Medical School Quotes

There aren't any syringes." Red Sox came over and held a sterile pack out. When she tried to take it from him, he kept a grip on the thing. "I know you'll use this wisely." "Wisely?" She snapped the syringe out of his hand. "No, I'm going to poke him in the eye with it. Because that's what they trained me to do in medical school.

People make mistakes all the time. Small ones, like you get in the wrong checkout line. The one with the lady with a hundred coupons and a checkbook. Sometimes you make medium-sized ones. You go to medical school instead of pursuing you passion. Sometimes you make big ones. You give up.

Republicans approve of the American farmer, but they are willing to help him go broke. They stand four-square for the American home--but not for housing. They are strong for labor--but they are stronger for restricting labor's rights. They favor minimum wage--the smaller the minimum wage the better. They endorse educational opportunity for all--but they won't spend money for teachers or for schools. They think modern medical care and hospitals are fine--for people who can afford them. They consider electrical power a great blessing--but only when the private power companies get their rake-off. They think American standard of living is a fine thing--so long as it doesn't spread to all the people. And they admire of Government of the United States so much that they would like to buy it.

Medical school had been a time for imaginary diseases and Martin had contracted almost all of them.

I could have gone to medical school, I said. Except for all the math and stuff.

I’m a modern man, a man for the millennium. Digital and smoke free. A diversified multi-cultural, post-modern deconstruction that is anatomically and ecologically incorrect. I’ve been up linked and downloaded, I’ve been inputted and outsourced, I know the upside of downsizing, I know the downside of upgrading. I’m a high-tech low-life. A cutting edge, state-of-the-art bi-coastal multi-tasker and I can give you a gigabyte in a nanosecond! I’m new wave, but I’m old school and my inner child is outward bound. I’m a hot-wired, heat seeking, warm-hearted cool customer, voice activated and bio-degradable. I interface with my database, my database is in cyberspace, so I’m interactive, I’m hyperactive and from time to time I’m radioactive. Behind the eight ball, ahead of the curve, ridin the wave, dodgin the bullet and pushin the envelope. I’m on-point, on-task, on-message and off drugs. I’ve got no need for coke and speed. I've got no urge to binge and purge. I’m in-the-moment, on-the-edge, over-the-top and under-the-radar. A high-concept, low-profile, medium-range ballistic missionary. A street-wise smart bomb. A top-gun bottom feeder. I wear power ties, I tell power lies, I take power naps and run victory laps. I’m a totally ongoing big-foot, slam-dunk, rainmaker with a pro-active outreach. A raging workaholic. A working rageaholic. Out of rehab and in denial! I’ve got a personal trainer, a personal shopper, a personal assistant and a personal agenda. You can’t shut me up. You can’t dumb me down because I’m tireless and I’m wireless, I’m an alpha male on beta-blockers. I’m a non-believer and an over-achiever, laid-back but fashion-forward. Up-front, down-home, low-rent, high-maintenance. Super-sized, long-lasting, high-definition, fast-acting, oven-ready and built-to-last! I’m a hands-on, foot-loose, knee-jerk head case pretty maturely post-traumatic and I’ve got a love-child that sends me hate mail. But, I’m feeling, I’m caring, I’m healing, I’m sharing-- a supportive, bonding, nurturing primary care-giver. My output is down, but my income is up. I took a short position on the long bond and my revenue stream has its own cash-flow. I read junk mail, I eat junk food, I buy junk bonds and I watch trash sports! I’m gender specific, capital intensive, user-friendly and lactose intolerant. I like rough sex. I like tough love. I use the “F” word in my emails and the software on my hard-drive is hardcore--no soft porn. I bought a microwave at a mini-mall; I bought a mini-van at a mega-store. I eat fast-food in the slow lane. I’m toll-free, bite-sized, ready-to-wear and I come in all sizes. A fully-equipped, factory-authorized, hospital-tested, clinically-proven, scientifically- formulated medical miracle. I’ve been pre-wash, pre-cooked, pre-heated, pre-screened, pre-approved, pre-packaged, post-dated, freeze-dried, double-wrapped, vacuum-packed and, I have an unlimited broadband capacity. I’m a rude dude, but I’m the real deal. Lean and mean! Cocked, locked and ready-to-rock. Rough, tough and hard to bluff. I take it slow, I go with the flow, I ride with the tide. I’ve got glide in my stride. Drivin and movin, sailin and spinin, jiving and groovin, wailin and winnin. I don’t snooze, so I don’t lose. I keep the pedal to the metal and the rubber on the road. I party hearty and lunch time is crunch time. I’m hangin in, there ain’t no doubt and I’m hangin tough, over and out!

a friend with weed is a friend indeed...

You'd think someone who'd been to medical school would be able to hear through a stethoscope that somebody was empty inside.

There wasn't an anhydrous lacrimal gland in the house, writes the author in all seriousness describing a memorial service for a medical school's cadavers.

Tell Dr. Jonas next time I'll do that thing he likes with the peanut butter and the cock ring." "It is without a doubt the sole reason he went to medical school.

Mel thought real love was nothing less than spiritual love. He'd said he'd spent five years in a seminary before quitting to go to medical school. He said he still looked back on those years in the seminary as the most important years of his life.

I am embarrassed to admit what drew me to psychology. I didn't want to go to medical school. I was getting good grades in psychology and I was charismatic and people in the psychology department liked me. It was as low a level as that.

I wanted to be a doctor, but, well, we don’t have as much money as my mother pretends. Dad said he could manage if that’s what I really wanted, but my mother said it was too difficult for a woman to get into medical school.

and she's a nurse. do you know how hard nursing school is? it's like medical school. so she's obviously smart.

It's Dr. Evil, I didn't spend six years in Evil Medical School to be called "mister," thank you very much.

I thought I saw how stories of this kind could steal past a certain inhibition which had paralysed much of my own religion in childhood. Why did one find it so hard to feel as one was told one ought to feel about God or the sufferings of Christ? I thought the chief reason was that one was told one ought to. An obligation to feel can freeze feelings. And reverence itself did harm. The whole subject was associated with lowered voices; almost as if it were something medical. But supposing that by casting all these things into an imaginary world, stripping them of their stained-glass and Sunday School associations, one could make them for the first time appear in their real potency? Could one not thus steal past those watchful dragons? I thought one could.

Would you believe there’s a medical term specifically and exclusively for a mass of undigested sharon fruit in an intestine? No wonder medical school takes so long, learning all this shit.

I'm serious, Mar, I don't know how to act around him now. I can't be nice, because he'll hate that. But I can't be mean just to be nice." "You really need medication." "I'm in a quandary. A Catch-22. I'm screwed.

Perfect!" Wrath bellowed. "And this is a doctor saying it -- I mean, she went to medical school." ... "And Dr. Sam told me she's delivered over fifteen thousand babies over the course of her career -- " "See!" Wrath yelled. "She knows these things. My son is perfect!

the purpose of medical schooling was to teach how to save lives, not how to tend to their demise.

I was once asked if I had any ideas for a really scary reality TV show. I have one reality show that would really make your hair stand on end: "C-Students from Yale." George W. Bush has gathered around him upper-crust C-students who know no history or geography, plus not-so-closeted white supremacists, aka Christians, and plus, most frighteningly, psychopathic personalities, or PPs, the medical term for smart, personable people who have no consciences. To say somebody is a PP is to make a perfectly respectable diagnosis, like saying he or she has appendicitis or athlete's foot . . . PPs are presentable, they know full well the suffering their actions may cause others, but they do not care. They cannot care because they are nuts. They have a screw loose! . . . So many of these heartless PPs now hold big jobs in our federal government, as though they were leaders instead of sick. They have taken charge of communications and the schools, so we might as well be Poland under occupation. They might have felt that taking our country into an endless war was simply something decisive to do. What has allowed so many PPs to rise so high in corporations, and now in government, is that they are so decisive. They are going to do something every fuckin' day and they are not afraid. Unlike normal people, they are never filled with doubts, for the simple reasons that they don't give a fuck what happens next. Simply can't. Do this! Do that! Mobilize the reserves! Privatize the public schools! Attack Iraq! Cut health care! Tap everybody's telephone! Cut taxes on the rich! Build a trillion-dollar missile shield! Fuck habeas corpus and the Sierra Club and In These Times, and kiss my ass! There is a tragic flaw in our precious Constitution, and I don't know what can be done to fix it. This is it: Only nut cases want to be president.

His struggle to mold me in his image had been successful after all. The old walrus in fact managed to instill in me a great and burning ambition; it had simply found expression in an unintended pursuit. He never understood that the Devils Thumb was the same as medical school, only different.

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

Doctors are notorious for taking peculiar views of their own bodies. They tend to develop hypochondria in medical school and, once they get over it, if they do, tend to think they're invulnerable.

I must remind you that starving a child is violence. Neglecting school children is violence. Punishing a mother and her family is violence. Discrimination against a working man is violence. Ghetto housing is violence. Ignoring medical need is violence. Contempt for poverty is violence.

I have a question. What if your advice doesn't help me? Do I get my money back?" "No, because as soon as you pay me, I run right out and spend it. That's one of the first things they teach you in medical school!

Coti, did you go to medical school?” Kellen asked. “Does fucking a chick while she was in nursing school count?

Yet the upcoming year was going to be a new phase of my life. I would get to follow my big   brother to the big house. I had reached that golden age of six. Finally, I was going to experience the real deal. This was no appetizer, or tater tots, or French fries. This was the whole Ore-Ida. I would be amongst thechaos like all the neighborhood kids. Everyone that knew Jerry would get to know me, too. Since we were at Aunt Kathy’s, I had to curtail my exuberance. We had nothing like the freedom at mom’s shack. So, I did my best to remain out of sight. But those efforts were futile. School was just hours away. I really couldn’t contain myself without medication or God forbid, a good old-fashioned ass beating. Well, Aunt Kathy implored me to settle down. She kept issuing threat after threat with such statements, “Boy, do I needto beat the black off of you,” or “Gorilla will be your name when I’m finish!” Yes, I got the message but beating my butt wasn’t going to be enough. Heck, I had been waiting for three long, long years just to join Jerry. Anything short of a bullet wasn’t going to stop me.

That was why you heard about people in their thirties and forties going to law school but never medical school. It wasn't just the time it would take to get licensed. It was the realization as you got older about how fallible you were in every aspect of your life.

People make mistakes all the time. Small ones, like you get in the wrong checkout line. The one with the lady with a hundred coupons and a checkbook. Sometimes you make medium-sized ones. You go to medical school instead of pursuing your passion. Sometimes you make big ones. You give up.

Modern medicine is not scientific, it is full of prejudice, illogic and susceptible to advertising. Doctors are not taught to reason, they are programmed to believe in whatever their medical schools teach them and the leading doctors tell them. Over the past 20 years the drug companies, with their enormous wealth, have taken medicine over and now control its research, what is taught and the information released to the public.

There are two visions of America a half century from now. One is of a society more divided between the haves and the have-nots, a country in which the rich live in gated communities, send their children to expensive schools, and have access to first-rate medical care. Meanwhile, the rest live in a world marked by insecurity, at best mediocre education, and in effect rationed health care―they hope and pray they don't get seriously sick. At the bottom are millions of young people alienated and without hope. I have seen that picture in many developing countries; economists have given it a name, a dual economy, two societies living side by side, but hardly knowing each other, hardly imagining what life is like for the other. Whether we will fall to the depths of some countries, where the gates grow higher and the societies split farther and farther apart, I do not know. It is, however, the nightmare towards which we are slowly marching.

He has a bit of a caring-too-much problem about most things, including whether people can pay their medical bills, or marry whomever they love, or not get shot at school.

Is Understatement 101 a course in medical school?" "Of course. It's the prereq for Lying Through One's Teeth.

many medical schools inform their students that within several years half of what they’ve been taught will be wrong, and the teachers just don’t know which half.

If the push towards life sustaining technology were balanced with options for comfort care in both medical school training and the healthcare culture, more people would have the chance to transition to death with dignity and grace.

In medical school, doctors are taught to view the human body as a random mistake-ridden vessel that has to be forced into submission with surgery, antibiotics, antihypertensives, antihistamines, anti-inflammatories, and other medical interventions. The natural extension of this paradigm over the past 100 years has been for the medical profession to condition human beings not to trust anyone but certified medical doctors to fix these defective aberrations of creation.

Far too many doctors-many of them excellent physicians-commit suicide each year; one recent study concluded that, until quite recently, the United States lost annually the equivalent of a medium-sized medical school class from suicide alone. Most physician suicides are due to depression or manic-depressive illness, both of which are eminently treatable. Physicians, unfortunately, not only suffer from a higher rate of mood disorders than the general population, they also have a greater access to very effective means of suicide.

Anxiety is not a sign of sickness, a weakness of the mind, or an error for which we should always seek a medical solution. It is mostly a hugely reasonable and sensitive response to the genuine strangeness, terror, uncertainty, and riskiness of existence.

Before she closed her eyes tonight, Rose said she regretted that she has not done something heroic in her life. Well, it's not like she can suddenly climb a tree and save a cat, or go to medical school and begin some important cancer research. But Rose has been my sister. I think that's heroic.

He’s met someone,” she said during one of our Skype calls in my second year of medical school. “Another demon?” “I think he really likes her.” “Watch out for a lobotomy scar, or the mark of the devil. It might be tucked beneath her hair.” “They’re coming home at Christmas so he can introduce her to our parents.” “Hold a mirror up to her and see if she has a reflection.” A

The first step is to give up the illusion that the primary purpose of modern medical research is to improve Americans’ health most effectively and efficiently. In our opinion, the primary purpose of commercially funded clinical research is to maximize financial return on investment, not health.” —John Abramson, M.D., Harvard Medical School I wrote this book to help Americans

They don’t teach this at medical school, but I’ve seen it in real life. People die in bits and pieces. A series of petites morts. Little deaths. They lose their sight, their hearing, their independence. Those are the physical ones. But there’re others. Less obvious, but more fatal. They lose heart. They lose hope. They lose faith. They lose interest. And finally, they lose themselves.

They don't teach this at medical school, but I've seen it in real life. People dying in bits and pieces. A series of petites morts. Little deaths. They lose their sight, their hearing, their independence. Those are the physical ones. But there're others. Less obvious, but more fatal. They lose heart. They lose hope. They lose faith. They lose interest. And finally, they lose themselves.

Were these boys in their right minds? Here were two boys with good intellect, one eighteen and one nineteen. They had all the prospects that life could hold out for any of the young; one a graduate of Chicago and another of Ann Arbor; one who had passed his examination for the Harvard Law School and was about to take a trip in Europe,--another who had passed at Ann Arbor, the youngest in his class, with three thousand dollars in the bank. Boys who never knew what it was to want a dollar; boys who could reach any position that was to boys of that kind to reach; boys of distinguished and honorable families, families of wealth and position, with all the world before them. And they gave it all up for nothing, for nothing! They took a little companion of one of them, on a crowded street, and killed him, for nothing, and sacrificed everything that could be of value in human life upon the crazy scheme of a couple of immature lads. Now, your Honor, you have been a boy; I have been a boy. And we have known other boys. The best way to understand somebody else is to put yourself in his place. Is it within the realm of your imagination that a boy who was right, with all the prospects of life before him, who could choose what he wanted, without the slightest reason in the world would lure a young companion to his death, and take his place in the shadow of the gallows? ...No one who has the process of reasoning could doubt that a boy who would do that is not right. How insane they are I care not, whether medically or legally. They did not reason; they could not reason; they committed the most foolish, most unprovoked, most purposeless, most causeless act that any two boys ever committed, and they put themselves where the rope is dangling above their heads.... Why did they kill little Bobby Franks? Not for money, not for spite; not for hate. They killed him as they might kill a spider or a fly, for the experience. They killed him because they were made that way. Because somewhere in the infinite processes that go to the making up of the boy or the man something slipped, and those unfortunate lads sit here hated, despised, outcasts, with the community shouting for their blood. . . . I know, Your Honor, that every atom of life in all this universe is bound up together. I know that a pebble cannot be thrown into the ocean without disturbing every drop of water in the sea. I know that every life is inextricably mixed and woven with every other life. I know that every influence, conscious and unconscious, acts and reacts on every living organism, and that no one can fix the blame. I know that all life is a series of infinite chances, which sometimes result one way and sometimes another. I have not the infinite wisdom that can fathom it, neither has any other human brain

I feel anger and frustration when I think that one in ten Americans beyond the age of high school is on some kind of antidepressant, such as Prozac. Indeed, when you go through mood swings, you now have to justify why you are not on some medication. There may be a few good reasons to be on medication, in severely pathological cases, but my mood, my sadness, my bouts of anxiety, are a second source of intelligence--perhaps even the first source. I get mellow and lose physical energy when it rains, become more meditative, and tend to write more and more slowly then, with the raindrops hitting the window, what Verlaine called autumnal "sobs" (sanglots). Some days I enter poetic melancholic states, what the Portuguese call saudade or the Turks huzun (from the Arabic word for sadness). Other days I am more aggressive, have more energy--and will write less, walk more, do other things, argue with researchers, answer emails, draw graphs on blackboards. Should I be turned into a vegetable or a happy imbecile?

