Going To Surgery Quotes

Miss Ellis?" Mrs. Perterson says. "It's your turn. Introduce Alex to the class" "This is Alejandro Fuentes. When he wasn't hanging out on street corners and harrassing innocent people this summer, he toured the inside of jails around the city, if you know what i mean. His secret desire is to go to college and become a chemistry teacher, like you Mrs. Peterson." Brittney flashed me a triumpnet smile, thinking she won this round. Guess again, gringa. "This is Brittney Ellis," I say, all eyes focused on me. "This summer she went to the mall, bought new clothes to extend her wardrobe, and spent her daddy's money on plastic surgery to enhance her, ahem, assets. Her secret desire is to date a Mexicano before she graduates." Game on...

Can the purpose of a relationship be to trigger our wounds? In a way, yes, because that is how healing happens; darkness must be exposed before it can be transformed. The purpose of an intimate relationship is not that it be a place where we can hide from our weaknesses, but rather where we can safely let them go. It takes strength of character to truly delve into the mystery of an intimate relationship, because it takes the strength to endure a kind of psychic surgery, an emotional and psychological and even spiritual initiation into the higher Self. Only then can we know an enchantment that lasts.

Reread that Bronte book all you want, but Jane Eyre's never going to get gender-reassignment surgery or train to become a kick-ass ninja assassin.

The philosopher's school, ye men, is a surgery: you ought not to go out of it with pleasure, but with pain. For you are not in sound health when you enter.

I just want to sleep. The whole point of not talking about it, of silencing the memory, is to make it go away. It won't. I'll need brain surgery to cut it out of my head.

We do not have to spend money and go hungry and struggle and study to become sensual; we always were. We need not believe we must somehow earn good erotic care; we always deserved it. Femaleness and its sexuality are beautiful. Women have long secretly suspected as much. In that sexuality, women are physically beautiful already; superb; breathtaking. Many, many men see this way too. A man who wants to define himself as a real lover of women admires what shows of her past on a woman's face, before she ever saw him, and the adventures and stresses that her body has undergone, the scars of trauma, the changes of childbirth, her distinguishing characteristics, the light is her expression. The number of men who already see in this way is far greater than the arbiters of mass culture would lead us to believe, since the story they need to tell ends with the opposite moral.

The books on plastic surgery, the pamphlets and brochures all promised to help me live a more normal, happy life; but less and less, this looked like what I'd want. What I wanted looked more and more like what I'd always been trained to want. What everybody wants. Give me attention. Flash. Give me beauty. Flash. Give me peace and happiness, a loving relationship, and a perfect home. Flash. Brandy says, "The best way is not to fight it, just go. Don't be trying all the time to fix things. What you run from only stays with you longer. When you fight something, you only make it stronger." She says, "Don't do what you want." She says, "Do what you don't want. Do what you're trained not to want." It's the opposite of following your bliss. Brandy tells me, "Do the things that scare you the most.

Well, if you wake up intending to murder someone at two o'clock, you hardly think what you're going to feed the corpse for dinner.

Most medical students go through a brief period when they develop all manner of imaginary illnesses – I myself had leukaemia for at least four days – until they learn, as a matter of self-preservation, that illnesses happen to patients, not to doctors.

Because she bears the image of God. She doesn’t have to conjure it, go get it from a salon, have plastic surgery or breast implants. No, beauty is an essence that is given to every woman at her creation.

Weight and body oppression is oppressive to everyone. When you live in a society that says that one kind of body is bad and and other is good, those with “good” bodies constantly fear that their bodies will go “bad”, and those with “bad” bodies are expected feel shame and do everything they can to have “good” bodies. In the process, we torture our bodies, and do everything from engage in disordered eating to invasive surgery to make ourselves okay. Nobody wins in this kind of struggle.

If you tell me Christian commitment is a kind of thing that has happened to you once and for all like some kind of spiritual plastic surgery, I say go to, go to, you're either pulling the wool over your own eyes or trying to pull it over mine. Every morning you should wake up in your bed and ask yourself: "Can I believe it all again today?" No, better still, don't ask it till after you've read The New York Times, till after you've studied that daily record of the world's brokenness and corruption, which should always stand side by side with your Bible. Then ask yourself if you can believe in the Gospel of Jesus Christ again for that particular day. If your answer's always Yes, then you probably don't know what believing means. At least five times out of ten the answer should be No because the No is as important as the Yes, maybe more so. The No is what proves you're human in case you should ever doubt it. And then if some morning the answer happens to be really Yes, it should be a Yes that's choked with confession and tears and. . . great laughter.

While all doctors treat diseases, neurosurgeons work in the crucible of identity: every operation on the brain is, by necessity, a manipulation of the substance of our selves, and every conversation with a patient undergoing brain surgery cannot help but confront this fact. In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability - or your mother's - to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand's function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

Imagine you are sitting down in a chair and on a screen before you you are shown a bloody, ripping film of yourself undergoing surgery. The surgery saved your life. It was pivotal in making you you. But you don't remember it. Or do you? Do we understand the events that make us who we are? Do we ever understand the factors that make us do the things we do? When we sleep at night - when we walk across a field and see a tree full of sleeping birds - when we tell small lies to our friends - when we make love - what acts of surgery are happening to our souls - what damage and healing and shock are we going through that we will never be able to fathom? What films are generated that we will never be shown?

No surgery in the world was going to offer him the particular history that went along with growing up female. No procedure was going to give him the joys or the terrors that must accompany pregnancy- that must, for teen girls, make sex a walk over Niagara Falls on a tightrope.

The night before brain surgery, I thought about death. I searched out my larger values, and I asked myself, if I was going to die, did I want to do it fighting and clawing or in peaceful surrender? What sort of character did I hope to show? Was I content with myself and what I had done with my life so far? I decided that I was essentially a good person, although I could have been better--but at the same time I understood that the cancer didn't care. I asked myself what I believed. I had never prayed a lot. I hoped hard, I wished hard, but I didn't pray. I had developed a certain distrust of organized religion growing up, but I felt I had the capacity to be a spiritual person, and to hold some fervent beliefs. Quite simply, I believed I had a responsibility to be a good person, and that meant fair, honest, hardworking, and honorable. If I did that, if I was good to my family, true to my friends, if I gave back to my community or to some cause, if I wasn't a liar, a cheat, or a thief, then I believed that should be enough. At the end of the day, if there was indeed some Body or presence standing there to judge me, I hoped I would be judged on whether I had lived a true life, not on whether I believed in a certain book, or whether I'd been baptized. If there was indeed a God at the end of my days, I hoped he didn't say, 'But you were never a Christian, so you're going the other way from heaven.' If so, I was going to reply, 'You know what? You're right. Fine.' I believed, too, in the doctors and the medicine and the surgeries--I believed in that. I believed in them. A person like Dr. Einhorn [his oncologist], that's someone to believe in, I thought, a person with the mind to develop an experimental treatment 20 years ago that now could save my life. I believed in the hard currency of his intelligence and his research. Beyond that, I had no idea where to draw the line between spiritual belief and science. But I knew this much: I believed in belief, for its own shining sake. To believe in the face of utter hopelessness, every article of evidence to the contrary, to ignore apparent catastrophe--what other choice was there? We do it every day, I realized. We are so much stronger than we imagine, and belief is one of the most valiant and long-lived human characteristics. To believe, when all along we humans know that nothing can cure the briefness of this life, that there is no remedy for our basic mortality, that is a form of bravery. To continue believing in yourself, believing in the doctors, believing in the treatment, believing in whatever I chose to believe in, that was the most important thing, I decided. It had to be. Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you. I didn't fully see, until the cancer, how we fight every day against the creeping negatives of the world, how we struggle daily against the slow lapping of cynicism. Dispiritedness and disappointment, these were the real perils of life, not some sudden illness or cataclysmic millennium doomsday. I knew now why people fear cancer: because it is a slow and inevitable death, it is the very definition of cynicism and loss of spirit. So, I believed.

In the morning a new man was behind the front desk. "And how did you enjoy your stay, Sir?" he asked smoothly. "It was singularly execrable," I replied. "Oh, excellent," he purred, taking my card "In fact, I would go so far as to say that the principal value of a stay in this establishment is that it is bound to make all subsequent service-related experiences seem, in comparison, refreshing." He made a deeply appreciative expression as if to say, "Praise indeed," and presnted my bill for signature. "Well, we hope you'll come again." "I would sooner have bowel surgery in the woods with a a stick." His expression wavered, then held there for a long moment. "Excellent," he said again, but without a great show of conviction.

To write poetry, like sincere poetry, it is like performing heart surgery on yourself without anesthesia…in public…You are peeling back layers. You are dissecting yourself…You do not know what they [the audience] is going to do when you reach into yourself and rip out your organs to be displayed

If you're asking where I found the skill, courage, and general fabulousness to perform emergency surgery in the middle of all this chaos, well. If you think that after auditioning all those guys to find the perfect boyfriend I was going to let a little thing like a tracheotomy get in the way of true love, you've clearly underestimated how tired I am of this search.

Do you think we’ll ever go back to the way it was?” I ask Finn. He glances at me. “I don’t know,” he says thoughtfully. “When I used to talk to patients before surgery, they always asked if they’d be able to do everything they used to do before the operation. I mean, technically, the answer should be yes. But there’s always a scar. Even if it’s not right across your belly, it’s in your head somewhere—the brand-new knowledge that you weren’t invincible. I think that changes you for the long haul.

I have maybe a half-hour before the next surgery. Want to go and get a cup of coffee?” What I want is to meander eight kilometres down the canals with you from Kirov to your Fifth Soviet door. I want to get on the tram with you, the bus with you, sit in the Italian Gardens with you. That is what I want. I will take the cup of coffee in your hospital cafeteria.

Informed consent’ sounds so easy in principle – the surgeon explains the balance of risks and benefits, and the calm and rational patient decides what he or she wants – just like going to the supermarket and choosing from the vast array of toothbrushes on offer. The reality is very different.

