Hospital Duty Quotes

The first duty of the novelist is to entertain. It is a moral duty. People who read your books are sick, sad, traveling, in the hospital waiting room while someone is dying. Books are written by the alone for the alone.

Sometimes the ethical—the most important ethical question sometimes is the one you ask not at the moment of crisis, but the duty you have to anticipate certain kinds of crises and avoid them.

A life of hospitality begins in worship, with a recognition of God's grace and generosity. Hospitality is not first a duty and responsibility; it is first a response of love and gratitude for God's love and welcome to us.

Louisa went about her duties at the hospital, trying not to dwell on the fact that this might be her last day alive.

We’ve got a duty to die,” Lamm said, “and get out of the way with all of our machines and artificial hearts and everything else like that and let the other society, our kids, build a reasonable life.

The following day, July 18, there was a small paragraph at the bottom of an inside page of Le Figaro. It announced that in Paris the Deputy Chief of the Brigade Criminelle of the Police Judiciaire, Commissaire Hippolyte Dupuy, had suffered a severe stroke in his office at the Quai des Orfevres and had died on his way to hospital. A successor had been named. He was Commissaire Claude Lebel, Chief of the Homicide Division, and in view of the pressure of work on all the departments of the Brigade during the summer months, he would take up his new duties forthwith. The Jackal, who read every French newspaper available in London each day, read the paragraph after his eye had been caught by the word 'Criminelle' in the headline, but thought nothing of it.

Constant complaints were being made of incompetent attendants, and some dozen women did double duty, and then were blamed for breaking down. If any hospital director fancies this a good and economical arrangement, allow one used up nurse to tell him it isn't, and beg him to spare the sisterhood, who sometimes, in their sympathy, forget that they are mortal, and run the risk of being made immortal, sooner than is agreeable to their partial friends.

You just came out of the hospital ten days ago,” Milo reminded him reprovingly. “You can’t keep running into the hospital every time something happens you don’t like. No, the best thing to do is fly the missions. It’s our duty.

Churches were never meant to be mental hospitals. They were supposed to be military outposts under orders to storm the gates of hell. Every believer is on active duty and called to serve a higher purpose with the rank of their blessings and talents.

The manager had just returned from a hospitality conference in Jakarta, where he had learned that the main duty of hotel staff was not to deliver but to over-deliver.

They demanded legal clarity. So, beginning with California, states passed laws exempting doctors from prosecution if they prescribed opiates for pain within the practice of responsible health care. Numerous states approved so-called intractable pain regulations: Ohio, Oregon, Washington, and others. Soon what can only be described as a revolution in medical thought and practice was under way. Doctors were urged to begin attending to the country’s pain epidemic by prescribing these drugs. Interns and residents were taught that these drugs were now not addictive, that doctors thus had a mission, a duty, to use them. In some hospitals, doctors were told they could be sued if they did not treat pain aggressively, which meant with opiates. Russell

But the hospital also offers the mild, oddly gratifying trauma of sudden stabilization—a transfer out of the too familiar surroundings of home, where all is anxiety and discord, into an orderly and benign detention where one’s only duty is to try to get well.

I pray God that whoever will lead our country may be, in his heart, as much Pashtun as Tajik, as much Uzbek as Hazara. That his wife may counsel and assist him; that he may choose advisors of great character and wisdom. That books may replace weapons, that education may teach us to respect one another, that our hospitals may be worthy of their mission, and that our culture may be reborn from the ruins of our pillaged museums. That the camps of famished refugees may disappear from our borders, and that the bread the hungry eat be kneaded by their own hands. I will do more than pray, because when the last talib has put away his black turban and I can be a free woman in a free Afghanistan, I will take up my life there once more and do my duty as a citizen, as a woman, and, I hope, as a mother.

The Virtues of Selfishness If you are not selfish you will not be altruistic, remember. If you are not selfish you will not be unselfish, remember. Only a very deeply selfish person can be unselfish. But this has to be understood because it looks like a paradox. What is the meaning of being selfish? The first basic thing is to be self-centered. The second basic thing is always to look for one’s blissfulness. If you are self-centered, you will be selfish whatsoever you do. You may go and serve people but you will do it only because you enjoy it, because you love doing it, you feel happy and blissful doing it—you feel yourself doing it. You are not doing any duty; you are not serving humanity. You are not a great martyr; you are not sacrificing. These are all nonsensical terms. You are simply being happy in your own way—it feels good to you. You go to the hospital and serve the ill people there, or you go to the poor and serve them, but you love it. It is how you grow. Deep down you feel blissful and silent, happy about yourself. Excerpt from Love, Freedom, Aloneness

I like to hope that there are more good people in the world than evil people' she said. 'I would like to hope that too', the old man said, 'but I don't. There are good people, however, and our duty in life is to be one of them, even though we will generally be outnumbered.

But who am I to give lessons? There are no real messages in my fiction. The first duty of the novelist is to entertain. It is a moral duty. People who read your books are sick, sad, traveling, in the hospital waiting room while someone is dying. Books are written by the alone for the alone.

The sick bay was in the most out-of-the-way corner of the camp, and no sound whatsoever reached it: there was not even the ticking of a clock—prisoners are not allowed clocks. The big boys tell the time for them. You couldn’t even hear mice scratching—they’d all been caught by the hospital cat, as was his duty.

It’s the fastest incubation period I’ve ever seen. I just saw a patient, she works as an orderly here at the hospital, on duty when the first patients started coming in this morning. She started feeling sick a few hours into her shift, went home early, her boyfriend drove her back in two hours ago and now she’s on a ventilator.

Taking these things into consideration, while blinking stupidly at Dr. Z, I resolved to retire gracefully, if I must; so, with a valedictory to my boys, a private lecture to Mrs. Waldman, and a fervent wish that I could take off my body and work in my soul, I mournfully ascended to my apartment, and Nurse P. was reported off-duty.

We are one country, and I remain a proud Unionist, happy to sing “The Star-Spangled Banner” and pledge allegiance, sing about the amber waves of grain, wish I was in the land of cotton, pick my teeth with a carpet tack, be in the kitchen with Dinah, hate to see the evening sun go down, take myself out to the ball game, walk that lonesome valley, and lean on the everlasting arms. I love this country. This is one of those simple dumb discoveries a man makes, like the night I came out of the New York hospital where I, a bystander at my wife’s travail, had held my naked newborn six-pound shining-eyed daughter in my two hands, and I walked around town at midnight stunned by the fact that what I had seen was utterly ordinary, everybody comes into the world pretty much like that. In the same spirit, I walk around St. Paul and think, This is a great country and it wasn’t made so by angry people. We have a sacred duty to bequeath it to our grandchildren in better shape than however we found it. We have a long way to go and we’re not getting any younger.

The war was a factory that cranked out casualties with all the frightful efficiency of the modern assembly line. That had become its real purpose, she knew, regardless of all the patriotic blather about duty, honor, and country or putting paid to the depradations of the Hun. Those were excuses, delusions, lies. Men had begun the war, but it had long since escaped them, acquiring its own implacable momentum. And as long as fresh recruits kept coming, as long as hospitals like this one patched up the wounded and sent them back, it seemed likely to go on producing its horrors. The very scale of the slaughter ensured its continuance, for to stop in the face of such appalling losses would be to acknowledge that the dead had perished in vain. The war was its own thing now, a machine for grinding up people's lives. Or no, she thought, not a machine at all: it was alive, a bloated creature as red and raw as a shell wound, a battlefield birth of splintered bone, hot shrapnel, and glutinous mud, suckled on blood, with a hunger that increased the more it was fed.

What renders you incapable of such a rudeness, is nothing but a regard to the general rules of civility and hospitality, which prohibit it. … But if without regard to these general rules, even the duties of politeness, which are so easily observed, and which one can scarce have any serious motive to violate, would yet be so frequently violated, that what would become of the duties of justice, of truth, of chastity, of fidelity, which it is often so difficult to observe, and which there may be so many strong motives to violate? But upon the tolerable observance of these duties, depends the very existence of human society, which would crumble into nothing if mankind were not generally impressed with a reverence for those important rules of conduct.

Hospitality was not a voluntary action that a person extended to friends and colleagues. It was a society-wide obligation that every household was duty bound to extend to strangers, foreigners, travelers, and sojourners. Because the societal weave was based on familial relationships, the societal welfare demanded that households offer temporary shelter and food to anyone who was brought by life circumstance into a household's territory at the end of a day.

As the prisoners’ commanding officer and senior medical officer, Dorrigo Evans reported to Major Nakamura that four men had died the day before, two overnight, and that this left eight hundred and thirty-eight POWs. Of this eight hundred and thirty-eight, sixty-seven had cholera and were in the cholera compound, and another one hundred and seventy-nine were in hospital with severe illness. A further one hundred and sixty-seven were too ill for any work other than light duties.

Kids shouting and skidding in the playground with no idea what future Hells awaited them: boring jobs and ruinous mortgages and bad marriages and hair loss and hip replacements and lonely cups of coffee in an empty house and a colostomy bag at the hospital. Most people seemed satisfied with the thin decorative glaze and the artful stage lighting that, sometimes, made the bedrock atrocity of the human predicament look somewhat more mysterious or less abhorrent. People gambled and golfed and planted gardens and traded stocks and had sex and bought new cars and practiced yoga and worked and prayed and redecorated their homes and got worked up over the news and fussed over their children and gossiped about their neighbors and pored over restaurant reviews and founded charitable organizations and supported political candidates and attended the U.S. Open and dined and travelled and distracted themselves with all kinds of gadgets and devices, flooding themselves incessantly with information and texts and communication and entertainment from every direction to try to make themselves forget it: where we were, what we were. But in a strong light there was no good spin you could put on it. It was rotten top to bottom. Putting your time in at the office; dutifully spawning your two point five; smiling politely at your retirement party; then chewing on your bedsheet and choking on your canned peaches at the nursing home. It was better never to have been born—never to have wanted anything, never to have hoped for anything.

