Patient Centered Quotes

Love is a thousand things, but at the center is a choice. It is a choice to love people. Left to myself, i get quiet and bitter and critical. i get angry. i feel sorry for myself. It is a choice to love people. It is a choice to be kind. It is a choice to be patient, to be honest, to live with grace. i would like to start making better choices.

The dark is generous. Its first gift is concealment: our true faces lie in the dark beneath our skins, our true hearts remain shadowed deeper still. But the greatest concealment lies not in protecting our secret truths, but in hiding from the truths of others. The dark protects us from what we dare not know. Its second gift is comforting illusion: the ease of gentle dreams in night’s embrace, the beauty that imagination brings to what would repel in the day’s harsh light. But the greatest of its comforts is the illusion that dark is temporary: that every night brings a new day. Because it’s the day that is temporary. Day is the illusion. Its third gift is the light itself: as days are defined by the nights that divide them, as stars are defined by the infinite black through which they wheel, the dark embraces the light, and brings it forth from the center of its own self. With each victory of the light, it is the dark that wins. The dark is generous, and it is patient. It is the dark that seeds cruelty into justice, that drips contempt into compassion, that poisons love with grains of doubt. The dark can be patient, because the slightest drop of rain will cause those seeds to sprout. The rain will come, and the seeds will sprout, for the dark is the soil in which they grow, and it is the clouds above them, and it waits behind the star that gives them light. The dark’s patience is infinite. Eventually, even stars burn out. The dark is generous, and it is patient, and it always wins. It always wins because it is everywhere. It is in the wood that burns in your hearth, and in the kettle on the fire; it is under your chair and under your table and under the sheets on your bed. Walk in the midday sun, and the dark is with you, attached to the soles of your feet. The brightest light casts the darkest shadow. The dark is generous and it is patient and it always wins – but in the heart of its strength lies its weakness: one lone candle is enough to hold it back. Love is more than a candle. Love can ignite the stars.

If you are walking on a path thick with brambles and rocks, a path that abruptly twists and turns, it's easy to get lost, or tired, or discouraged. You might be tempted to give up entirely. But if a kind and patient person comes along and takes your hand, saying, "I see you're having a hard time- here, follow me, I'll help you find your way," the path becomes manageable, the journey less frightening.

Instead, he would make death his final project, the center point of his days. Since everyone was going to die, he could be of great value, right? He could be research. A human textbook. Study me in my slow and patient demise. Watch what happens to me. Learn with me.

Love is a thousand things, but at the center is a choice. It is a choice to love people. Left to myself, i get quiet and bitter and critical. i get angry. i feel sorry for myself. It is a choice to love people. It is a choice to be kind. It is a choice to be patient, to be honest, to live with grace.

A third of the people who rush to psychiatrists for help could probably cure themselves if they could only do as Margaret Yates did: get interested in helping others. My idea? No, that is approximately what Carl Jung said. And he ought to know—if anybody does. He said: “About one third of my patients are suffering from no clinically definable neurosis, but from the senselessness and emptiness of their lives.” To put it another way, they are trying to thumb a ride through life—and the parade passes them by. So they rush to a psychiatrist with their petty, senseless, useless lives. Having missed the boat, they stand on the wharf, blaming everyone except themselves and demanding that the world cater to their self-centered desires.

Coming up from the basement, Kyle saw Andrew Peckleman in the middle of the Rotunda Reading Room, opening a long metal box sitting on top of the center desk. The holographic image of Mrs. Tobin was there, smiling patiently, as Peckleman pulled some kind of magazine out of the box. Miguel was also near

Just like we need food and water, humans need each other. A brain study revealed that when placed in an MRI, a patient's reward center lit up when another person sat in the room. Neurons fire when talk to someone, think about someone, and they go haywire when we hold someone's hand. Our brains and bodies are actually programmed to seek each other out and connect. So then why do so many people prefer being alone? Why do we often run for the hills when we feel the slightest connection? Why we do we feel compelled to fight what we're hardwired to do? Maybe it's because when we find someone or something to hold on to, that feeling becomes like air. And we're terrified we're going to lose it. And trust me, you can get pretty good at the alone thing. But most things are better when they're shared with someone else.

