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Are you planning for an emergency surgery!?

Just make sure that it is not the Surgeon’s birthday!


Of course, when we go for a Surgery, we think and plan and discuss a lot of things!
But when it comes to Emergency, there is no time! One thing you may need to find out is the lead Surgeon’s birthdate!

Determined: A Science of Life Without Free Will is a book by Robert Sapolsky about the question of free will mentions this interesting information!

Of course, that meant that we need to investigate it further, and I was certainly surprised!


Apparently studies show a 23% higher mortality rate for emergency surgeries performed on a surgeon’s birthday compared to other days!

This is thought to be due to distractions from birthday celebrations, causing surgeons to rush or be less attentive, particularly affecting elderly patients undergoing emergency procedures.


The Surgeon also may make decisions which leads to faster outcome, but not the ideal outcome. This means that the Surgeon may try to finish the case earlier and may not select the best protocol, but fastest!


A key finding on Surgeon’s Birthday vs. Normal Days is that Patients are more likely to have complications within 30 days if their emergency surgery is done on their surgeon’s birthday.

The likely causes included distractions from personal plans, birthday messages, or potential reduced care following the procedure!

Remember that the elevated risk was observed for emergency surgeries, but not for elective (scheduled) procedures.

The Studies though primarily analyzed older Medicare patients.

While it is a fascinating statistical anomaly, experts advise that patients generally do not need to avoid scheduling elective procedures on a surgeon’s birthday, as the evidence is still limited!

Then again, if it is the Surgeon‘s birthday statistics or not, let him or her enjoy one day!

So the next time you are in an emergency, Surgery watch out for the birthday cake and read the Surgeon’s name!

You can also shout happy birthday and remove the person who responds with a ‘Thank you’ from the operating room!

Then again these are simply stats! You have a hundred things that decide the fate of your surgery! Just be cool and get it done! Watch some comedy! Like the KSS with Archana Puran Singh!

shubh ratri!

Atticus Finch tells his children, “Shoot all the bluejays you want, if you can hit ’em, but remember it’s a sin to kill a mockingbird”.

Miss Maudie explains this means mockingbirds are innocent creatures that only make music for enjoyment, symbolizing harmless, innocent people!

Of course, any humane person would prefer not to shoot any bird for that matter whether the song is melodious or not!

The NYT yesterday had a clue about the song of a Swan!

Have you actually heard a Swan Sing?

But do you know what’s a swan song?

Apparently, they do, but when their end is near!

The term “swan song” originated from an ancient Greek belief that swans remain silent for most of their lives, only to sing a single, beautiful melody just before they die!

That is so poetic and philosophical! Which means that if you do hear a swan sing, then maybe it’s the last song!

In Greek mythology, swans were sacred to Apollo, the god of music, poetry, and prophecy.

In Plato’s Phaedo, Socrates argues that swans do not sing out of sorrow, but rather out of joy because they have “foreknowledge of the blessings in the other world” and are returning to the god they serve.

By the 3rd century BCE, the idea of the “swan’s song” (kýkneion ásma) had become a common proverb in Greece. It was later mentioned by writers like Aristotle, Euripides, and Cicero.

Chaucer provided one of the earliest English allusions in The Parliament of Fowls, describing “the jealous swan, against his death that singeth”.

Even our Shakespeare used the imagery multiple times, most notably in The Merchant of Venice (“he makes a swan-like end, fading in music”)!

That’s literature!

But did you know that while the Mute Swan (the species most common in Europe) only makes grunting or hissing sounds, the Whooper Swan has been noted by naturalists for a unique behavior!

As its lungs collapse upon death, the air passing through its long, coiled trachea can produce a series of drawn-out, flute-like notes—a physical phenomenon that likely served as the grain of truth behind the legend!

That last sound would be so melodious indeed since it would have the last bit of air leaving to never return again…Poetic indeed…

Then again only soldiers are the ones who would save their last breath and voice for the country! Like Hoshiar Singh Dahiya!

Now turn on your alarm and sleep!
No bird would wake you up!

Shubh ratri…

Do you know what determines whether a person gets a bail or not in a court of law?

Apparently, one of the things is whether the judge has had his or her breakfast or lunch!

Determined: A Science of Life Without Free Will is a book by Robert Sapolsky about the question of free will mentions the famous study on judicial decisions.

The study known as the ‘lunchtime effect’ is a 2011 study on judicial decision-making (often referred to in behavioral economics), there is a significant, albeit unintentional, relationship between the timing of a bail hearing and the likelihood of bail being granted!

The Research indicates that judges are more likely to grant parole or bail at the beginning of the workday or immediately after a break (like lunch), while the likelihood of a favorable ruling drops significantly as the session progresses!

As judges hear more cases without a break, decision fatigue sets in!

