Perhaps its time to consider some other perspectives as well, for managing some cardiovascular diseases and primary hypertension
Dear Editor,
In reducing cardiovascular disease, managing social factors will definitely be of great help. That said, we would like to submit that there could be some other supplemental, new, and innovative ways to deal with at some of the cardiac problems. Coronary artery disease (CAD), and also the coronary micro vascular disease can alternatively be managed by our innovative non-invasive and painless medical techniques, which we have to a certain extent already described [1].
Fresh thoughts can perhaps bring in some changes in the way we look and deal with medical issues. Since we are dealing with cardiovascular issues out here, and since primary hypertension is one of the leading cardiovascular problems, we would like to request your permission to put across something new that we had discovered accidentally [2]. Recently our research paper on our innovative medical technique that can help reduce the necessity and the number of drugs and their doses in some cases of ‘primary’ or essential hypertension’ was selected for presentation at an international conference that was organized by under the umbrella of the Indian Medical Association ( IMA). We had accidentally uncovered this new aspect of managing some cases of essential hypertension, and we have named this technique as the “KALHORE TECHNIQUE” [Figure 1]. It involves these key concepts of ours :
(a) Consideration for ‘circumstantial hypertension’, where we believe that if we can manage the unfavorable circumstances and provide remediation of sorts, perhaps it would help in managing large number of cases of essential hypertension as well [3-5].
(b) Need to cut down extra iodine in salt and review the dose of thyroid hormone supplementation [ 6-7]. Maybe a cut down on the dose of Eltroxin could help.
(c) By managing undiagnosed renal artery stenosis [8].
(d) By ruling out pseudo-hypertension in the elderly [9].
We may not be able to write on this issue separately, with your kind permission we would like to put across some essential information about our another recent technique about managing primary hypertension that was accepted at an international conference [10]. Just like the rest, all these ideas came to us in bits and pieces, as a jig-saw puzzle, teaching us that no two individuals are alike, and that patients will always be doing better with a tailored approach that is best suited for them. We all already know that for secondary hypertension there are known causes that are evident and visible, for example something like a visible iceberg we would like to use as an example [Figure 2]. We differ from others by having considered that many of the cases of primary hypertension that are not attributed to stress or to ‘circumstantial hypertension’, could be like being confronted with a submerged iceberg, where the causes are still below the threshold levels and are thus are not yet recognized. Now wouldn’t it help if we search below the threshold levels as well? Possibly we might therefore have better results and outcomes, which have evaded us in the past [Figure 3-5]. Yes, we have to keep reviewing & possibly keep repeating the ‘Kalhore Technique’, in parts or completely, at regular intervals. Our technique also combines:
(a) Exclusion of underlying cardiac beriberi (thiamine deficiency) & empirical treatment if it is suspected, as it may help relieve the stretch and the untoward response it generates on the physiology of a diseased heart.
(b) Use of bio-physical modality like therapeutic acoustic waves generated by piezo-electric crystals
Weight reduction, regular exercises, meditation, yoga, cutting down on salt, etc, would also help to an extent. Some patients, whose anti-hypertensive medicines had been removed as a consequence of our Kalhore Technique, may have to be restarted on anti-hypertensive medication if their blood pressures seem to rise again, possibly at a much lower dose than what they were in a way habituated to earlier. Writing to BMJ dear Editor has always been so deeply regarded by us, and we have always felt that with your reach and clout, it will make at least a small difference globally [11-12]. It’s with all that reverence, we have taken this opportunity write to you again, and now about our fresh views and recent techniques about managing some of the cardiovascular diseases and primary hypertension.
Best regards.
