 Thank you so much. Now we have, I invite Maya, A.C. from Columbia. Maya has been in decline for almost the last eight weeks or so, and she has put a heart and soul. Along with her colleague, she has tried really hard, and they have set an example for the rest of the country to follow them and navigate these tough times. Maya? Good afternoon or good evening. Good evening. Good evening here. Thank you very much for having me here today, and it's a pleasure to be in an honor to be with this panel and with you, Sadhguru. It's my privilege, you're the brave warrior right now. Thank you very much for what you're doing. Thank you. I look forward to your insights. To put things into perspective, I wanted to present kind of how things evolved in New York, and they did evolve similar to how it did around the world. But there were three emotions or three things that we faced as we were managing this disease. At first there was this feeling of ambiguity. We had very little understanding of the disease process, and although it was similar to other diseases, we still were not really quite sure how to manage it. We had, there was a feeling of lack of control. We had limited resources to be able to manage this disease. We still don't have a cure, we don't have a vaccine, and we don't have reliable and effective therapies for all of this. And it was a prolonged course, as Bala was saying, eight weeks and still counting. We were at the epicenter, but still others. We've learned, we've seen what happened in Asia and in Europe. It's a prolonged course for the patients who are at the hospital. It's a process that decided to dedicate themselves to reaching out to families, to provide the support that they need. They would call them every day, relay medical information, provide interpretation of this information, and help them navigate all of that information. They provided the emotional support that the families needed, the psychological support, and they advocated on their behalf and on behalf of the patients. This humanistic effort really reminded us of why we went into medicine in the first place. So that was an array of hope for us as we went into all of this. The challenges that we faced though were, and they changed the different phases of this process. The first phase, we really had to get people to do the work that we needed. We needed people on the ground to be the warriors that we expect. We called them heroes, and we appealed to their sense of duty, and everybody answered that call. That was the easy phase of building a response of making sure that patients were well cared for immediately as the impact was hitting New York. The second phase was a little bit harder, and as things settled, we had to keep a sort of realistic optimism. We had to make sure that the focus was on the light at the end of that tunnel, but we did not know if there was a light at the end of that tunnel. We didn't know how long it would last, and managing those conversations, making sure that we kept motivating people past that moment was a challenge. The real challenge for us right now is how do we make meaning of something that seems so senseless? How do we make sense of something that is so senseless? How do we embrace the sufferings that has happened, the separation of families and patients, the last lives, the last livelihood, the economic downfall, the last educational opportunities for many? Lives have been upended. How do we take the time to grieve some of that? The passing of a world as we once knew it that is probably not going to come back. And how do we prepare ourselves for the next stage? Those are my questions. I just wanted to ask you, Maya, just in New York City, for example, or New York State, are the hospitals like fully inundated or is it still the medical capacity is still available? At the peak of our response, we did feel inundated. We had to create intensive care unit beds beyond our capacity. So we doubled our capacity in our hospital alone. And that's true across the hospital system and across different hospitals across the country. The emergency rooms were inundated. No patient was turned away from our doors. We were very grateful that we were able to offer the help for anybody who came to us. Thank you. Thank you very much. Bala, is she taking it out or should I answer this question? Yes, I think that was a question. How do we face these challenges, right, Maya? Yes, so how do we create meaning? How do we find meaning in something that is very difficult to understand? How do we refocus our energies for the next phase and to start the healing process for everybody? It's incredible of you and whoever, all the others who have worked with you that as doctors, instead of just attending to the medical dimension of the problem, you're looking at it in a humanistic way about families and, you know, the anxiety that when somebody is locked up in a hospital and you don't know whether they're going to live or die and you don't have any contact with them is an unbearable torture for the loud ones. So it's really wonderful that you have reached out to that need. But can we make meaning out of this? Can we somehow console ourselves it's all okay someday? That's not how life is. It is just that well, well you and me are talking to each other, so both of us are alive through the pandemic, which is a great blessing. And this is true for everybody else who survived, especially in places like New York where so many have been hit by this. But we need to look at it this way that this is a situation which has brought mortality right up in everybody's faces, that human life is very fragile and we are mortal creatures. For just about anything we can die. Every day a whole, you know, probably some hundred thousand, two hundred thousand people are dying of natural causes. It is just that I mean as doctors you may be seeing it for most other people, they don't realize that this is the nature of our existence. If everybody was conscious that we are a mortal nature, when I say mortal it simply means that we have a limited lease of time and it's just ticking away all the time. If everybody was conscious of this, where would people have time to fight with somebody? Where would people have time to abuse each other? Where would people have time to do anything that doesn't really matter to them? Nobody would have time. So in many ways this virus and the, you know, the conversation that's happening in the world about it has brought mortality right up in everybody's faces. Nobody can escape it. So at a time like this it is not a time to console ourselves, it's a time to use this as a realization. How should we live our lives? What should we do differently in this world? What should we do differently within ourselves and around ourselves? And the value of our humanity must become the prime factor right now. It is not just when people are infected and dying, the value of we being human is the most important thing. When I say the value of being human, every other creature in the world is always structured within itself. In its very intrinsic instincts it is structured to build boundaries around itself, always wanting to live within a safety boundary. This is how all creatures are designed. It is only the human being where our intelligence has flowered, our consciousness has come to a place where we want to expand, we want to, you know, break our barriers. This longing is there only in human beings in this… on this planet at least. So when we have this intrinsic need to enhance our boundaries, enhancing our boundaries means inclusion, inclusiveness of our existence. When this is the basic, you know, intrinsic value that we have, it is not a value that's been taught to us, it is natural for every human being wherever they are, they want to be little more, little more, little more all the time in their lives. But this little more is finding very, what to say, very minuscule installments of expansion. But actually if you look at it now, if our mortality is right in our faces, if we want to really expand, if we want to break our boundaries, this is the time we must use this. Well, so many lives have been, you know, been paid for this. Too much cost of life has happened, well, economy is ruined in so many places almost across the world. There is going to be poverty, there are starvation issues, there are many, many things happening. When all this is happening, we must use this as a point of realization. There is nothing to understand, it's death, it's death or on the way. Death does not mean the virus brought death to us, we are all dying kind, but virus is just pre-poning what we are supposed to live our full lives and die, but virus is just bringing it right now in front of us. So this must be time for realization, not for consolation. It is all right, we are hurt. We have lost dear ones, we our economies are hurt, our lifestyles have been lost. Now once this, you know, here in India and everywhere else, we are in lockdown condition. It's almost seven weeks that totally everybody has not stepped out of their homes. Now partial relaxing is happening. Now when we step out, most people have lost their jobs, businesses are ruined, all kinds of things, these problems will come. But right now our concern is just to stay alive. But those of us who stay alive, those of us who stay alive beyond this pandemic spread in the world, we must understand the most important value is that we are human. That means we are capable of being inclusive, not exclusive. Right now we have created a social and international structure where it's all about exclusiveness. Even you just see any advertisement on the boards, everybody is talking about exclusiveness as if it's a great value. The very nature of human being is we want to expand, that's why we are so different from other creatures. We are the only ones who are referred to as beings, that means we can choose how to be. Other animals just act out of their basic instincts, but we can