How come a Palestinian child does not live like an Israeli child? Why do Palestinian children have to toil at any manner of hard jobs just to be able to go to school? How is it that when we are sick. we can't get the medical help the Israeli kids take for granted?

Sometimes I'm jealous of people with regular problems. At school I see the self-conscious girls worrying about their hair or if their legs look fat, and I just want to scream. Someone should tell them their problems are stupid. I get that I'm not supposed to say that. Everyone you meet is fighting a harder battle, right? But what if they're not? What if the biggest thing they have to worry about is homework and whether they get into a good college? Even if they've lost a family member or their parents are getting a divorce or they're missing someone far away. That is not worse than having to take medication to be in control of your own mind. It's just not.

But a doctor learns, because he has to, not to worry actively about patients until the worrying can do some good; meanwhile, they have to be walled off in a quiet compartment of the mind. They don’t teach that at medical school, but it’s as important as your stethoscope.

I believe that aging is a disease. I believe it is treatable. I believe we can treat it within our lifetimes. And in doing so, I believe, everything we know about human health will be fundamentally changed.

A young woman attending the best medical school in the world," Ransom mused aloud, "far from home, taking classes in a foreign language. You're a determined woman, doctor." "No medical school here would admit a female," Garret said pragmatically. "I had no choice." "You could have given up." "That is never an option," she assured him, and he smiled.

Have you talked to her recently?” I shook my head. “You?” “No.” He turned around and took a step forward just as he made it to the counter. Over his shoulder, he asked, “Did you not tell her we’re partners then?” Shit. “No.” I paused. I had assumed he would. “You haven’t told her either?” “No.” “Your parents?” “They’re in Russia. I haven’t spoken to them since worlds. Mother has sent me a few picture messages, but that’s been all our communication.” Double shit. “I thought you would have told them.” “I thought you would have told Karina.” “I don’t talk to her as much as I used to. She’s busy with medical school.” I could only manage to see the back of Ivan’s head as he nodded, slowly and thoughtfully, like he was thinking the same thing I was. And his next words confirmed it. “She’s going to kill us.” Because she was. She sure as fuck was. “Call her and tell her,” I tried to throw it on him. “You call and tell her,” he scoffed, not looking at me. I poked him in the back. “She’s your sister.” “She’s your only friend.” “Asshole,” I muttered. “Let’s flip a coin to see who should do it.” That time he did glance at me. “No.” No. Ass. “I’m not doing it.” “Me neither.” “Don’t be a pussy and do it,” I hissed, trying to keep my voice low. His snicker made me frown. “Sounds like I’m not the only pussy,” he returned. I opened my mouth and closed it. He got me. He fucking got me.

Day wouldn’t have understood the concept of immortal cells or HLA markers coming from anyone, accent or not—he’d only gone to school for four years of his life, and he’d never studied science. The only kind of cell he’d heard of was the kind Zakariyya was living in out at Hagerstown. So he did what he’d always done when he didn’t understand something a doctor said: he nodded and said yes.

Doctor.’ Piper’s smile was so warm it would’ve melted a Boread. ‘We’d be so grateful for your help. We need the physician’s cure.’ Leo wasn’t even her target, but Piper’s charmspeak washed over him irresistibly. He would’ve done anything to help her get that cure. He would’ve gone to medical school, got twelve doctorate degrees and bought a large green python on a stick.

We were learning that all the training and all the caring in the world were not going to solve every problem. This wasn't medical school. We weren't going to ace every exam. Silver-haired professors weren't going to pat us on the head and marvel at our intellectual acumen. We weren't going to win every battle.

I deeply respect doctors, but I want to be very clear on something: at every hospital in the United States, many doctors are doing the wrong things, pushing pills and interventions when an ultra-aggressive stance on diet and behavior would do far more for the patient in front of them. Suicide and burnout rates are astronomical in health care, with approximately four hundred doctors per year killing themselves. (That’s equivalent to about four medical school graduating classes just dropping dead every year by their own hand.) Doctors have twice the rate of suicide as the general population. Based on my own experience with depression as a young surgeon, I think a contributor to this phenomenon is an insidious spiritual crisis about the efficacy of our work and a sense of being trapped in a system

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

Burnout at its deepest level is not the result of some train wreck of examinations, long call shifts, or poor clinical evaluations. It is the sum total of hundreds and thousands of tiny betrayals of purpose, each one so minute that it hardly attracts notice. When a great ship steams across the ocean, even tiny ripples can accumulate over time, precipitating a dramatic shift in course. There are many Tertius Lydgates, male and female, inhabiting the lecture halls, laboratories, and clinics of today’s medical schools. Like latter-day Lydgates, many of them eventually find themselves expressing amazement and disgust at how far they have veered from their primary purpose.

You will not remember much from school. School is designed to teach you how to respond and listen to authority figures in the event of an emergency. Like if there's a bomb in a mall or a fire in an office. It can, apparently, take you more than a decade to learn this. These are not the best days of your life. They are still ahead of you. You will fall in love and have your heart broken in many different, new and interesting ways in college or university (if you go) and you will actually learn things, as at this point, people will believe you have a good chance of obeying authority and surviving, in the event of an emergency. If, in your chosen career path, there are award shows that give out more than ten awards in one night or you have to pay someone to actually take the award home to put on your mantlepiece, then those awards are more than likely designed to make young people in their 20's work very late, for free, for other people. Those people will do their best to convince you that they have value. They don't. Only the things you do have real, lasting value, not the things you get for the things you do. You will, at some point, realise that no trophy loves you as much as you love it, that it cannot pay your bills (even if it increases your salary slightly) and that it won't hold your hand tightly as you say your last words on your deathbed. Only people who love you can do that. If you make art to feel better, make sure it eventually makes you feel better. If it doesn't, stop making it. You will love someone differently, as time passes. If you always expect to feel the same kind of love you felt when you first met someone, you will always be looking for new people to love. Love doesn't fade. It just changes as it grows. It would be boring if it didn't. There is no truly "right" way of writing, painting, being or thinking, only things which have happened before. People who tell you differently are assholes, petrified of change, who should be violently ignored. No philosophy, mantra or piece of advice will hold true for every conceivable situation. "The early bird catches the worm" does not apply to minefields. Perfection only exists in poetry and movies, everyone fights occasionally and no sane person is ever completely sure of anything. Nothing is wrong with any of this. Wisdom does not come from age, wisdom comes from doing things. Be very, very careful of people who call themselves wise, artists, poets or gurus. If you eat well, exercise often and drink enough water, you have a good chance of living a long and happy life. The only time you can really be happy, is right now. There is no other moment that exists that is more important than this one. Do not sacrifice this moment in the hopes of a better one. It is easy to remember all these things when they are being said, it is much harder to remember them when you are stuck in traffic or lying in bed worrying about the next day. If you want to move people, simply tell them the truth. Today, it is rarer than it's ever been. (People will write things like this on posters (some of the words will be bigger than others) or speak them softly over music as art (pause for effect). The reason this happens is because as a society, we need to self-medicate against apathy and the slow, gradual death that can happen to anyone, should they confuse life with actually living.)

If you took organic chemistry in college, you’ve experienced the Dip. Academia doesn’t want too many unmotivated people to attempt medical school, so they set up a screen. Organic chemistry is the killer class, the screen that separates the doctors from the psychologists. If you can’t handle organic chemistry, well, then, you can’t go to med school.

Sainthood is not a prerequisite for acceptance to medical school. Perhaps it should be.

Unless you are willing to force people using the law to go to medical school, you cannot have a successful universal healthcare system. That

So medical schools churn out platoons of unquestioning, prescription-signing zombies.

The road to medical school started with a job mowing lawns I was far from sure I could handle.

Every now and then I find myself thinking of something my daughter told me when she was in medical school: one sign that a patient is dying is that she feels no pain.

Medical school taught me that a human body can be broken down into individual parts, but life taught me that the body is more than just the sum of those parts

People who live at subsistence level want first things to be put first. They are not particularly interested in freedom of religion, freedom of the press, free enterprise as we understand it, or the secret ballot. Their needs are more basic: land, tools, fertilizers, something better than rags for their children, houses to replace their shacks, freedom from police oppression, medical attention, primary schools.

Hi there, cutie." Ash turned his head to find an extremely attractive college student by his side. With black curly hair, she was dressed in jeans and a tight green top that displayed her curves to perfection. "Hi." "You want to go inside for a drink? It's on me." Ash paused as he saw her past, present, and future simultaneously in his mind. Her name was Tracy Phillips. A political science major, she was going to end up at Harvard Med School and then be one of the leading researchers to help isolate a mutated genome that the human race didn't even know existed yet. The discovery of that genome would save the life of her youngest daughter and cause her daughter to go on to medical school herself. That daughter, with the help and guidance of her mother, would one day lobby for medical reforms that would change the way the medical world and governments treated health care. The two of them would shape generations of doctors and save thousands of lives by allowing people to have groundbreaking medical treatments that they wouldn't have otherwise been able to afford. And right now, all Tracy could think about was how cute his ass was in leather pants, and how much she'd like to peel them off him. In a few seconds, she'd head into the coffee shop and meet a waitress named Gina Torres. Gina's dream was to go to college herself to be a doctor and save the lives of the working poor who couldn't afford health care, but because of family problems she wasn't able to take classes this year. Still Gina would tell Tracy how she planned to go next year on a scholarship. Late tonight, after most of the college students were headed off, the two of them would be chatting about Gina's plans and dreams. And a month from now, Gina would be dead from a freak car accident that Tracy would see on the news. That one tragic event combined with the happenstance meeting tonight would lead Tracy to her destiny. In one instant, she'd realize how shallow her life had been, and she'd seek to change that and be more aware of the people around her and of their needs. Her youngest daughter would be named Gina Tory in honor of the Gina who was currently busy wiping down tables while she imagined a better life for everyone. So in effect, Gina would achieve her dream. By dying she'd save thousands of lives and she'd bring health care to those who couldn't afford it... The human race was an amazing thing. So few people ever realized just how many lives they inadvertently touched. How the right or wrong word spoken casually could empower or destroy another's life. If Ash were to accept Tracy's invitation for coffee, her destiny would be changed and she would end up working as a well-paid bank officer. She'd decide that marriage wasn't for her and go on to live her life with a partner and never have children. Everything would change. All the lives that would have been saved would be lost. And knowing the nuance of every word spoken and every gesture made was the heaviest of all the burdens Ash carried. Smiling gently, he shook his head. "Thanks for asking, but I have to head off. You have a good night." She gave him a hot once-over. "Okay, but if you change your mind, I'll be in here studying for the next few hours." Ash watched as she left him and entered the shop. She set her backpack down at a table and started unpacking her books. Sighing from exhaustion, Gina grabbed a glass of water and made her way over to her... And as he observed them through the painted glass, the two women struck up a conversation and set their destined futures into motion. His heart heavy, he glanced in the direction Cael had vanished and hated the future that awaited his friend. But it was Cael's destiny. His fate... "Imora thea mi savur," Ash whispered under his breath in Atlantean. God save me from love.

Boys’ aggressiveness is increasingly being treated as a medical problem, particularly in schools, a trend that has led to the diagnosing and medicating of boys whose problem may really be that they have been traumatized and influenced by exposure to violence and abuse at home. Treating these boys as though they have a chemical problem not only overlooks the distress they are in but also reinforces their belief that they are “out of control” or “sick,” rather than helping them to recognize that they are making bad choices based on destructive values. I have sometimes heard adults telling girls that they should be flattered by boys’ invasive or aggressive behavior “because it means they really like you,” an approach that prepares both boys and girls to confuse love with abuse and socializes girls to feel helpless.

When I was in medical school, I embarrassed myself horribly when I found a 'lump' in my breast and frantically ran to one of the older doctors to find out if I had cancer. I found out I had a rib.

And still, she could only think about the letters that would arrive in the spring. Rejections mostly, but maybe one yes. You only needed one yes to be happy—medical school was like love in that regard.

Could it be that despite all the years I spent in medical school and residency training acquiring specialized knowledge and practical skills, that this expertise mattered little to my patients' overall health?

People think of exercise in terms of physical health, but not mental health,” says Jennifer Shaw, an obstetrician-gynecologist in Brookline, Massachusetts, who is a clinical instructor at Harvard Medical School.

She's not Italian in any way you'd notice. No garlic smell or big armpit hair. She came here to attend medical school. Frigging medical school. In Iowa. The truth is, immigrants tend to be more American than people born here.

Oh, here’s something fun—I don’t care what diet you’re on or what herbal supplements you take. If they work for you, I’m happy. I don’t know if it’s something about me, or if people walk around just dispensing unfounded medical advice to everyone they’ve ever met with a health issue, but more often than I’m comfortable with, some asshole with a high school diploma wants to sit me down and talk at me about how they can cure my wretched-gut disease.

By the end of medical school, most students tended to focus on "lifestyle" specialities - those with more humane hours, higher salaries, and lower pressures - the idealism of their med school application essays tempered or lost. As graduation neared and we sat down, in a Yale tradition, to re-write our commencement oath - a melding of the words of Hippocrates, Maimonides, Osler, along with a few other great medical forefathers - several students argued for the removal of language insisting that we place our patients' interests above our own. (The rest of us didn't allow this discussion to continue for long. The words stayed. This kind of egotism struck me as antithetical to medicine and, it should be noted, entirely reasonable. Indeed, this is how 99 percent of people select their jobs: pay, work environment, hours. But thats the point. Putting lifestyle first is how you find a job - not a calling).

To an outsider, building a school before there was a medical clinic, or someone to deal with the problems of hunger and homelessness, was illogical, but Farmer and Lafontant understood that the school meant hope and empowerment.

I guess if Dunc and I got married.....we would live in an apartment first. With regular jobs. Then. Then we would get good jobs. And. And he would go to medical school. Um. And I would take time off to have one. Perfect. Baby.

The midpoint in medicine between excessive emotional involvement with patients and a complete lack of empathy is not a simple one to locate.

If nature contact were a medication, we would be prescribing it to everybody. - Howard Frumkin, Dean of the School of Public Health at the University of Washington

By the time he had to head to San Francisco, for his night shift at the UCSF Medical Center emergency room, Mortenson had completed, sealed, and stamped six letters. One for Oprah Winfrey. One for each network news anchor, including CNN’s Bernard Shaw, since he figured CNN was becoming as big as the other guys. And a letter he’d written spontaneously to the actress Susan Sarandon, since she seemed so nice, and so dedicated to causes

The latest research on substance use disorder from Harvard Medical School shows it takes the typical opioid-addicted user eight years—and four to five treatment attempts—to achieve remission for just a single year. And yet only about 10 percent of the addicted population manages to get access to care and treatment for a disease that has roughly the same incidence rate as diabetes.

Our schools will not improve if we continue to focus only on reading and mathematics while ignoring the other studies that are essential elements of a good education. Schools that expect nothing more of their students than mastery of basic skills will not produce graduates who are ready for college or the modern workplace. *** Our schools will not improve if we value only what tests measure. The tests we have now provide useful information about students' progress in reading and mathematics, but they cannot measure what matters most in education....What is tested may ultimately be less important that what is untested... *** Our schools will not improve if we continue to close neighborhood schools in the name of reform. Neighborhood schools are often the anchors of their communities, a steady presence that helps to cement the bond of community among neighbors. *** Our schools cannot improve if charter schools siphon away the most motivated students and their families in the poorest communities from the regular public schools. *** Our schools will not improve if we continue to drive away experienced principals and replace them with neophytes who have taken a leadership training course but have little or no experience as teachers. *** Our schools cannot be improved if we ignore the disadvantages associated with poverty that affect children's ability to learn. Children who have grown up in poverty need extra resources, including preschool and medical care.

