Patient Appreciation Quotes

...there was some kind of connection between the capacity to love and the capacity to love *running*. The engineering was certainly the same: both depended on loosening your grip on your own desires, putting aside what you wanted and appreciating what you've got, being patient and forgiving and... undemanding...maybe we shouldn't be surprised that getting better at one could make you better at the other.

Thank you, Mom, for the way you managed yourself during the childish, mean, selfish, insensitive, irresponsible, unreasonable, hateful moments I put you through. From your example I learned to be patient, positive, kind, selfless, sympathetic, reliable, sensible, and loving. You have my endless appreciation.

Deeper still was the profound understanding for mankind as she lived in the minds of the characters. Over time, she had found such perspectives made her a more patient person, more accepting of others. If everyone had such an appreciation for their fellow man, perhaps things such as war would not exist.

Fox-terriers are born with about four times as much original sin in them as other dogs are, and it will take years and years of patient effort on the part of us Christians to bring about any appreciable reformation in the rowdiness of the fox-terrier nature.

Vigil couldn't quite put his finger on it, but his gut kept telling him that there was some kind of connection between the capacity to love and the capacity to love running. The engineering was certainly the same: both depended on loosening your grip on your own desires, putting aside what you wanted and appreciating what you got, being patient and forgiving and undemanding.

[He] coluldn't quite put his finger on it, but his gut kept telling him that there was some kind of connection between the capacity to love and the capacity to love *running*. The engineering was certainly the same: both depended on loosening your grip on your own desires, putting aside what you wanted and appreciating what you got, being patient and forgiving and undemanding.

It is a great thing to start life with a small number of really good books which are your very own. You may not appreciate them at first. You may pine for your novel of crude and unadulterated adventure. You may, and will, give it the preference when you can. But the dull days come, and the rainy days come, and always you are driven to fill up the chinks of your reading with the worthy books which wait so patiently for your notice. And then suddenly, on a day which marks an epoch in your life, you understand the difference. You see, like a flash, how the one stands for nothing, and the other for literature. From that day onwards you may return to your crudities, but at least you do so with some standard of comparison in your mind. You can never be the same as you were before. Then gradually the good thing becomes more dear to you; it builds itself up with your growing mind; it becomes a part of your better self, and so, at last, you can look, as I do now, at the old covers and love them for all that they have meant in the past.

Real faith, however, is required to endure this necessary but painful developmental process. As things unfold, sometimes in full view, let us be merciful with each other. We certainly do not criticize hospital patients amid intensive care for looking pale and preoccupied. Why then those recovering from surgery on their souls? No need for us to stare; those stitches will finally come out. And in this hospital, too, it is important for everyone to remember that the hospital chart is not the patient. Extending our mercy to someone need not wait upon our full understanding of their challenges! Empathy may not be appreciated or reciprocated, but empathy is never wasted.

Playing an instrument says you have passion. Taking the time to teach someone else, especially someone younger, says you’re not only sweet, but patient. It told me you obviously like music. Musicians typically appreciate all music, so it told me you were more open. The fact that your little brother thought you were good meant you’re dedicated. And the way he looked at you, like you hung the moon, spoke loudest of all. It told me that someone loved you. That you had to be a good person to have so much respect from your brother when most brothers can’t seem to get along. It told me you were special.

If other people owe you an apology, and your words of apology to them are proper and heartfelt, you still may not hear from them for a while. After all, what are the odds that they get to the right emotional place to apologize at the exact moment you do? So just be patient. Many times in my career, I saw students apologize, and then several days later, their teammates came around. Your patience will be both appreciated and rewarded.

He preferred leaving some things to the imagination, enjoying his own stories of what the clock had witnessed over the years. He could be a patient man when need be, and the fine, intricate parts definitely required a slow hand. An appreciative touch and respect for the inner workings that had to be aligned perfectly to function. He chuckled low. Definitely like

He preferred leaving some things to the imagination, enjoying his own stories of what the clock had witnessed over the years. He could be a patient man when need be, and the fine, intricate parts definitely required a slow hand. An appreciative touch and respect for the inner workings that had to be aligned perfectly to function. He chuckled low. Definitely like a woman.

My patients focus every ounce of their energy on getting me to share their feelings, acquainting me with every nuance of their anger and pain. Yet I must remain calm, detached. It's a little like trying to ignore a plate of delicious food when you're really hungry. When it beckons you, there's no problem with enjoying the aroma and appreciating it with your eyes, but at some point you have to separate yourself and realize, like a professional waiter does, that it's not your own. It's my job to ignore those plates heaped with delicious morsels and just carry them where they need to go.

Never cut a tree down in the wintertime. Never make a negative decision in the low time. Never make your most important decisions when you are in your worst moods. Wait. Be patient. The storm will pass. Spring will come.” ― Robert H. Schuller

He accepted the deformity which had made life so hard for him; he knew that it had warped his character, but no he saw also that by reason of it he had acquired that power of introspection which had given him so much delight. Without it he would never have had his keen appreciation of beauty, his passion for art and literature, and his interest in the varied spectacle of life. […] Then he saw that normal was the rarest thing in the world. Everyone had some defect of body or of mind […] The only reasonable thing was to accept the good of men and be patient with their faults.

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

My son, you are just an infant now, but on that day when the world disrobes of its alluring cloak, it is then that I pray this letter is in your hands. Listen closely, my dear child, for I am more than that old man in the dusty portrait beside your bed. I was once a little boy in my mother’s arms and a babbling toddler on my father's lap. I played till the sun would set and climbed trees with ease and skill. Then I grew into a fine young man with shoulders broad and strong. My bones were firm and my limbs were straight; my hair was blacker than a raven's beak. I had a spring in my step and a lion's roar. I travelled the world, found love and married. Then off to war I bled in battle and danced with death. But today, vigor and grace have forsaken me and left me crippled. Listen closely, then, as I have lived not only all the years you have existed, but another forty more of my own. My son, We take this world for a permanent place; we assume our gains and triumphs will always be; that all that is dear to us will last forever. But my child, time is a patient hunter and a treacherous thief: it robs us of our loved ones and snatches up our glory. It crumbles mountains and turns stone to sand. So who are we to impede its path? No, everything and everyone we love will vanish, one day. So take time to appreciate the wee hours and seconds you have in this world. Your life is nothing but a sum of days so why take any day for granted? Don't despise evil people, they are here for a reason, too, for just as the gift salt offers to food, so do the worst of men allow us to savor the sweet, hidden flavor of true friendship. Dear boy, treat your elders with respect and shower them with gratitude; they are the keepers of hidden treasures and bridges to our past. Give meaning to your every goodbye and hold on to that parting embrace just a moment longer--you never know if it will be your last. Beware the temptation of riches and fame for both will abandon you faster than our own shadow deserts us at the approach of the setting sun. Cultivate seeds of knowledge in your soul and reap the harvest of good character. Above all, know why you have been placed on this floating blue sphere, swimming through space, for there is nothing more worthy of regret than a life lived void of this knowing. My son, dark days are upon you. This world will not leave you with tears unshed. It will squeeze you in its talons and lift you high, then drop you to plummet and shatter to bits . But when you lay there in pieces scattered and broken, gather yourself together and be whole once more. That is the secret of those who know. So let not my graying hairs and wrinkled skin deceive you that I do not understand this modern world. My life was filled with a thousand sacrifices that only I will ever know and a hundred gulps of poison I drank to be the father I wanted you to have. But, alas, such is the nature of this life that we will never truly know the struggles of our parents--not until that time arrives when a little hand--resembling our own--gently clutches our finger from its crib. My dear child, I fear that day when you will call hopelessly upon my lifeless corpse and no response shall come from me. I will be of no use to you then but I hope these words I leave behind will echo in your ears that day when I am no more. This life is but a blink in the eye of time, so cherish each moment dearly, my son.

There is no fear in love; but perfect love casteth out fear: because fear hath torment. He that feareth is not made perfect in love. (1 John 4:18) I came from a family of wonderful people who nevertheless struggled with how to be happy. There were many things we didn't know about living in peace. We mixed our love with fear. What I experienced in my childhood family seemed to color my life with confusion. I joined the Church at nineteen. Though my conversion was real, many of my emotions continued to be out of harmony with gospel teachings, and I didn't know what to do about them. I was not at rest. As a young mother I felt that I was only barely keeping my distress from leaking out. But it did leak out. I struggled to be cheerful at home. I was too often tense with my children, especially as their behavior reflected negatively on me. I was perfectionistic. I was irritable and controlling. But I was also loving, patient, appreciative, happy; I frequently felt the Spirit of the Lord, and I did many parenting things well, but so inconsistently. Sooner or later the crisis comes for good people who live in ignorance and neglect of spiritual law. The old ways don't work anymore, and it may feel as though the foundations of life are giving way. If we don't learn consistent, mature love in our childhood homes we often struggle to learn it when we become marriage partners and parents.

Thanks for not saying, ‘I told you so.’ It’s noted and appreciated.

Mrs. Wingare regarded him through slitted blue eyes. "Have you any idea, Rathbourne, how utterly detestable you become when you adopt that tone of patient superiority?" "The trouble is, you are tired, hungry, anxious, and afflicted with an aching hand," he said. "The trouble is, you had confidently expected a happy outcome only to have your hopes dashed. Consequently, you are too low-spirited at present to appreciate that I am perfect and therefore cannot be detestable." She gazed at him for a moment, up and down, then up again. Then, "Did your wife ever throw things at you?" she said.

The engineering was certainly the same: both depended on loosening your grip on your own desires, putting aside what you wanted and appreciating what you got, being patient and forgiving and undemanding.

Children Learn What They Live If children live with criticism, They learn to condemn. If children live with hostility, They learn to fight. If children live with ridicule, They learn to be shy. If children live with shame, They learn to feel guilty. If children live with encouragement, They learn confidence. If children live with tolerance, They learn to be patient. If children live with praise, They learn to appreciate. If children live with acceptance, They learn to love. If children live with approval, They learn to like themselves. If children live with honesty, They learn truthfulness. If children live with security, They learn to have faith in themselves and others. If children live with friendliness, They learn the world is a nice place in which to live.