choose how to be. This is the time that we must become conscious. This must be a point of realization of how we wish to be. How do we wish to spend our lives on this planet? What do we wish to do with each other? What do we wish to do with the rest of the life on this planet? The planet itself, what do we wish to do? This is a time of realization for all of us. The sufferings of the people who have been infected and recovered, the loss of life that's happened and all the economic suffering that is going to unfold in the next few months, all this should not go waste. We must bring humanity to a new level of realization, the significance of being human, the importance of our humanity. Thank you, Maya and thank you, Sadhguru. I'd like to invite Laakman Farohar, our next panelist, who's going to talk about the ethical aspects of this pandemic. Laakman. All right. Thanks, Bala. And thanks. Good morning. Good morning. Good morning. And I had some slides I was going to run through. Can we show those or will that work? Yes, they should be ready for the next one. So I was just going to say since Bala had asked me to talk about ethics, I can't see are the slides there? Yeah. You change your view, Zoom. Okay. So I can see. So ethics 101, I say. So even what is ethics? Next slide. I think one of the problems when people think about ethics is they think about it being rules and that's not actually in thousands of years of human history what's been most powerful about ethics. It's really been about ideals, aspirations, the human spirit. In examples, next slide, the moral heroes of the 20th century or people like Mahatma Gandhi who inspired millions of people with a vision that the current world of the caste system in India was not actually what reality could be. And another hero next slide in the United States, Dr. Martin Luther King who showed people that the racism, the black, white differences, that is not what humanity is. He had a dream that inspired people. And the next slide and then all over the world, Nelson Mandela, even in prison, did not accept apartheid. He showed people nobody believed that South Africa could peacefully transition the way that it did. The leaders there inspired the spirit within people. My hero next slide in a lot of ways is Dr. Albert Schweitzer who in this slide embodied the fact that we think in English the words moral and morale are different but actually going back, whoops, going back years ago in Latin they were the same word moralis that the highest energy that people have is moral energy in the highest morale. Next slide. And Albert Schweitzer himself next slide in his 20s was a great theologian, a great box scholar but he found himself yearning for more and decided to go in medicine. Next slide. As a scholar he really believed in science and truth. He said reverence for truth must be exalted about what else he had faith in knowledge. Today we're hearing about science is going to save us. He actually believed that in his 20s. Next slide. But then he went to Africa and even though he thought science was going to save humanization. Next slide. When he was there in the hospital in Africa, World War I broke out and people were destroying each other thanks to science and technology. Next slide. And using that science really to end life. Next slide. And what he realized was that science by itself could destroy human civilization. That's not what ethics is really about is mastering science next slide. And studying in desperation all over the world he actually found next line that reverence for truth is not the basis of human life. We have deep within ourselves every human being what he called reverence for life. But he found the same concept in every faith tradition or language around the world in Buddhism and Jainism and Hinduism the spark within every individual human being. Next slide. To experience within ourselves this life force to realize that every life around us has the same life force and as a guru was saying and we have that in common together that is our greatest strength. The science is the tools but really the greatest power is that human spirit. Next slide. The two ethics challenges that I wanted to just mention here Bala I've been deeply involved here in Massachusetts with questions about are we going to have to ration ventilators. There was a lot of criticism about the different rules and guidelines got into technical details. The quote here from Winston Churchill says democracy is the worst form of government except all the others so all the efforts to ration ventilators and who's going to get one or not get one all of them had problems. But I would say the most valuable thing in all of those conversations was everybody everybody that I heard comment agreed with the basic moral principle which is if we have a scarce resource like a ventilator and ICU bed any of those things every single human life should have an equal right to that every single human life is of equal value. It doesn't matter whether you're wealthy or poor whether you're a prisoner or homeless every life's of equal value and I think that that has been a great crystallizing that has come out of a realization we were just here. The second thing is that we all learned that what we wanted to do is never have to ration ventilators and that couldn't be figured out within the hospitals and so we appealed as people in New York and elsewhere did to the entire community to flatten the curve to stay at home and thanks to that in New York in Massachusetts elsewhere we're not rationing ventilators right so that was again the human spirit of solidarity we're all in this together really prevented us having to do that next slide. And then the current problem that I'm current focusing on is in Massachusetts and all over the country as this slide shows most of the deaths are actually taking place outside of hospitals in nursing homes where frail elders are and again people are thinking about that as a technical problem we need more testing we need more PPE those things are all crucially important but increasingly in conversations with people at CDC and other places we've realized the numbers the technical things are not the crucial thing the crucial thing is we all need to realize that every single person in every nursing home is a human being is someone's mother or father or grandmother grandfather we celebrated Mother's Day and the archdiocese the Catholic Church in Massachusetts is calling on everyone to think about every person as an individual and the single most important thing increasingly people are realizing if we want the people in nursing homes to be safe yes the testing and all that's important but it's human beings taking care of our grandparents in the nursing homes including immigrants paid $12 an hour certified nursing assistants and we have to support their spirit so that they will come and take joy in their work and if we do that we can solve all the technical problems so it's all spiritual and moral the technical tools then we'll use properly okay this that thank you so much like long so along the lines of what Laughlin had said subgroup has been in touch with all the meditators recall and he has been telling us to at least take care of one elderly for each of these meditator long ago almost six seven so that is almost the same message that Laughlin is giving taking care of treating them as individual lives and also taking care of these elderly do you have any thoughts on the line yes I I believe that as we realize that these are not statistics right thousands of deaths but just half a mile from me there's a nursing facility most of my neighbors haven't gone there and we're just starting to think what can we do to support the staff there so they come to work they're not afraid it may be that to support the staff it's not what happens in the nursing facility these staff are actually scared because they're immigrants they live in a crowded home and if we haven't helped their own parents be safe in their home they can't come to work so it's all human-scale problems that I think each one of us will find joy and satisfaction when we realize we can make a difference thank you so good well we can approach this in many different ways whatever human beings have been trying to stir you know compassion and inclusiveness in other human beings but when crisis come when war comes when other kinds of situations of survival issues of sharing food economic values things like that then all this is forgotten and we become like that at least at times like this when all of us under the equal kind of threat it is not like one is better off than the other this realization coming is very good if if there is a few minutes I could just explore this in a more technical way the thing is one one reason why the world has to rev itself up to act in terms of somebody else's well-being is our education systems are designed like this that the only dimension of intelligence that we employ in our day-to-day life is our intellect as you know if I ask a simple question would you like or anybody if they would like their intelligent intellect to be sharp or dull definitely they would say sharp so obviously intellect is a cutting instrument so whatever you give to the intellect it will dissect so if you apply just your intellect without making use of other dimensions of intelligence within us which are more inclusive in nature intellect will naturally cut everything into small pieces so in people's minds everything has become separate there is no inclusive experience though they're breathing which is a very inclusive experience you don't have a separate gas chamber of your own you're breathing the atmosphere as everybody else is breathing what whoever you think is your enemy what he breeds out you may be breathing in and you have no issues your body has no issue at least so life in its essence is inclusive but human intellect naturally is exclusive because that is the nature of the intellect because