 So may I come in? Good afternoon sir. Good afternoon. Thank you sir. Is this your Punjabi or Haryani? My birth took place in Punjab but right now I am staying in Haryana. So you call yourself a Punjabi or Haryani? So I call myself as an Indian, then they then call. If you are asked, I know that you are an Indian. If you are asked, you are a Punjabi or Haryani. What is it? So I call myself as Punjabi. You are actually staying on the motor? Yes sir. My under graduation took place in Haryana. So after that I am staying in Haryana only. Burnala is famous for what? Burnala is famous for one of the very prominent political figures producing Burnala is from Burnala. And in second sir, Burnala has a factory, that handloom factory and that also produces paper. So that is one of the particular features of Burnala. So did you think Burnala was a governor also? Sorry sir. So did you think Burnala was state minister of Punjab or governor of Punjab? So did you think Burnala? Yes sir. Sir, he was served as a chief minister of Punjab but governor of other states sir. Thank you sir for pointing me out. I have from your depth of mind that you completed your previous only in 2019. Yes sir. But you have been for senior service in 2018 only. Yes sir. What is your degree in that thing? How long is your degree in 2018? I completed my graduation in January 2019. So in the criteria it is given that in the personality test you have to show your degree. So I got the degree. So from the very beginning you were not interested in medical. You just subject to one one single subject. No sir. During my exposure in the college I got to know more about the opportunities that I have and the diversity that civil services offers sir. So after that I took a degree. For instance in medical it is very very good sir. One seat is very very good sir. So it means you are interested in the one seat which could have been taken by somebody else. Sir, I consider medical degree is not only a degree sir. It has given me many virtues that will definitely help. That is alright. That is alright. But really medical doctor told so. Has it not gone for this medicine? Yes sir, it is hard to replace a doctor sir. But I also feel that the other social deprivation that are present in the society and my medical knowledge will definitely help there sir. So I have to. And you don't want to serve in Haryana or Siddha? So I would like to serve in any part of the country given the opportunity sir. But out of the given choices sir, I have opted for Punjab sir. Okay. Now this COVID for the last 1.5 years. What are the researches taking place? Usually we had lot of issues what should be done, whether we should touch a survey and how long that program will be surviving there. Now a lot of researches taking place. Now as of today, tell me what should be done after the COVID here. Because COVID is opening up, cannot be stopped. Work has to move on, everybody has to move on. So tell me what should be done after the COVID here. How people when they go out of their houses. Yes sir. The appropriate behavior would be first will be bearing a proper mask. That will be either N95 mask or any surgical mask. And second will be carrying, if possible carrying a hand sign, doing hand sanitizing and carrying a small hand sanitizer with it sir. And thirdly sir, whenever meeting somebody, meeting a distance of 1 meter distance with somebody and do not shake hand with somebody sir. So 1 minute. Sorry sir. Sorry sir. 2 minutes sir. But what is the change? Even 200 years back also the same thing was being told. So after this lot of research has been done. And we could find out that this is not straight to a surfaces. If you touch a surface, it will not survive there for long. So there is no change. Initially it was seen that the COVID-19 spreads only through a droplet infection that after a particular distance is dropped and the virus gets killed. So but with the various search it is found that it is also transmitted through aerosol root. So it is seen that aerosol remains more time in the air. So it can spread for longer hours also sir. Do you use papers? Yes sir. 3 papers like this? Sir, today I have not read the newspaper. And no newspaper is in today. Anyway, there are big advertisements in the newspaper. Like I have seen today from Chief Minister Farayana. Say Farayana. He has given some phone numbers and all. Okay. And he has given that it is safe and if something is there we will contact this number one or two minutes. He will tell about all this. Do you think there is need of search and advertisement in the newspaper? Spending lakhs of rupees. What will be the cost of all advertisement? To government? Sir, I do not know exactly but definitely it will be cost. It will be cost is not the result that it will be left. Do you think all these things are required? And that also which is coming to Delhi also? Sir, I think awareness generation is the most important thing in this unprecedented crisis. And the government apart from the other medium, newspaper is the one of the biggest medium to spread whatever the government schemes are there. There is no scheme. Let me tell you that one page is photographed was there. Say Farayana. Only one phone number is given. And