You can’t control God with a time clock. God moves in His own time. He knows what’s best for us even when we don’t and He knows the right time to give it to us. Julia listened attentively to Pastor Leonard. “He knows that if He gives us things prematurely, we won’t appreciate them and we will abuse them. We have to learn how to patiently go through the process. It’s through the process that we learn who we really are and who God is. The process is where He removes the crutches and takes us out of our comfort zone. He does this so He can teach us to completely rely on Him, not on our ability. Trust God through the process. Trust that He knows what’s best for you. Hold on to every word God has given you. God is not a man and He doesn’t lie. God is God enough to make every promise good.

It was getting late, but sleep was the furthest thing from my racing mind. Apparently that was not the case for Mr. Sugar Buns. He lay back, closed his eyes, and threw an arm over his forehead, his favorite sleeping position. I could hardly have that. So, I crawled on top of him and started chest compressions. It seemed like the right thing to do. "What are you doing?" he asked without removing his arm. "Giving you CPR." I pressed into his chest, trying not to lose count. Wearing a red-and-black football jersey and boxers that read, DRIVERS WANTED. SEE INSIDE FOR DETAILS, I'd straddled him and now worked furiously to save his life, my focus like that of a seasoned trauma nurse. Or a seasoned pot roast. It was hard to say. "I'm not sure I'm in the market," he said, his voice smooth and filled with a humor I found appalling. He clearly didn't appreciate my dedication. "Damn it, man! I'm trying to save your life! Don't interrupt." A sensuous grin slid across his face. He tucked his arms behind his head while I worked. I finished my count, leaned down, put my lips on his, and blew. He laughed softly, the sound rumbling from his chest, deep and sexy, as he took my breath into his lungs. That part down, I went back to counting chest compressions. "Don't you die on me!" And praying. After another round, he asked, "Am I going to make it?" "It's touch-and-go. I'm going to have to bring out the defibrillator." "We have a defibrillator?" he asked, quirking a brow, clearly impressed. I reached for my phone. "I have an app. Hold on." As I punched buttons, I realized a major flaw in my plan. I needed a second phone. I could hardly shock him with only one paddle. I reached over and grabbed his phone as well. Started punching buttons. Rolled my eyes. "You don't have the app," I said from between clenched teeth. "I had no idea smartphones were so versatile." "I'll just have to download it. It'll just take a sec." "Do I have that long?" Humor sparkled in his eyes as he waited for me to find the app. I'd forgotten the name of it, so I had to go back to my phone, then back to his, then do a search, then download, then install it, all while my patient lay dying. Did no one understand that seconds counted? "Got it!" I said at last. I pressed one phone to his chest and one to the side of his rib cage like they did in the movies, and yelled, "Clear!" Granted, I didn't get off him or anything as the electrical charge riddled his body, slammed his heart into action, and probably scorched his skin. Or that was my hope, anyway. He handled it well. One corner of his mouth twitched, but that was about it. He was such a trouper. After two more jolts of electricity--it had to be done--I leaned forward and pressed my fingertips to his throat. "Well?" he asked after a tense moment. I released a ragged sigh of relief,and my shoulders fell forward in exhaustion. "You're going to be okay, Mr. Farrow." Without warning, my patient pulled me into his arms and rolled me over, pinning me to the bed with his considerable weight and burying his face in my hair. It was a miracle!

Each one of us is longing only for health and happiness, in search of a way of living in the world that will let us appreciate our bodies, make good use of our minds, and fulfill our spirits. To treat my patients well, I needed to treat them as souls rather than symptoms. I needed to help them learn how to live and live well.

his gut kept telling him that there was some kind of connection between the capacity to love and the capacity to love running. The engineering was certainly the same: both depended on loosening your grip on your own desires, putting aside what you wanted and appreciating what you got, being patient and forgiving and undemanding.

Adapt the atmosphere of your reply to suit that of the letter you have received. If its tone is troubled, be sympathetic. If it is rude, be especially courteous. If it is muddle-headed, be especially lucid. If it is stubborn, be patient. If your correspondent is helpful, be appreciative. If you find yourself convicted of a mistake, acknowledge it freely and even with gratitude.

When we finally had a patient, he welcomed me with open arms. He invited me to sit down and it was obvious that he was eager to speak. I told him that I did not wish to hear him now but would return the next day with my students. I was not sensitive enough to appreciate his communications. It was so hard to get one patient, I had to share him with my students. Little did I realize then that when such a patient says “Please sit down now,” tomorrow may be too late. When we revisited him the next day, he was lying back in his pillow, too weak to speak. He made a meager attempt to lift his arm and whispered “Thank you for trying”—he died less than an hour later and kept to himself what he wanted to share with us and what we so desperately wanted to learn.

Grace cherished the adventures she went on through those pages, an escape from exhaustion and bombs and rationing. Deeper still was the profound understanding for mankind as she lived in the minds of the characters. Over time, she had found such perspectives made her a more patient person, more accepting of others. If everyone had such an appreciation for their fellow man, perhaps things such as war would not exist.

Identify three obvious differences between you and your patient. A good intellectual way to distance yourself from a patient’s emotions and pain after a session is to focus on three clear differences between you. For example, I’m a woman, and he’s a man. She’s depressed, but I’m not. I’m a vegan, and he eats meat. This lets you appreciate what’s you and what’s the patient, a boundary that helps prevent you from absorbing unwanted energy.

Antipsychotic medications such as Risperdal, Abilify, or Seroquel can significantly dampen the emotional brain and thus make patients less skittish or enraged, but they also may interfere with being able to appreciate subtle signals of pleasure, danger, or satisfaction. They also cause weight gain, increase the chance of developing diabetes, and make patients physically inert, which is likely to further increase their sense of alienation.

Perhaps counterintuitively, monotasking getting there can also help improve our social relationships. We think we should respond to messages from friends and family as quickly as possible—but strong friendships are generally based on qualities deeper than response time. Overall responsiveness is important, but good friends should be patient, appreciate your full attention when you have it to give, and value your safety and that of others around you.

People who create successful strategic relationships demonstrate 10 essential character traits:    1. Authentic. They are genuine, honest, and transparent. They are cognizant of (and willing to admit to) their strengths and weaknesses.    2. Trustworthy. They build relationships on mutual trust. They have a good reputation based on real results. They have integrity: their word is their bond. People must know, like, and trust you before sharing their valuable social capital.    3. Respectful. They are appreciative of the time and efforts of others. They treat subordinates with the same level of respect as they do supervisors.    4. Caring. They like to help others succeed. They’re a source of mutual support and encouragement. They pay attention to the feelings of others and have good hearts.    5. Listening. They ask good questions, and they are eager to learn about others—what’s important to them, what they’re working on, what they’re looking for, and what they need—so they can be of help.    6. Engaged. They are active participants in life. They are interesting and passionate about what they do. They are solution minded, and they have great “gut” instincts.    7. Patient. They recognize that relationships need to be cultivated over time. They invest time in maintaining their relationships with others.    8. Intelligent. They are intelligent in the help they offer. They pass along opportunities at every chance possible, and they make thoughtful, useful introductions. They’re not ego driven. They don’t criticize others or burn bridges in relationships.    9. Sociable. They are nice, likeable, and helpful. They enjoy being with people, and they are happy to connect with others from all walks of life, social strata, political persuasions, religions, and diverse backgrounds. They are sources of positive energy.   10. Connected. They are part of their own network of excellent strategic relationships.

Despite the intervening six decades of scientific inquiry since Selye’s groundbreaking work, the physiological impact of the emotions is still far from fully appreciated. The medical approach to health and illness continues to suppose that body and mind are separable from each other and from the milieu in which they exist. Compounding that mistake is a definition of stress that is narrow and simplistic. Medical thinking usually sees stress as highly disturbing but isolated events such as, for example, sudden unemployment, a marriage breakup or the death of a loved one. These major events are potent sources of stress for many, but there are chronic daily stresses in people’s lives that are more insidious and more harmful in their long-term biological consequences. Internally generated stresses take their toll without in any way seeming out of the ordinary. For those habituated to high levels of internal stress since early childhood, it is the absence of stress that creates unease, evoking boredom and a sense of meaninglessness. People may become addicted to their own stress hormones, adrenaline and cortisol, Hans Selye observed. To such persons stress feels desirable, while the absence of it feels like something to be avoided. When people describe themselves as being stressed, they usually mean the nervous agitation they experience under excessive demands — most commonly in the areas of work, family, relationships, finances or health. But sensations of nervous tension do not define stress — nor, strictly speaking, are they always perceived when people are stressed. Stress, as we will define it, is not a matter of subjective feeling. It is a measurable set of objective physiological events in the body, involving the brain, the hormonal apparatus, the immune system and many other organs. Both animals and people can experience stress with no awareness of its presence. “Stress is not simply nervous tension,” Selye pointed out. “Stress reactions do occur in lower animals, and even in plants, that have no nervous systems…. Indeed, stress can be produced under deep anaesthesia in patients who are unconscious, and even in cell cultures grown outside the body.” Similarly, stress effects can be highly active in persons who are fully awake, but who are in the grip of unconscious emotions or cut off from their body responses. The physiology of stress may be triggered without observable effects on behaviour and without subjective awareness, as has been shown in animal experiments and in human studies.

If you have a difficult relationship, and you want to make peace with the other person, you have to go home to yourself. Go home to your garden and cultivate the flowers of peace, compassion, understanding, and joy. Only after that can you come to your partner and be patient and compassionate. When we commit to another person, we make a promise to grow together, sharing the fruit and progress of practice. It is our responsibility to take care of each other. Every time the other person does something in the direction of change and growth, we should show our appreciation.

Deeper still was the profound understanding for mankind as she lived in the minds of the characters. Over time, she had found such perspectives made her a more patient person, more accepting of others. If everyone had such an appreciation for their fellow man, perhaps things such as war would not exist. Such considerations were easy to muse over there in a rare beam of sunlight, but far more difficult to hold tight to in the blacked-out streets of London with Mr. Stokes. The improved weather brought with it an influx of bombers who sailed easily through the clear skies to unload their destruction.