it's a scalpel it is a dissecting instrument so when entire education system uses just this one instrument for acquisition of knowledge naturally the world and social situations become very exclusive everybody for themselves kind of stuff now yesterday somebody was asking me twelve year-old child in the house right now complaining because there is a lockdown in India I want my me time I don't want any of you here twelve year-old child wants a me time that my own time there's no my own time or your own time we are all existing in the same times all right but now we have become so exclusive we think we have our own chamber of time our own chamber of breath our own chamber of everything everything is what is mine what is yours this is essentially because very employing just one dimension of intellect as everybody knows and people talk about it as if it's some kind of a conflict between heart and head and all this stuff because essentially the emotional intelligence is more inclusive the intellectual intelligence is more exclusive so they're struggling with that having said that in yoga we look at it like this there are four dimensions of one intelligent ones intelligence the first one which is the intellect we call it buddhi the intellect has to be sharp it's like a knife without the sharpness of this intellect your survival will be in your body you cannot survive well in this world if you don't have a discriminatory mind it's very very important for that but it's only for survival and survival is not a complete process for a human being for every other creature on this planet if their stomach becomes full their life is settled that's not the way a human being operates when stomach is empty there's only one problem and stomach is full there are hundred problems for the human being because human life begins only after survival is taken care of till then we are also just one more creature so what we call as human is not fulfilled by the survival process so intellect alone or using just the intellect is not good enough so the next dimension of intelligence is called as manas which is a massive silo of memory when I say massive silo of memory it contains various levels of memory most of it human beings may not be conscious about there is evolutionary memory there is genetic memory there is karmic memory there is conscious memory there is unconscious memory there is articulate and inarticulate levels of memory like this there are eight dimensions of memory but this silo is deciding who you are right now you may not be conscious of it but the very shape of your body is memory now my skin is the way it is because it remembers my forefathers I may not have seen them but my skin knows exactly what my four fathers look like so you might have forgotten how your great-great-grandfather was but his nose may be sitting on your face so the this whole thing what you call as myself the very body is memory it is enormous amount of memory this memory one may not be conscious of but it's playing its role in everything that we do the very way we sit and stand right now people are talking about genetic factors being a significant aspect in who gets infected to what extent this infection will affect the individual person some of the scientists are talking in terms of how the genetic markers are very important for this so genetics means what it is another kind of memory that we have got from our ancestors so this whole thing that I call as myself is memory how profoundly will you get to access it is the only question not everybody gets to access it the same way between this silo of memory and the intellect there is a connection which is the identity how you identify yourself accordingly to that extent you can access the memory if your identity is that of your individual self which essentially is built around your physical frame and your mental frame then what you access is very limited so in the yogic culture first of all let me describe the word yoga the word yoga means union union means what you think as your individual self though we are a miniscule life in this existence creation has given us an individual experience the problem is people have taken their individual experience rather too seriously so seriously they think they are a world by themselves so all the sufferings and the nonsense that people are going through is simply because they are a separate world from the world that is the whole problem so they have taken their individuality so seriously this has happened because you're just identified with your own body your thought your emotion and just a few things around you but the most important thing in human life is how we handle our identity depending upon how we handle our identity that is how our intelligence and various other capabilities will function as you just now said sir doctor for all right am I right for oh that you said that science you know you when you showed that slide science has turned against us what is a tremendous gift we are making a mess out of it human mind itself has turned against us most human beings are suffering their own thought and emotion most of the time 90% of the time their suffering is not coming from outside 90% of the same time human suffering is on self-help mode they're just causing it to themselves this is simply because their own intelligence has turned against us simple against themselves simply because the identity is not handled properly when I say identity is not handled properly in India there used to be a culture like this before you start education at the age of 12 was when we started education for children before you start education it is very it was compulsory that you have to take a cosmic identity children are made to say that my identity is with the cosmos not with my parents not with my caste not with my religion or race or nation my identity is with the entire cosmos because we saw that knowledge is hugely empowering and anybody who has a limited identity if you empower that person that's going to be a disaster that is a disaster we are seeing right now if you see between educated people and uneducated people it is only the educated people was ripping the planet apart uneducated people their footprint on the planet is very very gentle it is only the educated who have such a heavy footprint and really ripping it apart so this knowledge and this education which is such a huge empowerment is happening without a universal identity people are identified with their small petty ambitions and whatever limited things and they're enormously empowered whether in either individuals or communities or race religion nationality just see these are all the points which are the points of conflict it is a religions clashing against each other races treating each other so badly and nations continuously in conflict for so many centuries we are not able to solve this simply because limited identity with something or the other so first and foremost thing that needs to happen in the world is that people must have a larger identity a universal identity we are all busy singing our own national anthems it's time we sing a singer global anthem that before one gets empowered I think all of you doctors take that oath I don't know if that's a practice in I'm sure it is even in America right the hypocrites yes oath so in a way it's a universal identity that you're taking before you become a doctor you're taking a oath no matter who they are my identity is not with this and that my identity is with larger humanity so this kind of identity is very very important if we don't establish this identity our intelligence our capabilities our competence will work against us right now that's what is happening with us the fourth dimension of the intelligence is referred to as Chitta Chitta is that dimension of intelligence which is unsullied by memory the first three dimensions include memory in that but the fourth dimension in of intelligence has no memory what no memory means is memory is what creates what is familiar what is unfamiliar or in other words memory is a kind of a boundary I know you this is my boundary this is my friend oh I don't know the other person that is he's out of my boundary so memory is what makes us who we are at the same time it's a boundary by itself it's a wall by itself so there is a dimension of intelligence which is beyond memory which is untouched by memory once you touch this dimension of intelligence there is a sense of boundlessness and there's a limitless possibility for a human being in this state of intelligence which every human being has which is the basis of our existence because there is an intelligence with us within us that if we in even eat a piece of bread it turns into human body within a few hours this is not being done in our intellect definitely this is happening enough with the deeper intelligence to get in touch with this dimension of intelligence is most important because the oaths that we take and the ethics that we stick on to all these things are fine on the surface but when real challenges come they won't sustain us they can break us so it's very important there is a profound experience within every human being that your experience of life is beyond the limitations of your own memory so to come to this one fundamental tool we always establish is this that you don't identify with your knowledge you always identify with your ignorance because our knowledge is so minuscule but our ignorance is boundless in just identifying with ignorance our identity identity becomes a borderless space this is important for every human being doctors have taken this oath that in some way they are borderless I think some doctors in France they have this doctors beyond what doctors without borders okay doctors without borders I think every doctors without border right now both in India and elsewhere in the world we are seeing that the medical personnel are doing such a fantastic job that they become worship worthy thank you very