I tell them: don’t depend on a woodsman in the third act. I tell them: look for sets of three, or seven. I tell them: there’s always a way to survive. I tell them: you can’t force fidelity. I tell them: don’t make bargains that involve major surgery. I tell them: you don’t have to lie still and wait for someone to tell you how to live. I tell them: it’s all right to push her into the oven. She was going to hurt you. I tell them: she couldn’t help it. She just loved her own children more. I tell them: everyone starts out young and brave. It’s what you do with it that matters. I tell them: you can share that bear with your sister. I tell them: no-one can stay silent forever. I tell them: it’s not your fault. I tell them: mirrors lie. I tell them: you can wear those boots, if you want them. You can lift that sword. It was always your sword. I tell them: the apple has two sides. I tell them: just because he woke you up doesn’t mean you owe him anything. I tell them: his name is Rumplestiltskin.

I never worried about money. I grew up in a middle-class family, so I never thought I would starve. And I learned at Atari that I could be an okay engineer, so I always knew I could get by. I was voluntarily poor when I was in college and India, and I lived a pretty simple life even when I was working. So I went from fairly poor, which was wonderful, because I didn’t have to worry about money, to being incredibly rich, when I also didn’t “have to worry about money. I watched people at Apple who made a lot of money and felt they had to live differently. Some of them bought a Rolls-Royce and various houses, each with a house manager and then someone to manage the house managers. Their wives got plastic surgery and turned into these bizarre people. This was not how I wanted to live. It’s crazy. I made a promise to myself that I’m not going to let this money ruin my life.

thoughts hidden there? If she can, what will she do? Call the cops? Send me to the nuthouse? Do I want her to? I just want to sleep. The whole point of not talking about it, of silencing the memory, is to make it go away. It won’t. I’ll need brain surgery to cut it out of my head. Maybe I should wait until David Petrakis is a doctor, let him do it.

I stitched an itch to my side. As far as surgeries go, I’m just barely scratching the surface.

Okay.' I can feel the letters vomit off my tongue. O. K. A. Y. I watch the vet insert the syringe into the catheter and inject the second drug. And then the adventures come flooding back: The puppy farm. The gentle untying of the shoelace. THIS! IS! MY! HOME! NOW! Our first night together. Running on the beach. Sadie and Sophie and Sophie Dee. Shared ice-cream cones. Thanksgivings. Tofurky. Car rides. Laughter. Eye rain. Chicken and rice. Paralysis. Surgery. Christmases. Walks. Dog parks. Squirrel chasing. Naps. Snuggling. 'Fishful Thinking.' The adventure at sea. Gentle kisses. Manic kisses. More eye rain. So much eye rain. Red ball. The veterinarian holds a stethoscope up to Lily's chest, listening for her heartbeat. All dogs go to heaven. 'Your mother's name is Witchie-Poo.' I stroke Lily behind her ears the way that used to calm her. 'Look for her.' OH FUCK IT HURTS. I barely whisper. 'She will take care of you.

Emblematic of this era was the prolific Viennese surgeon Theodor Billroth. Born in 1821, Billroth studied music and surgery with almost equal verve. (The professions still often go hand in hand. Both push manual skill to its limit; both mature with practice and age; both depend on immediacy, precision, and opposable thumbs.)

But as the sun rose I crested the mountain of my self-pity and remembered I was always going to die at the end of this life anyway. What did it really matter if I spent it like this—caring for this boy—as opposed to some other way? I would always be earthbound; he hadn’t robbed me of my ability to fly or to live forever. I appreciated nuns now, not the conscripted kind, but modern women who chose it. If you were wise enough to know that this life would consist mostly of letting go of things you wanted, then why not get good at the letting go, rather than the trying to have? These exotic revelations bubbled up involuntarily and I began to understand that the sleeplessness and vigilance and constant feedings were a form of brainwashing, a process by which my old self was being molded, slowly but with a steady force, into a new shape: a mother. It hurt. I tried to be conscious while it happened, like watching my own surgery. I hoped to retain a tiny corner of the old me, just enough to warn other women with. But I knew this was unlikely; when the process was complete I wouldn’t have anything left to complain with, it wouldn’t hurt anymore, I wouldn’t remember.

I’m going to give him back-alley plastic surgery.

I was afraid they kept the hogs in a pen out behind the hospital. I've been prepared for surgery and the doctor says to an orderly, 'Leon, go out to the hog pen and get me a valve.

Listen, motherfucker, you’re lucky we aren’t in the same room or you’d be spending the evening in surgery trying to have your head reattached to your body. If I find out that you’ve contacted her again, in any way, I’m going to come after you, and not even your father, whoever he is, will be able to make you sentient again. Do you understand? Never contact her again.

Hours before his death in 1955 from a ruptured abdominal aortic ayeurysm, Albert Einstein's doctors proposed trying a new and unproven surgery as a final option for extending his life. Einstein refused. "I have done my share," he said. "It is time to go. I will do it elegantly.

We need an engineering friend.” She points a finger at Carin. “Go back to Briar and hook up with an engineering student.” “Okay, but I’ll need to actually have sex with him beforehand, so I won’t be back until,” she pretends to check the time, “ten or so.” “We’re all college graduates,” I proclaim. “We can put this together ourselves.” Clapping my hands, I motion for everyone to get on the floor with me. After three tries of trying to lower myself to the ground and making Hope and Carin nearly pee their pants laughing in the process, D’Andre takes pity on all of us and helps me onto my knees. Which is where Tucker finds us. “Is this some new fertility ritual?” he drawls from the doorway, one shoulder propped against the frame. “Because she’s already pregnant, you know.” “Get yo ass in here, white boy, and put this thing together,” D’Andre snaps. “This is ridiculous.” “What’s ridiculous?” Tucker stops next to me, and I take the opportunity to lean against his legs. Even kneeling is hard when you’re toting around an extra thirty pounds. “We took it apart. How can you not know how to put it back together?” D’Andre repeats his earlier excuse. “I’m an accounting major.” Tucker rolls his eyes. “You got an Allen wrench?” “Are you mocking us right now?” I grumble. “I don’t have any wrenches, let alone ones with names.” He grins. “Leave this to me, darlin’. I’ll get it fixed up.” “I want to help,” Hope volunteers. “This is like surgery, except with wood and not people.” “Lord help us,” D’Andre mutters.

What's going on? A soul? Did you say, a soul? What the hell! Next thing you know we'll have cholera again. What did I tell you? [He tossed the thin one on his horns.] I told you so... we should operate on all of them, on the imagination. Extirpate the imagination. Surgery's the only answer... nothing but surgery...

Patients in persistent vegetative state – or PVS as it is called for short – seem to be awake because their eyes are open, yet they show no awareness or responsiveness to the outside world. They are conscious, some would say, but there is no content to their consciousness. They have become an empty shell, there is nobody at home. Yet recent research with functional brain scans shows this is not always the case. Some of these patients, despite being mute and unresponsive, seem to have some kind of activity going on in their brains, and some kind of awareness of the outside world. It is not, however, at all clear what it means. Are they in some kind of perpetual dream state? Are they in heaven, or in hell? Or just dimly aware, with only a fragment of consciousness of which they themselves

Benzedrine,’ he said. ‘I rang up my secretary before dinner and asked her to wangle some out of the surgery at Headquarters. It’s what I shall need if I’m going to keep my wits about me tonight. It’s apt to make one a bit overconfident, but that’ll be a help too.

I watched that plant in the office every day. Watered it; misted it. I loved thinking about it like G.T. said, but part of me was worried the tree surgery wouldn't take. Something would go wrong and then I"d be stuck with a metaphor that couldn't go the distance.

Speaking of eye surgery, do you realize you’re missing tear ducts?” “What? Really? And I thought I was just emotionally withdrawn.” She pulled her feet up, hugging her knees. “I’m also incapable of blushing, if that was going to be your next brilliant observation.

As we chatted, cracking the expected jokes at Danita’s expense, I thought about how Danita let her search for the real her take a physical shape while mine seemed to be taking a more internal shape. At least with my exploration, I didn’t have to worry about how I’m going to pay for it, since just like cosmetic surgery isn’t covered by most insurance plans,neither is searching for your true sexuality.

He believed that a burger joint ought to look like a join, not like a surgery, not like a nursery with pictures of clowns and funny animals on walls, not like a bamboo pavilion on a tropical island, not like a glossy plastic replica of a 1950s diner that never actually existed. If you were going to eat charred cow smothered in cheese, with a side order of potato strips made as crisp as ancient papyrus by immersion in boiling oil, and if you were going to wash it all down with either satisfying quantities of icy beer or a milkshake containing the caloric equivalent of an entire roasted pig, then this fabulous consumption ought to occur in an ambience that virtually screamed guilty pleasure, if not sin.

There’s a reason they call childbirth labor. Making a healthy baby takes effort: It requires foresight and self-denial and courage. It’s expensive and demanding and tiring. You have to learn new things, change many habits, possibly deal with complicated medical situations, make difficult decisions, and undergo stressful ordeals. I had a wisdom tooth pulled without Novocaine while I was pregnant—it hurt a lot and seemed to go on forever. The kindness of the very young dental assistant, holding back my hair as I spat blood into a bowl, will stay with me for the rest of my life. Pregnant women do such things, and much harder things, all the time. For example, they give birth, which is somewhere on the scale between painful and excruciating. Or they have a cesarean, as I did, which is major surgery. None of this is without risk of death or damage or trauma, including psychological trauma. To force girls and women to undergo all this against their will is to annihilate their humanity. When they undertake it by choice, we should all be grateful.

In fact, the word transition seems to me to be used incorrectly. Most people use it to mean going from one identity to another, such as with surgery or the use of hormones. I understand it to mean that the person has the other identity already and the transition involves the perceptions of society aligning with that identity. In this “word flip” it is not the person who is transitioning but society, which is transitioning its perceptions of that person.

