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My Father Had a Mini Heart Attack and Now Has Tightness in His Hands and Legs Again - What Should I Do?

Dr Karthiyayini

Dr Karthiyayini Mahadevan  |1145 Answers  |Ask -

General Physician - Answered on Apr 21, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Ishwar Question by Ishwar on Apr 19, 2024Hindi
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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. 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.

Ans: Fearing about him will not help in this situation. What way physically can you hold him will make difference. How much of discipline does your father have and how much of quality in living does he want will decide as to how he can choose how to take care of himself
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  |1145 Answers  |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

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Nayagam P

Nayagam P P  |4367 Answers  |Ask -

Career Counsellor - Answered on Mar 21, 2025

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My son got 91 percentile in jee mains session 1, category- GEN EWS Is he eligible for jee advanced and which colleges can he get with this percentile
Ans: Aaditya Sir, He will be eligible for JEE Advanced. As far as the Colleges he will be eligible to get, here is, How to Predict Your Son's Chances of Admission into NIT or IIIT or GFTI After JEE Main Results – A Step-by-Step Guide

Once the January JEE Main session results was declared, many students and JEE applicants started asking common questions about eligibility for specific institutes (NITs, IIITs, GFTIs, etc.) based on their percentile, category, preferred branch, and home state.

Providing precise admission chances for each student can be challenging. Some reputed educational websites offer ‘College Predictor’ tools where you can check possible college options based on your percentile, category, and preferences. However, for a more accurate understanding, here’s a simple yet effective 9-step method using JoSAA’s past-year opening and closing ranks. This approach gives you a fair estimate (though not 100% exact) of your son's admission chances based on the previous year’s data.

Step-by-Step Guide to Check Your Admission Chances Using JoSAA Data
Step 1: Collect Your Son's Key Details
Before starting, note down the following details:

Your JEE Main percentile (Convert your percentile into All India Rank with the help of a formula available in Google).
Your son's category (General-Open, SC, ST, OBC-NCL, EWS, PwD categories)
Preferred institute types (NIT, IIIT, GFTI)
Preferred locations (or if you're open to any location in India)
List of at least 3 preferred academic programs (branches) as backups (instead of relying on just one option)
Step 2: Access JoSAA’s Official Opening & Closing Ranks
Go to Google and type: JoSAA Opening & Closing Ranks 2024
Click on the first search result (official JoSAA website).
You will land directly on JoSAA’s portal, where you can enter your details to check past-year cutoffs.
Step 3: Select the Round Number
JoSAA conducts five rounds of counseling.
For a safer estimate, choose Round 4, as most admissions are settled by this round.
Step 4: Choose the Institute Type
Select NIT, IIIT, or GFTI, depending on your preference.
If he is open to all types of institutes, check them one by one instead of selecting all at once.
Step 5: Select the Institute Name (Based on Location)
It is recommended to check institutes one by one, based on your preferred locations.
Avoid selecting ‘ALL’ at once, as it may create confusion.
Step 6: Select Your Preferred Academic Program (Branch)
Enter the branches your son is interested in, one at a time, in your preferred order.
Step 7: Submit and Analyze Results
After selecting the relevant details, click the ‘SUBMIT’ button.
The system will display Opening & Closing Ranks of the selected institute and branch for different categories.
Step 8: Note Down the Opening & Closing Ranks
Maintain a notebook or diary to record the Opening & Closing Ranks for each institute and branch you are interested in.
This will serve as a quick reference during JoSAA counseling.
Step 9: Adjust Your Expectations on a Safer Side
Since Opening & Closing Ranks fluctuate slightly each year, always adjust the numbers for safety.
Example Calculation:
If the Opening & Closing Ranks for NIT Delhi | Mechanical Engineering | OPEN Category show 8622 & 26186 (for Home State), consider adjusting them to 8300 & 23000 (on a safer side).
If the Female Category rank is 34334 & 36212, adjust it to 31000 & 33000.
Follow this approach for Other State candidates Option also and different categories.
Pro Tip: Adjust your son's expected rank slightly lower than the previous year's cutoffs for realistic expectations during JoSAA counseling.

Hope this guide helps! All the best for your Son's admissions!

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Ramalingam

Ramalingam Kalirajan  |8124 Answers  |Ask -

Mutual Funds, Financial Planning Expert - Answered on Mar 21, 2025

Asked by Anonymous - Jan 28, 2025Hindi
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I have invested in NPS (60000 per year) & PPF (125000 per year) UTI Index funds (50000 per year) emergency funds (75000 per year) after excluding all my expenses i can save 10k more. Which mutual funds i should invest?
Ans: Your existing investments are well-structured across different asset classes.

You are contributing Rs. 60,000 annually to NPS, ensuring retirement security.

Your PPF contribution of Rs. 1,25,000 provides tax-free growth and stability.

Your emergency fund of Rs. 75,000 annually ensures financial security.

However, index fund investment needs reconsideration for better growth potential.

Limitations of Index Funds
Index funds only replicate market performance and do not offer active management benefits.

Actively managed funds have a chance to outperform benchmarks over time.

Professional fund managers adjust portfolios based on market trends.

Index funds provide no flexibility during market downturns.

Market-cap-weighted indices allocate more to overvalued stocks, increasing risk.

Maximizing the Additional Rs. 10,000 Savings
Your Rs. 10,000 monthly surplus can enhance long-term wealth creation.

Investing in actively managed funds can provide higher potential returns.

Diversifying into growth-oriented equity mutual funds can be beneficial.

Sectoral and thematic funds can be explored for strategic allocation.

Avoiding overlapping funds ensures better risk-adjusted returns.

Choosing the Right Mutual Funds
Flexi-Cap Funds
Suitable for long-term growth and diversification.

Fund managers allocate across large, mid, and small-cap stocks.

Adaptability to market conditions enhances return potential.

Mid-Cap and Small-Cap Funds
Higher risk but potential for superior returns over 10-15 years.

Ideal for investors with long investment horizons.

Helps in wealth accumulation with disciplined SIPs.

Focused Funds
Invest in a limited number of high-potential stocks.

Better risk-adjusted returns with concentrated allocation.

Suitable for investors who can handle market fluctuations.

Sectoral and Thematic Funds
Focus on industries like manufacturing, technology, or consumption.

Good for long-term investment based on economic trends.

Requires careful selection to align with market cycles.

Ensuring Tax Efficiency
Long-term capital gains above Rs. 1.25 lakh are taxed at 12.5%.

Short-term gains are taxed at 20%.

Selecting funds with a long-term view minimizes tax impact.

Avoid frequent withdrawals to preserve compounding benefits.

Final Insights
Your financial planning is strong with disciplined investments.

Redirecting index fund investments to actively managed funds can improve growth.

Your additional Rs. 10,000 savings should be allocated strategically.

A mix of flexi-cap, mid-cap, small-cap, and focused funds ensures diversification.

Reviewing your portfolio periodically ensures alignment with financial goals.

Best Regards,

K. Ramalingam, MBA, CFP,

Chief Financial Planner,

www.holisticinvestment.in

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

...Read more

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