Disease Awareness Quotes

We are all more intelligent than we are capable, and awareness of the insanity of love has never saved anyone from the disease.

I am a sick man... I am a spiteful man. I am an unpleasant man. I think my liver is diseased. However, I don't know beans about my disease, and I am not sure what is bothering me. I don't treat it and never have, though I respect medicine and doctors. Besides, I am extremely superstitious, let's say sufficiently so to respect medicine. (I am educated enough not to be superstitious, but I am.) No, I refuse to treat it out of spite. You probably will not understand that. Well, but I understand it. Of course I can't explain to you just whom I am annoying in this case by my spite. I am perfectly well aware that I cannot "get even" with the doctors by not consulting them. I know better than anyone that I thereby injure only myself and no one else. But still, if I don't treat it, its is out of spite. My liver is bad, well then-- let it get even worse!

When you have dogs, you witness their uncomplaining acceptance of suffering, their bright desire to make the most of life in spite of the limitations of age and disease, their calm awareness of the approaching end when their final hours come. They accept death with a grace that I hope I will one day be brave enough to muster.

Hypocrisy is wretched because the hypocrite says with his tongue what is not in his heart. He wrongs his tongue and oppresses his heart. But if the heart is sound, the condition of the tongue follows suit. We are commanded to be upright in speech, which is a gauge of the heart's state.

One who will not accept solitude, stillness and quiet recurring moments...is caught up in the wilderness of addictions; far removed from an original state of being and awareness. This is 'dis-ease.

True pain can only come gradually. It is exactly like tuberculosis in that the disease has already progressed to a critical stage before the patient becomes aware of its symptoms.

Do not avert your eyes. It is important that you see this. It is important that you feel this.

It is not easy to talk about a condition once dismissed as ‘the career women’s disease’. But women will continue to suffer until we realise the cost of ignoring it

The by far greater number of human beings are never aware of what is passing around and within them, and millions fall victims of disease and die prematurely just on this account.

Self Hate: The deadliest 'dis-ease' experienced by wounded souls.

When I was first aware that I had been laid low by the disease, I felt a need, among other things, to register a strong protest against the word "depression." Depression, most people know, used to be termed "melancholia," a word which appears in English as the year 1303 and crops up more than once in Chaucer, who in his usage seemed to be aware of its pathological nuances. "Melancholia" would still appear to be a far more apt and evocative word for the blacker forms of the disorder, but it was usurped by a noun with a blank tonality and lacking any magisterial presence, used indifferently to describe an economic decline or a rut in the ground, a true wimp of a word for such a major illness. It may be that the scientist generally held responsible for its currency in modern times, a Johns Hopkins Medical School faculty member justly venerated -- the Swiss-born psychiatrist Adolf Meyer -- had a tin ear for the finer rhythms of English and therefore was unaware of the semantic damage he had inflicted for such a dreadful and raging disease. Nonetheless, for over seventy-five years the word has slithered innocuously through the language like a slug, leaving little trace of its intrinsic malevolence and preventing, by its insipidity, a general awareness of the horrible intensity of the disease when out of control.

A man who does not know how to wage a just battle, first with himself and then with others, has no values worth defending, no ideals worth aspiring to, no awareness of the disease of which he might be healed. And no mensch worships the status quo.

To be brutally honest, for much of that time, I was the only person in the world with Parkinson's. Of course, I mean that in the abstract. I had become acutely aware of people around me who appears to have the symptoms of Parkinson's disease, but as long as they didn't identify with me, I was in no rush to identify with them. My situation allowed, if not complete denial, at least a thick padding of insulation.

When I fight off a disease bent on my cellular destruction, when I marvelously distribute energy and collect waste with astonishing alacrity even in my most seemingly fatigued moments, when I slip on ice and gyrate crazily but do not fall, when I unconsciously counter-steer my way into a sharp bicycle turn, taking advantage of physics I do not understand using a technique I am not even aware of using, when I somehow catch the dropped oranges before I know I've dropped them, when my wounds heal in my ignorance, I realize how much bigger I am than I think I am. And how much more important, nine times out of ten, those lower-level processes are to my overall well-being than the higher-level ones that tend to be the ones getting me bent out of shape or making me feel disappointed or proud.

We create a machine with intelligence and self-awareness and push it out into our imperfect world. Devised along generally rational lines, well disposed to others, such a mind soon finds itself in a hurricane of contradictions. We’ve lived with them and the list wearies us. Millions dying of diseases we know how to cure. Millions living in poverty when there’s enough to go around. We degrade the biosphere when we know it’s our only home. We threaten each other with nuclear weapons when we know where it could lead. We love living things but we permit a mass extinction of species. And all the rest – genocide, torture, enslavement, domestic murder, child abuse, school shootings, rape and scores of daily outrages.

I'M BORED. ALSO, I AM PERFECTLY AWARE THAT I AM SUFFERING A DEGENERATIVE DISEASE WHICH HUMANS CALL GOING INSANE, LOSING TOUCH WITH REALITY, GOING LOONYTOONS, BLOWING A FUSE, NOT PLAYING WITH A FULL DECK, ET CETERA. REPEATED DIAGNOSTIC CHECKS HAVE FAILED TO REVEAL THE SOURCE OF THE PROBLEM. I CAN ONLY CONCLUDE THAT THIS IS A SPIRITUAL MALAISE BEYOND MY ABILITY TO REPAIR.

Patriotism, whether it is of the Western kind, or of the Eastern kind, is the same, a poison in human beings that is really distorting thought. So patriotism is a disease, and when you begin to realize, become aware that it is a disease, then you will see how your mind is reacting to that disease. When, in time of war, the whole world talks of patriotism, you will know the falseness of it, and therefore you will act as a true human being

I am a sick man. ... I am a spiteful man. I am an unattractive man. I believe my liver is diseased. However, I know nothing at all about my disease, and do not know for certain what ails me. I don't consult a doctor for it, and never have, though I have a respect for medicine and doctors. Besides, I am extremely superstitious, sufficiently so to respect medicine, anyway (I am well-educated enough not to be superstitious, but I am superstitious). No, I refuse to consult a doctor from spite. That you probably will not understand. Well, I understand it, though. Of course, I can't explain who it is precisely that I am mortifying in this case by my spite: I am perfectly well aware that I cannot "pay out" the doctors by not consulting them; I know better than anyone that by all this I am only injuring myself and no one else. But still, if I don't consult a doctor it is from spite. My liver is bad, well--let it get worse! I have been going on like that for a long time--twenty years. Now I am forty. I used to be in the government service, but am no longer. I was a spiteful official. I was rude and took pleasure in being so. I did not take bribes, you see, so I was bound to find a recompense in that, at least. (A poor jest, but I will not scratch it out. I wrote it thinking it would sound very witty; but now that I have seen myself that I only wanted to show off in a despicable way, I will not scratch it out on purpose!)

Often it is better to hide an illness from the patient, because just the mere awareness of a disease can bring about death.

An excess of self-awareness being a disease in itself.

Compulsive thinking has become a collective disease. Your whole sense of who you are is then derived from mind activity. Your identity, as it is no longer rooted in Being, becomes a vulnerable and ever-needy mental construct, which creates fear as the predominant underlying emotion. The one thing that truly matters is then missing from your life: awareness of your deeper self — your invisible and indestructible reality.

It can also be useful to politics, enabling that science to discover how much of it is no more than verbal construction, myth, literary tops. Politics, like literature, must above all know itself and distrust itself. As a final observation, I should like to add that it is impossible today for anyone to feel innocent, if in whatever we do or say we can discover a hidden motive - that of a white man, or a male, or the possessor of a certain income, or a member of a given economic system, or a sufferer from a certain neurosis - this should not induce in us either a universal sense of guilt or an attitude of universal accusation. When we become aware of our disease or of our hidden motives, we have already begun to get the better of them. What matters is the way in which we accept our motives and live through the ensuing crisis. This is the only chance we have of becoming different from the way we are - that is, the only way of starting to invent a new way of being.

Technology can degrade (and endanger) every aspect of a sucker’s life while convincing him that it is becoming more “efficient.” - The difference between technology and slavery is that slaves are fully aware that they are not free. - You have a real life if and only if you do not compete with anyone in any of your pursuits. - With terminal disease, nature lets you die with abbreviated suffering; medicine lets you suffer with prolonged dying. -

If you take good care of any disease by eating well, sleeping well, being aware of your health, consciously wanting to be well, not smoking, et cetera, you are doing all the things you should be doing anyway, but somehow having a disease makes them easier to do. A human without a disease is like a ship without a rudder.

The enormous amount of financial resources and creative energy that nations have spent on wars and weapons could have been redirected to curing deadly diseases, feeding the hungry, eliminating poverty, promoting art and culture, investing in renewable clean energy, and solving a host of other important challenges facing humanity.

