Point of care testing (POCT)

Point of care testing (POCT) can be defined as the provision of a test when the result will be used to make a decision and to take appropriate action, which will lead to an improved health outcome. The basic objective of POCT is to produce a result swiftly yet reliably.

According to Accreditation Canada POCT refers to “any testing conducted outside a lab, in a hospital, in a clinic or by a health care organization providing ambulatory care. This includes testing performed at sites outside the traditional lab dedicated to medical biology, near where care is delivered to the client. POCT results may lead to a change in the care of the client. It ranges between three levels of complexity, from simple procedures such as glucose testing, moderate‐complexity procedures including provider performed microscopy procedures like used in TB or high‐complexity procedures such as influenza testing.”

The healthcare system is changing so quickly. Everyone has to run at that high speed just to keep up. Having a good health is just like happiness, can’t remain constant and whomsoever looking to maintain the status quo should not be in or go into healthcare as a profession. The change process shows no sign of slowing down.

In fact, all aspects of this field are moving equally fast like automobile industries, various new technologies like robotics and information technologies (IT). IT boosted so much in recent decade. Economics is also improving as well etc. It is no wonder that POCT is moving quickly ahead as one of the major approaches to solving what seems to be the major challenge that is how to do more with less.

What is the purpose of POC and why it is important?

1. The result of POCT is so quick that it can be done within seconds, to minutes to a few hours while the patient waits. At least result should be given on the same day depended on the complexity range of the diseases.

2. It provides rapid turn-around results that affects the clinical management of referral system, follow up of patient, treatment decisions and decision to discharge the patient.

3.The results of POCT are very useful in clinical decision making for any doctor. As the final diagnosis helps doctor to take appropriate action for the treatment without any further delay.

4. It is convenient for the patients and care providers as well. It mainly derives from the fact that the diagnostic process is achieved with in the same clinical encounter. And the patients do not have to come back for testing or go far away for some testing in medical laboratory.

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Common POCTs are:
Blood-glucose testing,
Electrolytes analysis,
Rapid coagulation testing (PT/INR, Alere, Microvisk Ltd),
Rapid cardiac markers diagnostics (TRIAGE, Alere)
Drugs of abuse screening,
Urine strips testing,
Pregnancy testing,
Faecal occult blood analysis,
Food pathogens screening,
hemoglobin diagnostics (HemoCue),
Infectious disease testing
Cholesterol screening (cholesterol, VLDL, LDL)

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SUPPLEMENTARY FOOD FOR INFANTS

At no other time of life food is so important as in the first year of life (infancy). The kind, amount and sanitation of this food as well as the manner of feeding require particular attention which plays dividends in the form of a healthy, happy to baby. The nutrient requirements are high per unit of body weight because of rapid growth. In fact, in no other period of life growth is so rapid as in infancy.

Every mother is aware of that food prepared for adults are not always suitable for infants. But most of mothers do not realise that foods suitable for them can be easily prepared. They go for expensive baby foods which are sometimes beyond their reach.
Satisfactory foods can be planned and prepared for infants and children at home without using much expensive food stuffs.

We all know that breast milk is best food for the baby. But after 6 months, breast milk alone is not sufficient to meet the growing needs of the infants. Certain other food need to be provided  along with breast milk so as to supplement the short fall in the nutrients. The right time to start with supplements is after six months as per the guidelines. If we start too early, the child always at an increased risk of diarrhoea and if too late there is a constant fear of malnutrition.
Please note: Breast feeding has to be continued with supplementary foods.

The texture of consistency of the supplements can be modified according to the age of the infants, thus providing them with liquid supplements between 8-12 months. Liquid supplements include fruit juice, vegetable soups, soupy dal and cattle milk. In early stafes awe can start  with half ounce and gradually this amount can be increased upto 3 ounces per feed.