And the more I think about it, the more frustrated I get by the entire concept of a backup plan. Because it only ever seems to pertain to people who are interested in art, music, theater--and yes, the circus. Nobody would ever dream of going up to someone in medical school and telling them, 'Gee, I really think you should have a backup plan. You know, just in case this doesn't work out for you.

But it takes work, and some things will take longer to happen than others. And sometimes it won't happen exactly the way you expect. But I promise you, everything you put on your list, everything you feel in your heart, everything you think about and imagine with your mind, if you truly believe, if you work very hard, will happen. You have to see it and then you have to go after it. You can't just wait in your room. You actually have to go get good grades, and go to medical school, and learn how to be a doctor. But in some mysterious way you will also be drawing it to you, and you will become what you imagine. If you use your mind and your heart, it will happen.

President Barack Obama The White House 1600 Pennsylvania Avenue NW Washington, DC 20500 November 29, 2016 Dear President Obama, We are writing to express our grave concern regarding the mental stability of our President-Elect. Professional standards do not permit us to venture a diagnosis for a public figure whom we have not evaluated personally. Nevertheless, his widely reported symptoms of mental instability — including grandiosity, impulsivity, hypersensitivity to slights or criticism, and an apparent inability to distinguish between fantasy and reality — lead us to question his fitness for the immense responsibilities of the office. We strongly recommend that, in preparation for assuming these responsibilities, he receive a full medical and neuropsychiatric evaluation by an impartial team of investigators. Sincerely, Judith Herman, M.D. Professor of Psychiatry Harvard Medical School Nanette Gartrell, M.D. Dee Mosbacher, M.D.

Tatiana fretted over him before he left as if he were a five-year-old on his first day of school. Shura, don't forget to wear your helmet wherever you go, even if it's just down the trail to the river. Don't forget to bring extra magazines. Look at this combat vest. You can fit more than five hundred rounds. It's unbelievable. Load yourself up with ammo. Bring a few extra cartridges. You don't want to run out. Don't forget to clean your M-16 every day. You don't want your rifle to jam." Tatia, this is the third generation of the M-16. It doesn't jam anymore. The gunpowder doesn't burn as much. The rifle is self-cleaning." When you attach the rocket bandolier, don't tighten it too close to your belt, the friction from bending will chafe you, and then irritation follows, and then infection... ...Bring at least two warning flares for the helicopters. Maybe a smoke bomb, too?" Gee, I hadn't thought of that." Bring your Colt - that's your lucky weapon - bring it, as well as the standard -issue Ruger. Oh, and I have personally organized your medical supplies: lots of bandages, four complete emergency kits, two QuickClots - no I decided three. They're light. I got Helena at PMH to write a prescription for morphine, for penicillin, for -" Alexander put his hand over her mouth. "Tania," he said, "do you want to just go yourself?" When he took the hand away, she said, "Yes." He kissed her. She said, "Spam. Three cans. And keep your canteen always filled with water, in case you can't get to the plasma. It'll help." Yes, Tania" And this cross, right around your neck. Do you remember the prayer of the heart?" Lord Jesus Christ, Son of God, have mercy on me, a sinner." Good. And the wedding band. Right around your finger. Do you remember the wedding prayer?" Gloria in Excelsis, please just a little more." Very good. Never take off the steel helmet, ever. Promise?" You said that already. But yes, Tania." Do you remember what the most important thing is?" To always wear a condom." She smacked his chest. To stop the bleeding," he said, hugging her. Yes. To stop the bleeding. Everything else they can fix." Yes, Tania.

From elementary school through high school, my siblings and I were hectored to excel in every class, to win medals in science fairs, to be chosen princess of the prom, to win election to student government. Thereby and only thereby, we learned, could we expect to gain admission to the right college, which in turn would get us into Harvard Medical School: life's one sure path to meaningful success and lasting happiness.

People make mistakes all the time. Small ones, like you get in the wrong checkout line. The one with the lady with a hundred coupons and check book. Sometimes you make medium-sized ones. You go to medical school instead of pursuing your passion. Sometimes you make big ones. You give up.

There are so many dirty names for her that one rarely learns them all, even in one’s native language. There are dirty names for every female part of her body and for every way of touching her. There are dirty words, dirty laughs, dirty noises, dirty jokes, dirty movies, and dirty things to do to her in the dark. Fucking her is the dirtiest, though it may not be as dirty as she herself is. Her genitals are dirty in the literal meaning: stink and blood and urine and mucous and slime. Her genitals are also dirty in the metaphoric sense: obscene. She is reviled as filthy, obscene, in religion, pornography, philosophy, and in most literature and art and psychology. where she is not maligned she is magnificently condescended to, as in this diary entry by Somerset Maugham written when he was in medical school: The Professor of Gynaecology: He began his course of lectures as follows: Gentlemen, woman is an animal that micturates once a day, defecates once a week, menstruates once a month, parturates once a year and copulates whenever she has the opportunity. I thought it a prettily-balanced sentence. Were she loved sufficiently, or even enough, she could not be despised so much. were she sexually loved, or even liked, she and what is done with or to her, in the dark or in the light, she would not, could not, exist rooted in the realm of dirt, the contempt for her apparently absolute and irrevocable; horrible; immovable; help us, Lord; unjust. She is not just less; she and the sex she incarnates are a species of filth. God will not help of course: "For a whore is a deep ditch; and a strange woman is a narrow pit.

According to Elizabeth Kübler-Ross, when we are dying or have suffered a catastrophic loss, we all move through five distinctive stages of grief. We go into denial because the loss is so unthinkable, we can’t imagine it’s true. We become angry with everyone. We become angry with survivors, angry with ourselves. Then we bargain, we beg, we plead. We offer everything we have. We offer up our souls in exchange for just one more day. When the bargaining has failed and the anger is too hard to maintain, we fall into depression, despair. Until finally we have to accept that we have done everything we can. We let go. We let go and move into acceptance. … In medical school we have a hundred classes that teach us how to fight off death and not one lesson on how to go on living.

Imagine the brain as a piggy bank. If all you stick in are pennies, even a filled piggy bank won’t do much toward paying tuition for college, let alone medical school. In the same way, if the only words you put into a baby’s brain are three-for-a-penny words, there won’t be much to put toward college tuition, either.

One of the most extraordinary stories of reframing is that of Roger Bannister, the first person to run a mile in less than four minutes. Bannister was a medical school student who couldn’t afford a trainer or a special runner’s diet. He didn’t even have time to run more than thirty minutes a day, squeezed in around his medical studies. Yet Bannister did not focus on all the reasons why he logically had no chance of reaching his goal. He instead refocused on accomplishing his goal in his own way. On the morning he made world history, he got up, ate his usual breakfast, did his required hospital rounds, and then caught a bus to the track.

JONAS RECEIVER OF MEMORY Go immediately at the end of school hours each day to the Annex entrance behind the House of the Old and present yourself to the attendant. Go immediately to your dwelling at the conclusion of Training Hours each day. From this moment you are exempted from rules governing rudeness. You may ask any question of any citizen and you will receive answers. Do not discuss your training with any other member of the community, including parents and Elders. From this moment you are prohibited from dream-telling. Except for illness or injury unrelated to your training, do not apply for any medication. You are not permitted to apply for release. You may lie.

Dr. Inchbald tried his best to comply. 'I've come to the conclusion that God is sovereign, even over science, and that I cannot pretend to fully know His ways. They really are mysterious, as the saying goes. And they are not of the mind of men, no matter how hard we try to wrap our minds about these ways. I can marvel at the intricacies of the human body, which really are pretty miraculous to behold. In fact, I don't know how one can go to medical school and not be in greater awe of a Creator than ever before.

Only in the light of this agenda does it make sense that so-called “sex education” should be advocated to take place throughout the school years—from kindergarten to college—when it could not possibly take that much time to teach basic biological or medical information about sex. What takes that long is a constant indoctrination in new attitudes.63

Introduction   I learned about a lot of things in medical school, but mortality wasn’t one of them. Although I was given a dry, leathery corpse to dissect in my first term, that was solely a way to learn about human anatomy. Our textbooks had almost nothing on aging or frailty or dying. How the process unfolds, how people experience the end of their lives, and how it affects those around them seemed beside the point. The way we saw it, and the way our professors saw it, the purpose of medical schooling was to teach how to save lives, not how to tend to their demise. The one time I remember discussing mortality was during an hour we spent on The Death of Ivan Ilyich, Tolstoy’s classic novella.

Next is diet or nutrition—or as I prefer to call it, nutritional biochemistry. The third domain is sleep, which has gone underappreciated by Medicine 2.0 until relatively recently. The fourth domain encompasses a set of tools and techniques to manage and improve emotional health. Our fifth and final domain consists of the various drugs, supplements, and hormones that doctors learn about in medical school and beyond. I lump these into one bucket called exogenous molecules, meaning molecules we ingest that come from outside the body.

You don’t have to have a health issue to do Tai Chi. But if you do, you should find a way to incorporate Tai Chi into some part of your life,

What’s good for American farmers isn’t necessarily good for Americans’ health.

Celebrate vegetables and fruits: Cover half of your plate with them. Aim for color and variety.

The young doctor should look about early for an avocation, a pastime, that will take him away from patients, pills, and potions.

I’ll let you in on a secret they tell us at medical school: Sometimes things can’t be fixed. Sometimes things must be lived with.

I'm on the New York State Council for the Arts now, and every so often some other member talks about sending notices to college English departments about some literary opportunity, and I say, "Send them to the chemistry departments, send them to the zoology departments, send them to the anthropology departments and the astronomy departments and physics departments, and all the medical and law schools. That's where the writers are most likely to be.

I learned about a lot of things in medical school, but mortality wasn’t one of them. Although I was given a dry, leathery corpse to dissect in my first term, that was solely a way to learn about human anatomy. Our textbooks had almost nothing on aging or frailty or dying. How the process unfolds, how people experience the end of their lives, and how it affects those around them seemed beside the point. The way we saw it, and the way our professors saw it, the purpose of medical schooling was to teach how to save lives, not how to tend to their demise.

As a species, we are living much longer than ever. But not much better. Not at all. Over the past century we have gained additional years, but not additional life—not life worth living anyway.5

Most people claim that their social hierarchy is natural and just, while those of other societies are based on false and ridiculous criteria. Modern Westerners are taught to scoff at the idea of racial hierarchy. They are shocked by laws prohibiting blacks to live in white neighbourhoods, or to study in white schools, or to be treated in white hospitals. But the hierarchy of rich and poor – which mandates that rich people live in separate and more luxurious neighbourhoods, study in separate and more prestigious schools, and receive medical treatment in separate and better-equipped facilities – seems perfectly sensible to many Americans and Europeans. Yet it’s a proven fact that most rich people are rich for the simple reason that they were born into a rich family, while most poor people will remain poor throughout their lives simply because they were born into a poor family.

Sex is totally fine during pregnancy,” Dr. McConnell said. How did people have such incredible straight faces? There must have been whole semesters in medical school where doctors had to say things that would make any normal human being laugh, and then not laugh. Porter could picture it, rows of future doctors staring into each other’s eyes while saying the words penis, vagina, testes, feces, et cetera.

When people recover from depression via psychotherapy, their attributions about recovery are likely to be different than those of people who have been treated with medication. Psychotherapy is a learning experience. Improvement is not produced by an external substance, but by changes within the person. It is like learning to read, write or ride a bicycle. Once you have learned, the skills stays with you. People no not become illiterate after they graduate from school, and if they get rusty at riding a bicycle, the skill can be acquired with relatively little practice. Furthermore, part of what a person might learn in therapy is to expect downturns in mood and to interpret them as a normal part of their life, rather than as an indication of an underlying disorder. This understanding, along with the skills that the person has learned for coping with negative moods and situations, can help to prevent a depressive relapse.

Like so many other high school discipline cases, he'd probably been given some hybrid cockamamie ADHD- bipolar diagnosis at a very young age and been medicated into submission for the benefit of his homeroom teacher. We've all read about them in the paper, the problem kids who get slapped with five disorders by the time they're twelve, and horse-pilled by a culture that has pathologized everything from PMS to teen angst.

All knowledge that takes special training to acquire is the province of the Magician energy. Whether you are an apprentice training to become a master electrician and unraveling the mysteries of high voltage; or a medical student, grinding away night and day, studying the secrets of the human body and using available technologies to help your patients; or a would-be stockbroker or a student of high finance; or a trainee in one of the psychoanalytic schools, you are in exactly the same position as the apprentice shaman or witch doctor in tribal societies. You are spending large amounts of time, energy, and money in order to be initiated into rarefied realms of secret power. You are undergoing an ordeal testing your capacities to become a master of this power. And, as is true in all initiations, there is no guarantee of success. [Magician energy]

Part of the major problem attending schizophrenia is what it is defined to be, that is, abnormal, rather than an altered state of consciousness that has a specific ecological function for the species. In the West such states are labeled as an illness and are almost always medicated. Most psychoactive drug use is proscribed for exactly the same reason . . . You must not extend perception further than the society wants it to go There are very few people in the West (and virtually none who are clinically schooled) who understand how to train someone in the use of that enhanced perception. Once such gating dynamics are labeled abnormal, accepted to be neuropathological, there is generally no alternative (in that system) except pharmaceutical suppression.

Women, as we know, used to be judged incapable of medicine. That changed in 1876, when, after a tenacious fight led by Britain’s first female doctor, Elizabeth Garret Anderson, the law was changed to prohibit women’s exclusion from medical schools. Now, more than 140 years later, female medical students outnumber men. Yet, according to Lawson, our predisposition to avoid antisocial hours and put family before career means we are more

Are we really supposed to know what we want to do for the rest of our lives at the ripe old age of seventeen?” “Don’t you want to know?” “I guess? I wish I could live ten lives at once.” “Ugh. You just don’t want to choose.” “That’s not what I mean. I don’t want to get stuck doing something that doesn’t mean anything to me. This track I’m on? It goes on forever. Yale. Medical school. Residency. Marriage. Children. Retirement. Nursing home. Funeral home. Cemetery.

Ebook readers might cause problems. This has become a controversial topic as more and more people use and love ereaders. A close friend of mine doesn’t go anywhere without her Kindle and will probably be buried with it. A Wolf, she was dismayed when I shared the findings of a new Harvard Medical School study:23 reading an ebook in the hour before bed delayed sleep more than reading a print book under normal lamplight, and it also increased sleep inertia the next day.

Sweetie, it all looks so black and white right now, I know. But that's not how life ends up being. There's... It's mostly gray areas. It's not this versus that. It's just... Things come at you, and you twitch in one direction or the other, and suddenly you're graduating from medical school." She drummed her fingers on the kitchen table. "Or you're an exhausted mother of four trying not to burn the pork chops while your teenage daughter grills you about your lack of tutelage.

To take another example, with regard to healthcare, the left suggests that their entire goal is to make healthcare available to everyone. But they don’t mandate that a certain percentage of the population go to medical school. That’s because in order for government to guarantee a product’s availability, the government must either hire workers or force workers to get into a given industry. The government hiring workers would require paying money for doctors – and the left argues that doctors already make too much money. And the left won’t argue openly for what they would prefer: forcing people to practice medicine for patients deemed worthy by the government. Unless you are willing to force people using the law to go to medical school, you cannot have a successful universal healthcare system. That’s what they’re finding out in Britain, Canada, and Israel – all countries in which private medicine is on the rise, legally or illegally, outside government auspices.

There is a paradox at the heart of contemporary Girl Land, and this paradox makes the emotional experience of female adolescence more intense and difficult than ever. On the one hand, never in history have girls had so many opportunities, or shared so fully in the kind of power that was only recently reserved for boys. Girls now outperform boys on the SAT; women outnumber men in college, and we are nearing a point at which women will outnumber men in the country’s law and medical schools.

Sophia was asked to speak to the students of a local medical school. “Sophia, what do we need to be better doctors?” the students asked. “Doctors,” Sophia said, “need strong stomachs and strong powers of observation.” Then she opened a canister. The putrid smell quickly moved through the classroom. Sophia stuck a finger in the jar, pulled it up, and then licked it. She passed the jar around encouraging each doctor in training to do the same. Each did, and though many felt nauseas, no one got sick. “You all have very strong stomachs,” she said. “But your powers of observation need some work.” “What do you mean?” they asked. “We did just what you did.” “There is one difference,” she replied. “The finger I dipped in the jar was not the finger I licked.