THE SPLIT-BRAIN PARADOX One way in which this picture, based on the corporate hierarchy of a company, deviates from the actual structure of the brain can be seen in the curious case of split-brain patients. One unusual feature of the brain is that it has two nearly identical halves, or hemispheres, the left and right. Scientists have long wondered why the brain has this unnecessary redundancy, since the brain can operate even if one entire hemisphere is completely removed. No normal corporate hierarchy has this strange feature. Furthermore, if each hemisphere has consciousness, does this mean that we have two separate centers of consciousness inside one skull?

....the Crocodiles say they can't even begin to say how many new guys they've seen Come In and then get sucked back Out There, Come In to AA for a while and Hang In and put together a little sober time and have things start to get better, head-wise and life-quality-wise, and after a while the new guys get cocky, they decide they've gotten `Well,' and they get really busy at the new job sobriety's allowed them to get, or maybe they buy season Celtics tickets, or they rediscover pussy and start chasing pussy (these withered gnarled toothless totally post-sexual old fuckers actually say pussy), but one way or another these poor cocky clueless new bastards start gradually drifting away from rabid Activity In The Group, and then away from their Group itself, and then little by little gradually drift away from any AA meetings at all, and then, without the protection of meetings or a Group, in time--oh there's always plenty of time, the Disease is fiendishly patient--how in time they forget what it was like, the ones that've cockily drifted, they forget who and what they are, they forget about the Disease, until like one day they're at like maybe a Celtics-Sixers game, and the good old Fleet/First Interstate Center's hot, and they think what could just one cold foamer hurt, after all this sober time, now that they've gotten `Well.' Just one cold one. What could it hurt. And after that one it's like they'd never stopped, if they've got the Disease. And how in a month or six months or a year they have to Come Back In, back to the Boston AA halls and their old Group, tottering, D.T.ing, with their faces hanging down around their knees all over again, or maybe it's five or ten years before they can get it up to get back In, beaten to shit again, or else their system isn't ready for the recurred abuse again after some sober time and they die Out There--the Crocodiles are always talking in hushed, 'Nam-like tones about Out There--or else, worse, maybe they kill somebody in a blackout and spend the rest of their lives in MCI-Walpole drinking raisin jack fermented in the seatless toilet and trying to recall what they did to get in there, Out There; or else, worst of all, these cocky new guys drift back Out There and have nothing sufficiently horrible to Finish them happen at all, just go back to drinking 24/7/365, to not-living, behind bars, undead, back in the Disease's cage all over again. The Crocodiles talk about how they can't count the number of guys that've Come In for a while and drifted away and gone back Out There and died, or not gotten to die.

Is God present or is he absent? Maybe we can say now that in the center of our sadness for his absence we can find the first signs of his presence. And that in the middle of our longings we discover the footprints of the one who has created them. It is in the faithful waiting for the loved one that we know how much he has filled our lives already. Just as the love of a mother for her son can grow while she is waiting for his return, and just as lovers can rediscover each other during long periods of absence, so also our intimate relationship with God can become deeper and more mature while we wait patiently in expectation for his return.

It crouches near the center of creation. There is no night where it waits. Only the riddle of which terrible dream will set it loose. It beheaded mercy to take possession of that place. It feasts on darkness from the minds of men. No one has ever seen its eyeless face. When it sleeps we know a few moments of peace. But when it breathes again we go down in fire and mate with jackals. It knows our fear. It has our number. It waited for our coming and it will abide long after we have become congealed smoke. It has never heard music, and shows its fangs when we panic. It is the beast of our savage past, hungering today, and waiting patiently for the mortal meal of all our golden tomorrows. It lies waiting.

Given how tedious and dull the hospital could be, I always expected hospital inpatients to be happy to see us. But they frequently had the opposite reaction. Patients cringed as soon as the door swung open to reveal, ta da! Physical Therapy!

Internalizers sometimes take up emotional slack by playing both parts in their interactions with people. They act as if there’s reciprocity when there isn’t. For instance, they might thank someone for being patient when they are actually the ones being inconvenienced, or they might repeatedly reach out to self-centered people with a thoughtfulness they never get back. They are so familiar with supplying the sensitivity that was missing in their family members that they automatically do this with everyone. They make up for other people’s lack of engagement by seeing them as nicer and more considerate than they really are.

