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Socioeconomic adversity—an important barrier to healthy aging

BMJ 2018; 360 doi: https://doi.org/10.1136/bmj.k1288 (Published 23 March 2018) Cite this as: BMJ 2018;360:k1288

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New, innovative and novel series of medical innovations almost ready for healthy aging, but no takers so far.

Dear Editor,

This editorial, 'Socioeconomic adversity—an important barrier to healthy aging' by Rachel Cooper deserves the best compliments. It raises pertinent questions and also answers some. More importantly for us, it really caught our fancy, as we also believe that urgent action is needed by the world. Presently it seems that we are just drifting and going with the flow.

We on the other hand are of the view that much can be changed, if only there is a will, but there are no takers as yet [2]. Aging with chronic illnesses & sometimes with multi-morbidities could be quite a burden, besides being sickening. We have published our new techniques in the four books that have been published from abroad. Many of these techniques have also showcased at some international medical conferences, and many of them have also described at this platform of the BMJ over the years. What more, we had presented not one but 35 of our new innovative techniques to the Ministry of Health, Government of India, on 25 October 2017 when called upon to do so. The whole world had taken notice on and around 01 August 2017 about the publication of a book by us that contains 25 new medical techniques, and the news was there on all prominent papers across the world. Alas, there are no takers as yet.

Why must a 'frozen shoulder' cripple a person for around two years, when it would take a day or two, or at the most around ten days by our technique? [3-4]

Perhaps coronary blocks can be cleared to a large extent by our new and innovative "BKN Technique". Obviously stenting or a bypass surgery can come later if this non-invasive and painless technique fails. This technique can be invaluable for those impoverished patients who can ill afford costly modalities that are presently in use. [5-8]

So far we do not have any definitive diagnostic or management modality for the 'Microvascular Coronary Disease'. Wouldn't the world be happy to try out a newer approach, which can manage this condition to a large extent? [9]

Why must a patient with stroke and paralysis remain crippled for indefinite period of time, when a modification of the "BKN Tecnique" could possibly help him or her overcome the paralysis to an extent? [8-9]

Perhaps the need for hearing aids in presbycusis (age-related hearing loss) can be done away with using our new technique. Should there be still a need, hearing aids can be used [10-14].

Surely the morbidly obese may require bariatric surgery, but why suggest and subject every obese to such surgery, when much of the flab can be removed without surgery, and painlessly at that, without needing hospitalization or anaesthesia [15-16].

Many patients are apprehensive about the outcomes of spinal surgery for Lumbar canal stenosis. We have this non-invasive and painless “Agra Technique” which can provide much relief, especially in the earlier stages [17-20].
Not everyone can afford ‘Total knee replacements’. A few patients may be apprehensive about the outcomes. As against this surgery, our simple "ASHA TECHNIQUE" which means 'hope', can come as a rescue to those who are unwilling for surgery [21-24].

Instead of lifelong medicines or undergoing surgery, our non-invasive and painless innovative and novel technique can be used for managing 'benign prostatic hyperplasia' (BPH). Should this technique fail, medicines and / or surgery can be used. This technique too, like many others, has been described earlier at this platform [25]. We can also try and manage inguinal and other external hernias, if detected early rather than allowing them to grow and become symptomatic first [26].

How about exploring newer ways of managing Type 2 Diabetes and Primary Hypertension by our newer non-invasive methods, combining them with conventional medicines, and thereby bringing down the requirement of the number and the dosage of medicines? We have a long time ago given some details at this platform of the BMJ about our "Brij Pal Technique" and "Kalhore Technique" for these two common chronic medical conditions [27-32].

We can get good results without surgery or botox for 'nose job', and for correcting DNS (deviated nasal septum),hypertrophied nasal turbinates, or for cosmetics of face, chin [33-34]

We can possibly avoid injecting steroids or surgery for 'plantar fasciitis' [35-37].
For snoring and for sleep apnea we are using various appliances, bipap therapy, and surgery. Can we give a try to a simple non-invasive painless and non-surgical technique that we had described out here as well a really long time ago, and is also described in our books. The "Mainpuri Technique" [38].