much and I just add thank you so much and I'm looking at Maya's name and just translating when I'm listening to that not understanding the yoga details except I've been enjoying your book in her engineering but when I listening to Maya why what when I ask why are hundreds of human beings alive in New York because of Maya and her team and yes it's the knowledge the intellectual the scientific tools the machine yet yes but why they are alive really because Maya and the nurses they are cared about each individual patient as a human being not anything about the social rank of those things cared about those people and Maya I I'm just meeting you now but I know your experience in every nurse when you were caring the most you were thinking the least about yourself Maya or myself as a nurse you almost lost that identity but found your identity as a doctor as a nurse caring for those people and that actually was the meaning and that actually kept you going and when you could go home at the end of the day or night knowing that you would matter to another life found yourself in that way all the different dimensions are yours talking about that's how we thrive we are in this together and when we actually do that and connect with each other in that way that is how we get through this there's a great thought like one my idea anything to comment on thank you very much it is humbling I think it's it's a big burden to have that as physicians in this time there's a little bit that we know and as I prophesied there's a lot that we do not know and it was this knowledge this knowing what that we don't know that sometimes left us a little bit crippled of are we doing the best that we can is this that the best that we can offer and I think for us that the comfort was that we were offering ourselves in this process that we were helping the people and not fighting a disease and I think there is that it's a fine line but it's I think I find meaning in that sense and I'm sorry the sounds of New York might be joining me here but we glad the life is life is happening in New York the lively sounds up thank you thank you Lapland thank you so good for that wonderful interaction I'd like to invite Karen Hagberg next she is the chief academic officer at MD Anderson Cancer Center and she's talking to me last couple of days about how they have formed a group of people have formed from the entire Houston and they interact on a daily basis the respective which hospital they have formed so it is so hard not to hear that go ahead Karen thank you very much for joining us hello good morning good morning good evening I should say to you so nice to be here what an honor for me to be here amongst you and also my fellow panelists so so nice such a good thank you so I was thinking you know what are the positives and that have come out of this crisis there's so many great things and when I really look at our situation particularly in the Texas Medical Center it's really the world's largest medical center it's huge we have over 60 medical institutions 21 hospitals we employ over a hundred thousand people and what I saw come happen through this crisis was that we came together and we have a Texas Medical Center collaborative and what we see and we saw is that the leaders of these different hospitals came together with good discussions you know because it's a huge they came together on a daily basis discussing what resources they all had you know you know how many beds do we have what's our bed capacity what how many ICU beds do we have how many ventilators do we have how many anesthesia machines do we have that can provide ventilation all of these are very precious resources that we had to take tally up to make sure we had enough to care for patients but I think this style of communication of meeting together and talking amongst each others talking about our strengths our vulnerabilities what we really had to offer for patient care I think that is been one of the beauty beautiful things that is actually arisen out of this there is also a collaboration with our local government and the politicians we had some a big event that was actually going to happen in Houston at that time and that's the Texas Medical Center's the rodeo and we have over two and a half million people that usually attend that and that is a great thing that people come to I know if you've come but it's a phenomenal event and you know and it's in its health for a really good reason you know it's dedicated for benefiting our youth education better agricultural practices so it's all for good reason that this event is held but again we have they have 34,000 volunteers my husband being one of them who was in that event and you know attracting so many people so the leaders of the health care system advised that this event should really not happen and it was bringing a lot of money into the city a lot of people but nonetheless discussions happen they canceled it in the middle of it canceled a good decision that was made with encouragement from our health care leaders so you had politicians and health care leaders working together I think that's also a wonderful thing a silver lining that came out of this you know we often don't communicate like this we have natural disasters hurricanes tropical storms here in Houston and our hospitals have been affected by these almost you know negatively impacted with flooding of our facilities and and never before has there been dust such discussions and people coming together to talk about you know what to do and how to do this in a collaborative fashion so I wish my question to you is that as we move don't ask me how to win the rodeo no I won't ask you that because I don't know but as we move beyond COVID-19 you know and how do we get these bonds to remain how do we get this collaboration you know in an area where it's often competitive where hospitals competing with one another that we're working together being transparent sharing our knowledge our information our resources in such a collaborative way that's a wonderful thing and fortunately it's happening across the world that many hospital chains in India also have come together working together it's great to see this well how to take this beyond this pandemic that is a challenge because well it is medicine it is doctors work but still there is also a business end to it right now we have kept the business end aside because there is an emergency which is a good thing and I think it's a bit unfair to expect the same thing beyond this time because today the way we have structured it I don't completely agree with this but that's a way we've structured it our medical system has such a huge massive investment in terms of technology buildings and you know whatever other things that are needed when there's such a big investment naturally it becomes a business so once it becomes a business it has to sustain it has to make its profit otherwise it will not live the very simple factories what what is not a business what is not making some profit it may not be profiteering but it is making some profit that is the basis of its survival otherwise it will not survive nothing can be kept going forever on charity or whatever because even those who make charity somewhere they must be making profit otherwise how will do you how will they do charity so in some other business they may be doing this well the medical business could be made little less aggressively competitive than what it is in many areas maybe this collaboration this hand-holding that all of you have done should make it little less aggressive kind of competition because this involves human life this is not just another business but for whatever reasons I think the business end of it cannot be eliminated it could be made less sharp now that you've all collaborated there is some kind of bond I hope everybody strives to keep that bond not expect a very ideal or utopian situation where everybody will cooperate and always be that way no they it will be competitive but competition should not go beyond a point in medical industry because human lives are involved thank you thank you that's very good advice I'm hopeful that we can remain just as communicative going forward after this crisis you know you had mentioned in a lot of discussion today about human life and the importance right now that we we work together and make these great decisions for our patients and that is one of the big dilemmas that we face and I'm sure all the hospitals have faced with you know balancing the safety and of our patients and our employees with the care of our patients we've had to make some difficult decisions you know as to you know the balance in people coming into our facility whether they be employees or patients and these are often difficult decisions to make and we're facing the same decisions as we kind of go back and go back into the you know getting back to normal so there's a lot of decisions that have to undergo you know MD Anderson has one of the largest and densest concentration of immunocompromised patients in the world so you know we have the responsibility to protect their health and their safety at all times so we've had to you know decrease operational and research activity in order to protect our patients and our employees and that this is an organization that is known for its strength in these areas so we have to make a lot of decisions and I just wanted to ask you you know when comes to making decisions you know what is your strategy you know does it do you make your decisions that based on your mind you know your heart you got company you know and then once you make a decision you know how do you find peace with these decisions fortunately my heart my brains and my gut and my little finger also they all operate as one they don't operate separately they don't create any conflict in me these are times where every one of us are required to make hard decisions well those of you who are in medicine you may be making decisions