When we play it safe, we sabotage our chance to make our mark in a memorable, authentic way. Health care organizations confront pressures to provide more responsive, personal care with cost efficiency, striving to provide the industry’s “patient-centered care” goal. However, when every hospital system and specialty clinic cautiously claims to provide “patient-centered care”— because all of their competitors claim to provide “patient-centered care”—their claim becomes so safe that they disappear into the din of their competitors’ identical claims.

I remember a study that was done in the seventies (a study I've been trying to find unsuccessfully since the advent of the internet). It was a study of psychologists and psychiatrists, not of patients. They filled out three questionnaires, true or false questions. One was for the traits of a healthy man, next was for traits of a healthy woman, the third for traits of a healthy human being. The traits of a healthy man and human were the same, but a healthy woman was very different. Completely different. You know--softer, sweeter, more empathetic, less self-centered, less ambitious, more dependent. And these were the people who were treating people who were trying to live healthy lives.

Now to tell ya about our fellow inmates. Pay attention because there are a bunch of us an’ we each have a story.

No class in physical therapy school prepared me to counsel a patient dealing with a life-changing injury.

One patient got up and used his wound care supplies to tape his hospital door shut.

Remaining" is an essential part… What the Church Fathers call perseverantia–patient steadfastness in communion with the Lord amid all the vicissitudes of life–is placed center stage here. Initial enthusiasm is easy. Afterward, though, it is time to stand firm, even along the monotonous desert paths that we are called upon to traverse in this life–with the patience it takes to tread evenly, a patience in which the romanticism of the initial awakening subsides, so that only the deep, pure Yes of faith remains. This is the way to produce good wine.

Regardless of a patient’s true motives to get out of bed, I always applaud on the inside. That’s what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym.

Self-centeredness is a havoc-wreaking problem in many marriages, and it is the ever-present enemy of every marriage. It is the cancer in the center of a marriage when it begins, and it has to be dealt with. In Paul’s classic description of love, in 1 Corinthians 13, he says,   Love is patient and kind. It does not envy, it does not boast, is not proud. It is not rude, it is not self-seeking, it is not easily angered, it keeps no record of wrongs. (verses 4–5) Repeatedly Paul shows that love is the very opposite of “self-seeking,” which is literally pursuing one’s own welfare before those of others. Self-centeredness is easily seen in the signs Paul lists: impatience, irritability, a lack of graciousness and kindness in speech, envious brooding on the better situations of others, and holding past injuries and hurts against others.

Among the studies conducted by the Center, four assessed smoked marijuana's ability to alleviate neuropathic pain, a notoriously difficult to treat type of nerve pain associated with cancer, diabetes, HIV/AIDS, spinal cord injury and many other debilitating conditions. Each of the trials found that cannabis consistently reduced patients' pain levels to a degree that was as good or better than currently available medications.

My old professor, meanwhile, was stunned by the normalcy of the day around him. Shouldn't the world stop? Don't they know what has happened to me? But the world did not stop, it took no notice at all Morrie's doctors guessed he had two years left. Morrie knew it was less. But my old professor had made a profound decision, one he began to construct the day he came out of the doctor's office with a sword hanging over his head. Do I wither up and disappear, or do I make the best of my time left? he had asked himself. He would not wither. He would not be ashamed of dying. Instead, he would make death his final project, the center point of his days. Since everyone was going to die, he could be of great value, right? He could be research. A human textbook. Study me in my slow and patient demise. Watch what happens to me. Learn with me. Morrie would walk that final bridge between life and death, and narrate the trip.

In March 1987, Gilbert White, a hematologist, conducted the first clinical trial of the hamster-cell-derived recombinant factor VIII at the Center for Thrombosis in North Carolina. The first patient to be treated was G.M., a forty-three-year-old man with hemophilia. As the initial drops of intravenous liquid dripped into his veins, White hovered anxiously around G.M.’s bed, trying to anticipate reactions to the drug. A few minutes into the transfusion, G.M. stopped speaking. His eyes were closed; his chin rested on his chest. “Talk to me,” White urged. There was no response. White was about to issue a medical alert when G.M. turned around, made the sound of a hamster, and burst into laughter.

To restore the human subject at the center—the suffering, afflicted, fighting human subject—we must deepen a case history to a narrative or tale; only then do we have a “who” as well as a “what,” a real person, a patient, in relation to disease—in relation to the physical. The patient’s essential being is very relevant in the higher reaches of neurology, and in psychology; for here the patient’s personhood is essentially involved, and the study of disease and of identity cannot be disjoined.