Are you always going to look this way, August? I mean, can't you get plastic surgery or something?" I smiled and pointed to my face. "Hello?" This is after plastic surgery. Jack clapped his hand over his forehead and started laughing hysterically. "Dude, you should sue your doctor!" he answered between giggles.

We both know there's no returning to the beginning, no knowing who you've always been, no going home again. But we also know that there's no staying where you are: that the moment that your body sutures together into a whole and steady place you know, something will give way and you'll be changed to mere parts again.

Congenital disease can warp the heart with great variety. Valves can be sealed tight, missing parts—or absent altogether. Major vessels can be misplaced, narrowed, or blocked completely. A chamber can be too small or missing, a wall too thick or thin. The heart’s electrical system—its nerves—may go haywire. The muscle can be weak. Holes may occur almost anywhere, in almost any size. Studying heart pathology, one is reminded that the genetic symphony that produces a normal baby is indeed a wondrous and delicate one.

You’re a product of our language”, Brandy says, “and how our laws are and how we believe our God wants us. Every bitty molecule about you has already been thought out by some million people before you” she says. “Anything you can do is boring and old and perfectly okay. You're safe because you're so trapped inside your culture. Anything you can conceive of is fine because you can conceive of it. You can’t imagine any way to escape. There’s no way you can get out […] And if you can find any way out of our culture, then that’s a trap, too. Just wanting to get out of the trap reinforces the trap”. The books on plastic surgery, the pamphlets and brochures all promised to help me live a more normal, happy life; but less and less, this looked like what I'd want. What I wanted looked more and more like what I'd always been trained to want. What everybody wants. Give me attention. Flash. Give me beauty. Flash. Give me peace and happiness, a loving relationship, and a perfect home. Flash. Brandy says, "The best way is not to fight it, just go. Don't be trying all the time to fix things. What you run from only stays with you longer. When you fight something, you only make it stronger." She says, "Don't do what you want." She says, "Do what you don't want. Do what you're trained not to want." It's the opposite of following your bliss. Brandy tells me, "Do the things that scare you the most”.

The door slowly opens, and a tall, thin person ducks inside. He’s wearing the same green surgeon scrubs, face mask, and blue gloves that the pre-op nurses wear, but his wavy brown hair is peeking out from under a clear surgical cap. His eyes find mine and I let go of the railings in surprise. “What are you doing here?” I whisper, watching as Will sits down in a chair beside me, scooting it back to make sure he’s a safe distance away. “It’s your first surgery without Abby,” he says in explanation, a new expression I don’t quite recognize filling his blue eyes. It’s not mocking or jokey, it’s totally and completely open. Almost earnest. I swallow hard, trying to stop the emotions that come bubbling up, tears clouding my eyes.

You should move toward whatever changes, whatever surgeries, whatever renovations or alterations or restorations will create you in the glory you deserve, oh yes you should. And you should do it with your usual style, and you should do it without shame, and when you’re healed up and ready we can go shopping for something fabulous to showcase the many wonders of you.

Children lose contact with their parents, and vice versa, when there is no present living moment in the family. You change careers, go traveling, play extreme sports, get plastic surgery, drive fast cars, take exotic holidays, or redecorate the house, constantly seeking presence. These strategies might work for an hour, a day, or a year, but they will not solve your inner deadness.

Those clothes are Susie's,' my father said calmly when he reached him. Buckley looked down at my blackwatch dress that he held in his hand. My father stepped closer, took the dress from my brother, and then, without speaking, he gathered the rest of my clothes, which Buckley had piled on the lawn. As he turned in silence toward the house, hardly breathing, clutching my clothes to him, it sparked. I was the only one to see the colors. Just near Buckley's ears and on the tips of his cheeks and chin he was a little orange somehow, a little red. Why can't I use them?' he asked. It landed in my father's back like a fist. Why can't I use those clothes to stake my tomatoes?' My father turned around. He saw his son standing there, behind him the perfect plot of muddy, churned-up earth spotted with tiny seedlings. 'How can you ask me that question?' You have to choose. It's not fair,' my brother said. Buck?' My father held my clothes against his chest. I watched Buckley flare and light. Behind him was the sun of the goldenrod hedge, twice as tall as it had been at my death. I'm tired of it!' Buckley blared. 'Keesha's dad died and she's okay?' Is Keesha a girl at school?' Yes!' My father was frozen. He could feel the dew that had gathered on his bare ankles and feet, could feel the ground underneath him, cold and moist and stirring with possibility. I'm sorry. When did this happen?' That's not the point, Dad! You don't get it.' Buckley turned around on his heel and started stomping the tender tomato shoots with his foot. Buck, stop!' my father cried. My brother turned. You don't get it, Dad,' he said. I'm sorry,' my father said. These are Susie's clothes and I just... It may not make sense, but they're hers-something she wore.' ... You act like she was yours only!' Tell me what you want to say. What's this about your friend Keesha's dad?' Put the clothes down.' My father laid them gently on the ground. It isn't about Keesha's dad.' Tell me what it is about.' My father was now all immediacy. He went back to the place he had been after his knee surgery, coming up out of the druggie sleep of painkillers to see his then-five-year-old son sitting near him, waiting for his eyes to flicker open so he could say, 'Peek-a-boo, Daddy.' She's dead.' It never ceased to hurt. 'I know that.' But you don't act that way.' Keesha's dad died when she was six. Keesha said she barely even thinks of him.' She will,' my father said. But what about us?' Who?' Us, Dad. Me and Lindsey. Mom left becasue she couldn't take it.' Calm down, Buck,' my father said. He was being as generous as he could as the air from his lungs evaporated out into his chest. Then a little voice in him said, Let go, let go, let go. 'What?' my father said. I didn't say anything.' Let go. Let go. Let go. I'm sorry,' my father said. 'I'm not feeling very well.' His feet had grown unbelievably cold in the damp grass. His chest felt hollow, bugs flying around an excavated cavity. There was an echo in there, and it drummed up into his ears. Let go. My father dropped down to his knees. His arm began to tingle on and off as if it had fallen asleep. Pins and needles up and down. My brother rushed to him. Dad?' Son.' There was a quaver in his voice and a grasping outward toward my brother. I'll get Grandma.' And Buckley ran. My father whispered faintly as he lay on his side with his face twisted in the direction of my old clothes: 'You can never choose. I've loved all three of you.

Sometimes I go into the hospital and have to do surgery just as the sleeping pills begin to kick in. I spend the rest of the night pinching myself and throwing cold water on my face. At night I tell myself it’s not worth it. I tell myself I hate the Army and wish I’d never joined. I curse the war on both sides, American and Iraqi. I wish everyone would just...die...so that I could go home.

On the Soyuz, there’s simply not room to fly someone whose main contribution is expertise in a single area. The Russian rocket ship only carries three people, and between them they need to cover off a huge matrix of skills. Some are obvious: piloting the rocket, spacewalking, operating the robotic elements of the ISS like Canadarm2, being able to repair things that break on Station, conducting and monitoring the numerous scientific experiments on board. But since the crew is going to be away from civilization for many months, they also need to be able to do things like perform basic surgery and dentistry, program a computer and rewire an electrical panel, take professional-quality photographs and conduct a press conference—and get along harmoniously with colleagues, 24/7, in a confined space.

Because I live in south Florida I store cans of black beans and gallons of water in my closet in preparation for hurricane season. I throw a hurricane party in January. You’re my only guest. We play Marco Polo in bed. The sheets are wet like the roof caved in. There’s a million of me in you. You try to count me as I taste the sweat on the back of your neck. I call you Sexy Sexy, and we do everything twice. After, still sweating, we drink Crystal Light out of plastic water bottles. We discuss the pros and cons of vasectomies. It’s not invasive you say. I wrap the bedsheet around my waist. Minor surgery you say. You slur the word surgery, like it’s a garnish on a dish you just prepared. I eat your hair until you agree to no longer talk about vasectomies. We agree to have children someday, and that they will be beautiful even if they’re not. As I watch your eyes grow heavy like soggy clothes, I tell you When I grow up I’m going to be a famous writer. When I’m famous I’ll sign autographs on Etch-A-Sketches. I’ll write poems about writing other poems, so other poets will get me. You open your eyes long enough to tell me that when you grow up, you’re going to be a steamboat operator. Your pores can never be too clean you say. I say I like your pores just fine. I say Your pores are tops. I kiss you with my whole mouth, and you fall asleep next to my molars. In the morning, we eat french toast with powdered sugar. I wear the sugar like a mustache. You wear earmuffs and pretend we’re in a silent movie. I mouth Olive juice, but I really do love you. This is an awesome hurricane party you say, but it comes out as a yell because you can’t gauge your own volume with the earmuffs on. You yell I want to make something cute with you. I say Let me kiss the insides of your arms. You have no idea what I just said, but you like the way I smile.

Go be a sister, I say to her in my mind. Take her for ice cream dates, just the two of you. Bicker over what your parents let one of you do that the other can’t. Sit with her after a fight a fight with a friend or a rough day at school. Hold hands in the waiting room when one of your parents is in surgery. Savor the moments where you get lost in something together – a project, a game, making pancakes, a road trip. Go be a sister.

Thirty years after Apple went public, he reflected on what it was like to come into money suddenly: I never worried about money. I grew up in a middle-class family, so I never thought I would starve. And I learned at Atari that I could be an okay engineer, so I always knew I could get by. I was voluntarily poor when I was in college and India, and I lived a pretty simple life even when I was working. So I went from fairly poor, which was wonderful, because I didn’t have to worry about money, to being incredibly rich, when I also didn’t have to worry about money. I watched people at Apple who made a lot of money and felt they had to live differently. Some of them bought a Rolls-Royce and various houses, each with a house manager and then someone to manage the house managers. Their wives got plastic surgery and turned into these bizarre people. This was not how I wanted to live. It’s crazy. I made a promise to myself that I’m not going to let this money ruin my life.

