Monday, December 5, 2016

Extracorporeal Membrane Oxygenation (ECMO)- Capt Ajit Vadakayil


NOTE: THIS POST IS MADE TO PROVIDE INFORMATION TO AMATEUR READERS FOR A SPECIFIC CASE INVOLVING THE CM OF TAMIL NADU, INDIA .   


WE THE PEOPLE OF INDIA DEMAND THAT PM MODI MUST INTERFERE RIGHT NOW


WE DO NOT TRUST PRIVATE HOSPITAL APOLLO HOSPITAL ( WHO DID THE SAME GAME WITH MGR ).


SHIFT CM JAYALALITHAA TO A GOVT HOSPITAL,  RIGHT NOW 


WHAT POWER DOES SASIKALA NATARAJAN AND "MANNARGUDI MAFIA" WIELD ?


WHAT THE FUCK IS HAPPENING ?



ECMO( used on Jaya )  is a heart and lung bypass -- extracorporeal life support (ECLS).. ECMO provides the mechanism for gas exchange while bypassing the heart and lungs.

The procedure mechanically supports the patient’s circulation and gas exchange, normally performed by the heart and lungs, thus giving those organs an opportunity to “REST.” ( PROVIDED SOUL HAS NOT DECIDED TO COME OUT )

The ECMO machine takes blue blood (without oxygen) out of the right side of the heart and pumps it through the artificial lung (oxygenator). The blood, now oxygen-rich, is then warmed and returned to the patient



There are two configurations with ECMO: a veno-venous (VV) configuration to provide oxygenation in patients with respiratory failure and a veno-arterial (VA) configuration to provide both oxygenation and circulation in patients with respiratory and cardiac failure

The two most common types of ECMO are veno-arterial ECMO (VA-ECMO) and veno-venous ECMO (VV-ECMO).

In both forms, blood is drained from the venous systems using large percutaneous cannulas where oxygen is added and carbon dioxide is removed.


In VA-ECMO this blood is returned to the arterial system and in VV-ECMO the blood is returned to the venous system.





Apnea, the absence of spontaneous breathing, is an essential criterion for the diagnosis of brain death.


The neurological criteria for brain death include coma, absent brain stem reflexes, and apnea.    For patients on extracorporeal membrane oxygenation (ECMO), routine apnea testing is not possible because gas exchange occurs entirely through the membrane oxygenator.

The PaCO2 level must be high enough to ensure supramaximal stimulation of the medullary respiratory centers


Partial pressure of carbon dioxide in the arterial blood; arterial carbon dioxide concentration or tension. It is usually expressed in millimeters of mercury (mm Hg).



I kept the post below simple,  for the LOWEST COMMON DENOMINATOR



In veno-veno (VV) support, blood is drained from the venous system, oxygenated, cleared of carbon dioxide, and then pumped back into the central venous system (i.e. into the right atrium or cavoatrial junction), is typically used for isolated pulmonary failure.


For patients with cardiac failure or combined cardiopulmonary failure, venoarterial (VA) support is typically used. 

Unlike VV support, in VA support, blood is returned back into the arterial system – often as close to the coronary arteries and/or cerebral arterial system as possible.



Brain death (BD) determination requires a 6-hour legal observation which includes:
-    Coma status with absent brainstem reflexes
-    Absence of cortical electric activity as documented on an electroencephalogram
-    Absence of spontaneous breathing as documented by an apnea test (AT)



Positivity of AT is confirmed by the absence of respiratory movements and arterial carbon dioxide partial pressure (PaCO2) >60 mmHg, with an increase of >20 mmHg from baseline.



The principle behind the apnoea test is that the absence of an appropriate respiratory drive, as manifested by an increased in PaCO2 following a CO2 challenge, is indicative of a potentially irreversible brain-stem injury and, therefore, when positive, supportive of the diagnosis of brain death.

Proper conduct of the test involves insuring an adequate blood pressure, preoxygenation with 100% oxygen for at least 10 min with a goal PaO2 > 200 mmHg, normo-capnia with a ventilatory rate of 10 breaths/min, and a reduction of positive end-expiratory pressure to 5 mmHg. If the patient remains hemodynamically stable and blood saturation remains >95%, then a baseline, pretest, arterial blood gas is obtained. 