New Rule: You don't have to teach both sides of a debate if one side is a load of crap. President Bush recently suggested that public schools should teach "intelligent design" alongside the theory of evolution, because after all, evolution is "just a theory." Then the president renewed his vow to "drive the terrorists straight over the edge of the earth." Here's what I don't get: President Bush is a brilliant scientist. He's the man who proved you could mix two parts booze with one part cocaine and still fly a jet fighter. And yet he just can't seem to accept that we descended from apes. It seems pathetic to be so insecure about your biological superiority to a group of feces-flinging, rouge-buttocked monkeys that you have to make up fairy tales like "We came from Adam and Eve," and then cover stories for Adam and Eve, like intelligent design! Yeah, leaving the earth in the hands of two naked teenagers, that's a real intelligent design. I'm sorry, folks, but it may very well be that life is just a series of random events, and that there is no master plan--but enough about Iraq. There aren't necessarily two sides to every issue. If there were, the Republicans would have an opposition party. And an opposition party would point out that even though there's a debate in schools and government about this, there is no debate among scientists. Evolution is supported by the entire scientific community. Intelligent design is supported by the guys on line to see The Dukes of Hazzard. And the reason there is no real debate is that intelligent design isn't real science. It's the equivalent of saying that the Thermos keeps hot things hot and cold things cold because it's a god. It's so willfully ignorant you might as well worship the U.S. mail. "It came again! Praise Jesus!" Stupidity isn't a form of knowing things. Thunder is high-pressure air meeting low-pressure air--it's not God bowling. "Babies come from storks" is not a competing school of throught in medical school. We shouldn't teach both. The media shouldn't equate both. If Thomas Jefferson knew we were blurring the line this much between Church and State, he would turn over in his slave. As for me, I believe in evolution and intelligent design. I think God designed us in his image, but I also think God is a monkey.

My mom was a sayyed from the bloodline of the Prophet (which you know about now). In Iran, if you convert from Islam to Christianity or Judaism, it’s a capital crime. That means if they find you guilty in religious court, they kill you. But if you convert to something else, like Buddhism or something, then it’s not so bad. Probably because Judaism, Christianity, and Islam are sister religions, and you always have the worst fights with your sister. And probably nothing happens if you’re just a six-year-old. Except if you say, “I’m a Christian now,” in your school, chances are the Committee will hear about it and raid your house, because if you’re a Christian now, then so are your parents probably. And the Committee does stuff way worse than killing you. When my sister walked out of her room and said she’d met Jesus, my mom knew all that. And here is the part that gets hard to believe: Sima, my mom, read about him and became a Christian too. Not just a regular one, who keeps it in their pocket. She fell in love. She wanted everybody to have what she had, to be free, to realize that in other religions you have rules and codes and obligations to follow to earn good things, but all you had to do with Jesus was believe he was the one who died for you. And she believed. When I tell the story in Oklahoma, this is the part where the grown-ups always interrupt me. They say, “Okay, but why did she convert?” Cause up to that point, I’ve told them about the house with the birds in the walls, all the villages my grandfather owned, all the gold, my mom’s own medical practice—all the amazing things she had that we don’t have anymore because she became a Christian. All the money she gave up, so we’re poor now. But I don’t have an answer for them. How can you explain why you believe anything? So I just say what my mom says when people ask her. She looks them in the eye with the begging hope that they’ll hear her and she says, “Because it’s true.” Why else would she believe it? It’s true and it’s more valuable than seven million dollars in gold coins, and thousands of acres of Persian countryside, and ten years of education to get a medical degree, and all your family, and a home, and the best cream puffs of Jolfa, and even maybe your life. My mom wouldn’t have made the trade otherwise. If you believe it’s true, that there is a God and He wants you to believe in Him and He sent His Son to die for you—then it has to take over your life. It has to be worth more than everything else, because heaven’s waiting on the other side. That or Sima is insane. There’s no middle. You can’t say it’s a quirky thing she thinks sometimes, cause she went all the way with it. If it’s not true, she made a giant mistake. But she doesn’t think so. She had all that wealth, the love of all those people she helped in her clinic. They treated her like a queen. She was a sayyed. And she’s poor now. People spit on her on buses. She’s a refugee in places people hate refugees, with a husband who hits harder than a second-degree black belt because he’s a third-degree black belt. And she’ll tell you—it’s worth it. Jesus is better. It’s true. We can keep talking about it, keep grinding our teeth on why Sima converted, since it turned the fate of everybody in the story. It’s why we’re here hiding in Oklahoma. We can wonder and question and disagree. You can be certain she’s dead wrong. But you can’t make Sima agree with you. It’s true. Christ has died. Christ is risen. Christ will come again. This whole story hinges on it. Sima—who was such a fierce Muslim that she marched for the Revolution, who studied the Quran the way very few people do read the Bible and knew in her heart that it was true.

Illness in this society, physical or mental, they are not abnormalities. They are normal responses to an abnormal culture. This culture is abnormal when it comes to real human needs. And.. it is in the nature of the system to be abnormal, because if we had a society geared to meet human needs.. would we be destroying the Earth through climate change? Would we be putting extra burden on certain minority people? Would we be selling people a lot of goods that they don't need, and, in fact, are harmful for them? Would there be mass industries based on manufacturing, designing and mass-marketing toxic food to people? So we do all that for the sake of profit. That's insanity. It is not insanity from the point of view of profit, but it is insanity from the point of view of human need. And so, in so many ways this culture denies and even runs against counter to human needs. When you mentioned trauma.. given how important trauma is in human life and what an impact it has.. why have we ignored it for so long? Because that denial of reality is built in into this system. It keeps the system alive. So it is not a mistake, it is a design issue. Not that anybody consciously designed it, but that's just how the system survives. Now.. the average medical student to THIS DAY (I say the average.. there are exceptions) still doesn't get a single lecture on trauma in 4 years of medical school. They should have a whole course on it, Because I can tell you that trauma is related to addiction, all kinds of mental illness and most physical health conditions as well. And there is a whole lot of science behind that, but they don't study that science. Now that reflects this society's denial of trauma, the medical system simply reflects the needs of the larger society, I should say, the dominant needs of the larger society.

I wasn’t going to medical school—what did I care? I didn’t think the grades mattered. They weren’t a systematic appraisal of what I knew. I was more interested in hanging out with someone like Aristotle Skalides, a wandering intellectual and would-be academic who wasn’t a student but who liked to engage young people in the coffee shop in discussions about philosophy. Spending an hour with him at the coffee shop was like going and spending an hour in the classroom. I was more interested in my general education than the courses.

But what if you can’t find a colleague with a compatible schedule? When Taylor went away to speak at a conference for a week, I needed to re-create the experience of making an effort pact with another person. Thankfully, I found Focusmate. With a vision to help people around the world stay focused, they facilitate effort pacts via a one-to-one video conferencing service. While Taylor was away, I signed up at Focusmate.com and was paired with a Czech medical school student named Martin. Because I knew he would be waiting for me to co-work at our scheduled time, I didn’t want to let him down. While Martin was hard at work memorizing human anatomy, I stayed focused on my writing. To discourage people from skipping their meeting times, participants are encouraged to leave a review of their focus mate.5 Effort pacts make us less likely to abandon the task at hand. Whether we make them with friends and colleagues, or via tools like Forest, SelfControl, Focusmate, or kSafe, effort pacts are a simple yet highly effective way to keep us from getting distracted.

Arianna Huffington cites studies in her brilliant book Thrive that show how the act of giving actually improves your physical and mental health. One example I love in particular is the 2013 study from Britain’s University of Exeter Medical School that reveals how volunteering is associated with lower rates of depression, higher reports of well-being, and a 22% reduction in death rates! She also writes, “Volunteering at least once a week yields improvements to well-being tantamount to your salary increasing from $20,000 to $75,000!

So how can we improve the educational system? We should probably first rethink school curricula, and link them in more obvious ways to social goals (elimination of poverty and crime, elevation of human rights, etc.), technological goals (boosting energy conservation, space exploration, nanotechnology, etc.), and medical goals (cures for cancer, diabetes, obesity, etc.) that we care about as a society.

Much of the education doctors get in their four years of medical school and subsequent years of apprenticeship training is focused on teaching this skill of identifying and shaping those aspects of a patient’s life and symptoms, exams and investigations that contribute to the creation of a version of the patient’s story that makes a diagnosis possible. Indeed, the ability to create this spare and impersonal version of the patient’s story is THE essential skill in diagnosis. It’s also one of the aspects of medicine that can seem the most dehumanizing.

In the field of medicine, Galen, the Alexandrian scientist, propounded a view that is still around, nowadays called 'alternative medicine.'It was taught in many medical schools until the mid-nineteenth century and now is becoming popular again. Human health is the result of the balance of humors, or temperaments. Physical exercise, bathing, and herbal remedies keep the four temperaments in balance, or restore balance, in case one, such as melancholia (depression), comes to dominate. Today's transactional psychiatry teaches much the same medical doctrine as Galen did.

Alcenith Crawford (a divorced ophthalmologist): "We women doctors have un-happy marriages because in our minds we are the superstars of our families. Having survived the hardship of medical school we expect to reap our rewards at home. We had to assert ourselves against all odds and when we finally graduate there are few shrinking violets amongst us. It takes a special man to be able to cope. Men like to feel important and be the undisputed head of the family. A man does not enjoy waiting for his wife while she performs life-saving operations. He expects her and their children to revolve around his needs, not the other way. But we have become accustomed to giving orders in hospitals and having them obeyed. Once home, it's difficult to adjust. Moreover, we often earn more than our husbands. It takes a generous and exceptional man to forgive all that.

A Harris/Harvard School of Public Health poll of 1989 showed that most Americans (61 percent) favored a Canadian-type health system, in which the government was the single payer to doctors and hospitals, bypassing the insurance companies, and offering universal medical coverage to everyone. Neither the Democratic nor the Republican party adopted that as its program, although both insisted they wanted to “reform” the health system.

certain incidents do more than just touch our raw spots or “hurt our feelings.” They injure us so deeply that they overturn our world. They are relationship traumas. In the dictionary a trauma is defined as a wound that plunges us into fear and helplessness, that challenges all our assumptions of predictability and control. Traumatic wounds are especially severe, observes Judith Herman, professor of psychiatry at Harvard Medical School, when they involve a “violation of human connection.” Indeed, there is no greater trauma than to be wounded by the very people we count on to support and protect us.

And in the meantime, they give those of us who are curious about our own lives, and the lives of those we cherish, plenty to think about. It reminds me of my first day of medical school. “Boys,” the Dean told us (this was in 1955), “the bad news is that half of what we teach you will in time be proven wrong; and worse yet, we don’t know which half.” Still, half a century later, our class has done pretty well by its patients. So I maintain hope that the old-fashioned Grant Study, twentieth-century artifact though it be, can offer some fresh wisdom and some real inspiration to twenty-first-century readers.

Becoming a woman is an act partly of nature and partly of self-invention; Girl Land is the place and time in which all of this is worked out…there is a paradox at the heart of contemporary Girl Land, and this paradox makes the emotional experience of female adolescence more intense and difficult than ever. On the one hand, never in history have girls had so many opportunities, or shared so fully in the kind of power that was only recently reserved for boys. Girls now outperform boys on the SAT; women outnumber men in college, and we are nearing a point at which women will outnumber men in the country’s law and medical schools.

spent the next year in classrooms in the English countryside, where I found myself increasingly often arguing that direct experience of life-and-death questions was essential to generating substantial moral opinions about them. Words began to feel as weightless as the breath that carried them. Stepping back, I realized that I was merely confirming what I already knew: I wanted that direct experience. It was only in practicing medicine that I could pursue a serious biological philosophy. Moral speculation was puny compared to moral action. I finished my degree and headed back to the States. I was going to Yale for medical school.

It’s one of the best working examples I know of C. S. Lewis’s principle of sneaking past “watchful dragons.” Lewis wrote in an essay called “Sometimes Fairy Stories May Say Best What’s to be Said,” I thought I saw how stories of this kind could steal past a certain inhibition which had paralysed much of my own religion in childhood. Why did one find it so hard to feel as one was told one ought to feel about God or the sufferings of Christ? I thought the chief reason was that one was told one ought to. An obligation to feel can freeze feelings. And reverence itself did harm. The whole subject was associated with lowered voices; almost as if it were something medical. But supposing that by casting all these things into an imaginary world, stripping them of their stained-glass and Sunday School associations, one could make them for the first time appear in their real potency? Could one not thus steal past those watchful dragons? I thought one could.

ME’ as a medical entity was later supplanted in the 1980s by psychiatrists such as Simon Wessely, replaced by the label ‘chronic fatigue syndrome’; a fatiguing syndrome of unknown origin that exists, in part, as a result of dysfunctional illness beliefs, as well as social trends and social care systems that reward illness seeking behaviours.

Harvard Medical School surgery professor and recipient of a MacArthur “Genius” grant Dr. Atul Gawande notes that 25 percent of all Medicare spending is for the 5 percent of patients in their final year of life. Most of that money goes to treatments that are of little lifesaving benefit and often just put the person through more unnecessary suffering.

One victim was sixteen-year-old John Steinbeck. The future author of The Grapes of Wrath returned home from his Californian school one day looking ‘pale and dizzy

The guy got his medical degree from a sixth-rate school in the Bahamas. He couldn’t diagnose a baked potato.

If a young person is surviving by trading sex for the thing they need, what useful purpose is served by criminalizing that activity? Doesn't everybody have the right to try and survive? it might cost more to create shelters or group homes, drug treatment programs, schools for emancipated minors, counseling services, medical care and job training. But such programs can salvage human lives that are otherwise going to be cut short or wasted. If we can afford massive kiddy porn stings, why can't we afford to do this? Is it because, as a society,we obtain more pleasure out of trying to control young people, and punishing the minors who escape our control, than we would out of taking good care of kids who are in trouble?

Claiming that the past was socially better than the present is also a hallmark of white supremacy. Consider any period in the past from the perspective of people of color: 246 years of brutal enslavement; the rape of black women for the pleasure of white men and to produce more enslaved workers; the selling off of black children; the attempted genocide of Indigenous people, Indian removal acts, and reservations; indentured servitude, lynching, and mob violence; sharecropping; Chinese exclusion laws; Japanese American internment; Jim Crow laws of mandatory segregation; black codes; bans on black jury service; bans on voting; imprisoning people for unpaid work; medical sterilization and experimentation; employment discrimination; educational discrimination; inferior schools; biased laws and policing practices; redlining and subprime mortgages; mass incarceration; racist media representations; cultural erasures, attacks, and mockery; and untold and perverted historical accounts, and you can see how a romanticized past is strictly a white construct. But it is a powerful construct because it calls out to a deeply internalized sense of superiority and entitlement and the sense that any advancement for people of color is an encroachment on this entitlement.

Modern Westerners are taught to scoff at the idea of racial hierarchy. They are shocked by laws prohibiting blacks to live in white neighbourhoods, or to study in white schools, or to be treated in white hospitals. But the hierarchy of rich and poor – which mandates that rich people live in separate and more luxurious neighbourhoods, study in separate and more prestigious schools, and receive medical treatment in separate and better-equipped facilities – seems perfectly sensible to many Americans and Europeans. Yet it’s a proven fact that most rich people are rich for the simple reason that they were born into a rich family, while most poor people will remain poor throughout their lives simply because they were born into a poor family.

Reporters insist on portraying me as a curiosity. Rather like a talking horse." "You're an unusual woman." "Not really. Many thousands of women have the minds and temperaments to practice medicine. However, no medical school here will admit a female, which is why I had to study and train in France. I was fortunate enough to become certified before the British Medical Association closed the loopholes to prevent other women from doing the same." "What did your father say about it?" "At fist he was against the idea. He thought it indecent for a woman to have such an occupation. Viewing unclothed people, and so forth. However, as I pointed out to him, if we're made in God's image, there can be nothing wrong with the study of the human body.

The young doctor was disappointed: he had never had th eopportunity to study the effects of gold cyanide on a cadaver. Dr. Juvenal Urbino had been surprised that he had not seen him at the Medical School, but he understood in an instant from the young man's blush and Andean accent that he was probably a recent arrival to the city. He said: "There is bound to be someone driven mad by love who will give you the chance one of these days." And only after he said it did he realize that among the countless suicides he could remeber, this was the first with cyanide that had not been caused by the sufferings of love. Then something changed in the tone of his voice. "And when you do find one, observe with care," he said to the intern: "they almost always have crystals in their heart.