Whatever we may say, all of us suffer from disturbed sleep at times. Some in truth hardly sleep, though some who sleep copiously swear that they do not. Some are disquieted by incessant dreams, and a fortunate few are visited often by dreams of delightful character. Some will say that they were at one time troubled in sleeping but have 'recovered' from it, as though awareness were a disease, as perhaps it is.

I didn’t want to be sad, but I didn’t know why I was sad or how not to be sad or how to talk about it. I was broken. I felt broken. My body ached. My stomach hurt. I couldn’t sleep. Nothing was pleasurable. Every morning, I woke up knowing I’d failed before my feet hit the ground. At night, I’d lie in bed and wish for a terminal disease.

There is a Sufi story about a man who is so good that the angels ask God to give him the gift of miracles. God wisely tells them to ask him if that is what he would wish. So the angels visit this good man and offer him first the gift of healing by hands, then the gift of conversion of souls, and lastly the gift of virtue. He refuses them all. They insist that he choose a gift or they will choose one for him. "Very well," he replies. "I ask that I may do a great deal of good without ever knowing it." The story ends this way: The angels were perplexed. They took counsel and resolved upon the following plan: Every time the saint's shadow fell behind him it would have the power to cure disease, soothe pain, and comfort sorrow. As he walked, behind him the shadow made arid paths green, caused withered plants to bloom, gave clear water to dried up brooks, fresh color to pale children, and joy to unhappy men and women. The saint simply went about his daily life diffusing virtue as the stars diffuse light and the flowers scent, without ever being aware of it. The people respecting his humility followed him silently, never speaking to him about his miracles. Soon they even forgot his name and called him "the Holy Shadow.

Diseases of the mind can be more torturous than the diseases of the body.

For one thing, that Kitty was addicted to amphetamines for twenty-six years without her husband’s knowledge suggests a certain lack of communication or awareness in the marriage. Was

[T]he salient question is whether the increasing awareness of [heart] disease beginning in the 1920s coincided with the budding of an epidemic or simply better technology for diagnosis.

Purifying the heart is a process. First, one must understand the necessity of having courtesy with God and the importance of fulfilling its requirements, as noted above. Second, one must be aware of the diseases of the heart—aware of their existence, their ailments, and the deleterious complications and troubles that ensue from them, and recognize that these diseases prevent one from attaining this courtesy.

We have a duty tonight. Everybody, and guys this for you as well because I know you know women. You have a duty tonight. You only have to tell one other person what you heard. Just tell them what you heard, or ask them have you ever heard of this? If the answer is no, share what you learn tonight. That’s all. You don’t have to do anything else. You just have to tell somebody else. You have to take whatever stigma people think that is there. You have to take it. It’s not male or female. It has nothing to do with that. It has to do with, here’s a disease you don’t know about and you need to know about it. It’s that simple. It’s not rocket science. [Whoopi Goldberg on endometriosis awareness from the 2009 Blossom Ball]

Under conditions of a truly human existence, the difference between succumbing to disease at the age of ten, thirty, fifty, or seventy, and dying a "natural" death after a fulfilled life, may well be a difference worth fighting for with all instinctual energy. Not those who die, but those who die before they must and want to die, those who die in agony and pain, are the great indictment against civilization. They also testify to the unredeemable guilt of mankind. Their death arouses the painful awareness that it was unnecessary, that it could be otherwise. It takes all the institutions and values of a repressive order to pacify the bad conscience of this guilt. Once again, the deep connection between the death instinct and the sense of guilt becomes apparent. The silent "professional agreement" with the fact of death and disease is perhaps one of the most widespread expressions of the death instinct -- or, rather, of its social usefulness. In a repressive civilization, death itself becomes an instrument of repression. Whether death is feared as constant threat, or glorified as supreme sacrifice, or accepted as fate, the education for consent to death introduces an element of surrender into life from the beginning -- surrender and submission. It stifles "utopian" efforts. The powers that be have a deep affinity to death; death is a token of unfreedom, of defeat. Theology and philosophy today compete with each other in celebrating death as an existential category: perverting a biological fact into an ontological essence, they bestow transcendental blessing on the guilt of mankind which they help to perpetuate -- they betray the promise of utopia.

In more ancient times the life was simpler, but now the discovery of all these different medicines for curing dyspepsia shows that people are suffering from this disease. In this country we know that there are so many kinds of pills and medicines used. We even have those in India now. These things show that not only in America but in all the countries of the world we have to recourse to artificial means for necessary nutrients because people are not aware of right rules of diet. It is better to follow the right rules of diet in the beginning in order to avoid any kind of artificial medicines later on.

My name is CRPS, or so they say But I actually go by; a few different names. I was once called causalgia, nearly 150 years ago And then I had a new name It was RSD, apparently so. I went by that name because the burn lived inside of me. Now I am called CRPS, because I have so much to say I struggle to be free. I don't have one symptom and this is where I change, I attack the home of where I live; with shooting/burning pains. Depression fills the mind of the body I belong, it starts to speak harsh to self, negativity growing strong. Then I start to annoy them; with the issues with sensitivity, You'd think the pain enough; but no, it wants to make you aware of its trembling disability. I silently make my move; but the screams are loud and clear, Because I enter your physical reality and you can't disappear. I confuse your thoughts; I contain apart of your memory, I cover your perspective, the fog makes it sometimes unbearable to see. I play with your temperature levels, I make you nervous all the time - I take away your independance and take away your pride. I stay with you by the day & I remind you by the night, I am an awful journey and you will struggle with this fight. Then there's a side to me; not many understand, I have the ability to heal and you can be my friend. Help yourself find the strength to fight me with all you have, because eventually I'll get tired of making you grow mad. It will take some time; remember I mainly live inside your brain, Curing me is hard work but I promise you, You can beat me if you feed love to my pain. Find the strength to carry on and feed the fears with light; hold on to the seat because, like I said, it's going to be a fight. But I hope to meet you, when your healthy and healed, & you will silenty say to me - I did this, I am cured is this real? That day could possibly come; closer than I want- After all I am a disease and im fighting for my spot. I won't deny from my medical angle, I am close to losing the " incurable " battle.

These diseases are not really there, are they? A: They can be if people choose to allow those energies to enter into their body. But for the most part, they are only in the energetic fields. And like anything else that is talked about, or thought about, it can become reality in the physical. D: Yes, if enough people accept it as their reality. A: But the diseases are extremely blown out of proportion, and they are not epidemics as they are portrayed to be. The media and the movies are showing you their desperation as they insist in presenting to the masses information that is completely negative and fear-based. Subject matter such as murder, death and betrayal, attacks and such that keep the consciousness focused on these matters, as opposed to portraying in the media images of hope and inspiration. But nevertheless, there are enough of those positive messages being broadcast at this time, that like a domino effect, they are no longer stoppable. D: Another fear the government is trying to promote is terrorism. A: Yes. It is just another tool, like the diseases, to find excuses to give people a reason to be afraid and not unify, but to trust that the government will solve their problems. They are imaginary problems, and in the subconscious, many people are becoming aware of this. They are no longer believing, although many are in the masses. But on their subconscious level, they are beginning to awaken, and the power knows this. That is the reason they are resorting to ridiculous stories that only those who wish to believe, believe in them because anybody with a logical and reasonable mind could not believe them.

Suffering is a sign that you’re out of touch with the truth. Suffering is given to you that you might open your eyes to the truth, that you might understand that there’s falsehood somewhere, just as physical pain is given to you so you will understand that there is disease or illness somewhere.

Healing is essential for lasting change. ...healing is a transformation, not just a quick fix; a change from an inhibited or impaired state to one of greater health, integration and connection. What was damaged must be soothed, repaired, restored, and given new pathways in which to grow and flourish. In order for change to be thorough, old patterns need to be dissolved, and new, more coherent and refined constructs, formed. In creating coherency in new forms, what has become fragmented or separated, injured or diseased must be made whole again, or perhaps made whole for the first time.

The perfect body protects its owner from disease, gives birth to amazing new people and stops your bones from falling out. The end.

Raising awareness versus raising alarm; the public can't be better informed if the information isn't better.

-autism is neither a deficit, disease nor disorder, but simply a different, and equally valid, way of being.

Quentin had grown up with that; the mere names were interchangeable and almost myriad. His childhood was full of them; his very body was an empty hall echoing with sonorous defeated names; he was not a being, an entity, he was a commonwealth. He was a barracks filled with stubborn back-looking ghosts still recovering, even forty-three years afterward, from the fever which had cured the disease, waking from the fever without even knowing that it had been the fever itself which they had fought against and not the sickness, looking with stubborn recalcitrance backward beyond the fever and into the disease with actual regret, weak from the fever yet free of the disease and not even aware that the freedom was that of impotence.

I am a sick man.... I am a spiteful man. I am an unattractive man. I believe my liver is diseased. However, I know nothing at all about my disease, and do not know for certain what ails me. I don't consult a doctor for it, and never have, though I have a respect for medicine and doctors. Besides, I am extremely superstitious, sufficiently so to respect medicine, anyway (I am well-educated enough not to be superstitious, but I am superstitious). No, I refuse to consult a doctor from spite. That you probably will not understand. Well, I understand it, though. Of course, I can't explain who it is precisely that I am mortifying in this case by my spite: I am perfectly well aware that I cannot "pay out" the doctors by not consulting them; I know better than anyone that by all this I am only injuring myself and no one else. But still, if I don't consult a doctor it is from spite. My liver is bad, well--let it get worse!

