Arthritis Quotes

A daughter without her mother is a woman broken. It is a loss that turns to arthritis and settles deep into her bones.

Weight (too much or too little) is a by-product. Weight is what happens when you use food to flatten your life. Even with aching joints, it's not about food. Even with arthritis, diabetes, high blood pressure. It's about your desire to flatten your life. It's about the fact that you've given up without saying so. It's about your belief that it's not possible to live any other way -- and you're using food to act that out without ever having to admit it. (p. 53)

If your body is screaming in pain, whether the pain is muscular contractions, anxiety, depression, asthma or arthritis, a first step in releasing the pain may be making the connection between your body pain and the cause. “Beliefs are physical. A thought held long enough and repeated enough becomes a belief. The belief then becomes biology.

Then I remember that God is really, really old. So maybe God has God arthritis. And maybe that's why the world sucks. Maybe God's hands and fingers don't work as well as they used to.

I don't deserve this award, but I have arthritis and I don't deserve that either.

Believe me, I know people who have doting Grandmas. Jessica's Grandma Pearl spent four years knitting her a blanket. Four years! And she's got arthritis. I wonder what Grandma Pearl would think if she knew Jessica lost her virginity to Michael Greenberg under the blanket she spent four years knitting with her crooked fingers.

I know girls who pine for it. They like to play dress-up and pretend being Vor ladies of old, rescued from menace by romantic Vor youths. For some reason they never play 'dying in childbirth', or 'vomiting your guts out from the red dysentery', or 'weaving till you go blind and crippled from arthritis and dye poisoning', or 'infanticide'. Well, they do die romantically of disease sometimes, but somehow it's always an illness that makes you interestingly pale and everyone sorry and doesn't involve losing bowel control.

I hoped our lives would continue this way forever, but inevitably the past came knocking. Not the good kind that was collectible but the bad kind that had arthritis.

Having a chronic illness, Molly thought, was like being invaded. Her grandmother back in Michigan used to tell about the day one of their cows got loose and wandered into the parlor, and the awful time they had getting her out. That was exactly what Molly's arthritis was like: as if some big old cow had got into her house and wouldn't go away. It just sat there, taking up space in her life and making everything more difficult, mooing loudly from time to time and making cow pies, and all she could do really was edge around it and put up with it. When other people first became aware of the cow, they expressed concern and anxiety. They suggested strategies for getting the animal out of Molly's parlor: remedies and doctors and procedures, some mainstream and some New Age. They related anecdotes of friends who had removed their own cows in one way or another. But after a while they had exhausted their suggestions. Then they usually began to pretend that the cow wasn't there, and they preferred for Molly to go along with the pretense.

I never really know the protocol for this kind of situation. It's like when you're in line at a store, and a grandma starts telling you all about her grandchildren or her arthritis, and you smile and nod along. But then it's your turn to check out, so you're just like okay, well, good-bye forever.

Towards the end of your life you have something like a pain schedule to fill out—a long schedule like a federal document, only it's your pain schedule. Endless categories. First, physical causes—like arthritis, gallstones, menstrual cramps. New category, injured vanity, betrayal, swindle, injustice. But the hardest items of all have to do with love. The question then is: So why does everybody persist? If love cuts them up so much....

The truth is there’s not enough miracles to go around, kid. And there’s too many people petitioning God for the winning lotto ticket. And for every answered prayer, there’s a cricket with arthritis. And the only reason we can’t find answers is because the search party didn’t invite us.

Brimstone: '...I shall smite thee with my fightful blasting wand so that thy teeth shall drop out, thy skin shall wrinkle, thou shalt have boils on thy bottom and be subject to night sweats, ringing in the ears, falling sickness, flaking dandruff, arthritis, lumbago, uncontrollable dribbling, deafness, runny nose, and ingrowing toenails. Amen.

Do you know about the spoons? Because you should. The Spoon Theory was created by a friend of mine, Christine Miserandino, to explain the limits you have when you live with chronic illness. Most healthy people have a seemingly infinite number of spoons at their disposal, each one representing the energy needed to do a task. You get up in the morning. That’s a spoon. You take a shower. That’s a spoon. You work, and play, and clean, and love, and hate, and that’s lots of damn spoons … but if you are young and healthy you still have spoons left over as you fall asleep and wait for the new supply of spoons to be delivered in the morning. But if you are sick or in pain, your exhaustion changes you and the number of spoons you have. Autoimmune disease or chronic pain like I have with my arthritis cuts down on your spoons. Depression or anxiety takes away even more. Maybe you only have six spoons to use that day. Sometimes you have even fewer. And you look at the things you need to do and realize that you don’t have enough spoons to do them all. If you clean the house you won’t have any spoons left to exercise. You can visit a friend but you won’t have enough spoons to drive yourself back home. You can accomplish everything a normal person does for hours but then you hit a wall and fall into bed thinking, “I wish I could stop breathing for an hour because it’s exhausting, all this inhaling and exhaling.” And then your husband sees you lying on the bed and raises his eyebrow seductively and you say, “No. I can’t have sex with you today because there aren’t enough spoons,” and he looks at you strangely because that sounds kinky, and not in a good way. And you know you should explain the Spoon Theory so he won’t get mad but you don’t have the energy to explain properly because you used your last spoon of the morning picking up his dry cleaning so instead you just defensively yell: “I SPENT ALL MY SPOONS ON YOUR LAUNDRY,” and he says, “What the … You can’t pay for dry cleaning with spoons. What is wrong with you?” Now you’re mad because this is his fault too but you’re too tired to fight out loud and so you have the argument in your mind, but it doesn’t go well because you’re too tired to defend yourself even in your head, and the critical internal voices take over and you’re too tired not to believe them. Then you get more depressed and the next day you wake up with even fewer spoons and so you try to make spoons out of caffeine and willpower but that never really works. The only thing that does work is realizing that your lack of spoons is not your fault, and to remind yourself of that fact over and over as you compare your fucked-up life to everyone else’s just-as-fucked-up-but-not-as-noticeably-to-outsiders lives. Really, the only people you should be comparing yourself to would be people who make you feel better by comparison. For instance, people who are in comas, because those people have no spoons at all and you don’t see anyone judging them. Personally, I always compare myself to Galileo because everyone knows he’s fantastic, but he has no spoons at all because he’s dead. So technically I’m better than Galileo because all I’ve done is take a shower and already I’ve accomplished more than him today. If we were having a competition I’d have beaten him in daily accomplishments every damn day of my life. But I’m not gloating because Galileo can’t control his current spoon supply any more than I can, and if Galileo couldn’t figure out how to keep his dwindling spoon supply I think it’s pretty unfair of me to judge myself for mine. I’ve learned to use my spoons wisely. To say no. To push myself, but not too hard. To try to enjoy the amazingness of life while teetering at the edge of terror and fatigue.

It might have interested Newt to know that, of the thirty-nine thousand women tested with the pin during the centuries of witch-hunting, twenty-nine thousand said “ouch,” nine thousand, nine hundred and ninety-nine didn’t feel anything because of the use of the aforesaid retractable pins, and one witch declared that it had miraculously cleared up the arthritis in her leg.

