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Worried 36-Year-Old: Crumbling Hands - Parkinson's or Something Else?

Dr Hemalata

Dr Hemalata Arora  | Answer  |Ask -

General Physician - Answered on Apr 27, 2024

Dr Hemalata Arora is a senior consultant who practises internal medicine at Mumbai’s Nanavati Max Super Speciality Hospital.
In a career spanning over 24 years, she has focused on managing infectious diseases, critical illnesses and lifestyle disorders.
Dr Arora completed her MBBS and MD from the King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College in Mumbai.
She is ECFMG certified, accredited by the American Board of Internal Medicine, Diplomate of the National Board and a DNB faculty.
She was honoured with the Paul Bunn award for her promising performance in the field of infectious diseases at SUNY Upstate Medical University, New York.... more
Deepak Question by Deepak on Apr 26, 2024Hindi
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Sir My aged 36 years old having problem in his both hands are crumbling while taking food, drinking and writing. Is these are sign of parkins or some other disease. If parkins then tell us is this parkins is cureable or controlable

Ans: This is a kind of tremor but not necessarily Parkinson's. There are many other causes like essential tremor which runs in families, thyroid problems and other such conditions. So you should get and examination done by a neurologist or a physician.
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Dr Karthiyayini

Dr Karthiyayini Mahadevan  | Answer  |Ask -

General Physician - Answered on Apr 23, 2024

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Hello doctor, my father had a mini heart attack in September. He was experiencing asthma and jhanjhanahat (I don't know what else can I call it) in shoulders and hands . His hands would get tight all of a sudden and it would pain a lot. Also, he is very physically active. He used to go to a pulmonologist for asthma but he overlooked all of these and suggested to put volini spray on it. So when he got the heartattack his left body got paralysed for a while and after that he was fine. The doctor said that there was blockage in artery so he got a surgery done where the stunt was placed near waist. We maintained a good diet after that but when he got back to his house my brother's wife would not care much about the diet and fed him oils and refined oil as much as she could. Now it has been 7 month now he has been experiencing tightness in hands and legs again. Please suggest doctor. I fear that he might get heart attack once again. And sir please suggest on one more thing that he used to be a very strict and sophisticated person. But now he has completed changed. Now he is not as strict as before but some weird behaviour is something that I have been noticing over few months. He is highly forgetfully. Like he will ask you for something and then forget about it just after few minutes and then scold you for it. He keeps repeating what he says during a conversation. Sometimes he reacts violently without understanding the situation well which was not the case before. I fear he might have some psychological problems as my mother in law as severe dementia that she cannot even eat or walk. I fear the same.
Ans: May be you father is having vascular dementia
Please consult a Neurologist

..Read more

Latest Questions
Ramalingam

Ramalingam Kalirajan  |11047 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 02, 2026

Money
I have borrow a 36.50 lakh loan against property from hdfc bank. is property inssurance mandatory for the mortgage loan on property?
Ans: You have taken a Loan Against Property of Rs 36.50 lakh. First, I appreciate that you are checking the legal and financial side carefully. That shows responsibility.

Now let us understand clearly.

» Is Property Insurance Mandatory for Loan Against Property?

– Legally, property insurance is not compulsory under Indian law.
– But practically, most banks including HDFC Bank insist on insuring the property.
– It is usually mentioned in the loan agreement as a condition.

So technically it is not a government rule. But contractually, the bank can make it compulsory.

Why? Because the property is the security for your loan.

» Why Bank Insists on Property Insurance

– The property is pledged to the bank.
– If there is fire, flood, earthquake or major damage, the value reduces.
– If the property is damaged badly, the bank’s security becomes weak.

Insurance protects both you and the bank.

So from risk management point of view, it is practical and sensible.

» Is It Mandatory to Buy Insurance From the Same Bank?

– No bank can force you to buy insurance only from their partner company.
– You are free to choose any general insurance company.
– You only need to assign the policy in favour of the bank.

If bank is forcing bundled insurance, you can politely request separate policy.

» What Type of Insurance Is Needed?

For mortgage loan, usually:

– Structure insurance (building insurance) is required.
– Contents insurance is optional but useful.

If it is an apartment:

– The society may already have a master policy.
– Still, individual unit insurance is better.

Do not confuse this with loan protection insurance (life cover). That is different.

» Should You Take It Even If Not Forced?

Yes, I strongly recommend taking it.

Why?

– Property is a large asset.
– One accident can destroy years of savings.
– Premium is very small compared to property value.

It is not an expense. It is protection.

» Check These Points Carefully

– Insured value should match reconstruction cost, not market value.
– Natural calamities must be covered.
– Policy should be renewed every year without fail.
– Bank clause (assignment clause) must be correctly mentioned.

Do not ignore renewal. If policy lapses, risk comes back to you.

» 360 Degree Protection View

Since you have a loan:

– Ensure you have adequate term insurance to cover outstanding loan.
– Ensure you have proper health insurance.
– Maintain emergency fund for EMI continuity.

If something happens to income, EMI must not suffer.

Property insurance protects asset.
Term insurance protects family.
Emergency fund protects EMI discipline.

All three together create safety.

» Finally

Property insurance may not be legally compulsory, but practically it is required and financially wise.

Do not see it as bank pressure. See it as risk control.

