Posts

Desi Boyz

T his 32 year old man comes from Haridwar , declaring he has been using anabolic steroids at his gym for last 4 years.. and has completely stopped having erections etc ever since he stopped using them since last 6 months  …a common scenario .. gonadal suppression due to high dose exogenous anabolic steroids and testosterone … but I check his testosterone and that is in the normal range.  I tell him the axis has recovered and most of his issue is now psychological. But he is frantic as he plans on getting  married in the next couple of months ! I ask him if he has a sexual partner. He says he does .. I ask him – is this the woman you intend to marry ? he says – no no this one is already married .. how can he marry her .lol I suppress my smile and tell him “ fine if you are comfortable with her you can work on your confidence with her “  Then he pauses and looks down and  - : he asks me if I have seen the movie – Desi boyz and my eyes widen with curiosity .. Gigol...

Never Have I Ever !

 I had a young pretty  girl come to me for some menstrual issues etc ..Some stress for the last 2 years in her life and I could see her blanch when she spoke about it ....and her periods had gone astray...   and I am about to hand her the prescription when she abruptly blurts out- I have never experienced an orgasm !   And I am a little taken aback at first ...but then I recover as I realize she is really hoping to hear a solution from me ...so I tell her its not a hormonal issue for sure ..but then i realize shes looking for something else - woman to woman understanding ... And I can actually feel an acute empathy for her at having missed such a marvellous beautiful uplifting experience ...for such a long time in her life ...to the point that she was left wondering if she will ever know the ultimate pleasure...I could see it pained her ..   So now I try to break it down   The first thing I  ask her in a very systematic manner is - ...

Lap of Master

  Attending the Isha Gramotsavam was a once in a lifetime experience...the vibrance and energy was unparalleled and unique ..  was just a beautiful movement of upholding the rural spirit,   bringing playfulnes in their lives ..in the face of adversity and struggles .. The ISHA home school children came and taught us a jig before the Gramotsavam that was so brilliant and all the 6000 meditators attending the Lap of the Master program moved in joy to their instructions ... We were doing a jig and laughing like kids, all 6000 of us We frolicked and danced as if it was our best friends’ wedding ..haha .. flinging all care to the wind ..and I was reminded of those Vadodara garba nights where we just danced with no goal in sight but for the mere joy of dancing .. The Sounds of Isha their drumbeats lent a beat and a rhythm and we had the time of our lives .. a 1000 village women performing a simple folk dance in perfect unison right before Adiyogi which added so much colour ...

Letter to an Aspiring Doctor - Theodore Dalrymple

  Letter to an Aspiring Doctor Theodore Dalrymple   Y ou tell me you are thinking, my dear Stephen, of medicine as a career, but you wonder whether you have the ability or the temperament for it. You say that you have wanted to be a doctor ever since your family practitioner visited you at home as a child when you had severe tonsillitis. He seemed a hero to you then, and you would like to emulate him. I do not want to discourage you, of course, but the kind of doctor who visits patients in their homes was not common even then (you were lucky) and is even rarer today. If you are to avoid disappointment or bitterness, you should have a clear picture of what modern medicine really entails before committing yourself to it. Medicine is a broad church, and the kind of person it requires is therefore very varied. Provided you have the requisite determination and intelligence, which I do not doubt, you need not worry too much about your temperament: There is a branch of medicine to su...

The Lost Art of Listening: A Clinical Diagnosis Amidst a Sea of Investigation

  Recently, I encountered a middle-aged man, a cook on a merchant navy ship, who presented with a distressing constellation of symptoms: significant involuntary weight loss, loss of appetite, and a general feeling of being profoundly unwell, to the point of being unable to perform his job. His journey through the medical system had been fraught with extensive and costly investigations, including CT scans and PET scans of his abdomen, all focused on identifying potential adrenal tumors. For nearly six months, he navigated a labyrinth of specialist consultations, each seemingly adding to the volume of his medical file without yielding a definitive diagnosis or, more importantly, relief. It was almost by chance that he found his way to my clinic, prompted by a suggestion that I might have some insight into adrenal disorders. As soon as I met him, a strong clinical suspicion arose. Here was a patient exhibiting anorexia, marked hyperpigmentation, and hypotension. His history, elicite...

Soak in Ecstacy

  It was with bubbled up excitement that I reached Delhi for the “Soak in Ecstacy of Enlightenment” program with Sadhguru ..   I had no idea what to expect or what it would be like .. The anticipation had been building up since a month with the emails and alerts and webinars conducted with respect to the preparation in terms of travel and arrival plus the necessary Sadhana and eating habits -prior to the program ..also what we should expect at the venue .. everything was so crystal clear and well managed and the volunteers were so responsive and helpful that I think I was filled with wonder just at how a single man can inspire such efficiency in a multitude of people working as volunteers with love and devotion to the cause as the driving force and nothing else .. The idea of being in Sadhguru’s presence was a heady feeling and would send me into a tizzy every now and then …   He had been my guiding light when I needed it…   in the darkest corners of mind .. r...

Submerged

  Maldives was more than just a beach getaway for me ..  Snorkeling was an almost spiritual experience ...when I lowered my head into the water suddenly I was in this magical parallel world like being transported into this serene haven so carefully and lovingly protected by this water envelop..  shutting out the noise and thought of the world above .. thoughtless existence ...only feeling ...colours that popped and innocence overflowed.. the colourful corals and bobbing fish - floating just inches above this magnifient kingdom .. with this magnified view...and only the sound of my own breathing in the background .  Th at such vibrant life was thriving inches away from me or even right beneath my feet was such a revelation ...I was now wary of disturbing this quiet but majestic neighbourhood ..so that now when i was kayaking right over the shallow reefs I was wondering how many colourful little unassuming fish i was startling ...! Plus I felt weightless ...like a diff...