As the child grows, from liquid supplements there is a gradual transition to semisolid foods. The semisolid foods are mostly porridges made out of the stable food of the community (wheat, rice, maize, jowar, etc) These cereals are generally cooked with milk and sugar.  Some commonly used porridges are ‘Dalia’, ‘Rice Kheer’, ‘Suji Kheer’, ‘Ragi Kanjee’, ‘Sabudana Kheer’ etc. The porridge should be such that the child can swallow it easily. To ensure that the porridge is not thick and to reduce its build ARF (Amylase Rich Food) is added to porridge.

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The ARF is nothing but flour obtained from germinated grain like wheat, bajra, jowar, maize etc. Germinated grain flour contains a lot of amylase which makes the porridge soft , thin and easy to eat. Grains can be germinated, drained in Sun, powdered and the stored in air tight containers. Quarter to half tea-spoon of ARF powder can be added to the cooked porridge  when it is still hot (around 70*C). Other than porridge, boiled and mashed and given as such where as had fruits like apple, pineapple, peaches, banana etc. need to be first stewed and mashed before being served. Boiled dals, egg yolk, boiled fish and meat can also be given along with a little salt and butter.

When the baby starts teething around 8 months, it is the right time to introduce thick solid foods. The foods which were boiled and mashed earlier should now be just boiled and cut into small pieces. Boiled rice and small pieces of chapaties may also be given. Hard and crunchy foods are liked by the infants during the time of teething biscuits, toast, rusk, raw carrot, apple, cucumber are ideal food items for the child to chew.

Various food mixtures prepared from cereals, pulses, fruits,  nuts, animals foods, vegetables, milk and its products during this period. It has been noticed that children who are brought up on a variety of foods lives healthier and have much healthier tastes than those of brought up just milk and biscuits, fruits juice and vitamins. A mixed diet will not only upgrade the protein quality but will also prevent the development of vitamin and mineral deficiencies. By the age of one year the baby can take all solid foods. In fact the child can eat all the foods prepared for family meals.

Most of the problems of food acceptability in children being around one year of age. The problem in fact starts with the mother, who thinks the child should be well fed and tried to feed the child more food that its  needs. The mother should have patience and should help the child in developing good food habits gradually. Learning is a slow process and here the child learning to eat new foods one after the another.
So, have patience, be supportive and the result will be happy, healthy baby.

 

 

Life is about to get started

Life is about to get started, Life is about to get started
It is just to be started in just few moment
Once again I coming out of the womb
The life is going to slap me again in my arse

Finally I am getting out of here
They cut all my past connections
Where the Earth I am going?
Bright Sun light blowing my dark hideous screams

Love me again for a bat of an eye
All that phony pleasures that you can flow
Give me some toys and clothes to see my giggles
Do whatever that can make me safe and calm

Life doesn’t happens for me, it happens to me
With only have two choices astronaut or scientist
Whatever big that your can imagine, force me
with smiles, for all that joys or sorrows saith

I will crave, I will cry, make you do anything
To full fill all my god damn desires
Fill my eyes with dreams again and put blinkers
Make me learn to eat but don’t teach me how to live

It all looks good because I am new with shine
Joy nor sorrow knows not from each other
Some says I am black, some says I am white
But does it really matter anyhow to anyone?

Send me school, send me classes, send me college
Send me anywhere that assure things others do
Be slave of each other for few coins that defines success
I will run again till wherever my path make me go

Doubts, Worry, Fear and Sadness makes everyone feel alive
Where goes the happiness? Remains inside likes and comments
Or a swipe right and go for plastic dinner again?
Life is about to get started, Life is about to get started!

 

India, the country of road accidents

Do you know? India has the highest number of road accidents in the world.

Every hour, 40 people under the age of 25 die in road accidents around the globe.

India stands out miserably in the latest World Health Organisation’s (WHO) “Global Road Safety Report-2015” with an estimated 2,07,551 deaths on roads and around 4.5 lacs crashes. That is actually much more than the number of people killed in all our wars put together.
In 2015, one person dies every 4 minutes in roads accidents in India, according to NGO ‘Indians for Road Safety’.
People left injured were also the highest levels since the recording in India with 4.8 lacs injured people, some of them even faced permanent disability.
According to the WHO, this is the second most important cause of death for 5 to 29 year old ones after is road accident. A 16-year-old has 3 times the crash risk of an 18-year-old and 7 times the crash risk of a 25-year-old.