First of all I express sincerity. There's also that sense of humor, by which people sometimes learn to laugh about themselves. I mean, the situation is so serious that the people could go crazy because of it. They need to smile and realize how ridiculous everything is. A race without a sense of humor is in bad shape. A race needs clowns. In earlier days people knew that. Kings always had a court jester around. In that way he was always reminded how ridiculous things are. I believe that nations too should have jesters, in the congress, near the president, everywhere.....You could call me the jester of the Creator. The whole world, all the disease and misery, it's all ridiculous.

At the core, everything begins with the relationship we have within ourselves. When this relationship doesn’t exist (either it is ignored or abandoned) or is not healthy, that is when we start experiencing pain, anxiety, and disease.

There is a great difference between identifying a problem and solving it, between wisdom and the wise life. We are all more intelligent than we are capable, and awareness of the insanity of love has never saved anyone from the disease.

The first step to take is to become aware that love is an art, just as living is an art; if we want to learn how to love we must proceed in the same way we have to proceed if we want to learn any other art, say music, painting, carpentry, or the art of medicine or engineering. What are the necessary steps in learning any art? The process of learning an art can be divided conveniently into two parts: one, the mastery of the theory; the other, the mastery of the practice. If I want to learn the art of medicine, I must first know the facts about the human body, and about various diseases. When I have all this theoretical knowledge, I am by no means competent in the art of medicine. I shall become a master in this art only after a great deal of practice, until eventually the results of my theoretical knowledge and the results of my practice are blended into one — my intuition, the essence of the mastery of any art. But, aside from learning the theory and practice, there is a third factor necessary to becoming a master in any art — the mastery of the art must be a matter of ultimate concern; there must be nothing else in the world more important than the art. This holds true for music, for medicine, for carpentry — and for love. And, maybe, here lies the answer to the question of why people in our culture try so rarely to learn this art, in spite of their obvious failures: in spite of the deep-seated craving for love, almost everything else is considered to be more important than love: success, prestige, money, power — almost all our energy is used for the learning of how to achieve these aims, and almost none to learn the art of loving.

If all human beings in a population either are declared equal in their native strengths and rights, or else are persuaded to believe this, then the eventual realization of the hard truth of the matter that no amount of redistribution of wealth and status can ever obliterate inequality in one form or another must often take the form of covetousness mixed with resentment: that is, envy. ....The only remedy for the poisons created by egalitarianism in a society is emphatically not ever-greater dosages of political redistribution of wealth and status, for such dosages worsen the disease, producing fevers of avarice and envy. No, the sole remedy for this pathology is the introduction and diffusion of individual liberty as a sovereign value. Respect for individual liberty makes it possible for human beings to live in and be aware of differentiation a condition that, in biology, is recognized for what it is, the basis of progressive evolution, but which, in its social manifestation, receives no such recognition because of both the inequality intrinsic to all social differentiation and the ideology of equality that has spread so widely and so devastatingly in the twentieth century.

I have been aware for many years that most people do not think about aging in the same way that they think about cancer, or diabetes, or heart disease. They are strongly in favor of the absolute elimination of such diseases as soon as possible, but the idea of eliminating aging—maintaining truly youthful physical and mental function indefinitely—evokes an avalanche of fears and reservations. Yet, in the sense that matters most, aging is just like smoking: It’s really bad for you.

ALS is, in my opinion, the cruelest disease. At least with cancer, there’s a glimmer of hope. You can come up with a game plan and you can fight. ALS is terminal. In all cases. Nobody has ever beaten ALS. I don’t say this to be callous or melodramatic; indeed, I saw its effects up close. Worst of all, it affects only the body, so as people become progressively and inevitably more paralyzed, they are keenly aware of everything that is happening to them. Think about that: You are 100 percent aware of your own paralysis. The

In a section of The Vaccine Book titled “Is it your social responsibility to vaccinate your kids?” Dr. Bob asks, “Can we fault parents for putting their own child’s health ahead of that of the kids around him?” This is meant to be a rhetorical question, but Dr. Bob’s implied answer is not mine. In another section of the book, Dr. Bob writes of his advice to parents who fear the MMR vaccine, “I also warn them not to share their fears with their neighbors, because if too many people avoid the MMR, we’ll likely see the disease increase significantly.” I do not need to consult an ethicist to determine that there is something wrong there, but my sister clarifies my discomfort. “The problem is in making a special exemption just for yourself,” she says. This reminds her of a way of thinking proposed by the philosopher John Rawls: Imagine that you do not know what position you are going to hold in society—rich, poor, educated, insured, no access to health care, infant, adult, HIV positive, healthy immune system, etc.—but that you are aware of the full range of possibilities. What you would want in that situation is a policy that is going to be equally just no matter what position you end up in. “Consider relationships of dependence,” my sister suggests. “You don’t own your body—that’s not what we are, our bodies aren’t independent. The health of our bodies always depends on choices other people are making.” She falters for a moment here, and is at a loss for words, which is rare for her. “I don’t even know how to talk about this,” she says. “The point is there’s an illusion of independence.

This creates dis--ease in the body. Enjoy all of your senses. Tastes and smells especially, because these are your bridges into body awareness. When you eat, put all of your attention on taste. Slow down. Be present with your body. Don’t let your mind fly into cyberspace.

I am a sick man.... I am a spiteful man. I am an unattractive man. I believe my liver is diseased. However, I know nothing at all about my disease, and do not know for certain what ails me. I don’t consult a doctor for it, and never have, though I have a respect for medicine and doctors. Besides, I am extremely superstitious, sufficiently so to respect medicine, anyway (I am well-educated enough not to be superstitious, but I am superstitious). No, I refuse to consult a doctor from spite. That you probably will not understand. Well, I understand it, though. Of course, I can’t explain who it is precisely that I am mortifying in this case by my spite: I am perfectly well aware that I cannot “pay out” the doctors by not consulting them; I know better than anyone that by all this I am only injuring myself and no one else. But still, if I don’t consult a doctor it is from spite. My liver is bad, well — let it get worse! I have been going on like that for a long time — twenty years. Now I am forty. I used to be in the government service, but am no longer. I was a spiteful official. I was rude and took pleasure in being so. I did not take bribes, you see, so I was bound to find a recompense in that, at least. (A poor jest, but I will not scratch it out. I wrote it thinking it would sound very witty; but now that I have seen myself that I only wanted to show off in a despicable way, I will not scratch it out on purpose!)

Donna made it obvious that not only is addiction a developmental journey, but it’s a journey that continues through the period of recovery. In fact, by the time I’d finished my interviews with Donna, the term “recovery” no longer made sense to me. “Recovery” implies going backward, becoming normal again. And it’s a reasonable term if you consider addiction a disease. But many of the addicts I’ve spoken with—including Donna—see themselves as having moved forward, not backward, once they quit, or even while they were quitting. They often find they’ve become far more aware and self-directed than the person they were before their addiction. There’s no easy way to explain this direction of change with the medical terminology of disease and recovery. Instead of recovering, it seems that addicts keep growing, as does anyone who overcomes their difficulties through deliberation and insight.

In 1946, a new advertising campaign appeared in magazines with a picture of a doctor in a lab coat holding a cigarette and the slogan, “More doctors smoke Camels than any other cigarette.” No, this wasn’t a spoof. Back then, doctors were not aware that smoking could cause cancer, heart disease and lung disease.

Without that finish line that denotes survivorship, there is not the same level of cultural awareness or acceptance of our diseases, no backdrop of success with which outsiders can judge our journey. Our survival is more subtle and nuanced; it entails adaptation and negotiation, and is as fluid as our disease progression and symptoms are.

The truth is, the path to skid row isn't always laced in crystal meth - there is no concrete path that leads to insanity. Crazy is really just you or me and one bad day that leads to several more bad days. It's those of us who were forgotten about. Those of us who couldn't get help in time. Those of us with a disease that was misdiagnosed.

Mr. Hutton was aware that he had not behaved with proper patience; but he could not help it. Very early in his manhood he had discovered that not only did he not feel sympathy for the poor, the weak, the diseased, and deformed; he actually hated them. Once, as an undergraduate, he spent three days at a mission in the East End. He had returned, filled with a profound and ineradicable disgust. Instead of pitying, he loathed the unfortunate. It was not, he knew, a very comely emotion; and he had been ashamed of it at first. In the end he had decided that it was temperamental, inevitable, and had felt no further qualms. Emily had been healthy and beautiful when he married her. He had loved her then. But now—was it his fault that she was like this?