221. Sweet, salt, pungent, bitter, acid, and astringent. 222. “Of old hoards and minerals in the earth, the king is entitled to half by reason of his general protection, and because he is the lord paramount of the soil.”Manu, Book VIII. 39. 223. Ghí or clarified butter,“holy oil,”being one of the essentials of sacrifice. 224. “A Bráhman had five principal duties to discharge every day: study and teaching the Veda, oblations to the manes or spirits of the departed, sacrifice to the Gods, hospitable offerings to

To get a sense of what I mean by evangelism as the practice of hospitality, visit your local church. Don’t go upstairs, to the sanctuary, go downstairs to that room in the basement with the linoleum tile and the coffee urn. That’s where the AA and NA meetings are held. At its best, Alcoholics Anonymous embodies evangelism as hospitality. They offer an invitation, not a sales pitch. They offer testimony — personal stories — instead of a marketing scheme. They are, in fact and in practice, a bunch of beggars offering other beggars the good news of where they found bread. At its worst, AA sometimes slips into the evangelism-as-sales model. You may have found yourself at some point having a beer when some newly sober 12-step disciple begins lecturing you that this is evidence that you have a problem. He will try to sell you the idea that you are a beggar so he can sell you some bread. The ensuing conversation is tense, awkward and pointless — the precise qualities of the similar conversation you may have had with an evangelical Christian coworker who was reluctantly but dutifully inflicting on you a sales pitch for evangelical Christianity.

They'd find a way out of this mess of thorns, she told her grandson, and promised to visit his first Sunday at Nickel. But when she showed up, they told her that he was sick and couldn't have visitors. She asked what was wrong with him. The Nickel man said, [How the h*** should I know, lady?] There was a new pair of denim pants on the chair next to Elwood's hospital bed. The beating had embedded bits of the first into his skin and it took two hours for the doctor to remove the fibers. It was a duty the doctor had to perform from time to time. Tweezers did the trick. The boy would be in the hospital until he walked without pain.

Despite these trends, our culture pushes a Bad Energy world onto kids who cannot protect themselves. Our culture has normalized giving one-year-olds packaged, ultra-processed foods like cake, Goldfish, rice puffs, juice, and french fries. We slather toxic, artificially scented lotions and shampoos all over their tiny bodies as soon as their first hospital bath. We damage their livers and antioxidant capacity with too much acetaminophen (Tylenol) at the first sign of fussiness or a cold. We blast their microbiomes with heavy-duty antibiotics at the first sign of a possible ear infection. And we interrupt their sleep for unconscionably early school times, then force them to sit at desks in school for six or more hours a day. We create terror and chronic stress in their bodies from social media and overall media exposure. The world kids live in is inflammatory and metabolically disastrous unless parents staunchly go against the tide of “normal” American culture. The irony is that so many parents wish that parenting were easier—fewer infections, less colic, easier behavioral patterns—without thinking through the lens of energy production in their children’s bodies. We can do so much to make our lives and our kids’ lives easier by controlling the controllable.

A most attractive face he had, framed in brown hair and beard, comely featured and full of vigor, as yet unsubdued by pain; thoughtful and often beautifully mild while watching the afflictions of others, as if entirely forgetful of his own. His mouth was grave and firm, with plenty of will and courage in its lines, but a smile could make it as sweet as any woman's; and his eyes were child's eyes, looking one fairly in the face, with a clear, straightforward glance, which promised well for such as placed their faith in him. He seemed to cling to life, as if it were rich in duties and delights, and he had learned the secret of content.

In the nineteenth century wealthy families were typically settled, often for several generations, in a given locale. In a nation of wanderers their stability of residence provided a certain continuity. Old families were recognizable as such, especially in the older seaboard cities, only because, resisting the migratory habit, they put down roots. Their insistence on the sanctity of private property was qualified by the principle that property rights were neither absolute nor unconditional. Wealth was understood to carry civic obligations. Libraries, museums, parks, orchestras, universities, hospitals, and other civic amenities stood as so many monuments to upper-class munificence.

Also in America, the Redemptorist priest and founder of the Paulist order, Fr. Isaac Hecker, was a great admirer of St. Catherine, seeing in her the perfect foil to those who claimed that Catholicism promotes a mechanical piety or fosters a sanctity unconcerned with the real needs of suffering humanity in society. To the latter charge he replied forcefully: "Read the life of St. Catherine, and in imagination fancy her in the city hospital of Genoa, charged not only with the supervision and responsibility of its finances, but also overseeing the care of its sick inmates, taking an active, personal part in its duties as one of its nurses, and conducting the whole establishment with strict economy, perfect order, and the tenderest care and love!

Daniel placed his hands on her shoulders and pushed her down onto the edge of the bed before dropping to the floor between her thighs. Anticipation rushed through him. Since that very first day at the hospital, he’d been yearning to taste her. He wanted to memorize every shiver, every cry of pleasure. With firm hands, he parted her knees wide. She gasped. With an effort, he dragged his gaze up from the juncture of her thighs, over her perfect, pink-tipped breasts to meet her eyes. “What is it?” Story’s hands clenched and unclenched on his comforter. “Nothing. I’ve just…I’ve never…” “Never?” Daniel’s mind reeled a second before desire, even more potent than before, slammed through him. Knowing he could claim her with his mouth, mark her in a way that no one else ever had, humbled and empowered him at the same time. For the first time in the last week, he actually felt grateful for his ample experience. Daniel dipped his head and kissed the inside of her knee. At the same time, his hands skimmed up her belly to her breasts, where he teased her stiff nipples with his thumbs. He continued his methodical motions until he felt the tension ebb from her body, her thighs relaxing open once more. Savoring the taste of her skin, he licked up the inside of one thigh before giving the other side the same treatment. When her hips began shifting on the bed, he knew she was ready for more. He hooked his hands beneath her knees and draped them over his shoulders. “Baby, you’re going to want to lie back for this.

For inspiration, I would turn again and again to Lieutenant Jason “Jay” Redman, a Navy SEAL who had been shot seven times and had undergone nearly two dozen surgeries. He had placed a hand-drawn sign on the door to his room at Bethesda Naval Hospital. It read: ATTENTION. To all who enter here. If you are coming into this room with sorrow or to feel sorry for my wounds, go elsewhere. The wounds I received I got in a job I love, doing it for people I love, supporting the freedom of a country I deeply love. I am incredibly tough and will make a full recovery. What is full? That is the absolute utmost physically my body has the ability to recover. Then I will push that about 20% further through sheer mental tenacity. This room you are about to enter is a room of fun, optimism, and intense rapid regrowth. If you are not prepared for that, go elsewhere. From: The Management.

Some judicial officials began to notice the unusual frequency of deaths among the inmates of institutions and some prosecutors even considered asking the Gestapo to investigate the killings. However, none went so far as Lothar Kreyssig, a judge in Brandenburg who specialized in matters of wardship and adoption. A war veteran and a member of the Confessing Church, Kreyssig became suspicious when psychiatric patients who were wards of the court and therefore fell within his area of responsibility began to be transferred from their institutions and were shortly afterwards reported to have died suddenly. Kreyssig wrote Justice Minister Gortner to protest against what he described as an illegal and immoral programme of mass murder. The Justice Minister's response to this and other, similar, queries from local law officers was to try once more to draft a law giving effective immunity to the murderers, only to have it vetoed by Hitler on the grounds that the publicity would give dangerous ammunition to Allied propaganda. Late in April 1941 the Justice Ministry organized a briefing of senior judges and prosecutors by Brack and Heyde, to try to set their minds at rest. In the meantime, Kreyssig was summoned to an interview with the Ministry's top official, State Secretary Roland Freisler, who informed him that the killings were being carried out on Hitler's orders. Refusing to accept this explanation, Kreyssig wrote to the directors of psychiatric hospitals in his district informing them that transfers to killing centres were illegal, and threatening legal action should they transport any of their patients who came within his jurisdiction. It was his legal duty, he proclaimed, to protect the interests and indeed the lives of his charges. A further interview with Gortner failed to persuade him that he was wrong to do this, and he was compulsorily retired in December 1941.

But depression wasn’t the word. This was a plunge encompassing sorrow and revulsion far beyond the personal: a sick, drenching nausea at all humanity and human endeavor from the dawn of time. The writhing loathsomeness of the biological order. Old age, sickness, death. No escape for anyone. Even the beautiful ones were like soft fruit about to spoil. And yet somehow people still kept fucking and breeding and popping out new fodder for the grave, producing more and more new beings to suffer like this was some kind of redemptive, or good, or even somehow morally admirable thing: dragging more innocent creatures into the lose-lose game. Squirming babies and plodding, complacent, hormone-drugged moms. Oh, isn’t he cute? Awww. Kids shouting and skidding in the playground with no idea what future Hells awaited them: boring jobs and ruinous mortgages and bad marriages and hair loss and hip replacements and lonely cups of coffee in an empty house and a colostomy bag at the hospital. Most people seemed satisfied with the thin decorative glaze and the artful stage lighting that, sometimes, made the bedrock atrocity of the human predicament look somewhat more mysterious or less abhorrent. People gambled and golfed and planted gardens and traded stocks and had sex and bought new cars and practiced yoga and worked and prayed and redecorated their homes and got worked up over the news and fussed over their children and gossiped about their neighbors and pored over restaurant reviews and founded charitable organizations and supported political candidates and attended the U.S. Open and dined and travelled and distracted themselves with all kinds of gadgets and devices, flooding themselves incessantly with information and texts and communication and entertainment from every direction to try to make themselves forget it: where we were, what we were. But in a strong light there was no good spin you could put on it. It was rotten top to bottom. Putting your time in at the office; dutifully spawning your two point five; smiling politely at your retirement party; then chewing on your bedsheet and choking on your canned peaches at the nursing home. It was better never to have been born—never to have wanted anything, never to have hoped for anything.