The patient is then disconnected from the ventilator, but given a source of oxygen. A continuous source of oxygen, such as a T-piece or cannula placed directly into the trachea, is mandatory to prevent acute hypoxemia and therefore in validating the test. 

After 8 min of observation, a repeat blood gas is obtained. If the PCO2 level is >60 mmHg or 20 mmHg above the baseline, then the test is considered positive and diagnostic of brain death


For patients being supported on veno-arterial ECMO, pulsatile flow and blood pressures might be too low as mandated by the AAN ( American academy of Neurology ) prior to attempting an apnea test.   

A systolic blood pressure >100 mmHg is a prerequisite for apnea testing – a threshold that might be very difficult to accomplish in patients on VA-ECMO with non-pulsatile flow in the absence of significant doses of vasoactive agents. In such circumstances,  use mean arterial pressure of 75-80 mmHg as an appropriate surrogate



Veno-arterial (VA) ECMO apnea testing can be done in patients on ECMO without the need for ancillary testing.  The mainstay of performing apnea testing on these patients is decreasing the gas sweep rate to 0.5 - 1 L/minute while maintaining the same blood flow rate.

Apnea testing involves disconnecting the mechanical ventilator, observing for spontaneous respirations and, if none, measuring the PaCO2 after 8 – 10 min. The test is positive if the PaCO2 is ≥ 60 mm Hg or has increased ≥ 20 mm Hg above the baseline. 







MOVIE - IZZAT - JAYALALITAA AND DHARMENDRA 



http://indianexpress.com/article/india/pm-narendra-modi-wins-time-magazines-person-of-the-year-readers-poll-4411182/

did we do good sir?




  1. http://time.com/4570597/person-of-the-year-readers-poll-results-2016/

    MODI DESERVES IT....

    MODI MUST NOW TAKE LEADERSHIP OF THIS PLANET ALONG WITH TRUMP AND PUTIN
    SCREW JEW ROTHSCHILD AND HIS NEW WORLD ORDER

    capt ajit vadakayil
    ..
when i google "Captain Ajit Vadakayil" , google shows only 7 pages!!! rest all are omitted ?? you have 1000+ posts with millions of keywords , they really deliberately tweaking their algorithms using search name




  1. GOOGLE BURIED THIS BLOGSITE LIKE NIKOLA TESLA WHEN I SUPPORTED TRUMP AND RAN DOWN HILLARY

    DOES NOT MATTER
    MY PROFILE COUNT JUMPED FROM 52 LAKHS TO 62 LAKHS DURING THE ELECTION FORTNIGHT

    MY PROFILE COUNT IS NOW 62 LAKHS ( 6.2 MILLION )

    SHOW ME ANY BLOGGER ON THIS PLANET WHO HAS HALF A MILLION ( 5 LAKHS ) PROFILE VIEWS

    https://www.blogger.com/profile/14410812789424637654

    OR

    SHOW ME ANY "INDIVIDUAL" ON THIS PLANET WHO HAS A GOOGLE + COUNT OF 467 MILLION. 

    OK-YOU CAN INCLUDES MIGHTY CELEBRITIES IN MUSIC, PORN FIELD, SOCCER , SPORT --WHATEVER

    https://plus.google.com/109255865130996771184/posts

    I WILL GIVE THEM PURASKAAAR

    BBC AND PM OF INDIA ARE AHEAD OF ME --BUT THEY ARE INSTITUTIONS --NOT INDIVIDUALS 

    TOILER PAPER OF INDIA WAS SAYING THAT LUNNY SEONE IS THE MOST SEARCHED HUMAN.

    BALLS !

    https://plus.google.com/115037065255659031861/posts

    HER COUNT IS A SHIT 4.3 MILLION 

    LIES WONT WORK

    capt ajit vadakayil
    ..

TO BE CONTINUED-



CAPT AJIT VADAKAYIL
..