Only a lunatic would want to be president. These lunatics are created deliberately by those who wish to be presided over. You’ve seen it a thousand times. We create a leader by locating one in the crowd who is standing up. This may well be because there are no chairs or because his knees are fused by arthritis. It doesn’t matter. We designate this victim as a ‘stand-up guy’ by the simple expedient of sitting down around him.” ARTURISM:

The body of Homo sapiens had not evolved for such tasks. It was adapted to climbing apple trees and running after gazelles, not to clearing rocks and carrying water buckets. Human spines, knees, necks and arches paid the price. Studies of ancient skeletons indicate that the transition to agriculture brought about a plethora of ailments, such as slipped discs, arthritis and hernias. Moreover, the new agricultural tasks demanded so much time that people were forced to settle permanently next to their wheat fields. This completely changed their way of life. We did not domesticate wheat. It domesticated us. The word ‘domesticate’ comes from the Latin domus, which means ‘house’. Who’s the one living in a house? Not the wheat. It’s the Sapiens.

Because I know that having arthritis, being autistic, does not make me less whole or human. It doesn’t make me wrong or broken. It makes some things in my life more challenging in ways, yes, and maybe I don’t represent the “norm,” but I can be someone who surmounts obstacles without it meaning there’s something fundamentally lacking in my makeup.

Irony of the day: arthritis medication with a cap that old people can't get off, because of their arthritis.

The mental thought patterns that cause the most dis-ease in the body are CRITICISM, ANGER, RESENTMENT and GUILT. For instance, criticism indulged in long enought will often lead to dis-eases such as arthritis. Anger turns into things that boil and burn and infect the body. Resentment long held festers and eats away at the self and ultimately can lead to tumors and cancer. Guilt always seeks punishment and leads to pain.

Chronic, unrecognized anger and resentment reemerge in our life as depression, which is anger directed against oneself. If pushed further into the unconscious, it can re-emerge as psychosomatic illnesses. Migraine headaches, arthritis, and hypertension are frequently cited examples of chronic suppressed anger.

Watch it...people who keep things inside them develop all sorts of disease...all that emotional gunk's got to find an outlet. Angry people develop cysts; stubborn people get arthritis; resentful people die of cancer.

No kneeling for him these days, though, arthritis and Catholicism being an uneasy mix.

Consider the whole thing as occupational therapy. Power as cottage industry for the mad. The shepherd is slave to the sheep. A gardener is in thrall to his carrots. Only a lunatic would want to be president. These lunatics are created deliberately by those who wish to be presided over. You've seen it a thousand times. We create a leader by locating one in the crowd who is standing up. This may well be because there are no chairs or because his knees are fused by arthritis. It doesn't matter. We designate this victim as a 'stand-up guy' by the simple expedient of sitting down around him.

I believe that marijuana, aka cannabis should be recognized for what it is - an effective herb, grown from soil and seed, nurtured by sun and rain.

Uncompromising trust in the love of God inspires us to thank God for the spiritual darkness that envelops us, for the loss of income, for the nagging arthritis that is so painful, and to pray from the heart, “Abba, into your hands I entrust my body, mind, and spirit and this entire day—morning, afternoon, evening, and night. Whatever you want of me, I want of me, falling into you and trusting in you in the midst of my life. Into your heart I entrust my heart, feeble, distracted, insecure, uncertain. Abba, unto you I abandon myself in Jesus our Lord. Amen.

Trouble has no necessary connection with discouragement --discouragement has a germ of its own, as different from trouble as arthritis is different from a stiff joint.

Arthritis, he had long ago learned, could only be managed with two things: denial, and an absolute refusal to stop moving.

When my grandmother got arthritis, she couldn't bend over and paint her toenails anymore. So my grandfather does it for her all the time, even when his hands got arthritis too. That's love." Rebecca - age 8

Are we more likely to suffer from arthritis, stiff joints, poor memory, flagging energy, and decreased sex drive as we age, simply because that’s the version of the truth that ads, commercials, television shows, and media reports bombard us with? What other self-fulfilling prophecies are we creating in our minds without being aware of what we’re doing? And what “inevitable truths” can we successfully reverse simply through thinking new thoughts and choosing new beliefs? The

The ancient priest who had taken Father Angel’s place and whose name no one had bothered to find out awaited God’s mercy stretched out casually in a hammock, tortured by arthritis and the insomnia of doubt while the lizards and rats fought over the inheritance of the nearby church.

Darling, if you danced like an elderly elephant with arthritis, I would dance the sun and moon into the sea with you. I have waited a thousand years to see you dance in that frock.

A daughter without her mother is a woman broken. It is a loss that turns to arthritis and settles deep in her bones. This I know now.

Whenever I tell people I have arthritis they usually say, "But you seem so young," which is sort of a backhanded compliment that I never get tired of hating. I will probably only hate the phrase even more when I get to the age when people stop saying it and suddenly begin saying, "Oh, arthritis. Of course you have it.

I went out into the corridor. I asked a nurse if she knew where the people with arthritis went. She said lots of them went to Ward 34 on the top floor. She said she thought that was a silly place to put people with bad bones who had such trouble walking and climbing stairs.

Ahoy there, Lord Pegleg!" cried the Fool. "Why are you hopping on one foot?" "And what would you have do on one foot?" the man asked. "Pirouette? Besides, if I were to untie my other foot I would move too fast for anyone to see me. Why, I would trip over the equator in one stride." "That's pretty quick," the Fool said. "If you think that's quick," the man replied, "you should have seen me before the old arthritis set in.

Children working in the carpet industry often suffer from many health problems. These include breathing difficulties from inhaling the carpet fibres, arthritis in their fingers from tying the tiny knots, and growth deformities from working hunched over their looms for so long every day.

Nothing is so sad, in my opinion, as the devastation wrought by age. My poor friend. I have described him many times. Now to convey to you the difference. Crippled with arthritis, he propelled himself about in a wheelchair. His once plump frame had fallen in. He was a thin little man now. His face was lined and wrinkled. His moustache and hair, and hair, it is true, were still of a jet black colour, but candidly, though I would not for the world have hurt his feelings by saying so to him, this was a mistake. There comes a moment when hair dye is only too painfully obvious. There had been a time when I had been surprised to learn that the blackness of Poirot's hair came out of a bottle. But now the theatricality was apparent and merely created the impression that he wore a wig and had adorned his upper lip to amuse children!

The last e-mail I got about the get-together suggested several shoe changes in one day. I only have one pair of nice shoes and they’re flats. MY SISTER: Well, you have arthritis, so you have a good excuse. ME: Yes, but I feel like I need to put that on my shirt: “Please don’t judge my flats. I have a disability.

Stomach acid is so important to protect your gut barrier that my colleagues at the Medical College of Georgia (where I went to medical school) are starting to use baking soda as a treatment for autoimmune diseases such as rheumatoid arthritis.

It was better than floods of misery that a son of her flesh had killed the sons of other mothers. That burned in her heart like the pain which flared in the arthritis of her knees. Pain was a boring conversationalist who never stopped, just found new topics. Bess

No one ever expects vaginal arthritis. (Or the Spanish Inquisition).

The pain from his arthritis was sewn through the fabric of his day, like a bright needle threaded with dull wire.