A few months following the release of Mapping Police Violence, the Washington Post and the Guardian released their own versions of the database. However, each had certain limitations: the Washington Post, for instance, only included instances of killings by officers who used guns, meaning that if an officer choked someone to death, that death would not be included; the Guardian omitted some off-duty killings. And each of those versions has data going back only as far as 2015, limiting the ability to identify trends and patterns over time. In spite of the challenges, different methodological choices, and the likelihood that a small proportion of police violence incidents slip past media outlets, especially in smaller towns without newspapers or digital media, the overall findings were clear and compelling. We found that police kill twelve hundred people each year in America,* meaning one in every three people killed by a stranger in this country is killed by a police officer.* An additional fifty thousand people are hospitalized each year after being injured by police.* This violence disproportionately impacts black communities. Black people are three times more likely to be killed by police than their white counterparts and are more likely to be unarmed when killed.* Black people are more likely to be stopped, searched, arrested,* and subjected to police use of force.* Police violence is so prevalent in black communities

Radioactive reactor fuel and graphite lay everywhere. Part of the roof had collapsed into Unit 4’s section of the turbine hall, setting turbine 7 on fire and breaking an oil pipe, which spread the fire still further and set the hall’s roof alight. Falling debris had broken the pressure valve on a feed pump, which was gushing out boiling, radioactive water.135 Men and women rushed past chunks of uranium fuel as they battled to contain the blaze, isolate electrical systems, and manually open oil-drain and cooling-water valves. Many of these brave souls later died, unaware they had been running among pieces of reactor fuel. For their part, Akimov and Toptunov stayed at the plant after the morning shift relieved them from duty at 6am, choosing to join the desperate effort to salvage the situation. The pair decided water flow to the reactor must be blocked by a closed valve somewhere, so they went together to the half-destroyed feedwater room, where they opened valves on the two feedwater lines. Next, they moved to another room, where they stood knee-deep in a highly radioactive mixture of fuel and water for hours, turning half-submerged valves by hand until the radiation drained their strength and they were evacuated to Pripyat’s hospital.136 Their noble efforts were in vain. The water lines had been destroyed along with the reactor - they were opening valves to nowhere - yet still the control room operators continued redirecting water towards the reactor even six hours after the explosion.

When I woke up a man in a green beret with a big feather poking out of it was leaning over me. I must be hallucinating, I thought. I blinked again but he didn’t go away. Then this immaculate, clipped British accent addressed me. “How are you feeling, soldier?” It was the colonel in charge of British Military Advisory Team (BMAT) in southern Africa. He was here to check on my progress. “We’ll be flying you back to the UK soon,” he said, smiling. “Hang on in there, trooper.” The colonel was exceptionally kind, and I have never forgotten that. He went beyond the call of duty to look out for me and get me repatriated as soon as possible--after all, we were in a country not known for its hospital niceties. The flight to the UK was a bit of a blur, spent sprawled across three seats in the back of a plane. I had been stretchered across the tarmac in the heat of the African sun, feeling desperate and alone. I couldn’t stop crying whenever no one was looking. Look at yourself, Bear. Look at yourself. Yep, you are screwed. And then I zonked out. An ambulance met me at Heathrow, and eventually, at my parents’ insistence, I was driven home. I had nowhere else to go. Both my mum and dad looked exhausted from worry; and on top of my physical pain I also felt gut-wrenchingly guilty for causing such grief to them. None of this was in the game plan for my life. I had been hit hard, broadside and from left field, in a way I could never have imagined. Things like this just didn’t happen to me. I was always the lucky kid. But rogue balls from left field can often be the making of us.

It is the beginning of the year of our Lord 1963. I see a young Negro boy. He is sitting on a stoop in front of a vermin-infested apartment house in Harlem. The stench of garbage is in the halls. The drunks, the jobless, the junkies are shadow figures of his everyday world. The boy goes to a school attended mostly by Negro students with a scattering of Puerto Ricans. His father is one of the jobless. His mother is a sleep-in domestic, working for a family on Long Island. I see a young Negro girl. She is sitting on the stoop of a rickety wooden one-family house in Birmingham. Some visitors would call it a shack. It needs paint badly and the patched-up roof appears in danger of caving in. Half a dozen small children, in various stages of undress, are scampering about the house. The girl is forced to play the role of their mother. She can no longer attend the all-Negro school in her neighborhood because her mother died only recently after a car accident. Neighbors say if the ambulance hadn't come so late to take her to the all-Negro hospital the mother might still be alive. The girl's father is a porter in a downtown department store. He will always be a porter, for there are no promotions for the Negro in this store, where every counter serves him except the one that sells hot dogs and orange juice. This boy and this girl, separated by stretching miles, are wondering: Why does misery constantly haunt the Negro? In some distant past, had their forebears done some tragic injury to the nation, and was the curse of punishment upon the black race? Had they shirked in their duty as patriots, betrayed their country, denied their national birthright? Had they refused to defend their land against a foreign foe?

Hunsford, near Westerham, Kent, 15th October. “Dear Sir,— “The disagreement subsisting between yourself and my late honoured father always gave me much uneasiness, and since I have had the misfortune to lose him, I have frequently wished to heal the breach; but for some time I was kept back by my own doubts, fearing lest it might seem disrespectful to his memory for me to be on good terms with anyone with whom it had always pleased him to be at variance.—’There, Mrs. Bennet.’—My mind, however, is now made up on the subject, for having received ordination at Easter, I have been so fortunate as to be distinguished by the patronage of the Right Honourable Lady Catherine de Bourgh, widow of Sir Lewis de Bourgh, whose bounty and beneficence has preferred me to the valuable rectory of this parish, where it shall be my earnest endeavour to demean myself with grateful respect towards her ladyship, and be ever ready to perform those rites and ceremonies which are instituted by the Church of England. As a clergyman, moreover, I feel it my duty to promote and establish the blessing of peace in all families within the reach of my influence; and on these grounds I flatter myself that my present overtures are highly commendable, and that the circumstance of my being next in the entail of Longbourn estate will be kindly overlooked on your side, and not lead you to reject the offered olive-branch. I cannot be otherwise than concerned at being the means of injuring your amiable daughters, and beg leave to apologise for it, as well as to assure you of my readiness to make them every possible amends—but of this hereafter. If you should have no objection to receive me into your house, I propose myself the satisfaction of waiting on you and your family, Monday, November 18th, by four o’clock, and shall probably trespass on your hospitality till the Saturday se’nnight following, which I can do without any inconvenience, as Lady Catherine is far from objecting to my occasional absence on a Sunday, provided that some other clergyman is engaged to do the duty of the day.—I remain, dear sir, with respectful compliments to your lady and daughters, your well-wisher and friend, “William Collins

But perhaps the best and most memorable way to explain the conflict that arose between honoring traditional honor, and honoring one’s individual psyche, can be conveyed in a story from World War II. In 1943, coming off his dazzling victories in the Sicily campaign, George S. Patton stopped by a medical tent to visit with the wounded. He enjoyed these visits, and so did the soldiers and staff. He would hand out Purple Hearts, pump the men full of encouragement, and offer rousing speeches to the nurses, interns, and their patients that were so touching in nature they sometimes brought tears to many of the eyes in the room. On this particular occasion, as Patton entered the tent all the men jumped to attention except for one, Private Charles H. Kuhl, who sat slouched on a stool. Kuhl, who showed no outward injuries, was asked by Patton how he was wounded, to which the private replied, “I guess I just can’t take it.” Patton did not believe “battle fatigue” or “shell-shock” was a real condition nor an excuse to be given medical treatment, and had recently been told by one of the commanders of Kuhl’s division that, “The front lines seem to be thinning out. There seems to be a very large number of ‘malingerers’ at the hospitals, feigning illness in order to avoid combat duty.” He became livid. Patton slapped Kuhl across the face with his gloves, grabbed him by his collar, and led him outside the tent. Kicking him in the backside, Patton demanded that this “gutless bastard” not be admitted and instead be sent back to the front to fight. A week later, Patton slapped another soldier at a hospital, who, in tears, told the general he was there because of “his nerves,” and that he simply couldn’t “stand the shelling anymore.” Enraged, Patton brandished his white-handled, single-action Colt revolver and bellowed: Your nerves, Hell, you are just a goddamned coward, you yellow son of a bitch. Shut up that goddamned crying. I won’t have these brave men here who have been shot seeing a yellow bastard sitting here crying…You’re a disgrace to the Army and you’re going back to the front lines and you may get shot and killed, but you’re going to fight. If you don’t I’ll stand you up against a wall and have a firing squad kill you on purpose. In fact I ought to shoot you myself, you God-damned whimpering coward.

While Mum was a busy working mother, helping my father in his constituency duties and beyond, Lara became my surrogate mum. She fed me almost every supper I ate--from when I was a baby up to about five years old. She changed my nappies, she taught me to speak, then to walk (which, with so much attention from her, of course happened ridiculously early). She taught me how to get dressed and to brush my teeth. In essence, she got me to do all the things that either she had been too scared to do herself or that just simply intrigued her, such as eating raw bacon or riding a tricycle down a steep hill with no brakes. I was the best rag doll of a baby brother that she could have ever dreamt of. It is why we have always been so close. To her, I am still her little baby brother. And I love her for that. But--and this is the big but--growing up with Lara, there was never a moment’s peace. Even from day one, as a newborn babe in the hospital’s maternity ward, I was paraded around, shown off to anyone and everyone--I was my sister’s new “toy.” And it never stopped. It makes me smile now, but I am sure it is why in later life I craved the peace and solitude that mountains and the sea bring. I didn’t want to perform for anyone, I just wanted space to grow and find myself among all the madness. It took a while to understand where this love of the wild came from, but in truth it probably developed from the intimacy found with my father on the shores of Northern Ireland and the will to escape a loving but bossy elder sister. (God bless her!) I can joke about this nowadays with Lara, and through it all she still remains my closest ally and friend; but she is always the extrovert, wishing she could be on the stage or on the chat show couch, where I tend just to long for quiet times with my friends and family. In short, Lara would be much better at being famous than me. She sums it up well, I think: Until Bear was born I hated being the only child--I complained to Mum and Dad that I was lonely. It felt weird not having a brother or sister when all my friends had them. Bear’s arrival was so exciting (once I’d got over the disappointment of him being a boy, because I’d always wanted a sister!). But the moment I set eyes on him, crying his eyes out in his crib, I thought: That’s my baby. I’m going to look after him. I picked him up, he stopped crying, and from then until he got too big, I dragged him around everywhere.