When I wake up, just like the day before there are texts from Peter. I’m sorry. I’m a dick. Don’t be mad. I read his texts over and over. They’re spaced minutes apart, so I know he must be fretting over whether I’m still mad or not. I don’t want to be mad. I just want things to go back to how they were before. Do you want to come over for a surprise? He immediately replies: ON MY WAY. “The perfect chocolate chip cookie,” I intone, “should have three rings. The center should be soft and a little gooey. The middle ring should be chewy. And the outer ring should be crispy.” “I can’t hear her give this speech again,” Kitty says to Peter. “I just can’t.” “Be patient,” he says, squeezing her shoulder. “It’s almost over, and then we get cookies.

What if we, all of us, had access to health care that centered on the patients, not the money? Systems like this actually exist on this planet, in this time. Why is America so tethered to punishment and judgement, to one life mattering and another not?

However, if the patient is tense, it is not enough for the doctor to say, “Relax.” That’s like telling someone to float when he’s sinking in panic. Rather, relaxation is contagious. The patient will catch it if the healer is relaxed, centered, and calm and

If we trust that our inner world knows what is needed next, one outcome isn't preferable to another. It is so easy for us to want healing to pursue a more linear path: Something arises and it would be best if we could stay with that. There can be a sense of disappointment in therapist, patient, or both if the sensation doesn't return. This might be perceived as a lack in our patient's ability to maintain contact, a reflection of our inadequacy of a therapist, or simply discomfort that the therapy feels stuck.

At first she did nothing, waiting for her husband to wake, which he did not, because that wasn’t a thing he ever did. She waited longer than she usually did, waited and waited, the boy wailing while she lay as still as a corpse, patiently waiting for the day when her corpse self would miraculously be reanimated and taken into the Kingdom of the Chosen, where it would create an astonishing art installation composed of many aesthetically interesting beds. The corpse would have unlimited child-care and be able to hang out and go to show openings and drink corpse wine with the other corpses whenever it wanted, because that was heaven. That was it. She lay there as long as she could without making a sound, a movement. Her child’s screams fanned a flame of rage that flickered in her chest. That single, white-hot light at the center of the darkness of herself—that was the point of origin from which she birthed something new, from which all women do. You light a fire early in your girlhood. You stoke it and tend it. You protect it at all costs. You don’t let it rage into a mountain of light, because that’s not becoming of a girl. You keep it secret. You let it burn. You look into the eyes of other girls and see their fires flickering there, offer conspiratorial nods, never speak aloud of a near-unbearable heat, a growing conflagration. You tend the flame because if you don’t you’re stuck, in the cold, on your own, doomed to seasonal layers, doomed to practicality, doomed to this is just the way things are, doomed to settling and understanding and reasoning and agreeing and seeing it another way and seeing it his way and seeing it from all the other ways but your own. And upon hearing the boy’s scream, the particular pitch and slice, she saw the flame behind her closed eyes. For a moment, it quivered on unseen air, then, at once, lengthened and thinned, paused, and dropped with a whump into her chest, then deeper into her belly, setting her aflame

In these pages, we keep returning to one foundational principle: providing the possibility of emotional/relational safety for our people, be they patients, children, partners, friends or strangers. We are able to make this offer when they are experiencing their own neuroception of safety, not continuously, but as the baseline to which we return after our system has adaptively moved into sympathetic arousal or dorsal withdrawal in response to inner and outer conditions. When we neuroceive safety, we humans automatically begin to open into vulnerability, and the movement of our "inherent treatment plan" (Sills, 2010) has a greater probability of coming forward. When we have a neuroception of threat, we adaptively tighten down at many levels, from physical tension to activation of the protective skills we have learned over a lifetime (Levine, 2010). In that state, our innate healing path will often wisely stay hidden until more favorable conditions arrive.

It was Ian's job to work the conversation, dammit. All the other trainers -- and I had plenty of time to take stock -- were doing the vast majority of the conversational grunt work, giving their patients the gift of conversational pleasure without the usual work, and leaving the patients free to concentrate on their tasks.