Once I began developing an appreciation for fantasy and imaginative literature like Homer’s The Iliad and The Odyssey, C. S. Lewis’s series The Chronicles of Narnia, and of course J. R. R. Tolkien’s The Lord of the Rings, I discovered that my appreciation for Revelation has grown and the weight of its images have pressed heavier on my soul. As I have read imaginative literature, my imagination has developed. As my imagination has developed, I have found myself reading Revelation more patiently, allowing the images to emerge in my mind until I feel the full spiritual shock of their intended voltage.

ultimately, most of us would choose a rich and meaningful life over an empty, happy one, if such a thing is even possible. “Misery serves a purpose,” says psychologist David Myers. He’s right. Misery alerts us to dangers. It’s what spurs our imagination. As Iceland proves, misery has its own tasty appeal. A headline on the BBC’s website caught my eye the other day. It read: “Dirt Exposure Boosts Happiness.” Researchers at Bristol University in Britain treated lung-cancer patients with “friendly” bacteria found in soil, otherwise known as dirt. The patients reported feeling happier and had an improved quality of life. The research, while far from conclusive, points to an essential truth: We thrive on messiness. “The good life . . . cannot be mere indulgence. It must contain a measure of grit and truth,” observed geographer Yi-Fu Tuan. Tuan is the great unheralded geographer of our time and a man whose writing has accompanied me throughout my journeys. He called one chapter of his autobiography “Salvation by Geography.” The title is tongue-in-cheek, but only slightly, for geography can be our salvation. We are shaped by our environment and, if you take this Taoist belief one step further, you might say we are our environment. Out there. In here. No difference. Viewed that way, life seems a lot less lonely. The word “utopia” has two meanings. It means both “good place” and “nowhere.” That’s the way it should be. The happiest places, I think, are the ones that reside just this side of paradise. The perfect person would be insufferable to live with; likewise, we wouldn’t want to live in the perfect place, either. “A lifetime of happiness! No man could bear it: It would be hell on Earth,” wrote George Bernard Shaw, in his play Man and Superman. Ruut Veenhoven, keeper of the database, got it right when he said: “Happiness requires livable conditions, but not paradise.” We humans are imminently adaptable. We survived an Ice Age. We can survive anything. We find happiness in a variety of places and, as the residents of frumpy Slough demonstrated, places can change. Any atlas of bliss must be etched in pencil. My passport is tucked into my desk drawer again. I am relearning the pleasures of home. The simple joys of waking up in the same bed each morning. The pleasant realization that familiarity breeds contentment and not only contempt. Every now and then, though, my travels resurface and in unexpected ways. My iPod crashed the other day. I lost my entire music collection, nearly two thousand songs. In the past, I would have gone through the roof with rage. This time, though, my anger dissipated like a summer thunderstorm and, to my surprise, I found the Thai words mai pen lai on my lips. Never mind. Let it go. I am more aware of the corrosive nature of envy and try my best to squelch it before it grows. I don’t take my failures quite so hard anymore. I see beauty in a dark winter sky. I can recognize a genuine smile from twenty yards. I have a newfound appreciation for fresh fruits and vegetables. Of all the places I visited, of all the people I met, one keeps coming back to me again and again: Karma Ura,

In the first place, in the physician or surgeon no quality takes rank with imperturbability…. Imperturbability means coolness and presence of mind under all circumstances, calmness amid storm, clearness of judgment in moments of grave peril, immobility, impassiveness, or, to use an old and expressive word, phlegm. It is the quality which is most appreciated by the laity though often misunderstood by them; and the physician who has the misfortune to be without it, who betrays indecision and worry, and who shows that he is flustered and flurried in ordinary emergencies, loses rapidly the confidence of his patients. AEQUANIMITAS, IN AEQUANIMITAS, 3–4.

He knew it was ridiculous never to want another man to appreciate her beauty, to know her laughter, but until Bronwyn was his in every sense of the word, he would not be at ease. Then Tyr reached up and brushed something off her cheek and Ranulf's self-discipline exploded into a rushing torrent of anger and possessiveness. His best friend! On his land, touching his woman! Unthinking, Ranulf snatched his tunic and wrenched it over his head. After pulling on his leggings and shoes, he grabbed his belt and sword, fastening them as he exited the room. He ignored the servant,who had been patiently waiting just outside the door for instructions, and bounded down the stairs with only one thought-pummeling his soon-to-be ex-friend.

Where do you get your ideas?' people are always asking authors they admire, which I’ve always thought was another way of asking, 'How did you get my ideas, which I didn’t know I had until you put words to them?' We are known, appreciated, even cherished by our favorite writers; every word of our favorite books seems to have been written for us. Within their sentences and paragraphs, those writers are forever available, forever patient, including us in their compassionate recognition of the impossible, exhausting complexity of being human (those “many thousand” selves), never ignoring us or abandoning us or finding us dull. It’s you, they whisper, as we turn their pages, you are the one I’ve been waiting to tell everything to.

The evaluation of the merits of medical treatments for madness has always been a calculation made by doctors and, to a certain extent, by society as a whole. Does the treatment provide a method for managing disturbed people? That is the usual bottom line. The patient’s subjective response to the treatment—does it help the patient feel better or think more clearly?—simply doesn’t count in that evaluation. The “mad,” in fact, are dismissed as unreliable witnesses. How can a person crazy in mind possibly appreciate whether a treatment—be it Rush’s gyrator, a wet pack, gastrointestinal surgery, metrazol convulsive therapy, electroshock, or a neuroleptic—has helped? Yet to the person so treated, the subjective experience is everything.

There are many regrets and many unfulfilled wishes that patients have shared with me in the months or weeks before they die. But the time wasted spent hating their bodies, ashamed, abusing it or letting abused-- the years, decades, or in some cases whole lives that people spent not appreciating their body until they were so close to leaving it--are some of the saddest... It's something other people teach us to feel about our bodies... Either way, the result of the message is the same: lives lived thinking that bodies are something to criticize, to despise, or at best something to tolerate. A problem that cannot be solved. Too often, it's only as people realize that they will lose their bodies that they finally appreciate how truly wonderful the body is.

If we don’t accept that the nature of a regime shapes its conduct, we risk profoundly misreading international politics. We expect better behavior from despots than we have reason to. We miss what can be the most transformational force for good in the world: the anger of oppressed people, and their hope, their imperishable hope for change. That anger and hope filled the streets of East Berlin twenty-nine years ago, tore down a wall separating half a continent from liberty, and made the United States and our allies a whole lot safer. A world where the human rights of more people in more places are secure is not only a more just world, it’s a safer world. For reasons of basic self-interest we must continue to lead the long, patient effort to make the world freer and more just.

Appendix 1 Seven Points and Fifty-Nine Slogans for Generating Compassion and Resilience POINT ONE Resolve to Begin 1. Train in the preliminaries. POINT TWO Train in Empathy and Compassion: Absolute Compassion 2. See everything as a dream. 3. Examine the nature of awareness. 4. Don’t get stuck on peace. 5. Rest in the openness of mind. 6. In Postmeditation be a child of illusion. POINT TWO Train in Empathy and Compassion: Relative Compassion 7. Practice sending and receiving alternately on the breath. 8. Begin sending and receiving practice with yourself. 9. Turn things around (Three objects, three poisons, three virtues). 10. Always train with the slogans. POINT THREE Transform Bad Circumstances into the Path 11. Turn all mishaps into the path. 12. Drive all blames into one. 13. Be grateful to everyone. 14. See confusion as Buddha and practice emptiness. 15. Do good, avoid evil, appreciate your lunacy, pray for help. 16. Whatever you meet is the path. POINT FOUR Make Practice Your Whole Life 17. Cultivate a serious attitude (Practice the five strengths). 18. Practice for death as well as for life. POINT FIVE Assess and Extend 19. There’s only one point. 20. Trust your own eyes. 21. Maintain joy (and don’t lose your sense of humor). 22. Practice when you’re distracted. POINT SIX The Discipline of Relationship 23. Come back to basics. 24. Don’t be a phony. 25. Don’t talk about faults. 26. Don’t figure others out. 27. Work with your biggest problems first. 28. Abandon hope. 29. Don’t poison yourself. 30. Don’t be so predictable. 31. Don’t malign others. 32. Don’t wait in ambush. 33. Don’t make everything so painful. 34. Don’t unload on everyone. 35. Don’t go so fast. 36. Don’t be tricky. 37. Don’t make gods into demons. 38. Don’t rejoice at others’ pain. POINT SEVEN Living with Ease in a Crazy World 39. Keep a single intention. 40. Correct all wrongs with one intention. 41. Begin at the beginning, end at the end. 42. Be patient either way. 43. Observe, even if it costs you everything. 44. Train in three difficulties. 45. Take on the three causes. 46. Don’t lose track. 47. Keep the three inseparable. 48. Train wholeheartedly, openly, and constantly. 49. Stay close to your resentment. 50. Don’t be swayed by circumstances. 51. This time get it right! 52. Don’t misinterpret. 53. Don’t vacillate. 54. Be wholehearted. 55. Examine and analyze. 56. Don’t wallow. 57. Don’t be jealous. 58. Don’t be frivolous. 59. Don’t expect applause.