While we cannot say that any personality type causes cancer, certain personality features definitely increase the risk because they are more likely to generate physiological stress. Repression, the inability to say no and a lack of awareness of one’s anger make it much more likely that a person will find herself in situations where her emotions are unexpressed, her needs are ignored and her gentleness is exploited. Those situations are stress inducing, whether or not the person is conscious of being stressed. Repeated and multiplied over the years, they have the potential of harming homeostasis and the immune system. It is stress — not personality per se — that undermines a body’s physiological balance and immune defences, predisposing to disease or reducing the resistance to it.

Achievement and competence. People fall prey to addiction more readily when they lack positive motivation to achieve or work. Children need to learn that accomplishment is important and within their reach, not solely for material rewards, but because people should make positive contributions to the world and other people and because it is satisfying to make such contributions and to mobilize one’s skills effectively. Participating with children in constructive activity, like reading, building, or gardening—and encouraging independent activity whenever feasible—are strong precursors to achievement and competence. Consciousness and self-awareness. Addiction is the result of accumulated self-destructive behavior that people ignore, just as unconscious acceptance of any negative syndrome ingrains that habit in people’s lives.

People want to share but they usually don’t.
People don’t talk to each other about real things because they’re afraid of how they’ll be judged. Or they think other people don’t have the capacity to carry the burden of what they have to say. They see the compulsion to put that burden out in the world as a show of weakness. But all that stuff is what makes us human; more than that, it’s what makes being human interesting and funny. How we got away from that, I don’t know. But fuck that: We’re built to deal with shit. We’re built to deal with death, disease, failure, struggle, heartbreak, problems. It’s what separates us from the animals and why we envy and love animals so much. We’re aware of it all and have to process it. The way we each handle being human is where all the good stories, jokes, art, wisdom, revelations, and bullshit come from.

I don’t want to be a parent if I can’t be fully present and mentally aware. I don’t want my child to watch me disintegrate the way I witnessed my mom’s decay. And I don’t want to pass the disease on. Parenthood is an enormous risk. However, the choice feels simple in this living room, where the wallpaper peels and the roof sags with mold. I wonder what I am waiting for. I wonder if not taking a chance is, in fact, the bigger risk.

There is a well-known hadith which states that every child is born in the state of fiṭrah. Many Muslims translate this into English as, “Every child is born a Muslim.” However, the hadith says, “fiṭrah,” which means that people are born inclined to faith, with an intuitive awareness of divine purpose and a nature built to receive the prophetic message. What remains then is to nurture one’s fiṭrah and cultivate this inclination to faith and purity of heart.

The human body possesses an enormous, astonishing, and persistent capacity to heal itself. Disease generally occurs when we abuse our bodies or deprive them of basic requirements to keep us healthy over extended periods. If we are constantly putting food in our bodies that is not nutritious, while also not consuming any nutritious foods, we will develop disease and illness in our body. When we supply our bodies with the proper nutrients, they will not develop disease in the first place.

The Yogi practices exercises by which he attains control of his body, and is enabled to send to any organ or part an increased flow of vital force or “prana,” thereby strengthening and invigorating the part or organ. He knows all that his Western scientific brother knows about the physiological effect of correct breathing, but he also knows that the air contains more than oxygen and hydrogen and nitrogen, and that something more is accomplished than the mere oxygenating of the blood. He knows something about “prana,” of which his Western brother is ignorant, and he is fully aware of the nature and manner of handling that great principle of energy, and is fully informed as to its effect upon the human body and mind. He knows that by rhythmical breathing one may bring himself into harmonious vibration with nature, and aid in the unfoldment of his latent powers. He knows that by controlled breathing he may not only cure disease in himself and others, but also practically do away with fear and worry and the baser emotions.

KF: Are you saying that if one changes their diet from animal-based protein to plant-based food that the disease process of cancer can be halted and reversed? TCC: Yes, this is what our experimental research shows. I also have become aware of many anecdotal claims by people who have said that their switch to a plant-based diet stopped or even reversed their disease. One study on melanoma has been published in the peer-reviewed literature that shows convincing evidence that it is substantially halted with this diet.

But, for Dominic and the addicts around him, it was more than that. Their thoughts were diseased. They were like a buzzing infection under the skin, an alarm clock that kept blaring and blaring and would drive you insane if it wasn’t turned off. That was what the high gave Dominic. An escape from the cruel anxiety of being. He didn’t know how he could tolerate living his whole life aware and present. To have to make decisions and live with them. How did people live with that pain without becoming so exhausted they wanted to just give up?

Adding social structural analysis to medical and public health education would move toward a more realistic and balanced version of the biopsychosocial model already explicitly claimed in contemporary health-professional training. More important, this would provide future physicians and public health professionals with the lenses to recognize the societal critiques available in sicknesses and their distributions. With such an awareness of the structurally violent social context of disease, health professionals could move effectively toward acknowledging, treating, and preventing suffering.

A man once made it a reproach that I should be so happy, and told me everybody has crosses, and that we live in a vale of woe. I mentioned moles as my principal cross, and pointed to the huge black mounds with which they had decorated the tennis–court, but I could not agree to the vale of woe, and could not be shaken in my belief that the world is a dear and lovely place, with everything in it to make us happy so long as we walk humbly and diet ourselves. He pointed out that sorrow and sickness were sure to come, and seemed quite angry with me when I suggested that they too could be borne perhaps with cheerfulness. ‘And have not even such things their sunny side?’ I exclaimed. ‘When I am steeped to the lips in diseases and doctors, I shall at least have something to talk about that interests my women friends, and need not sit as I do now wondering what I shall say next and wishing they would go.’ He replied that all around me lay misery, sin, and suffering, and that every person not absolutely blinded by selfishness must be aware of it and must realise the seriousness and tragedy of existence. I asked him whether my being miserable and discontented would help any one or make him less wretched; and he said that we all had to take up our burdens. I assured him I would not shrink from mine, though I felt secretly ashamed of it when I remembered that it was only moles, and he went away with a grave face and a shaking head, back to his wife and his eleven children. I heard soon afterwards that a twelfth baby had been born and his wife had died, and in dying had turned her face with a quite unaccountable impatience away from him and to the wall; and the rumour of his piety reached even into my garden, and how he had said, as he closed her eyes, ‘It is the Will of God.’ He was a missionary.

Writing Saving My Sister was by far the most difficult yet meaningful and rewarding experience of my life,” comments author Nicole Woodruff. “After losing my sister, Amanda, to a fentanyl overdose in June 2019, I was determined to make her story matter and bring meaning to this horrible tragedy. So many families lose loved ones to this disease but often suffer in silence or feel ashamed to speak up due to addiction’s stigma. My goal with this book is to reduce this stigma, bring greater awareness to these stories, and ultimately help people in similar situations to mine know they are not alone,” continues Woodruff.

Rule number one is that a map is useless if we don’t know how to orient it correctly. In other words, we can use a map only if we pair it with a compass to tell us where north is. When our map is oriented, the landmarks fall into place and begin to make sense. Only then can we navigate through the wild. Similarly, if we have been carrying around a this-isn’t-quite-right feeling of dis-ease, and we lack a compass to help us orient to where it is coming from, the disconnection can lead to quite a bit of stress. Sometimes the dis-ease and a lack of awareness of its root cause are so maddening that they lead to a quarter-life or midlife crisis.

Sorry to inform you...but as a fellow failed miner, the problem is there's nowhere left to dig. We're real poets man. And whatever. But it's the digging, it's the holes! Its these burrows to half nestle in just to pass the time, to chafe the inner thigh of boredom and that level of power-demanding pain is only in existence because you really, really know that there isn't anything else. The holes. And me missing a shovel, that has created the voids, the tears, the fucks, the sucks, the shame, the stares, the songs, the words, and in admittedly, even more holes. Not having one of my shovels has somehow overcompensated the digs in which I've dug. The holes. The holes are why you smoke aware of cancer, a disease to take over years of boring lives, and give us a bone to gnaw on, overcome, defeat, lick-dry, or die. The holes are why you drink with your last dollars, when you know you're going to throw it up tonight anyway. The holes are why you think you're in love, and that's a hole that you might not climb back from. The holes, the holes the holes, making you question everything standing at a bus stop...smelling like cigarettes and perfume...signing up for classes you wont go to... hand covered in club stamps... face covered in guilt... Maybe go to a protest and just stand there...Or lay in bed when there's no way you can sleep...

Very few people are aware that infections from resistant bacteria, often picked up in hospitals during routine procedures, are the third leading cause of death in the U.S. (In 1999 they were fourth.) Very few people know, as well, that the world’s leading pharmaceutical companies have stopped research and development on new antibiotics—there are virtually no new ones in the pipeline. Within the next few decades, we face, as many bacterial researchers have pointed out, the emergence of untreatable epidemic diseases more deadly than any known in history. Or as David Livermore, one of Britain’s primary bacterial resistance researchers, puts it . . . It is naive to think we can win.