A small premium today can prevent a huge financial shock tomorrow.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

Ramalingam

Ramalingam Kalirajan  |11047 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 02, 2026

Money
Hello Sir, I am 43 year old, having investment in 1. Own House-No Loan 2. MF holding 14.0 Lac, 3. FD 44.0 Lac, 4. Pure Gold 40.0 Lac, 5. PPF 5.0 Lac, 6. EPF 27.5 Lac, 7. NPS 9.0 Lac 8. Bank Account 10.0 Lac 9. Monthly SIP 44000 Rs [Multicap, Two Mid Cap, Two Small Cap, Large and Mid Cap] 10. Term Plan 50.0 Lac My child is 16 years old, i need your advice for my child education, marriage as well as my retirement.
Ans: You have built a very strong foundation at 43. Own house without loan, good savings in FD, gold, EPF and mutual funds – this shows discipline and stability. Many people at your age struggle with liabilities. You are in a safe position. Now we must organise it properly for your child’s higher education, marriage and your retirement.

» Current Financial Position – Overall Assessment

– Own house without loan gives you emotional security.
– Total financial assets are well diversified across FD, gold, PF and mutual funds.
– Large allocation to FD and gold gives safety but lower long-term growth.
– Mutual fund exposure is moderate and SIP is healthy at Rs 44,000 per month.
– Term cover of Rs 50 lakh is on the lower side considering child age and future costs.

You are financially stable. Now the focus must shift to growth and protection.

» Child Higher Education – 2 to 4 Year Planning Window

Your child is already 16. That means higher education funding is very near.

– Education corpus should not depend on equity-heavy assets now.
– Avoid taking high risk in small and mid caps for this goal.
– Start segregating money required in next 2–3 years into safe instruments like short-term debt or high-quality fixed income.
– Do not disturb EPF and NPS for education unless absolutely necessary.

If needed, you can use part of FD and bank balance. Education goal is priority one.

Important: Avoid selling equity mutual funds in panic. If you sell equity funds:
– LTCG above Rs 1.25 lakh is taxed at 12.5%.
– STCG is taxed at 20%.

Plan redemption carefully and gradually.

» Child Marriage – Long-Term Goal (8–12 Years)

Marriage is not urgent. So this can stay in growth assets.

– Continue SIP.
– You are currently investing across multicap, midcap, smallcap and large-midcap. That is fine for long term.
– But review allocation. Too much mid and small cap increases volatility.

Keep marriage goal in a separate mutual fund bucket. Track it independently.

» Retirement Planning – The Most Important Goal

You are 43. You have around 15–17 years for retirement.

Current retirement assets:
– EPF Rs 27.5 lakh
– NPS Rs 9 lakh
– PPF Rs 5 lakh
– Mutual Funds Rs 14 lakh

This is a decent start but not enough for long retirement life.

You must:

– Increase retirement-focused equity allocation gradually.
– Continue EPF contribution strongly.
– Continue NPS for tax and discipline, but do not depend fully on it.
– Increase SIP gradually every year, at least 5–10% step-up.

At your age, growth is still required. Too much FD and gold will reduce long-term wealth creation.

» Asset Allocation Correction

Current allocation shows heavy weight in:

– FD Rs 44 lakh
– Gold Rs 40 lakh

Gold and FD together form a very large portion. Gold does not give income. FD gives safety but post-tax returns are moderate.

Suggestion:

– Do not exit gold fully. Keep reasonable allocation.
– Slowly reduce excess FD over next few years and move towards diversified equity mutual funds for long-term goals.
– Keep emergency fund of 6–9 months in bank and FD. Beyond that, excess idle cash should work harder.

» Insurance Review

Term cover of Rs 50 lakh is low.

– Considering child age and inflation in education, you should review and increase total term cover.
– Aim for at least 10–12 times annual income protection.

Health insurance is not mentioned. If not adequate, increase family floater coverage.

» Risk Management & Behaviour Discipline

– Do not frequently change funds based on market noise.
– Review once a year.
– Keep goals separated mentally and financially.

Your SIP structure is good. Just rebalance and align with time horizon.

» Tax Awareness

– Equity mutual fund gains above Rs 1.25 lakh (long term) are taxed at 12.5%.
– Short term gains are taxed at 20%.
– Debt fund gains are taxed as per slab.

So plan withdrawals smartly. Do not redeem in one single financial year if avoidable.

» Action Plan – Next 12 Months

– Separate education corpus immediately.
– Increase term insurance.
– Gradually rebalance FD surplus into long-term mutual funds.
– Step-up SIP yearly.
– Create clear written retirement number target.
– Review NPS asset allocation to ensure enough equity exposure.

» Finally

You are not late. You are actually ahead in discipline and savings. Only re-alignment is required.

Education funding needs safety now.
Marriage needs growth.
Retirement needs structured and increasing equity exposure.

If you implement these corrections calmly, you can achieve all three goals without stress.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

https://www.youtube.com/@HolisticInvestment

...Read more

DISCLAIMER: The content of this post by the expert is the personal view of the rediffGURU. Investment in securities market are subject to market risks. Read all the related document carefully before investing. The securities quoted are for illustration only and are not recommendatory. Users are advised to pursue the information provided by the rediffGURU only as a source of information and as a point of reference and to rely on their own judgement when making a decision. RediffGURUS is an intermediary as per India's Information Technology Act.

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