Therapists must be familiar with their own dark side and be able to empathize with all human wishes and impulses. A personal therapy experience permits the student therapist to experience many aspects of the therapeutic process from the patient’s seat: the tendency to idealize the therapist, the yearning for dependency, the gratitude toward a caring and attentive listener, the power granted to the therapist. Young therapists must work through their own neurotic issues; they must learn to accept feedback, discover their own blind spots, and see themselves as others see them; they must appreciate their impact upon others and learn how to provide accurate feedback. Lastly, psychotherapy is a psychologically demanding enterprise, and therapists must develop the awareness and inner strength to cope with the many occupational hazards inherent in it. Many

We are the sum of all people we have ever met; you change the tribe and the tribe changes you." - Fierce People Even in our sleep, pain which cannot forget falls drop by drop upon the heart until… in our despair, against our will, comes wisdom through the awful grace of God. - Aeschylus "A man like to me, Thou shalt love be loved by forever. A hand like this hand shall throw open the gates of new life to thee!" Robert Browning "Courage is grace under pressure." Ernest Hemingway "For each new morning with its light, For rest and shelter of the night, For health and food, for love and friends, For everything Thy goodness sends." ~ Ralph Waldo Emerson (1803-1882) "To laugh often and much; to win the respect of intelligent people and the affection of children; to earn the appreciation of honest critics and endure the betrayal of false friends; to appreciate beauty; to find the best in others; to leave the world a bit better; to know even one life has breathed easier because you have lived. This is to have succeeded.” ~ Ralph Waldo Emerson (1803-1882) “Prayer is not asking. It is a longing of the soul. It is daily admission of one's weakness. It is better in prayer to have a heart without words than words without a heart.” ― Mahatma Gandhi “Simplicity, patience, compassion. These three are your greatest treasures. Simple in actions and thoughts, you return to the source of being. Patient with both friends and enemies, you accord with the way things are. Compassionate toward yourself, you reconcile all beings in the world.” ― Lao Tzu, Tao Te Ching "Behind the dim unknown, standeth God within the shadow, keeping watch above his own." James Russel Lowell "My God, my Father, and my friend. Do not forsake me in the end." Wentworth Dillon

I gave it up and walked down to the Sphynx. After years of waiting, it was before me at last. The great face was so sad, so earnest, so longing, so patient. There was a dignity not of earth in its mien, and in its countenance a benignity such as never any thing human wore. It was stone, but it seemed sentient. If ever image of stone thought, it was thinking. It was looking toward the verge of the landscape, yet looking at nothing—nothing but distance and vacancy. It was looking over and beyond every thing of the present, and far into the past. It was gazing out over the ocean of Time—over lines of century-waves which, further and further receding, closed nearer and nearer together, and blended at last into one unbroken tide, away toward the horizon of remote antiquity. It was thinking of the wars of departed ages; of the empires it had seen created and destroyed; of the nations whose birth it had witnessed, whose progress it had watched, whose annihilation it had noted; of the joy and sorrow, the life and death, the grandeur and decay, of five thousand slow revolving years. It was the type of an attribute of man—of a faculty of his heart and brain. It was MEMORY—RETROSPECTION—wrought into visible, tangible form. All who know what pathos there is in memories of days that are accomplished and faces that have vanished—albeit only a trifling score of years gone by—will have some appreciation of the pathos that dwells in these grave eyes that look so steadfastly back upon the things they knew before History was born—before Tradition had being—things that were, and forms that moved, in a vague era which even Poetry and Romance scarce know of—and passed one by one away and left the stony dreamer solitary in the midst of a strange new age, and uncomprehended scenes.

A Remarkable Woman She is so exquisite Even without make-up on her face She is very special Even if she lets others seem important She is selfless Even when the selfish surround her She offers a lot of love Even so, she needs it often She has a big heart Even though she appears small She lets others belong But she longs to be appreciated She adds value Despite her own worth being undermined She is attentive Nonetheless; no one pays attention to her needs She is patient No matter how long it takes, she waits She is giving While no one could be willing to give She is forgiving Much as the worst was done against her She is trusting Albeit her trust was broken a countless times She is wise In spite of being treated otherwise by some She works hard Notwithstanding that she requires to rest She is helpful Yet, there is none to lend her a hand She makes life seem easy Whilst going through difficult times herself She stands by others Although there is no one to stand by her She chooses to be peaceful Against being somehow provoked She is calm Undeterred by what is not She is bold In defiance of tough battles ahead She shows bravery Still in the presence of adversity She is fearless Though she may seem helpless She is spirited Contrary to attempts to bring her down She is never destroyed Irrespective of storms she faces sometimes She keeps moving forward Granting the hindrances along the way She does not look down on others Regardless of some doing so to her She recognizes those who shielded her on rainy days Whenever the sun shines upon her She keeps on running her race Because she knows for her, grace is abundant She puts a smile on, always Since prayer keeps her in the right place She is an inspiration A pioneer of transformation True leader of economic revolution How the world aspires for such A remarkable woman!

Ideally, work is consecrated. It is something that happens within the present moment . . . Ideally, work is just another beautiful form of joining the cosmic sparkle. But this is an ideal. . . . I worked as a psychiatrist in public institutions . . . for nearly 20 years. During the last 12 of those years, I was consciously trying to be mindful of love, to practice the presence of God. It was the most frustrating thing I ever tried to do. . . . as soon as I entered the ward everything changed. I was immediately kidnapped. I was gone: away from the present, away from any sense of love or its source, away from even appreciating my own being. . . Looking back, it seems clear that I went into my sense of responsibility for the diagnosis and care of the patients. . . . And there was so much paperwork! Most days I would remain forgetful until my work was done and I was driving home. Then I would remember, and such sadness would fill me. Where had I been? How could I have allowed myself to be so captured? I can remember driving home one day after I had spent a long time feeling helpless with a very disturbed patient. I actually slapped myself in the face when I realized I could have been praying for her and praying for myself instead of just worrying about what to do. I tried everything . . . and still it did not “work”. . . . It stopped only when I left the psychiatric institutions and started working full-time with Shalem. . . . I go into this detail because what I am saying does not apply only to psychiatric institutions. It applies, to some extent, to almost every institution we have. It applies to education and social work, to government and business, and to religious institutions as well. People are stuck in all these places, and they can neither get out of them nor find a loving quality of presence within them. Love demands defenselessness, and in many if not most of our workplaces that is just too high a price.

Who will I be when I have fewer patients? When I have no patients at all? It's often noted that "practice" as it relates to medicine has two meanings: the act of caring for patients and the doctor's never-ending process of perfecting his or her craft. But there's a third meaning, too, one I'm only now appreciating as I contemplate the end of my career. Medicine is a practice in the way that yoga or meditation is for many people, an activity repeated so often that it becomes a kind of incantation. I have, for so long, stood to my patients' right sides as physicians have done for centuries, palpated the lymph nodes in their necks, armpits, and groins; auscultated their hearts and lungs; asked the same questions I first learned to ask nearly forty years ago—What makes the pain better? What makes it worse? These rituals are for me an anchor without which I fear I might simply drift away. Of course I suspected all along that what I feared wasn't abandoning my patients, but myself.

[F]or a time of public need they thought that there was no man like him. During the peace while he was at the head of affairs he ruled with prudence; under his guidance Athens was safe, and reached the height of her greatness in his time. When the war began he showed that here too he had formed a true estimate of the Athenian power. He survived the commencement of hostilities two years and six months; and, after his death, his foresight was even better appreciated than during his life. For he had told the Athenians that if they would be patient and would attend to their navy, and not seek to enlarge their dominion while the war was going on, nor imperil the existence of the city, they would be victorious; but they did all that he told them not to do, and in matters which seemingly had nothing to do with the war, from motives of private ambition and private interest they adopted a policy which had disastrous effects in respect both of themselves and of their allies; their measures, had they been successful, would only have brought honour and profit to individuals, and, when unsuccessful, crippled the city in the conduct of the war. (Book 2 Chapter 65.4-7)

TAT: I find I'm still left wanting to know how to tell if my patient has false memory syndrome. What's the test? How do I determine if my patient is suffering from this syndrome? Freyd: What are the tests if some body is suffering from " repressed memory syndrome?" TAT: Well, I can give you several symptom clusters - dissociative, cognitive, affective, somatic effects they're well documented. But, I'm asking you the question. You're telling me, David, as a clinician: you must be aware of the possibility your patients may have false memory syndrome. Okay, how should I be aware of that? How am I going to know? How do I test for it? Freyd: David, I'm going to ask Dr. Paul McHugh to talk to you because he is a clinician and I have stated from the beginning that I am not. TAT: I appreciate that, Pamela. But here's my issue with you not knowing. If I was talking to the Executive Director of the Muscular Dystrophy Association, who presumably is also not a clinician, I'll bet he or she could give me the signs and symptoms of muscular dystrophy. But in the case of false memory syndrome, so far no one seems to be able to say. Treating Abuse Today, 3(4), pp. 26-33

Here is another weird example of the privileging of religion. On 21 February 2006 the United States Supreme Court ruled, in accordance with the Constitution, that a church in New Mexico should be exempt from the law, which everybody else has to obey, against the taking of hallucinogenic drugs. Faithful members of Centro Espirita Beneficiente Uniao do Vegetal believe that they can understand God only by drinking dimethyltryptamine. Note that it is sufficient that they believe that the drug enhances their understanding. They do not have to produce evidence. Conversely, there is plenty of evidence that cannabis eases the nausea and discomfort of cancer sufferers undergoing chemotherapy. Yet, again in accordance with the Constitution, the Supreme Court ruled in 2005 that all patients who use cannabis for medicinal purposes are vulnerable to federal prosecution (even in the minority of states where such specialist use is legalized). Religion, as ever, is the trump card. Imagine members of an art appreciation society pleading in court they they 'believe' they need a hallucinogenic drug in order to enhance their understanding of Impressionist or Surrealist paintings. Yet, when a church claims an equivalent need, it is backed by the highest court in the land. Such is the power of religion as a talisman.

On 21 February 2006 the United States Supreme Court ruled, in accordance with the Constitution, that a church in New Mexico should be exempt from the law, which everybody else has to obey, against the taking of hallucinogenic drugs.8 Faithful members of the Centro Espirita Beneficiente Uniao do Vegetal believe that they can understand God only by drinking hoasca tea, which contains the illegal hallucinogenic drug dimethyltryptamine. Note that it is sufficient that they believe that the drug enhances their understanding. They do not have to produce evidence. Conversely, there is plenty of evidence that cannabis eases the nausea and discomfort of cancer sufferers undergoing chemotherapy. Yet, again in accordance with the Constitution, the Supreme Court ruled in 2005 that all patients who use cannabis for medicinal purposes are vulnerable to federal prosecution (even in the minority of states where such specialist use is legalized). Religion, as ever, is the trump card. Imagine members of an art appreciation society pleading in court that they ‘believe’ they need a hallucinogenic drug in order to enhance their understanding of Impressionist or Surrealist paintings. Yet, when a church claims an equivalent need, it is backed by the highest court in the land. Such is the power of religion as a talisman.