He holds out a hand which arthritis has turned into a driftwood sculpture.

When you're a demigod, you worry a lot about staying alive. You hardly ever think about old age. I'd been so focused on just making it out of high school, becoming an adult... but maybe that wasn't the ultimate goal. Getting old might be scary and difficult. It involved things I didn't wanna think about, like arthritis and varicose veins and hearing aids. But if you grew older with the people you loved, wasn't that better than any other alternative?

I’ve considered lobbying the medical field to rename rheumatoid arthritis something sexier, younger, and more exotic. Something like “The Midnight Death,” or “Impending Vampirism.” Or perhaps to name it after someone famous. Like “Lou Gehrig’s disease, part two: THE RECKONING.

One was an ancient tortoiseshell cat with arthritis, who creaked around the house--but when Aunt Sibby flickered her fingers and crooned, Miminy, miminy, tall-as-a-chi-mi-ny, danced on his hind legs like a kitten.

Mom, do you have pot hanging from the ceiling?” Noel asks. “You know your father needs it for his arthritis,” her mother sighs. “Pot—mistletoe, potato—potahto. It’s green and it’s festive, and you have to kiss under it.

So many modern diseases, including heart disease, depression, cancer, Alzheimer’s, and all the autoimmune diseases (such as rheumatoid arthritis and lupus), occur in part because our body’s immune systems produce excess chronic inflammation. In chronic inflammation, the immune system stays on too long and may even begin to attack the body’s own tissues, as though they were outside invaders. The causes of chronic inflammation are many, including diet and, of course, the countless chemical toxins that become embedded in the body. Chronically inflamed bodies produce chemicals, called pro-inflammatory cytokines, which contribute to pain and inflammation.

He would stretch his arm out in from of his and show his open palm…and he would point to his hand and say “this is perception”. then he would SLIGHTLY close his fingers…just a little bit…so now he looks like Zeno with arthritis…and he points to his hand NOW and says “This is assent” you know.. agreement or belief in something. then he closes his fist tight and points to it and says “This is Comprehension”. Then he takes his other hand and grabs his fist…holding it closed and says “This is Knowledge.

further research has shown that there is or may well be a bacterial component in all kinds of other disorders46 – heart disease, asthma, arthritis, multiple sclerosis, several types of mental disorders, many cancers, even, it has been suggested (in Science no less), obesity.

Several years ago, researchers at the University of Minnesota identified 568 men and women over the age of seventy who were living independently but were at high risk of becoming disabled because of chronic health problems, recent illness, or cognitive changes. With their permission, the researchers randomly assigned half of them to see a team of geriatric nurses and doctors—a team dedicated to the art and science of managing old age. The others were asked to see their usual physician, who was notified of their high-risk status. Within eighteen months, 10 percent of the patients in both groups had died. But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart. We’d have pink-ribbon campaigns to get one for every person over seventy-five. Congress would be holding hearings demanding to know why forty-year-olds couldn’t get them installed. Medical students would be jockeying to become defrailulation specialists, and Wall Street would be bidding up company stock prices. Instead, it was just geriatrics. The geriatric teams weren’t doing lung biopsies or back surgery or insertion of automatic defrailers. What they did was to simplify medications. They saw that arthritis was controlled. They made sure toenails were trimmed and meals were square. They looked for worrisome signs of isolation and had a social worker check that the patient’s home was safe. How do we reward this kind of work? Chad Boult, the geriatrician who was the lead investigator of the University of Minnesota study, can tell you. A few months after he published the results, demonstrating how much better people’s lives were with specialized geriatric care, the university closed the division of geriatrics.

I never really know the protocol for this kind of situation. It's like when you're in line at a store, and a grandma starts telling you about her grandchildren or her arthritis, and you smile and nod along. But then it's your turn to check out so you're just like "okay, well, good-bye forever.

What we really need to do, to design, is look at the extremes. The weakest, or the person with arthritis, or the athlete, or the strongest, the fastest person, because if we understand what the extremes are, the middle will take care of itself.” In other words, the extremes inform the mean, but not vice versa.

How to be there for someone with depression or anxiety 1. Know that you are needed, and appreciated, even if it seems you are not. 2. Listen. 3. Never say ‘pull yourself together’ or ‘cheer up’ unless you’re also going to provide detailed, foolproof instructions. (Tough love doesn’t work. Turns out that just good old ‘love’ is enough.) 4. Appreciate that it is an illness. Things will be said that aren’t meant. 5. Educate yourself. Understand, above all, that what might seem easy to you –going to a shop, for instance –might be an impossible challenge for a depressive. 6. Don’t take anything personally, any more than you would take someone suffering with the flu or chronic fatigue syndrome or arthritis personally. None of this is your fault. 7. Be patient. Understand it isn’t going to be easy. Depression ebbs and flows and moves up and down. It doesn’t stay still. Do not take one happy/ bad moment as proof of recovery/ relapse. Play the long game. 8. Meet them where they are. Ask what you can do. The main thing you can do is just be there. 9. Relieve any work/ life pressure if that is doable. 10. Where possible, don’t make the depressive feel weirder than they already feel. Three days on the sofa? Haven’t opened the curtains? Crying over difficult decisions like which pair of socks to wear? So what. No biggie. There is no standard normal. Normal is subjective. There are seven billion versions of normal on this planet.

There was an old Taoist who lived in a village in ancient China, named Master Hu. Hu loved God and God loved Hu, and whatever God did was fine with Hu, and whatever Hu did was fine with God. They were friends. They were such good friends that they kidded around. Hu would do stuff to God like call him "The Great Clod." That's how he kidded. That was fine with God. God would turn around and do stuff to Hu like give him warts on his face, wens on his head, arthritis in his hands, a hunch in his back, canker sores in his mouth and gout in his feet. That's how He kidded. That God. What a kidder! But it was fine with Hu. Master Hu grew lumpy as a toad; he grew crooked as cherry wood; he became a human pretzel. "You Clod!" he'd shout at God, laughing. That was fine with God. He'd send Hu a right leg ten inches shorter than the left to show He was listening. And Hu would laugh some more and walk around in little circles, showing off his short leg, saying to the villagers, "Haha! See how the Great Clod listens! How lumpy and crookedy and ugly He is making me! He makes me laugh and laugh! That's what a Friend is for!" And the people of the village would look at him and wag their heads: sure enough, old Hu looked like an owl's nest; he looked like a swamp; he looked like something the dog rolled in. And he winked at his people and looked up at God and shouted, "Hey Clod! What next?" And splot! Out popped a fresh wart. The people wagged their heads till their tongues wagged too. They said, "Poor Master Hu has gone crazy." And maybe he had. Maybe God sent down craziness along with the warts and wens and hunch and gout. What did Hu care? It was fine with him. He loved God and God loved Hu, and Hu was the crookedest, ugliest, happiest old man in all the empire till the day he whispered, Hey Clod! What now? and God took his line in hand and drew him right into Himself. That was fine with Hu. That's what a Friend is for.