some police number was given that Farayana is safe and if you find anything there you will find this number. There are no schemes. Simple waste of money of the taxpayers money. Yes sir. The basic aim for here the government is to spread awareness and for example, have you told that helpline numbers that that will help the people That can be done only through his photograph and what for page? There are other ways too that one is that the if it is costing like that page can be reduced and spread to multiple newspapers and so there are other ways too that social media platforms can be used to spread the awareness as even the government of India has used the COVID Twitter account to dispel the face news and also We have a lot of plantations to the road sites. Road site, canal site, railway site, you would have seen this in Nihar-Urkorea and also What is the status of those plantations? Can those be cut for winding the roads or you read permission for cutting roads? My son has made it post permit. Land belongs to CPWD or PDGSF department or rail railway department. Sir along the road site there are trees are grown, there are adequate proper numbers are given and while widening any having any health and any social infrastructure there is proper environment clearances from the environment mystery and at the state level we have the forest department sir. Land belongs to PWD, why forest department provision is required? Sir land belongs to the biggest department, canal, canal, why forest department provision is required? Sir land definitely belongs to any particular department but the earth belongs to all so for that sir we have provision whether we need I in my house I am having a interest dream Do you think I need to take permission of government land belongs to me? I said definitely but I feel that whatever the government owns the land and that the proper provision need to be taken but I think I will check more on it sir. Both areas have been declared as protected forest. Thank you sir for pointing me out. You are a doctor. Yes sir. We explain ECG in simple terms so that we all all understand. Let me tell all of you. At least we do our work and we see how ECG should be able to understand what it can do. Can you explain? Sir ECG is electrocardiography where the electrical activity of the pump of the body is told. We will just explain the graph how we will be delivered. In ECG there are mainly three waves one is P wave and second is QRS wave and third is T wave. In the P wave the activity of the upper both chambers that is atria are noted sir the contraction is noted and in the QRS wave the activity of the lower two chambers that is ventricles is noted sir and in the T wave the activity as a relaxation of the ventricles is noted sir. So by any distortion in any. We will have more time to stress. ECG, ECG, what are the parameters in ECG? We are seeing the various parameters are judged based on the difference on the various leads on the chest leads and the foot leads. So we first check whether most of the cases come from the inferior infarction of the heart. So we check whether there is ST elevation or ST depression. What do you mean? How do we find out? We check the count the number of boxes sir. How many boxes are the EC? How many are the boxes for the ST? I am not able to exactly recall that. What is the ST then? Secondly we check the gap in the QRS. If the gap is more, if it is coming repeatedly then it shows that your heart rate is increased and if that is more, by counting comes to more than 100. And thirdly we check the levels for example if there is any unknown wave comes across it. So that is also checked. We check and fourthly we also see the missed wave. If any could be seen sir. So these are the things to do. It is simple and easy. And then this thing, node 1, 2, 3, 4, 5, all these things. Then in various nodes we check which part is infected because of the heart is a big chamber and which part is, if inferior wall infarction is there then the AVF lead is more good sir. And if the upper wall, upper part is infected then the arms lead are good and if the front part is vector then the chest leads are good sir. We will see appropriate graph and find out which part is showing some of that side. If any good heart leads all will have same pattern. No sir, all do not have the same pattern. Because of the different electric activity, different, there are different normals for different leads. Signal cell area, what is it activity? Signal cell anemia is a type where the red blood cell has a different hemoglobin gene. That is excessive gene sir. And in that there is increased hemoglobin. Signal cell anemia is anemia where the hemoglobin in one part of the hemoglobin because of mutations the gene transforms and we have HBS gene instead of other gene. It is different from past version. Come again, third version like this. What is the signal cell anemia? Signal cell anemia is anemia where we have a different gene on the hemoglobin because of mutations sir. And that is... Hemoglobin on the hemoglobin. Hemoglobin has a different gene. Hemoglobin, HP gene sir sorry. Hemoglobin gene sir. Gene responsible for hemoglobin. The gene is responsible. Gene responsible for the shape of the cell. See gene