For some dermatological conditions, and infections like Chicken pox and Ebola, our "BKN Mixture" that we had described out here during the Ebola epidemic, could continue to be of help [39].

We also have accidentally found a painless and a non-invasive alternative for managing a common condition like 'piles' (Haemorrhoids), that we have described in our book [40].

For migraine, we have accidentally developed a technique which can help overcome this recurrent problem to a large extent. The intensity, frequency, and duration of migraine tends to come down. Prophylactic management would no more be required. A few courses may be required of our “Dhamna Technique” [41-43].

Certainly we could have done much more if only governmental support, patronage, encouragement, or with some support by world medical bodies or NGOs. No detailed studies were carried out, as there was no motivation or encouragement for us, and how long could we go on for the world with just our own meager resources and humble pension. All of these innovative and almost novel non-invasive, painless, non-surgical techniques for managing these chronic medical problems came by accidentally, and more often as a last resort, in trying to help patients in remote inaccessible regions where shifting to higher echelons of medical care was not easy. At the cost of repetition we would like to reiterate that a breakthrough of sorts has been made by us, accidentally [2]. We do not have all the explanations. But we are of the belief that all of these innovative methods of ours can be made more effective, durable, reliant, and absolutely safe even in the hands of even a novice, if the world gets to take on from here on. In the interest of elderly patients, we would like the world to consider some other aspects as well [44-50].

Best regards.

References:
1. Cooper Rachel. Socioeconomic adversity—an important barrier to healthy aging BMJ 2018; 360 :k1288
2. Chauhan Rajesh. 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 25 March 2018)
3. Chauhan R, Singh AK. Re: Frozen shoulder. BMJ 07 May 2013. Available at : http://www.bmj.com/content/331/7530/1453/rr/644369 (Accessed on 25 March 2018).
4. Chauhan R, Chauhan S, Singh AK (2012) Our “Dr. S. Arulrhaj’s Technique for Frozen Shoulder”. In: Innovative Medical Techniques Showcased at International Conferences. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: pp. 89-94.
5. Chauhan R, Parihar AKS, Chauhan S. Perhaps its time to consider some other perspectives as well, for managing some cardiovascular diseases and primary hypertension. BMJ 10 August 2015. Available at : http://www.bmj.com/content/351/bmj.h4333/rr (Accessed on 25 March 2018)
6. Chauhan R, Parihar AKS, Chauhan S. Perhaps its time the world looks beyond the use of stents and other invasive techniques for managing coronary artery blockages for the poor who are unable to bear the costs. BMJ 08 June 2015. Available at : http://www.bmj.com/content/350/bmj.h3015/rr (Accessed on 25 March 2018)
7. 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
8. Rajesh C, Shruti C, Ajay K S. About A Newer Non-Invasive Technique for Managing Coronary Compromise. OAJ Gerontol & Geriatric Med. 2017; 3(1): 555603.
9. Chauhan R, Chauhan S, Singh AK. Coronary artery disease, ischaemic stroke, coronary microvascular disease & our “BKN Technique”. In: Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing. Berlin, Germany. ISBN 13: 978-3-659-91564-2; ISBN 10 : 3659915645. pp 64 – 72.

10. Chauhan R, Parihar AKS, Chauhan S. Restoration of normal hearing without hearing aids in age related hearing loss by our non-invasive and painless "Dr. Arulrhaj Technique". BMJ 05 March 2015. Available at : http://www.bmj.com/content/350/bmj.h184/rr-3 (Accessed on 25 March 2018)

