CONTROLING THOUGHTS

CONTROLING THOUGHT FIRST STEP FOR SUCCESS

            You want to succesed and you want to win the world then first you

          have to win your mind ,your thought.

          By this I mean that you have to control your thought.I  will tell you

          the problems of not controling thoughts.You are in class room and

          a teacher is teaching you and your mind keep drifting to some where            

          else then you cant learn what is being taught.

          It is a great advantage to be able to focus on a subject you want

          at any time of day,for any length of time and to switch to any other

          subject of your choice.If one is able to achieve fast switching between

          various subjects than it is even better.For a person in high position

          to be successful it is a must condition.It is like opening      newfile             

         swiftly If one is able to deal with many subjects of diversity at one time        

         it is indeed great.It is like you have many aplications going in your

          computer and working with many of them simultaneously.This may

         look difficult but we all do these things many a time.One who is able to    

         do it better is at a advantageous position in life and can achieve greater

          successes.                                            

          Controling your thoughts and change your thoughts to any direction

          becomes even more important at times of stress,danger or anger.

          For example you are sad  or you are hurt and you have to do lot of

          routine work or you have to study than it becomes important that

          you are able to switch to work at hand and your mind is not drifting

          back to your hurt feelings otherwise your performance is going to

          to be below  standerd.Anger is harmful to body and mind  and to       

          switch from angry thoughts as soon as possible is important.Even at     

          times of excitement or some things have effected your mind and your      

          thoughts keep going back and you are not able to concentrate on work

          at hand is also a common occurrence.It can occur after a good movie or

           TV programme.

                                      When you are watching TV you want the

          remote in your hand and want to be able to switch channels at will.

COOKIE STORY

A young lady was waiting for her flight in a boarding room of a big airport. 

As she should need to wait many hours, she decided to buy a book to spend her time. She also bought a pack of cookies.

She sat down in an armchair, in the VIP room of the airport, to rest and read in peace.

Beside the armchair where the packet of cookies lay, a man sat down in the next seat, opened his magazine and started reading.

When she took out the first cookie, the man took one also.

She felt irritated but said nothing.

She just thought, "What the nerve! If I was in the mood, I would punch him for daring!"

For each cookie she took, the man took one too...

This was infuriating her but she didn't want to cause a scene.

When only one cookie remained, she thought:

"Ah... what this abusive man do now?"

Then, the man taking the last cookie, divided it into half, giving her one half.

Ah! That's too much!

She was too much angry now!

In a huff, she took her book, her things and stormed to the boarding place.

When she sat down in her seat inside the plane, she looked into her purse to take her eyeglasses... and to her surprise... her packet of cookies was there, untouched... unopened!

She felt so ashamed!!!

She realized that she was wrong...

She forgotten that her cookies were kept in her purse. 

The man had divided his cookies with her, without feeling angered or bitter...

while she had been very angry, thinking that she was dividing his cookies with him.

And now, there are no chance to explain or apologize...

***

THERE ARE FOUR THINGS THAT YOU CANNOT RECOVER:

 

The stone... after the throw.

The word... after it's said.

The occasion... after the loss.

The time... after its gone.

WARREN BUFFET

WARREN BUFFET

2ND RICHEST MAN IN WORLD

1. He bought his first share at age 11 and he now regrets that he started too late!

Things were very cheap that time;

Encourage your children to invest.

2. He bought a small farm at age 14 with saving from delivering newspapers.

One could have bought many things with the little savings.

Encourage your children to start some kind of business.

3. He still lives in the same small 3-bedroom house in mid-town Omaha, that he bought after he got married 50 years ago. He says that he has everything he needs in that house.

His house does not have a wall or fence.

Don't buy more than what you really need

and encourage your children to do and think the same.

4. He drives his own car everywhere and does not have a driver or security people around him.

You are what you are.

5. He never travels by private jet, although he owns the world's largest private jet company.

Always think how you can accomplish things economically.

6. His company, Berkshire Hathaway, owns 63 companies. He writes only one letter each to the CEOs of these companies, giving them goals for the year. He never holds meetings or calls them on a regular basis.

Assign the right people to the right jobs.

7. He has given his CEO's only two rules.

Rule No. 1: Do not lose any of your share holder's money.

Rule No. 2: Do not forget rule no. 1.

Set goals and make sure people focus on them.

8. He does not socialized with the high society crowd. His past time after he gets home is to make himself some pop corn and watch television.

Don't try to show off.

Just be yourself and do what you enjoy doing.

9. Warren Buffet does not carry a cellphone or has a computer on his desk.

10. Bill Gates, the world's richest man met him for the first time only 5 years ago.

Bill Gates did not thought he had anything in common with Warren Buffet, so he scheduled his meeting only for half hour. But when Gates met him, the meeting lasted for 10 hours and Bill Gates become a devotee of Warren Buffet.

---

HIS ADVICE TO YOUNG PEOPLE:

"Stay away from credit cards (bank loans) and invest in yourself and remember:

- Money doesn't create man but it is the man who created money.

- Live your life as simple as you are.

- Don't do what others' say, just listen to them, but do what you feel is good.

- Don't go on brand name; just wear those things which you feel comfortable.

- Don't waste your money on unnecessary things; just spend on them who are really in need.

-After all, its your life, then why give chance to others to rule our life?