responsible for the hemoglobin sir. That is transformed and the signal cell name is because the arteries are transferred further into different signal cell shapes. Which leads to more hemolases in the body and further blockage of the arteries and all. Is it common in population? What are the terms? Sir, it is not very much common in North India but in Tamil Nadu. Gene to be linked to the red. Yes. It is more common in the tribal people of Tamil Nadu, Kerala, Karnataka sir. It is more common there sir. What is the one positive side of it? The positive side is that the malaria parasite. It is not able to provide much into that pharmacy. So, that is a protection. In India, when we fall down on the streets, all these things. In India, we are in our generation at all days. We go to doctor and get ATS injection. Okay. Now what is the tip? Get a wound, get bruises and all. Here they used to go to the doctor and get ATS. And now what is the tip? Is it still ATS? Injection, I think it is ATS. Apart from the first aid is given sir. Is it still ATS or PD? Yes, tetanus toxa is given sir. What is the difference between ATS and PD? I do not know the exact truth from ATS. I need to check more. What is the PD? Tetanus toxa. So, tetanus toxa is a vaccine that is obtained from the toxin of the tetanus bacteria sir. And the tetanus? Sir, that bacteria name is prostitium tetanus sir. Because of ATS? I do not know the exact truth from ATS. Tetanus serum. Now you can understand all the difference. Yes sir. Okay. What is the tip? Cocktail antibody. Sir, what is the antibody cocktail? The antibody cocktail is when two or three group of monoclonal antibodies are given in a combined form that is known as antibody cocktail. And then recently it is shown that if we combine the bodies it has shown positive results in the COVID-19 patient in mild to moderate cases. Last question. You are a sprint dad. Yes sir. Both 100 meter, 200 meter sir. Both? Yes sir. What is your timing? Sir, my timing is at 10.48 seconds sir. Best timing start but it keeps on changing. 10.48. 4.8 sir, yes. What is the membrane record in 100 meters? Sir, the word record is 9.58 but the Olympic record is 9.63 sir. Sir, for same world is the border of this. So, between you and the world record is 1 second. Yes. Sir, why Kerala police would want sprinters in many years? Sir, there are number of reasons. Number one is the Kerala, the athletic track that is required for sprinters or athletes that are more in Kerala sir. And good sports infrastructure. And secondly sir, it creates a domino effect. For example, in Haryana we are more wrestlers than more wrestlers are coming. And same has happened in Kerala also. If there are more sprinters coming, there gives a sort of inspiration and that more sprinters come up sir. Meditation. Yes ma'am. What sort of meditation do you use? How do I do mindfulness meditation? And what does it mean? My mindful meditation is technique where you use either your own breath or concentrate on a particular thought and increase your awareness ma'am. And how is it different from other kinds of meditation? Mindful meditation, you need not to chant any particular line or that that is different from transcendental medicine. And it doesn't require you have to sit at a very quiet place. Even you are going through a commuting anywhere. You close your eyes and sit for 2 minutes. You can do a mindfulness meditation. But other meditations required for example vipassana meditation. You have to look into your body and all these things that are different ma'am. And since how long have you been doing this? Ma'am I am practicing mindful meditation for the last 3 years. So how has this impacted you? Firstly it helped me during my internship where there was hectic duties and I also started preparing for civil services. So it calmed my mind and helped me make it a good work-life balance. And secondly ma'am even in sports it has helped me a lot. If you stand at a 100 meters cross line that is the most adrenaline rush happens. So it gives me a more calmness here. And thirdly ma'am in the daily life to life style I feel that I have become more positive and started looking at everything in a positive way. So when you talk about running which I assume it is springing what you are talking about. So I have been seeing the difference like if you have to quantify what is the difference in your running? Either your speed higher or standing higher I don't think. So what is the difference? Does meditation help you? Ma'am in meditation helped me in springing. Firstly the first cross line that I am talking about because we have a gap of only 5 seconds to start and to listen to that bell that we start when we start. And secondly ma'am you need more mental strength to win any sport rather than physical strength. So meditation has helped me gain that mental strength. And thirdly ma'am meditation has helped me to excel above my efforts that I can put into any sport. So in that also it increased my endurance for that. Now coming to medicine. What is the health care budget this year? Ma'am the particular health care budget is around 70 to 80 thousand. But if we count... 70 to 80 thousand? 