But depression wasn’t the word. This was a plunge encompassing sorrow and revulsion far beyond the personal: a sick, drenching nausea at all humanity and human endeavor from the dawn of time. The writhing loathsomeness of the biological order. Old age, sickness, death. No escape for anyone. Even the beautiful ones were like soft fruit about to spoil. And yet somehow people still kept fucking and breeding and popping out new fodder for the grave, producing more and more new beings to suffer like this was some kind of redemptive, or good, or even somehow morally admirable thing: dragging more innocent creatures into the lose-lose game. Squirming babies and plodding, complacent, hormone-drugged moms. Oh, isn’t he cute? Awww. Kids shouting and skidding in the playground with no idea what future Hells awaited them: boring jobs and ruinous mortgages and bad marriages and hair loss and hip replacements and lonely cups of coffee in an empty house and a colostomy bag at the hospital. Most people seemed satisfied with the thin decorative glaze and the artful stage lighting that, sometimes, made the bedrock atrocity of the human predicament look somewhat more mysterious or less abhorrent. People gambled and golfed and planted gardens and traded stocks and had sex and bought new cars and practiced yoga and worked and prayed and redecorated their homes and got worked up over the news and fussed over their children and gossiped about their neighbors and pored over restaurant reviews and founded charitable organizations and supported political candidates and attended the U.S. Open and dined and travelled and distracted themselves with all kinds of gadgets and devices, flooding themselves incessantly with information and texts and communication and entertainment from every direction to try to make themselves forget it: where we were, what we were. But in a strong light there was no good spin you could put on it. It was rotten top to bottom. Putting your time in at the office; dutifully spawning your two point five; smiling politely at your retirement party; then chewing on your bedsheet and choking on your canned peaches at the nursing home. It was better never to have been born—never to have wanted anything, never to have hoped for anything. And all this mental thrashing and tossing was mixed up with recurring images, or half-dreams, of Popchik lying weak and thin on one side with his ribs going up and down—I’d forgotten him somewhere, left him alone and forgotten to feed him, he was dying—over and over, even when he was in the room with me, head-snaps where I started up guiltily, where is Popchik; and this in turn was mixed up with head-snapping flashes of the bundled pillowcase, locked away in its steel coffin.

These worm-eaten physiological casualties are all men of ressentiment, a whole, vibrating realm of subterranean revenge, inexhaustible and insatiable in its eruptions against the happy, and likewise in masquerades of revenge and pretexts for revenge: when will they actually achieve their ultimate, finest, most sublime triumph of revenge? Doubtless if they succeeded in shoving their own misery, in fact all misery, on to the conscience of the happy: so that the latter eventually start to be ashamed of their happiness and perhaps say to one another: ‘It’s a disgrace to be happy! There is too much misery!’ . . . But there could be no greater or more disastrous mis- understanding than for the happy, the successful, those powerful in body and soul to begin to doubt their right to happiness in this way. Away with this ‘world turned upside down’! Away with this disgraceful molly- coddling of feeling! That the sick should not make the healthy sick – and this would be that kind of mollycoddling – ought to be the chief concern on earth: – but for that, it is essential that the healthy should remain sep- arated from the sick, should even be spared the sight of the sick so that they do not confuse themselves with the sick. Or would it be their task, perhaps, to be nurses and doctors? . . . But they could not be more mis- taken and deceived about their task, – the higher ought not to abase itself as the tool of the lower, the pathos of distance ought to ensure that their tasks are kept separate for all eternity! Their right to be there, the prior- ity of the bell with a clear ring over the discordant and cracked one, is clearly a thousand times greater: they alone are guarantors of the future, they alone have a bounden duty to man’s future. What they can do, what they should do, is something the sick must never do: but so that they can do what only they should, why should they still be free to play doctor, comforter and ‘saviour’ to the sick? . . . And so we need good air! good air! At all events, well away from all madhouses and hospitals of culture! And so we need good company, our company! Or solitude, if need be! But at all events, keep away from the evil fumes of inner corruption and the secret, worm-eaten rottenness of disease! . . . So that we, my friends, can actually defend ourselves, at least for a while yet, against the two worst epidemics that could possibly have been set aside just for us – against great nausea at man! Against deep compassion for man! . . . If you have comprehended in full – and right here I demand profound apprehension, profound comprehension – why it can absolutely not be the task of the healthy to nurse the sick, to make the sick healthy, then another necessity has also been comprehended, – the necessity of doctors and nurses who are sick themselves: and now we have and hold with both hands the meaning of the ascetic priest.

Mr Bold,” said the other, stopping, and speaking with some solemnity, “if you act justly, say nothing in this matter but the truth, and use no unfair weapons in carrying out your purposes, I shall have nothing to forgive. I presume you think I am not entitled to the income I receive from the hospital, and that others are entitled to it. Whatever some may do, I shall never attribute to you base motives because you hold an opinion opposed to my own and adverse to my interests: pray do what you consider to be your duty; I can give you no assistance, neither will I offer you any obstacle. Let me, however, suggest to you, that you can in no wise forward your views nor I mine, by any discussion between us.

I had discovered early at Ellis that a hospital nurse performs the same tasks day after day after day, and that an odd solace can be found in the monotony of those duties. Were it not for the steady thrum of the routine, the spectacle of unending human suffering would be a hospital nurse’s undoing.

By April 23, 2014, thirty-four cases and six deaths from Ebola in Liberia were recorded. By mid-June, 16 more people died. At the time it was thought to be malaria but when seven more people died the following month tests showed that was the Ebola virus. The primary reason for the spreading of the Ebola virus was the direct contact from one person to the next and the ingesting of bush meat. Soon doctors and nurses also became infected. On July 2, 2014, the head surgeon of Redemption Hospital was treated at the JFK Medical Center in Monrovia, where he died from the disease. His death was followed by four nurses at Phebe Hospital in Bong County. At about the same time two U.S. health care workers, Dr. Kent Brantly and a nurse were also infected with the disease. However, they were medically evacuated from Liberia to the United States for treatment where they made a full recovery. Another doctor from Uganda was not so lucky and died from the disease. Arik Air suspended all flights between Nigeria and Liberia and checkpoints were set up at all the ports and border crossings. In August of 2014, the impoverished slum area of West Point was cordoned off. Riots ensued as protesters turned violent. The looting of a clinic of its supplies, including blood-stained bed sheets and mattresses caused the military to shoot into the crowds. Still more patients became infected, causing a shortage of staff and logistics. By September there had been a total of 3,458 cases of which there were 1,830 deaths according to the World Health Organization. Hospitals and clinics could no longer handle this crisis and patients who were treated outside died before they could get help. There were cases where the bodies were just dumped into the Mesurado River. The Ivory Coast out of compassion, opened carefully restricted humanitarian routes and resumed the previously suspended flights to Liberia. Ellen Johnson Sirleaf the president of Libera sent a letter to President Barack Obama concerning the outbreak of Ebola that was on the verge of overrunning her country. The message was desperate, “I am being honest with you when I say that at this rate, we will never break the transmission chain and the virus will overwhelm us.” Having been a former finance minister and World Bank official, Johnson Sirleaf was not one for histrionics however she recognized the pandemic as extremely dangerous. The United States responded to her request and American troops came in and opened a new 60-bed clinic in the Sierra Leone town of Kenema, but by then the outbreak was described as being out of control. Still not understanding the dangerous contagious aspects of this epidemic at least eight Liberian soldiers died after contracting the disease from a single female camp follower. In spite of being a relatively poor country, Cuba is one of the most committed in deploying doctors to crisis zones. It sent more than 460 Cuban doctors and nurses to West Africa. In October Germany sent medical supplies and later that month a hundred additional U.S. troops arrived in Liberia, bringing the total to 565 to assist in the fight against the deadly disease. To understand the severity of the disease, a supply order was placed on October 15th for a 6 month supply of 80,000 body bags and 1 million protective suits. At that time it was reported that 223 health care workers had been infected with Ebola, and 103 of them had died in Liberia. Fear of the disease also slowed down the functioning of the Liberian government. President Sirleaf, had in an emergency announcement informed absent government ministers and civil service leaders to return to their duties. She fired 10 government officials, including deputy ministers in the central government who failed to return to work.

A person employed in a workshop, in a university or in a commercial business would not be acting in accordance with justice if he were not to carry out his job conscientiously, in a professionally competent way, while taking good care of the tools, equipment and other property of the company (or library, hospital, workshop etc.) he works for, or of the house in the case of domestic employees. Students would be lacking in justice towards society and towards their families, at times seriously, if they didn’t make good use of the time during which they are supposed to be studying. In general, examination marks can be a good source of material for examination of conscience. Very often poor application to one’s studies can be the cause of afterwards not being professionally competent and of not giving value for money to one’s employers through lack of adequate preparation. These are points on which we ought to examine ourselves often, if we are to carry out conscientiously, before God and men, our duties to our neighbour, thereby fulfilling the requirements of justice, mercy and faith in agreements, contracts and promises. Let us ask Our Lady for this rectitude of conscience, so that we can contribute to making the society in which we live a worthy place for the sons and daughters of God to live together in harmony.