Saturday, December 3, 2016

UMBILICAL HERNIA - CAPT AJIT VADAKAYIL


Sir, I am glad to discover your blog!
I want to know if there are any remedy for supra umbilical hernia in yoga.
This was caused by incision in navel for some diagnosis for female infertility.
Also I am keen to know what pranayama to do to have better breath control to run last ng distance running like 10k, and half marathon.
Awaiting your reply,
Sho




  1. I CANT ANSWER BY A SMALL COMMENT

    SHALL PUT A FULL POST

I AM A BIT BUSY

MEANWHILE ENJOY THESE PICTURES







AIYYOOOOOO 




Para-umbilical, supra-umbilical and epigastric hernias are called primary midline abdominal hernias.

Umbilical (navel) hernias occur  in the middle of the navel. The inside of the navel sticks out - an ’outie’.

Para-umbilical ( peri-umbilical )  hernias occur next to and supra-umbilical occur just above the navel.

Epigastric hernias occur in a part of the abdominal wall called the epigastrium. This lies between the navel  and the rib cage.


Diastasis  describes a situation where the two vertical muscles on the front of the abdomen separate down the middle. The thin line, or membrane between them stretches, but there is no hole. This is not a hernia.
  
Typically everything looks normal when you are standing, maybe a bit of a bulge or prominence, but when you sit up or get up from a lying position you see a vertical ridge running from the breast bone to the navel.   

It can be quite prominent and sometimes very alarming, but a Diastasis or Divarication is not a hernia.  Attempts to correct Diastasis with surgery are usually unsuccessful.  Diastasis, must be  left alone.

All of them ALWAYS occur in the midline – that is, straight down the middle, because they come out between the two rectus (‘6 pack’) muscles, anywhere from the navel up to the rib-cage.

There is no muscle here – just a strip of tendon -like tissue running between the two muscles.

(The lump may sometimes seem to be off to on side, but the actual hole is always in the midline).

The strip of tendon, usually no more than a centimetre wide is known as the ‘linea alba’ or white line. A hernia forms if a split occurs in this tendinous strip – like a button-hole. And something pops out through the split

Below: Perverted Chutney Mary is fantasizing ,  looking at the picture below-


Umbilical hernias are particularly common in premature babies.  More than  75 percent of babies born under 1.5 kilograms in weight have an umbilical hernia. Umbilical hernia occurs in the middle of the navel, with the inside of the navel sticking out.

While the developing fetus is in the uterus (womb), the umbilical cord passes through an opening in the abdominal wall, which should close soon after a baby is born.

However, sometimes the muscles do not completely seal, leaving a weak spot through which an umbilical hernia can develop.   An umbilical hernia occurs when the intestine or other tissues bulge through this weak spot around the belly button (umbilicus).

Babies are prone to this malformation because of the process during fetal development by which the abdominal organs form outside the abdominal cavity, later returning into it through an opening which will become the umbilicus.

Approximately 6% of all primary hernias in the adolescent/adult general population are umbilical. The bulge can often be pressed back through the hole in the abdominal wall, and may "pop out" when coughing or otherwise acting to increase intra-abdominal pressure.

About 90 % of umbilical hernias will eventually close on their own,. If an umbilical hernia doesn’t close by the time a child is 4 years old, it will need treatment.

They are not normally painful, but if they become sore, a doctor should be consulted.   Adults may feel pain or discomfort if the hernia is large.

Umbilical hernias in adults are more common in females than males. Umbilical hernias might develop in adults, especially if they are very overweight, lifting heavy objects, or have a persistent cough.

 Women who have had multiple pregnancies have a higher risk of developing an umbilical hernia. Among infants, the risk is about the same for boys and girls.

An umbilical hernia occurs when part of the bowel or fatty tissue pokes through an area near the belly button.

The bulge beneath the skin can vary in size from the size of a small grape to a large grapefruit. It depends how big the hole becomes and how much pushes out.

Umbilical hernias are common in young infants, but the exact rate is not known because many cases go unreported and resolve themselves without the need for treatment.

An umbilical hernia looks like a lump in the navel, which might become more obvious when the baby is laughing, crying, going to the toilet, or coughing. When the child is lying down or relaxed, the lump may shrink. It is not usually painful.