80 sorry ma'am. It is 70 to 80 thousand through one. But if we count other health nutrition part along with it the budget is increased but I am not aware of that. Is there any separate budget for COVID also? Ma'am yes for the vaccines the government has provided a separate budget. If I am not mistaken it is around 3500 crores now. 1000 crores. 1000 crores. Thanks ma'am. So what causes maximum deaths in the country? If you are asking the nation to COVID-19 ma'am. What causes maximum deaths? I am not asking how much deaths has COVID caused. So apart from COVID what causes maximum deaths in the country? What is the range in the country? Ma'am presently the maximum deaths are caused by the non-communicable diseases that are diabetes, hypertension and the death mortality they lead to various... But I am not sure but how are the exact figures for other things now? So far you know we are only getting co-vaccines and co-vaccines. Which other vaccines are coming? Is there any single shot vaccine which will be started in the country? Yes ma'am I will just say that co-vaccines and co-vaccines are the wipe in along with the Sputnik 5 and other vaccine that are in the line one is Johnson and Johnson that is the single dose vaccine. And ma'am we are also trying to include the modern and Pfizer vaccine but there is a difference in the indemnity clause. And ma'am one more vaccine that is in the pipeline is that is DNA Plasmid vaccine ma'am. So if you have to go for a vaccine which one would you prefer? Ma'am I have already done with a two-rose vaccine and I have taken co-vaccine ma'am. But that time you had no choice but now if you have given a choice which one would you go for? Ma'am I feel every vaccine has a good amount of efficacy and given the choice also I will any of them that is available there. So again with respect to COVID what do you think have a medical student or doctor? What do you think have gone wrong in handling COVID disaster in Delhi and Syria? Ma'am after the first wave we tackle COVID-19 we earlier down our safeguards and there was a comprehensive pandemic fatigue from the government, from the society as well as from the administration ma'am. And secondly ma'am we failed to anticipate the viruses that were having in the particular small copies of K-Line Maharashtra and failed to learn from the other countries for example US and UK ma'am. And thirdly ma'am our failure to increase our health infrastructure example number of beds and recruiting more doctors that was also concerned. So today this COVID-19 could be some other disaster or some other nature. Disaster can come anytime. So as an administration how well we are prepared to handle disasters? What should we do? Ma'am presently the government and both the centre government and the state government is putting efforts to increase it. Firstly in terms of health infrastructure the centre government has given an economic stimulus package both in the greenfield and brownfield projects to increase health infrastructure and various state government are also increasing the capacity. In Delhi recently ICU beds has been increased tremendously and we increase our ICU beds from 3000 to more than 1 lakh in a year. And apart from that in the oxygen we have setting more PSA plants as well as cryo-distribution plants ma'am. Ma'am in terms of doctors availability we are trying to increase more number of medical college and coming with the concept of one district one medical college and even we have increased the number of PG graduates seats ma'am. Ma'am these are the things the government is doing apart from various having more number of vaccine than a thing ma'am. Ma'am I think but what more can be done is that more genome sequencing labs at the district level so that if any virus comes we tackle it at the first level. I am talking about any kind of virus. So anyways let's move on to the last section. I would like to ask you about Hyaluronic. So are you working in Dota or living in Dota? Ma'am I have worked in the second way but presently I am not working. But you are living in Dota only? Yes ma'am. Okay what is Rota famous for? One Rota is famous one is we have two universities one is medical university P.J.M.S. Rota and second is M.D.U.U. and second is Rota is also famous for the boxing culture sports culture that is then Rota and one thirdly Rota is also known for the political figures that. What is that? P.J.M.S. Rota. P.J.M.S. Rota. He is the first chief minister of Haryana. He took active participation during the independence and one of the prominent figures during the quit India movement also. Someone last question. Ma'am I feel Chandigarh is well serving the capital of both the states that is Punjab and Haryana and even creating a separate capital for either of Haryana and Punjab it will amount to huge expenditure and infrastructure cost ma'am. And thirdly ma'am the people of the Chandigarh are having cosmopolitan culture and they do not want that we should be separated and part. And also the issue of Chandigarh or any other border disputes is a very sensitive issue that is close with both the people of Punjab and Haryana and it will further leads to turmoil. And rather than that ma'am we can focus on increasing other cities for example Tri-City concept, Mohali, Panchukul and Chandigarh so