say that there is no
03:26literature, we will fail.
03:27So then I told them that you don't worry, you have to take the data, because the patients have seen
03:33and treated.
03:33I told them that there is no previous literature, that is an innovation.
03:40If there is a data that has been done, that is research.
03:44That is not something that you have to do with.
03:47You are validating it or you are doing it.
03:50So the actual thing is that there is nothing in which there is nothing.
03:53And the cardiogenic shock was such that there was no research in the world and it didn't do it.
03:58It was such that I had to present a case in Lahore in Lahore.
04:01So there was such a patient in Lahore that was very sick and very infected.
04:07When we presented it in February 2005, a Christian Bernard fellow,
04:14he said, how did you dare to take this patient, doctor?
04:20It was nothing in that way. He would not speak anything.
04:23I told him that patient was too sick and we saved him.
04:27Because sometime in the 12 countries, insurance and others, if that is not in the guidelines, then never did that
04:33patient is treated.
04:34Because they say that if that patient is treated, hospital will shut it out.
04:40Because you have wasted money.
04:42The patient was too sick to be treated.
04:43So this used to be a line.
04:45And when we started treating those patients and this systematic research from ethically approved for cardiogenic shock and how we
04:55stabilize them,
04:56how we treat them is totally different.
04:58And how this in that culprit only, CTO last, role of iron, role of normal hemoglobin, not average.
05:07So these sort of concepts, sepsis and comorbidities.
05:11So nowadays, all over the world, patients are being saved from the comorbidities.
05:17And the spectrum of those all have changed, saving lots, thousands of lives.
05:23Just in COVID also, we gave the same strategy.
05:25Don't take the patient with sepsis. Treat them first.
05:28And immediately within one week, the thousands, millions of patients got saved.
05:33Even paramedicals, doctors, if you see from the previous death,
05:38were given by the webinar from PGA itself by the cardiology department.
05:42Sir, if you talk about it, you have told me that the heart disease is not only eating and eating,
05:50but also the pollution and stress.
05:54How can you say that pollution is a very important role?
06:00The pollution is a very important role.
06:02The pollution is not just that PM2.5 particles.
06:04They go into blood.
06:07And the plaque is the same as they give information.
06:11So, as we say that the pollution in the petrol cars,
06:15the diesel, it is also a heart attack.
06:17When they talked about air in India,
06:21there were lots of questions.
06:23But when they saw how many benzene and gas are in,
06:27they thought that this is also a cause of.
06:30So, all over the world, the policy started making for those pollution and carbon reduction.
06:38So, carbon credit reduction.
06:40A new concept came for which the greenery should be there.
06:43We also heard that if there is a greenery on the road and flowering and no dust,
06:48the Chandigarh, this one heart attack at that time,
06:50we told that it will decrease by 50%.
06:52So, that was a very big.
06:54So, so many plantation occurred.
06:57No park is now without this.
06:58Come and go to the radio station and discuss with the directors and all.
07:02Your, this one has impacted so much for Chandigarh and from Chandigarh the whole world also.
07:08Advanced Cardic Centre.
07:10Is it the case?
07:12We can tell you that you have been told
07:12that here we are talking about
07:14that here we have more patients.
07:15There are more patients,
07:20So, now we have told you that
07:23the patients that they see,
07:27they will see different patients.
07:29They will see different patients.
07:31They will see different patients.
07:32And they will see different patients.
07:56we try to save all patients
07:59so equally equally
08:01the thing is we usually do not say no
08:04but the thing is
08:07we try to
08:13treat the patient very fast
08:14in a systematic way
08:15we pick up precision
08:16this is a cause
08:17and within 2-3 days the patient sits
08:20and very sick patient also
08:22is taken out of the CCU
08:24so our turnover becomes very fast
08:26and I think
08:28we have the maximum number of patients
08:30treated in 270
08:32this one total center
08:34and cardiac or CCU
08:36and heart command
08:38is doing the maximum
08:40of course
08:40ward turnover is also equally
08:42more
08:43thank you
08:44no one
08:44no one
08:45no one
08:47no one
08:52no one
08:54researches per focus kiya jara hai koon si asi particular disease hai ki ki aaj kal
09:00joh heart ke samasya hai wo alag torpe dheki jati hai ki koji jim ke dhuran ikdem silent
09:07attack me chala gaya ya koji kama karte huye ya koji drive karte huye is tarah
09:12madlab bhihoosh ho gaya to wuz ye ye kis tarah ki samasya hai joh aap loog research
09:18ke torpe dhek raha hai basically there is a different department mein aapne dhekha
09:22hooga jinn disease ko bolte te ki bhi thik nhi hothi aaj kal aap pat raha hai ki unka
09:27bhi test a gaya wo treat ho rhei hai toh aisi aisi treatment doosre department kong vay
09:32or humare me bhi ki jaisa koji kadi uni shock ka patient hota tha the comorbidity very very
09:37severe frailty heart failure the elderly bhoot hai haem kabhi bhi chai 110-100 saal ka
09:42patient a jae to 104 ka a jae toh haem kabhi nii bolte ki ye he is too old to
09:47be treated
09:47ham usko bhi poora humara hoota hai ki isko best treat kar do when we treat them he looks
09:5210 to 20 years younger at the time because jubo build up hoota hai jubo uski face ki
09:59all jo crisis hai normal ho jati hai jubo poora elderly jubo elderly male jubo female
10:06man sociedade
10:07achi ianiedi wo champion like 6 year e Attendance a rink arts basically a country
10:27bi c使 ki hai brauchika hai hai hai ha established toh b sta pa
10:31ko la ba persi kiurea se
10:36It was very interesting that I told you that if you eat less food,
10:42then you eat less than the brain signal.
10:45It's less than the amount of your body.
10:47You can tell the signals.
10:49So the color is dark.
10:51It's fair.
10:52My head, Professor Kamar,
10:55he told me that my wife had a phone call on the radio.
10:59Then I told him,
11:00that when you eat excess food,
11:01the melanin gets excesses.
11:06So whatever the extra foods eat,
11:10all the skin and other bodies get melanin.
11:14In the inside, the skin is black.
11:17In the Indian Express,
11:19you put it,
11:21eat the brain signals,
11:23and become fair.
11:25You can take it from Google.
11:28So basically now,
11:30if we are increasing the HB also,
11:33all over the sudden countries,
11:35which we are living there,
11:37all the public doctors,
11:38which are dark colors,
11:40their colors are pink.
11:42So now,
11:43you don't say that in Kerala South,
11:45it's dark.
11:47They are all becoming residents.
11:50There is a change.
11:51I always laugh.
11:52And they are always infected.
11:54After your path,
11:55this is very just philosophical as well as truthful.
12:00Thank you so much.