Brace yourselves, girls: Soda is liquid Satan. It is the devil. It is garbage. There is nothing in soda that should be put into your body. For starters, soda’s high levels of phosphorous can increase calcium loss from the body, as can its sodium and caffeine. [Cousens, Conscious Eating, 475] You know what this means—bone loss, which may lead to osteoporosis. And the last time we checked, sugar, found in soda by the boatload, does not make you skinny! Now don’t go patting yourself on the back if you drink diet soda. That stuff is even worse. Aspartame (an ingredient commonly found in diet sodas and other sugar-free foods) has been blamed for a slew of scary maladies, like arthritis, birth defects, fibromyalgia, Alzheimer’s, lupus, multiple sclerosis, and diabetes.2 When methyl alcohol, a component of aspartame, enters your body, it turns into formaldehyde. Formaldehyde is toxic and carcinogenic (cancer-causing). 3 Laboratory scientists use formaldehyde as a disinfectant or preservative. They don’t fucking drink it. Perhaps you have a lumpy ass because you are preserving your fat cells with diet soda. The Food and Drug Administration (FDA) has received more complaints about aspartame than any other ingredient to date.4 Want more bad news? When aspartame is paired with carbs, it causes your brain to slow down its production of serotonin.5 A healthy level of serotonin is needed to be happy and well balanced. So drinking soda can make you fat, sick, and unhappy.

Here she is at her kitchen table, fingering a jigsaw of thalidomide ginger, thinking about the arthritis in her hands.

an old-looking ghost rose with some difficulty (do ghosts have arthritis?)

Studies of ancient skeletons indicate that the transition to agriculture brought about a plethora of ailments, such as slipped discs, arthritis and hernias.

On a dance floor half a dozen couples were throwing themselves around with the reckless abandon of a night watchman with arthritis.

depression should be categorized with other inflammatory disorders including heart disease, arthritis, multiple sclerosis, diabetes, cancer, and dementia. And

Almondine To her, the scent and the memory of him were one. Where it lay strongest, the distant past came to her as if that morning: Taking a dead sparrow from her jaws, before she knew to hide such things. Guiding her to the floor, bending her knee until the arthritis made it stick, his palm hotsided on her ribs to measure her breaths and know where the pain began. And to comfort her. That had been the week before he went away. He was gone, she knew this, but something of him clung to the baseboards. At times the floor quivered under his footstep. She stood then and nosed into the kitchen and the bathroom and the bedroom-especially the closet-her intention to press her ruff against his hand, run it along his thigh, feel the heat of his body through the fabric. Places, times, weather-all these drew him up inside her. Rain, especially, falling past the double doors of the kennel, where he’d waited through so many storms, each drop throwing a dozen replicas into the air as it struck the waterlogged earth. And where the rising and falling water met, something like an expectation formed, a place where he might appear and pass in long strides, silent and gestureless. For she was not without her own selfish desires: to hold things motionless, to measure herself against them and find herself present, to know that she was alive precisely because he needn’t acknowledge her in casual passing; that utter constancy might prevail if she attended the world so carefully. And if not constancy, then only those changes she desired, not those that sapped her, undefined her. And so she searched. She’d watched his casket lowered into the ground, a box, man-made, no more like him than the trees that swayed under the winter wind. To assign him an identity outside the world was not in her thinking. The fence line where he walked and the bed where he slept-that was where he lived, and they remembered him. Yet he was gone. She knew it most keenly in the diminishment of her own self. In her life, she’d been nourished and sustained by certain things, him being one of them, Trudy another, and Edgar, the third and most important, but it was really the three of them together, intersecting in her, for each of them powered her heart a different way. Each of them bore different responsibilities to her and with her and required different things from her, and her day was the fulfillment of those responsibilities. She could not imagine that portion of her would never return. With her it was not hope, or wistful thoughts-it was her sense of being alive that thinned by the proportion of her spirit devoted to him. "ory of Edgar Sawtelle" As spring came on, his scent about the place began to fade. She stopped looking for him. Whole days she slept beside his chair, as the sunlight drifted from eastern-slant to western-slant, moving only to ease the weight of her bones against the floor. And Trudy and Edgar, encapsulated in mourning, somehow forgot to care for one another, let alone her. Or if they knew, their grief and heartache overwhelmed them. Anyway, there was so little they might have done, save to bring out a shirt of his to lie on, perhaps walk with her along the fence line, where fragments of time had snagged and hung. But if they noticed her grief, they hardly knew to do those things. And she without the language to ask.

Here is a short form list of what is happening to your life: 1. You are practicing hate. 2. You are practicing violent abuse toward your parents and to your own family. 3. The way you treat your parents causes them physical and emotional pain. 4. The way you treat your parents causes them to develop mental diseases such as PTSD, depression, obsessive thoughts, low self esteem, aggressive and self destructive behavior, distrust of entering relationships, isolation, anxiety, panic attacks and obsessive thought of suicide. 5. The way you treat your parents causes them to develop physical illnesses such as chronic toxic stress which leads to inflammation of body organs which leads to heart attacks, arthritis, and irritable bowel syndrome. 6. The way you treat your parents produces feelings of abandonment and ostracism which is experience as physical pain on a

I came to feel a tenderness for them all. This was something new to me. It gave me a curious pleasure to touch them, to help them in and out of the chair, to shave their weather-toughened old faces. They had known hard use, nearly all of them. You could tell it by the way they held themselves and moved. Most of all you could tell it by their hands, which were shaped by wear and often by the twists and swellings of arthritis. They had used their hands forgetfully, as hooks and pliers and hammers, and in every kind of weather. The backs of their hands showed a network of little scars where they had been cut, nicked, thornstuck, pinched, punctured, scraped, and burned. Their faces told that they had suffered things they did not talk about.Every one of them had a good knife in his pocket, sharp, the blades whetted narrow and concave, the horn of the handle worn smooth.

The nadir came when she reminded me that what doesn’t kill you makes you stronger, and I replied that this was not a very Christian idea. Arthritis won’t kill you, it only makes you weaker. What if grief works the same way?

I have come to see that the benefits produced by eating a plant-based diet are far more diverse and impressive than any drug or surgery used in medical practice. Heart diseases, cancers, diabetes, stroke and hypertension, arthritis, cataracts, Alzheimer’s disease, impotence and all sorts of other chronic diseases can be largely prevented. These diseases, which generally occur with aging and tissue degeneration, kill the majority of us before our time.

Tanaka’s lab has pioneered new research on swimming’s effects on two of the biggest hallmarks of aging: high blood pressure and arthritis. “Over the last four or five years, a funky thing happened—we realized that the effects of swimming actually surpassed the magnitude of the effects of walking or cycling,” he tells me. “None of us knew that before.” Average reduction in blood pressure after land-based exercise training is five to seven points. Swimming, he found, reduces blood pressure by an average of nine points—in the blood-pressure world, that’s significant. It also decreases arterial stiffness, a condition in which the walls of your arteries become less elastic and add strain to the heart muscle.

The jery, impeded walk of a man stuck in a turnstile, admitted, and stuck in a turnstile, admitted, and stuck in a turnstile. He said it was rheumatoid arthritis. It looked as likely to be cancer of the prostrate metastatising to his hips.