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“In New Delhi, the capital of India, frequency of traffic collisions is 40 times higher than the rate of London, the capital of the United Kingdom.”

Among 53 mega cities of India, capital city Delhi itself registered the highest number of fatalities Delhi with 2,199. That is like 6 lives end on Delhi’s roads everyday!
Chennai second recorded 1,046 such deaths
Bhopal ranked third with 1,015
Jaipur fourth with 844 lost lives

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1. Safety Education & Good Roads:
One should know and follow traffic rules obediently. Uneducated people don’t know about the rules and the educated people ignores them. Preference to pedestrians and children should be first. As per Indian standards, left side should be chosen.
Caution signs should be placed. Government should provide good fund and management for the maintenance of road. Generous luminescence in the dark, street lights in working condition. Cross roads and speed breakers should be made in risky areas.

2. Safety Measurements:
Cars should be driven with seat belts as they protect body parts including brain and spinal cord. It is estimated 15,000 lives are saved each year in USA with the help of wearing seat belts.
Bikes should be only allowed on the roads if the person is wearing a well certified helmet. Youngsters avoid wearing to look cool and adventurous. End up buried under the grave. Helmet saves up to about 50% of cranial injuries.
Government should favor compulsory cars with airbags, ABS (anti-breaking system), fog lamps and rear defogger glasses.
There should be rule of not allowing kids to the age of 15 to be allowed to sit even in co-passenger seat with driver. It is followed in some countries but not in India.

3. Enforcement of Laws:
License should be strictly given after a road test under an official and it should be retested after a period of 5 years at least for renewal. Speed limit, medical fitness tests, compulsory seat belt and helmet rule should be applied. 
There should be strict laws against
a) bad driving,
b) taking and texting on mobile phones,
c) crossing the speed limit,
d) roadside alcohol and drugs intake checkup,
e) illegal street racing, and
f) under-age driving (below 18)

4. Preventive Care with Medical & Rehabilitation Facilities
The person who faced minor or major accident should be provided with ambulance to the nearest hospital for the management of any trauma. Hospital should provide fully specialized Intensive Care Unit (ICU) and Intensive Critical Care Unit (ICCU) facilities can save the life of the person.
Other than that if the person get impairment or disability, he or she should be rehabilitated to avoid being a handicap person. This include medical, social, psychological and occupational rehabilitation.

5. Psychological factors should be avoided
One should not drive in any of these following conditions:
a) Lack of experience with driving a vehicle.
b) Trying to be adventurous and taking raking risks.
c) Impulsive behavior or mood.
d) Defective judgmental behavior.
e) Delay in decision taking.
f) Ability of poor perception.
g) Driving with family dysfunction.
h) Alcohol or any other drug addiction.

Dedicated to my cousin Ankit who lost his life last month on road accident. May the lord rest his soul in peace.

References: TOI, NDTV, Hindu, K.Park’s Preventive & Social Medicine

When I was a human

When I was a human
My life was sweet like a cheese cake
Where I could fit anywhere like a tetris block
‘Cause there was no difference
The difference between truth and red

When I was stable , was warm, was forever
Flower and ropes were lying on the floor
Keys were around my hand but
But I don’t know how to twist and open
I kept it on my left side of my jacket

When I was a human
I learnt to live, I learn to laugh for no reason
I hugged myself with love and pain
There was no ink in my pen
But still I wrote an epic with it
‘Cause I was not aware of my questions

When I was able to catch the butterfly
I was walking with my closed eyes
I thought I can catch an unicorn
Later I come to Earth I realised from my black eyes
I am not like young hare of some green garden

When I was a human
I was trapped under the ice
There was no way to move somewhere
But still I could see other world around
It looked transparent, but it was dark like coal