CASE-5-DRUG HISTORY

CASE-5                  DRUG HISTORY

Mr  B ,55, Male ,Pilot In Indian Airforce by profession , came to me with failed annual Medical checkup .He had been grounded. He was very anxious to get back to flying. On checking his records  he was rejected   because his Hb was 10Gm%. No h/O GI bleed.

O/E pulse-64/Min regular, BP-124/84mm ofhg.,JVP-not raised, Oedema-nil, R/R-14/min.

 CVS,CNS,Lungs & ABD- NAD

On Investigations- Hb-10 gm% ,GBP- Normocytic normochromic, Serum Iron Lelevs- Normal

PROVISIONAL DIAGNOSIS-NORMOCYTIC NORMOCHROMIC ANAEMIA

He was put on oral Iron and later on Injectable Iron but failed to respond.

DIAGNOSIS-REFRACTORY ANAEMIA

KEY QUESTION-DRUG HISTORY

He  was a known case of Hypertension on  Telmesartan  + Metoprolol  . He was taking Amidorone 200mg /day for PVCs.

KEY INVESTIGATION-THYROID PRFILE

RESULT-TSH-132IU/ML

FINAL DIAGNOSIS-REFRACTORY ANAEMIA CAUSE-HYPOTHYROIDISM-CAUSE-DRUG INDUCED-AMIDORONE

TREATMENT-STOP AMIDORONE-PUT ON THYROXINE-MONITOR THYROID STATUS

CASE-4-THYROTOXICOSIS

Mr SS ,54y,M ,non-smoker, presented with loss of weight and generalised weakness of 3 months duration.

O/E- Pulse-104/min,regular, Bp-122/80mm,No oedema or cyanosis.

No Goitre or exopthalmos, On systemic examination-NAD

Investigations- Hb-14.5gm%,Blood sugar-PP-122mg%

DIAGNOSIS-???

KEY EXAMINATION-STRECH YOUR UPPER LIMBS AND HANDS

ANSWER-TREMORS-FINE –PRESENT

KEY INVESTIGATION-THYROID PROFILE

RESULT- T4-16.4MG% ,TSH-0.01 IU/ml

FINAL DIAGNOSIS-THYROTOXICOSIS

CASE-3-REFRACTORY ANEMIA

Mr RK  ,68y,M,fell down and became unconscious one day while at outdoor park one cold morning. He gained concsiouscness in few minutes. There was no H/o convulsions. No h/o head injury, No H/O weakness of limbs.

He is nondiabetic , nonhypertensive and non-smoker. He was taken to doctor and was investigated. Only positive finding was HB-6.5Gm%.GBP-Normocytic normochromic. His s iron was normal.

He had no H/O of haemoroids or GI bleed. He was put on oral iron but his Hb did not improve in 15 days. He was given IV iron and IV B12 but showed no sign of improvement.  He was labelled as a case of Refractory anaemia and was investigated for any underlying malignancy .No malignancy was found but his Hb did not rise. He was bought to me.

O/E  Pulse-76/Min,regular,BP-130/90mm, Pallor-+,Cyanosis-nil.

Sys examination-NAD

Key- H/O lethargy and gaining Wt + Coarse facial features

INVESTIGATION-THYROID PROFILE

RESULT-TSH-128IU

DIAGNOSIS- HYPOTHYROIDISM

LESSON- HYPOTHYROIDISM IS A CAUSE OF REFRACTORY ANAEMIA

CASE-2-Look at pupil

MR RDS ,35 Male, brought unconscious of few hr duration at 2 AM .

Non Diabetic,Non hypertensive .CH Smoker.

No H/O Head injury or Convulsions.

O/E- Pt unconscious –not responding to deep painful stimuli

Pulse-60/min,regular,BP-80/40mm, oedema-nil,cyanosis-nil,R/R-14/min,regular.

CNS-Planters-Normal,No focal neurological deficit

CVS,Res,ABD-NAD

On Investigation- Bl sugar-84mg%

ECG-NAD

(That is only available at 2AM)

DIAGNOSIS-? CVA

KEY EXAMINATION-LOOK AT PUPIL

PUPIL-PIN POINT

DIAGNOSIS- MORPHINE/PETHIDINE OVERDOSE

(Was injected by by village doctor)

CASE-1-FAMILY HISTORY

Mr S aged 18years presented with oedema feet and generalised weakness of 2 weeks duration.       No H/O breathlessness

No Urinary complaints, No H/O fever, No H/O cough

O/E  Pulse-80/min,regular,BP-122/80, oedema-+, JVP-not raised, No cyanosis

CNS,CVS,Lungs and Abd-NAD

INVESTIGATIONS-Hb-13.6gm%,TLC-11200/cmm,DLC-P-55%,L-40%,E-3%,M-2%,ESR-24mm(WESTERG)

Urine analysis-NAD

BUN-12mg%, S Creatinine-1.0mg%

DIAGNOSIS-?

KEY QUESTION- ANYBODY IN YOUR FAMILY HAVING SAME PROBLEM

ANSWER-YES –MY YOUNGER BROTHER AND SISTER TO LESSER EXTENT

DIAGNOSIS-EPIDIMIC DROPSY

EXPLANATION- Mixing of Argimone Maxicana (Yellow Katari) seeds in Edible Mustard oil

TREATMENT- Change Edible oil