Tell me a secret no one knows, Lord of Night, and I'll tell you mine.' I braced myself for whatever horrible truth was about to come my way. But Rhysand said, 'My right knee gets a twinge of pain when it rains. I wrecked it during the War, and it's hurt ever since.' The Bone Carver bit out a harsh laugh, even as I gaped at Rhys. 'You always were my favourite.

The second reason to seek help for your depression is that it can wreak lasting damage on your life. Research shows that the toll depression takes is as great as that of a chronic physical disorder like diabetes, arthritis, or high blood pressure

Food has become a cause of disease rather than a guardian of health in the modern world. Once regarded as the central pillar of life and the most effective of all medicines, food is now a major contributing factor in cancer, heart disease, arthritis , mental illness, and many other pathological conditions. Virtually monopolized by agricultural and industrial cartels, public food supplies, are processed and packaged to produce profits and prolong shelf life, not to promote health and prolong human life. It seems incredible that public health authorities permit the unrestricted use of hydrogenated vegetable oils, refined sugar, chemical preservatives, toxic pesticides, and over 5,000 other artificial food additives that have repeatedly been proven to cause cancer, impair immunity, and otherwise erode human health, while restricting the medical use of nutrients, herbs, acupuncture, fasting, and other traditional therapies that have been shown to prevent and cure the very diseases caused by chemical contaminants in food and water.

The dancer's grace and, forty years on, her arthritis - both are functions of the skeleton. It is thanks to an inflexible framework of bones that the girl is able to do her pirouettes, thanks to the same bones, grown a little rusty, that the grandmother is condemned to a wheel chair. Analogously, the firm support of a culture is the prime condition of all individual originality and creativeness; it is also their principal enemy. The thing in whose absence we cannot possibly grow into complete human beings is, all too often, the thing that prevents us from growing.

After hearing much from his patients about alleged faith-healing, a Minnesota physician named William Nolen spent a year and a half trying to track down the most striking cases. Was there clear medical evidence that the disease was really present before the ‘cure’? If so, had the disease actually disappeared after the cure, or did we just have the healer’s or the patient’s say-so? He uncovered many cases of fraud, including the first exposure in America of ‘psychic surgery’. But he found not one instance of cure of any serious organic (non-psychogenic) disease. There were no cases where gallstones or rheumatoid arthritis, say, were cured, much less cancer or cardiovascular disease. When a child’s spleen is ruptured, Nolen noted, perform a simple surgical operation and the child is completely better. But take that child to a faith-healer and she’s dead in a day.

She had arthritis, which meant that sometimes she experienced the agony of her diamond rings not fitting. She complained to the doctor about it constantly; she’d paid good money for those rings and somehow felt that the NHS simply didn’t want her wearing them – socialist cartel that it was.

사이트문의~홈피:anaba.0pe.kr/ ??☎:텔레↔mak856 ??☎:카톡↔123w ☎라인【kom85】 사이트문의~홈피:anaba.0pe.kr/ ??☎:텔레↔mak856 ??☎:카톡↔123w ☎라인【kom85】 #스테로이드판매, #디볼 ,#디볼구입, #아나바구입방법,#옥산드롤론구입 #메디텍위니 ,#암브로콜구입 #스테로이드구입,#에페드린구입 #이퀴포이즈구입,#클렌부테롤 #아나볼릭스테로이드 #메디텍위니구입,#클렌부테롤구입, #스타노조롤구입, #아나볼릭스테로이드구입,#인슐린IGF #데카듀라볼린구입,#성장호르몬HGH구입 #프로바이론구입,#lg성선구입##성선 #성선구입,#에난,#에난구입, #이퀴구입,#윈스트롤구입 #케어트로핀,#케어트로핀구입 #유트로핀플러스구입 Usually inflammation is the body’s natural reaction to infection or bacteria. Your immune system produces extra fluid to fight infections or bacteria, which causes swelling, redness and heat in the affected area. You might have noticed this if you have had a cut or wound on your skin. In some conditions, such as rheumatoid arthritis, the immune system produces inflammation in the joints or other parts of the body by mistake, which can cause permanent damage if left untreated. Steroids can be used to reduce this immune reaction.

What has started you on this?" I asked. "We were talking about the holidays." "Los Angeles is not a safe place for a young woman alone. I feel it in my bones." "That's your arthritis, Aunt Sadie. Do you want me to get a gun? I'd probably shoot myself in the foot." "I'd rather you got married again." "That might be worse than shooting myself in the foot.

In the mid-1980s, the medical world wrestled with how to use the new opiates that pharmaceutical companies were developing to treat pain. David Procter was an early and aggressive adopter. He prescribed opiates for neck, leg, and lower back pain, arthritis, and lower lumbar spine pain. He combined them with benzodiazepines—anxiety relievers, of which Valium and Xanax, Procter’s favorite, are the best known. In Portsmouth, people had anxiety and they had pain. Appalachia had a long history of using benzodiazepines—dating to the release of Valium in the early 1960s. Little old ladies used it. In this part of the country, anything that relieved pain was welcome. But opiates and benzos together also led quickly to addiction.

I have the window seat. In the two seats beside me are two old ladies, old women, each with a knitted cardigan, each with yellowy-white hair and thick-lensed glasses with a chain for around the neck, each with a desiccated mouth lipsticked bright red with bravado... They seem to me amazingly carefree. They have saved up for this trip and they are damn well going to enjoy it, despite the arthritis of one, the swollen legs of the other. They're rambunctious, they're full of beans; they're tough as thirteen, they're innocent and dirty, they don't give a hoot. Responsibilities have fallen away from them, obligations, old hates and grievances; now for a short while they can play again like children, but this time without the pain.

Appearing nude on film was not easy when I was twenty-six in Body Heat; it was even harder when I was forty-six in The Graduate, on the stage, which is more up close and personal than film. After my middle-age nude scene, though, I unexpectedly got letters from women saying, "I have not undressed in front of my husband in ten years and I'm going to tonight." Or, "I have not looked in the mirror at my body and you gave me permission." These affirmations from other women were especially touching to me because when I began The Graduate I'd just come through a period when I felt a great loss of confidence, when my rheumatoid arthritis hit me hard and I literally couldn't walk or do any of the things that I was so used to doing. It used to be that if I said to my body, "Leap across the room now," it would leap instantly. I don't know how I did it, but I did it. I hadn't realized how much my confidence was based on my physicality. On my ability to make my body do whatever I wanted it to do. I was so consumed, not just by thinking about what I could and couldn't do, but also by handling the pain, the continual, chronic pain. I didn't realize how pain colored my whole world and how depressive it was. Before I was finally able to control my RA with proper medications, I truly had thought that my attractiveness and my ability to be attractive to men was gone, was lost. So for me to come back and do The Graduate was an affirmation to myself. I had my body back. I was back.

She had an awfully huge void to fill in your life all of a sudden, right from the beginning of her life. The nature of stress is not always the usual stuff that people think of. It's not the external stress of war or money loss or somebody dying, it is actually the internal stress of having to adjust oneself to somebody else. Cancer and ALS and MS and rheumatoid arthritis and all these other conditions, it seems to me, happen to people who have a poor sense of themselves as independent persons. On the emotional level, that is- they can be highly accomplished in the arts or intellectually- but on an emotional level they have a poorly differentiated sense of self. They live in reaction to others without ever really sensing who they themselves are.

nourish the ground in which wheat grew. The body of Homo sapiens had not evolved for such tasks. It was adapted to climbing apple trees and running after gazelles, not to clearing rocks and carrying water buckets. Human spines, knees, necks and arches paid the price. Studies of ancient skeletons indicate that the transition to agriculture brought about a plethora of ailments, such as slipped discs, arthritis and hernias.