Emotions also directly modulate the immune system. Studies at the U.S. National Cancer Institute found that natural killer (NK) cells, an important class of immune cells we have already met, are more active in breast cancer patients who are able to express anger, to adopt a fighting stance and who have more social support. NK cells mount an attack on malignant cells and are able to destroy them. These women had significantly less spread of their breast cancer, compared with those who exhibited a less assertive attitude or who had fewer nurturing social connections. The researchers found that emotional factors and social involvement were more important to survival than the degree of disease itself. Many studies, such as the one reported in The British Medical Journal article, fail to appreciate that stress is not only a question of external stimulus but also of individual response. It occurs in the real lives of real persons whose inborn temperament, life history, emotional patterns, physical and mental resources, and social and economic supports vary greatly. As already pointed out, there is no universal stressor. In most cases of breast cancer, the stresses are hidden and chronic. They stem from childhood experiences, early emotional programming and unconscious psychological coping styles. They accumulate over a lifetime to make someone susceptible to disease.

Eight Bells: Robert J. Kane ‘55D died June 3, 2017, in Palm Harbor, Florida. He came to MMA by way of Boston College. Bob or “Killer,” as he was affectionately known, was an independent and eccentric soul, enjoying the freedom of life. After a career at sea as an Officer in the U.S. Navy and in the Merchant Marine he retired to an adventurous single life living with his two dogs in a mobile home, which had originally been a “Yellow School Bus.” He loved watching the races at Daytona, Florida, telling stories about his interesting deeds about flying groceries to exotic Caribbean Islands, and misdeeds with mysterious ladies he had known. For years he spent his summers touring Canada and his winters appreciating the more temperate weather at Fort De Soto in St. Petersburg, Florida…. Enjoying life in the shadow of the Sunshine Bridge, Bob had an artistic flare, a positive attitude and a quick sense of humor. Not having a family, few people were aware that he became crippled by a hip replacement operation gone bad at the Bay Pines VA Hospital. His condition became so bad that he could hardly get around, but he remained in good spirits until he suffered a totally debilitating stroke. For the past 6 years Bob spent his time at various Florida Assisted Living Facilities, Nursing Homes and Palliative Care Hospitals. His end came when he finally wound up as a terminal patient at the Hospice Facility in Palm Harbor, Florida. Bob was 86 years old when he passed. He will be missed….

The Blue Mind Rx Statement Our wild waters provide vast cognitive, emotional, physical, psychological, social, and spiritual values for people from birth, through adolescence, adulthood, older age, and in death; wild waters provide a useful, widely available, and affordable range of treatments healthcare practitioners can incorporate into treatment plans. The world ocean and all waterways, including lakes, rivers, and wetlands (collectively, blue space), cover over 71% of our planet. Keeping them healthy, clean, accessible, and biodiverse is critical to human health and well-being. In addition to fostering more widely documented ecological, economic, and cultural diversities, our mental well-being, emotional diversity, and resiliency also rely on the global ecological integrity of our waters. Blue space gives us half of our oxygen, provides billions of people with jobs and food, holds the majority of Earth's biodiversity including species and ecosystems, drives climate and weather, regulates temperature, and is the sole source of hydration and hygiene for humanity throughout history. Neuroscientists and psychologists add that the ocean and wild waterways are a wellspring of happiness and relaxation, sociality and romance, peace and freedom, play and creativity, learning and memory, innovation and insight, elation and nostalgia, confidence and solitude, wonder and awe, empathy and compassion, reverence and beauty — and help manage trauma, anxiety, sleep, autism, addiction, fitness, attention/focus, stress, grief, PTSD, build personal resilience, and much more. Chronic stress and anxiety cause or intensify a range of physical and mental afflictions, including depression, ulcers, colitis, heart disease, and more. Being on, in, and near water can be among the most cost-effective ways of reducing stress and anxiety. We encourage healthcare professionals and advocates for the ocean, seas, lakes, and rivers to go deeper and incorporate the latest findings, research, and insights into their treatment plans, communications, reports, mission statements, strategies, grant proposals, media, exhibits, keynotes, and educational programs and to consider the following simple talking points: •Water is the essence of life: The ocean, healthy rivers, lakes, and wetlands are good for our minds and bodies. •Research shows that nature is therapeutic, promotes general health and well-being, and blue space in both urban and rural settings further enhances and broadens cognitive, emotional, psychological, social, physical, and spiritual benefits. •All people should have safe access to salubrious, wild, biodiverse waters for well-being, healing, and therapy. •Aquatic biodiversity has been directly correlated with the therapeutic potency of blue space. Immersive human interactions with healthy aquatic ecosystems can benefit both. •Wild waters can serve as medicine for caregivers, patient families, and all who are part of patients’ circles of support. •Realization of the full range and potential magnitude of ecological, economic, physical, intrinsic, and emotional values of wild places requires us to understand, appreciate, maintain, and improve the integrity and purity of one of our most vital of medicines — water.

Taking the leap is just the first step. Then you must cross the desert. And make no mistake — that journey will be hell.” “Will it be worth it?” he asked. “You tell me,” the old man responded. “How worthy is your goal? And how big is your why?” “I can’t imagine anything better,” he affirmed. “Then yes, it will be worth it. You see, everyone who stands at the edge of this cliff sees something different on the other side. What you see on the other side is your particular goal, and that is unique to you. “But there’s a reason why you have not achieved that goal yet — you are not worthy of it. You have not become who you need to become to deserve it. “As you cross the desert to your promised land, you will endure tests and trials specific to you and your goal. If you persist, those test and trials will transform you into who you need to be to be worthy of your goal. “You can’t achieve your highest, noblest goals as the same person you are today. To get from where you are to where you want to be you have to change who you are. “And that is why no one can escape that journey — it is what transforms you into a person worthy of your goal. The bad news is that that journey is hell. The good news is that you get to pick your hell.” “Pick my hell?” he asked. “What do you mean?” “Because of your natural gifts and interests, your inborn passion and purpose, there are some hells that are more tolerable to you than others. “For example, some men can endure hard physical labor because their purpose lies in such fields as construction or mechanics, while other men could not even dream of enduring that hell. “I’ve met people who knew they were born to be writers. Their desert to cross, their hell to endure was writing every day for years without being paid or being recognized and appreciated. But in spite of their hell, they were happy because they were writing. Though they still had to earn their way to the valley of their ultimate goal, they were doing what they were born to do. “Ever read the book Getting Rich Your Own Way by Scrully Blotnick?” He shook his head. “That book reveals the results on a two-decade study performed by Mr. Blotnick and his team of researchers on 1,500 people representing a cross-section of middle-class America. Throughout the study, they lost almost a third of participants due to deaths, moves, or other factors. “Of the 1,057 that remained, 83 had become millionaires. They interviewed each millionaire to identify the common threads they shared. They found five specific commonalities, including that 1) they were persistent, 2), they were patient, and 3) they were willing to handle both the ‘nobler and the pettier’ aspects of their job. “In other words, they were able to endure their particular hell because they were in the right field, they had chosen the right career that coincided with their gifts, passions, and purpose. “Here is the inescapable reality: No matter what you pick as your greatest goal, achieving it will stretch you in ways you can’t imagine right now. You will have to get out of your comfort zone. You will have to become a different person than you are right now to become worthy of your goal. You must cross that hellacious desert to get to your awe-inspiring goal. “But I get to pick my hell?” he asked. “You get to pick your hell.

The trends speak to an unavoidable truth. Society's future will be challenged by zoonotic viruses, a quite natural prediction, not least because humanity is a potent agent of change, which is the essential fuel of evolution. Notwithstanding these assertions, I began with the intention of leaving the reader with a broader appreciation of viruses: they are not simply life's pathogens. They are life's obligate partners and a formidable force in nature on our planet. As you contemplate the ocean under a setting sun, consider the multitude of virus particles in each milliliter of seawater: flying over wilderness forestry, consider the collective viromes of its living inhabitants. The stunnig number and diversity of viruses in our environment should engender in us greater awe that we are safe among these multitudes than fear that they will harm us. Personalized medicine will soon become a reality and medical practice will routinely catalogue and weigh a patient's genome sequence. Not long thereafter one might expect this data to be joined by the patient's viral and bacterial metagenomes: the patient's collective genetic identity will be recorded in one printout. We will doubtless discover some of our viral passengers are harmful to our health, while others are protective. But the appreciation of viruses that I hope you have gained from these pages is not about an exercise in accounting. The balancing of benefit versus threat to humanity is a fruitless task. The viral metagenome will contain new and useful gene functionalities for biomedicine: viruses may become essential biomedical tools and phages will continue to optimize may also accelerate the development of antibiotic drug resistance in the post-antibiotic era and emerging viruses may threaten our complacency and challenge our society economically and socially. Simply comparing these pros and cons, however, does not do justice to viruses and acknowledge their rightful place in nature. Life and viruses are inseparable. Viruses are life's complement, sometimes dangerous but always beautiful in design. All autonomous self-sustaining replicating systems that generate their own energy will foster parasites. Viruses are the inescapable by-products of life's success on the planet. We owe our own evolution to them; the fossils of many are recognizable in ERVs and EVEs that were certainly powerful influences in the evolution of our ancestors. Like viruses and prokaryotes, we are also a patchwork of genes, acquired by inheritance and horizontal gene transfer during our evolution from the primitive RNA-based world. It is a common saying that 'beauty is in the eye of the beholder.' It is a natural response to a visual queue: a sunset, the drape of a designer dress, or the pattern of a silk tie, but it can also be found in a line of poetry, a particularly effective kitchen implement, or even the ruthless efficiency of a firearm. The latter are uniquely human acknowledgments of beauty in design. It is humanity that allows us to recognize the beauty in the evolutionary design of viruses. They are unique products of evolution, the inevitable consequence of life, infectious egotistical genetic information that taps into life and the laws of nature to fuel evolutionary invention.

Please understand, Conception of a Dialysis Patient (the untold truths), is for those who have never crossed over, and experienced this world first hand. Tethered to a machine for survival, takes an emotional toll, yes on the patient, but family and friends as well. Anyone who draws breath needs to take this expedition. Dialysis patients, unfortunately, know their untold truths, so this may simply be confirmation of sorts, acknowledgement of their not being alone. This is the point of view of one patient, not a physician. I ask that you and others hear our voices. As the creator of the opus, I have firsthand experience. Removed from the machine, with my second transplant of a lifetime, I am certainly blessed. My objective is to open everyone’s eyes and minds, especially those of you who never been tethered to a dialysis machine. From my perception, you will value the emotional charge, and destruction dialysis forces upon patients, and their families. Again, the goal is to enlighten, in a manner that is sure to linger, and have you examining your own predicaments. I so appreciate you passing the word, Please take that breath with us… -Fayton

Vigil couldn’t quite put his finger on it, but his gut kept telling him that there was some kind of connection between the capacity to love and the capacity to love running. The engineering was certainly the same: both depended on loosening your grip on your own desires, putting aside what you wanted and appreciating what you got, being patient and forgiving and undemanding.