of life and death because when you know initially in certain European countries when it happened some of them made decisions as to who should get the ventilator because they were limited they took lots like a lottery who should get it and those who lost the lottery lost their lives also and otherwise they decided on the age factor suppose me and my mother went to the hospital with the same requirement they would give it to me and let my mother die how do I live with that or if me and my daughter went to the hospital they will give it to her and let me die how does she live with that so these are hard times hard times bring hard decision to all of us it may not necessarily about life for all of us we may not be making life decisions like the doctors are making we have to make many livelihood decisions knowing fully well that somebody needs their job many businesses have to fire their employees knowing very well that they need the job they can't survive without the job but to keep the business alive they have to fire somebody all these hard decisions are there these are hard times we are compelled to make hard decisions but this is what is important though we are making hard decisions we can still do it with absolute softness of heart only to the extent it is necessary and nothing more nothing less because the larger interest of keeping serving the maximum number of people if it's a medical facility or the larger interest of keeping the nations or the world's economy going because livelihoods are as important as life after some time initially we talk about life but after some time it will come to a place where people will say what is the point of being alive when we can't have a livelihood this question will naturally come up we have not yet come there in a big way but if this continues for another four weeks eight weeks definitely that will become the rhetoric of the world people will say what is the point being alive when we can't earn a livelihood when we can't get our food and necessary things can't take care of our children what is the point being alive this question will come I hope we don't drive ourselves there if we handle this little more responsibly this is manageable because human beings are the carriers here so if human beings behave responsibly I hear in Texas some people desperately want to have a haircut they don't mind carrying guns to have a haircut so too much talk of freedom is happening this is not a time to talk about freedom this is a time to express our responsibility to our own well-being and everybody's well-being around us that's more important than talking about our personal freedoms Thank you sir Guru and thank you Karan next up I want to invite Dr. Anand from Stanford the pioneer and you know telling us about the pediatric pain Namaskaram Sat Sri Akal Namaskaram sir Guru wonderful to be with you this morning So Sat Guru about 12 years ago I had published a paper it was titled Love, Pain and Intensive Care and I made an argument in this paper to you know practice medicine which is relationship based rather than protocol based or evidence based and a lot of my colleagues sort of criticized me for that but I want to ask you what is the state of mind in which any doctor should approach their patient You you must be like a mother to the world there's no other way to approach because when somebody has an ailment they have become vulnerable like a child he may be a big man elsewhere but once he gets sick he's become vulnerable like a little child almost like an infant they become so when they've become like that you must become a mother there is no other way Wonderful that is so beautifully encapsulating in so many at so many different levels and you know I have in my practice tried to inculcate this habit of approaching my patients with love and with reverence and but I feel very limited I spend many years in medical training and so on and that taught me how to practice medicine how do I sense what my patients are experiencing how does any doctor sense what the patient may be experiencing or going through See your medical knowledge of a particular ailment might have taught you well this is what is happening in this person's heart this is what is all the reports may be telling you this is the condition of the heart this is the condition of the liver or whatever the gallbladder whatever it is but each individual will not go through the same problem in the same way one person may be going through it with very minimal suffering another person may be going through the same problem with enormous suffering this is very individual this this cannot be judged by looking at the you know the data that you have on your hand from all the tests and MRIs and whatever else that you do it's important to look at the patient and see what is their state in some way empathize with them to feel what's happening with them and accordingly it should be treated because human body and the mechanism of what we are calling as human you know system is not all absolutely like a machine that you replace this part everything will be okay you do that everything will be fine that's not how it is being doctors with so much experience you know that if you are immensely knowledgeable you still in terms of how this creation is it is a minuscule of what it really is so having said that I'm not trying to discredit the major medical education and medical profession yes they have done fantastic job but still they're not creators of life they're doing the best that they can do but nobody has understood this human mechanism absolutely it is only in parts we're able to intervene and do miraculous things but still those miraculous things are very limited miracles there is no such thing as we know exactly this is what is happening because the same conditions or the same data that you have how it is in one person and how it is in the other person is very different here human what to say certain level of connectedness I'm I if I use a word empathy compassion these are emotional things it if you become emotional about your patients I don't think you will get a judicious judgment of what needs to be done but being connected with what's happening treating that body as my own I think if a doctor develops that possibility within themselves it will be truly fantastic getting emotional will lead to maybe a little bit of solace for the patient but may not be a solution you make them feel good but you don't solve their problem that's not it but there if you have a certain sense of connectedness if you have some yoga with them yoga means some union with the people that you touch then there is a sense of a deeper sense of connect in that in that both solutions will come and solace will also happen to the patient because initially a solace the patient needs comfort first of all a patient needs to relax with the doctor to to be able to be receptive to whatever they have to offer today we may be looking at treatment mechanism as purely pharmaceutical or chemical treatments for everything or surgical treatments for everything but there are dimensions there are dimensions of human connect which is not about pharmaceuticals which is not about surgical status but there are there is a connection between us and everything else in this world like the earth that we walk upon the air that we breathe the water that we drink similarly another body which is which which is in front of us right now there is a certain connectivity in that connection there is there are better solutions the knowledge that what doctor carries can be better utilized if there is a deeper connect with the patient and that connection if it comes without emotional drama attached to it it will do very very well both for the doctor it will be enormously fulfilling and for the patient of course the solution is you one wants to get well thank you sir guru that just blows away the clouds of confusion and I want to ask a follow-up question is what's the is that the difference between a doctor and a healer like how do how do I learn to become a healer or a healing presence when I'm with my patient the word healer is a bit of a problem for me because there are too many people right now in India there is a joke going around certain people who claim themselves healers they're all frustrated with the lockdown they are just waiting remove the lockdown let this pandemic go after that we can heal everybody if you're a healer this is the time to do it and every so many people are sick but they are waiting for the pandemic to pass I think you it is great that you're a doctor I'm glad that you're not a healer but the word heal is not a bad word but it's been used with wrong context by people when you say healer medical healers doing all kinds of funny things and if you do not know this American healers are coming to India and Indian healers are going to America this is a indo-american exchange program because in your own place it never works you need a strange lot of people to make it work once there was one big American healer here operating in India and gathering thousands of people on the beach in Marina beach in Chennai so the journalist came and asked me Sadhguru this man is capable of healing just any element whatever it is crippled people just stand up and walk blind can see this will happen that will happen then I said if he can heal everything what is he doing on the beach beach is for healthy people not for sick people if you want sick people I will give you the addresses of ten thousand hospitals in India let him go there and heal the sick sicker in the hospital not on the beach why are you meeting people on the beach so I'm glad you're a doctor in the hospital don't ever call yourself a healer but it is important it is important that doctors connect with their patients not necessarily emotionally it is not about compassion it's not about empathy it is most important thing is your competence and skills that you have not your compassion and