Despite increasing access to psychotherapy, despite increasing numbers of prescriptions for SSRIs at decreasing cost per pill, depression is still expected to be the single biggest cause of disability in the world by 2030. It is not cancer, or heart disease, or rheumatoid arthritis, or TB, or any other physical disease, that accounts for economic costs in the order of 3% of GDP in rich countries. It is mental health disorders, principally depression.

He is certainly of an age to die.’ The sadness of the old; their banishment: most of them do not think that this age has yet come for them. I too made use of this cliché, and that when I was referring to my mother. I did not understand that one might sincerely weep for a relative, a grandfather aged seventy and more. If I met a woman of fifty overcome with sadness because she had just lost her mother, I thought her neurotic: we are all mortal; at eighty you are quite old enough to be one of the dead… But it is not true. You do not die from being born, nor from having lived, nor from old age. You die from something. The knowledge that because of her age my mother’s life must soon come to an end did not lessen the horrible surprise: she had sarcoma. Cancer, thrombosis, pneumonia: it is as violent and unforeseen as an engine stopping in the middle of the sky. My mother encouraged one to be optimistic when, crippled with arthritis and dying, she asserted the infinite value of each instant; but her vain tenaciousness also ripped and tore the reassuring curtain of everyday triviality. There is no such thing as a natural death: nothing that happens to a man is ever natural, since his presence calls the world into question. All men must die: but for every man his death is an accident and, even if he knows it and consents to it, an unjustifiable violation.

In 1994, Friedman wrote a memo marked “Very Confidential” to Raymond, Mortimer, and Richard Sackler. The market for cancer pain was significant, Friedman pointed out: four million prescriptions a year. In fact, there were three-quarters of a million prescriptions just for MS Contin. “We believe that the FDA will restrict our initial launch of OxyContin to the Cancer pain market,” Friedman wrote. But what if, over time, the drug extended beyond that? There was a much greater market for other types of pain: back pain, neck pain, arthritis, fibromyalgia. According to the wrestler turned pain doctor John Bonica, one in three Americans was suffering from untreated chronic pain. If that was even somewhat true, it represented an enormous untapped market. What if you could figure out a way to market this new drug, OxyContin, to all those patients? The plan would have to remain secret for the time being, but in his memo to the Sacklers, Friedman confirmed that the intention was “to expand the use of OxyContin beyond Cancer patients to chronic non-malignant pain.” This was a hugely audacious scheme. In the 1940s, Arthur Sackler had watched the introduction of Thorazine. It was a “major” tranquilizer that worked wonders on patients who were psychotic. But the way the Sackler family made its first great fortune was with Arthur’s involvement in marketing the “minor” tranquilizers Librium and Valium. Thorazine was perceived as a heavy-duty solution for a heavy-duty problem, but the market for the drug was naturally limited to people suffering from severe enough conditions to warrant a major tranquilizer. The beauty of the minor tranquilizers was that they were for everyone. The reason those drugs were such a success was that they were pills that you could pop to relieve an extraordinary range of common psychological and emotional ailments. Now Arthur’s brothers and his nephew Richard would make the same pivot with a painkiller: they had enjoyed great success with MS Contin, but it was perceived as a heavy-duty drug for cancer. And cancer was a limited market. If you could figure out a way to market OxyContin not just for cancer but for any sort of pain, the profits would be astronomical. It was “imperative,” Friedman told the Sacklers, “that we establish a literature” to support this kind of positioning. They would suggest OxyContin for “the broadest range of use.” Still, they faced one significant hurdle. Oxycodone is roughly twice as potent as morphine, and as a consequence OxyContin would be a much stronger drug than MS Contin. American doctors still tended to take great care in administering strong opioids because of long-established concerns about the addictiveness of these drugs. For years, proponents of MS Contin had argued that in an end-of-life situation, when someone is in a mortal fight with cancer, it was a bit silly to worry about the patient’s getting hooked on morphine. But if Purdue wanted to market a powerful opioid like OxyContin for less acute, more persistent types of pain, one challenge would be the perception, among physicians, that opioids could be very addictive. If OxyContin was going to achieve its full commercial potential, the Sacklers and Purdue would have to undo that perception.

No death, no suffering. No funeral homes, abortion clinics, or psychiatric wards. No rape, missing children, or drug rehabilitation centers. No bigotry, no muggings or killings. No worry or depression or economic downturns. No wars, no unemployment. No anguish over failure and miscommunication. No con men. No locks. No death. No mourning. No pain. No boredom. No arthritis, no handicaps, no cancer, no taxes, no bills, no computer crashes, no weeds, no bombs, no drunkenness, no traffic jams and accidents, no septic-tank backups. No mental illness. No unwanted e-mails. Close friendships but no cliques, laughter but no put-downs. Intimacy, but no temptation to immorality. No hidden agendas, no backroom deals, no betrayals. Imagine mealtimes full of stories, laughter, and joy, without fear of insensitivity, inappropriate behavior, anger, gossip, lust, jealousy, hurt feelings, or anything that eclipses joy. That will be Heaven.

used to drink every night. Every night I drank a bottle of tequila and went to bed and slept like a baby. I was never sick a day; I looked good, I felt good, I slept well. No more. Now I have one cold after the other, headaches, arthritis; and I can’t sleep a wink. All because the doctor said I had to stop drinking tequila. But don’t jump to conclusions. I’m not a drunk. You can take all the wine and whiskey in the world and dump it down the Grand Canyon. It’s only that I like tequila.

If you could put the benefits of exercise in a pill, it would be an astonishing pill,” says Simon Melov, a researcher at the Buck Institute who has studied exercise extensively. “The data is now coming out on the effects of chronic exercise, and it is astonishing in terms of its ability to prevent all sorts of age-related disease, everything from cancer through to neurodegenerative disease to heart disease, even arthritis. All of these things have vastly lowered risk in people who exercise regularly—and if that was in a pill, it would be insane.

Elisabetta Gonzaga de Montefeltro, Duchess of Urbino, was one of the most celebrat women of her age. . . She was much praised for her saintliness in enduring a sexless marriage to Guidobaldo who was both impotent and for much of his life crippled by what was described as 'gout' but was probably rheumatoid arthritis, which deformed his body from a young age. According to the archivist Luzio, despite his impotence Guidobaldo was extremely erotically inclined, so that Elisabetta was in a state of suspense every day in case he might fall upon her and have a relapse.