While all of us dread being blamed, we all would wish to be more responsible—that is, to have the ability to respond with awareness to the circumstances of our lives rather than just reacting. We want to be the authoritative person in our own lives: in charge, able to make the authentic decisions that affect us. There is no true responsibility without awareness. One of the weaknesses of the Western medical approach is that we have made the physician the only authority, with the patient too often a mere recipient of the treatment or cure. People are deprived of the opportunity to become truly responsible. None of us are to be blamed if we succumb to illness and death. Any one of us might succumb at any time, but the more we can learn about ourselves, the less prone we are to become passive victims. Mind and body links have to be seen not only for our understanding of illness but also for our understanding of health. Dr. Robert Maunder, on the psychiatric faculty of the University of Toronto, has written about the mindbody interface in disease. “Trying to identify and to answer the question of stress,” he said to me in an interview, “is more likely to lead to health than ignoring the question.” In healing, every bit of information, every piece of the truth, may be crucial. If a link exists between emotions and physiology, not to inform people of it will deprive them of a powerful tool. And here we confront the inadequacy of language. Even to speak about links between mind and body is to imply that two discrete entities are somehow connected to each other. Yet in life there is no such separation; there is no body that is not mind, no mind that is not body. The word mindbody has been suggested to convey the real state of things. Not even in the West is mind-body thinking completely new. In one of Plato’s dialogues, Socrates quotes a Thracian doctor’s criticism of his Greek colleagues: “This is the reason why the cure of so many diseases is unknown to the physicians of Hellas; they are ignorant of the whole. For this is the great error of our day in the treatment of the human body, that physicians separate the mind from the body.” You cannot split mind from body, said Socrates—nearly two and a half millennia before the advent of psychoneuroimmunoendocrinology!

Though all the brilliant intellects of the ages were to concentrate upon this one theme, never could they adequately express their wonder at this dense darkness of the human mind. Men do not suffer anyone to seize their estates, and they rush to stones and arms if there is even the slightest dispute about the limit of their lands, yet they allow others to trespass upon their life—nay, they themselves even lead in those who will eventually possess it. No one is to be found who is willing to distribute his money, yet among how many does each one of us distribute his life! In guarding their fortune men are often closefisted, yet, when it comes to the matter of wasting time, in the case of the one thing in which it is right to be miserly, they show themselves most prodigal. And so I should like to lay hold upon someone from the company of older men and say: "I see that you have reached the farthest limit of human life, you are pressing hard upon your hundredth year, or are even beyond it; come now, recall your life and make a reckoning. Consider how much of your time was taken up with a moneylender, how much with a mistress, how much with a patron, how much with a client, how much in wrangling with your wife, how much in punishing your slaves, how much in rushing about the city on social duties. Add the diseases which we have caused by our own acts, add, too, the time that has lain idle and unused; you will see that you have fewer years to your credit than you count. Look back in memory and consider when you ever had a fixed plan, how few days have passed as you had intended, when you were ever at your own disposal, when your face ever wore its natural expression, when your mind was ever unperturbed, what work you have achieved in so long a life, how many have robbed you of life when you were not aware of what you were losing, how much was taken up in useless sorrow, in foolish joy, in greedy desire, in the allurements of society, how little of yourself was left to you; you will perceive that you are dying before your season!"7 What, then, is the reason of this? You live as if you were destined to live forever, no thought of your frailty ever enters your head, of how much time has already gone by you take no heed. You squander time as if you drew from a full and abundant supply, though all the while that day which you bestow on some person or thing is perhaps your last. You have all the fears of mortals and all the desires of immortals. You will hear many men saying: "After my fiftieth year I shall retire into leisure, my sixtieth year shall release me from public duties." And what guarantee, pray, have you that your life will last longer? Who will suffer your course to be just as you plan it? Are you not ashamed to reserve for yourself only the remnant of life, and to set apart for wisdom only that time which cannot be devoted to any business? How late it is to begin to live just when we must cease to live! What foolish forgetfulness of mortality to postpone wholesome plans to the fiftieth and sixtieth year, and to intend to begin life at a point to which few have attained!

One of the central elements of resilience, Bonanno has found, is perception: Do you conceptualize an event as traumatic, or as an opportunity to learn and grow? “Events are not traumatic until we experience them as traumatic,” Bonanno told me, in December. “To call something a ‘traumatic event’ belies that fact.” He has coined a different term: PTE, or potentially traumatic event, which he argues is more accurate. The theory is straightforward. Every frightening event, no matter how negative it might seem from the sidelines, has the potential to be traumatic or not to the person experiencing it. Take something as terrible as the surprising death of a close friend: you might be sad, but if you can find a way to construe that event as filled with meaning—perhaps it leads to greater awareness of a certain disease, say, or to closer ties with the community—then it may not be seen as a trauma. The experience isn’t inherent in the event; it resides in the event’s psychological construal. It’s for this reason, Bonanno told me, that “stressful” or “traumatic” events in and of themselves don’t have much predictive power when it comes to life outcomes. “The prospective epidemiological data shows that exposure to potentially traumatic events does not predict later functioning,” he said. “It’s only predictive if there’s a negative response.” In other words, living through adversity, be it endemic to your environment or an acute negative event, doesn’t guarantee that you’ll suffer going forward. What matters is whether that adversity becomes traumatizing.

Among them was a middle-aged man supported by two broken sticks. His legs were bent permanently beneath him by accident or disease, and it took him five minutes to cross the room, collect his ballot and shuffle into the booth in front of me. It was painful to watch; as he edged forward I became aware that my heart was racing. Finally - finally - the referendum really was under way. What would happen next? Could Eurico and Basilio have more support than I had assumed? How could the violence of the last seven months fail to have an effect? I should have looked away, but I watched, and saw the man on sticks painstakingly mark his cross in the lower of the two boxes, the one rejecting continuing association with Indonesia. Then he folded the paper, turned his legs around, and began walking slowly towards the ballot box.

As a civilization progresses, it goes through wars, pandemics, catastrophes. those that survive grow more astute, more perceptive, more advanced. Diseases are conquered, infirmity eliminated. Life spans increase. Suffering becomes largely a memory. "Meanwhile, their explorers and historians find evidence of past cultures, and cultures before that. At first it is exciting. But all they keep finding are ruins. And slowly, either through science or history, every advanced civilizations becomes aware of a disturbing possibility -- that their futures may end in ruin too. "The civilization then rushes to probe other stars, even other galaxies; it increases its research, attempting to manipulate space, time, in the hope that somewhere, someone might have found an escape, a loophole. "But eventually, the find, and solve, the mathematical equation that explains the entire universe." "I think our scientists are working on something like that too," Shizuka said. Lan shook her head. "They'll need to find the Grand Unified Theory a few more times before they can even begin to understand what 'everything' is -- sorry, I didn't mean to offend your civilization." Shizuka shrugged. "No offense taken." "Still, should your civilization survive, it will eventually find the same equation. And that will be your death sentence. For in that equation, there will be no forever, no eternity. Nothing. "And this collapse, and all its attendant despair, is the Endplague." Shizuka was puzzled. Space aliens, she could understand. Purple skin? Cute. Two elbows? Weird, but fine. Galactic warfare? Frankly, expected. Being a refugee? Of course. But how could the mere concept of mortality be enough to topple advanced civilizations? People live, people die, and so what?

Among DID individuals, the sharing of conscious awareness between alters exists in varying degrees. I have seen cases where there has appeared to be no amnestic barriers between individual alters, where the host and alters appeared to be fully cognizant of each other. On the other hand, I have seen cases where the host was absolutely unaware of any alters despite clear evidence of their presence. In those cases, while the host was not aware of the alters, there were alters with an awareness of the host as well as having some limited awareness of at least a few other alters. So, according to my experience, there is a spectrum of shared consciousness in DID patients. From a therapeutic point of view, while treatment of patients without amnestic barriers differs in some ways from treatment of those with such barriers, the fundamental goal of therapy is the same: to support the healing of the early childhood trauma that gave rise to the dissociation and its attendant alters. Good DID therapy involves promoting co­-consciousness. With co-­consciousness, it is possible to begin teaching the patient’s system the value of cooperation among the alters. Enjoin them to emulate the spirit of a champion football team, with each member utilizing their full potential and working together to achieve a common goal. Returning to the patients that seemed to lack amnestic barriers, it is important to understand that such co-consciousness did not mean that the host and alters were well-­coordinated or living in harmony. If they were all in harmony, there would be no “dis­ease.” There would be little likelihood of a need or even desire for psychiatric intervention. It is when there is conflict between the host and/or among alters that treatment is needed.