A couple months after school started that year, I just plain stopped going to see the Maje. I remember coming home one day and checking the answering machine in my bedroom. The first message was from the Maje. He was waiting for me to come over. He sounded feeble and desperate: "Steve, where are you? I need you? Are you coming? Please . . ." I deleted it. The next message was also from the Maje and said pretty much the same thing. Delete. There must have been a dozen messages on that machine from the Maje, all begging me, pleading with me, to come help him. I deleted every single one of them. To this day, I have no idea what happened to the Maje, no idea if he ever got that cataract surgery. That's how our relationship ended. It still makes me feel horrible to think about now: I just deleted the Maje.

Ash is out of surgery. He has a shit-ton of recovery to do, but he’s going to live to roar another day.” Cael threw his arms around Dex and squeezed him tight. Dex chuckled and hugged him back. “Okay, Chirpy. Let’s go.” His brother pulled back and wiped a tear away. “I’m

I was always waiting. Waiting for him to be off so he could call. Waiting for him to get a second to text me, waiting for him to watch the reel I sent him two hours ago when he was in surgery. Waiting for him to come back. My life felt like it was on pause. I didn’t see movies I wanted to watch so he could see them with me when he got here. I held off on going places because I’d rather go with him so we could experience it together. I didn’t take my friends up on dinners because after work was the only time of day my boyfriend and I could talk.

7. Yoke-breaking: Whenever you plead the Blood of Jesus, people and things are set free from any kind of yoke. 8. Overcoming power. 9. Door-opening power to open every door that has been closed against good things in the life of a person. 10. Creative and re-creative power. Anything that is supposed to be in the life or body of a person, or has been removed through surgery or witchcraft, can be recalled back into existence by the Blood of Jesus. 11. Renewing power. 12. Battle dissolving power that makes the enemies go in disarray. 13. Promotion power and energy. 14. Breakthrough power. 15. Miracle receiving power 16. Poison destroying power. Many have been poisoned physically or spiritually. The Blood of Jesus neutralises such poisons and flushes them out of the system. 17. Mountain-moving power 18. Demon-paralysing power.

When I learned my mom was going to die of cancer at the age of forty-five, I felt the same way. I didn’t even believe in God, but I still felt that he owed me something. I had the gall to think How dare he? I couldn’t help myself. I’m a selfish brute. I wanted what I wanted and I expected it to be given to me by a God in whom I had no faith. Because mercy had always more or less been granted me, I assumed it always would be. But it wasn’t. It wasn’t granted to my friend whose eighteen-year-old daughter was killed by a drunk driver either. Nor was it granted to my other friend who learned her baby is going to die of a genetic disorder in the not-distant future. Nor was it granted to my former student whose mother was murdered by her father before he killed himself. It was not granted to all those people who were in the wrong place at the wrong time when they came up against the wrong virus or military operation or famine or carcinogenic or genetic mutation or natural disaster or maniac. Countless people have been devastated for reasons that cannot be explained or justified in spiritual terms. To do as you are doing in asking If there were a God, why would he let my little girl have to have possibly life-threatening surgery?— understandable as that question is—creates a false hierarchy of the blessed and the damned. To use our individual good or bad luck as a litmus test to determine whether or not God exists constructs an illogical dichotomy that reduces our capacity for true compassion. It implies a pious quid pro quo that defies history, reality, ethics, and reason. It fails to acknowledge that the other half of rising—the very half that makes rising necessary— is having first been nailed to the cross. That

A scream starts in my gut—I can feel the cut, smell the dirt, leaves in my hair. I don’t remember passing out. David says I hit my head on the edge of the table on my way down. The nurse calls my mom because I need stitches. The doctor stares into the back of my eyes with a bright light. Can she read the thoughts hidden there? If she can, what will she do? Call the cops? Send me to the nuthouse? Do I want her to? I just want to sleep. The whole point of not talking about it, of silencing the memory, is to make it go away. It won’t. I’ll need brain surgery to cut it out of my head.

These days, there are so few pure country people left on the concession roads that we may be in need of a new category of membership, much as sons and daughters of veterans are now allowed to join the Legion. A few simple questions could be asked, a small fee paid and (assuming that the answers are correct) you could be granted the status of an "almost local." Here are some of the questions you might be asked: Do you have just one suit for weddings and funerals? Do you save plastic buckets? Do you leave your car doors unlocked at all times? Do you have an inside dog and an outside dog? Has your outside dog never been to town? When you pass a neighbour in the car, do you wave from the elbow or do you merely raise one finger from the steering wheel? Do you have trouble keeping the car or truck going in a straight line because you are looking at crops or livestock? Do you sometimes find yourself sitting in the car in the middle of a dirt road chatting with a neighbour out the window while other cars take the ditch to get around you? Can you tell whose tractor is going by without looking out the window? Can people recognize you from three hundred yards away by the way you walk or the tilt of your hat? If somebody honks their horn at you, do you automatically smile and wave? Do most of your conversations open with some observation about the weather? Is your most important news source the store in the village? Have you had surgery in the local hospital? If you hear about a death or a fire in the community, does the woman in your house immediately start making sandwiches or a cake? Do you sometimes find yourself referring to a farm in the neighbourhood by the name of someone who owned it more than twenty-five years ago? If you answered yes to all of the above questions, consider it official: you are a local.

I just felt so fucked up about trans ness and class and how completely cut off from my political or activist life I've been in the suicide museum, just going to no protests and no planning meetings and systematically neglecting any relationship with anyone who would pull me back into activist work, because I have no constitution for it, no imagination for it, just imagination for myself, my clothes, my drugs, my friends, my fucked up gender, my surgeries and health insurance and did I mention clothes, my web browser is all 60 tabs of Issey Miyake and 12 tabs of Wendler's glottoplasty longitudinal research...

EVERY WEDNESDAY, I teach an introductory fiction workshop at Harvard University, and on the first day of class I pass out a bullet-pointed list of things the students should try hard to avoid. Don’t start a story with an alarm clock going off. Don’t end a story with the whole shebang having been a suicide note. Don’t use flashy dialogue tags like intoned or queried or, God forbid, ejaculated. Twelve unbearably gifted students are sitting around the table, and they appreciate having such perimeters established. With each variable the list isolates, their imaginations soar higher. They smile and nod. The mood in the room is congenial, almost festive with learning. I feel like a very effective teacher; I can practically hear my course-evaluation scores hitting the roof. Then, when the students reach the last point on the list, the mood shifts. Some of them squint at the words as if their vision has gone blurry; others ask their neighbors for clarification. The neighbor will shake her head, looking pale and dejected, as if the last point confirms that she should have opted for that aseptic-surgery class where you operate on a fetal pig. The last point is: Don’t Write What You Know. The idea panics them for two reasons. First, like all writers, the students have been encouraged, explicitly or implicitly, for as long as they can remember, to write what they know, so the prospect of abandoning that approach now is disorienting. Second, they know an awful lot. In recent workshops, my students have included Iraq War veterans, professional athletes, a minister, a circus clown, a woman with a pet miniature elephant, and gobs of certified geniuses. They are endlessly interesting people, their lives brimming with uniquely compelling experiences, and too often they believe those experiences are what equip them to be writers. Encouraging them not to write what they know sounds as wrongheaded as a football coach telling a quarterback with a bazooka of a right arm to ride the bench. For them, the advice is confusing and heartbreaking, maybe even insulting. For me, it’s the difference between fiction that matters only to those who know the author and fiction that, well, matters.

An older boy pointed. “Look,” he told his friend. “It’s Violet Beauregarde!” That was the bratty girl in Willy Wonka and the Chocolate Factory who turned blue and ballooned into a huge ball. I was puffy because they’d pumped me up with steroids to get me ready for surgery. I ran to Mom, who was sitting on the edge. I stuffed my face in her breasts. “What is it, Bee?” “They called me it,” I squeaked. “It?” Mom’s eyes were across from mine. “Violet Beauregarde,” I managed to say, then burst into fresh tears. The mean boys huddled nearby, looking over, hoping my mom wouldn’t rat them out to their moms. Mom called to them, “That’s really original, I wish I’d thought of that.” I can pinpoint that as the single happiest moment of my life, because I realized then that Mom would always have my back. It made me feel giant. I raced back down the concrete ramp, faster than I ever had before, so fast I should have fallen, but I didn’t fall, because Mom was in the world.

You’re safe, I remembered whispering to Quintana when I first saw her in the ICU at UCLA. I’m here. You’re going to be all right. Half of her skull had been shaved for surgery. I could see the long cut and the metal staples that held it closed. She was again breathing only through an endotracheal tube. I’m here. Everything’s fine . . . I would take care of her. It would be all right. It also occurred to me that this was a promise I could not keep. I could not always take care of her. I could not never leave her. She was no longer a child. She was an adult. Things happened in life that mothers could not prevent or fix. —JOAN DIDION, The Year of Magical Thinking

The dominance panacea is so out of proportion that entire schools of training are based on the premise that if you can just exert adequate dominance over the dog, everything else will fall into place. Not only does it mean that incredible amounts of abuse are going to be perpetrated against any given dog, probably exacerbating problems like unreliable recalls and biting, but the real issues, like well-executed conditioning and the provision of an adequate environment, are going to go unaddressed, resulting in a still-untrained dog, perpetuating the pointless dominance program. None of this is to say that dogs aren’t one of those species whose social life appears to lend itself to beloved hierarchy constructs. But, they also see well at night, and no one is proposing retinal surgery to address their non-compliance or biting behavior. Pack theory is simply not the most elegant model for explaining or, especially, for treating problems like disobedience, misbehavior or aggression. People who use aversives to train with a dominance model in mind would get a better result with less wear and tear on the dog by using aversives with a more thorough understanding of learning theory, or, better yet, forgoing aversives altogether and going with the other tools in the learning theory tool box. The dominance concept is simply unnecessary.