Harm reduction is often perceived as being inimical to the ultimate purpose of “curing” addiction—that is, of helping addicts transcend their habits and to heal. People regard it as “coddling” addicts, as enabling them to continue their destructive ways. It’s also considered to be the opposite of abstinence, which many regard as the only legitimate goal of addiction treatment. Such a distinction is artificial. The issue in medical practice is always how best to help a patient. If a cure is possible and probable without doing greater harm, then cure is the objective. When it isn’t — and in most chronic medical conditions cure is not the expected outcome — the physician’s role is to help the patient with the symptoms and to reduce the harm done by the disease process. In rheumatoid arthritis, for example, one aims to prevent joint inflammation and bone destruction and, in all events, to reduce pain. In incurable cancers we aim to prolong life, if that can be achieved without a loss of life quality, and also to control symptoms. In other words, harm reduction means making the lives of afflicted human beings more bearable, more worth living. That is also the goal of harm reduction in the context of addiction. Although hardcore drug addiction is much more than a disease, the harm reduction model is essential to its treatment. Given our lack of a systematic, evidencebased approach to addiction, in many cases it’s futile to dream of a cure. So long as society ostracizes the addict and the legal system does everything it can to heighten the drug problem, the welfare and medical systems can aim only to mitigate some of its effects. Sad to say, in our context harm reduction means reducing not only the harm caused by the disease of addiction, but also the harm caused by the social assault on drug addicts.

Because there are no salaries, health care, or contracts, the body being the only material to work with and work from. Having nothing, it becomes its own contract, a testimony of presence. We will do this for decades—until our lungs can no longer breathe without swelling, our livers hardening with chemicals—our joints brittle and inflamed from arthritis—stringing together a kind of life. A new immigrant, within two years, will come to know that the salon is, in the end, a place where dreams become the calcified knowledge of what it means to be awake in American bones—with or without citizenship—aching, toxic, and underpaid.

Therapeutic fasting accelerates the healing process and allows the body to recover from serious disease in a dramatically short period of time. In my practice I have seen fasting eliminate lupus and arthritis, remove chronic skin conditions such as psoriasis and eczema, heal the digestive tract in patients with ulcerative colitis and Crohn’s disease, and quickly eliminate cardiovascular diseases such as high blood pressure and angina. In these cases the recoveries were permanent: fasting enabled longtime disease sufferers to unchain themselves from their multiple toxic drugs and even eliminate the need for surgery, which was recommended to some of them as their only solution.

and confused if someone does not appreciate their niceness. Others often sense this and avoid giving them feedback not only, effectively blocking the nice person’s emotional growth, but preventing risks from being taken. You never know with a nice person if the relationship would survive a conflict or angry confrontation. This greatly limits the depths of intimacy. And would you really trust a nice person to back you up if confrontation were needed? 3. With nice people you never know where you really stand. The nice person allows others to accidentally oppress him. The “nice” person might be resenting you just for talking to him, because really he is needing to pee. But instead of saying so he stands there nodding and smiling, with legs tightly crossed, pretending to listen. 4. Often people in relationship with nice people turn their irritation toward themselves, because they are puzzled as to how they could be so upset with someone so nice. In intimate relationships this leads to guilt, self-hate and depression. 5. Nice people frequently keep all their anger inside until they find a safe place to dump it. This might be by screaming at a child, blowing up a federal building, or hitting a helpless, dependent mate. (Timothy McVeigh, executed for the Oklahoma City bombing, was described by acquaintances as a very, very nice guy, one who would give you the shirt off his back.) Success in keeping the anger in will often manifest as psychosomatic illnesses, including arthritis, ulcers, back problems, and heart disease. Proper Peachy Parents In my work as a psychotherapist, I have found that those who had peachy keen “Nice Parents” or proper “Rigidly Religious Parents” (as opposed to spiritual parents), are often the most stuck in chronic, lowgrade depression. They have a difficult time accessing or expressing any negative feelings towards their parents. They sometimes say to me “After all my parents did for me, seldom saying a harsh word to me, I would feel terribly guilty complaining. Besides, it would break their hearts.” Psychologist Rollo May suggested that it is less crazy-making to a child to cope with overt withdrawal or harshness than to try to understand the facade of the always-nice parent. When everyone agrees that your parents are so nice and giving, and you still feel dissatisfied, then a child may conclude that there must be something wrong with his or her ability to receive love. -§ Emotionally starving children are easier to control, well fed children don’t need to be. -§ I remember a family of fundamentalists who came to my office to help little Matthew with his anger problem. The parents wanted me to teach little Matthew how to “express his anger nicely.” Now if that is not a formula making someone crazy I do not know what would be. Another woman told me that after her stinking drunk husband tore the house up after a Christmas party, breaking most of the dishes in the kitchen, she meekly told him, “Dear, I think you need a breath mint.” Many families I work with go through great anxiety around the holidays because they are going to be forced to be with each other and are scared of resuming their covert war. They are scared that they might not keep the nice garbage can lid on, and all the rotting resentments and hopeless hurts will be exposed. In the words to the following song, artist David Wilcox explains to his parents why he will not be coming home this Thanksgiving: Covert War by David Wilcox

When I first stopped trying to fix other people, I turned my attention to 'curing' myself. I was in a hurry to get this healing process over. I wanted immediate recovery from the effects of growing up in a family riddled with alcoholism and from being married to an alcoholic. I looked forward to the day I would graduate from Al-Anon and get on with my life. As year two and year three passed, I was still in the program. I began to despair as the character defects I had worked so long to overcome came back to haunt me, particularly during times of stress and during periods when I didn't attend meetings. I have severe arthritis in my joints. To cope with my condition, I have to assess my body each day and patiently respond to its needs. Some days I need a warm bath to get going in the morning. On other days I apply a medicated rub to the painful areas. Yet other days some light stretching and exercise help to loosen me up. I'ave accepted that my arthritis will never go away. It's a condition I manage daily with consistent, on-going care. One day I made a connection between my medical condition and my struggle with recovery. I began to look at myself as having 'arthritis of the personality,' requiring patient, continuous care to keep me from 'stiffening' into old habits and attitudes. This care includes attending meetings, reading Al-Anon literature, calling my sponsor, and engaging in service. Now, as long as I practice patience, recovery is a manageable and adventurous process instead of an arduously sought end point.

Free radicals and antioxidants. One of the theories to explain the underlying cause of cancer and atherosclerosis is that tissues are damaged by free radicals. Free radicals are highly reactive molecules that have an unpaired electron. When a radical collides with another molecule, it becomes stable by removing or donating a single electron, but in the process it generates a new radical. Radicals can cause damage to DNA, leading to possible mutations and the development of cancer; and to fats, leading to the development of atherosclerosis; as well as to proteins, leading to the development of auto-immune diseases, including rheumatoid arthritis. The radicals that cause the most damage are oxygen radicals, and compounds that provide protection against radical damage are generally referred to as antioxidants.