11. Chauhan R, Parihar AKS, Chauhan S, Chauhan SPS. Age related hearing loss or presbyacusis: are we prepared to listen and think differently for a tenable solution? BMJ 20 April 2013. Available at: http://www.bmj.com/content/344/bmj.e615/rr/641987 (Accessed on 24 January 2018)
12. Chauhan R (2017) Detecting industrial hearing loss by whispered voice test with masking. Lap Lambert Academic Publishing. Berlin, Germany pp: 1-56.
13. Chauhan R, Chauhan S, Singh AK(2016) Age-related hearing loss (Presbycusis) & our “Dr. Arulrhaj Technique” for restoration of natural hearing.In: Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing,Saarbrücken, Germany. pp: 1-120
14. Chauhan R, Chauhan S, Singh AK. Restoration of natural hearing in age-related hearing loss by “Dr. S. Arulrhaj Technique”. In: Innovative Medical Techniques Showcased at International Conferences. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: 14-22.
15. Chauhan R, Parihar AKS, Chauhan S. Re: The science of obesity: what do we really know about what makes us fat? An essay by Gary Taubes. BMJ 09 May 2013. Available at : http://www.bmj.com/content/346/bmj.f1050/rr/644779 (Accessed on 25 March 2018)
16. Chauhan R, Chauhan S, Parihar AKS. Our non-invasive & painless ‘Dr. Arulrhaj Technique’ for flab and cellulite removal. In: Innovative Medical Techniques Showcased at International Conferences. LAP Lambert Academic Publishing (2014-10-17). ISBN 13: 978-3-659-62328-8; ISBN 10: 3659623288. Pp 59-64
17. Chauhan R, Rai DR, Parihar AKS, Chauhan S. Lumbar canal stenosis: early detection & management by non-invasive and painless technique, such as the "AGRA TECHNIQUE", can possibly improve the outcomes. BMJ 04 April 2015. Available at : http://www.bmj.com/content/350/bmj.h1603/rr (Accessed on 25 March 2018)
18. Chauhan R, Parihar AKS, Chauhan S. Re: Effect of caudal epidural steroid or saline injection in chronic lumbar radiculopathy: multicentre, blinded, randomised controlled trial. BMJ 04 Nov 2013. Available at : http://www.bmj.com/content/343/bmj.d5278/rr/670106. (Accessed on 25 March 2018)
19. Chauhan R, Chauhan S, Parihar AKS (2014) ‘Agra Technique’ for managing lumbar canal stenosis without surgery or needles. In: Innovative medical techniques showcased at international medical conferences. Lap Lambert Academic Publishing: pp. 32-36.
20. Chauhan R, Chauhan S, Singh AK. Management of spinal canal stenosis, spondylosis, and disc prolapsed with our ‘Agra Technique’. In: Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: pp. 96-100.
21. Chauhan R, Parihar AKS, Chauhan S, Chauhan SPS. Taking a fresh look at osteoarthritis of knees. BMJ 21 April 2013. http://www.bmj.com/content/345/bmj.e5339/rr/642114 (Accessed on 25 March 2018)
22. Chauhan R, Parihar AKS, Chauhan S, Chauhan SPS. Re: Prevalence of abnormalities in knees detected by MRI in adults without knee osteoarthritis: population based observational study (Framingham Osteoarthritis Study). BMJ 21 April 2013. Available at : http://www.bmj.com/content/345/bmj.e5339/rr/642114 (Accessed on 25 March 2018)
23. Chauhan R, Chauhan S, Singh AK (2015) ‘Asha Technique’ for managing arthritis of knees. In : Innovative Medical Techniques Showcased at International Conferences. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: pp. 23-31.
24. Chauhan R, Chauhan S, Singh AK (2016) Arthritis of knees and our ‘Asha Technique’. In : Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: pp 14-20.
25. Chauhan R, Parihar AKS. Re: Evidence does not support routine PSA testing, say experts. BMJ 12 May 2013. Available at : http://www.bmj.com/content/346/bmj.f2982/rr/645032 (Accessed on 25 March 2018)
26. Chauhan Rajesh. Prevention of inguinal hernia. CMAJ 7 January 2015. Available at: http://www.cmaj.ca/content/186/13/1010/tab-e-letters#prevention-of-ingui... (Accessed on 25 March 2018)
27. Chauhan R, Parihar AKS, Chauhan S. Type 2 Diabetes : can we think differently and improve the management and control ? Perhaps by our "BRIJ PAL TECHNIQUE". BMJ 03 June 2016. Available at : http://www.bmj.com/content/353/bmj.i2933/rr (Accessed on 25 March 2018)
28. Chauhan R, Chauhan S, Singh AK (2016) Type 2 Diabetes (T2D) and our ‘Brij Pal Technique’. In : Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing. Berlin, Germany. ISBN 13 : 978-3-659-91564-2: 21- 26. 18.