Hemorrhoids Go big or go home! That was my mental response to childbirth. You want me to push? Okay, awesome. I’m going to push so hard that I not only eject this baby from me, but I’m also going to turn my butthole inside out. When I explained the issue to my OB, she insisted hemorrhoids were totally normal, and if they didn’t go away, I could get a quick surgery to correct them, a suggestion that I met with a resounding “Nope!” I had already spent a month in elementary school sitting on a blowup pillow, and I’m not pulling my pants down as an adult to have surgery in my butt. So, here I am, five years out from my last birth and sitting in my chair a quarter of an inch taller.

I take a swig of booze. "I didn't do it. The surgery." "I heard," he says. "Can I ask why not?" I shrug, not because I don't know but because I don't feel like rehashing his role in my decision. "You know when you're hanging out with people and you have to leave early? Everyone tells you to stay, but you have to go, so you do a round of goodbyes and hugs and everything. Then, you're at the door, and you glance back, and you want everyone to still be staring after you, waving. But they've all already gone back to their conversation. You're not missed at all." I gaze out at the ocean, the endless shifting expanse. "That's what makes me feel sad about dying. That after I'm gone and everyone has said goodbye, life just goes on without me." "You're worried about leaving a legacy?" Cooper asks. "What you'll be remembered for?" "More like, I'll just miss life. Life. I'll miss being a part of it. I'll miss weddings and the ocean and music and champagne. I'll miss the drama and the gossip and the news and New York. I'll just miss it.

In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability—or your mother's—to talk for a few extra months of mute life? [...] How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

The fact is, women aren’t having cosmetic surgery to stay beautiful. As Naomi Wolf wrote in The Beauty Myth more than twenty years ago, many women who undergo surgery are fighting to stay loved, relevant, employed, admired; they’re fighting against time running out. If they simply age naturally, don’t diet or dye their hair, we feel they’ve “let themselves go.” But if they continue to dress youthfully we feel they’re “trying too hard” or brand them as “slappers.” Poor Madonna, who has dared to be in her fifties. In order not to look like a woman in her sixth decade of life she exercises furiously, and is sniggered at by trashy magazines for having overly muscular arms and boytoy lovers. When Demi Moore’s marriage to Ashton Kutcher, fifteen years her junior, recently broke down, the media reaction was almost gleeful. Of course, it was what they had been waiting for all along: how long could a forty-eight-year-old woman expect to keep a thirty-three-year-old man? As allegations of his infidelity emerged, the Internet was flooded with images of Demi looking gaunt and unhappy—and extremely thin. Sometimes you want to say: just leave them alone. Then again, it’s mostly women who buy these magazines, and women who write the editorials and online comments and gossip columns, so you could say we’re our own worst enemies. There is already plenty of ageism and sexism out there—why do we add to the body hatred?

One might go to the bakery, perhaps," he said. "But did you know the baker has tuberculosis? All the people here run around in a highly infectious state. The baker's daughter has tuberculosis too, it seems to have something to do with the runoff from the cellulose factory, with the steam that the locomotives have spewed out for decades, with the bad diet that people eat. Almost all of them have cankered lung lobes, pneumothorax and pneumoperitoneum are endemic. They have tuberculosis of the lungs, the head, the arms and legs. All of them have tubercular abscesses somewhere on their bodies. The valley is notorious for tuberculosis. You will find every form of it here: skin tuberculosis, brain tuberculosis, intestinal tuberculosis. Many cases of meningitis, which is deadly within hours. The workmen have tuberculosis from the dirt they dig around in, the farmers have it from their dogs and the infected milk. The majority of the people have galloping consumption. Moreover," he said, "the effect of the new drugs, of streptomycin for example, is nil. Did you know the knacker has tuberculosis? That the landlady has tuberculosis? That the landlady has tuberculosis? That her daughters have been to sanatoria on three occasions? Tuberculosis is by no means on the way out. People claim it is curable. but that's what the pharmaceutical industry says. In fact, tuberculosis is as incurable as it always was. Even people who have been inoculated against it come down with it. Often those who have it the worst are the ones who look so healthy that you wouldn't suspect they were ill at all. Their rosy faces are utterly at variance with their ravaged lungs. You keep running into people who've had to endure a cautery or, at the very least, a transverse lesion. Most of them have had their lives ruined by failed reconstructive surgery." We didn't go to the bakery. Straight home instead.

We have long known that women (in particular women under fifty-five) have worse outcomes than men following heart surgery. But it wasn’t until a Canadian study came out in 2016 that researchers were able to isolate women’s care burden as one of the factors behind this discrepancy. ‘We have noticed that women who have bypass surgery tend to go right back into their caregiver roles, while men were more likely to have someone to look after them,’ explained lead researcher Colleen Norris.25 This observation may go some way to explaining why a Finnish study26 found that single women recovered better from heart attacks than married women – particularly when put alongside a University of Michigan study27 which found that husbands create an extra seven hours of housework a week for women.

SOO-LINL-S: Elgie, you are a Level 80 at the most successful company in the world. You’ve vested out three times. You have a daughter who’s thriving academically despite several heart surgeries. SOO-LINL-S: Your TEDTalk is ranked number four on the all-time most-watched list yet you live with a woman who has no friends, destroys homes, and falls asleep in stores? SOO-LINL-S: I’m sorry, Elgie, you are hereby TORCHed.

If I walk out of my office today and get hit by a drunk driver, that will not be my fault. But it will be my responsibility to deal with the outcome. I am the one who has to go to the doctor and get surgery. I am the one who will have to go to the physical therapist. I am the one who will have to grieve. And I will be the one who has to work through the anger and do the forgiving. Those things are all my responsibility, even though I did not choose to get hit by a drunk driver. Unsafe people do not do that hard work. They stay angry, stuck, and bitter, sometimes for life. When they feel upset, they see others as the cause, and others as the ones who have to do all the changing. When they are abused, they hold on to it with a vengeance and spew hatred for the rest of their lives. When they are hurt, they wear it like a badge. And worst of all, when they are wrong, they blame it on others. Denial is the active process that someone uses to avoid responsibility. It is different from being unaware of sin. When we are unaware, we do not know about our sin. Denial is more active than that. It is a style and an agenda, and it can be very aggressive when truth comes close. People with a style of denial and blaming are definitely on the list of unsafe people to avoid.

Plutarch ushers the doctors out and tries to order Prim to go as well, but she says, “No. If you force me to leave, I’ll go directly to surgery and tell my mother everything that’s happened. And I warn you, she doesn’t think much of a Gamemaker calling the shots on Katniss’s life. Especially when you’ve taken such poor care of her.” Plutarch looks offended, but Haymitch chuckles. “I’d let it go, Plutarch,” he says. Prim stays.

Only now, he thought, now that I know I have a father, do I feel his absence: the place where he should have been and was not. Before, I thought everybody was one-armed, like me. Now I feel the surgery. The crunch of bone when it is sundered, the sliced flesh and the tubes of blood cut through, shocking the bloodrun and disturbing the nerves. They dangle and writhe. Singing pain. Waking me with the sound of itself, thrumming when I sleep so deeply it strangles my dreams away. There is nothing for it but to go away from where he is not to where he used to be and might be still. Let the dangle and the writhe see what it is missing; let the pain sing to the dirt where he stepped in the place where he used to be and might be still. I am not going to be healed, or to find the arm that was removed from me. I am going to freshen the pain, point it, so we both know what it is for.

We are healthy, we think, if we do not feel any pain or too much pain, and if we are strong enough to do our work. If we become unhealthy, then we go to a doctor who we hope will “cure” us and restore us to health. By health, in other words, we mean merely the absence of disease. Our health professionals are interested almost exclusively in preventing disease (mainly by destroying germs) and in curing disease (mainly by surgery and by destroying germs). But the concept of health is rooted in the concept of wholeness. To be healthy is to be whole. The word health belongs to a family of words, a listing of which will suggest how far the consideration of health must carry us: heal, whole, wholesome, hale, hallow, holy. And so it is possible to give a definition to health that is positive and far more elaborate than that given to it by most medical doctors and the officers of public health.

Humans are organisms, subject to physical laws, including, alas, the one that says entropy always increases. Diseases are molecules misbehaving; the basic requirement of life is metabolism, and death its cessation. While all doctors treat diseases, neurosurgeons work in the crucible of identity: every operation on the brain is, by necessity, a manipulation of the substance of our selves, and every conversation with a patient undergoing brain surgery cannot help but confront this fact. In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability—or your mother’s—to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand’s function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? “Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. Child abuse will always re-emerge, no matter how many years go by. We read of cases of people who have come forward after thirty or forty years to say they were abused as children in care homes by wardens, schoolteachers, neighbours, fathers, priests. The Catholic Church in the United States in the last decade has paid out hundreds of millions of dollars in compensation for 'acts of sodomy and depravity towards children', to quote one information-exchange web-site. Why do these ageing people make the abuse public so late in their lives? To seek attention? No, it's because deep down there is a wound they need to bring out into the clean air before it can heal. Many clinicians miss signs of abuse in children because they, as decent people, do not want to find evidence of what Dr Ross suggests is 'a sick society that has grown sicker, and the abuse of children more bizarre'. (Note: this was written in the UK many years before the revelations of Jimmy Savile's widespread abuse, which included some ritual abuse)

The bullet didn’t come out. I’ve got to go in and get it.” “Have you ever done that?” she asked, quickly thrusting the bottle into my hands. I guess she thought whoever possessed the bottle had to perform the surgery. “I filled in pot holes, Jen. Not much call for field surgery in that line of work.” “What about before that?” she grasped. “Oh yeah sure, I left a lucrative and life-fulfilling job as a highly skilled surgeon to live the prosaic life of a road crew man. Filling holes seemed a much nobler profession.” “Don’t

I remember the three of us – Mum, Dad and me – all being in tears as we looked at my grades and considered the consequences. I went out into the garden and tried to make sense of it all. Yes, I could have had more support along the way – but had I given the impression that this was what I really wanted? Had I shown my teachers that I cared, that I wanted to succeed? If people thought I’d been coasting, why should I expect help from them? I was furious with myself. Tramping round our garden, I resolved there and then that I was not going to be made to look a fool ever again.