They become more likely to choose the default, lower-effort decision, which is often to deny bail and keep the accused in custody (the “safe” option).

Now officially “Bail is the Rule, Jail is the Exception”: but despite legal principles stating that bail is a right and detention should be the exception, this psychological trend suggests that environmental factors (like hunger or fatigue) can influence the administration of justice!

So the optimal Timing is usually after a good lunch!

The study found that favorable decisions dropped from roughly 65% to nearly zero over the course of a session, returning to 65% immediately after a food break!

So you want to case to be in your favour then maybe send his or her favourite food to the judge!?

Of course, not committing the crime in the first place is also a good option!

You can instead be a good citizen and follow the law and you do not have to worry about court! Like Kiran Mazumdar-Shaw!

Now have dinner and sleep!

Shubh ratri…

Do you know why teenagers behave the way they do!?

Well no one does!

And that includes the teen himself or herself behaving the way he or she is doing!

The answer though may lie in this region of the brain!

Determined: A Science of Life Without Free Will is a book by Robert Sapolsky about the question of free will!

The author talks about the development of the brain especially the frontal cortex.

The development of the frontal cortex, specifically the prefrontal cortex (PFC), is a uniquely protracted process in humans that begins in the womb and typically does not finish until the mid-to-late 20s!

This essentially means that your brain is developed when you are born but the development of prefrontal cortex is what is called maturity!

This extended timeline allows for the complex acquisition of executive functions like planning, impulse control, and social reasoning.

Adolescence (Puberty to early 20s): This is a critical “fine-tuning” phase. The brain undergoes synaptic pruning, where unused connections are removed to make the system more efficient. Development follows a back-to-front pattern, meaning the PFC is the very last region to mature!

In the Mid-20s, the process concludes with myelination, the wrapping of nerve fibers in a protective fatty sheath that speeds up electrical signals, enabling the fast, complex thinking required for adult decision-making!

Because the PFC is the “last to arrive,” teenagers often rely more on the amygdala—the brain’s emotional center—to make decisions, which can lead to higher impulsivity and risk-taking!

Factors like chronic stress, trauma, or ADHD can disrupt this delicate maturing process, while activities like mindfulness, learning new skills, and aerobic exercise can strengthen PFC function!


So the next time teen is behaving the way he or she is behaving all you have to do this use your own fully developed pre frontal cortex and ignore the rants which are coming from the Amygdala!

So what was your teen like! My ‘TEEN’ memory was riding a Luna! Riding that slightly faster version of the cycle was like a dream! Another similar vehicle was the TVS!   Big ode to Thirukkurungudi Vengaram Sundram Iyengar who was an Indian industrialist and automobile pioneer!

Now try to tolerate the Amygdala influenced teen in your life and sleep! Or ask him or her to sleep!

Shubh ratri!

Do you know what is a round house kick??

Also do you know who is the world’s greatest human according to this book!?

The roundhouse kick is this actor’s most iconic move, serving as his signature finisher in both his professional martial arts career and his legendary role as Cordell Walker in Walker, Texas Ranger!

As an Indian you would have heard the same jokes about Rajnikanth!

It is more likely do that you would have heard his jokes but you would have never seen a movie of this actor!

The roundhouse kick move became the center of the viral “C N Facts” internet meme, which humorously exaggerated his toughness with claims like:
“C N once threw a roundhouse kick at nothing—and told it to get a job”.
“Since 1940, roundhouse kick related deaths have increased 13,000 percent”.

Now these C N ‘Facts’ originated in early 2005 on the internet, primarily stemming from the Something Awful forums.

Forum users were originally creating absurd, hyper-masculine jokes about actor Vin Diesel in response to his 2005 family comedy film The Pacifier!

Users decided to shift the subject to C N, whose decades-long martial arts career and Walker, Texas Ranger tough-guy persona provided a more fitting subject for exaggerated, superhuman claims!

Humorist Ian Spector is often credited with popularizing the meme by creating a “C N Fact” generator and later publishing best-selling books on the topic, such as The Truth About C N: 400 Facts About the World’s Greatest Human (2007)!


Cultural Influences: The jokes were also influenced by Conan O’Brien’s running gag “The Walker Texas Ranger Lever” on Late Night with Conan O’Brien and the Saturday Night Live “Bill Brasky” sketches!

C N initially found the facts surprising and funny, stating in 2023 that he and his wife, Gena, enjoyed them and appreciated that the memes kept him relevant to a new generation.

He even featured some of his favorite “facts” in his own book!

Some Examples of Initial “Facts”:

“C N doesn’t do push-ups; he pushes the Earth down”.
“C N was once bitten by a king cobra. After five days of agonizing pain, the cobra died”.
“There is no CONTROL key on C N’ keyboard; Chuck Norris is in Control!
“C N can pass a vision test with his eyes closed”
“When the Hulk gets really angry, he turns into C N”
“The flu has to get a C N shot once a year”

In other places like India we have similar jokes with Rajinikanth! In fact one of the ad companies also had a collaboration with them!