stuff but the connectivity between two lives is always there nobody can deny that in that your skills your competence and above all the patient's ability to receive what is offered to him will will become enhanced in that there will be better results for everybody thank you thank you doctor Anand for your wonderful work with children and thank you for the questions especially when it comes to children if I can say something I'm glad that you worked on this children's pain because whatever you do to the child you know people think child is always crying anyway so whatever he may be going through nobody knows what is going through because many of them are too young to speak or anything they are going through enormous pain but people think children are anyway all the time crying nobody there to gauge the level of pain that may be happening on an infant especially I'm glad you took that to work up it's most vital thank you next up I want to invite Masha more she's the senior vice president of patient care services at Beth Israel thickness medical center she's also a chief nursing officer Masha thank you thank you for including good morning ma'am thank you so I am the chief nursing officer but in this COVID-19 response my main responsibility has really been being the lead incident commander for our response to COVID-19 and really what that's all about we've talked a little bit earlier Dr. Farrow and others about the example of vent ventilator allocation and we're all very grateful that we haven't actually had to face that particular problem but we in fact do have to make resource allocation decisions all the times maybe smaller ones but pretty impactful one so I'll give you a couple of examples and then I'll ask my question early on in this epidemic probably in the the March period we came to understand that our our supply of mass was short our surgical mass we didn't have we didn't have enough we still don't have enough but then we were really worried about it but we did figure out over the first couple of weeks that the virus could be transmitted by someone who wasn't symptomatic what we initially because of our limits allocated surgical mass only to those units that we're clearly caring for a COVID-19 patient we ultimately made our way to what we do today which is universal masking for all staff in the and infect patients but in that intervening period when we came to understand universal masking would be good but we didn't have enough we didn't universally allocate them and there were circumstances where staff got infected from each other where staff infected patients and where staff were infected by patients who we failed to see a suspect so we made an allocation decision and we did less than we would have liked to have done and people got sick so that's one example it's also the case right now that we've gotten a allocation over Mdesivar so that antiviral drug that has shown some benefit to patients but we didn't get enough to treat all of our COVID-19 patients so a group of people are thoughtfully developing guidelines and making decisions and people are starting to get it but everyone who could who would like to get it is not going to get it so we have methods we have methods for doing that and they're good but at the end of the day we will make decisions that will be imperfect and also we'll still leave to circumstances where people are if not harmed at least not well put in harm's way and my question to you is how do we think about the moral distress of the deciders the people who've made those decisions and have to live with the imperfect consequences of those decisions how do we how do we support how do we think about how do we guide how do we counsel those people making those decisions they make good decisions but still there's a moral distress in the decisions they make yes during times like this unfortunately many of us are forced to make decisions that we wouldn't want to make but it's important that those who are most human make these decisions based on fundamental humanity not on any other value there are economic values to it there are commercial aspects to it but if our decisions are made on the basis of our humanity but still it is there is no such thing as a right decision because as you said we are exposing somebody to infection we are sending somebody to death we are one who could have been saved as be has died one could have who could have died has been saved all these things will happen because none of us make ever perfect decisions in any given situation nobody can make a perfect decision with the best of our intelligence and capabilities all we can make decisions but let our decisions come from the core of our humanity that is the only way we can go ahead but is it a right decision we don't know we do not know whether it's a right decision but did we do our best it must always be so that we always did our best nevertheless than that thank you so you turn one turns back to how one went about making the decision and sort of relies on yeah yeah because because nobody can make a perfect decision especially in a situation like this or in any given situation we are not making perfect decision is foolish to think we have made a perfect decision never can we make a perfect decision we are making a decision to the best of our intelligence our competence and our capabilities but sometimes it turns out wonderfully well sometimes it doesn't but have we made this decision keeping the core of our humanity as the basis for the decisions have we done our best that's all the question is in our life is it the best it is never the best it is just that I've done my best that's all we can do thank you thank you Masha thank you sir guru I also direct research in our hospital at least for my department the clinical research so I can't not ask a question about research so I thought I'll bring in Dr. Senthil Sarasivam who is a vice chair for research at the Indiana University and you know we have also done some research in the last three years so three years or so with especially the Yusha Yoga Yusha Yoga I also want to bring in Dr. Sundar Swaminathan from University of Virginia who's an expert in COVID he's the lead article on the pathogenesis of COVID was just just came out in the American Society of Nephrology and is basically focuses on immunology research so I request Senthil to talk a few words about what the major findings of yoga research that he has been involved in thank you Bala and it was my privilege to be part of the Yusha research team and we did two major projects one with the four-day program and the other one with the eight-day retreat and with the four-day the retreat we what we saw was a significant reduction in depression and significant reduction in anxiety levels of the meditators and oh we were maybe that's the reason I've never been depressed yeah that's good to hear the Sadhguru even yesterday I was in the operating room and we had a COVID patient and there was so much fear and anxiety even among physicians and it takes special person to have that kind of courage to take care of these patients I think the meditation and it helped and helps many people so another finding we found was we not only looked at the psychological well-being of the meditators we also wanted to show objectively why they feel good and how they have lower levels of depression how they have high levels of focus so what we did was we measured blood levels of anandamide which is an endocannabinoid and anand is blessed or in Sanskrit so what we showed was in about 150 patients of not patients as meditators before and after we saw 70% increase in anandamide and other endocannabinoids and also we saw a significant 70% increase in bdnf it's just a brain drive neurotropic I won't let you test my blood then you'll think I'm smoking something that's a good thing I think if you don't need any pharmacological influence in these pandemic times we have so many even physicians depending on alcohol and drugs marijuana we have bodies marijuana which is an anandamide or endocannabinoid and we can have it whenever we need without any expense or side effects so I think all the meditators who participated in the bsp or the four-day program had that it doesn't need a lot all they needed to do was be part of that retreat and they immediately got it and if not only that it persisted beyond the four days we followed all these participants up to a month and they had the persistent lower levels of depression and anxiety and so and also positive well-being psychological well-being that was the finding and the other study we did was with the eight-day program we saw even bigger effect size in terms of 50% reduction in depression and anxiety some of our the participating participants had the depression at almost 10% their scores went down significantly down after the program and we followed these participants up to three months we saw significant reduction persistent reduction beyond the eight-day program three months we also measured their systemic inflammation over time or six months period compared to the household their own husbands and wives at home their stress level and systemic inflammation level of the meditator was two to three fold lower and that was a significant finding we observed and also we showed other health benefits including better lipid profile better hemoglobin A1C which is related to diabetes was a lot better in all these participants and also we with the collaboration with another meditator Vijay Chandran from Florida he was able to show later to the COVID situation the meditators the gene signature improved and in terms of it activated immune pathways specific pathways and genes over time just two months after the meditation it had significant activation and in terms of protecting them from infections like COVID central thank you so much for that brief description and hopefully all these papers will come out we know that we have almost half of them in so it seems to me that