In the majority of cases, an infant's umbilical hernia closes on its own by the age of 12 months. If the hernia is still there by the time the child is 4 years old, a doctor may recommend surgery. . Most umbilical hernias in infants and children close spontaneously and rarely have complications of gastrointestinal content incarcerations

Causes of an umbilical hernia:-
Babies - as the fetus develops in the mother's uterus (womb), there is a small opening in the abdominal muscles allowing the umbilical cord to pass through - this connects the mother to the baby.

Around the time of birth, or shortly after, this opening in the abdominal muscles should close. When this does not happen - if the opening does not close completely, fatty tissue or part of the bowel can poke through, causing an umbilical hernia.

An umbilical hernia is diagnosed during a physical exam. Sometimes imaging studies — such as an abdominal ultrasound or CT scan — are used to screen for complications.

It is usually fat that lies beneath the muscle. Part of our natural padding. Sometimes though it may be intestine, and if that gets trapped then you have a problem.

An umbilical hernia in adults usually occurs when too much pressure is put on a weak section of the stomach muscles, due to factors including:--
Multiple gestation pregnancies (having twins, triplets, etc.)
Fluid in the abdominal cavity
Stomach surgery
Having a persistent, heavy cough

Intestines that can’t be pushed back through the stomach wall sometimes don’t get adequate blood supply. This can cause pain and even kill the tissue (known as gangrene), which could result in a dangerous infection. In addition, if an obstruction of the intestines occurs, emergency surgery might be required.

Symptoms of a trapped or strangulated umbilical hernia include:- 
fever
constipation
severe abdominal pain
tenderness in the abdomen
vomiting
a bulging or round abdomen
redness or discoloration

Surgery is usually suggested to make sure that no complications develop in adults. Umbilical hernias in children often fix themselves.


Before choosing surgery, doctors will normally wait until the hernia:- 
becomes painful
is bigger than one-half inch in diameter
doesn’t shrink after one year
doesn’t go away by the time your child is 3 or 4 years old
becomes trapped or blocks the intestines
  

These hernias can be relatively painless but if left alone they always enlarge, and like all hernias, if left alone they:-- 
Run the risk of strangulation
Are more difficult to fix.

When to see a doctor:-- 
The bulge becomes painful
The infant/adult vomits (and there is a bulge)
The bulge swells up more
The bulge becomes discolored

You used to be able to reduce the hernia (i.e. push the bulge flat against the abdomen), but now it cannot be reduced without significant pain/tenderness

Coughing - having a cough for a long period of time increase the risk of hernias because the force of coughing applies pressure to the abdominal wall.

Multiple pregnancies - when the pregnant mother is carrying more than one baby inside her. The risk of an umbilical hernia is higher if the woman has a multiple pregnancy.


Surgery may be ordered if:-- 
The hernia grows after the child is 1-2 years old
The bulge is still there by the age of 4
If the intestines are within the hernial sac, preventing or reducing the movement of the intestines (called peristalsis)
If the hernia becomes trapped
Adults - surgery is usually recommended, to prevent potential complications, especially if the hernia grows or starts to hurt.

Umbilical surgery is a quick procedure.

Umbilical hernia surgery is a small, quick operation to push the bulge back into place and to make the abdominal wall stronger.

In most cases, the patient will be able to go home on the same day.

The surgeon makes an incision at the base of the belly button and pushes either the fatty lump or bowel back into the abdomen.

Muscle layers are stitched over the weak area in the abdomen wall, effectively strengthening it.

Dissolvable stitches or a special glue are used to close the wound. Sometimes, the surgeon will place a pressure dressing, which remains there for 4-5 days.

An umbilical hernia operation usually takes about 20-30 minutes.

Umbilical hernia complications are very rare in children. If the protrusion becomes incarcerated (trapped) and cannot be pushed back into the abdominal cavity, the primary concern is that the intestines might lose some of its blood supply and become damaged.

If the blood supply is completely cut off, there is a risk of gangrene and life-threatening infection. Incarceration is rare in adults, but even rarer in children.