From 2006 to 2018, Dos Equis beer ran a successful advertising campaign entitled “The Most Interesting Man in the World” featuring actor Jonathan Goldsmith which also became a popular Internet meme.

In Egypt, and prior to the Egyptian presidential election, 2012, similar jokes were made upon Omar Suleiman, the ex-director of the General Intelligence Directorate in the same style of C N  facts!

In 2006, a naming poll was held to decide the name of a new bridge in Hungary. Since nominations were accepted from everyone, “C N” soon became the top candidate for the bridge’s name (beating the names of several historical figures along with candidates like David Hasselhoff and Eric Cartman), before being taken over by Stephen Colbert after he called his fans to vote. The bridge was eventually named Megyeri Bridge!

In 2014, after Argentina reached the final of the FIFA World Cup in Brazil, memes containing C N  facts directed at defensive midfielder Javier Mascherano emerged on social media. Similar “facts” were attributed to another soccer player, Zlatan Ibrahimović!

If you still did not get who C N is then only C N can save you!

Rest in peace Chuck Norris! Your ‘facts’ though will remain forever!

Shubh ratri…

Do you know who is an idiot?

I am sure you would know a lot of them!

But (he he!) this is a new term for the modern generation! Or at least the full form is new!


More specifically it is called the idiot syndrome!


IDIOT syndrome or Syndrome of Internet Derived Information Obstruction Treatment!


This is a modern phenomenon where patients endanger their health by trusting online information over professional medical advice.

Previously it was just googling your symptoms and trying to treat yourself or watching YouTube video and trying to treat yourself! Now it has progressed to using  AI like the chat GPT or Gemini and trying to ‘play’ the doctor!


It involves self-diagnosing, abrupt treatment cessation, and anxiety caused by “googling” symptoms, often leading to poor health outcomes.


The key point here is the misleading health information found online (Infodemic).

These further cause more intense anxiety, panic, and stress!

The issue gets complicated when this leads up abruptly stopping prescribed medication, ignoring doctor advice, or self-medicating based on web searches!

This of course leads to worsened health conditions and high levels of stress.

Of course there is no cure for stupidity but maybe there is a cure for the idiots!


It’s of course better to only trust reputable medical websites. More importantly you must rely on licensed doctors and not internet searches!


And end of the day it’s a matter of trust! Would you rather trust an AI or a human doctor?

Unfortunately if someone and ask this questions many years back the answer would have been obvious! With the lack of trust now, the answer may not be that clear!

Then again don’t be an IDIOT!
Be a legend like Major General Hardev Singh Kler!

Do read about this war hero and legend played by Sunny paji in Border 2…

Jai hind…
Shubh ratri…

Do you know what is tau?

Well it’s not another form of tai chi!

So while Tai Chi is a build up of your general body including muscles and mind; Tau build up can cause lots of problems!

So Tau is a protein! Now of course proteins are good in general but like everything else, too much of anything is bad!


Tau protein accumulation, forming neurofibrillary tangles inside brain cells, is a hallmark of Alzheimer’s disease and other “tauopathies”.

These tangles destroy neurons by disrupting nutrient transport, causing severe brain cell dysfunction.

Recent research suggests these proteins also damage brain blood vessels, hindering their removal.

Normally, tau stabilizes microtubule “highways” in nerve cells, allowing nutrients and information to move efficiently.

In Alzheimer’s, tau becomes hyperphosphorylated, detaches from these structures, and clumps into tangles.

When tau detaches, the microtubules collapse, destroying the cell’s internal structure. These tangles (specifically called neurofibrillary tangles) are strongly associated with the progression and severity of cognitive decline.

Tau buildup often works in conjunction with amyloid-beta plaques. A new theory suggests that Alzheimer’s arises when amyloid-beta interferes with the normal function of tau.

Tau spreads between cells via connected neurons, allowing the disease to spread through the brain. A novel discovery found that harmful tau also weakens the blood-brain barrier by impairing how cells lining the blood vessels produce energy.

A recently identified group of cells, tanycytes, are crucial for clearing these toxins, but they malfunction in Alzheimer’s, leading to the accumulation of tau.

So a High level of modified tau in the blood are strong indicators of Alzheimer’s…

So protein is good but too much anything is bad! Of course some talent is always good in more quantity! Like the abundance of talent which is the Hallmark of Alka Yagnik!

Now give rest to your brain and let it bath in good thoughts!!

Shubh ratri…

Do you like status quo?

Now the mundane is boring but then routine is nice!