that we do not burden Chandigarh with the transport and the pollution. You talked about the increase of ICU beds from 3000 to 100. Medical college is increasing. But doctors are one among the segment which has the highest brain drain. You are familiar with the concept of brain drain? What is the brain drain? So brain drain is when your younger population or your population is going to the outside country having the skills. So a lot of doctors who complete their doctors joints themselves. So how do we address this problem like brain drain and the infrastructure? So I think coming to the civil services is not a brain drain. Ultimately it is contributing to the society only. And if we are talking about how do we stop the doctors going outside one most reason is that because of let less research or less PG diploma courses and new courses for example interventional radiologist they want to pursue these courses outside and they further live there. And the second cause so we can have a more search and development budget and second one cause is that because of increasing violence and little monetary issues some doctors feel so that can also be taken into consideration. In Punjab we have very less incentives for the doctors so that can be fixed. Delta variant is back there are some deaths also from Delta variant. Can you tell us about this? How is it different from? It is said that Delta variant originated earlier from the South Asian mostly from India and the mutation is different sir if we compare to alpha, beta and gamma variant. The mutation level here there is mutation on the mostly two parts that is L and one more part sir. So this is the difference on the spike protein mutation difference is there in Delta variant apart from it sir it is same. Are we self dependent in vaccine manufacturing? Or are we dependent upon some components for importance? Sir vaccine manufacturing involves a huge supply chain and active pharmaceutical ingredients we are highly dependent presently on the China and also some technology for example Covishield we are dependent upon foreign countries Estrogena company dependence Oxford and Estrogena sir. You talked about indemnity clause is it okay to give indemnity clause or allow indemnity to vaccine manufacturers? Sir early indemnity clause should not be given but seeing the unprecedented crisis will require unprecedented action sir. So in such times the indemnity clause can be thought to given and even it is seen the US has given but in that case citizens should not be at a receiving end. The governments can took the responsibility if any side effects happen with a vaccine then the government should have the indemnity for them sir. What is the status of diabetes in the country? Certain children according to NFHS survey more than 10% of the children are suffering from a type 1 diabetes mellitus and the number is also increasing for the adult population sir and more and more I am not able to exactly recall the number for adult populations. Can digital watches have started taking a lot of health data? Can you tell me some of the health indicators that digital watches have taken? Sir number one is heart rate and second is BP is also monetization and thirdly it also tells us that you have expired and that further helps us to do sleep and fourthly sir the physical work out we have done number of steps we have moved that can also be taken. SPO to ECG are these also measured by digital watches? Yes sir with coming new digital watches these technologies are also being integrated SPO to ECG. Weight training, what is your opinion on supplement protein? Sir as our intake in the Indian diet is said that we take more of a calorie diet and less of a protein rich diet. So I think the protein intake if not present in the diet can be supplemented with such protein supplements but in the market because of the spuriousness and other use of supplements are in a said that easy way of gaining weight that should be avoided sir but protein supplements that are rich in quality for example whey protein that is the highest quality protein that can be supplemented. What are the negative effects of taking protein? The protein powder taken more than the required quantity can't lead to various effects one is the effect on the kidney where kidney do not have the capacity to wash out all the protein and secondly sir it can also increase the thickness of the blood that can lead to further atherosclerosis and damage the coronary artery. And sir thirdly I see that if sometimes we over depend on these proteins and ignore the micronutrients that we are required sir. You work for Robin Hood army what is Robin Hood army? Robin Hood army is NGO that took the food from the restaurants that are in excess of it and tries to distribute to the slum areas and orphaned houses and the people who are needy about it sir. What is Robin Hood known? The Robin Hood character is known for that if with a force took money and sources from the rich people and try to distribute to the poor. So forcefully doing I do not think it is a good idea. That idea can be thought of like high income tax because ultimately we are a socialist economy and we need more social justice and our increased poverty we can talk about this.