In consequence, the National General Assembly of the People of Cuba proclaims before America: the right of peasants to land; the right of the worker to the fruit of his labor; the right of children to receive education; the right of the sick to receive medical and hospital care; the right of the young to work; the right of students to receive free instruction, practical and scientific; the right of Negroes and Indians to 'a full measure of human dignity'; the right of woman to civil, social and political equality; the right of the aged to secure old age; the right of intellectuals, artists and scientists to fight through their work for a better world; the right of States to nationalize imperialist monopolies as a means of recovering national wealth and resources; the right of countries to engage freely in trade with all other countries of the world; the right of nations to full sovereignty; the right of people to convert their fortresses into schools and to arm their workers, peasants, students, intellectuals, Negroes, Indians, women, the young, the old, all the oppressed and exploited; that they may better defend, with their own hands, their rights and their future.

Things changed after that between me and Mark. I stopped being mortified that people might mistake me for one of his acolytes. I was his Boswell, don’t you know. I interviewed him about his childhood—his father was a psychiarist in Beverly Hills. I cataloged the contents of his van. I followed him around at work, sitting in while he examined patients. He had been a bit of a prodigy when we were in college. After his father developed a tumor, Mark, who was pre-med, started studying cancer with an intensity that convinced many of his friends that his goal was to find a cure in time to save his father. As it turned out, his father didn’t have cancer. But Mark kept on with his cancer studies. His interest was not in fact in oncology—in finding a cure—but in cancer education and prevention. By the time he entered medical school, he had created, with another student, a series of college courses on cancer and coauthored The Biology of Cancer Sourcebook, the text for a course that was eventually offered to tens of thousands of students. He cowrote a second book, Understanding Cancer, that became a bestselling university text, and he continued to lecture throughout the United States on cancer research, education, and prevention. “The funny thing is, I’m not really interested in cancer,” Mark told me. “I’m interested in people’s response to it. A lot of cancer patients and suvivors report that they never really lived till they got cancer, that it forced them to face things, to experience life more intensely. What you see in family practice is that families just can’t afford to be superficial with each other anymore once someone has cancer. Corny as it sounds, what I’m really interested in is the human spirit—in how people react to stress and adversity. I’m fascinated by the way people fight back, by how they keep fighting their way to the surface.” Mark clawed at the air with his arms. What he was miming was the struggle to reach the surface through the turbulence of a large wave.

Hamas repeatedly and continually used protected civilian sites for military attacks, rendering them legitimate military targets. An IDF study shows that Hamas fired rockets from amusement parks, first aid stations, U.N. facilities, playgrounds, hospitals, medical clinics, and schools.28 Consequently, Hamas, not Israel, is the party committing war crimes. Incidental or collateral damage on both sides

In the same way, the establishment US media painted America as a decaying, racist, predatory capitalist realm unable to provide medical care for the poor, rebuild her “crumbling schools,” or replace the “shuttered mills that once provided a decent life for men and women of every race,”5 and promised all this could be changed by redistributing the country’s wealth. That also was a disinformation campaign.

She kept the picture, though. She carried it with her everywhere she traveled: Istanbul and Rome, Berlin where she lived for three moths, sharing a flat with two Swedes. One night they got blitzed and she showed them the picture. The blond boys smiled at her quizzically, handing it back. It meant nothing to anybody but her, which was part of the reason she could never get rid of it. It was the only part of her life that was real. She didn't know what to do with the rest. All the stories she knew were fiction, so she began to create new ones. She was the daughter of a doctor, an actor, a baseball player. She was taking a break from medical school. She had a boyfriend back home named Reese. She was white, she was black, she became a new person as soon as she crossed a border. She was always inventing her life.

As another example, in many healthcare settings, up to 35 percent of nurses are the parents of school-age children, and up to 20 percent of those would have to stay home with their children because they have no childcare alternatives. So, closing schools can have the effect of losing 20 percent of our vital nursing workforce in a time of medical crisis, before we even consider those that we will lose to illness itself.

Other women, even if they’ve had little support in high school, still manage to go to college. Unfortunately, because they have no idea what is wrong and what accommodations they could get to succeed, they are soon overwhelmed and either drop out or change schools several times. Others continue to self-medicate with drugs or alcohol to counteract their low self-esteem and bring them some form of needed relaxation, as well as a way to feel focused. Other young women might act out sexually with multiple partners or even tolerate destructive relationships in order to have the security of some kind of structure to come up against.

In the car inching its way down Fifth Avenue, toward Bergdorf Goodman and this glamorous party, I looked back on my past with a new understanding. This sickness, the “endo-whatever,” had stained so much—my sense of self, my womanhood, my marriage, my ability to be present. I had effectively missed one week of each month every year of my life since I was thirteen, because of the chronic pain and hormonal fluctuations I suffered during my period. I had lain in bed, with heating pads and hot-water bottles, using acupuncture, drinking teas, taking various pain medications and suffering the collateral effects of them. I thought of all the many tests I missed in various classes throughout my education, the school dances, the jobs I knew I couldn’t take as a model, because of the bleeding and bloating as well as the pain (especially the bathing suit and lingerie shoots, which paid the most). How many family occasions was I absent from? How many second or third dates did I not go on? How many times had I not been able to be there for others or for myself? How many of my reactions to stress or emotional strife had been colored through the lens of chronic pain? My sense of self was defined by this handicap. The impediment of expected pain would shackle my days and any plans I made. I did not see my own womanhood as something positive or to be celebrated, but as a curse that I had to constantly make room for and muddle through. Like the scar on my arm, my reproductive system was a liability. The disease, developing part and parcel with my womanhood starting at puberty with my menses, affected my own self-esteem and the way I felt about my body. No one likes to get her period, but when your femininity carries with it such pain and consistent physical and emotional strife, it’s hard not to feel that your body is betraying you. The very relationship you have with yourself and your person is tainted by these ever-present problems. I now finally knew my struggles were due to this condition. I wasn’t high-strung or fickle and I wasn’t overreacting.

BACK IN SCHOOL, I loved ending stories that way. It’s the perfect conclusion, isn’t it? Billy went to school. He had a good day. Then he died. The end. It doesn’t leave you hanging. It wraps everything up nice and neat. Except in my case, it didn’t. Maybe you’re thinking, Oh, Magnus, you didn’t really die. Otherwise you couldn’t be narrating this story. You just came close. Then you were miraculously rescued, blah, blah, blah. Nope. I actually died. One hundred percent: guts impaled, vital organs burned, head smacked into a frozen river from forty feet up, every bone in my body broken, lungs filled with ice water. The medical term for that is dead. Gee, Magnus, what did it feel like? It hurt. A lot. Thanks for asking. I

Our parents invested in the future, ours as well as theirs, through their taxes. They invested their tax money in the interstate highway system, the Internet, the scientific and medical establishments, our communications system, our airline system, the space program. They invested in the future, and we are reaping the tax benefits, the benefits from the taxes they paid. Today we have assets-highways, schools and colleges, the Internet, airlines-that come from the wise investments they made.

Regardless of whether one subscribes to the aims of the four movements whose stories we have told, there is much to appreciate about them as movements. They have overcome schisms; disbandment; leadership scandals; and/or the deaths of their founders. They have developed a highly innovative strategy—bypassing the state—to overcome the obstacles that their ideological strictness; ambitious agendas; and reluctance to compromise present. They have shown a strong entrepreneurial spirit in building effective social service agencies, medical facilities, schools, and businesses that often put the state’s efforts to shame. While they are not the Christian militias, al-Qaeda cells, or Jewish extremist groups whose terrorism has attracted much attention, the Muslim Brotherhood, Shas, Comunione e Liberazione, and the Salvation Army, with their strategy of rebuilding society, one institution at a time, may well prove more successful in sacralizing their societies than movements that use violence.

We are dealing, then, with an absurdity that is not a quirk or an accident, but is fundamental to our character as people. The split between what we think and what we do is profound. It is not just possible, it is altogether to be expected, that our society would produce conservationists who invest in strip-mining companies, just as it must inevitably produce asthmatic executives whose industries pollute the air and vice-presidents of pesticide corporations whose children are dying of cancer. And these people will tell you that this is the way the "real world" works. The will pride themselves on their sacrifices for "our standard of living." They will call themselves "practical men" and "hardheaded realists." And they will have their justifications in abundance from intellectuals, college professors, clergymen, politicians. The viciousness of a mentality that can look complacently upon disease as "part of the cost" would be obvious to any child. But this is the "realism" of millions of modern adults. There is no use pretending that the contradiction between what we think or say and what we do is a limited phenomenon. There is no group of the extra-intelligent or extra-concerned or extra-virtuous that is exempt. I cannot think of any American whom I know or have heard of, who is not contributing in some way to destruction. The reason is simple: to live undestructively in an economy that is overwhelmingly destructive would require of any one of us, or of any small group of us, a great deal more work than we have yet been able to do. How could we divorce ourselves completely and yet responsibly from the technologies and powers that are destroying our planet? The answer is not yet thinkable, and it will not be thinkable for some time -- even though there are now groups and families and persons everywhere in the country who have begun the labor of thinking it. And so we are by no means divided, or readily divisible, into environmental saints and sinners. But there are legitimate distinctions that need to be made. These are distinctions of degree and of consciousness. Some people are less destructive than others, and some are more conscious of their destructiveness than others. For some, their involvement in pollution, soil depletion, strip-mining, deforestation, industrial and commercial waste is simply a "practical" compromise, a necessary "reality," the price of modern comfort and convenience. For others, this list of involvements is an agenda for thought and work that will produce remedies. People who thus set their lives against destruction have necessarily confronted in themselves the absurdity that they have recognized in their society. They have first observed the tendency of modern organizations to perform in opposition to their stated purposes. They have seen governments that exploit and oppress the people they are sworn to serve and protect, medical procedures that produce ill health, schools that preserve ignorance, methods of transportation that, as Ivan Illich says, have 'created more distances than they... bridge.' And they have seen that these public absurdities are, and can be, no more than the aggregate result of private absurdities; the corruption of community has its source in the corruption of character. This realization has become the typical moral crisis of our time. Once our personal connection to what is wrong becomes clear, then we have to choose: we can go on as before, recognizing our dishonesty and living with it the best we can, or we can begin the effort to change the way we think and live.

Using your wealth to purchase other people’s loyalty is a game as old as humanity itself. Rich men use their wealth to attract women, unscrupulous employers use material incentives and disincentives to manipulate their workers, and wealthy countries like the USA use their national wealth to keep their citizens loyal to the cause of aggressive and genocidal Imperialism. But historical longevity and common practice don’t make the manipulation or exploitation morally or ethically right. Organized religions are inherently POLITICAL organizations. There is a fundamental difference between the financial enterprise and political machinations of an organized religion versus a mass of independent unaffiliated believers, philosophers, and mystics who do not support any organized religion. Christianity and Islam are known as proselytizing religions because they make an organized and systemic effort to gain converts, and they often provide services, products, or employment to attract converts. Judaism, Hinduism, and Buddhism show far less zeal about gaining converts, which is why you almost never hear about Jewish, Hindu, or Buddhist missionaries. Modern medical and nursing schools usually teach their students the moral principle that the provision of medical services should never be used as a means to proselytize or promote a religion, but that does not deter many Christian health care providers from doing exactly that. Most of the medical and charitable organizations based in Christian countries are fronts for Christian proselytizing activities.

We take the stairs down to the first level of the parking garage and I lead us toward the area reserved for doctors. She makes her way toward a black Audi, turns, and waits for me to join her. I smirk. “That’s not my car.” She nods. “Right, of course. I see it now.” She goes to a bright yellow Ferrari that belongs to one of the plastic surgeons. The vanity license plate reads: SXY DOC88. “Here we are.” “Not even close.” “Oh, okay. I get it. You aren’t flashy. Maybe that gray Range Rover over there?” I press the unlock button on my key fob and my rear lights flash. There she is, the car I’ve driven since I was in medical school. “You’re kidding. A Prius?! Satan himself drives a Prius?!” She turns around as if hoping to find someone else she can share this moment with. All she’s got is me. I shrug. “It gets good gas mileage.” She blinks exaggeratedly. “I couldn’t be more shocked if you’d hitched a horse to a buggy.” I chuckle and open the back door to toss in her backpack. “Get in. Traffic is going to be hell.” We buckle up in silence, back up and leave the parking garage in silence, pull out into traffic in silence. Finally, I ask, “Where do you live?” “On the west side. Right across from Franklin Park.” “Good. I have an errand I need to run that’s right by there. Mind if I do that before I drop you off?” “Well seeing as how you stole my backpack and forced me into your car, I don’t really think it matters what I want.” I see. She’s still pouting. That’s fine. “Good. Glad we’re on the same page.” She doesn’t think I’m funny.

For those who must deal with human corpses regularly, it is easier (and, I suppose, more accurate) to think of them as objects, not people. For most physicians, objectification is mastered their first year of medical school, in the gross anatomy lab, or “gross lab,” as it is casually and somewhat aptly known. To help depersonalize the human form that students will be expected to sink knives into and eviscerate, anatomy lab personnel often swathe the cadavers in gauze and encourage students to unwrap as they go, part by part.

The blocks of the Healthy Eating Pyramid include: • vegetable oils such as olive and canola oil as the primary sources of fat • an abundance of vegetables and fruits, not including potatoes or corn • whole-grain foods at most meals • healthy sources of protein such as beans, nuts, seeds, fish, poultry, and eggs • a daily calcium supplement or dairy foods one to two times a day • a daily multivitamin • for those who choose to drink, alcohol in moderation • red meat, white bread, potatoes, soda, and sweets only occasionally if at all.

We have nothing against playing video games; they have many good features and benefits. Our concern is that when they are played to excess, especially in social isolation, they can hinder a young man's ability and interest in developing his face-to-face social skills. Multiple problems, including obesity, violence, anxiety, lower school performance, social phobia and shyness, greater impulsivity and depression, have all been associated with excessive gaming. The variety and intensity of video game action makes other parts of life, like school, seem comparatively boring, and that creates a problem with their academic performance, which in turn might require medication to deal with attention deficit hyperactivity disorder (ADHD), which then leads to other problems down the road in a disastrous negative cycle...

But if you are a poor creature—poisoned by a wretched upbringing in some house full of vulgar jealousies and senseless quarrels—saddled, by no choice of your own, with some loathsome sexual perversion—nagged day in and day out by an inferiority complex that makes you snap at your best friends—do not despair. He knows all about it. You are one of the poor whom He blessed. He knows what a wretched machine you are trying to drive. Keep on. Do what you can. One day (perhaps in another world, but perhaps far sooner than that) He will fling it on the scrap-heap and give you a new one. And then you may astonish us all—not least yourself: for you have learned your driving in a hard school. (Some of the last will be first and some of the first will be last). ‘Niceness’—wholesome, integrated personality—is an excellent thing. We must try by every medical, educational, economic, and political means in our power to produce a world where as many people as possible grow up ‘nice’; just as we must try to produce a world where all have plenty to eat. But we must not suppose that even if we succeeded in making everyone nice we should have saved their souls. A world of nice people, content in their own niceness, looking no further, turned away from God, would be just as desperately in need of salvation as a miserable world—and might even be more difficult to save.

There is no one disabled future. But in mine, there is guaranteed income, housing, access, food, water, and education for all—or money has been abolished. I get paid to write from my bed. The births of disabled, Autistic, Mad, Neurodivergent, Deaf, and sick kids are celebrated, and there are memorials and healing and reparation sites on every psych ward, institution, nursing home, youth lockup, and “autistic treatment center” where our people have been locked up and abused. Anyone who needs care gets it, with respect and autonomy, not abuse. Caregivers are paid well for the work we do and are often disabled ourselves. Disabled folks are the ones teaching medical school students about our bodies. Schools have been taken apart and remade so that there’s not one idea of “smart” and “stupid,” but many ways of learning. There is a disability justice section in every bookstore and a million examples of sick and disabled and Deaf and autistic and Mad folks thriving. I have a really sick lipstick-red spiral ramp curving around my house. Because it’s beautiful. Because I want it. Because I get to live free. -LEAH

Hallie didn't believe she was invulnerable. She was never one of those daredevil types; she knew she could get hurt. What I think she meant was that she was lucky to be on her way to Nicaragua. It was the slowest thing to sink into my head, how happy she was. Happy to be leaving. We'd had one time of perfect togetherness in our adult lives, the year when we were both in college in Tucson-her first year, my last-and living together for the first time away from Doc Homer. That winter I'd wanted to fail a subject just so I could hang back, stay there with her, the two of us walking around the drafty house in sweatshirts and wool socks and understanding each other precisely. Bringing each other cups of tea without having to ask. So I stayed on in Tucson for medical school, instead of going to Boston as I'd planned, and met Carlo in Parasitology. Hallie, around the same time, befriended some people who ran a safehouse for Central American refugees. After that we'd have strangers in our kitchen every time of night, kids scared senseless, people with all kinds of damage. Our life was never again idyllic. I should have seen it coming. Once she and I had gone to see a documentary on the Abraham Lincoln Brigade, which was these Americans who volunteered without our government's blessing to fight against Franco and Hitler in the Spanish Civil War. At that point in U.S. history fascism was only maybe wrong, whereas communism was definitely. When we came home from the movie Hallie cried. Not because of the people who gave up life and limb only to lose Spain to Franco, and not for the ones who came back and were harassed for the rest of their lives for being Reds. The tragedy for Hallie was that there might never be a cause worth risking everything for in our lifetime. She was nineteen years old then, and as she lay blowing her nose and sobbing on my bed she told me this. That there were no real causes left. Now she had one-she was off to Nicaragua, a revolution of co-op farms and literacy crusades-and so I guess she was lucky. Few people know so clearly what they want. Most people can't even think what to hope for when they throw a penny in a fountain. Almost no one really gets the chance to alter the course of human events on purpose, in the exact way they wish for it to be altered.