Dr (Lt Col) Rajesh Chauhan
Dr. Ajay Kumar Singh Parihar
Dr. Shruti Chauhan
References:
1. Chauhan R, Chauhan S, Parihar AKS. Innovative medical techniques showcased at international medical conferences. Chapter 14. New exploratory ‘Betaa ka naglaa technique’ for clearing the coronaries and carotids during emergency. Pp 99-106. ISBN -13 : 978-3-659-62328-8; ISBN -10: 3659623288; EAN : 9783659623288
2. Chauhan R. Kindly don't let accidental discoveries for things like essential hypertension fade away into oblivion. What if the medical discoveries were accidental, and with no help forthcoming from any one or from governmental or global resources ? BMJ 08 July 2015. Available at : http://www.bmj.com/content/351/bmj.h3572/rr (Accessed on 10 Aug 2015)
4. Chauhan R, Singh AKS, Chauhan P. Consideration for “Circumstantial Hypertension”. JABFM December 9, 2005.Available at : http://jabfm.org/content/17/3/184/reply (Accessed on 10 Aug 2015)
6. Parihar AKS, Chauhan S, Chauhan R. Re: Immediate and late benefits of treating very elderly people with hypertension: results from active treatment extension to Hypertension in the Very Elderly randomised controlled trial. BMJ 22 May 2013. Available at : http://www.bmj.com/content/344/bmj.d7541/rr/646735 (Accessed on 10 Aug 2015)
7. Chauhan R, Parihar AKS, Chauhan S, Chauhan S, Chauhan SPS. Re: Hypothyroidism is still prevalent in India despite promotion of iodised salt, study shows. BMJ 02 January 2014. Available at: http://www.bmj.com/content/347/bmj.f7693/rr/679875 (Accessed on 10 Aug 2015)
8. Chauhan R, Parihar AKS. Renal artery stenosis can lead to perpetual hyponatremia & hypertension. CMAJ May 28, 2014. http://www.cmaj.ca/content/186/8/E281/reply (Accessed on 10 Aug 2015)
9. Parihar AKS, Chauhan S, Chauhan R. Re: Immediate and late benefits of treating very elderly people with hypertension: results from active treatment extension to Hypertension in the Very Elderly randomised controlled trial. BMJ 29 March 2013. http://www.bmj.com/content/344/bmj.d7541/rr/638487 (Accessed on 10 Aug 2015)
10. SCIENTIFIC PROGRAMME ICON 2015. IMACGP International Conference of Family Medicine Organized by: Indian Medical Association Headquarters, New Delhi
Hotel Country Inn, Sahibabad, UP on 25th & 26th July, 2015. Available at : http://issue.emedinews.in/archive/25_7_15.html (Accessed on 10 Aug 2015)
Competing interests:
Perhaps we need to look a little beyond what is being practiced and conceived so far. Our innovative techniques of managing ischaemic heart disease (IHD), and coronary micro vascular disease (MVD), have already been published last year by an international publisher in our book titled, "Innovative medical techniques showcased at international conferences" . Quite recently our paper on managing essential hypertension was selected for presentation at an international conference of Family Medicine that was held from 26 to 27 July at Ghaziabad, India. Like all of our other innovative and new medical techniques, we have been able to develop, accidentally of course, a technique which can normalize essential hypertension and thus do away with the need of medicines. We have been successful in some cases, while in some other cases of essential hypertension the number of drugs used, and their doses have been reduced considerably. Surely, we are looking for help from government and non-governmental organizations, and from the global medical and research community for improving this technique. Our research paper was included as the "Dr VINAY AGGARWAL ORATION", and was the first presentation in 'Hall B' after lunch on the first day of that international conference. Surely we would want the society and the medical fraternity to help improve all of our innovative medical techniques, as we are unable to go any further from our own resources that come from the pension of the prime author, and without any support, help, or encouragement from anyone. Our book contains 16 innovative techniques on different medical problems ranging from new, innovative and effective management of ischaemic stroke, age-related hearing loss, benign prostatic hyperplasia, coronary artery disease, lumbar canal stenosis, arthritis of knees, migraine, deviated nasal septum, etc. We are definitely looking for a help, support, collaboration, and encouragement from the whole world and also from the BMJ. Alone we could do just this much only, but with necessary help and encouragement much more can easily be accomplished, and all of our innovative techniques can be improved and made absolutely safe even in the hands of a novice.
10 August 2015
Dr (Lieutenant Colonel) Rajesh Chauhan
Consultant Family Medicine
Dr. Ajay Kumar Singh Parihar; Dr. Shruti Chauhan
Family Healthcare Centre, 6-B (HIG) / 154, Avas Vikas Colony Sikandra, AGRA -282007. INDIA.
Dr (Lt Col) Rajesh Chauhan, Family Healthcare Centre, 6-B (HIG) / 154, Main Road, Facing Central Park, Avas Vikas Colony Sikandra, AGRA -282007. INDIA.
Rapid Response:
Perhaps its time to consider some other perspectives as well, for managing some cardiovascular diseases and primary hypertension
Dear Editor,
In reducing cardiovascular disease, managing social factors will definitely be of great help. That said, we would like to submit that there could be some other supplemental, new, and innovative ways to deal with at some of the cardiac problems. Coronary artery disease (CAD), and also the coronary micro vascular disease can alternatively be managed by our innovative non-invasive and painless medical techniques, which we have to a certain extent already described [1].