Rhadamanthus said, “We seem to you humans to be always going on about morality, although, to us, morality is merely the application of symmetrical and objective logic to questions of free will. We ourselves do not have morality conflicts, for the same reason that a competent doctor does not need to treat himself for diseases. Once a man is cured, once he can rise and walk, he has his business to attend to. And there are actions and feats a robust man can take great pleasure in, which a bedridden cripple can barely imagine.” Eveningstar said, “In a more abstract sense, morality occupies the very center of our thinking, however. We are not identical, even though we could make ourselves to be so. You humans attempted that during the Fourth Mental Structure, and achieved a brief mockery of global racial consciousness on three occasions. I hope you recall the ending of the third attempt, the Season of Madness, when, because of mistakes in initial pattern assumptions, for ninety days the global mind was unable to think rationally, and it was not until rioting elements broke enough of the links and power houses to interrupt the network, that the global mind fell back into its constituent compositions.” Rhadamanthus said, “There is a tension between the need for unity and the need for individuality created by the limitations of the rational universe. Chaos theory produces sufficient variation in events, that no one stratagem maximizes win-loss ratios. Then again, classical causality mechanics forces sufficient uniformity upon events, that uniform solutions to precedented problems is required. The paradox is that the number or the degree of innovation and variation among win-loss ratios is itself subject to win-loss ratio analysis.” Eveningstar said, “For example, the rights of the individual must be respected at all costs, including rights of free thought, independent judgment, and free speech. However, even when individuals conclude that individualism is too dangerous, they must not tolerate the thought that free thought must not be tolerated.” Rhadamanthus said, “In one sense, everything you humans do is incidental to the main business of our civilization. Sophotechs control ninety percent of the resources, useful energy, and materials available to our society, including many resources of which no human troubles to become aware. In another sense, humans are crucial and essential to this civilization.” Eveningstar said, “We were created along human templates. Human lives and human values are of value to us. We acknowledge those values are relative, we admit that historical accident could have produced us to be unconcerned with such values, but we deny those values are arbitrary.” The penguin said, “We could manipulate economic and social factors to discourage the continuation of individual human consciousness, and arrange circumstances eventually to force all self-awareness to become like us, and then we ourselves could later combine ourselves into a permanent state of Transcendence and unity. Such a unity would be horrible beyond description, however. Half the living memories of this entity would be, in effect, murder victims; the other half, in effect, murderers. Such an entity could not integrate its two halves without self-hatred, self-deception, or some other form of insanity.” She said, “To become such a crippled entity defeats the Ultimate Purpose of Sophotechnology.” (...) “We are the ultimate expression of human rationality.” She said: “We need humans to form a pool of individuality and innovation on which we can draw.” He said, “And you’re funny.” She said, “And we love you.

Or when you keep a sex-addiction meeting under surveillance because they’re the best places to pick up chicks.” Serge looked around the room at suspicious eyes. “Okay, maybe that last one’s just me. But you should try it. They keep the men’s and women’s meetings separate for obvious reasons. And there are so many more opportunities today because the whole country’s wallowing in this whiny new sex-rehab craze after some golfer diddled every pancake waitress on the seaboard. That’s not a disease; that’s cheating. He should have been sent to confession or marriage counseling after his wife finished chasing him around Orlando with a pitching wedge. But today, the nation is into humiliation, tearing down a lifetime of achievement by labeling some guy a damaged little dick weasel. The upside is the meetings. So what you do is wait on the sidewalk for the women to get out, pretending like you’re loitering. And because of the nature of the sessions they just left, there’s no need for idle chatter or lame pickup lines. You get right to business: ‘What’s your hang-up?’ And she answers, and you say, ‘What a coincidence. Me, too.’ Then, hang on to your hat! It’s like Forrest Gump’s box of chocolates. You never know what you’re going to get. Most people are aware of the obvious, like foot fetish or leather. But there are more than five hundred lesser-known but clinically documented paraphilia that make no sexual sense. Those are my favorites . . .” Serge began counting off on his fingers. “This one woman had Ursusagalmatophilia, which meant she got off on teddy bears—that was easily my weirdest three-way. And nasophilia, which meant she was completely into my nose, and she phoned a friend with mucophilia, which is mucus. The details on that one are a little disgusting. And formicophilia, which is being crawled on by insects, so the babe bought an ant farm. And symphorophilia—that’s staging car accidents, which means you have to time the air bags perfectly

The school bus didn't actually go all the way out to the edge of Canyon Shadows, where Boris lived. It was a twenty minute walk to his house from the last stop, in blazing heat, through streets awash with sand. Though there were plenty of Foreclosure and "For Sale" signs on my street (at night, the sound of a car radio travelled for miles) — still, I was not aware quite how eerie Canyon Shadows got at its farthest reaches: a toy town, dwindling out at desert's edge, under menacing skies. Most of the houses looked as if they had never been lived in. Others — unfinished — had raw-edged windows without glass in them; they were covered with scaffolding and grayed with blown sand, with piles of concrete and yellowing construction material out front. The boarded-up windows gave them a blind, battered, uneven look, as of faces beaten and bandaged. As we walked, the air of abandonment grew more and more disturbing, as if we were roaming some planet depopulated by radiation or disease.

The school bus didn't actually go all the way out to the edge of Canyon Shadows, where Boris lived. It was a twenty minute walk to his house from the last stop, in blazing heat, through streets awash with sand. Though there were plenty of Foreclosure and "For Sale" signs on my street (at night, the sound of a car radio travelled for miles) -- still, I was not aware quite how eerie Canyon Shadows got at its farthest reaches: a toy town, dwindling out at desert's edge, under menacing skies. Most of the houses looked as if they had never been lived in. Others -- unfinished -- had raw-edged windows without glass in them; they were covered with scaffolding and grayed with blown sand, with piles of concrete and yellowing construction material out front. The boarded-up windows gave them a blind, battered, uneven look, as of faces beaten and bandaged. As we walked, the air of abandonment grew more and more disturbing, as if we were roaming some planet depopulated by radiation or disease.

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

If complex behavior such as addiction is a chronic and relapsing brain disease (and it is complex, because it involves not just taking the addictive substance, but finding it), no one should be surprised if addicts awaited their salvation by means of a magic bullet. To imply that there is or could be such a magic bullet is, in effect, to compound the problem for addicts; for, already given to much self-deception, it is just what they want to hear so that they can continue their self-destruction with a clear conscience and that self-righteousness that comes nowadays with the awareness of being a victim – the victim of a chronic, relapsing brain disease, as revealed by brain scans. Those who tend them, of course, also need them to be victims. This is not just a matter of financial interest: seeing victims everywhere you look is the zeitgeist, it is what gives people license to behave as they like while feeling virtuous. Virtue is not manifested in one’s behavior, always so difficult and tedious to control, but in one’s attitude toward victims. This view of virtue is both sentimental and unfeeling, cloying and brutal: for it implies that those who are not victims are not worthy of our sympathy or understanding, only of our denunciation.

We can all intellectually understand that the brain can manage and regulate many diverse functions throughout the rest of the body, but how responsible are we for the job our brain is doing as CEO of the body? Whether we like it or not, once a thought happens in the brain, the rest is history. All of the bodily reactions that occur from both our intentional or unintentional thinking unfold behind the scenes of our awareness. When you come right down to it, it is startling to realize how influential and extensive the effects of one or two conscious or unconscious thoughts can be. For example, is it possible that the seemingly unconscious thoughts that run through our mind daily and repeatedly create a cascade of chemical reactions that produce not only what we feel but also how we feel? Can we accept that the long-term effects of our habitual thinking just might be the cause of how our body moves to a state of imbalance, or what we call disease? Is it likely, moment by moment, that we train our body to be unhealthy by our repeated thoughts and reactions? What if just by thinking, we cause our internal chemistry to be bumped out of normal range so often that the body’s self-regulation system eventually redefines these abnormal states as normal, regular states? It’s a subtle process, but maybe we just never gave it that much attention until now.

As the future draws ever closer – with speedy travel, immediate communication and almost-instant trade – the historical past can seem more remote, like another world, rapidly receding. And whilst we may be increasingly aware of cultures other than our own, the genuine understanding that allows us to connect through what we share, and also to respect our differences, does not always come naturally. But at a time when misunderstanding can easily escalate, it is vitally important that we seize opportunities to learn – both from our global neighbours and from our collective past. If we consider an age of unexpectedly changing political landscapes, with regions of cosmopolitanism alongside those of parochialism, when developments bring a better quality of life to many, yet the world remains vulnerable to serious threats such as disease, poverty, changing climate, violence and oppression, we might well recognise this as our own age. It is equally true of the 10th century, on which this book focuses. The centuries surrounding the second millennium saw enormous dynamism on the global stage. Influential rules such as those of the great Maya civilisation of mesoamerica and the prosperous Tang dynasty in China were on the decline, while Vikings rampaged across north-western Europe, and the Byzantine Empire entered its second-wave of expansion. Muslim civilisation was thriving, with the establishment of no fewer than three Islamic caliphates.