You’re as beautiful as you were the night we made our son,” she whispered, bending to kiss him tenderly. His fingers traced her dark eyebrows, her cheeks, her mouth. “I wish we could have another baby,” he said heavily. “So do I. But I’m too old,” she said sadly. She lay her cheek against his broad, damp chest and stroked the silver-tipped hair that covered it. “We’ll have to hope for grandchildren, if he ever forgives us.” He held her tightly, as if by holding her he could keep her safe. What he felt for her was ferociously protective. She misunderstood the tightening of his arms. She smiled and sighed. “We can’t, again. Cecily will think we’ve deserted her.” His hand smoothed her long hair. “She probably knows exactly what we’re doing,” he said on a chuckle. “She loves you.” “She likes you. Maybe we could adopt her.” “Better if our son marries her.” She grinned. “We can hope.” She sat up and stretched, liking the way he watched her still-firm breasts. “The last time I felt like this was thirty-six years ago,” she confided. “The same is true for me,” he replied. She searched his eyes, already facing her departure. She would have to go back to the reservation, home. He could still read her better than she knew. He drew her hand to his mouth. “It’s too late, but I want to marry you. This week. As soon as possible.” She was surprised. She didn’t know what to say. “I love you,” he said. “I never stopped. Forgive me and say yes.” She considered the enormity of what she would be agreeing to do. Be his hostess. Meet his friends. Go to fund-raising events. Wear fancy clothes. Act sophisticated. “Your life is so different from mine,” she began. “Don’t you start,” he murmured. “I’ve seen what it did to Cecily when Tate used that same argument with her about all the differences. It won’t work with me. We love each other too much to worry about trivial things. Say yes. We’ll work out all the details later.” “There will be parties, benefits…” He pulled her down into his arms and kissed her tenderly. “I don’t know much about etiquette,” she tried again. He rolled her over, pinning her gently. One long leg inserted itself between both of hers as he kissed her. “Oh, what the hell,” she murmured, and wrapped her legs around his, groaning as the joints protested. “Arthritis?” he asked. “Osteoarthritis.” “Me, too.” He shifted, groaning a little himself as he eased down. “We’ll work on new positions one day. But it’s…too late…now. Leta…!” he gasped. She didn’t have enough breath to answer him. He didn’t seem to notice that she hadn’t. Bad joints notwithstanding, they managed to do quite a few things that weren’t recommended for people their ages. And some that weren’t in the book at all.

Anosognosia sufferers are paralyzed but won’t admit it. They tell their doctors and loved ones they have severe arthritis or need to watch their weight if asked to move their incapacitated arm to take a piece of candy. They lie, but they don’t know they are lying. The deception is only directed inward. They truly believe the fiction. • A person with Capgras delusion believes their close friends and family have been replaced by impostors. The part of the brain that provides an emotional response when you see someone you know stops functioning properly in those with this dysfunction. They recognize their loved ones, but don’t feel the spark. They make up a story to explain their confusion and accept it entirely. • Those with Cotard’s syndrome believe they have died. Those with this affliction will assume themselves to be spirits in an afterlife and believe the delusion so strongly they sometimes die of starvation.

1. Oral Involvement 2. Laryngeal Involvement 3. Cardiovascular Involvement 4. Skin: rashes, vitiligo, Raynaud’s 5. Constitutional symptoms: including fever, fatigue, and muscle wasting (cachexia), infections 6. Rheumatoid vasculitis and blood vessel disease 7. Lung Involvement 8. Kidney involvement 9. Eye involvement 10. Other organs: including spleen, liver, lymph system, gut KEY POINTS 1. Some symptoms and antibodies can precede diagnosis over 10 years. 2. Many studies indicate RD begins in the lungs, before joint symptoms are diagnosable. 3. RD is often called an “invisible”illness because symptoms are not obvious to casual observers. 4. Doctors must be more aware that systemic symptoms like fatigue may indicate serious problems. 5. Extra-articular disease has been proven to affect most PRD, but is still not widely recognized. 6. Acknowledging rheumatoid disease that exists beyond and before joint inflammation (arthritis) could bring a) Improved care for lower mortality b) Improved research for better treatments c) Improved diagnosis for increased remissions

Autoimmune Disease—the “Leak” in Your Gut Autoimmune diseases are a disaster and there are no good medicines available (steroids work, but the treatment is worse than the disease). They’ve been around for centuries, but there’s been a clear uptick in the last fifty years. Why? Two hypotheses have been proffered to explain it: the barrier hypothesis (our skin or lungs are letting in antigens) and the hygiene hypothesis (we don’t eat dirt and are too hygienic). But in fact, in the gut, they’re the same thing; because the gut is the dirtiest place in the world—one hundred trillion bacteria to have to fend off at all times—you don’t need an intestine, you need a fortress. We’ve known for a while that leaky gut is akin to chinks in the walls of that fortress. Antigens, like enemy soldiers, escape through those chinks into the bloodstream, where T cells and antibodies react against them. But in a case of mistaken identity, these immune cells then accidentally identify parts of your body as foreign invaders and generate an immune response to kill them off, a process termed molecular mimicry. Then there are two new twists. First, it appears that one autoimmune disease, called ankylosing spondylitis, produces antibodies to a gut bacterium called Klebsiella pneumoniae. Conversely, a different autoimmune disease called rheumatoid arthritis produces antibodies to a second gut bacterium called Proteus mirabilis. Now, this might not seem that earth-shattering, but recent work has shown that the refined carbohydrates in processed food feed those two bacteria in particular, and that carbohydrate restriction improves both of these diseases. Indeed, a low-sugar, high-fiber Mediterranean diet has been shown to be efficacious at prevention and treatment of rheumatoid arthritis. Furthermore, introduction of fiber to the diet appears to improve asthma (frequently an autoimmune disease), likely by improving gut function and reducing inflammation.

The biology of potential illness arises early in life. The brain’s stress-response mechanisms are programmed by experiences beginning in infancy, and so are the implicit, unconscious memories that govern our attitudes and behaviours toward ourselves, others and the world. Cancer, multiple sclerosis, rheumatoid arthritis and the other conditions we examined are not abrupt new developments in adult life, but culminations of lifelong processes. The human interactions and biological imprinting that shaped these processes took place in periods of our life for which we may have no conscious recall. Emotionally unsatisfying child-parent interaction is a theme running through the one hundred or so detailed interviews I conducted for this book. These patients suffer from a broadly disparate range of illnesses, but the common threads in their stories are early loss or early relationships that were profoundly unfulfilling emotionally. Early childhood emotional deprivation in the histories of adults with serious illness is also verified by an impressive number of investigations reported in the medical and psychological literature. In an Italian study, women with genital cancers were reported to have felt less close to their parents than healthy controls. They were also less demonstrative emotionally. A large European study compared 357 cancer patients with 330 controls. The women with cancer were much less likely than controls to recall their childhood homes with positive feelings. As many as 40 per cent of cancer patients had suffered the death of a parent before the age of seventeen—a ratio of parental loss two and a half times as great as had been suffered by the controls. The thirty-year follow-up of Johns Hopkins medical students was previously quoted. Those graduates whose initial interviews in medical school had revealed lower than normal childhood closeness with their parents were particularly at risk. By midlife they were more likely to commit suicide or develop mental illness, or to suffer from high blood pressure, coronary heart disease or cancer. In a similar study, Harvard undergraduates were interviewed about their perception of parental caring. Thirty-five years later these subjects’ health status was reviewed. By midlife only a quarter of the students who had reported highly positive perceptions of parental caring were sick. By comparison, almost 90 per cent of those who regarded their parental emotional nurturing negatively were ill. “Simple and straightforward ratings of feelings of being loved are significantly related to health status,” the researchers concluded.