When I take oxygen to live
I lost myself for no fuckin’ reason
I climbed the mountain for fresh air
‘Cause I am not that much smart
I trapped myself like into a pop song

When I was a human
It was very difficult to breath every fuckin’ time
I ruined myself for myself for the freedom
Then I found myself land in an island
Where I was lost and I’ve got no friends
Just the rocks, sand and the palms

When there was no progress
The sun was still yellow, moon was still black
I realised I was not at alive
Forget being alive I was not even born
So I cling that rope and keys
Death laughed and gave me all the answers

 

 

OMG! This is the condition of health facilities in India

‘India spends less of its GDP on health than some of the world’s poorest countries.’

A single government hospital serves an estimated 61,000 people in India, with one bed for every 1833 people, new official data shows. In undivided Andhra Pradesh, every government hospital serves over 3 lakh patients while in Bihar, there is only one bed for every 8800 people.

Union Minister for Health J.P. Nadda released the National Health Profile 2015 prepared by the Central Bureau for Health Intelligence (CBHI) in September 2015 along with officials of the Ministry, the Directorate General of Health Services and the CBHI.

Every government allopathic doctor serves a population of over 11,000 people, with Bihar and Maharashtra having the worst ratios. The number of qualified allopathic doctors registered with medical councils fell in 2014 to 16,000, or less than half the previous year’s number; the data was however provisional, CBHI officials said.

India now has cumulatively 9.4 lakh allopathic doctors, 1.54 lakh dental surgeons, and 7.37 lakh AYUSH (Ayurvedic, Yoga, Unani, Siddha, Homeopathy) doctors of whom more than half are Ayurvedic doctors.
India’s 400 medical colleges admit an estimated 47,000 students annually.

According to World Health Organization, doctor patient ratio should be minimum one doctor for 1000 people. But in India there is only one doctor per 1,700 citizens which is increasing rapidly.
The Union Health Ministry figures claim that there are about 6-6.5 lakh doctors available, India would need about four lakh more by 2020—50,000 for PHCs; 0.8 lakh for community health centres (CHC); 1.1 lakh for 5,642 sub-centres and another 0.5 lakh for medical college hospitals.

Health expenditure per capita (in USD) of India is only $61 (around 4,000 INR) that is even less than poor countries like Haiti, Cambodia and Zambia.
World Health Organization statement that countries should spend 5 percent of national income on health care services. As per 2012 GDP India is only spending 1.3 per cent while developed countries like US and the UK spending 15 per cent and 8.5 per cent, respectively. Though as per the latest 12th Five-Year Plan India aims for 3 per cent till 2017.

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The Centre’s share of total public expenditure on health has fallen over the last two years, and India spends less of its GDP on health than some of the world’s poorest countries. Among all States, undivided Andhra Pradesh had the highest public expenditure on health in 2012-13. Goa and the north-eastern States spent the most on health per capita while Bihar and Jharkhand spent the least.

Out-of-pocket private expenditure on health has risen steadily over the years, with the cost of medicines, followed by that of hospitalisation accounting for the largest share of the household expenditure. Absolute spending, as well as its share in total non-food expenditure, rises with income levels. Kerala spends the most privately on health.

India is having Human Development Index (HDI) of only 0.609 that is even worse than poor African countries like Guyana & Namibia. Best countries are Norway and Australia that having HDI of 0.944 and 0.935 respectively.

Source: The Hindu & Wikipedia

Top 10 Bollywood Films of 2015

This year 2015 was sort of mixed bag for the bollywood film industry. More than 200 films were released and around 65 were recognized by the box office and audience. There were many unexpected hit films that did pretty well in the box office to very much expected films that give nothing but the disappointment to the box office.
This is the year where popular superstars like Salman Khan (Bajrangi Bhaijaan), Ajay Devgan (Drishyam) and Askhay Kumar (Baby) did their critically best films ever. And the veteran directors like Anurag Kashyap (Bombay Velvet), Madhur Bhandarkar (Calender Girls) and R.Balki (Shamitabh) shown their worst performance till date. So here are the top 10 films of the bollywood for the year of 2015 as per me. Sorry if you didn’t find your favorite movie in this list.