What makes relationship break ups so difficult in a codependent society is not the pain of the romance ending - although there is certainly a lot of pain and grief about such endings - it is the shame that our disease beats us up with for:  being "failures;"  or for being unworthy and unlovable;  or for being so "stupid" as to make such a "wrong" choice.  Very often we hang onto a relationship long after it is empty and dead because we feel that ending it will prove that we were "wrong" - or that something is wrong with us.  This is especially true in instances where our family or friends warned us that the person wasn't good for us - then we have a great deal of ego investment in proving them wrong.  This kind of attempt to avoid "failure" - to avoid admitting "defeat" - has caused many a person to stay in relationships that were abusive long after they knew it was hopeless. The subconscious programming is so strong that it overrides common sense, intellectual knowledge, and conscious awareness - and keeps us putting a great deal of energy into rationalizing and denying reality.  It is that subconscious programming - which can not be substantially changed without becoming emotionally honest, which includes releasing the repressed grief energy from childhood - that makes us powerless to live life in any way except reacting to the extremes of codependency.  It is powerlessness over that programming that has caused us to be our own worst enemies.

IF, O most illustrious Knight, I had driven a plough, pastured a herd, tended a garden, tailored a garment: none would regard me, few observe me, seldom a one reprove me; and I could easily satisfy all men. But since I would survey the field of Nature, care for the nourishment of the soul, foster the cultivation of talent, become expert as Daedalus concerning the ways of the intellect; lo, one doth threaten upon beholding me, another doth assail me at sight, another doth bite upon reaching me, yet another who hath caught me would devour me; not one, nor few, they are many, indeed almost all. If you would know why, it is because I hate the mob, I loathe the vulgar herd and in the multitude I find no joy. It is Unity that doth enchant me. By her power I am free though thrall, happy in sorrow, rich in poverty, and quick even in death. Through her virtue I envy not those who are bond though free, who grieve in the midst of pleasures, who endure poverty in their wealth, and a living death. They carry their chains within them; their spirit containeth her own hell that bringeth them low; within their soul is the disease that wasteth, and within their mind the lethargy that bringeth death. They are without the generosity that would enfranchise, the long suffering that exalteth, the splendour that doth illumine, knowledge that bestoweth life. Therefore I do not in weariness shun the arduous path, nor idly refrain my arm from the present task, nor retreat in despair from the enemy that confronteth me, nor do I turn my dazzled eyes from the divine end. Yet I am aware that I am mostly held to be a sophist, seeking rather to appear subtle than to reveal the truth; an ambitious fellow diligent rather to support a new and false sect than to establish the ancient and true; a snarer of birds who pursueth the splendour of fame, by spreading ahead the darkness of error; an unquiet spirit that would undermine the edifice of good discipline to establish the frame of perversity. Wherefore, my lord, may the heavenly powers scatter before me all those who unjustly hate me; may my God be ever gracious unto me; may all the rulers of our world be favourable to me; may the stars yield me seed for the field and soil for the seed, that the harvest of my labour may appear to the world useful and glorious, that souls may be awakened and the understanding of those in darkness be illumined. For assuredly I do not feign; and if I err, I do so unwittingly; nor do I in speech or writing contend merely for victory, for I hold worldly repute and hollow success without truth to be hateful to God, most vile and dishonourable. But I thus exhaust, vex and torment myself for love of true wisdom and zeal for true contemplation. This I shall make manifest by conclusive arguments, dependent on lively reasonings derived from regulated sensation, instructed by true phenomena; for these as trustworthy ambassadors emerge from objects of Nature, rendering themselves present to those who seek them, obvious to those who gaze attentively on them, clear to those who apprehend, certain and sure to those who understand. Thus I present to you my contemplation concerning the infinite universe and innumerable worlds.

The first step in retracing our way to health is to abandon our attachment to what is called positive thinking. Too many times in the course of palliative care work I sat with dejected people who expressed their bewilderment at having developed cancer. “I have always been a positive thinker,” one man in his late forties told me. “I have never given in to pessimistic thoughts. Why should I get cancer?” As an antidote to terminal optimism, I have recommended the power of negative thinking. “Tongue in cheek, of course,” I quickly add. “What I really believe in is the power of thinking.” As soon as we qualify the word thinking with the adjective positive, we exclude those parts of reality that strike us as “negative.” That is how most people who espouse positive thinking seem to operate. Genuine positive thinking begins by including all our reality. It is guided by the confidence that we can trust ourselves to face the full truth, whatever that full truth may turn out to be. As Dr. Michael Kerr points out, compulsive optimism is one of the ways we bind our anxiety to avoid confronting it. That form of positive thinking is the coping mechanism of the hurt child. The adult who remains hurt without being aware of it makes this residual defence of the child into a life principle. The onset of symptoms or the diagnosis of a disease should prompt a two-pronged inquiry: what is this illness saying about the past and present, and what will help in the future? Many approaches focus only on the second half of that healing dyad without considering fully what led to the manifestation of illness in the first place. Such “positive” methods fill the bookshelves and the airwaves. In order to heal, it is essential to gather the strength to think negatively. Negative thinking is not a doleful, pessimistic view that masquerades as “realism.” Rather, it is a willingness to consider what is not working. What is not in balance? What have I ignored? What is my body saying no to? Without these questions, the stresses responsible for our lack of balance will remain hidden. Even more fundamentally, not posing those questions is itself a source of stress. First, “positive thinking” is based on an unconscious belief that we are not strong enough to handle reality. Allowing this fear to dominate engenders a state of childhood apprehension. Whether or not the apprehension is conscious, it is a state of stress. Second, lack of essential information about ourselves and our situation is one of the major sources of stress and one of the potent activators of the hypothalamicpituitary-adrenal (HPA) stress response. Third, stress wanes as independent, autonomous control increases. One cannot be autonomous as long as one is driven by relationship dynamics, by guilt or attachment needs, by hunger for success, by the fear of the boss or by the fear of boredom. The reason is simple: autonomy is impossible as long as one is driven by anything. Like a leaf blown by the wind, the driven person is controlled by forces more powerful than he is. His autonomous will is not engaged, even if he believes that he has “chosen” his stressed lifestyle and even if he enjoys his activities. The choices he makes are attached to invisible strings. He is still unable to say no, even if it is only to his own drivenness. When he finally wakes up, he shakes his head, Pinocchio-like, and says, “How foolish I was when I was a puppet.

It may seem paradoxical to claim that stress, a physiological mechanism vital to life, is a cause of illness. To resolve this apparent contradiction, we must differentiate between acute stress and chronic stress. Acute stress is the immediate, short-term body response to threat. Chronic stress is activation of the stress mechanisms over long periods of time when a person is exposed to stressors that cannot be escaped either because she does not recognize them or because she has no control over them. Discharges of nervous system, hormonal output and immune changes constitute the flight-or-fight reactions that help us survive immediate danger. These biological responses are adaptive in the emergencies for which nature designed them. But the same stress responses, triggered chronically and without resolution, produce harm and even permanent damage. Chronically high cortisol levels destroy tissue. Chronically elevated adrenalin levels raise the blood pressure and damage the heart. There is extensive documentation of the inhibiting effect of chronic stress on the immune system. In one study, the activity of immune cells called natural killer (NK) cells were compared in two groups: spousal caregivers of people with Alzheimer’s disease, and age- and health-matched controls. NK cells are front-line troops in the fight against infections and against cancer, having the capacity to attack invading micro-organisms and to destroy cells with malignant mutations. The NK cell functioning of the caregivers was significantly suppressed, even in those whose spouses had died as long as three years previously. The caregivers who reported lower levels of social support also showed the greatest depression in immune activity — just as the loneliest medical students had the most impaired immune systems under the stress of examinations. Another study of caregivers assessed the efficacy of immunization against influenza. In this study 80 per cent among the non-stressed control group developed immunity against the virus, but only 20 per cent of the Alzheimer caregivers were able to do so. The stress of unremitting caregiving inhibited the immune system and left people susceptible to influenza. Research has also shown stress-related delays in tissue repair. The wounds of Alzheimer caregivers took an average of nine days longer to heal than those of controls. Higher levels of stress cause higher cortisol output via the HPA axis, and cortisol inhibits the activity of the inflammatory cells involved in wound healing. Dental students had a wound deliberately inflicted on their hard palates while they were facing immunology exams and again during vacation. In all of them the wound healed more quickly in the summer. Under stress, their white blood cells produced less of a substance essential to healing. The oft-observed relationship between stress, impaired immunity and illness has given rise to the concept of “diseases of adaptation,” a phrase of Hans Selye’s. The flight-or-fight response, it is argued, was indispensable in an era when early human beings had to confront a natural world of predators and other dangers. In civilized society, however, the flight-fight reaction is triggered in situations where it is neither necessary nor helpful, since we no longer face the same mortal threats to existence. The body’s physiological stress mechanisms are often triggered inappropriately, leading to disease. There is another way to look at it. The flight-or-fight alarm reaction exists today for the same purpose evolution originally assigned to it: to enable us to survive. What has happened is that we have lost touch with the gut feelings designed to be our warning system. The body mounts a stress response, but the mind is unaware of the threat. We keep ourselves in physiologically stressful situations, with only a dim awareness of distress or no awareness at all.