29. Chauhan R, Parihar AKS, Chauhan S. Perhaps its time to consider some other perspectives as well, for managing some cardiovascular diseases and primary hypertension. BMJ 10 Aug 2015. Available at : http://www.bmj.com/content/351/bmj.h4333/rr (Accessed on 25 March 2018)
30. Chauhan R, Parihar AKS, Chauhan S (2016) Hypertension and the Aged. J Gerontol Geriatr Res S5:002. doi: 10.4172/2167-7182.S5-002
31. Chauhan R, Chauhan S, Singh AK. Primary hypertension and our ‘Kalhore Technique’. In : Innovative techniques for treating 25 common chronic human diseases. ISBN: 33-39.
32. Rajesh C, Shruti C, Ajay K S . Newer Ways for Managing Multi-Morbidities in Elderly Patients: Including Diabetes Hypertension, and Coronary Artery Disease & Some More Problems. OAJ Gerontol & Geriatric Med. 2017; 2(5): 555596.
33. Chauhan R, Parihar AKS, Chauhan S. Novel, innovative and cheap method for restoring good looks without surgery, anaesthesia or hospitalization, and with no pain. BMJ 24 April 2013. Available at : http://www.bmj.com/content/324/7348/1229/rr/642527 (Accessed on 25 March 2018)
34. Chauhan R, Parihar AKS, Chauhan S. Novel, innovative and simple non-surgical and non-invasive method for correction of deviated nasal septum (DNS). BMJ 23 April 2013. Available at : http://www.bmj.com/content/324/7348/1229/rr/642391 (Accessed on 25 March 2018)
35. Chauhan R, et al. Heel pain from plantar fasciitis : Our "Dr. Harendra Kumar Gupta" technique. BMJ 17 November 2014. Available at : http://www.bmj.com/content/345/bmj.e6603/rr/780162 (Accessed on 25 March 2018)
36. Chauhan R, et al. Re: Plantar fasciitis. BMJ 20 May 2013. Available at : http://www.bmj.com/content/345/bmj.e6603/rr/646038 (Accessed on 25 March 2018)
37. Chauhan R, Chauhan S, Parihar AKS (2014) Our improved technique for management of plantar fasciitis. In : Innovative medical techniques showcased at international medical conferences. Lap Lambert Academic Publishing: pp. 95-98.
38. Chauhan R, Parihar AKS, Chauhan S. Re: Obstructive sleep apnoea in adults. BMJ 20 May 2013. Available at : http://www.bmj.com/content/338/bmj.b1165/rr/646317 (Accessed on 25 March 2018)
39. Chauhan R, Parihar AKS, Chauhan S, Chauhan SPS. Some suggestions for managing Ebola. BMJ 22 October 2014. Available at : http://www.bmj.com/content/349/bmj.g6305/rr/778581 (Accessed on 25 March 2018)
40. Chauhan R, Chauhan S, Singh AK (2016). Haemorrhoids. In : Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing. Berlin, Germany. ISBN 13 : 978-3-659-91564-2: 21- 26. 18.
41. Chauhan R, Parihar AKS, Chauhan S. Re: Migraine and cognitive decline among women: prospective cohort study. BMJ 21 May 2013. Available at : http://www.bmj.com/content/345/bmj.e5027/rr/646532 (Accessed on 25 March 2018)
42. Chauhan R, Chauhan S, Singh AK. Migraine and our ‘Dhamna Technique’. In : Innovative techniques for treating 25 common chronic human diseases. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: pp. 41-47.
43. Chauhan R, Chauhan S, Singh AK. ‘Dhamna Technique’ for managing migraine. In: Innovative Medical Techniques Showcased at International Conferences. Lap Lambert Academic Publishing. Berlin, Germany. ISBN: pp. 45-52.
44. Chauhan R, Parihar AKS, Chauhan S (2016) Perhaps its Time to Move on to Individually Tailored and Focused Treatment in the Aged Population. J Gerontol Geriatr Res S5:001. doi:10.4172/2167-7182.S5-001
45. Rajesh C, Ajay K S, Shruti C. Can we think About Better, Timely, Affordable and Cheaper Treatment Options for the Elderly Patients?. OAJ Gerontol & Geriatric Med. 2017; 1(4): 555567
46. Chauhan R, Singh AK, Kushwah P (2005) Who needs health care? Old people are faced with dilemma as families disintegrate. BMJ 330: 1331-1332.
47. Chauhan R, Singh AK, Chauhan S (2017) Restructuring Geriatric Care and Management: Need of the Day. J Gerontol Geriatr Res 6:e145. doi:10.4172/2167-7182.1000e145
48. Chauhan R, Chauhan S, Singh AK (2017) Fresh Approach for Geriatric Medical Care. J Gerontol Geriatr Res 6: 449. Doi: 10.4172/2167-7182.1000449
49. Rajesh C. Geriatric Care Outreach Models for the World. OAJ Gerontol & Geriatric Med. 2017; 1(2): 555559.
50. Chauhan Rajesh. World’s attention is also needed for the frail elderly (geriatric) population as well, who may be stuck with multi-morbidities and with gaps, insufficiencies, and inequities in care. BMJ 13 Feb 2017. Available at : http://www.bmj.com/content/356/bmj.j556/rr-10 (Accessed on 25 March 2018)