10. Titli (IMDB: 7.3)
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In the badlands of Delhi’s dystopic underbelly, Titli (Shashank Arora), the youngest member of a violent car-jacking brothers (Ranvir Shorey), plots a desperate bid to escape the the brothers and wants to do respectable job. Titli finds an unlikely ally in his new wife,though she is caught in her own web of warped reality and dysfunctional dreams of her married boyfriend. There are some difficult to watch violent scenes that can make uncomfortable to majority of audience.

9. Bajirao Mastani (IMDB: 7.0)
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A movie that took 15 years to come from the mind of Sanjay Leela Bhansali to the release date. An epic historical romantic melodrama of 18th century India. Bajirao I (Ranveer Singh), the second hereditary Peshwa of the Maratha Empire and daughter of Bundela Rajput warrior Mastani (Deepika Padukone) fall in love each other after fighting a battle against Mughals. The movie is masterpiece when it comes to beautiful set, classic music and costumes and compared classics like Umrao Jaan and Mughal-e-Azam, but the story is quite made up and cliched away from real history for making to more dramatic. Ranveer-Deepika chemistry did really well throught the film.

8. BABY (IMDB: 8.1)
baby-movie-still-11.jpgA team of secret agents BABY who work for Indian Ministry of Defence for a 5 year temporary task force headed by Danny Denzongpa formed in response to the 2008 Mumbai attacks whose job is to find and eliminate terrorists who are planning attacks in India. Akshya Kumar and Tapsee Panu were in totally no bullshit roles for can do anything to save their country. Although some of the elements were inspired from Inglorious Bastards, Zero Dark Thirty and Argo, but that’s bollyright.

7. Masaan (IMDB: 8.1)
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The plot of Masaan follows two seemingly separate story arcs of Banaras that eventually converge.
In first, story of a girl Devi (Richha Chadda) who blackmailed by police for her boyfriend who committed suicide in bathroom when they get caught in having pre-marital sex in a hotel room. Devi’s father Vidyadhar Pathak (Sanjay Mishra) tries to protect her daughter by giving demanded bribe to officer. He did outstanding serious drama as we only know him for his comic roles.
In second, story of an engineering student Deepak (Vicky Koshal) from a low-caste corpse burner family working funeral pyres at ghat. He falls in love with a high caste girl Shaalu (Shweta Tripathi).

6. Dum Laga Ke Haisha (IMDB: 7.5)
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This is the only and the best comedy film in my list for this year.
Main character Prem (Ayshmann Khurana), a highschool dropout, hesitantly marries an educated but overweight girl, Sandhya (Bhumi Pednekar). However, the couple come closer when they take part in a race, which involves Prem carrying Sandhya on his back. The movie has shows authentic linguistic and cultural influences of Uttar Pradhesh. Prem’s father (Sanjay Mishra) played a very hilarious role who can make you roll on the floor all the time.

5. Manjhi: The Mountain Man (IMDB: 8.3)
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Manjhi is a biopic, based on the life of Dashrath Manjhi, widely known as the “Mountain Man”. He was a poor labourer from a small village of Bihar who broke a 360 feet long, 25 feet deep in places and 30 feet wide mountain using in 22 years with only a hammer and chisel. Just because his beloved wife died because of that. His work is more beautiful than The Taj Mahal. Moral of the film is if a person has will power, he can do anything in the world. Also, don’t be responsible on others, what if others are responsible on you too.

4. Badlapur (IMDB: 7.5)
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The axe forgets but the tree remembers. Badlapur, don’t miss the beginning is one the top revenge movie made in bollywood after GoW.
Story is about Raghu’s (Varun Dhawan) unblemished life is shattered when he loses his wife and son. Victims of a bank heist, they both succumb to their injuries. Raghu takes on a journey to avenge their deaths. Varun Dhawan in all his previous films only appeared as a funny next door mischievous character. But for the first time he proved that he can be play a no non-sense psycho killer character of a 40 year old man. For Nawazuddin, I have no words to define level of brilliant actor for this role.