Today, one must dig to uncover the history of Black Fort Greene, whose pioneers seem in danger of being forgotten. Dr. McKinney’s former brownstone at 205 DeKalb Avenue—the site of her thriving medical practice—would be listed for sale in 2016 for nearly $2.7 million, without any mention of its history. Instead, the names of Brooklyn’s slave-holding families dominate the terrain. Boerum Hill (named for Simon Boerum, a man with three slaves). Wyckoff Street (Peter Wyckoff, enslaver of seven). Ditmas Park (four slaves). Luquer Street (thirteen). Van Brunt Street (seven). Cortelyou Road (two). Both Van Dam and Bayard streets are named for the owners of slave ships, while Stuyvesant Heights is named for the man who governed the New Netherland colony of the Dutch West India Company, which shipped tens of thousands of slaves. Even the McKinney school began with a slave-owning name. Back when Dasani’s grandmother was a student, this was still the Sands Junior High School, named for Joshua Sands (enslaver of six) and his brother Comfort Sands (three). None of this is known to Dasani, whose parents only talk about the slavery of their Southern ancestors. The North is where they came to be free.

Every few decades a newspaper report about embezzlement or physical abuse at the school initiated an investigation by the state. In their wake came prohibitions against 'spanking,' and the use of dark cells and sweatboxes. The administration instituted a stricter accounting of school supplies, which had a tendency to disappear. The parole of students to local families and businesses was terminated and the medical staff increased... It had been years since there were any allegations against Nickel. On this occasion the school was merely another item on a long list of government facilities due a once-over.

raving maniacs, half paralysed with hunger and fear’. In collaboration with an UNRRA team, the soldiers took over a former Napola School at Feldafing, drafted many of its German staff, including cooks and medical personnel, and turned it into a refugee camp, with a nearby hotel requisitioned as hospital accommodation. The number of inmates rapidly grew to some 4,000. By the end of May 1945, the camp had experienced its first survivor wedding and those in the hospital – now moved to a former monastery – had been treated to a concert by the Kovno Ghetto orchestra, dressed in their striped concentration-camp pyjamas.

The only way to truly stop a pandemic, it has been suggested, is to stamp it out at its source.2380 Once it starts, as noted the editorial board of the journal of the Canadian Medical Association, “School closure, quarantine, travel restrictions and so on are unlikely to be more effective than a garden hose in a forest fire.

In 2007, Jeffrey Flier, dean of Harvard Medical School and his wife and colleague in obesity research, Terry Maratos-Flier, published an article in Scientific American called “What Fuels Fat.” In it, they described the intimate link between appetite and energy expenditure, making clear that they are not simply variables that an individual can consciously decide to change with the only effect being that his or her fat tissue will get smaller or larger to compensate. An animal whose food is suddenly restricted tends to reduce its energy expenditure both by being less active and by slowing energy use in cells, thereby limiting weight loss. It also experiences increased hunger so that once the restriction ends, it will eat more than its prior norm until the earlier weight is attained. What the Fliers accomplished in just two sentences is to explain why a hundred years of intuitively obvious dietary advice—eat less—doesn’t work in animals. If we restrict the amount of food an animal can eat (we can’t just tell it to eat less, we have to give it no choice), not only does it get hungry, but it actually expends less energy. Its metabolic rate slows down. Its cells burn less energy (because they have less energy to burn). And when it gets a chance to eat as much as it wants, it gains the weight right back. The

Only date people who respect your standards and make you a better person when you’re with them. Consider the message of the movie A Walk to Remember. Landon Carter is the reckless leader who is skating through high school on his good looks and bravado. He and his popular friends at Beaufort High publicly ridicule everyone who doesn’t fit in, including the unfashionable Jamie Sullivan, who wears the same sweater day after day and gives free tutoring lessons to struggling students. By accident, events thrust Landon into Jamie’s world and he can’t help but notice that Jamie’s different. She doesn’t care about conforming and fitting in with the popular kids. Landon’s amazed at how sure of herself she seems and asks, “Don’t you care what people think about you?” As he spends more time with her, he realizes she has more freedom than he does because she isn’t controlled by the opinions of others, as he is. Soon, despite their intentions not to, they have fallen in love and Landon has to choose between his status at Beaufort...and Jamie. “This girl’s changed you,” his best friend yells, “and you don’t even know it.” Landon admits, “She has faith in me. She wants me to be better.” He chooses her. After high school graduation, Jamie reveals to Landon that she’s dying of leukemia. During her final months, Landon does all he can to make her dreams come true, including marrying her in the same church her mother and father were married in. They spend a wonderful summer together, truly in love. Despite Jamie’s dream for a miracle, she dies. Heartbroken, but inspired by Jamie’s belief in him, Landon works hard to go to medical school. But he laments to her father that he couldn’t fulfill her last desire, to see a miracle. Jamie’s father assures him that Jamie did see a miracle before she died, for someone’s heart had truly changed. And it was his. Now that’s a movie to remember! Never apologize for having high standards and don’t ever lower your standards to please someone else.

As nurses, we’re supposed to compartmentalize, to be detached, to mentally separate our professional lives from our personal lives, like sorting medication into a pill sorter, clearly divided with thick plastic tabs. We were taught this in nursing school, though it’s not that easy and it’s not something that can be taught—to care for and about our patients, but to not let ourselves get emotionally attached because attachment, they say, leads to burnout, which causes nurses to leave an already hemorrhaging profession. It’s hard because as nurses, it’s in our nature to be compassionate, and these two things—detachment and compassion—are at odds with one another.

I know an American family that spent several years living in England. They had one son, who was an average student: not great, but not terrible. When the family returned home to the United States, the parents enrolled him in the local public school. Mom was startled by the continual drumbeat from teachers and other parents: “Maybe your son has ADHD. Have you considered trying a medication?” She told me, “It was weird, like everybody was in on this conspiracy to medicate my son. In England, none of the kids is on medication. Or if they are, it’s a secret. But I really don’t think many are. Here it seems like almost all the kids are on medication. Especially the boys.

Let me tell you a joke, Rora said. Mujo wakes up one day, after a long night of drinking, and asks himself what the meaning of life is. He goes to work, but realizes that is not what life is or should be. He decides to read some philosophy and for years studies everything from the old Greeks onward, but can't find the meaning of life. Maybe it's the family, he thinks, so he spends time with his wife, Fata, and the kids, but finds no meaning in that and so he leaves them. He thinks, Maybe helping others is the meaning of life, so he goes to medical school, graduates with flying colors, goes to Africa to cure malaria and transplants hearts, but cannot discover the meaning of life. He thinks, maybe it's the wealth, so he becomes a businessman, starts making money hand over fist, millions of dollars, buys everything there is to buy, but that is not what life is about. Then he turns to poverty and humility and such, so he gives everything away and begs on the streets, but still he cannot see what life is. He thinks maybe it is literature: he writes novel upon novel, but the more he writes the more obscure the meaning of life becomes. He turns to God, lives the life of a dervish, reads and contemplates the Holy Book of Islam - still, nothing. He studies Christianity, then Judaism, then Buddhism, then everything else - no meaning of life there. Finally, he hears about a guru living high up in the mountains somewhere in the East. The guru, they say, knows what the meaning of life is. So Mujo goes east, travels for years, walks roads, climbs the mountain, finds the stairs that lead up to the guru. He ascends the stairs, tens of thousands of them, nearly dies getting up there. At the top, there are millions of pilgrims, he has to wait for months to get to the guru. Eventually it is his turn, he goes to a place under a big tree, and there sits the naked guru, his legs crossed, his eyes closed, meditating, perfectly peaceful - he surely knows the meaning of life, Mujo says: I have dedicated my life to discovering the meaning of life and I have failed, so I have come to ask you humbly, O Master, to divulge the secret to me. The guru opens his eyes, looks at Mujo, and calmly says, My friend, life is a river. Mujo stares at him for a long time, cannot believe what he heard. What's life again? Mujo asks. Life is a river, the guru says. Mujo nods and says, You turd of turds, you goddamn stupid piece of shit, you motherfucking cocksucking asshole. I have wasted my life and come all this way for you to tell me that life is a fucking river. A river? Are you kidding me? That is the stupidest, emptiest fucking thing I have ever heard. Is that what you spent your life figuring out? And the guru says, What? It is not a river? Are you saying it is not a river?

Of course, the cadavers, in life, donated themselves freely to this fate, and the language surrounding the bodies in front of us soon changed to reflect that fact. We were instructed to no longer call them “cadavers”; “donors” was the preferred term. And yes, the transgressive element of dissection had certainly decreased from the bad old days. (Students no longer had to bring their own bodies, for starters, as they did in the nineteenth century. And medical schools had discontinued their support of the practice of robbing graves to procure cadavers—that looting itself a vast improvement over murder, a means once common enough to warrant its own verb: burke, which the OED defines as “to kill secretly by suffocation or strangulation, or for the purpose of selling the victim’s body for dissection.”) Yet the best-informed people—doctors—almost never donated their bodies. How informed were the donors, then? As one anatomy professor put it to me, “You wouldn’t tell a patient the gory details of a surgery if that would make them not consent.” Even if donors were informed enough—and they might well have been, notwithstanding one anatomy professor’s hedging—it wasn’t so much the thought of being dissected that galled. It was the thought of your mother, your father, your grandparents being hacked to pieces by wisecracking twenty-two-year-old medical students. Every time I read the pre-lab and saw a term like “bone saw,” I wondered if this would be the session in which I finally vomited. Yet I was rarely troubled in lab, even when I found that the “bone saw” in question was nothing more than a common, rusty wood saw. The closest I ever came to vomiting was nowhere near the lab but on a visit to my grandmother’s grave in New York, on the twentieth anniversary of her death. I found myself doubled over, almost crying, and apologizing—not to my cadaver but to my cadaver’s grandchildren. In the midst of our lab, in fact, a son requested his mother’s half-dissected body back. Yes, she had consented, but he couldn’t live with that. I knew I’d do the same. (The remains were returned.) In

What did she say to you?" "Nothing." "Oh, great. I have to try to get you out of this mess after you hit a girl for nothing," he whispered angrily. "Josephine, don't waste my time. You don't seem like a violent type. She had to have said something to rile you. "I just don't like her. She's vain. She puts her hair all over my books when she sits in front of me in class." "So you hit her?" "No ... yes." "A girl puts her hair all over your books, so you break her nose?" "Well, I don't think it's broken, personally." "Doctor Kildare, we are not here to give a medical opinion. I want to know what she said to you." "God," I yelled exasperated. "She said something to upset me, okay?" "What? That you were ugly? That you smell? What?" I looked horrified. "I'm not ugly. I don't smell." He sighed and took off his glasses, sitting down in front of me and pulling my chair towards him. "I was just asking for a reason." "Never mind," I said. "That creep out there wants -you to pay for his daughter's nose-job. Because of that nose-job she will be a famous model one day and you'll be working in a fast-food chain because you couldn't finish your Higher School Certificate due to expulsion. Now tell me what she said." "There's nothing wrong with a fast-food chain," I said, thinking of my McDonald's job. "I'm really getting pissed off now, Josephine. You called me out of work for this and you won't tell me why." "Just go," I said, as he stood up and paced the room. "I'll defend myself in court." He groaned and looked up to the ceiling pulling his hair. "God save me from days like this," he begged. "Go," I yelled. "Okay. Let him win. He's a creep. Creeps always win," he said walking to the door. "But don't think you're going to make it in a court room, young lady. If you can't be honest, don't expect to stand up in a court room and defend honesty." "She called me a wog, amongst other things," I said, finally. "I haven't been called one for so long. It offended me. It made me feel pathetic." "Did you provoke her?" "Yes. I called her a racist pig due to some things she was saying." "Is she one?" "God, yes. The biggest.

I base all my counseling on the premise that each of us has these two sides: the essential self and the social self. The essential self contains several sophisticated compasses that continuously point toward your North Star. The social self is the set of skills that actually carry you toward this goal. Your essential self wants passionately to become a doctor; the social self struggles through organic chemistry and applies to medical school. Your essential self yearns for the freedom of nature; your social self buys the right backpacking equipment. Your essential self falls in love; your social self watches to make sure the feeling is reciprocal before allowing you to stand underneath your beloved’s window singing serenades.

Dr. Deanna Adkins of Duke University School of Medicine claims that gender identity is “the only medically supported determinant of sex,” adding, “It is counter to medical science to use chromosomes, hormones, internal reproductive organs, external genitalia, or secondary sex characteristics to override gender identity for purposes of classifying someone as male or female.

metastases has become talk of a few months left. When I saw her in A&E, despite obvious suspicions, I didn’t say the word ‘cancer’ – I was taught that if you say the word even in passing, that’s all a patient remembers. Doesn’t matter what else you do, utter the C-word just once and you’ve basically walked into the cubicle and said nothing but ‘cancer cancer cancer cancer cancer’ for half an hour. And not that you’d ever want a patient to have cancer of course, I really really didn’t want her to. Friendly, funny, chatty – despite the litres of fluid in her abdomen splinting her breathing – we were like two long-lost pals finding themselves next to each other at a bus stop and catching up on all our years apart. Her son has a place at med school, her daughter is at the same school my sister went to, she recognized my socks were Duchamp. I stuck in a Bonanno catheter to take off the fluid and admitted her to the ward for the day team to investigate. And now she’s telling me what they found. She bursts into tears, and out come all the ‘will never’s, the crushing realization that ‘forever’ is just a word on the front of Valentine’s cards. Her son will qualify from medical school – she won’t be there. Her daughter will get married – she won’t be able to help with the table plan or throw confetti. She’ll never meet her grandchildren. Her husband will never get over it. ‘He doesn’t even know how to work the thermostat!’ She laughs, so I laugh. I really don’t know what to say. I want to lie and tell her everything’s going to be fine, but we both know that it won’t. I hug her. I’ve never hugged a patient before – in fact, I think I’ve only hugged a grand total of five people, and one of my parents isn’t on that list – but I don’t know what else to do. We talk about boring practical things, rational concerns, irrational concerns, and I can see from her eyes it’s helping her. It suddenly strikes me that I’m almost certainly the first person she’s opened up to about all this, the only one she’s been totally honest with. It’s a strange privilege, an honour I didn’t ask for. The other thing I realize is that none of her many, many concerns are about herself; it’s all about the kids, her husband, her sister, her friends. Maybe that’s the definition of a good person.