they have very low levels of c-reactive protein that means you know low level of inflammation they're also having good levels of lipids they have good levels of hemoglobin A1C and you're also talking about activation of immune pathways by genetics so to summarize right so swami you were you were a nephrology expert and also the researcher in the immunology world how do you think if a meditator any kind of meditator actually is well prepared for the for facing this COVID situation can you tie this all up right yeah thank you Bala and Namaskaram Satguru for the great opportunity and to be a part of this inlayton panel so first I want to start with you know what COVID does to the body so the virus you know initially there is an infectivity of the virus and then the virus enters the cell through a certain receptor and once within the body what it does is that like there are certain immune responses these are called as like virus restriction factors so the one of them is called interferon if you have sufficient amount of those viral restriction factors or immune responses what it does is that like the host or the human body is able to limit or prevent the virus from infecting now the second phase is that let's say that the virus eventually is successful in infecting the body then how do you handle that infection is the second phase of the COVID-19 infection so there are certain responses that happens one of them is called as uncontrolled inflammation it's also called a cytokine storm and the other thing that happens as a consequence of all this is that like there is damage to the lung and the amount of oxygen in the blood is low which is called hypoxia and then once these patients are hypoxic then they get treated and then they get a supply of oxygen back now they are not able to handle that oxygen being given back it's called reoxygenation and then that causes more damage to the body and the third thing that happens to the body is that because of the excess inflammation and the hypoxia and hypoxia reoxygenation which is happening in these patients there is damage to the blood vessels the cells that line the blood vessels and results in excess clotting so one of the things which people are seeing is that like patients who got COVID-19 they got very high incidence of what is called as thromboembolism which is nothing but excessive stickiness of the blood or clotting which is causing them to have organ dysfunction and causing them to die so this in summary kind of summarizes excess inflammation excess clotting and low oxygen and inability to handle that which is causing this COVID-19 to really kill a lot of people around the world so now going back to meditation what happens during meditation when somebody is meditating can I ask you one question in between Sadhguru see if body is reacting to reoxygenation so what is the standard protocol that all of you are following for this COVID when somebody comes to hospital in a certain let's say reasonably serious condition if oxygenation is not the thing to do what do you do? Right I mean that's a difficult thing to treat after the disease has set in Sadhguru because once there is hypoxia and then hypoxia itself is harmful to the body then you have to correct the hypoxia then reoxygenation is bound to happen and as of now we still don't have a complete understanding or have any therapy to really prevent this cascade of events so you are forced to treat the hypoxia but you don't have a way to really prevent this reoxygenation injury from happening but from previous studies we know that there are like many interventions that can actually limit the reoxygenation injury what we correct the hypoxia and one of the key pathways that is relevant in preventing this reoxygenation injury is antioxidant responses so if you if you are innate ability to deal with oxidative stress otherwise it's called free radicals and there are like mechanisms on the body to deal with the free radicals if those responses are empowered by any mechanism whether it is through drug or whether it is through eating or whether it is through meditation then your ability to handle that reoxygenation induce free radical damage may be more effective and there are other things like people have tried like you know vitamin c or vitamin e and all kind of chemical strategies which can also be used to limit the reoxygenation injury but I want to add one more thing Sadhguru which could be really interesting and what the studies have shown is that people who do proper yogic and meditation practices and at least in one study they have looked at and shown that glutathione which is a critical molecule to prevent free radical injury within the cell the levels of it is significantly increased days or weeks after they start this practice so definitely in terms of like preventing the free radical injury or reoxygenation injury and the meditation and yogic practices do really help so one of the things Swami is I just wanted to add which is obvious I think you know it but just for the viewers purposes that you just give enough oxygen that is required to keep their oxygenation levels sufficient right suppose in hypoxia you don't give 100% oxygen just as much as required to keep it on 94% okay correct exactly yeah because hypoxia having a low oxygen itself is harmful to the body right and so you have to correct the hypoxia but you have to empower the body to handle the free radical that is going to come from reoxygenation so that's one aspect of it now going back to the whole aspect of what happens to the meditation and a little bit I'll touch on Samyama also what we know from preliminary data is that like the first thing that these practices seem to do what's alluded and Vijay has generated data is that like it is activating the genes which are critical for restricting the coronavirus from infecting the cell how do we know that we have samples on Samyama volunteers before they started the practice and then at 48 hours after they did the practice and then at three months after and when we went and looked at like thousands of gene signatures and then it turns out the set of genes which are linked to this viral restriction otherwise the interferon athlete seem to be directly activated in people who are doing Samyama so this data is like really really exciting so you mean the 8 day meditation retreat right Swami Saripantra so just 8 day meditation 8 day meditation retreat exactly and so in fact like one of the articles like we referred is that like you know there is one particular paper where they showed when they take the SARS co-virus 2 and in fact what are called organoids they are trying to create a model like what happens in human the set of genes that are activated by the SARS coronavirus and organoids that is the protection which the body is trying to do are the same genes that are getting activated in the Samyama participants at two or three days after they started this practice the second set of things which is really interesting and useful also is that like at three months after they finished this 7 day program the antioxidant response genes are the ones which are most importantly activated in their body so not only we are having the viral restriction or balanced immune response but also the protective response for the cells are also getting activated in this practitioners of this so this and there are previous studies in other meditators also people have published and again really showing that ability to handle a viral infection is specifically and those factors are activated in people who are doing like practice of meditation and yoga I know you guys are looking at it technically in this way but let me share my experience it's almost 39 years now since I've been traveling this is the first time I'm staying home for over 40 days in last nearly 40 years always I've been traveling and almost every day I have a public event hardly there's one day where there are no events so in spite of that in this 39 years I have never cancelled a single event because I am not well so obviously it must be working so I am for me this is good enough proof but I know medically you have to prove all these things these inflammation markers and whatever is happening in the neurological you know signatures that it is living and of course the genetic changes because in yoga there is a way of saying it this may sound a little I mean please look at this in the right perspective because for for our other friends who are from the western culture please look here this carefully because otherwise it'll mean something else we say you must keep your parents alive on the outside but you must kill them inside that is within you the genetic data that's come from them you must kill it outside you must treat them well and keep them alive so that they are alive by themselves you are alive by yourself but otherwise it will continue all the factors good bad ugly everything continues so the entire yogic system is oriented towards this that you want to kill your parentage within yourself you want to keep them alive outside but within you they must die this may sound too drastic but without this a human being will not blossom without this this will not become a fresh life with all its possibilities well I don't know whether COVID will let me live or let me die that is not even a concern but the thing is everything that is needed for what to say a flourishing life to exist in the body will naturally happen with these practices the practices are life oriented measurements you can come up with your own measurements in various ways I know scientifically it is useful but essentially people want to be healthy and well the main purpose is we all have experienced going through all these meditation programs it's a matter of convincing the whole humanity about the meditation and its benefits so we are trying to publish all these evidences in manuscripts and no it's very necessary I'm not trying to say it's not necessary it's