3. Bajrangi Bhaijaan (IMDB: 8.3)
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Pawan Kumar Chaturvedi alias Bajrangi, an ardent devotee of a Hindu deity, Hanuman, who embarks on taking a six-year old Pakistani girl Munni ( Harshali Malhotra) separated in India from her parents. He faces numerous challenges when he tries to reunite Munni with her family after she gets lost while travelling back home with her mother.
From the story to screenplay, music to comedy everything was delivered great throughout the movie. Nawazduddin comes after the half, played a role of struggling journalist who captures all the moments of Bajrangi for his lovely motive. The moral of this film was love is beyond religion and nation.

2. Talvar (IMDB: 8.5)
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The film is based on the 2008 Noida double murder case, in which a teenage girl and her family servant were found murdered, and her parents were convicted for the murders. The Lunchbox starring Irrfan Khan did pretty well in this film as a CBI inspector. The film basically sort out the how badly Indian police control, investigation units and judiciary system works in an unprofessional way due to corruption and rusting in the system.

1. Drishyam (IMDB: 8.8)ajay-devgn-drishyam-759
A 5th standard pass yet an intelligent man, Vijay (Ajay Devgan) runs a successful business and loves his family. When a dark incident threatens to ruin his family, he desperately tries to protect them at all costs. The film have one of the best story and screenplay I have seen in Indian film. Although it is a remake of Tamil film, but all actors including Ajay, Tabu and specially that little girl Anu (Mrunal Jadhav) performed extremely well. The moral of the film is nothing is right or wrong to prove when it comes to protecting your family.

 

I run, I walk but I’ll never stop

When I was young, I feel broken when I lost my new books, my pencil box
Then I realise from my real eyes there is something that always rocks
I walk every second, ever minute I live since I know myself, they shocks
I run here and there I feel to get lost, all I want to be stolen..
Stolen by someone who can run like my way
Call me crazy but I always want to be crippled for fun, fun, fun
‘Cause I ain’t like all others, I am made just to run, run, run.

Whenever I see her either I stop running or walk here and there
Where is my inner peace somebody find my fuckin’ legacy
No one can stops me as I always wanted to get lost
And this is how I be myself, all others call me crazy
I want to just lost, lost in those strawberry fields where I saw her first.

Brainy is my boss and so called brother who act like he understands me
Like a beautiful peachy dusk who knows nothing else in the world
He gives me salary on time and this is how I live, I just run
I just run above all that I forgot my how do I look since I born.

All my colleagues told me to get rest and stay at my cabin
They think everything would be fine as it is my fuckin’ job
But I wish to be myself and do whatever to get me lost
Then suddenly I lost my father who always woke me up
I run harder and harder. I learnt, I grew and move on to a pink world.

She tells me I am, I am like beautiful like a new dime
So I move there I went to the thin slot where I see somebody that mime
I never ever imagined that I can ever hear such delightful beats
A beat that exactly sound like me, now here I get my rejoice
May be she is all mine, I am all hers, or may be both.

But brother thinks I am going to straight prison for leaving my job
All except she enthrall me, that I will never be that free snob
Time flies like an arrow, fruit flies like a banana
Not ever chaste, except she vanishes me out to crop
Now I want to weep but I no longer have any tears to drop.

Will I beat and sound same like I use use to with that rhythm?
I want to break free and sync like that but I can’t feel I am doing wrong
Other broke my spirit that I use to be but I know myself like no one.
I am so hollow, so hollow but walking for new way
I run, I walk but I’ll never stop.

 

Lit me, ’cause I need to burn again

Lit me, ’cause I need to burn again
I sucked and this is how my world ignite
I wanted to be get it there, I fuckin’ tried
I tried the makeup, I tried the work out
But it doesn’t fuckin’ move at all
Because mask is of plastic
It doesn’t matters at all..