Competing interests: We talk about our new innovative techniques that have been described from time to time on this platform of the BMJ, which have been described in some detail in four of our books that have been published by an international publisher from Germany. We have presented many of these techniques at international medical conferences, and had the opportunity of presenting 35 different techniques to the Indian Health Ministry at New Delhi on 25 October 2017 upon being invited by them. It is quite incidental that on and around 01 August 2016, the news of our publishing 25 new innovative techniques for common chronic medical problems had made headlines across the world. As stated elsewhere as well, all these techniques require refinement, more research and finesse. We could only do this much with our own savings and humble pension, without any help, encouragement, motivation from any quarters whatsoever. But we have done all of this for the whole world to benefit. For everyone around the globe, we have this to say. All of this could only come about by intensive studies, learning and getting conversant with other areas of medicine which broadened the horizon. Please improve upon all these techniques and collectively the scientists, medical fraternity, philanthropists, governments can bring about a sea change in the ways we are managing chronic medical conditions and multi-morbidities. We are there to assist and help any meaningful international collaboration (s). Dr (Lieutenant Colonel) Rajesh Chauhan Honorary National Professor IMA CGP, INDIA. MBBS (AFMC Pune), Masters in Medicine (CMC Vellore), PGDGM (Geriatric Medicine), DFM (Family Medicine, PGIM Colombo), FISCD (Communicable Diseases), FCGP, ADHA (Hospital Administration), AFIH (Industrial Health), & LLB (II)

25 March 2018
Dr (Lt Col) Rajesh Chauhan
Consultant Family Medicine, Geriatric Medicine, & Industrial Health
Dr. Shruti Chauhan; Dr. Ajay Kumar Singh
Family Healthcare Centre, 154 /6-B (HIG), Avas Vikas Colony, Main Road, Facing Central Park, AGRA (PIN 282007). INDIA.
154 /6-B (HIG), Avas Vikas Colony, Main Road, Facing Central Park, AGRA (PIN 282007). INDIA.