Be big enough to offer the truth to people and if it short circuits them I think that's tragic. I think that's sad but, I will not strike no unholy bargains to self erase. I wont do it. I don't care how many people fucked up their lives. I don't care how many bad choices people have made. I don't care how much pettiness they've consumed and spat out. I don't care how much viciousness , rage, abuse, spanking they've dealt out. I am gonna tell the truth as I see it and I'm going to be who I fucking am and if that causes the world to shift in it's orbit and half the evil people get thrown off the planet and up into space well, you shouldn't of been standing in evil to begin with because, there is gravity in goodness. So, sorry; I have to be who I am. Everyone ells is taken. There is no other place I can go than in my own head. I can't jump from skull to skull until I find one that suits bad people around me better. I don't have that choice. So, be your fucking self. Speak your truth and if there are people around you who tempt you with nonexistence , blast through that and give them the full glory of who you are. Do not withhold yourself from the world. Do not piss on the incandescent gift of your existence. Don't drown yourself in the petty fog and dustiness of other peoples ancient superstitions, beliefs, aggressions, culture, and crap. No, be a flare. We're all born self expressive. We are all born perfectly comfortable with being incredibly inconvenient to our parents. We shit, piss, wake up at night, throw up on their shoulders, scream, and cry. We are in our essence, in our humanity, perfectly comfortable with inconveniencing others. That's how we are born. That's how we grow. That's how we develop. Well, I choose to retain the ability to inconvenience the irrational. You know I had a cancer in me last year and I'm very glad that the surgeons knife and the related medicines that I took proved extremely inconvenient to my cancer and I bet you my cancer was like "Aw shit. I hate this stuff man." Good. I'm only alive because medicine and surgery was highly inconvenient to the cancer within me. That's the only reason I'm alive. So, be who you are. If that's inconvenient to other people that's their goddamn business, not yours. Do not kill yourself because other people are dead. Do not follow people into the grave. Do not atomize yourself because, others have shredded themselves into dust for the sake of their fears and their desire to conform with the history of the dead.

From: Bernadette Fox To: Manjula Kapoor I’m back! Did you miss me? You know how I said I was going to come up with a way to get out of going to Antarctica? What if I had emergency surgery? My dentist, Dr. Neergaard, keeps insisting I get all four wisdom teeth removed, which I haven’t been in any rush to do. But how about I call up Dr. Neergaard and ask him to remove all four wisdom teeth the day before the trip? (And when I say how about I call up Dr. Neergaard and ask him to remove all four wisdom teeth the day before the trip, what I really mean is how about you call up Dr. Neergaard and ask him to remove all four wisdom teeth the day before the trip?)

the only thing the hero knows about the girl is that she is beautiful. He shows no interest in her intellect or personality—or even her sexuality. The man is either a ruler or has the magic power to awaken her, and all she can do is hope that her physical appearance fits the specifications better than the other girls. In the original Cinderella story, the stepsisters actually cut off parts of their feet to try to fit into the glass slipper. Maybe this marks the origins of the first cosmetic surgery. Besides romanticizing Cinderella’s misery, the story also gives the message that women’s relationships with each other are full of bitter competition and animosity. The adult voice of womanly wisdom in the story, the stepmother, advises all her girls to frantically do whatever it takes to please the prince. This includes groveling, cutting off parts of themselves, and staying powerless. I was heartsick to watch Disney’s “The Little Mermaid” with my three-year-old daughter. The little mermaid agrees to give up her voice for a chance to go up on the “surface” and convince her nobleman to marry her. She is told by her local matron sea witch that she doesn’t need a voice—she needs only to look cute and get him to kiss her. And in the story, it works. These are the means to her one and only end: to buy a rich and respected guy. Women are taught to only listen to an outside patriarchal authority. No wonder there is so much self-doubt and confusion when faced with the question, “What do you want out of your life?” This question alone can be enough to trigger an episode of depression. It often triggers a game of Ping-Pong in a woman’s head. Her imagination throws up a possibility and then her pessimistic shotgun mind shoots it down. The dialog may look something like this: “Maybe I want to go back to school.... No, that would be selfish of me because the kids need me…. Maybe I’ll start a business.... No I hate all that dogeat-dog competition…. Maybe I’ll look for a love relationship…. No, I am not sure I am healed ye….” and on it goes.

If you were wise enough to know that this life would consist mostly of letting go of things you wanted, then why not get good at the letting go, rather than the trying to have? These exotic revelation bubbled up involuntarily and I began to understand that the sleeplessness and vigilance and constant feedings were a form of brainwashing, a process by which my old self was being molded, slowly but with a steady force, into a new shape: a mother. It hurt. I tried to be conscious while it happened, like watching my own surgery. I hope to retain a tiny corner of the old me, just enough to warn other women with. But I knew this was unlikely; when the process was complete I wouldn't have anything left to complain with, it wouldn't hurt anymore, I wouldn't remember.

My adrenal gland gave me a shot of adrenaline, too. I turned purple as my blood pressure skyrocketed. The adrenaline made my heart go like a burglar alarm. It also stood my hair on end. It also caused coagulants to pour into my bloodstream, so, in case I was wounded, my vital juices wouldn’t drain away. Everything my body had done so far fell within normal operating procedures for a human machine. But my body took one defensive measure which I am told was without precedent in medical history. It may have happened because some wire short-circuited or some gasket blew. At any rate, I also retracted my testicles into my abdominal cavity, pulled them into my fuselage like the landing gear of an airplane. And now they tell me that only surgery will bring them down again.

I thought back to when I'd first stepped in Mimsy's garden and time has stopped, and I felt that strange joy. A crack in the universe. A shift in reality. I felt that now, too, like someone had performed surgery on my soul and tucked this strange new thing deep inside me: this knowledge of the world and what mattered in it. How there were places where you could go to escape the dark, terrifying world, at least for a little while. How beautiful things-small beautiful things-food and plants and flowers-how they could change you. That food wasn't about numbers and calories and nutrition, but beauty. That these beautiful things could be a key to unlocking a world inside you, a place that you couldn't before reach. It could be protection, an armor, a way to survive the darkness. A way to walk through the world when you wanted to hide in bed all day and night.

SOO-LINL-S: I know you’ll be uncomfortable with some of the VAV terminology. I was, too. I thought, I’m not being abused by Barry. SOO-LINL-S: But at VAV, our definition of abuse is intentionally broad and esteem-positive. We are victims, make no mistake about it, but we want to move beyond victimhood, which is a subtle yet important distinction. SOO-LINL-S: Elgie, you are a Level 80 at the most successful company in the world. You’ve vested out three times. You have a daughter who’s thriving academically despite several heart surgeries. SOO-LINL-S: Your TEDTalk is ranked number four on the all-time most-watched list yet you live with a woman who has no friends, destroys homes, and falls asleep in stores? SOO-LINL-S: I’m sorry, Elgie, you are hereby TORCHed. ELGINB: Thanks for this, but I kind of have to concentrate. Will read more carefully after meeting.

Necessities 1 A map of the world. Not the one in the atlas, but the one in our heads, the one we keep coloring in. With the blue thread of the river by which we grew up. The green smear of the woods we first made love in. The yellow city we thought was our future. The red highways not traveled, the green ones with their missed exits, the black side roads which took us where we had not meant to go. The high peaks, recorded by relatives, though we prefer certain unmarked elevations, the private alps no one knows we have climbed. The careful boundaries we draw and erase. And always, around the edges, the opaque wash of blue, concealing the drop-off they have stepped into before us, singly, mapless, not looking back. 2 The illusion of progress. Imagine our lives without it: tape measures rolled back, yardsticks chopped off. Wheels turning but going nowhere. Paintings flat, with no vanishing point. The plots of all novels circular; page numbers reversing themselves past the middle. The mountaintop no longer a goal, merely the point between ascent and descent. All streets looping back on themselves; life as a beckoning road an absurd idea. Our children refusing to grow out of their childhoods; the years refusing to drag themselves toward the new century. And hope, the puppy that bounds ahead, no longer a household animal. 3 Answers to questions, an endless supply. New ones that startle, old ones that reassure us. All of them wrong perhaps, but for the moment solutions, like kisses or surgery. Rising inflections countered by level voices, words beginning with w hushed by declarative sentences. The small, bold sphere of the period chasing after the hook, the doubter that walks on water and treads air and refuses to go away. 4 Evidence that we matter. The crash of the plane which, at the last moment, we did not take. The involuntary turn of the head, which caused the bullet to miss us. The obscene caller who wakes us at midnight to the smell of gas. The moon's full blessing when we fell in love, its black mood when it was all over. Confirm us, we say to the world, with your weather, your gifts, your warnings, your ringing telephones, your long, bleak silences. 5 Even now, the old things first things, which taught us language. Things of day and of night. Irrational lightning, fickle clouds, the incorruptible moon. Fire as revolution, grass as the heir to all revolutions. Snow as the alphabet of the dead, subtle, undeciphered. The river as what we wish it to be. Trees in their humanness, animals in their otherness. Summits. Chasms. Clearings. And stars, which gave us the word distance, so we could name our deepest sadness.