very essential in today's world absolutely essential so that the more people can take this upon and benefit from it thank you central and thank you swami central is again a full professor of pediatrics and pediatric pain at the indiana university and swami is associate professor of medicine is moving to maya clinics only thank you both for your inputs regarding the protection that we can get because of regular practices thank you very much I like no point do I think medical research is useless no I'm not saying that I'm saying because I'm uneducated I can only feel what happens in my body yeah we are trying to show the world what you're experiencing what you make others experience so that everyone can benefit so I thank you very much for doing that no no if you check my blood now all the drug addicts will be after you don't publish my results which is good so they won't get addicted to the drug they will get addicted to the meditation thank you thank you central and swami thank you very much and I'd like to bring in Steve Pratt who's the director of free anesthesia testing in our hospital bed this ridiculous medical center he has been at my colleague for almost 25 years so Steve Pratt also runs the Massachusetts peer review and Steve go ahead good morning Steve good morning thank you very much for having me it's a great honor I think that the reason that Bala asked me to be included in this or allowed me to be included was because I've been doing some work over the past 10 years to help clinicians recovery emotionally after difficult events healthcare can be an emotionally difficult time we we make mistakes and that can cost people lives even without mistakes things happen and we have to watch great suffering and helping our colleagues to recover from those emotions the stressful times is becoming more and more important as we understand the huge emotional impacts that this can have COVID is having a remarkable set of emotional impacts on our clinicians almost to the same degree as the medical impacts that it's having on our patients our folks our staff are terrified that they could become sick themselves and die or bring bring the disease home to their loved ones there's a sense of guilt both of those who are working because they feel guilty that their other colleagues are being furloughed or those that were at home they feel guilty because they're not at the front lines helping there's been a sense of great incompetence because people feel they don't know what to do to take care of their patients which which gloves should I be wearing on day to day and of course the great sadness as we watch unimaginable amounts of suffering and death often alone people dying without their loved ones so it's it's a whole new emotional experience for our staff as clinicians we've learned to keep many of those feelings at arms distance because we have to keep them there in order to continue to work and I'm actually worried that once we get to the other end of this to the other side of this that those feelings are going to have to bubble up some way but those feelings that we've kept buried so that we can continue to continue to do our job on a day to day basis will eventually have to come up and I'm wondering sir what what advice you would give to us as leaders to help our staff to manage to unwrap those feelings as they start to come up when we give ourselves the opportunity to actually feel when we have the moment to pause and say and realize how emotionally humongous this has been for the last days weeks months or potentially even years how can we help our staff to bring those feelings back up in a safe way I very much understand and appreciate the tremendous work that both the doctors and the nursing staff and the allied staff around in the hospitals are doing it's unfortunate there are you know in UK 44 percent of the medical staff is showing signs of depression in China 50 percent they're saying in Singapore 40 percent I don't know what is the thing in United States I'm sure there are similar numbers so when half the people who are responsible for you know bringing the population out of this pandemic with limited amount of damage and limited loss of life are going through this this is this doesn't board well either for the medical staff or for the larger population so it's very important that they are well taken care of as a part of this from our end we did whatever we could do today I think a few hundred thousand people are going through this that we offered this inner engineering program free of cost to all medical personnel across the world a few hundred thousand people have enrolled but it's important that everybody goes through this this is seven powerful sessions all the with allied practices attach simple things that you invest 12 to 15 minutes a day and it'll make a big difference the doctors swami and sentil were just talking about it how they are measuring it in their own ways but I must tell you this will work hundred percent because this will change the fundamental chemistry of who we are they were using scientific language but let me put it in my own little uneducated way of saying this all I know is you can make your chemistry blissful no matter what is the situation we face when we face hard situations when you face difficult situations that is the time when we need at most balance within ourselves our intelligence our competence must work at its best but if we are distressed or depressed definitely our competence levels will go down this will not only affect our lives unfortunately it may cost some other life and when it costs some other life because of our incompetence then there is a cycle of problems that an individual will naturally go through when we realize that what we have done has gone wrong for somebody else's life because it's not nice for any human being to put in a position to determine whether somebody should live or die that should never come but unfortunately in the profession that you are maybe on a daily basis you're facing that situation and particularly now with the pandemic it is far more because we have still not figured out what is the solution for this and about post pandemic how will we be but a whole lot of scientists are saying there is no such thing as post pandemic we just have to learn to live with this virus like we have lived with HIV and we have lived with yearly influenza and whatever similarly we will have to just live with this but I mean I don't want to give you a medical lecture but all of us know the problem with this virus is not necessarily its ability to take lives the problem with this virus is it is hidden it is it can be in you or me without showing any science that is a big danger that it passes from person to person without really making one person sick but killing the next person so that is where the danger is but with other infections that we had like influenza and other things very easily immediately the symptoms were showing up naturally they would stay away and things like that so this is the danger of this though it is not as virulently fatal as the other things are this is really dangerous because it is camouflaged most of the time you don't know so having said that about what people go through as medical professionals making as I already said we never make perfect decisions we make decisions believing we are doing the right thing but if it goes wrong and especially if it goes wrong to cause somebody else's life that is a hard thing to live for anybody but the most important thing is right now when the world is facing a situation like this medical professionals must be in the best state of mind and body this is very very important this is why as a part of this we are offering this in engineering online for everybody and various other practices which are very simple to do please all of you try and see and put it across to all the doctors and nurses it will make a huge difference in UK many doctors have done this and they are sharing what difference it's made a simple practice of 12 minutes how the immune system is up protecting you at the same time it also keeps up your mood levels it will create a balance emotional balance and a sense of a sense of blissfulness within you because as you're all doctors all of you are very clear on this human experience has a chemical basis to it now we are talking about a technology with which we can create a chemistry of blissfulness this is most important because only when you are in a pleasant state of experience this body and this mind functions at its best and right now all of you functioning at your very best is vital for so many lives so it's my vision my blessing that all of you should stay healthy function at the best of your competence so that many more lives are not taken because we still have not figured out a way with the virus we are only trying to figure out how to dodge it how to manage it we don't really have a solution as such so your work and your emotional balance and your own well-being and the well-being of your families is very vital for the rest of the population also please keeping this in mind keep yourself well thank you so much thank you Steve thank you so much and I thank all the panelists for coming today and participating in this because I think it's been very educational for me and thank you thank you for taking time out and taking part in this and thank Isha Foundation for co-hosting this event and I thank all the viewers from all over the world looking at this and I also thank my family etc to be in great support throughout this organization process thank you again and we have research that is ongoing couple of research projects that are there based on the simple practices that Sadhguru alluded to take part in it inquire about it and we are trying to let other people know and right now it's the Inner Engineering Online that he's talking about is free for all the medical practitioners thank you so much thank you very much thank you so much