And he is not at an age right for renunciation; he has not even entered the stage of the householder, as befits a well educated man; he has not therefore paid back his dues to the gods and to his ancestral spirits and to his fellowmen. Bound by these dues where can he go now? He has no experience at all of women and consequently of samsara. He has not therefore attained any of the purusharthas of life, namely dharma, artha and kama. He has not even rendered personal service to his parents to ensure their comfort. He has not helped his loving relations, nor endowed his dear friends with wealth, nor honoured the wise. He has not shared his wealth with his dependants nor fulfilled the desires of those begging for favours. "He has not founded his lineage by begetting sons and grandsons. Nor has he performed any great sacrificial rituals. He has not given generous gifts nor fulfilled his obligations of hospitality. He has not done his duty by this world. He has not adorned the earth with dams, wells and water distributing centres, with palaces, ponds and groves. Above all he has not still spread his fame far and wide which alone would live on till the end of the world.

As a GP and former parliamentarian, [Former Australian Greens Leader Bob Brown]'s seen the costs of trying to artificially bring on that most basic of human functions. Brown was famously on duty at London's St Mary Abbot's Hospital on 18 September 1970 when Jimi Hendrix, aged twenty-seven, was brought in having died in his sleep after a cocktail of red wine and sleeping pills.

Once the delivery was over and we were led to our hospital room for the night, Jordyn was famished, so I went down to the cafeteria to find her something to eat. I scoured for something that she might actually be able to stomach but retreated back to our room empty-handed, opting to perhaps order from the Jerry’s Deli across the street. I walked across the hall to the nurse station, where there was one nurse on duty, a large woman with Hulk Hogan’s build who barked at me in a thick eastern European accent, “CAN I HELP YOU?” “Yes . . . um, can you tell me if Jerry’s Deli delivers here?” She stared at me with her ice-cold eyes and growled, “I AM NOT AT LIBERTY TO DISCLOSE ANY INFORMATION ABOUT WHO IS DELIVERED HERE.” I smiled, realizing that she’d misunderstood my question, and said, “Hahaha . . . no . . . does JERRY’S DELI deliver here?” Looking like she was about to leap over her computer and strangle me with her giant, professional-wrestling hands, she raised her volume and repeated, “I TOLD YOU! I AM NOT AT LIBERTY TO DISCLOSE ANY INFORMATION ABOUT WHO IS DELIVERED HERE!!!” I scurried away in fear, walked across the street, and ordered a sandwich for Jordyn while standing next to Jennifer Lopez. Another night in Los Angeles. My mother was right, being a father to a daughter was indeed the most special relationship of my life. I was soon well versed in the art of a smudgeless pedicure, how to tie the perfect ponytail, and how to identify every Disney princess just by the color of her dress. This was easy, I thought.

According to the Pentagon, “mental disorders are the leading cause of hospital bed days and the second leading cause of medical encounters for active duty servicemembers.

Shortly after I began work with Teresa, I acquired another MPD client, a supposedly schizophrenic young man I will call Tony. He called in to the clinic on a day I was on telephone duty, saying he was having flashbacks of "ritual abuse.” I did not yet know what that was. Tony became my client. He could be quite entertaining. I have a vivid memory of him as a three-year-old, "Tiny Tony,” standing on his head on my office couch, and running down the hall to try unsuccessfully to make it to the bathroom. He had in his head the entire rock band of Guns’n’Roses, and I got to know Axl, the band leader, quite well. I remember the time Tony was in hospital and I went to visit him; Axl popped out and said, "Remember, we’re schizophrenic in here!

Chapter 15 Grace One morning, after an uneventful sojourn at the bath house. The ward received a rare visit from the Physician Superintendent. He walked into the day room accompanied by the charge nurse just as me and Art were preparing the patients for lunch. “Do you say Grace before meals?” inquired the Superintendent of the charge. “Yes Sir.” The charge was well aware of the hospital rules and snapped almost to attention in reply. His response was true. Our charge, being a stickler for the rule book of the institution, always insisted on saying grace. The order was; “Stand behind your chairs.” Usually bellowed by the deputy although Art and I occasionally got the chance. The seventy odd patients milling round in the dining gallery would stand behind their chairs in absolute silence. Years of institutional living had taught them that meals would only be served after a period of absolute silence, followed by grace. The charge, not leaving his chair, would open his office door and poking his head out would call. “For whayouare aboutorecieve maythelor mayoutruly thankful.” To which the patients would dutifully chorus “Amen” and sit down to eat. On this day the “Big Chief” was present and Art and I could tell things were going to be different. “Stand behind your chairs.” Was said. Nothing happened.—Louder, “Stand behind your chairs.” Nothing.—Art bellowed “Stand behind your chairs.” The effect was electric and the mass moved into its lunchtime position of silence standing behind their chairs in the dining room. The charge had slipped into his long white nursing coat. He was going to assist with lunch. He moved away from the side of the Physician Superintendent and stood in the centre of the dining room. There he adopted a posture which he adjudged spiritually appropriate. Hands clasped in front of him, eyes lowered, he bowed his head. Not wishing to get on the wrong side of our boss. Art and I stood one either side of him and followed suit. Absolute silence reigned. Before the charge could proceed any further with this charade the ward kitchen door opened to reveal Benny and Jimmy. They were two long standing ward worker patients who’s job it was to prepare the plates on the servery ready for the meal. Patients assisting with serving meals was against the “rules” and Benny realising that the Superintendent was present blurted out. “For Christ’s sake shut that bloody door.” Seventy nine patients solemnly responded with “Amen.” and promptly sat down in eager anticipation of their dinner. “I see.” said the Physician Superintendent and walked poker faced from the dining room with the red faced charge trailing in his wake. We never said Grace again after that.

In the midst of this scene of enjoyment, a solitary horseman rode up to the house, dismounted and entered--a tall soldierly looking man in uniform of a captain of infantry. Seeing that we were a private party and believing himself to be an intruder, he was about to beat a retreat, but we pressed him to join us, and after some hesitation he consented to do so. He introduced himself as Captain Atkins of Wheat's battalion and told us that the battalion was on picket duty, and he on the grand round, and had come out of his way to warm himself by the hospital fireside of the tavern. Learning from him that Major Wheat was on the line, Meade and I started off in search of him. We found him at his headquarters, a fly tent under a tree at the crossroad, and it required no great deal of eloquence to induce him to join our dinner party. W. F. Shippey, C.S.A.

When I was drafted into the army in April 1984, I was a nineteen-year-old boy. The club where they took us was a distribution centre. Officers came there from various military units and picked out the soldiers they wanted. My fate was decided in one minute. A young officer came up to me and asked, “Do you want to serve in the commandos, the Blue Berets?” Of course I agreed. Two hours later I was on a plane to Uzbekistan (a Soviet republic in Central Asia), where our training base was located. During the flight, I learned most of the soldiers from this base were sent to Afghanistan. I wasn’t scared. I wasn’t surprised. At that point I didn’t care anymore because I understood that it is impossible to change anything. ‘To serve in the Soviet army is the honourable duty of Soviet citizens” – as it’s written in our Constitution. And no one gives a damn whether you want to fulfil this “honourable duty” or not. But then I didn’t know anything about Afghanistan. Up until 1985, in the press and on television, they told us that Soviet soldiers in Afghanistan were planting trees and building schools and hospitals. And only a few knew that more and more cemeteries were being filled with the graves of eighteen- to twenty-year-old boys. Without the dates of their death, without inscriptions. Only their names on black stone … At the base we were trained and taught to shoot. We were told that we were being sent to Afghanistan not to plant trees. And as to building schools, we simply wouldn’t have the time … Three and a half months later, my plane was landing in Kabul, the capital of Afghanistan … We were taken to a club on base. A few minutes later, officers started to come by and choose soldiers. Suddenly, an officer with a smiling face and sad eyes burst in noisily. He looked us over with an appraising glance and pointed his finger at me: “Ah ha! I see a minesweeper!” That’s how I became a minesweeper. Ten days later, I went on my first combat mission.

hospital. You know they gave me male nurses on purpose.” “Of course they did. They didn’t want any of their female nurses shirking their duties to the other patients to take care of you.” Levi Spencer was one of the most, if not the most, eligible bachelors in Las Vegas. He was rich, for one thing, and couldn’t help being charming any more than he could help his gorgeous—according to Joe’s own wife—blue eyes, dark hair or I’m-trouble-and-you’ll-love-every-minute-of-it grin. “You’re mostly bored,” Joe said. “None of my friends came to visit me in the hospital.” Joe sighed. He wasn’t sure that Levi actually

The most common type of police call, then as now, was for disturbances. In the domestic kind, a rookie, who was barely twenty-one and unmarried, might have to assume the role of family counselor. Also, police frequently encountered mentally disturbed persons or, in the slang phrases, “psychos” and “nut cases.” Since they had virtually no training in dealing with such people, they tried to calm them down. If that failed, arrest or transportation to a hospital was the only recourse. Rookies soon realized that their basic police training, which had largely stressed firearms, self-defense and drill—all subjects that Uncle Sam had already taught them—were of little value in their actual street duties. Of course, the rookie would also note that gentlemen with “Dr.” before their name and a string of letters after it did not seem to have much success in dealing with family disputes or the emotionally disturbed.

They were strict in not offending those with whom they were in amity. They had high notions of the duty of observing faith to allies and hospitality to guests.

In the hospital, there also was a man trying to look as if he had been wounded. I asked him what was the matter, and he said he just couldn’t take it. I gave him the devil, slapped his face with my gloves and kicked him out of the hospital. Companies should deal with such men, and if they shirk their duty they should be tried for cowardice and shot. I will issue an order on this subject tomorrow.