Wish I can tell you about you my old purple days
I was better than love, that nobody fuckin’ wants to change
My life could be like a comic superhero
As the rain comes, I can not glow my rainbow
Rain comes again, I can not glow..
Whenever I lit and burn I can not glow
Don’t know at all why did I?
All I know it’s a burning thing that makes fire and rain

So now I am a fuckin’ fire
I can burn anything new I want to
But nobody get inside me
I am a pure red fire, everybody fears with me
Now I think I am the only one, one and only
For all others who have glowed the rainbow before
Are making me suspicious, calling me phony
It brings the best and worst at the same time

Again I blow again and again, the ashes drop out
And I craved for an other lit, an another burn
After lighting I can hear the cracking
They all screams, “How can you burn us down?”
But I am a freedom, no advertisement on my webpage
Now I don’t care I am in love or some other kinda pig shit

I know what would be the consequence
I know what would be the prophylaxis
So it doesn’t fuckin’ matters
For the same mistake again and again
I want an another lit, an another burn to feel..
That I am fuckin’ alive and not in some dream again

Lit me, ’cause I need to burn again
I sucked and this is how my world ignite
As soon it blow out again, I will throw and lit another again

 

Perfection is Boring

A man would do nothing if he waited until he could do it so well that no one could find fault. ~ John Henry Newman

There is nothing called perfection for humans. Those humans who keep on learning from the day they come out from womb and till the day they die. Yes! even death is something new for their experience. They keep learning everything, they find new ways of failing. Isn’t it?

Humans are the most weird organism. They are just afraid of showing their worries and sadness. There is always this need to make a face or strike a pose. It is all so superficial. They are not comfortable for something but they pretend like everything is fine for no reason. May be they just don’t want to disclose their self insecurities or don’t want to share to make them feel bad. It’s just perspective. This is how they try to frame so called their perfect biopic.

They are like feeling so unhappy but surrounded by everything they really need. They don’t understand life is like a game of puzzle where you need to frame everything by your own imaginary picture. People are like pieces. There are zillion of possibilities. You just see them everyday, over and over again. You can make picture of luminescence of joy, where the pursuit of happiness ends with the end of rainbow. Everything is right behind them but they just can’t figure it out.

They are like feeling so alone but living in a big apartment full of people whom they never talk. Want to say something to someone but can not say for no reasons. They all need someone for their help and support. They are meant to be like can do everything alone but still it’s not practical for anyone. You need some delivery boy to bring your pizza when you’re tired from all your monotonous work and don’t want to cook anything in the kitchen.

They are just programmed to be a something called perfection. Life by many means is very simple smooth road without any destination but milestones that we mark for ourselves. But a smooth road is always boring to drive. They need thrills to make us feel we are alive. They need pot holes on our way. This is how they all get damaged. This is so blaspheme.

For a woman her beauty is what everyone defines. No matter what skills she have but without her beauty she is defined to be as incomplete personality. But still she is just a human. Her face, her skin is not immortal like her beautiful soul. She keep changes from her body every tick-tock. Cells are dividing, regenerating, mitosis-meiosis is happening. She is not in the same body as she was in 7 years before.

Her mirror sings:
Now I am a lake. A woman bends over me,
Searching my reaches for what she really is.
Then she turns to those liars, the candles or the moon.
I see her back, and reflect it faithfully.
She rewards me with tears and an agitation of hands.

Her man sings:
Ring the bells that still can ring
Forget your perfect offering.
There is a crack in everything,
That’s how the light gets in.

For him her so called flaws are just the way he loves her everyday for no reason. Because out of all the flaws he is stumbled on, it’s the hardest one to focus on. This is how life goes by. There should be no fear. It’s the rule of nature.
It’s always a point of view and here everything little thing is subjective. It’s simply want you want to see. It can be accidental or absolutely irrelevant for someone. There are always some messages to be ignored. It’s all about the prospective. They take it for fun, ignore it or take it so seriously.

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