Strangulated hernias should not be reduced. Signs of strangulation include increased tenderness, leukocytosis, fever, red or ecchymotic skin, and elevated lactate.

Using (some type of non-absorbable) mesh gives the best, most secure repair, BUT has to be done properly.

The mesh should be placed BENEATH the split or hole.   Putting it on top can lead to all sorts of problems such as fluid accumulatipn and chronic infection.

Mesh is often used in hernia repairs and may become infected. It may be difficult to distinguish mesh infection from cellulitis. Signs of mesh infection include fever, erythema, pain, purulent drainage, and an elevated sed rate. 

A sedimentation rate is common blood test that is used to detect and monitor inflammation in the body. The sedimentation rate is also called the erythrocyte sedimentation rate because it is a measure of the red blood cells (erythrocytes) sedimenting in a tube over a given period of time. 

Surgical complications include infection, seroma, wound ischemia, and dehiscence. Patients with certain risk factors, such as smoking, obesity, poor glycemic control, malnutrition, and surgical site contamination

Scar is never as strong as original tissue, so patients who have had surgery for abdominal wall hernias continue to have a lifetime risk for recurrence

Any type of laparotomy incision may lead to the development of an incisional hernia, but midline and transverse incisions seem particularly prone to this complication.

Post-operative factors also increase the risk of incisional hernia formation. Post-op infection (the risk of which is, in itself, multifactorial) is the single most important risk factor for incisional hernia formation. 

Other related factors are those that increase intra-abdominal pressure shortly after operation, such as ileus, repeated bladder catheterizations, coughing, vomiting, and mechanical ventilation

A substantial percentage of abdominal surgery patients develop incisional hernias. Hernia recurrence also occurs after initial and subsequent hernia repairs. The risk for recurrence is progressive. That is, hernia recurrence rates rise with each subsequent repair attempt. 

Newer hernia repair techniques (mesh, laparoscopy, tension-free closure) have been developed in an attempt to address these issues.

The surgery will last about an hour. The doctor will make an incision at the belly button where the bulge is. Then they’ll push the intestinal tissue back through the stomach wall. In children, the opening is closed with stitches. Doctors will often strengthen the stomach wall in adults with mesh.


Mesh comes in two basic forms: biological and synthetic. Many variations of these two forms exist. All are intended to promote tissue in-growth while providing sufficient strength to meet the functional needs of the location into which they are inserted.


 Mesh may be placed over, under, or interposed between layers of tissue being surgically repaired.  Mesh can be used during open or laparoscopic procedures.

Mesh complications include infection, migration, erosion into surrounding structures, fistula formation, and chronic pain or sensation of implant presence.


Mesh infection is considered a catastrophic complication. It may present in the immediate post-operative period, but is more likely to present months to years after mesh insertion. Early mesh infection may be difficult to distinguish from superficial/incisional cellulitis. 


Clues include fever, pain, local erythema, infected drainage, leukocytosis, elevated erythrocyte sedimentation rate, and signs of sepsis. Gas in the fluid may represent an anaerobic infection or communication with the bowel. 

Definitive diagnosis depends on positive deep cultures of the fluid surrounding the mesh. Treatment is on a case-by-case basis depending on the patient’s clinical status, with antibiotics, supportive care, drainage, and mesh explantation all part of the surgeon’s armamentarium. Mesh explantation is highly associated with hernia recurrence and other complications

The mesh should be placed beneath the split or hole. Putting it on top, a commonly used approach, can lead to all sorts of problems such as fluid accumulation under the skin and infection.

Open or Laparoscopic?  Both work well.

A laparoscopic approach is frequently combined with a mesh-based repair

Laparoscopic repair has two problems – 
You are making 3 holes to fix one. Only worthwhile if the hernia is fairly large, because each of the holes has the potential to become a hernia – see port-site hernias.

The mesh is put inside the abdomen – and can cause problems if the intestine sticks to it.


Incisional hernias are more common in those who have had major surgery such as an open aortic aneurysm repair.   They occur only in the area of prior abdominal wall surgical scars.