It was another watershed event for a woman who had for so long believed herself worthless, with little to offer the world other than her sense of style. Her life in the royal family had been directly responsible for creating this confusion. As her friend James Gilbey says: “When she went to Pakistan last year she was amazed that five million people turned out just to see her. Diana has this extraordinary battle going on in her mind. ‘How can all these people want to see me?’ and then I get home in the evening and lead this mouse-like existence. Nobody says: ‘Well done.’ She has this incredible dichotomy in her mind. She has this adulation out there and this extraordinary vacant life at home. There is nobody and nothing there in the sense that nobody is saying nice things to her--apart of course from the children. She feels she is in an alien world.” Little things mean so much to Diana. She doesn’t seek praise but on public engagements if people thank her for helping, it turns a routine duty into a very special moment. Years ago she never believed the plaudits she received, now she is much more comfortable accepting a kind word and a friendly gesture. If she makes a difference, it makes her day. She has discussed with church leaders, including the Archbishop or Canterbury and several leading bishops, the blossoming of this deep seated need within herself to help those who are sick and dying. “Anywhere I see suffering, that is where I want to be, doing what I can,” she says. Visits to specialist hospitals like Stoke Mandeville or Great Ormond Street Hospital for Sick Children are not a chore but deeply satisfying. As America’s First Lady, Barbara Bush, discovered when she joined the Princess on a visit to an AIDS ward of the Middlesex Hospital in July 1991 there is nothing maudlin about Diana’s attitude towards the sick. When a bed-bound patient burst into tears as the Princess was chatting to him, Diana spontaneously put her arms around him and gave him an enormous hug. It was a touching moment which affected the First Lady and others who were present. While she has since spoken of the need to give AIDS sufferers a cuddle, for Diana this moment was a personal achievement. As she held him to her, she was giving in to her own self rather than conforming to her role as a princess.

Two things make smoking a virtuous habit. In the first place, the smoker, by paying billions of pounds in tobacco duty, pretty well pays for the entire hospital service. In the second place, by dying on average five years younger that the non-smoker, the smoker reduces the burden of old age on society as a whole.

Hospitality, as with all the mountain tribes, was - and is still - a most sacred duty; and the man who would slay a chance-met traveller without pity or remorse for the sake of trifling gain, would lay down his life for the very same individual were he to cross his threshold as even an unbidden guest.

By Thursday the news had leaked out and a group of photographers waited for her outside the hospital. “People thought Diana only came in at the end,” says Angela. “Of course it wasn’t like that at all, we shared it all.” In the early hours of Thursday, August 23 the end came. When Adrian died, Angela went next door to telephone Diana. Before she could speak Diana said: “I’m on my way.” Shortly after she arrived they said the Lord’s Prayer together and then Diana left her friends to be alone for one last time. “I don’t know of anybody else who would have thought of me first,” says Angela. Then the protective side of Diana took over. She made up a bed for her friend, tucked her in and kissed her goodnight. While she was asleep Diana knew that it would be best if Angela joined her family on holiday in France. She packed her suitcase for her and telephoned her husband in Montpellier to tell him that Angela was flying out as soon as she awoke. Then Diana walked upstairs to see the baby ward, the same unit where her own sons were born. She felt that it was important to see life as well as death, to try and balance her profound sense of loss with a feeling of rebirth. In those few months Diana had learned much about herself, reflecting the new start she had made in life. It was all the more satisfying because for once she had not bowed to the royal family’s pressure. She knew that she had left Balmoral without first seeking permission from the Queen and in the last days there was insistence that she return promptly. The family felt that a token visit would have sufficed and seemed uneasy about her display of loyalty and devotion which clearly went far beyond the traditional call of duty. Her husband had never known much regard for her interests and he was less than sympathetic to the amount of time she spent caring for her friend. They failed to appreciate that she had made a commitment to Adrian Ward-Jackson, a commitment she was determined to keep. It mattered not whether he was dying of AIDS, cancer or some other disease, she had given her word to be with him at the end. She was not about to breach his trust. At that critical time she felt that her loyalty to her friends mattered as much as her duty towards the royal family. As she recalled to Angela: “You both need me. It’s a strange feeling being wanted for myself. Why me?” While the Princess was Angela’s guardian angel at Adrian’s funeral, holding her hand throughout the service, it was at his memorial service where she needed her friend’s shoulder to cry on. It didn’t happen. They tried hard to sit together for the service but Buckingham Palace courtiers would not allow it. As the service at St Paul’s Church in Knightsbridge was a formal occasion, the royal family had to sit in pews on the right, the family and friends of the deceased on the left. In grief, as with so much in Diana’s life, the heavy hand of royal protocol prevented the Princess from fulfilling this very private moment in the way she would have wished. During the service Diana’s grief was apparent as she mourned the man whose road to death had given her such faith in herself. The Princess no longer felt that she had to disguise her true feelings from the world. She could be herself rather than hide behind a mask. Those months nurturing Adrian had reordered her priorities in life. As she wrote to Angela shortly afterwards: “I reached a depth inside which I never imagined was possible. My outlook on life has changed its course and become more positive and balanced.

for Falasteen the boy i adored at sixteen gifted me his keffiyeh feeling guilty for living when others were killed simply for existing i haven’t seen him in sixteen years but think of him often these days his grandmother’s purse still carrying keys to their home believing they’d return in weeks can it even be called a key if what it unlocked is no longer there? we’d sneak onto mall rooftops & pretend shooting only happened with stars! 'we have a duty of memory,' he said, 'so they’ll kill us all until only the soil is witness' how could i reply? i sat in my liquid silence today there are nurseries of martyrs they bomb babies for they fear enemies hiding between pacifiers & tiny wrists bomb hospitals because enemies hide in ICU bedpans bomb schools because enemies hide in children’s bags bomb the oldest mosques & churches because enemies hide in rosary beads & votive candles they bomb journalists because enemies are hiding under their PRESS vests & helmets bomb poets because enemies hide in pages of peace poems the elderly are bombed because enemies hide under their canes the disabled are bombed because they harbour enemies in their artificial limbs they raze & burn all the ancient trees because enemies make bombs from olives they bomb water treatment plants because enemies are now water & so it goes: justification provided exoneration granted business as usual & the boy I adored has green-grey eyes the colour of fig leaves we don’t speak but i wish to tell him 'i’m sorry the world is a blade i’m sorry home is blood & bones i’m sorry music is sirens & wails i’m sorry night is infinite' but the boy I adored has grey-green eyes the colour of forgotten ash

the admission process in the Rotunda began when a pregnant woman requested an admission ticket from the porter at the hospital lodge. Her name and address were recorded, after which she sought recommendation for admission from a clergyman, hospital governor or ‘responsible citizen’.22 With a recommendation secured, the woman attended the hospital dispensary on the following day to have her admission ticket countersigned by the assistant master on duty.

Schwieger ordered the submarine to the bottom so his crew could dine in peace. “And now,” said Zentner, “there was fresh fish, fried in butter, grilled in butter, sautéed in butter, all that we could eat.” These fish and their residual odors, however, could only have worsened the single most unpleasant aspect of U-boat life: the air within the boat. First there was the basal reek of three dozen men who never bathed, wore leather clothes that did not breathe, and shared one small lavatory. The toilet from time to time imparted to the boat the scent of a cholera hospital and could be flushed only when the U-boat was on the surface or at shallow depths, lest the undersea pressure blow material back into the vessel. This tended to happen to novice officers and crew, and was called a “U-boat baptism.” The odor of diesel fuel infiltrated all corners of the boat, ensuring that every cup of cocoa and piece of bread tasted of oil. Then came the fragrances that emanated from the kitchen long after meals were cooked, most notably that close cousin to male body odor, day-old fried onions. All this was made worse by a phenomenon unique to submarines that occurred while they were submerged. U-boats carried only limited amounts of oxygen, in cylinders, which injected air into the boat in a ratio that varied depending on the number of men aboard. Expended air was circulated over a potassium compound to cleanse it of carbonic acid, then reinjected into the boat’s atmosphere. Off-duty crew were encouraged to sleep because sleeping men consumed less oxygen. When deep underwater, the boat developed an interior atmosphere akin to that of a tropical swamp. The air became humid and dense to an unpleasant degree, this caused by the fact that heat generated by the men and by the still-hot diesel engines and the boat’s electrical apparatus warmed the hull. As the boat descended through ever colder waters, the contrast between the warm interior and cold exterior caused condensation, which soaked clothing and bred colonies of mold. Submarine crews called it “U-boat sweat.” It drew oil from the atmosphere and deposited it in coffee and soup, leaving a miniature oil slick. The longer the boat stayed submerged, the worse conditions became. Temperatures within could rise to over 100 degrees Fahrenheit. “You can have no conception of the atmosphere that is evolved by degrees under these circumstances,” wrote one commander, Paul Koenig, “nor of the hellish temperature which brews within the shell of steel.

We were on a swing through the Midwest, and Brian’s asthma had got him and he was in hospital in Chicago. And, hey, when a guy’s sick, you double for him. But then we saw pictures of him zooming around Chicago, hanging at a party with so-and-so, fawning over stars with a silly little bow around his neck. We’d done three, four gigs without him. That’s double duty for me, pal. There’s only five of us, and the whole point of the band is that it’s a two-guitar band. And suddenly there’s only one guitar. I’ve got to figure out whole new ways to play all of these songs. I’ve got to perform Brian’s part as well. I learned a lot about how to do two parts at once, or how to distill the essence of what his part was and still play what I had to play, and throw in a few licks, but it was damn hard work. And I never got a thank-you from him, ever, for covering his arse. He didn’t give a shit. “I was out of it.” That’s all I would get. All right, are you gonna give me your pay? That’s when I had it in for Brian. One can get very sarcastic on the road and quite vicious. “Just shut up, you little creep. Preferred it when you weren’t here.” He had this way of ranting on, saying things that would just grate. “When I played with so-and-so…” He was totally starstruck. “I saw Bob Dylan yesterday. He doesn’t like you.” But he had no idea how obnoxious he was being. So it would start off, “Oh, shut up, Brian.” Or we’d imitate the way he cringed his head into his nonexistent neck. And then it went to baiting him in a