The symbolic connection between the dress code and Mayo’s standards for performance is clear: “There is a Mayo way of doing things. Don’t come here if you don’t want to adopt it—completely.” These standards and traditions translate into well-coordinated care that patients appreciate and physicians are proud of.

Please understand, Conception of a Dialysis Patient (the untold truths), is for those who have never crossed over, and experienced this world first hand. Tethered to a machine for survival, takes an emotional toll, yes on the patient, but family and friends as well. Anyone who draws breath needs to take this expedition. Dialysis patients, unfortunately, know their untold truths, so this may simply be confirmation of sorts, acknowledgement of their not being alone. This is the point of view of one patient, not a physician. I ask that you and others hear our voices. As the creator of the opus, I have first-hand experience. Removed from the machine, with my second transplant of a lifetime, I am certainly blessed. My objective is to open everyone’s eyes and minds, especially those of you who never been tethered to a dialysis machine. From my perception, you will value the emotional charge, and destruction dialysis forces upon patients, and their families. Again, the goal is to enlighten, in a manner that is sure to linger, and have you examining your own predicaments. I so appreciate you passing the word. Please take that breath with us -Fayton

These categories of treatment in fact overlap considerably and, in addition, there is always the primary task of doing all possible to restore a normal balance and efficiency in the body’s functions as a whole. To repeat a well known expression, we do not treat the dis-ease, we treat the person. Although it often seems as though we were primarily interested in what the new patient should eat and drink, in fact we are concerned with all aspects of the individual’s vital existence. As the Nature Cure symbol expresses it, the physical, the mental and the ethical must all be brought into a harmonious, working unity. ‘It is pointless to give instruction only about dietetics to a person whose illness has been primarily caused by emotional stress. To give simple instances: if the patient has a deep conviction that he is failing to make a fair contribution to society, he may be unable to digest and absorb foods that should normally be adequate. If he feels that society is not giving him proper appreciation he may find it impossible to be satisfied with normal feeding, and be plagued by cravings for all manner of things - even those that he consciously recognises as destructive.

how their sons were being mistreated, and they always were very sincere. Mom believed her son unquestioningly despite his past performances and was hell-bent to take up his cause. I can appreciate a mother’s love for her offspring, but nearly always she’s been taken in by his one-sided spin. She’s so used to his lies that a few more don’t make much difference. Fortunately for me, I didn’t have to talk to Mom very often. Usually the administration fielded these calls unless there was a real medical issue at stake. Like my ulcerative colitis patient, Scott. Scott’s mom wanted to know why her son wasn’t on his UC medication. “Scott didn’t mention taking any medication for his UC. He said it hasn’t flared up in over a year.” “That’s not true. I give him money for his medication every month. He’s regular with it.

Be still before the Lord and wait patiently for him…. —Psalm 37:7 (NIV) Here are two of my favorite things: salads and multitasking. So combining them is like a cosmic explosion of awesomeness—until this happened. I was sitting at one of the neighborhood restaurants, eating a bowlful of spinach, grilled chicken, raw beets, toasted Parmesan, and spicy lime dressing. Meanwhile, my brain was working on overdrive, running through to-do lists for the rest of the day and thinking of witty observations to post on Twitter. My fingers were pecking at my phone, checking e-mail. I was getting things done; I was happy. And then it hit me: I couldn’t taste my salad. Or rather, I hadn’t tasted it for several minutes. I hadn’t noticed the crunchy umami flavor of the toasted Parmesan. I hadn’t sensed the tangy spice of the dressing on my tongue. I was not experiencing one iota of pleasure from this salad. I’ve heard about slowing down and living in the moment, but I had always assumed this sort of advice came from inefficient people, the nonmultitaskers of the world. Sitting there, eating my salad, I realized, though, that if I didn’t notice the gifts God was offering me in that moment, I was not merely opening myself up to stress and being overwhelmed, I was forgoing the pleasures that moment had to offer. So I turned off my phone and, as best I could, my brain as well, looked at my colorful salad, and thanked God for its delicious explosion of flavor. God, help me to slow down and to appreciate what this moment— each moment—has to offer. —Joshua Sundquist Digging Deeper: Eccl 5:18; Jn 1:16; Phil 2:13

IN some ways, the relentless electronic interconnectivity of our lives serves to highlight therapy’s singular virtues. We are more appreciative of the strange, private dialogue that is the heart of therapy. There are precious few times and spaces left in our society in which people quietly speak to one another in a sustained, intimate conversation. The therapist’s office is one of the last safe places. Secrets, reflections, fears or confusion never leave the room. And it is also a refuge. My patients often arrive early just to sit in the waiting room — an unusual interlude of quiet. Then there’s the session itself. In some ways therapy is, more than ever, the ultimate luxury: To be the focus of a thoughtful person who is listening, caring and helping to make sense of life’s chaos is something that the Internet can never provide. Anna Fels is a psychiatrist and faculty member at Weill Cornell Medical College.

Patience A word so difficult to pronounce because it is so difficult to wait or to be patient. But no matter how someone is behaving, appreciate the grace you have for God to give you people that will build that character in you!! It isn't easy but for the Christ like being, it is joy overwhelming. Thank and praise God for every situations that require you to be patient. God bless you.

I just don’t want your family to think we’re in a serious relationship.” “Aren’t we?” he asked her. “Aren’t you?” “You know there’s no one else in my life,” she said. “I’m completely monogamous. I just need time… You know…” “Man,” he said, laughing. “This figures.” “What?” “All those years I made sure the woman I was seeing at the time knew I couldn’t be tied down… There are women out there, Mel, who would think I’m getting just what I deserve right now.” “You know what I mean. It’s just my issues…” “I’m waiting out the issues. And I’m serious about that.” “You’re very patient with me, Jack. And I appreciate it. I just don’t want them to get the wrong idea. And we will sleep in separate bedrooms at your dad’s.” “No,” he said firmly. “I’m over forty years old. I sleep with you every night. I told my dad that one bedroom would be just fine.” She sighed heavily. Nervously. “Okay then. But we’re not doing it at your dad’s.” And he laughed at her. *

If children live with criticism, they learn to condemn. If children live with hostility, they learn to fight. If children live with ridicule, they learn to be shy. If children live with shame, they learn to feel guilty. If children live with tolerance, they learn to be patient. If children live with encouragement, they learn confidence. If children live with praise, they learn to appreciate. If children live with fairness, they learn justice.

If children live with criticism, they learn to condemn. If children live with hostility, they learn to fight. If children live with ridicule, they learn to be shy. If children live with shame, they learn to feel guilty. If children live with tolerance, they learn to be patient. If children live with encouragement, they learn confidence. If children live with praise, they learn to appreciate. If children live with fairness, they learn justice. If children live with security, they learn to have faith. If children live with approval, they learn to like themselves. If children live with acceptance and friendship, they learn to find love in the world

About three quarters through the program, the head counselor invited me to share my thoughts on the matter. I walked to the front of the group. “I need an open communication connection between us,” I said, as if I were my son. “I would be open, honest, and express my feelings without any concern for judgmental perspectives. There would be complete confidence that I was loved for being me. I’d feel free to discuss my issues, often asking questions, searching for advice and guidance to learn from my father’s past experiences. My family would be loved and appreciated by all of its members. The household rules and contents would be respected. I would strive for success, giving it my best effort to improve on my education and work toward an enjoyable career. Goals would be set to stay motivated, reassessing the long-term goals when the shorter goals are met. My main goal would be to work on a healthy state of mind and body by staying active, striving to do healthy and pleasant activities, without the need of getting high to enjoy them.” When I finished, the head counselor asked Julian for a response. I was proud of his courage to express his opinion and draw attention to himself in front of the group. The boy I knew a few weeks before wouldn’t have been able to stammer through a poorly structured sentence, let alone present his thought processes in an organized manner. Julian began by saying, “I’d be more understanding of my son’s feelings, patient and supportive in whatever he wanted out of life. If he was in trouble, I’d do whatever I could to help him, but be more strict and tough so he wouldn’t get into trouble in the first place. If the rules were broken, there’d be a fair punishment. I would love my son no matter what.” As

I see professional advisors cold-call perfect strangers rather than do a call rotation for existing clients. I see advisors do prospecting seminars rather than a client advisory council or client appreciation event, and I see advisors run advertising campaigns rather than network with existing strategic allies and other professional influencers. “Spray and pray” marketing strategies are flawed on so many levels. Why, then, do so many advisors still attempt them? The reason for this is simple; nurturing existing relationships and other tried and true strategies can be boring and rarely results in instant gratification. Too many advisors want to find the next “new idea”, something with some “sizzle”, and, as a result, are continually searching for and dabbling with concepts that ultimately have minimal impact. It’s not unlike investing. How many times have you seen someone try to hit a home-run with a high-risk investment opportunity rather than stick with a methodical long-term approach? It’s not just money that compounds. As I’ve said before, discipline compounds, too. You have to be patient and let your efforts gather momentum. Too many advisors get themselves into the proverbial “Red Zone” and, rather than stick to the plan and see it through, they self-sabotage by abandoning the fundamentals and trying something new. Neglect also compounds. If we neglect our existing relationships it’s only a matter of time before they’ll be lured away and we’ll have to throw our own Hail Mary. Don’t deviate from your process. Identify the most fundamentally sound and proven trust-building activities, stick with them and tune out all the other noise. It’s much more effective to strengthen and nurture existing relationships over the long haul, rather than perpetually trying to start new ones. The prospecting treadmill is draining and you are building a business that is chaotic and unfocused. Relationships are proprietary and are a big part of the equity that you are building in your business.