A parastomal hernia is a specific type of incisional hernia wherein normally intra-abdominal contents protrude adjacent to a stoma "through the abdominal wall defect created during ostomy formation..   

Multiple risk factors for parastomal hernia formation are known, including advanced age, technical failure, increased intra-abdominal pressure, emphysema, obesity, malnutrition, corticosteroid use, malignancy, and wound infection.

Many parastomal hernias can be managed non-operatively, but a significant fraction require repair due to bowel obstruction or incarceration, prolapse, formation of a giant hernia, pain, bleeding, and appliance leakage or discomfort due to ill fit. 

Management decisions are best left to an expert in parastomal hernias since optimal methods for repair and prevention of parastomal hernias are currently in flux.

Recovering from Surgery--

Usually, the surgery is a same-day procedure. Activities for the next week or so should be limited, and you shouldn’t return to school or work during this time. Sponge baths are suggested until three days have passed.


YOGA HAS SHUNNED HYPERVENTILATION , AND HAS USED BHASTRIKA PRANAYAMA ONLY TO SHIFT THE DOMINANT NOSTRIL ( IDA / PINGALA ) FOR A FEW SECONDS

Bhastrika Pranayama is also  done for a very short time, to influence the Anahata and Manipura chakras during Kundalini raising. 

Hyperventilation is NEVER encouraged by Yoga

Fake yoga gurus say that Bhastrika or the bellows type of pranayama expels the gases from the stomach and that the recti and the other anterior abdominal wall muscles are well exercised during bhastrika.

Many people get umblical and inguinal hernia while doing Kapalbhathi.

ONLY FAKE AND ROGUE YOGA ( LIKE SRI SRI RAVISHANKAR ) GURUS TEACH HYPERVENTILATION.
















Hi Captain,

####################

MUMBAI FAMILY (Muslims) DECLARE INCOME WORTH Rs 2 LAKH CRORE

http://www.dnaindia.com/india/report-it-department-rejects-mumbai-family-s-rs-2-lakh-crore-income-declaration-2279614

A family of four declarants, Abdul Razzaque Mohammed Sayed (self), Mohammed Aarif Abdul Razzaque Sayed (son), Rukhsana Abdul Razzaque Sayed (wife) and Noorjahan Mohammed Sayed (sister) all residents Linking Road, Bandra (W), Mumbai, had filed a total declaration of Rs. 2 lakh crore. Three out of the four PAN numbers were originally in Ajmer, which were migrated to Mumbai in September, where the declarations were filed.

####################

2 Lakh Crore is more than what congress looted in 2G scam which is owned by one Muslim family alone.

IT Dept must investigate if this black money is part of Congress - NCP - D Gang - Pakistan - ISI - Dubai nexus. Black money like these supports terrorists and finance terrorism in India.

GOI must do everything possible to root out black money and corruption from India and clean up the political system and this huge mess created by corrupt political parties for more than 70 years.

GOI must never give up their fight on this war on corruption and black money. It is now or never.
  1. hi iht,

    THIS AMOUNT IS NOTHING

    MARATHA MANOOS SUGAR BARONS HAVE MORE

    I PITY THE INDIAN MINDSET

    THEY CAME TO THE CONCLUSION THAT TELGI STAP PAPER SCAM WAS ABOUT MAKING MONEY BY SELLING STAMP PAPER

    SORRY-

    IT WAS ALL ABOUT LAND GRABBING-- POLITICIANS, LAND REGISTAR OFFICERS- JUDICIARY- POLICE -- FOREIGN FORCES --ALL IN CAHOOTS

    DEMONITISATION IS NOTHING -- LIKE A TOY GUN

    THE REAL CORRUPTION IS IN GRABBED LANDS --HOW THEY WENT BENAMI

    HINDU TEMPLES LOST ALL THEIR LAND

    WHERE DID IT GO?