Antidepression medication is temperamental. Somewhere around fifty-nine or sixty I noticed the drug I’d been taking seemed to have stopped working. This is not unusual. The drugs interact with your body chemistry in different ways over time and often need to be tweaked. After the death of Dr. Myers, my therapist of twenty-five years, I’d been seeing a new doctor whom I’d been having great success with. Together we decided to stop the medication I’d been on for five years and see what would happen... DEATH TO MY HOMETOWN!! I nose-dived like the diving horse at the old Atlantic City steel pier into a sloshing tub of grief and tears the likes of which I’d never experienced before. Even when this happens to me, not wanting to look too needy, I can be pretty good at hiding the severity of my feelings from most of the folks around me, even my doctor. I was succeeding well with this for a while except for one strange thing: TEARS! Buckets of ’em, oceans of ’em, cold, black tears pouring down my face like tidewater rushing over Niagara during any and all hours of the day. What was this about? It was like somebody opened the floodgates and ran off with the key. There was NO stopping it. 'Bambi' tears... 'Old Yeller' tears... 'Fried Green Tomatoes' tears... rain... tears... sun... tears... I can’t find my keys... tears. Every mundane daily event, any bump in the sentimental road, became a cause to let it all hang out. It would’ve been funny except it wasn’t. Every meaningless thing became the subject of a world-shattering existential crisis filling me with an awful profound foreboding and sadness. All was lost. All... everything... the future was grim... and the only thing that would lift the burden was one-hundred-plus on two wheels or other distressing things. I would be reckless with myself. Extreme physical exertion was the order of the day and one of the few things that helped. I hit the weights harder than ever and paddleboarded the equivalent of the Atlantic, all for a few moments of respite. I would do anything to get Churchill’s black dog’s teeth out of my ass. Through much of this I wasn’t touring. I’d taken off the last year and a half of my youngest son’s high school years to stay close to family and home. It worked and we became closer than ever. But that meant my trustiest form of self-medication, touring, was not at hand. I remember one September day paddleboarding from Sea Bright to Long Branch and back in choppy Atlantic seas. I called Jon and said, “Mr. Landau, book me anywhere, please.” I then of course broke down in tears. Whaaaaaaaaaa. I’m surprised they didn’t hear me in lower Manhattan. A kindly elderly woman walking her dog along the beach on this beautiful fall day saw my distress and came up to see if there was anything she could do. Whaaaaaaaaaa. How kind. I offered her tickets to the show. I’d seen this symptom before in my father after he had a stroke. He’d often mist up. The old man was usually as cool as Robert Mitchum his whole life, so his crying was something I loved and welcomed. He’d cry when I’d arrive. He’d cry when I left. He’d cry when I mentioned our old dog. I thought, “Now it’s me.” I told my doc I could not live like this. I earned my living doing shows, giving interviews and being closely observed. And as soon as someone said “Clarence,” it was going to be all over. So, wisely, off to the psychopharmacologist he sent me. Patti and I walked in and met a vibrant, white-haired, welcoming but professional gentleman in his sixties or so. I sat down and of course, I broke into tears. I motioned to him with my hand; this is it. This is why I’m here. I can’t stop crying! He looked at me and said, “We can fix this.” Three days and a pill later the waterworks stopped, on a dime. Unbelievable. I returned to myself. I no longer needed to paddle, pump, play or challenge fate. I didn’t need to tour. I felt normal.

High-quality and affordable childcare and eldercare • Paid family and medical leave for women and men • A right to request part-time or flexible work • Investment in early education comparable to our investment in elementary and secondary education • Comprehensive job protection for pregnant workers • Higher wages and training for paid caregivers • Community support structures to allow elders to live at home longer • Legal protections against discrimination for part-time workers and flexible workers • Better enforcement of existing laws against age discrimination • Financial and social support for single parents • Reform of elementary and secondary school schedules to meet the needs of a digital rather than an agricultural economy and to take advantage of what we now know about how children learn

When we think of an institution, we can usually see it as embodied in a building: the Vatican, the Pentagon, the Sorbonne, the Treasury, the Massachusetts Institute of Technology, the Kremlin, the Supreme Court. What we cannot see, until we become close students of the institution, are the ways in which power is maintained and transferred behind the walls and beneath the domes, the invisible understandings which guarantee that it shall reside in certain hands but not in others, that information shall be transmitted to this one but not to that one, the hidden collusions and connections with other institutions of which it is supposedly independent. When we think of the institution of motherhood, no symbolic architecture comes to mind, no visible embodiment of authority, power, or of potential or actual violence. Motherhood calls to mind the home, and we like to believe that the home is a private place. Perhaps we imagine row upon row of backyards, behind suburban or tenement houses, in each of which a woman hangs out the wash, or runs to pick up a tear-streaked two-year-old; or thousands of kitchens, in each of which children are being fed and sent off to school. Or we think of the house of our childhood, the woman who mothered us, or of ourselves. We do not think of the laws which determine how we got to these places, the penalties imposed on those of us who have tried to live our lives according to a different plan, the art which depicts us in an unnatural serenity or resignation, the medical establishment which has robbed so many women of the act of giving birth, the experts—almost all male—who have told us how, as mothers, we should behave and feel. We do not think of the Marxist intellectuals arguing as to whether we produce “surplus value” in a day of washing clothes, cooking food, and caring for children, or the psychoanalysts who are certain that the work of motherhood suits us by nature. We do not think of the power stolen from us and the power withheld from us, in the name of the institution of motherhood.

I’m going to visit you every day. And then someday, when they find a way to reverse your condition scientifically, medically, we’ll buy some land with wonderful trees and build treehouses in every one of them. And we could have a bunch of kids, and read plays together, as a family, and on clear nights, we’ll look at the stars. Can you picture it? And if you decide you don’t want kids, Totally okay, totally fine. We’ll read every book and watch every show and sleep in and travel and make money and art and love all the time, whenever we want. Or we could adopt a couple big dogs. You’ve always wanted big dogs, right?” Lewis stared at her blankly as his tail swished in the surf behind him. “Why aren’t you saying anything? Please say something,” Wren begged, clutching him harder. “I’m not the person I used to be. I’m not the man you married.” “What do you mean?” Lewis wished he could embrace her back, wrap two human arms around her small, shivering frame. He tried to do the best he could with words: “It’s like standing in my childhood bedroom, looking around at the comic books, action figures, and school yearbooks with signatures from all the girls, and remembering how that tiny room used to be my only stake in the world. I don’t know how else to explain it. There are things I cannot unsee.

When Gene Crutchfield brought his troubled friend to Hopkins in 1938, Hopkins was twenty-four years old and in charge of LeKies Memorial, the Methodist church in the Atlantic City neighborhood. He had taken over the parish the year before and wore a mustache to try to make himself look older. It complemented his horn-rimmed glasses and added a bit of distinction to an otherwise unimpressive medium height and build. Hopkins’s father and grandfather had been Methodist ministers, but tradition was not the reason he had dropped out of law school and entered the ministry. He had been attracted by the ideas then being promoted within the Methodist Church in Virginia. They were ideas of the kind that are now taken for granted in American life—nutrition and welfare support for dependent children; free medical care for the impoverished and the aged; the right of workers to organize a union, to receive a minimum wage, to strike; interracial cooperation.

The summary of Lambert and Lillenfelt’s “Bloodstains” in Scientific American Mind in the October 12, 2007 The Informed Reader passes along many of these authors’ strong opinions on complex and controversial topics without informing the readership that the authors’ perspective is extreme, polarized, and vulnerable to challenge at many crucial points. It is clear that false memories can be implanted in about 25% of subjects, when those memories concern issues in the normal and expectable range of experience. However, about 75% of subjects resist such efforts, and efforts to implant memories of abuse or offensive medical procedures are almost universally rejected. Therefore a wholesale attack against therapies that explore patients’ memories is unwarranted. “Recovered Memory Therapy” is not a school of treatment. It is a slur used to mischaracterize approaches offensive to the authors’ perspectives, designed to evoke an emotional bias against those to whom the slur is applied.

Most curable sickness can now be diagnosed and treated by laymen. People find it so difficult to accept this statement because the complexity of medical ritual has hidden from them the simplicity of its basic procedures. It took the example of the barefoot doctor in China to show how modern practice by simple workers in their spare time could, in three years, catapult health care in China to levels unparalleled elsewhere. In most other countries health care by laymen is considered a crime. A seventeen-year-old friend of mine was recently tried for having treated some 130 of her high-school colleagues for VD. She was acquitted on a technicality by the judge when expert counsel compared her performance with that of the U.S. Health Service. Nowhere in the U.S.A. can her achievement be considered "standard," because she succeeded in making retests on all her patients six weeks after their first treatment. Progress should mean growing competence in self-care rather than growing dependence. 5

Violet had carefully chosen some long-hanging, loose-fitting basketball shorts to wear over her swimsuit, in hopes of keeping her injuries at least partially hidden. But it didn’t take long before one . . . and then two . . . and then at least twenty of her friends had noticed her bandages peeking out from beneath the swishing fabric, and she was forced to recount her morning accident. Jay loved hearing her tell the story, and every time he heard her talking about it, he would come over so that he could interject, and of course embellish, his role in the events. In his version, he was her champion, practically carrying her from the woods and performing near-miraculous medical feats to save her legs from complete amputation. Violet, and annoyingly every other girl within earshot, couldn’t help but giggle while he jokingly sang his own praises. Violet happened to walk up just in time to hear Jay recounting his version once more to a group of eager admirers. “Hero? I wouldn’t say hero . . .” he quipped. Violet rolled her eyes, turning to Grady Spencer, a friend of theirs from school. “Can you believe him?” Grady gave her a concerned look. “Seriously, are you okay, Violet? It sounds like it was pretty bad.” Violet was embarrassed that Jay’s exaggerations were actually dredging up real sympathy from others. “It’s fine,” she assured him, and when Grady didn’t look convinced, she added, “Really, I just tripped.” She reached out and shoved Jay. “Will you knock it off, hero? You’re making an ass out of yourself.

A note about me: I do not think stress is a legitimate topic of conversation, in public anyway. No one ever wants to hear how stressed out anyone else is, because most of the time everyone is stressed out. Going on and on in detail about how stressed out I am isn’t conversation. It’ll never lead anywhere. No one is going to say, “Wow, Mindy, you really have it especially bad. I have heard some stories of stress, but this just takes the cake.” This is entirely because my parents are immigrant professionals, and talking about one’s stress level was just totally outlandish to them. When I was three years old my mom was in the middle of her medical residency in Boston. She had been a practicing obstetrician and gynecologist in Nigeria, but in the United States she was required to do her residency all over again. She’d get up at 4:00 a.m. and prepare breakfast, lunch, and dinner for my brother and me, because she knew she wouldn’t be home in time to have dinner with us. Then she’d leave by 5:30 a.m. to start rounds at the hospital. My dad, an architect, had a contract for a building in New Haven, Connecticut, which was two hours and forty-five minutes away. It would’ve been easier for him to move to New Haven for the time of the construction of the building, but then who would have taken care of us when my mom was at the hospital at night? In my parents’ vivid imaginations, lack of at least one parent’s supervision was a gateway to drugs, kidnapping, or at the very minimum, too much television watching. In order to spend time with us and save money for our family, my dad dropped us off at school, commuted the two hours and forty-five minutes every morning, and then returned in time to pick us up from our after-school program. Then he came home and boiled us hot dogs as an after-school snack, even though he was a vegetarian and had never eaten a hot dog before. In my entire life, I never once heard either of my parents say they were stressed. That was just not a phrase I grew up being allowed to say. That, and the concept of “Me time.

You have to imagine what it was like to be on the receiving end of vicious antagonism: sneering, contempt, ridicule, slights about one’s intelligence, integrity and motives. In those days, women even ran the risk of dismissal for their opinions. And this treatment came from other women, as well as men. In fact, “in-fighting” between various schools of nurses who had some sort of training in midwifery was particularly nasty. One eminent lady – the matron of St Bartholomew’s Hospital – branded the aspiring midwives as “anachronisms, who would in the future be regarded as historical curiosities”. The medical opposition seems to have arisen mainly from the fact that “women are striving to interfere too much in every department of life”.* Obstetricians also doubted the female intellectual capacity to grasp the anatomy and physiology of childbirth, and suggested that they could not therefore be trained. But the root fear was – guess what? – you’ve got it, but no prizes for quickness: money. Most doctors charged a routine one guinea for a delivery. The word got around that trained midwives would undercut them by delivering babies for half a guinea! The knives were out.

Revitalized and healthy, I started dreaming new dreams. I saw ways that I could make a significant contribution by sharing what I’ve learned. I decided to refocus my legal practice on counseling and helping start-up companies avoid liability and protect their intellectual property. To share some of what I know, I started a blog, IP Law for Startups, where I teach basic lessons on trade secrets, trademarks, copyrights, and patents and give tips for avoiding the biggest blunders that destroy the value of intellectual assets. Few start-up companies, especially women-owned companies that rarely get venture capital funding, can afford the expensive hourly rates of a large law firm to the get the critical information they need. I feel deeply rewarded when I help a company create a strategy that protects the value of their company and supports their business dreams. Further, I had a dream to help young women see their career possibilities. In partnership with my sister, Julie Simmons, I created lookilulu.com, a website where women share their insights, career paths, and ways they have integrated motherhood with their professional pursuits. When my sister and I were growing up on a farm, we had a hard time seeing that women could have rewarding careers. With Lookilulu® we want to help young women see what we couldn’t see: that dreams are not linear—they take many twists and unexpected turns. As I’ve learned the hard way, dreams change and shift as life happens. I’ve learned the value of continuing to dream new dreams after other dreams are derailed. I’m sure I’ll have many more dreams in my future. I’ve learned to be open to new and unexpected opportunities. By way of postscript, Jill writes, “I didn’t grow up planning to be lawyer. As a girl growing up in a small rural town, I was afraid to dream. I loved science, but rather than pursuing medical school, I opted for low-paying laboratory jobs, planning to quit when I had children. But then I couldn’t have children. As I awakened to the possibility that dreaming was an inalienable right, even for me, I started law school when I was thirty; intellectual property combines my love of law and science.” As a young girl, Jill’s rightsizing involved mustering the courage to expand her dreams, to dream outside of her box. Once she had children, she again transformed her dreams. In many ways her dreams are bigger and aim to help more people than before the twists and turns in her life’s path.

I’m going to visit you every day. And then someday, when they find a way to reverse your condition scientifically, medically, we’ll buy some land with wonderful trees and build treehouses in every one of them. And we could have a bunch of kids, and read plays together, as a family, and on clear nights, we’ll look at the stars. Can you picture it? And if you decide you don’t want kids, Totally okay, totally fine. We’ll read every book and watch every show and sleep in and travel and make money and art and love all the time, whenever we want. Or we could adopt a couple big dogs. You’ve always wanted big dogs, right?” Lewis stared at her blankly as his tail swished in the surf behind him. “Why aren’t you saying anything? Please say something,” Wren begged, clutching him harder. “I’m not the person I used to be. I’m not the man you married.” “What do you mean?” Lewis wished he could embrace her back, wrap two human arms around her small, shivering frame. He tried to do the best he could with words: “It’s like standing in my childhood bedroom, looking around at the comic books, action figures, and school yearbooks with signatures from all the girls, and remembering how that tiny room used to be my only stake in the world. I don’t know how else to explain it. There are things I cannot unsee.

For the rest of Kat’s childhood, she moved from one relative’s house to another’s, up and down the East Coast, living in four homes before entering high school. Finally, in high school, she lived for a few years with her grandmother, her mom’s mom, whom she called “G-Ma.” No one ever talked about her mom’s murder. “In my family, my past was ‘The Big Unmentionable’—including my role in putting my own father in jail,” she says. In high school, Kat appeared to be doing well. She was an honor student who played four varsity sports. Beneath the surface, however, “I was secretly self-medicating with alcohol because otherwise, by the time everything stopped and it got quiet at night, I could not sleep, I would just lie there and a terrible panic would overtake me.” She went to college, failed out, went back, and graduated. She went to work in advertising, and one day, dissatisfied, quit. She went back to grad school, piling up debt. She became a teacher. Kat quit that job too, when a relationship she had formed with another teacher imploded. At the age of thirty-four, Kat went to stay with her brother and his family in Hawaii. She got a job as a valet, parking cars. “I’d come home from parking cars all day and curl up on my bed in the back bedroom of my brother’s house, and lie there feeling desperate and alone, my heart beating with anxiety.

There were four ways out of Nickel. One: serve your time. A typical sentence fell between six months and two years, but the administration had the power to confer a legal discharge before then at its discretion. Good behavior was a trigger for a legal discharge, if a careful boy gathered enough merits for promotion to Ace. Whereupon he was released into the bosom of his family, who were very glad to have him back or else winced at the sight of his face bobbing up the walk, the start of another countdown to the next calamity. If you had family. If not, the state of Florida's child-welfare apparatus had assorted custodial remedies, some more pleasant than others. You could also serve time by aging out. The schools showed boys the door on their eighteenth birthday, quick hand-shake and pocket change...Boys arrived banged up in different ways before they got to Nickel and picked up more dents and damage during their term. Often graver missteps and more fierce institutions waited. Nickel boys were f***** before, during, and after their time at the school, if one were to characterize the general trajectory... Three: You could die. Of 'natural causes' even, if abetted by unhealthy conditions, malnutrition, and the pitiless constellation of negligence. In the summer of 1945, one young by died of heart failure while locked in a sweatbox, a popular corrective at that time, and the medical examiner called it natural causes.