COL Nicholas Young Retires from the United States Army after More than Thirty -Six Years of Distinguished Service to our Nation 2 September 2020 The United States Army War College is pleased to announce the retirement of United States Army War College on September 1, 2020. COL Young’s recent officer evaluation calls him “one of the finest Colonel’s in the United States Army who should be promoted to Brigadier General. COL Young has had a long and distinguished career in the United States Army, culminating in a final assignment as a faculty member at the United States Army War College since 2015. COL Young served until his mandatory retirement date set by federal statue. His long career encompassed just shy of seven years enlisted time before serving for thirty years as a commissioned officer.He first joined the military in 1984, serving as an enlisted soldier in the New Hampshire National Guard before completing a tour of active duty in the U.S, Army Infantry as a non-commissioned officer with the 101st Airborne (Air Assault). He graduated from Officer Candidate School in 1990, was commissioned in the Infantry, and then served as a platoon leader and executive officer in the Massachusetts Army National Guard before assuming as assignment as the executive officer of HHD, 3/18th Infantry in the U.S. Army Reserves. He made a branch transfer to the Medical Service Corps in 1996. COL Young has since served as a health services officer, company executive officer, hospital medical operations officer, hospital adjutant, Commander of the 287th Medical Company (DS), Commander of the 455th Area Support Dental, Chief of Staff of the 804th Medical Brigade, Hospital Commander of the 405th Combat Support Hospital and Hospital Commander of the 399th Combat Support Hospital. He was activated to the 94th Regional Support Command in support of the New York City terrorist attacks in 2001. COL Young is currently a faculty instructor at the U.S. Army War College. He is a graduate of basic training, advanced individual infantry training, Air Assault School, the primary leadership development course, the infantry officer basic course, the medical officer basic course, the advanced medical officer course, the joint medical officer planning course, the company commander leadership course, the battalion/brigade commander leadership course, the U.S. Air War College (with academic honors), the U.S. Army War College and the U.S. Naval War College (with academic distinction).

Mom's secret recipe used Meyer lemons for a sweeter, richer flavor. That was one of her tricks. That and European butter. With its higher fat content than American butter, it made a flakier crust. "Lolly, what are the three secret ingredients that make this the best lemon meringue pie in the world?" She'd drilled me that last night before she died, demanding I recite every ingredient, every step, until she was satisfied I had it down pat. "The three ingredients are Meyer lemons, European butter, and a leaf of lemon balm boiled into the syrup every time," I'd dutifully recited in her hospital room, feeling the weight of grief, of responsibility rest heavier on my shoulders with every word. Lemon balm was an unorthodox choice for pie, but Mom had loved cooking with edible flowers and herbs. She'd taught me everything I knew about them. I reached for the little lemon balm potted plant growing on the windowsill over the sink and carefully pinched off a leaf. "In the language of flowers, lemon balm means sympathy or good cheer," she'd explained once. "So every bite of this pie can help brighten someone's day." I crushed the leaf of lemon balm between my fingers and inhaled the scent, hoping it would work on me. No such luck. I dropped the leaf into the pot and stirred. Every time I made these pies I felt her presence. She had loved lemons---their sharp, fresh scent and cheerful hue. She would slice a lemon in half and sniff deeply, happily. "See, Lolly," she'd say. "Lemons brighten every day. They are a touch of kitchen magic, and we all need a little magic in our lives.

The orderly universe of the hospital helps us to form our own abscission zone, that hardening off of an old life, ready to shed its duties and expectations.

Day 27 After that night, things change. During the day, I am myself. I am the obedient daughter, the dutiful sister, the high-strung disciplinarian. While Mom is in the hospital, I make sure Fred is bathed and clothed and fed. I pick up the toys he always leaves on the floor.

Nobody suggested that it was my moral duty to visit my husband. Nobody talked about my moral responsibilities as a wife. But Val kept in touch with the doctors at the hospital, Nicholas kept in touch with the senior chaplain there, and now Lewis was talking of keeping in touch with Kim himself. The more I tried to escape from the reality of my shattered marriage, the more my new companions seemed to be quietly drawing my attention back to the husband I was unable to confront.

Nearly every organized group on Oahu staked out something to do. Boy Scouts fought fires, served coffee, ran messages. The American Legion turned out for patrol and sentry duty. One Legionnaire struggled into his 1917 uniform, had a dreadful time remembering how to wind his puttees and put on his insignia. He took it out on his wife, and she told him to leave her alone —go out and fight his old enemy, the Germans. The San Jose College football team, in town from California for a benefit game the following weekend, signed up with the Police Department for guard duty. Seven of them joined the force, and Quarterback Paul Tognetti stayed on for good, ultimately going into the dairy business. A local committee, called the Major Disaster Council, had spent months preparing for this kind of day; now their foresight was paying off. Forty-five trucks belonging to American Sanitary Laundry, New Fair Dairy, and other local companies sped off to Hickam as converted ambulances. Dr. Forrest Pinkerton dashed to the Hawaii Electric Company’s refrigerator, collected the plasma stored there by the Chamber of Commerce’s Blood Bank. He piled it in the back of his car, distributed it to various hospitals, then rushed on the air, appealing for more donors. Over 500 appeared within an hour, swamping Dr. John Devereux and his three assistants. They took the blood as fast as they could, ran out of containers, used sterilized Coca-Cola bottles.

I believe that we shocked each other by how swiftly we went from being the people who knew each other best in the world to being a pair of the most mutually incomprehensible strangers who ever lived. But it was vital to my survival to have a one bedroom of my own i saw the aprtment almost as a sanatorium a hospice clinci for my own recovery I painted the walls in the warmest colors i could find and bought myself flowers every week as if i were visiting myself in the hospital is this lifetime supposed to be only about duty why are you studying Italian so that just in case Italy ever invades Ethiopia again and is actually successful this time? ciao comes from if you must know it's an abbreviation of a phrase used by medieval venetians as an intimate salutation Sono il Suo Schiavo meaning i am your slave. om Naamah Shivaya meaning I honor the divinity that resides whin me. I wanted to experience both , I wanted worldly enjoyment and divine transcendence the dual glories of a human life I wanted what the Greeks called kalos kai agathos the singular balance of the good and he beautiful I'd been missing both during these last hard years because both pleasure and devotion require a stress free space in which to flourish and I'd been living in a giant trash compactor of nonstop anxiety , As for how to balance the urge for pleasure against the longing for devotion. four feet on the ground a head full of foliage looking at the world through the heart. it was more than I wanted to toughly explore one aspect of myself set against the backdrop of each country in a place that has traditionally done that one thing very well. same guatemalan musicians are always playing id rather be a sparrow than a snail on their bamboo windpipes oh how i want italian to open itself up to me i havent felt so starved for comprehension since then dal centro della mia vita venne una grande fontanana dolce sitl nuovo Dante wrote his divine comedy in terza rima triple rhyme a chain of rhymes with each rhyme repeating here times every five lines. lamor che move il sole e laltre stelle we are the masters of bel far niente larte darrangiarsi The reply in italy to you deserve a break today would probably be yeah no duh that's why I'm planning on taking a break at noon to go over to your house and sleep with your wife, I walked home to my apartment and soft-boiled a pair of fresh brown eggs for my lunch i peeled the eggs and arranged them on a plate beside the seven stalks of the asparagus (which were so slim and snappy they didn't need to be cooked at all,)I put some olives on the plate too and the four knobs of goat cheese I'd picked up yesterday from the fromagerie down the street tend two slices of pink oily salmon for dessert a lovely peach which the woman at the market had given to me for free and which was still warm form the roman sunlight for the longest time I couldn't even touch this food because it was such a masterpiece of lunch a true expression of the art of making something out of nothing finally when i had fully absorbed the prettiness of my meal i went and sat in apatch of sunbeam on my clean wooden floor and ate every bit of it with my fingers while reading my daily newspaper article in Italian happiness inhabited my every molecule. I am inspired by the regal self assurance of this town so grounded and rounded so amused and monumental knowing that she is held securely in the palm of history i would like to be like rome when i am an old lady. I linger over my food and wine for many hours because nobody in

If we look at Medicine Inc.’s history and how it operates today, five basic assumptions stand out that make it distinctly American: The government should not produce or provide healthcare. It’s okay to use public funds to purchase private healthcare for certain people, but only companies or private practitioners should provide healthcare. Those who receive healthcare have earned it, whether through work or through wealth. Fairness means ensuring that the deserving people receive better healthcare. There is no significant conflict between the income a doctor generates and their duty to the public. Doctors can practice simultaneously as businesspeople and as professionals sworn to a code of ethics without major repercussions. Science is impersonal and best aligns with commercial needs, not public ones. Science’s primary beneficiaries should be people who can afford to pay for it. The primary goal of healthcare is to generate income for providers. Other goals, like preventing sickness and empowering people, can happen, but only if the first goal is met. These tenets are so much a part of American healthcare that we don’t even realize our political debates reinforce them.

Dr. H. K. Beecher is the name of one of the first serious students of pain in the United States. In 1946, he published an article in the Annals of Surgery titled “Pain in Men Wounded in Battle” (Vol. 123, p. 96). For years it was widely quoted because of its most interesting observation. But now Dr. Beecher is passing into obscurity, for what he had to say is no longer acceptable to students of pain. Dr. Beecher questioned 215 seriously wounded soldiers at various locations in the European theater during World War II shortly after they had been wounded and found that 75 percent of them had so little pain that they had no need for morphine. Reflecting that strong emotion can block pain, Dr. Beecher went on to speculate: “In this connection it is important to consider the position of the soldier: His wound suddenly releases him from an exceedingly dangerous environment, one filled with fatigue, discomfort, anxiety, fear and real danger of death, and gives him a ticket to the safety of the hospital. His troubles are over, or he thinks they are.” This observation is reinforced by a report of the United States surgeon general during World War II, noted in Martin Gilbert’s book The Second World War: A Complete History (New York: Henry Holt, 1989), that in order to avoid psychiatric breakdown, infantrymen had to be relieved of duty every so often. The report said, “A wound or injury is regarded not as a misfortune, but a blessing.