Fresh thoughts can perhaps bring in some changes in the way we look and deal with medical issues. Since we are dealing with cardiovascular issues out here, and since primary hypertension is one of the leading cardiovascular problems, we would like to request your permission to put across something new that we had discovered accidentally [2]. Recently our research paper on our innovative medical technique that can help reduce the necessity and the number of drugs and their doses in some cases of ‘primary’ or essential hypertension’ was selected for presentation at an international conference that was organized by under the umbrella of the Indian Medical Association ( IMA). We had accidentally uncovered this new aspect of managing some cases of essential hypertension, and we have named this technique as the “KALHORE TECHNIQUE” [Figure 1]. It involves these key concepts of ours :
(a) Consideration for ‘circumstantial hypertension’, where we believe that if we can manage the unfavorable circumstances and provide remediation of sorts, perhaps it would help in managing large number of cases of essential hypertension as well [3-5].
(b) Need to cut down extra iodine in salt and review the dose of thyroid hormone supplementation [ 6-7]. Maybe a cut down on the dose of Eltroxin could help.
(c) By managing undiagnosed renal artery stenosis [8].
(d) By ruling out pseudo-hypertension in the elderly [9].
We may not be able to write on this issue separately, with your kind permission we would like to put across some essential information about our another recent technique about managing primary hypertension that was accepted at an international conference [10]. Just like the rest, all these ideas came to us in bits and pieces, as a jig-saw puzzle, teaching us that no two individuals are alike, and that patients will always be doing better with a tailored approach that is best suited for them. We all already know that for secondary hypertension there are known causes that are evident and visible, for example something like a visible iceberg we would like to use as an example [Figure 2]. We differ from others by having considered that many of the cases of primary hypertension that are not attributed to stress or to ‘circumstantial hypertension’, could be like being confronted with a submerged iceberg, where the causes are still below the threshold levels and are thus are not yet recognized. Now wouldn’t it help if we search below the threshold levels as well? Possibly we might therefore have better results and outcomes, which have evaded us in the past [Figure 3-5]. Yes, we have to keep reviewing & possibly keep repeating the ‘Kalhore Technique’, in parts or completely, at regular intervals. Our technique also combines:
(a) Exclusion of underlying cardiac beriberi (thiamine deficiency) & empirical treatment if it is suspected, as it may help relieve the stretch and the untoward response it generates on the physiology of a diseased heart.
(b) Use of bio-physical modality like therapeutic acoustic waves generated by piezo-electric crystals
Weight reduction, regular exercises, meditation, yoga, cutting down on salt, etc, would also help to an extent. Some patients, whose anti-hypertensive medicines had been removed as a consequence of our Kalhore Technique, may have to be restarted on anti-hypertensive medication if their blood pressures seem to rise again, possibly at a much lower dose than what they were in a way habituated to earlier. Writing to BMJ dear Editor has always been so deeply regarded by us, and we have always felt that with your reach and clout, it will make at least a small difference globally [11-12]. It’s with all that reverence, we have taken this opportunity write to you again, and now about our fresh views and recent techniques about managing some of the cardiovascular diseases and primary hypertension.
Best regards.
Dr (Lt Col) Rajesh Chauhan
Dr. Ajay Kumar Singh Parihar
Dr. Shruti Chauhan
References:
1. Chauhan R, Chauhan S, Parihar AKS. Innovative medical techniques showcased at international medical conferences. Chapter 14. New exploratory ‘Betaa ka naglaa technique’ for clearing the coronaries and carotids during emergency. Pp 99-106. ISBN -13 : 978-3-659-62328-8; ISBN -10: 3659623288; EAN : 9783659623288
2. Chauhan R. Kindly don't let accidental discoveries for things like essential hypertension fade away into oblivion. What if the medical discoveries were accidental, and with no help forthcoming from any one or from governmental or global resources ? BMJ 08 July 2015. Available at : http://www.bmj.com/content/351/bmj.h3572/rr (Accessed on 10 Aug 2015)
3. Chauhan R, Singh AKS, Chauhan P. ‘Circumstantial’ Hypertension. BMJ 05 October 2005. Available at : http://www.bmj.com/rapid-response/2011/10/31/%E2%80%98circumstantial%E2%...