Nature vs. nurture is part of this—and then there is what I think of as anti-nurturing—the ways we in a western/US context are socialized to work against respecting the emergent processes of the world and each other: We learn to disrespect Indigenous and direct ties to land. We learn to be quiet, polite, indirect, and submissive, not to disturb the status quo. We learn facts out of context of application in school. How will this history, science, math show up in our lives, in the work of growing community and home? We learn that tests and deadlines are the reasons to take action. This puts those with good short-term memories and a positive response to pressure in leadership positions, leading to urgency-based thinking, regardless of the circumstance. We learn to compete with each other in a scarcity-based economy that denies and destroys the abundant world we actually live in. We learn to deny our longings and our skills, and to do work that occupies our hours without inspiring our greatness. We learn to manipulate each other and sell things to each other, rather than learning to collaborate and evolve together. We learn that the natural world is to be manicured, controlled, or pillaged to support our consumerist lives. Even the natural lives of our bodies get medicated, pathologized, shaved or improved upon with cosmetic adjustments. We learn that factors beyond our control determine the quality of our lives—something as random as which skin, gender, sexuality, ability, nation, or belief system we are born into sets a path for survival and quality of life. In the United States specifically, though I see this most places I travel, we learn that we only have value if we can produce—only then do we earn food, home, health care, education. Similarly, we learn our organizations are only as successful as our fundraising results, whether the community impact is powerful or not. We learn as children to swallow our tears and any other inconvenient emotions, and as adults that translates into working through red flags, value differences, pain, and exhaustion. We learn to bond through gossip, venting, and destroying, rather than cultivating solutions together. Perhaps the most egregious thing we are taught is that we should just be really good at what’s already possible, to leave the impossible alone.

I can hardly believe that our nation’s policy is to seek peace by going to war. It seems that President Donald J. Trump has done everything in his power to divert our attention away from the fact that the FBI is investigating his association with Russia during his campaign for office. For several weeks now he has been sabre rattling and taking an extremely controversial stance, first with Syria and Afghanistan and now with North Korea. The rhetoric has been the same, accusing others for our failed policy and threatening to take autonomous military action to attain peace in our time. This gunboat diplomacy is wrong. There is no doubt that Secretaries Kelly, Mattis, and other retired military personnel in the Trump Administration are personally tough. However, most people who have served in the military are not eager to send our young men and women to fight, if it is not necessary. Despite what may have been said to the contrary, our military leaders, active or retired, are most often the ones most respectful of international law. Although the military is the tip of the spear for our country, and the forces of civilization, it should not be the first tool to be used. Bloodshed should only be considered as a last resort and definitely never used as the first option. As the leader of the free world, we should stand our ground but be prepared to seek peace through restraint. This is not the time to exercise false pride! Unfortunately the Trump administration informed four top State Department management officials that their services were no longer needed as part of an effort to "clean house." Patrick Kennedy, served for nine years as the “Undersecretary for Management,” “Assistant Secretaries for Administration and Consular Affairs” Joyce Anne Barr and Michele Bond, as well as “Ambassador” Gentry Smith, director of the Office for Foreign Missions. Most of the United States Ambassadors to foreign countries have also been dismissed, including the ones to South Korea and Japan. This leaves the United States without the means of exercising diplomacy rapidly, when needed. These positions are political appointments, and require the President’s nomination and the Senate’s confirmation. This has not happened! Moreover, diplomatically our country is severely handicapped at a time when tensions are as hot as any time since the Cold War. Without following expert advice or consent and the necessary input from the Unites States Congress, the decisions are all being made by a man who claims to know more than the generals do, yet he has only the military experience of a cadet at “New York Military Academy.” A private school he attended as a high school student, from 1959 to 1964. At that time, he received educational and medical deferments from the Vietnam War draft. Trump said that the school provided him with “more training than a lot of the guys that go into the military.” His counterpart the unhinged Kim Jong-un has played with what he considers his country’s military toys, since April 11th of 2012. To think that these are the two world leaders, protecting the planet from a nuclear holocaust….

Christianity has been the means of reducing more languages to writing than have all other factors combined. It has created more schools, more theories of education, and more systems than has any other one force. More than any other power in history it has impelled men to fight suffering, whether that suffering has come from disease, war or natural disasters. It has built thousands of hospitals, inspired the emergence of the nursing and medical professions, and furthered movement for public health and the relief and prevention of famine. Although explorations and conquests which were in part its outgrowth led to the enslavement of Africans for the plantations of the Americas, men and women whose consciences were awakened by Christianity and whose wills it nerved brought about the abolition of slavery (in England and America). Men and women similarly moved and sustained wrote into the laws of Spain and Portugal provisions to alleviate the ruthless exploitation of the Indians of the New World. Wars have often been waged in the name of Christianity. They have attained their most colossal dimensions through weapons and large–scale organization initiated in (nominal) Christendom. Yet from no other source have there come as many and as strong movements to eliminate or regulate war and to ease the suffering brought by war. From its first centuries, the Christian faith has caused many of its adherents to be uneasy about war. It has led minorities to refuse to have any part in it. It has impelled others to seek to limit war by defining what, in their judgment, from the Christian standpoint is a "just war." In the turbulent Middle Ages of Europe it gave rise to the Truce of God and the Peace of God. In a later era it was the main impulse in the formulation of international law. But for it, the League of Nations and the United Nations would not have been. By its name and symbol, the most extensive organization ever created for the relief of the suffering caused by war, the Red Cross, bears witness to its Christian origin. The list might go on indefinitely. It includes many another humanitarian projects and movements, ideals in government, the reform of prisons and the emergence of criminology, great art and architecture, and outstanding literature.

As Mollie said to Dailey in the 1890s: "I am told that there are five other Mollie Fanchers, who together, make the whole of the one Mollie Fancher, known to the world; who they are and what they are I cannot tell or explain, I can only conjecture." Dailey described five distinct Mollies, each with a different name, each of whom he met (as did Aunt Susan and a family friend, George Sargent). According to Susan Crosby, the first additional personality appeared some three years after the after the nine-year trance, or around 1878. The dominant Mollie, the one who functioned most of the time and was known to everyone as Mollie Fancher, was designated Sunbeam (the names were devised by Sargent, as he met each of the personalities). The four other personalities came out only at night, after eleven, when Mollie would have her usual spasm and trance. The first to appear was always Idol, who shared Sunbeam's memories of childhood and adolescence but had no memory of the horsecar accident. Idol was very jealous of Sunbeam's accomplishments, and would sometimes unravel her embroidery or hide her work. Idol and Sunbeam wrote with different handwriting, and at times penned letters to each other. The next personality Sargent named Rosebud: "It was the sweetest little child's face," he described, "the voice and accent that of a little child." Rosebud said she was seven years old, and had Mollie's memories of early childhood: her first teacher's name, the streets on which she had lived, children's songs. She wrote with a child's handwriting, upper- and lowercase letters mixed. When Dailey questioned Rosebud about her mother, she answered that she was sick and had gone away, and that she did not know when she would be coming back. As to where she lived, she answered "Fulton Street," where the Fanchers had lived before moving to Gates Avenue. Pearl, the fourth personality, was evidently in her late teens. Sargent described her as very spiritual, sweet in expression, cultured and agreeable: "She remembers Professor West [principal of Brooklyn Heights Seminary], and her school days and friends up to about the sixteenth year in the life of Mollie Fancher. She pronounces her words with an accent peculiar to young ladies of about 1865." Ruby, the last Mollie, was vivacious, humorous, bright, witty. "She does everything with a dash," said Sargent. "What mystifies me about 'Ruby,' and distinguishes her from the others, is that she does not, in her conversations with me, go much into the life of Mollie Fancher. She has the air of knowing a good deal more than she tells.

One year later the society claimed victory in another case which again did not fit within the parameters of the syndrome, nor did the court find on the issue. Fiona Reay, a 33 year old care assistant, accused her father of systematic sexual abuse during her childhood. The facts of her childhood were not in dispute: she had run away from home on a number of occasions and there was evidence that she had never been enrolled in secondary school. Her father said it was because she was ‘young and stupid’. He had physically assaulted Fiona on a number of occasions, one of which occurred when she was sixteen. The police had been called to the house by her boyfriend; after he had dropped her home, he heard her screaming as her father beat her with a dog chain. As before there was no evidence of repression of memory in this case. Fiona Reay had been telling the same story to different health professionals for years. Her medical records document her consistent reference to family problems from the age of 14. She finally made a clear statement in 1982 when she asked a gynaecologist if her need for a hysterectomy could be related to the fact that she had been sexually abused by her father. Five years later she was admitted to psychiatric hospital stating that one of the precipitant factors causing her breakdown had been an unexpected visit from her father. She found him stroking her daughter. There had been no therapy, no regression and no hypnosis prior to the allegations being made public. The jury took 27 minutes to find Fiona Reay’s father not guilty of rape and indecent assault. As before, the court did not hear evidence from expert witnesses stating that Fiona was suffering from false memory syndrome. The only suggestion of this was by the defence counsel, Toby Hed­worth. In his closing remarks he referred to the ‘worrying phenomenon of people coming to believe in phantom memories’. The next case which was claimed as a triumph for false memory was heard in March 1995. A father was aquitted of raping his daughter. The claims of the BFMS followed the familiar pattern of not fitting within the parameters of false memory at all. The daughter made the allegations to staff members whom she had befriended during her stay in psychiatric hospital. As before there was no evidence of memory repression or recovery during therapy and again the case failed due to lack of corrobo­rating evidence. Yet the society picked up on the defence solicitor’s statements that the daughter was a prone to ‘fantasise’ about sexual matters and had been sexually promiscuous with other patients in the hospital. ~ Trouble and Strife, Issues 37-43

A common problem plagues people who try to design institutions without accounting for hidden motives. First they identify the key goals that the institution “should” achieve. Then they search for a design that best achieves these goals, given all the constraints that the institution must deal with. This task can be challenging enough, but even when the designers apparently succeed, they’re frequently puzzled and frustrated when others show little interest in adopting their solution. Often this is because they mistook professed motives for real motives, and thus solved the wrong problems. Savvy institution designers must therefore identify both the surface goals to which people give lip service and the hidden goals that people are also trying to achieve. Designers can then search for arrangements that actually achieve the deeper goals while also serving the surface goals—or at least giving the appearance of doing so. Unsurprisingly, this is a much harder design problem. But if we can learn to do it well, our solutions will less often meet the fate of puzzling disinterest. We should take a similar approach when reforming a preexisting institution by first asking ourselves, “What are this institution’s hidden functions, and how important are they?” Take education, for example. We may wish for schools that focus more on teaching than on testing. And yet, some amount of testing is vital to the economy, since employers need to know which workers to hire. So if we tried to cut too much from school’s testing function, we could be blindsided by resistance we don’t understand—because those who resist may not tell us the real reasons for their opposition. It’s only by understanding where the resistance is coming from that we have any hope of overcoming it. Not all hidden institutional functions are worth facilitating, however. Some involve quite wasteful signaling expenditures, and we might be better off if these institutions performed only their official, stated functions. Take medicine, for example. To the extent that we use medical spending to show how much we care (and are cared for), there are very few positive externalities. The caring function is mostly competitive and zero-sum, and—perhaps surprisingly—we could therefore improve collective welfare by taxing extraneous medical spending, or at least refusing to subsidize it. Don’t expect any politician to start pushing for healthcare taxes or cutbacks, of course, because for lawmakers, as for laypeople, the caring signals are what makes medicine so attractive. These kinds of hidden incentives, alongside traditional vested interests, are what often make large institutions so hard to reform. Thus there’s an element of hubris in any reform effort, but at least by taking accurate stock of an institution’s purposes, both overt and covert, we can hope to avoid common mistakes. “The curious task of economics,” wrote Friedrich Hayek, “is to demonstrate to men how little they really know about what they imagine they can design.”8

My Future Self My future self and I become closer and closer as time goes by. I must admit that I neglected and ignored her until she punched me in the gut, grabbed me by the hair and turned my butt around to introduce herself. Well, at least that’s what it felt like every time I left the convalescent hospital after doing skills training for a certification I needed to help me start my residential care business. I was going to be providing specialized, 24/7 residential care and supervising direct care staff for non-verbal, non-ambulatory adult men in diapers! I ran to the Red Cross and took the certified nurse assistant class so I would at least know something about the job I would soon be hiring people to do and to make sure my clients received the best care. The training facility was a Medicaid hospital. I would drive home in tears after seeing what happens when people are not able to afford long-term medical care and the government has to provide that care. But it was seeing all the “young” patients that brought me to tears. And I had thought that only the elderly lived like this in convalescent hospitals…. I am fortunate to have good health but this experience showed me that there is the unexpected. So I drove home each day in tears, promising God out loud, over and over again, that I would take care of my health and take care of my finances. That is how I met my future self. She was like, don’t let this be us girlfriend and stop crying! But, according to studies, we humans have a hard time empathizing with our future selves. Could you even imagine your 30 or 40 year old self when you were in elementary or even high school? It’s like picturing a stranger. This difficulty explains why some people tend to favor short-term or immediate gratification over long-term planning and savings. Take time to picture the life you want to live in 5 years, 10 years, and 40 years, and create an emotional connection to your future self. Visualize the things you enjoy doing now, and think of retirement saving and planning as a way to continue doing those things and even more. However, research shows that people who interacted with their future selves were more willing to improve savings. Just hit me over the head, why don’t you! I do understand that some people can’t even pay attention or aren’t even interested in putting money away for their financial future because they have so much going on and so little to work with that they feel like they can’t even listen to or have a conversation about money. But there are things you’re doing that are not helping your financial position and could be trouble. You could be moving in the wrong direction. The goal is to get out of debt, increase your collateral capacity, use your own money in the most efficient manner and make financial decisions that will move you forward instead of backwards. Also make sure you are getting answers specific to your financial situation instead of blindly guessing! Contact us. We will be happy to help!

Gadgetry will continue to relieve mankind of tedious jobs. Kitchen units will be devised that will prepare ‘automeals,’ heating water and converting it to coffee; toasting bread; frying, poaching or scrambling eggs, grilling bacon, and so on. Breakfasts will be ‘ordered’ the night before to be ready by a specified hour the next morning. Communications will become sight-sound and you will see as well as hear the person you telephone. The screen can be used not only to see the people you call but also for studying documents and photographs and reading passages from books. Synchronous satellites, hovering in space will make it possible for you to direct-dial any spot on earth, including the weather stations in Antarctica. [M]en will continue to withdraw from nature in order to create an environment that will suit them better. By 2014, electroluminescent panels will be in common use. Ceilings and walls will glow softly, and in a variety of colors that will change at the touch of a push button. Robots will neither be common nor very good in 2014, but they will be in existence. The appliances of 2014 will have no electric cords, of course, for they will be powered by long- lived batteries running on radioisotopes. “[H]ighways … in the more advanced sections of the world will have passed their peak in 2014; there will be increasing emphasis on transportation that makes the least possible contact with the surface. There will be aircraft, of course, but even ground travel will increasingly take to the air a foot or two off the ground. [V]ehicles with ‘Robot-brains’ … can be set for particular destinations … that will then proceed there without interference by the slow reflexes of a human driver. [W]all screens will have replaced the ordinary set; but transparent cubes will be making their appearance in which three-dimensional viewing will be possible. [T]he world population will be 6,500,000,000 and the population of the United States will be 350,000,000. All earth will be a single choked Manhattan by A.D. 2450 and society will collapse long before that! There will, therefore, be a worldwide propaganda drive in favor of birth control by rational and humane methods and, by 2014, it will undoubtedly have taken serious effect. Ordinary agriculture will keep up with great difficulty and there will be ‘farms’ turning to the more efficient micro-organisms. Processed yeast and algae products will be available in a variety of flavors. The world of A.D. 2014 will have few routine jobs that cannot be done better by some machine than by any human being. Mankind will therefore have become largely a race of machine tenders. Schools will have to be oriented in this direction…. All the high-school students will be taught the fundamentals of computer technology will become proficient in binary arithmetic and will be trained to perfection in the use of the computer languages that will have developed out of those like the contemporary “Fortran". [M]ankind will suffer badly from the disease of boredom, a disease spreading more widely each year and growing in intensity. This will have serious mental, emotional and sociological consequences, and I dare say that psychiatry will be far and away the most important medical specialty in 2014. [T]he most glorious single word in the vocabulary will have become work! in our a society of enforced leisure.