Bell had developed the Method from his youth and considered it a core medical skill. “All careful teachers have first to show the student how to recognize accurately the case,” he would declare. This was best done with the doctor’s own eyes, informed by experience. Patients, after all, could lie or misperceive their own symptoms. A man with a long-term injury might fail to recognize how his work did him damage; a drunkard might conceal his consumption. For Bell, observation sliced straight to the bone of diagnostic truth. It was all about trifles: “the accurate and rapid appreciation of small points in which the disease differs from the healthy state.

Much science in many disciplines consists of a toolkit of very simple mathematical models. To many not familiar with the subtle art of the simple model, such formal exercises have two seemingly deadly flaws. First, they are not easy to follow. […] Second, motivation to follow the math is often wanting because the model is so cartoonishly simple relative to the real world being analyzed. Critics often level the charge ‘‘reductionism’’ with what they take to be devastating effect. The modeler’s reply is that these two criticisms actually point in opposite directions and sum to nothing. True, the model is quite simple relative to reality, but even so, the analysis is difficult. The real lesson is that complex phenomena like culture require a humble approach. We have to bite off tiny bits of reality to analyze and build up a more global knowledge step by patient step. […] Simple models, simple experiments, and simple observational programs are the best the human mind can do in the face of the awesome complexity of nature. The alternatives to simple models are either complex models or verbal descriptions and analysis. Complex models are sometimes useful for their predictive power, but they have the vice of being difficult or impossible to understand. The heuristic value of simple models in schooling our intuition about natural processes is exceedingly important, even when their predictive power is limited. […] Unaided verbal reasoning can be unreliable […] The lesson, we think, is that all serious students of human behavior need to know enough math to at least appreciate the contributions simple mathematical models make to the understanding of complex phenomena. The idea that social scientists need less math than biologists or other natural scientists is completely mistaken.

April 15 I trust in your word. (Psalm 119:42) The strength of our faith is in direct proportion to our level of belief that God will do exactly what He has promised. Faith has nothing to do with feelings, impressions, outward appearances, nor the probability or improbability of an event. If we try to couple these things with faith, we are no longer resting on the Word of God, because faith is not dependent on them. Faith rests on the pure Word of God alone. And when we take Him at His Word, our hearts are at peace. God delights in causing us to exercise our faith. He does so to bless us individually, to bless the church at large, and as a witness to unbelievers. Yet we tend to retreat from the exercising of our faith instead of welcoming it. When trials come, our response should be, “My heavenly Father has placed this cup of trials into my hands so I may later have something pleasant.” Trials are the food of faith. Oh, may we leave ourselves in the hands of our heavenly Father! It is the joy of His heart to do good to all His children. Yet trials and difficulties are not the only way faith is exercised and thereby increased. Reading the Scriptures also acquaints us with God as He has revealed Himself in them. Are you able to genuinely say, from your knowledge of God and your relationship with Him, that He is indeed a beautiful Being? If not, let me graciously encourage you to ask God to take you to that point, so you will fully appreciate His gentleness and kindness, so you will be able to say just how good He is, and so you will know what a delight it is to God’s heart to do good for His children. The closer we come to this point in our inner being, the more willing we are to leave ourselves in His hands and the more satisfied we are with all of His dealings with us. Then when trials come, we will say, “I will patiently wait to see the good God will do in my life, with the calm assurance He will do it.” In this way, we will bear a worthy testimony to the world and thereby strengthen the lives of others. George Mueller

Not without a warrant. I’d love to help you, but we have HIPAA laws to abide by.” “Of course.” Susan got up out of her chair and shook the doctor’s hand. “Thank you for your time. I appreciate you seeing me.” “I wish I could help more. If I think of anything, I’ll call you. And, of course, if I hear from either James or Rebecca.” “Thank you.” Dr. Trammel walked Susan past the exercise machines and the patients grunting their way toward rehabilitation. He stopped when they reached the door. “We heard James’s house was bad,” he said. “Is that true?” “Can’t talk about it,” Susan replied, opening the door. “You got HIPAA, and I got an open investigation. Sorry.

Considering the mental domain privilege over the bodily is a long-standing bias of psychologists and philosophers, but it is not inevitable. More than a hundred years ago, John Hughlines jackson contemplated the relations of mental abilities to brain networks in patients with brain disorders and concluded that the separation of mental functions from sensorimotor made no sense. The brain evolved to regulate the motivational control of actions, carried out by the motor system, guided by sensory evaluation of ongoing environmental events. There are no "faculties" ―of memory, conscious perception, or music appreciation―that float in the mental ether, separate from the bodily functions. If we accept that the mind comes from the brain [the brain in ongoing interaction with environment], then our behavior and experience must be understood to be elaborations of primordial systems of perceiving, evaluating, and acting. When we study the brain to look for networks controlling cognition are linked in one way or the other to sensory systems, or to motivational systems. There are no brain parts for disembodied cognition.

Therapists tend to have very little appreciation for the fact that other people function in radically different ways from themselves, even when both patient and therapist are neurotic!

I appreciate that,” Myron said, “but I actually wanted to talk to you about another matter.” “Please.” He leaned back, folded his hands in his lap, smiled. “Go right ahead.” “It’s about Greg Downing.” The smile didn’t budge, but the light behind it flickered a bit. “Greg Downing?” “Yes. I have a few questions.” Still smiling. “You realize, of course, that I cannot reveal anything that may fall under what I consider privileged.” “Of course,” Myron agreed. “I was wondering if you could tell me where he is.” Marty Felder waited a beat. This was no longer a sales pitch meeting. It was now a negotiation. A good negotiator is frighteningly patient. Like a good interrogator, he must above all else be a listener. He must make his opponent do the talking. After several seconds, Felder asked, “Why do you want to know that?” “I need to speak with him,” Myron said. “May I ask what this is about?” “I’m afraid it’s confidential.” They

By suppertime the following day, Nic was ready to declare the honeymoon officially over. Her husband was a tyrant. First he demanded she hang a Closed sign on the clinic door and refer her patients to the vet hospital in Creede. No amount of calm, collected insistence that she could still perform her job while on crutches moved him. Next he refused to leave the bathroom while she hung her head over the toilet for her daily dose of morning sickness. Even if she did appreciate his steadying hands at her waist and his help keeping her hair out of the way, that didn’t mean she shouldn’t have control over who accompanied her to the bathroom under what circumstances. Finally, when she mentioned her intention to go to Cavanaugh House after supper for a meeting Celeste had requested, he took it upon himself to arrange for the meeting to be moved to Nic’s house without even asking her if she cared. “Of all the nerve,” she grumbled as she sat in the overstuffed chair in her living room, her injured leg propped on an ottoman, flipping through the mail he’d brought in from the mailbox moments before. The worst part of it was that she knew he was right about just about everything.

I believe she will be well. No need for you to leave your throng of women to care for a patient who needs only a good night’s rest.” Her words dropped to the road and nearly tripped Nathaniel as he walked. Throng of women? He stared at her. No, ‘twas not his imagination. Indeed the tone of jealousy had been there, but why? She hadn’t concerned herself with him all evening—had she? Did she really harbor feelings for him as Thomas had long suspected? Nathaniel continued on in silence. Why did he have this sudden longing to be near her, to touch her? ‘Twas too dangerous to even consider. And yet, he could convince his heart to do little else.  Suddenly Kitty stopped and faced him. She lifted her chin and searched his face with her large eyes that in the moonlight looked like dark pools of midnight speckled with stars. “Nathaniel, I appreciate your willingness to help and I know Eliza and Thomas do as well. I know just enough about such things to be assured Eliza will be well in a few days time. Do not trouble yourself with us. You may return to your admirers.” The emphasis she placed on the last word and the tilt of a smile in her gaze undid him. “The only admirer I’m interested in, Kitty, is you.” ***

Anna, did you just indirectly admit to liking me?” She drew in a swift breath and saw from his expression that while he was teasing, he was also… fishing. “Of course I like you. I like you entirely too well, and it is badly done of you to make me admit it.” “Well, let’s go from bad to worse, then, and you can tell me precisely why you like me.” “You are serious?” “I am. If you want, I will return the favor, though we have only several hours, and my list might take much longer than that.” He is flirting with me, Anna thought, incredulous. In his high-handed, serious way, the Earl of Westhaven had just paid her a flirtatious compliment. A lightness spread out from her middle, something of warmth and humor and guilty pleasure in it. “All right.” Anna nodded briskly. “I like that you are shy and honorable in the ways that count. I like that you are kind to Morgan, and to your animals, and old Nanny Fran. You are as patient with His Grace as a human can be, and you adore your brother. You are fierce, too, though, and can be decisive when needs must. You are also, I think, a romantic, and this is no mean feat for a man who spends half his days with commercial documents. Mostly, I like that you are good; you look after those who depend on you, you have gratitude for your blessings, and you don’t think enough of yourself.” Beside her, the earl was again silent. “Shall I go on?” Anna asked, feeling a sudden awkwardness. “You could not possibly pay me any greater series of compliments than you just have,” he said. “The man you describe is a paragon, a fellow I’d very much like to meet.” “See?” Anna nudged him with her shoulder. “You do not think enough of yourself. But I can also tell you the parts of you that irritate me—if that will make you feel better?” “I irritate you?” The earl’s eyebrows rose. “This should be interesting. You gave me the good news first, fortifying me for more burdensome truths, so let fly.” “You are proud,” Anna began, her tone thoughtful. “You don’t think your papa can manage anything correctly, and you won’t ask your brothers nor mother nor sisters even, for help with things directly affecting them. I wonder, in fact, if you have anybody you would call a friend.” “Ouch. A very definite ouch, Anna. Go on.” “You have forgotten how to play,” Anna said, “how to frolic, though I cannot fault you for a lack of appreciation for what’s around you. You appreciate; you just don’t seem to… indulge yourself.” “I see. And in what should I indulge myself?” “That is for you to determine,” she replied. “Marzipan has gone over well, I think, and sweets in general. You have indulged your love of music by having Val underfoot. As to what else brings you pleasure, you would be the best judge of that.” The earl turned down a shady lane lined with towering oaks and an understory of rhododendrons in vigorous bloom. “It was you,” he said. “Before Val moved in, I thought it was a neighbor playing the piano late in the evenings, but it was you. Were you playing for me?” Anna glanced off to the park beyond the trees and nodded.