4. Chauhan R, Singh AKS, Chauhan P. Consideration for “Circumstantial Hypertension”. JABFM December 9, 2005.Available at : http://jabfm.org/content/17/3/184/reply (Accessed on 10 Aug 2015)
5. Chauhan R. “CIRCUMSTANTIAL HYPERTENSION” : CAN WE CONSIDER IT AS A SEPARATE ENTITY. CMAJ August 31, 2006. Available at : http://www.cmaj.ca/content/174/12/1737.figures-only/reply#cmaj_el_4577. (Accessed on 10 Aug 2015)
6. Parihar AKS, Chauhan S, Chauhan R. Re: Immediate and late benefits of treating very elderly people with hypertension: results from active treatment extension to Hypertension in the Very Elderly randomised controlled trial. BMJ 22 May 2013. Available at : http://www.bmj.com/content/344/bmj.d7541/rr/646735 (Accessed on 10 Aug 2015)
7. Chauhan R, Parihar AKS, Chauhan S, Chauhan S, Chauhan SPS. Re: Hypothyroidism is still prevalent in India despite promotion of iodised salt, study shows. BMJ 02 January 2014. Available at: http://www.bmj.com/content/347/bmj.f7693/rr/679875 (Accessed on 10 Aug 2015)
8. Chauhan R, Parihar AKS. Renal artery stenosis can lead to perpetual hyponatremia & hypertension. CMAJ May 28, 2014. http://www.cmaj.ca/content/186/8/E281/reply (Accessed on 10 Aug 2015)
9. Parihar AKS, Chauhan S, Chauhan R. Re: Immediate and late benefits of treating very elderly people with hypertension: results from active treatment extension to Hypertension in the Very Elderly randomised controlled trial. BMJ 29 March 2013. http://www.bmj.com/content/344/bmj.d7541/rr/638487 (Accessed on 10 Aug 2015)
10. SCIENTIFIC PROGRAMME ICON 2015. IMACGP International Conference of Family Medicine Organized by: Indian Medical Association Headquarters, New Delhi
Hotel Country Inn, Sahibabad, UP on 25th & 26th July, 2015. Available at :
http://issue.emedinews.in/archive/25_7_15.html (Accessed on 10 Aug 2015)
11. Chauhan R, Chauhan S, Chauhan SPS, Chauhan S. About the significance of Rapid Responses to the BMJ. BMJ 06 May 2011. Available at : http://www.bmj.com/rapid-response/2011/11/03/about-significance-rapid-re... (Accessed on 10 Aug 2015)
12. Chauhan R, Singh AKS, Chauhan S. Re: Revitalising rapid responses. BMJ 25 April 2013. Available at : http://www.bmj.com/content/330/7503/1284/rr/642638. (Accessed on 10 Aug 2015)
Competing interests: Perhaps we need to look a little beyond what is being practiced and conceived so far. Our innovative techniques of managing ischaemic heart disease (IHD), and coronary micro vascular disease (MVD), have already been published last year by an international publisher in our book titled, "Innovative medical techniques showcased at international conferences" . Quite recently our paper on managing essential hypertension was selected for presentation at an international conference of Family Medicine that was held from 26 to 27 July at Ghaziabad, India. Like all of our other innovative and new medical techniques, we have been able to develop, accidentally of course, a technique which can normalize essential hypertension and thus do away with the need of medicines. We have been successful in some cases, while in some other cases of essential hypertension the number of drugs used, and their doses have been reduced considerably. Surely, we are looking for help from government and non-governmental organizations, and from the global medical and research community for improving this technique. Our research paper was included as the "Dr VINAY AGGARWAL ORATION", and was the first presentation in 'Hall B' after lunch on the first day of that international conference. Surely we would want the society and the medical fraternity to help improve all of our innovative medical techniques, as we are unable to go any further from our own resources that come from the pension of the prime author, and without any support, help, or encouragement from anyone. Our book contains 16 innovative techniques on different medical problems ranging from new, innovative and effective management of ischaemic stroke, age-related hearing loss, benign prostatic hyperplasia, coronary artery disease, lumbar canal stenosis, arthritis of knees, migraine, deviated nasal septum, etc. We are definitely looking for a help, support, collaboration, and encouragement from the whole world and also from the BMJ. Alone we could do just this much only, but with necessary help and encouragement much more can easily be accomplished, and all of our innovative techniques can be improved and made absolutely safe even in the hands of a novice.