What to Make a Game About? Your dog, your cat, your child, your boyfriend, your girlfriend, your mother, your father, your grandmother, your friends, your imaginary friends, your summer vacation, your winter in the mountains, your childhood home, your current home, your future home, your first job, your worst job, the job you wish you had. Your first date, your first kiss, your first fuck, your first true love, your second true love, your relationship, your kinks, your deepest secrets, your fantasies, your guilty pleasures, your guiltless pleasures, your break-up, your make-up, your undying love, your dying love. Your hopes, your dreams, your fears, your secrets, the dream you had last night, the thing you were afraid of when you were little, the thing you’re afraid of now, the secret you think will come back and bite you, the secret you were planning to take to your grave, your hope for a better world, your hope for a better you, your hope for a better day. The passage of time, the passage of memory, the experience of forgetting, the experience of remembering, the experience of meeting a close friend from long ago on the street and not recognizing her face, the experience of meeting a close friend from long ago and not being recognized, the experience of aging, the experience of becoming more dependent on the people who love you, the experience of becoming less dependent on the people you hate. The experience of opening a business, the experience of opening the garage, the experience of opening your heart, the experience of opening someone else’s heart via risky surgery, the experience of opening the window, the experience of opening for a famous band at a concert when nobody in the audience knows who you are, the experience of opening your mind, the experience of taking drugs, the experience of your worst trip, the experience of meditation, the experience of learning a language, the experience of writing a book. A silent moment at a pond, a noisy moment in the heart of a city, a moment that caught you unprepared, a moment you spent a long time preparing for, a moment of revelation, a moment of realization, a moment when you realized the universe was not out to get you, a moment when you realized the universe was out to get you, a moment when you were totally unaware of what was going on, a moment of action, a moment of inaction, a moment of regret, a moment of victory, a slow moment, a long moment, a moment you spent in the branches of a tree. The cruelty of children, the brashness of youth, the wisdom of age, the stupidity of age, a fairy tale you heard as a child, a fairy tale you heard as an adult, the lifestyle of an imaginary creature, the lifestyle of yourself, the subtle ways in which we admit authority into our lives, the subtle ways in which we overcome authority, the subtle ways in which we become a little stronger or a little weaker each day. A trip on a boat, a trip on a plane, a trip down a vanishing path through a forest, waking up in a darkened room, waking up in a friend’s room and not knowing how you got there, waking up in a friend’s bed and not knowing how you got there, waking up after twenty years of sleep, a sunset, a sunrise, a lingering smile, a heartfelt greeting, a bittersweet goodbye. Your past lives, your future lives, lies that you’ve told, lies you plan to tell, lies, truths, grim visions, prophecy, wishes, wants, loves, hates, premonitions, warnings, fables, adages, myths, legends, stories, diary entries. Jumping over a pit, jumping into a pool, jumping into the sky and never coming down. Anything. Everything.

Jase and I asked Mia what she wanted to do before her surgery. “How about a family party?” she suggested. So the invitation went out. It’s interesting when you mention to family members that they are going to be on TV--schwoom, they are there. As Willie said, “I didn’t know we had this much family.” Mia had always heard the funny stories about Jase wrestling with his brothers and cousins growing up, particularly how cousin Amy beat up Willie, so that’s what she requested for the special entertainment. As Jase said, “It’s the ultimate redneck dinner theater.” A wrestling ring was delivered, and the warmup act was the Robertson boys clowning around, performing their best wrestling moves. Willie surprised everyone with guest professional wrestlers, including Jase’s favorite, “Hacksaw” Jim Duggan. I felt kind of bad for them, wearing only their little wrestling pants, while the rest of us were bundled up in winter coats. Yes, it was January, but it was unusually cold in Louisiana--about twenty degrees. The wrestlers had to keep moving fast; otherwise, they would have frozen to death! At the end of the party, Mia took the stage between Jase and Willie, thanking everyone for coming and then sharing from her heart: “My favorite verse is Psalm 46:10: ‘Be still, and know that I am God!’ God is bigger than all of us, and He is bigger than any of your struggles, too.” I think I can say that there was hardly a dry eye in the crowd. Going into her surgery, Mia was being brave for all of us. In the end, seeing the final version of the episode, I thought the network did a great job of including enough humor to make people laugh but also providing a tender glimpse into the love our family shares with one another and the love we all have for Mia. When Duck Dynasty fans saw it on March 26, 2014, they agreed completely!

Okay, so I shouldn't have fucked with her on the introduction thing. Writing nothing except, Saturday night. You and me. Driving lessons and hot sex ... in her notebook probably wasn't the smartest move. But I was itching to make Little Miss Perfecta stumble in her introduction of me. And stumbling she is. "Miss Ellis?" I watch in amusement as Perfection herself looks up at Peterson. Oh, she's good. This partner of mine knows how to hide her true emotions, something I recognize because I do it all the time. "Yes?" Brittany says, tilting her head and smiling like a beauty queen. I wonder if that smile has ever gotten her out of a speeding ticket. "It's your turn. Introduce Alex to the class." I lean an elbow on the lab table, waiting for an introduction she has to either make up or fess up she knows less than crap about me. She glances at my comfortable position and I can tell from her deer-in-the-headlights look I've stumped her. "This is Alejandro Fuentes," she starts, her voice hitching the slightest bit. My temper flares at the mention of my given name, but I keep a cool facade as she continues with a made-up introduction. "When he wasn't hanging out on street corners and harassing innocent people this summer, he toured the inside of jails around the city, if you know what I mean. And he has a secret desire nobody would ever guess." The room suddenly becomes quiet. Even Peterson straightens to attention. Hell, even I'm listening like the words coming out of Brittany's lying, pink-frosted lips are gospel. "His secret desire," she continues, "is to go to college and become a chemistry teacher, like you, Mrs. Peterson." Yeah, right. I look over at my friend Isa, who seems amused that a white girl isn't afraid of giving me smack in front of the entire class. Brittany flashes me a triumphant smile, thinking she's won this round. Guess again, gringa. I sit up in my chair while the class remains silent. "This is Brittany Ellis," I say, all eyes now focused on me. "This summer she went to the mall, bought new clothes so she could expand her wardrobe, and spent her daddy's money on plastic surgery to enhance her, ahem, assets." It might not be what she wrote, but it's probably close enough to the truth. Unlike her introduction of me. Chuckles come from mis cuates in the back of the class, and Brittany is as stiff as a board beside me, as if my words hurt her precious ego. Brittany Ellis is used to people fawning all over her and she could use a little wake-up call. I'm actually doing her a favor. Little does she know I'm not finished with her intro. "Her secret desire," I add, getting the same reaction as she did during her introduction, "is to date a Mexicano before she graduates." As expected, my words are met by comments and low whistles from the back of the room. "Way to go, Fuentes," my friend Lucky barks out. "I'll date you, mamacita, " another says. I give a high five to another Latino Blood named Marcus sitting behind me just as I catch Isa shaking her head as if I did something wrong. What? I'm just having a little fun with a rich girl from the north side. Brittany's gaze shifts from Colin to me. I take one look at Colin and with my eyes tell him game on. Colin's face instantly turns bright red, resembling a chile pepper. I have definitely invaded his territory.

We were working on the idea about dogs’ Internet searches, and first we debated whether the sketch should feature real dogs or Henrietta and Viv in dog costumes (because cast members were always, unfailingly, trying to get more air time, we quickly went with the latter). Then we discussed where it should take place (the computer cluster in a public library, but, even though all this mattered for was the establishing shot, we got stalled on whether that library should be New York’s famous Main Branch building on Fifth Avenue, with the lion statues in front, a generic suburban library in Kansas City, or a generic suburban library in Jacksonville, Florida, which was where Viv was from). Then we really got stalled on the breeds of dogs. Out of loyalty to my stepfather and Sugar, I wanted at least one to be a beagle. Viv said that it would work best if one was really big and one was really little, and Henrietta said she was fine with any big dog except a German Shepherd because she’d been bitten by her neighbor’s German Shepherd in third grade. After forty minutes we’d decided on a St. Bernard and a Chihuahua—I eventually conceded that Chihuahuas were funnier than beagles. We decided to go with the Florida location for the establishing shot because the lions in front of the New York Main Branch could preempt or diminish the appearance of the St. Bernard. Then we’d arrived at the fun part, which was the search terms. With her mouth full of beef kebab, Viv said, “Am I adopted?” With my mouth full of spanakopita, I said, “Am I a good girl?” With her mouth full of falafel, Henrietta said, “Am I five or thirty-five?” “Why is thunder scary?” I said. “Discreet crotch-sniffing techniques,” Henrietta said. “Cheap mani-pedis in my area,” Viv said. “Oh, and cheapest self-driving car.” “Best hamburgers near me,” I said. “What is halitosis,” Henrietta said. “Halitosis what to do,” I said. “Where do humans pee,” Viv said. “Taco Bell Chihuahua male or female,” I said. “Target bull terrier married,” Viv said. “Lassie plastic surgery,” Henrietta said. “Funny cat videos,” I said. “Corgis embarrassing themselves YouTube,” Viv said. “YouTube little dog scares away big dog,” I said. “Doghub two poodles and one corgi,” Henrietta said. “Waxing my tail,” I said. “Is my tail a normal size,” Viv said.

KNEE SURGERY I’D FIRST HURT MY KNEES IN FALLUJAH WHEN THE WALL FELL on me. Cortisone shots helped for a while, but the pain kept coming back and getting worse. The docs told me I needed to have my legs operated on, but doing that would have meant I would have to take time off and miss the war. So I kept putting it off. I settled into a routine where I’d go to the doc, get a shot, go back to work. The time between shots became shorter and shorter. It got down to every two months, then every month. I made it through Ramadi, but just barely. My knees started locking and it was difficult to get down the stairs. I no longer had a choice, so, soon after I got home in 2007, I went under the knife. The surgeons cut my tendons to relieve pressure so my kneecaps would slide back over. They had to shave down my kneecaps because I had worn grooves in them. They injected synthetic cartilage material and shaved the meniscus. Somewhere along the way they also repaired an ACL. I was like a racing car, being repaired from the ground up. When they were done, they sent me to see Jason, a physical therapist who specializes in working with SEALs. He’d been a trainer for the Pittsburgh Pirates. After 9/11, he decided to devote himself to helping the country. He chose to do that by working with the military. He took a massive pay cut to help put us back together. I DIDN’T KNOW ALL THAT THE FIRST DAY WE MET. ALL I WANTED to hear was how long it was going to take to rehab. He gave me a pensive look. “This surgery—civilians need a year to get back,” he said finally. “Football players, they’re out eight months. SEALs—it’s hard to say. You hate being out of action and will punish yourselves to get back.” He finally predicted six months. I think we did it in five. But I thought I would surely die along the way. JASON PUT ME INTO A MACHINE THAT WOULD STRETCH MY knee. Every day I had to see how much further I could adjust it. I would sweat up a storm as it bent my knee. I finally got it to ninety degrees. “That’s outstanding,” he told me. “Now get more.” “More?” “More!” He also had a machine that sent a shock to my muscle through electrodes. Depending on the muscle, I would have to stretch and point my toes up and down. It doesn’t sound like much, but it is clearly a form of torture that should be outlawed by the Geneva Convention, even for use on SEALs. Naturally, Jason kept upping the voltage. But the worst of all was the simplest: the exercise. I had to do more, more, more. I remember calling Taya many times and telling her I was sure I was going to puke if not die before the day was out. She seemed sympathetic but, come to think of it in retrospect, she and Jason may have been in on it together. There was a stretch where Jason had me doing crazy amounts of ab exercises and other things to my core muscles. “Do you understand it’s my knees that were operated on?” I asked him one day when I thought I’d reached my limit. He just laughed. He had a scientific explanation about how everything in the body depends on strong core muscles, but I think he just liked kicking my ass around the gym. I swear I heard a bullwhip crack over my head any time I started to slack. I always thought the best shape I was ever in was straight out of BUD/S. But I was in far better shape after spending five months with him. Not only were my knees okay, the rest of me was in top condition. When I came back to my platoon, they all asked if I had been taking steroids.