Thank you, Dr. Walker,” she said, standing. “I—I appreciate what you’ve done. I’m sure it will heal up nicely now.” She’d have to return another day to see about the curtains and the wagon. Right now she wanted nothing more than to escape his gaze and that of the Pattersons and go back to the cottage. She’d doubted he’d accept payment for his impromptu doctoring, but perhaps she could bring him a cake by way of thanks. “It’s a blessing he was there,” Mrs. Patterson murmured in agreement. “Oh, I’m not done, Miss Matthews. That’s a nasty gash you have, and it’s going to need proper disinfectant and some stitches to heal properly. You need to come down to the office with me where I can do it properly.” Her eyes flew open. “Oh, I’m sure that’s not necessary,” she protested. “And I’m sure it is. Come along, Miss Matthews,” he said, tucking her uninjured arm in his. “But—” “Best listen to the doctor, dear,” Mrs. Patterson was saying. “Yes, he’s treated wounds on the battlefield, after all,” her spouse added. She felt herself being pulled out the door, willy-nilly. She trusted his medical judgment, but she wasn’t sure she was ready to be alone with him, even if she was only a patient to him in this instance.

What these older physicians exhibited is termed clinical curiosity. They stroke to understand their patients in order to elucidate the underlying medical conditions. This thoroughness, patience, and dogged curiosity may have been ingrained in them because they trained at a time when they were no rapid CTs or MRIs. But even now, when these diagnostic tools are at their fingertips, these physicians maintain this approach to patients, one that serves to appreciate the dignity and uniqueness of each patient and his or her illness.

Children Learn What They Live. If a child lives with criticism, he learns to condemn. If a child lives with hostility, he learns to fight. If a child lives with ridicule, he learns to be shy. If a child lives with jealousy, he learns to feel guilty. If a child lives with impropriety, he learns to feel shame. If a child lives with tolerance, he learns to be patient. If a child lives with encouragement, he learns confidence. If a child lives with praise, he learns to appreciate. If a child lives with fairness, he learns justice. If a child lives with security, he learns to have faith. If a child lives with approval, he learns to like himself. If a child lives with acceptance and friendship, he learns to find love in the world. With what is your child living?

A nurse walked in with some pills and a cup of water. “I told you, I don’t need that stuff,” Mr. Jones told her. “What I want is a doctor so I can get out of here.” The nurse smiled and winked at Denny and Spence. “Your friend here is a terrible patient,” she said. “I’m a terrible patient because I don’t belong here. Hospitals are for sick people, and I’ve got work to do. Now, are you going to get me a doctor, or am I going to have to sign myself out AMA?” “AMA?” said Denny. “Against medical advice,” the nurse explained. Then she slapped a blood-pressure cuff on Mr. Jones and stuck a thermometer in his mouth. “Uffoldooommmnofffick!” Mr. Jones mumbled. “Behave yourself,” the nurse told him, “or I’ll order you an enema.” Mr. Jones sank back on the pillow and rolled his eyes. The nurse took the thermometer out and read it. “The doctor will be in later,” she said, winking at Denny and Spence again on her way out. Spence started to chuckle. “I guess she told you,” he said. “Confounded hospitals,” Mr. Jones mumbled. “Once they get their hands on you they never want to let you go.” “Well, you can relax,” said Denny. “The folks in town are taking care of the boat and—” “What!” said Mr. Jones, bolting up in bed. “Ow!” He grabbed his head and lay down again. “Hangover, huh?” said Spence. “What do you mean, taking care of the boat?” asked Mr. Jones, his eyes scrunched up in pain. “Hiram Turner and a bunch of the guys are going to clean her up and put her in the water for you,” said Denny. Mr. Jones groaned. “It’s not that I’m not appreciative,” he said, “but are you sure they know what they’re doing?” Spence smiled. “Those old boys know boats better than you know your backside,” he said. “They’ll have her bungs up and bilge free in no time.” “Is that good?” asked Denny. “I believe it means shipshape,” said Mr. Jones. Spence nodded.

IVF training courses IIRRH: With more and more couples looking out for infertility treatment, the need for skilled fertility specialists has taken a huge leap in the recent years. Our IVF training courses at IIRRH are carefully structured to cater the needs of a beginner as well as a busy practitioner in the field of embryology, gynaecology and infertility management. IIRRH offers courses that provide an avenue for both scientists and clinicians to enter the field of reproductive medicine; and for those already familiar with this area, an opportunity to gain greater skillset relevant to the manipulation of fertility and the treatment of reproductive abnormalities. Designed to broaden knowledge of the underlying scientific principles and to enhance appreciation of the clinical management of infertility, the institute aims to encourage independent thought and a research orientated approach to the practice of assisted conception. Designed to broaden knowledge in the field of reproductive medicine and ART, our specialized courses include IVF training programs that cater the needs of a beginner as well as a busy practitioner in the field of embryology, gynaecology and infertility management. Our special Advanced ART course for Clinicians is apt to provide an introductory-level understanding of the clinical IVF (in-vitro fertilisation) laboratory and setting up and IVF lab. As well as the basics of the IVF lab, it also covers: • The individual protocols and procedures within the lab • The requirements that must be considered when working within it • Information ranging from embryo selection to new technologies in IVF It will allow better practice and understanding in dealing with patients and IVF cases. With the increasing demand for answers about our fertility, this course will help you understand: • The role of the clinical embryologist • Procedures conducted within the IVF laboratory For more information visit our website iirrh.org

appreciate the importance of rhythmical breathing it is sufficient to say that is it “synchronises inherent cardiovascular rhythms and modify baroreflex sensitivity.”[150] In lay language it means slow rhythmical breathing helps cardiac patients live longer. Interestingly, reciting Ave Maria prayer and yoga mantra results in rhythmical six breaths per minute. Maybe that’s why people who go to church at least once a week extend the lifespan by seven years.[151]

The pressure remains all in one direction, toward doing more, because the only mistake clinicians seem to fear is doing too little. Most have no appreciation that equally terrible mistakes are possible in the other direction—that doing too much could be no less devastating to a person's life.

used to enjoy climbing up the cathedral towers to get a close view of the ornamentation at the top, a veritable lacework of stone that must have been the result of very patient and laborious craftsmanship. As I chatted with the young men who accompanied me I used to point out that none of the beauty of this work could be seen from below. To give them a material lesson in what I had been previously explaining to them, I would say: ‘This is God’s work, this is working for God! – to finish your personal work perfectly, with all the beauty and exquisite refinement of this tracery stonework.’ Seeing it, my companions would understand that all the work we had seen was part of a prayer, a loving dialogue with God. The men who spent their energies up there were quite aware that no one at street level could appreciate their efforts. Their work was for God alone. Now do you see how our professional work can bring us close to Our Lord? Do your job as those medieval stonemasons did theirs, and your work too will be ‘operatio Dei’, a human work with a divine substance and finish.[601]

How is it not possible for the leaders of such giant, public, dispersed-ownership conglomerate companies to take a such a bold step as well to focus on creating long-term value for shareholders and institutional investors? Many investors do not invest in companies for the short term: institutional investors, mutual funds, index funds, and many shareholders, buy and hold patiently for dividends and capital appreciation for the long term. Why, then, do corporate leaders insist that they are unable to invest for the long term due to financial market and analyst pressures? These are interesting research questions that could generate interesting empirical studies.

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

I have seen love stories ending. I have seen marriages dividing. Love is not years of togetherness. Love is appreciation. It is not an hard emotion to get into our nerves but we usually have a habit to complain and complicate things. If he pulls the chair, you serve the food. If he is low, you be a joker. If he shares his day, listen to him patiently. If he forgives you, say sorry. If he gifts you a flower,bloom a garden. Relationships are delicate like babies. If you poke them, it will leave a scar. You need to love the love in order to be loved back. It is an give and take process.

My passion for cooking meals for loved ones originated when I was growing up. Because our family didn't have much materially, my siblings and I didn't get excited about gifts and Christmas and birthdays--but we were exuberant in anticipation of the food! I remember my mother preparing and cooking food for days before Christmas. You could smell the aromas wafting throughout the house, and if you were lucky, she would allow you to lick the spoon and taste a little bit beforehand. As a result, my wife and I now delight in showing the same love my mother put into the preparation of special meals into the celebrations we enjoy. From all those years of watching my mother prepare food for the family, and from my own limited experience in the kitchen, I've realized an important lesson: quality takes time. While most people tend to agree with me, no one particularly enjoys waiting patiently for the turkey to come out of the oven or for the pie crust to be made from scratch. We want the quality, but we don't want to wait for it. As I look around, it doesn't take much to see that this current generation is accustomed to fast foods, instant information, and new friendships at the click of a button. Because of such immediate results, we've ignored the diminishing quality of those things we recieve instantly and our subsequent lack of appreciation for them. Our desire for instant gratification has ushered us to the point that we sacrifice excellent quality because of the difficulty and time it takes to produce it.

But not all patients and their families cope well and find relief. Not all resolve their fears and uncertainties and address their feelings. Those situations provide physicians and others yet another opportunity to intervene in a way that is healing, enriching, and strengthening for the patient and the family. While much of the time, the patient is the center of the drama, sometimes other important dramas are going on in the patient's family, and complex relationships need to be explored. Do we know the whole story? Do we really understand what it is like? Only when we focus on the patient's experience do we begin to appreciate the richness, depth, and challenge of being a physician.

Peter Mirmotahari has a beautifully decorated garden in his home and has a strong affinity towards gardening. His fans are often left overwhelmed when he sends them roses from his garden as a token of appreciation. He also sends flowers to patients who are terminally ill, to cheer them up in this difficult phase of their life.

The Lord Almighty loves His beautiful Names and Attributes. He loves the requirement of His Attributes and manifestation of their outcome in the servant. He is Beautiful and loves beauty. He is Forgiving and loves those who forgive. He is Generous and loves the people of generosity. He is All-Knowing and loves the people of knowledge. He is Single and loves the people who perform the odd number of prayers. He is Powerful and the strong believer is more beloved to Him than the weak one. He is the Most Patient and loves the people of patience. He is Appreciative and loves those who are thankful.

He was a husband. There is a name for what he is now. Widower. He had never fully appreciated, in all the years he took patients’ medical histories, how it must feel to check that box.