Going to work; coming back then have sometime with the family! Eat and sleep and repeat!

It may sound boring actually having a routine is one of the most amazing thing in the world!

It means that’s there is stability!

As far as life and health is concerned I’ll love to have just status quo!

But (he he!); In health, the status quo refers to the current state of a patient’s health or treatment plan.

The status quo bias is a cognitive bias where patients or providers prefer maintaining the current, familiar treatment or inaction over adopting new, potentially better options, often due to inertia, fear of regret, or comfort with the familiar.

It is actually a type of treatment inertia; in which Patients may prefer to keep taking an ineffective or suboptimal medication, rather than changing it.

Physicians might also struggle to escalate care (e.g., intensive therapy) for chronic illnesses like diabetes or rheumatoid arthritis, keeping with the same treatment.

The status quo is often chosen because altering it is perceived as risky or demanding more effort.

Families or doctors might stick to a default, familiar path (continued treatment) instead of withdrawing, even if it is not in the patient’s best interest.

Doctors are often more susceptible to this bias when reviewing plans made by colleagues. They are statistically more likely to stick to a treatment plan already in place rather than suggesting a better alternative.

During open enrollment, many people automatically renew their current health plan without comparing it to newer, potentially cheaper or more comprehensive options.

This bias is considered a major hurdle in medical compliance and treating chronic disease, as it causes “patient inertia” and, in some cases, can lead to unfavorable outcomes.

In fact the bias is cognitive and not limited to health; the Status Quo Bias causes people to prefer their current situation or the “default” option over change, even when a different choice would objectively be more beneficial.

So while routine is good; life always needs a change!

Of course every likes life to change for the better!

Which is why we wish you a very happy ugadi by a Sketch inspired by the Kannada LEGEND; Sampath Kumar AKA Dr.Vishnuvardhan

Have a healthy and blessed and posperous Ugadi!

Shubh Ratri!

Maxwell Maltz book called Psycho Cybernetic, published in 1960, is considered one of the best books in the self-help category, of the psychology masterpieces that paved the way for most of today’s personal empowerment programs! In one section he states how physical scars are formed because the wound heals under tension and the gap between the wounds is filled by fibrous tissue!

A plastic surgeon ensures that there is no tension which makes the scars less or none! In the same way apparently even emotional scars develop when there is stress and tension or frustration! According to him the best way to heal or repair those scars is to reduce emotional stress or tension!

And then you have the healing of the fracture!  The issue with fracture is that  you need to give complete rest to the joint. Then again when you give rest to the joint the muscles become stiff! So you need to keep on moving the muscles!

Unfortunately you cannot move them too much lest the joint also moves and that may impede the healing of the fracture!

In this delicate balance between moment and restriction the body slowly tries to recover.

There is no shortcut to healing it will take its own time!

In fact if you try to mobilise faster then the healing will be delayed or incorrect and if you mobilize later then your joint will be more stiff!

And then you have the pain after the first major pain! By this time you realise that it is a fracture and then you will get pain in short intervals! So you have major pain and a minor constant pain!

The pain here is good since that means that the fracture is healing it also tells you how much you can move your joint! Then again too much pain is not good!

Slowly the pain may go or you get used to it! Just like life!

It’s all matter of balance! Just like life!

It’s not too good and then again it’s not too bad! Just like life!

A perfect balance of look and talent is also Abhay Deol!

Now for the perfect balance in life you have to sleep!

Shubh ratri!

Wilson Greatbatch was an American electrical engineer; In 1956, while building an oscillator to record heart sounds at the University of Buffalo, Greatbatch accidentally installed a resistor with the wrong resistance (1 MΩ instead of 10 KΩ). 

What happened was instead of recording the circuit emitted a steady electrical pulse!

He recognized tthat his rhythmic pulse mirrored a healthy heartbeat and could potentially regulate a diseased heart!

Greatbatch spent two years refining the device in a workshop behind his home! 

He later teamed with surgeon Dr. William Chardack and after many refinements and modification the device was ready for human implant

In 1960, the device was successfully implanted in a 77-year-old human patient by Dr. William Chardack 

He then licensed the invention to Medtronic, which led to its widespread clinical use.

Initially he was frustrated by the 2-year lifespan of early mercury batteries, Greatbatch developed the lithium-iodide battery in the early 1970s. This became the industry standard, extending pacemaker longevity to over 10 years!

Apart from this he held over 325 patents throughout his life!

His work transformed heart block from a fatal condition into a manageable one, with nearly one million pacemakers now installed annually worldwide.

All started with an accident! Remember that there are no accidents! Only opportunities! Start by dreams and then make castles! Or a bungalow! 

Or simply by your charity you can make everything you do legendary and even if you are gone you are memories and your actions will remain forever!

Praying for peace and health

Subh ratri…