The children crowded about the women in the houses. What we going to do Ma? Where we going to go? The women said, We don’t know, yet. Go out and play. But don’t go near your father. He might whale you if you go near him. And the women went on with the work, but all the time they watched the men squatting in the dust–perplexed and figuring. The tractors came over the roads and into the fields, great crawlers moving like insects, having the incredible strength of insects. They crawled over the ground, laying the track and rolling on it and picking it up. Diesel tractors, puttering while they stood idle; they thundered when they moved, and then settled down to a droning roar. Snub-nosed monsters, raising the dust and sticking their snouts into it, straight down the country, across the country, through fences, through dooryards, in and out of gullies in straight lines. They did not run on the ground, but on their own roadbeds. They ignored hills and gulches, water courses, fences, houses. The man sitting in the iron seat did not look like a man; gloved, goggled, rubber dust mask over nose and mouth, he was part of the monster, a robot in the seat. The thunder of the cylinders sounded through the country, became one with the air and the earth, so that earth and air muttered in sympathetic vibration. The driver could not control it–straight across country it went, cutting through a dozen farms and straight back. A twitch at the controls could swerve the cat’, but the driver’s hands could not twitch because the monster that built the tractor, the monster that sent that tractor out, had somehow got into the driver’s hands, into his brain and muscle, had goggled him and muzzled him–goggled his mind, muzzled his speech, goggled his perception, muzzled his protest. He could not see the land as it was, he could not smell the power of the earth. He sat in an iron seat and stepped on iron pedals. He could not cheer or beat or curse or encourage the extension of his power, and because of this he could not cheer or whip or curse or encourage himself. He did now know or own or trust or beseech the land. If a seed dropped did not germinate, it was no skin off his ass. If the young thrusting plant withered in drought or drowned in a flood of rain, it was no more to the driver than to the tractor. He loved the land no more than the bank loved the land. He could admire the tractor–its machined surfaces, its surge of power, the roar of its detonating cylinders; but it was not his tractor. Behind the tractor rolled the shining disks, cutting the earth with its blades–not plowing but surgery, pushing the cut earth to the right where the second row of disks cut it and pushed it to the left; slicing blades shining, polished by the cut earth. And behind the disks, the harrows combing with iron teeth so that the little clods broke up and the earth lay smooth. Behind the harrows, the long seeders–twelve curved iron penes erected in the foundry, orgasms set by gear, raping methodically, raping without passion. The driver sat in his iron seat and he was proud of the straight lines he did not will, proud of the tractor he did not own or love, proud of the power he could not control. And when that crop grew, and was harvested, no man had crumbled a hot clod in his fingers and let the earth sift past his fingertips. No man had touched the seed, or lusted for the growth. Men ate what they had not raised, and had no connection to the bread. The land bore under iron, and under iron gradually died; for it was not love or hated, it had no prayers or curses.

Quote from "The Dish Keepers of Honest House" ....TO TWIST THE COLD is easy when its only water you want. Tapping of the toothbrush echoes into Ella's mind like footsteps clacking a cobbled street on a bitter, dry, cold morning. Her mind pushes through sleep her body craves. It catches her head falling into a warm, soft pillow. "Go back to bed," she tells herself. "You're still asleep," Ella mumbles, pushes the blanket off, and sits up. The urgency to move persuades her to keep routines. Water from the faucet runs through paste foam like a miniature waterfall. Ella rubs sleep-deprieved eyes, then the bridge of her nose and glances into the sink. Ella's eyes astutely fixate for one, brief millisecond. Water becomes the burgundy of soldiers exiting the drain. Her mouth drops in shock. The flow turns green. It is like the bubbling fungus of flockless, fishless, stagnating ponds. Within the iridescent glimmer of her thinking -- like a brain losing blood flow, Ella's focus is the flickering flashing of gray, white dust, coal-black shadows and crows lifting from the ground. A half minute or two trails off before her mind returns to reality. Ella grasps a toothbrush between thumb and index finger. She rests the outer palm against the sink's edge, breathes in and then exhales. Tension in the brow subsides, and her chest and shoulders drop; she sighs. Ella stares at pasty foam. It exits the drain as if in a race to clear the sink of negativity -- of all germs, slimy spit, the burgundy of imagined soldiers and oppressive plaque. GRASPING THE SILKY STRAND between her fingers, Ella tucks, pulls and slides the floss gently through her teeth. Her breath is an inch or so of the mirror. Inspections leave her demeanor more alert. Clouding steam of the image tugs her conscience. She gazes into silver glass. Bits of hair loosen from the bun piled at her head's posterior. What transforms is what she imagines. The mirror becomes a window. The window possesses her Soul and Spirit. These two become concerned -- much like they did when dishonest housekeepers disrupted Ella's world in another story. Before her is a glorious bird -- shining-dark-as-coal, shimmering in hues of purple-black and black-greens. It is likened unto The Raven in Edgar Allan Poe's most famous poem of 1845. Instead of interrupting a cold December night with tapping on a chamber door, it rests its claws in the decorative, carved handle of a backrest on a stiff dining chair. It projects an air of humor and concern. It moves its head to and fro while seeking a clearer understanding. Ella studies the bird. It is surrounded in lofty bends and stretches of leafless, acorn-less, nearly lifeless, oak trees. Like fingers and arms these branches reach below. [Perhaps they are reaching for us? Rest assured; if they had designs on us, I would be someplace else, writing about something more pleasant and less frightening. Of course, you would be asleep.] Balanced in the branches is a chair. It is from Ella's childhood home. The chair sways. Ella imagines modern-day pilgrims of a distant shore. Each step is as if Mother Nature will position them upright like dolls, blown from the stability of their plastic, flat, toe-less feet. These pilgrims take fate by the hand. LIFTING A TOWEL and patting her mouth and hands, Ella pulls the towel through the rack. She walks to the bedroom, sits and picks up the newspaper. Thumbing through pages that leave fingertips black, she reads headlines: "Former Dentist Guilty of Health Care Fraud." She flips the page, pinches the tip of her nose and brushes the edge of her chin -- smearing both with ink. In the middle fold directly affront her eyes is another headline: "Dentist Punished for Misconduct." She turns the page. There is yet another: "Dentist guilty of urinating in surgery sink and using contaminated dental instruments on patients." This world contains those who are simply insane! Every profession has those who stray from goals....

I’m still in the big Jacuzzi tub when the power flickers--once, twice--and then goes out, leaving me in total darkness, chin deep in lukewarm water. I don’t know why, but it all hits me then--Nan’s surgery tomorrow, shooting that moccasin, this stupid, never-ending storm. I start to cry, deep, gulping sobs. I know it seems childish, but I want my daddy. What if things get worse? What if the house starts to flood? Or the roof blows off? As much as I hate to admit it, I’m scared. Really scared. A knock on the bathroom door startles me. “Jemma? You okay in there?” “I’m fine,” I call out, my voice thick. My cheeks burn with shame at being caught crying in the dark like a two-year-old. “Do you want a candle or something? Maybe a hurricane lamp?” “No, I’m…” I start to say “fine” again, but a ragged sob tears from my throat instead. “It’s going to be okay, Jem. We’ll get through this.” I sink lower into the water, wanting to disappear completely. Why can’t he just go away and let me have my little meltdown in private? Why, after all these years of being a jerk, does he have to suddenly be so nice? “I got both dogs dried off,” he continues conversationally, as if I’m not in here crying my eyes out. “They’re in the kitchen eating their supper. I think Beau’s pretty worked up.” I continue to bawl like a baby. I know he can hear me, that he’s right outside the door, listening. Still, it takes me a good five minutes to get it all out of my system. Once the tears have slowed, I reach for my washcloth and lay it across my eyes, hoping it’ll reduce the puffiness. A minute or two later, I drag it away and wring it out before laying it over the edge of the tub. It’s still dark inside the bathroom, though I can see a flicker of light coming from beneath the door. Ryder must have a flashlight, or maybe one of the battery-operated lanterns I scattered around the house, just in case. I wonder how long he’s going to stand three, waiting for me. The lights flick off, and I think maybe he’s finally left me in peace. But then I hear a muffled thump, and I know he’s still out there, probably sitting with his back against the door. “Hey, Jem?” he says. “You saved my life, you know--out there by the barn. Most people couldn’t have made that shot.” I squeeze my eyes shut, but tears leak through anyway. I hadn’t wanted to kill that stupid snake, but if it had bitten Ryder and we hadn’t been able to make it to the hospital in time… I let the thought trail off, not wanting to examine it further. “Thank you,” he says softly. “I owe you one.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.