    SOMEBODY GRABBED IT RIGHT?

    http://ajitvadakayil.blogspot.in/2014/12/telgi-stamp-paper-scam-must-be-exhumed.html


    INDIAN MUST BE DIVIDED IN GRIDS BY USING GOOGLE EARTH

    EVERY SINGLE SQUARE KILOMETER MUST BE MAPPED 

    THIS PROCEDURE MUST BE TRANSPARENT--AS ONLY PEOPLE CAN BLOW THE WHISTLE

    MODI MUST FIND OUT--DOODH KA DOODH PAANI KA PAANI
    1) GOVT LANDS
    2) PRIVATE LANDS -- REAL OWNERSHIP WITH NO DECEIT
    3) PRIVATE LANDS - BENAMI --STOLEN -- FULL OF DECEIT

    EVERY NAXAL / MAOISTS MOVEMENT WAS ABOUT GRABBING LANDS , DIVIDING IT PIECE MEAL-- AND THEN COMMIE LEADERS AND POLITICIANS BUYING IT BACK FOR A SONG

    VINOBHA BHAVE BHOODAN MOVEMENT WAS ALL ABOUT GRABBING AND LAUNDERING LANDS

    read all 8 parts of the post below--

    http://ajitvadakayil.blogspot.in/2016/08/communist-maoist-naxalite-movements-in.html

    WHY WAS THE ITALIAN WAITRESS AND COMMIES SO KEEN TO DIVIDE UP INDIAs MINERAL RICH LANDS TO DISTRIBUTE IT AMONG TRIBALS ?

    WHY ARE ZIONIST JEWS SO KEEN THAT TRIBALS MUST OWN LANDS ?

    THE NO 1 PROBLEM OF INDIA IS NOT THE ABOVE

    IT IS SUBDIVISION AND FRAGMENTATION OF FERTILE FOOD PRODUCING LANDS 

    WHEN A LAND AREA BECOMES TOO SMALL YOU CANT MAKE A PROFIT AS LABOUR COSTS ARE TOO HIGH. FARMERS THEN GO TO CITIES TO BECOME BUILDING WATCHMEN

    LORD PARASHURAMA WAS THE FIRST TO RECOGNIZE THIS 6000 YEARS AGO

    FARMERS SUICIDES ARE DUE TO "SUBDIVISION AND FRAGMENTATION OF FERTILE LAND"

    THIS BLOGSITE HAS WRITTEN TO PM MODI SEVERAL TIMES

    HE IS ONLY WORRIED ABOUT HIS NEXT ELECTIONS AND PERSONAL POPULARITY

    http://ajitvadakayil.blogspot.in/2011/10/worst-racists-on-planet-earth-capt-ajit.html


    SPREAD THIS MESSAGE ON SOCIAL MEDIA

    INDIAs NO 1 IMMINENT PROBLEM IS SUBDIVISION AND FRAGMENTATION OF FERTILE LANDS .   THE HOLY TOP SOIL ( ONCE HUMUS LADEN )-- FERTILE LANDS HAVE BECOME TOO THIRSTY DUE TO THE DESH DROHI KOSHER "GREEN REVOLUTION" .

    capt ajit vadakayil
    ..





IF BANKING TRANSACTION TAX HAS TO TAKE OFF

IT MUST BE AADHAR NUMBER BASED


http://ajitvadakayil.blogspot.in/2014/11/abolish-income-tax-in-india-have.html


BTT MUST NOT AFFECT 5/10/ 20/ 50 RUPEE NOTES -- THE LOWEST STRATA AND FOREST DWELLERS MUST NOT BE SHACKED WITH INCOME TAX .

MODI MUST GO FOR A QUICK WIN AS A NEW YEAR PRESENT TO INDIANS
1) RAISE THE INCOME TAX EXEMPTION SLAB

2) SHOW INCOME TAX CONSIDERATION FOR SENIOR CITIZENS ( RETIRED SALARIED CLASS ). MOST FEND FOR THEMSELVES , FOR THEIR CHILDREN HAVE MIGRATED ABROAD , OR AWAY FROM THE STATE .

EXAMPLE: IN KERALA THERE ARE NO JOB OPPORTUNITIES. ALMOST ALL CHILDREN ARE FORCED TO ABANDON THEIR PARENTS TO PROGRESS IN LIFE.

TO BE CONTINUED-


CAPT AJIT VADAKAYIL
..