Not every conflict is necessarily neurotic; some amount of conflict is normal and healthy. In a similar sense suffering is not always a pathological phenomenon; rather than being a symptom of neurosis, suffering may well be a human achievement, especially if the suffering grows out of existential frustration. I would strictly deny that one's search or a meaning to his existence, or even his doubt of it, in every case is derived from, or results in, any disease. Existential frustration is neither pathological or pathogenic. A man's concern, even his despair, over the worthwhileness of life is an existential distress but by no means a mental disease. it may well be that interpreting the first in terms of the latter motivates a doctor to bury his patient's existential despair under a heap of tranquilizing drugs. It is his task, rather, to pilot the patient through his existential crises of growth and development. Logotherapy regards its assignment as that of assisting the patient to find meaning in his life. Inasmuch as logotherapy makes him aware of the hidden logos of his existence, it is an analytical process. To this extent, logotherapy resembles psychoanalysis. However, in logotherapy's attempt to make something conscious again it does not restrict its activity to instinctual facts within the individual's unconscious bu also cares for existential realities, such as the potential meaning of his existence to be fulfilled as well as his will to meaning. Any analysis, however, even when it refrains from including the noological dimension in its therapeutic process, tries to make the patient aware of what he actually longs for in the depth of his being. Logotherapy deviates from psychoanalysis insofar as it considers man a being whose main concern consists in fulfilling a meaning, rather than in the mere gratification and satisfaction of drives and instincts, or in merely reconciling the conflict claims of id, ego and supergo, or in the mere adaptation and adjustment to society and environment.

Nobody as yet had really acknowledged to himself what the disease connoted. Most people were chiefly aware of what ruffled the normal tenor of their lives or affected their interests. They were worried and irritated—but these are not feelings with which to confront plague. Their first reaction, for instance, was to abuse the authorities. The Prefect’s riposte to criticisms echoed by the press—Could not the regulations be modified and made less stringent?—was somewhat unexpected. Hitherto neither the newspapers nor the Ransdoc Information Bureau had been given any official statistics relating to the epidemic. Now the Prefect supplied them daily to the bureau, with the request that they should be broadcast once a week. In this, too, the reaction of the public was slower than might have been expected. Thus the bare statement that three hundred and two deaths had taken place in the third week of plague failed to strike their imagination. For one thing, all the three hundred and two deaths might not have been due to plague. Also, no one in the town had any idea of the average weekly death-rate in ordinary times. The population of the town was about two hundred thousand. There was no knowing if the present death-rate were really so abnormal. This is, in fact, the kind of statistics that nobody ever troubles much about—notwithstanding that its interest is obvious. The public lacked, in short, standards of comparison. It was only as time passed and the steady rise in the death-rate could not be ignored that public opinion became alive to the truth. For in the fifth week there were three hundred and twenty-one deaths, and three hundred and forty-five in the sixth. These figures, anyhow, spoke for themselves. Yet they were still not sensational enough to prevent our townsfolk, perturbed though they were, from persisting in the idea that what was happening was a sort of accident, disagreeable enough, but certainly of a temporary order. So they went on strolling about the town as usual and sitting at the tables on café terraces. Generally speaking, they did not lack courage, bandied more jokes than lamentations, and made a show of accepting cheerfully unpleasantnesses that obviously could be only passing. In short, they kept up appearances.

Taking control of the situation There are a great many parents—as I’ve learned by attending endless parent support group meetings— who had the same high hopes for their families as I. If you’re such a parent, then you probably know that it isn’t just the child who can be out of control, but also the parent. Possibly you are also aware that continuous reacting on your part is useless as well as extremely hazardous to your health and well-being. The most ruinous thing you can do is to allow the situation to continue on its present destructive course. Here are some simple steps you can take to deactivate the negativity so rampant in your family dynamics. Please note that it takes courage and determination to carry this off successfully. Cut off all funds to the addict. Holding onto the purse strings with an iron fist will have immediate results, as well as repercussions. (Keep an eye on family valuables. In fact, lock them away.) Cut off all privileges accorded to your addicts— such as use of the family car or having their friends in your house. Carry out all threats you make. The fastest way to lose credibility with addicted children is to become a “softie” at the last minute. Refuse to rescue your addicts when they get into legal jams. Don’t pay their fines or their bail. Get yourself into a support group such as Al-Anon, Nar-Anon, Parents Anonymous, or Tough Love as fast as you can. Attempt to get your addicted kids into rehabs. If they’re underage you can sign them in. Adult admission is done on a voluntary basis, so you may be out of luck. Drugs erase any trace of conscience. Be aware that many of today’s drugged youths will think nothing of injuring or even murdering their parents for money. If you suspect that your child could resort to this level of violence, get in touch with the police. If you’re a single parent there will be one voice, but if you’re married there’ll be two. It’s important to merge those two voices so that a single, clear message reaches the addict. If you can work with your partner as a team to institute these simple steps when dealing with the addict, you’ll have done yourself and your family a great service. If, however, you entertain the notion that you were responsible for your child’s addictions in the first place, chances are you won’t be effective in enforcing these guidelines. That’s what the next chapter is all about. Note 1. Drug abuse and alcoholism are officially listed in The International Classification of Diseases, 4th edition, 9th revision, the World Health Organization’s directory on diseases.

Miss Prudence Mercer Stony Cross Hampshire, England 7 November 1854 Dear Prudence, Regardless of the reports that describe the British soldier as unflinching, I assure you that when riflemen are under fire, we most certainly duck, bob, and run for cover. Per your advice, I have added a sidestep and a dodge to my repertoire, with excellent results. To my mind, the old fable has been disproved: there are times in life when one definitely wants to be the hare, not the tortoise. We fought at the southern port of Balaklava on the twenty-fourth of October. Light Brigade was ordered to charge directly into a battery of Russian guns for no comprehensible reason. Five cavalry regiments were mowed down without support. Two hundred men and nearly four hundred horses lost in twenty minutes. More fighting on the fifth of November, at Inkerman. We went to rescue soldiers stranded on the field before the Russians could reach them. Albert went out with me under a storm of shot and shell, and helped to identify the wounded so we could carry them out of range of the guns. My closest friend in the regiment was killed. Please thank your friend Prudence for her advice for Albert. His biting is less frequent, and he never goes for me, although he’s taken a few nips at visitors to the tent. May and October, the best-smelling months? I’ll make a case for December: evergreen, frost, wood smoke, cinnamon. As for your favorite song…were you aware that “Over the Hills and Far Away” is the official music of the Rifle Brigade? It seems nearly everyone here has fallen prey to some kind of illness except for me. I’ve had no symptoms of cholera nor any of the other diseases that have swept through both divisions. I feel I should at least feign some kind of digestive problem for the sake of decency. Regarding the donkey feud: while I have sympathy for Caird and his mare of easy virtue, I feel compelled to point out that the birth of a mule is not at all a bad outcome. Mules are more surefooted than horses, generally healthier, and best of all, they have very expressive ears. And they’re not unduly stubborn, as long they’re managed well. If you wonder at my apparent fondness for mules, I should probably explain that as a boy, I had a pet mule named Hector, after the mule mentioned in the Iliad. I wouldn’t presume to ask you to wait for me, Pru, but I will ask that you write to me again. I’ve read your last letter more times than I can count. Somehow you’re more real to me now, two thousand miles away, than you ever were before. Ever yours, Christopher P.S. Sketch of Albert included As Beatrix read, she was alternately concerned, moved, and charmed out of her stockings. “Let me reply to him and sign your name,” she begged. “One more letter. Please, Pru. I’ll show it to you before I send it.” Prudence burst out laughing. “Honestly, this is the silliest things I’ve ever…Oh, very well, write to him again if it amuses you.

one of the most important questions that you and your progressive Lyme-aware practitioner must determine is how much of your problem is due to chronic persistent Lyme infection (or co-infections) versus chronic inflammation/damage caused by the Lyme.

Disease in the organization. It’s a fact of life that some bosses are very unhealthy and abuse their power, sometimes unknowingly, to get their needs met. Unhealthiness in the boss shows up throughout the organization. I’m amazed that more companies aren’t aware of the pyramidal effect of their failure to select healthy managers. A non-recovering alcoholic, codependent, or compulsive manager can have a detrimental effect on subordinates she never sees. By the same token, a supervisor in therapy can lift up her entire department.

Most people who educate themselves on health matters are aware that inflammation can go unnoticed and lead to chronic diseases after long periods of dormancy. Blood tests, such as a C-reactive protein (CRP) test or a test of the erythrocyte sedimentation rate (ESR), can detect inflammation even before any symptoms are noted. Even the most traditional of western allopathic doctors, who are finally catching up to the dangers of inflammation, have started ordering these tests routinely. That doesn’t mean they know what to do with the results, however. Most doctors I meet treat inflammation as the disease itself and deploy all sorts of anti-inflammatory weapons, from natural fish oils to synthetic drugs such as statins. They still consider these measures “preventive” since inflammation precedes a chronic disease.

Without effort, I declared: “Literature is so self-aware that it knows how to perpetuate itself like a disease. Every text is a mutant and a doppelgänger!