Individual feelings about death are conditioned by social attitudes, and it is doubtful that there is any one natural and inborn emotion connected with dying. For example, it used to be thought that childbirth should be painful, as a punishment for Original Sin or for having had so much fun conceiving the baby. For God had said to Eve and all her daughters, “In sorrow thou shalt bring forth children.” Thus when everyone believed that in having a baby it was a woman’s duty to suffer, women did their duty, and many still do. We were much surprised, therefore, to find women in “primitive” societies who could just squat down and give birth while working in the fields, bite the umbilical cord, wrap up the baby, and go their way. It wasn’t that their women were tougher than ours, but just that they had a different attitude. For our own gynecologists have recently discovered that many women can be conditioned psychologically for natural and painless childbirth. The pains of labor are renamed “tensions,” and the mother-to-be is given preparatory exercises in relaxing to tension and cooperating with it. Birth, they are told, is not a sickness. One goes to a hospital just in case anything should go wrong, though many avant-garde gynecologists will let their patients give birth at home.

In his book Mosquito Empires: Ecology and War in the Greater Caribbean, 1620–1914, John R. McNeill estimates that Napoleon dispatched sixty-five thousand troops in successive waves to suppress the revolt in Saint-Domingue. Of these, fifty thousand to fifty-five thousand died, with thirty-five thousand to forty-five thousand of those deaths caused by yellow fever. Thus in the late summer of 1802 Leclerc reported that he had under his command only ten thousand men, of whom eight thousand were convalescing in hospital, leaving only two thousand fit for active duty. Two-thirds of the staff officers had also succumbed.

A few years earlier, Forssmann had performed the first human cardiac catheterization—on himself. Assisted by a nurse and some painkillers, he made an incision at his elbow and carefully threaded a thirty-inch rubber catheter—the kind used to drain urine from the kidneys—through a large vein in his arm. Upon reaching the shoulder blade, Forssmann walked down a flight of stairs to the hospital’s X-ray room, the tubing still inside him, and got the technician on duty to record the moment when the outer point of the catheter touched the right chamber of his heart. Forssmann had not only done the medically unthinkable, he’d filmed it for posterity.

As he got off the bus, the butler escorted him over to the reinforced steel door, their footfalls echoing throughout the multi-layered concrete parking area. And then they were inside, proceeding down the long, wide corridor. When Peyton stopped in front of the closed door to Novo’s hospital room, Fritz bowed low and kept on going to his next duty

Shawn was crying. “The bitch didn’t even fucking stop.” “Keep it together,” Javier said calmly. “Look at me, Shawn. He’s a patient. He can be your buddy when this call is over. Right now he’s a patient. Do your job and he’ll be okay.” Shawn nodded, trying to collect himself. Javier snapped the cervical collar on Brandon’s neck and we all put our hands on him, ready to flip him. “On the count of three,” Javier said, not looking up, sweat beading on his forehead. “One, two, three!” And in one fluid motion we turned him onto the backboard. Brandon always wore heavy-duty pants when he rode. But he was in a T-shirt. It was eighty today. His bare left arm was torn to shreds by the asphalt. He looked like he’d been through a lemon zester. Blood oozed from the white streaks of the under layer of his skin. And this was the least of his worries. Shawn, Javier, and an EMT lifted him onto the gurney while I felt his chest and stomach. He had rib fractures and rigidity in his abdomen. “A possible liver laceration,” I said, a lump bolting to my throat. Javier mumbled a curse word, and Shawn shook his head, his eyes red and glassy. We needed to get him to the hospital.

But do you like being slaves?" the Savage was saying as they entered the Hospital. His face was flushed, his eyes bright with ardour and indignation. "Do you like being babies? Yes, babies. Mewling and puking," he added, exasperated by their bestial stupidity into throwing insults at those he had come to save. The insults bounced off their carapace of thick stupidity; they stared at him with a blank expression of dull and sullen resentment in their eyes. "Yes, puking!" he fairly shouted. Grief and remorse, compassion and duty–all were forgotten now and, as it were, absorbed into an intense overpowering hatred of these less than human monsters. "Don't you want to be free and men? Don't you even understand what manhood and freedom are?" Rage was making him fluent; the words came easily, in a rush. "Don't you?" he repeated, but got no answer to his question. "Very well then," he went on grimly. "I'll teach you; I'll make you be free whether you want to or not." And pushing open a window that looked on to the inner court of the Hospital, he began to throw the little pill-boxes of soma tablets in handfuls out into the area.

In the Islamic world, to welcome a traveler in one’s home and treat him as best as possible is the believer’s duty. To be hospitable (misafirperver), he explains, means that for you, a good Muslim, it is your duty to treat your guest (misafir), the traveler, with the utmost respect.

identify your employee adjectives, (2) recruit through proper advertising, (3) identify winning personalities, and (4) select your winners. Step One: Identify Your Employee Adjectives When you think of your favorite employees in the past, what comes to mind? A procedural element such as an organized workstation, neat paperwork, or promptness? No. What makes an employee memorable is her attitude and smile, the way she takes the time to make sure a customer is happy, the extra mile she goes to ensure orders are fulfilled and problems are solved. Her intrinsic qualities—her energy, sense of humor, eagerness, and contributions to the team—are the qualities you remember. Rather than relying on job descriptions that simply quantify various positions’ duties and correlating them with matching experience as a tool for identifying and hiring great employees, I use a more holistic approach. The first step in the process is selecting eight adjectives that best define the personality ideal for each job or role in your business. This is a critical step: it gives you new visions and goals for your own management objectives, new ways to measure employee success, and new ways to assess the performance of your own business. Create a “Job Candidate Profile” for every job position in your business. Each Job Candidate Profile should contain eight single- and multiple-word phrases of defining adjectives that clearly describe the perfect employee for each job position. Consider employee-to-customer personality traits, colleague-to-colleague traits, and employee-to-manager traits when making up the list. For example, an accounting manager might be described with adjectives such as “accurate,” “patient,” “detailed,” and “consistent.” A cocktail server for a nightclub or casual restaurant would likely be described with adjectives like “energetic,” “fun,” “music-loving,” “sports-loving,” “good-humored,” “sociable conversationalist,” “adventurous,” and so on. Obviously, the adjectives for front-of-house staff and back-of-house staff (normally unseen by guests) will be quite different. Below is one generic example of a Job Candidate Profile. Your lists should be tailored for your particular bar concept, audience, location, and style of business (high-end, casual, neighborhood, tourist, and so on). BARTENDER Energetic Extroverted/Conversational Very Likable (first impression) Hospitable, demonstrates a Great Service Attitude Sports Loving Cooperative, Team Player Quality Orientated Attentive, Good Listening Skills SAMPLE ADJECTIVES Amazing Ambitious Appealing Ardent Astounding Avid Awesome Buoyant Committed Courageous Creative Dazzling Dedicated Delightful Distinctive Diverse Dynamic Eager Energetic Engaging Entertaining Enthusiastic Entrepreneurial Exceptional Exciting Fervent Flexible Friendly Genuine High-Energy Imaginative Impressive Independent Ingenious Keen Lively Magnificent Motivating Outstanding Passionate Positive Proactive Remarkable Resourceful Responsive Spirited Supportive Upbeat Vibrant Warm Zealous Step Two: Recruit through Proper Advertising The next step is to develop print or online advertising copy that will attract the personalities you’ve just defined.

Soon afterward I visited the U.S. military hospital at Landstuhl, Germany, where nearly all wounded from Iraq and Afghanistan were sent before returning stateside. I was told I was the only secretary of defense to visit that hospital since the start of the wars in Iraq and Afghanistan.

Knowing this, I have watched with great interest as Kim Barnas and her team at ThedaCare hospitals in Wisconsin worked at transforming their culture by redesigning the system of daily management. After two years of experimentation, discussion, and study, they found a more deliberative approach to leading a lean healthcare system. By changing the expectations of what managers and frontline supervisors actually do each day, Kim and her team pushed the roots of lean deeper into the organization. This encouraged new ways of thinking, which led to new behaviors. Instead of adding continuous improvement to the list of manager’s duties, improvement became the organizing principle of their work. Thus, a new management system emerged and it was clear that this was the secret sauce that so many had been seeking. Kim discovered that changing a leader’s work content changed the leader as well. From frontline supervisors to top executives, new management duties encouraged everyone to become more respectful, improvement focused, and process orientated. Instead of managing by exception—running after today’s unique emergency—they fixed processes. They standardized processes. In doing so, more improvements to clinical processes remained in place. Projects initiated by frontline caregivers were aligned with the hospital’s major initiatives and relevant to the unit or clinic. Continuous improvement became the working method instead of the extra task.

cries stopped. Room 532 was the sixth one on the left, right across from the nurses’ station. As Hoss reached it, his breathing became heavy. He froze in the doorway, ashamed at his cowardice to enter. His mother, he saw, was as she had been the day before, resting peacefully in her bed. A heart-rate monitor was clipped to one finger. An oxygen tube was strapped under her nose. Overhead, the fluorescent lights captured what devastation cancer had done to her, a wasting disease that knew no mercy. She was a ghost of the woman she had once been. Emaciated. Bald from weeks of chemo. Her face, barely recognizable, had become a loose mask collapsed against the bone. A yellowish hue saturated her skin. The hollows of her eyes were in shadow. The hospital had called Hoss an hour earlier. The voice at the other end was soft, reluctant. An on-duty nurse. His mother had taken a turn for the worse. Family members were asked to be at her bedside. There wasn’t much time left. Listening to her, Hoss felt the words in the pit of his stomach. His eyes closed. A painful lump formed in his throat. He couldn’t speak. When he put down the phone, all he could think of with certain dread was this moment now. The final good-bye he’d have to face. Her bed was partitioned off from the others by a curtain. Looking around, Hoss was surprised at his father’s absence. At fifty-three, the man had become a withdrawn, brooding presence.

If popularity were truly an important criterion, in a severe appendicitis crisis, you might call Marilyn Monroe or Charlie Chaplin to operate on you instead of the on-duty hospital surgeon. You might not survive, but you'd certainly be enchanted by Marilyn's radiant presence and have a good laugh with Chaplin. In the end, the show must go on...