We learn that hospitals have run out of ICU beds to treat gravely ill Covid-19 patients, but we do not learn of the decades-long series of choices that led to a U.S. healthcare system that privileged efficiency over capacity. This flood of information without context can so easily, and so quickly, transform into misinformation.

the Yale Cancer Center, Dana-Farber Cancer Institute, and Massachusetts General Hospital supports this notion. It found that dying patients who had open conversations about their death experienced a better quality of life in the weeks and months leading to their passing, as judged by their family members and nurse practitioners.

Like many men who experience fatherhood relatively late in life, Martin Luther was a devoted parent. Luther wrote his children letters of touching intensity, patiently converting the joys of the Christian life into a language of storytelling fit for the very young. A home with children brought out the best in Luther in a way that theological disputation patently did not.

baseball. The intestines may fill up completely with blood. The lining of the gut dies and sloughs off into the bowels and is defecated along with large amounts of blood. In men, the testicles bloat up and turn black-and-blue, the semen goes hot with Ebola, and the nipples may bleed. In women, the labia turn blue, livid, and protrusive, and there may be massive vaginal bleeding. The virus is a catastrophe for a pregnant woman: the child is aborted spontaneously and is usually infected with Ebola virus, born with red eyes and a bloody nose. Ebola destroys the brain more thoroughly than does Marburg, and Ebola victims often go into epileptic convulsions during the final stage. The convulsions are generalized grand mal seizures—the whole body twitches and shakes, the arms and legs thrash around, and the eyes, sometimes bloody, roll up into the head. The tremors and convulsions of the patient may smear or splatter blood around. Possibly this epileptic splashing of blood is one of Ebola’s strategies for success—it makes the victim go into a flurry of seizures as he dies, spreading blood all over the place, thus giving the virus a chance to jump to a new host—a kind of transmission through smearing. Ebola (and Marburg) multiplies so rapidly and powerfully that the body’s infected cells become crystal-like blocks of packed virus particles. These crystals are broods of virus getting ready to hatch from the cell. They are known as bricks. The bricks, or crystals, first appear near the center of the cell and then migrate toward the surface. As a crystal

A patient complains of feeling nervous or fearful. These feelings and behaviors suggest that the patient has an anxiety disorder, and the doctor prescribes whatever drug will most probably work for an anxiety disorder. However, there's no conclusive way to tell that this patient definitely has an anxiety disorder. Even if the doctor did get the diagnosis correct, there's a great deal of variation regarding which drug class (for example, anti-anxiety drugs versus antidepressants) a particular individual will respond to and which drug within a class (for example, Prozac versus Zoloft) will work best. If the drug doesn't work, the doctor will try the next one on the list and so on, thus delaying treatment success and complicating the process with the mix-and-match type of treatment.

Existence prolonged beyond the experience of death has its affective center in a sense of guilt, the guilt of the survivor, which Niederland describes as the worst psychological burden weighing on those of his patients who had escaped being murdered. It is a particularly macabre irony, as Niederland says, that the survivors and not those who committed Nazi crimes should bear the burden of such guilt.

The perfect chocolate chip cookie,” I intone, “should have three rings. The center should be soft and a little gooey. The middle ring should be chewy. And the outer ring should be crispy.” “I can’t hear her give this speech again,” Kitty says to Peter. “I just can’t.” “Be patient,” he says, squeezing her shoulder. “It’s almost over, and then we get cookies.” “The perfect cookie is best eaten while still warm, but still delicious at room temperature.” “If you don’t quit talking, they won’t be warm anymore,” Kitty grumbles. I shoot her a glare, but truthfully, I’m glad she’s here to be a buffer between Peter and me. Her presence makes things feel normal. “In the baking world, it is a truth universally acknowledged that Jacques Torres has perfected the chocolate chip cookie. Peter, you and I tasted it for ourselves just a few months ago.” I’m really stretching it now to make them suffer. “How will my cookie measure up? Spoiler alert. It’s amazing.” Kitty slides off her stool. “That’s it. I’m out of here. A chocolate chip cookie isn’t worth all this.” I pat her on the head. “Oh, naïve little Kitten. Dear, foolish girl. This cookie is worth all this and more. Sit or you will not partake.” Rolling her eyes, she sits back down. “My friends, I have finally found it. My white whale. My golden ring. The cookie to rule them all.

Our most surprising finding was a white spot in the left frontal lobe of the cortex, in a region called Broca’s area. In this case the change in color meant that there was a significant decrease in that part of the brain. Broca’s area is one of the speech centers of the brain, which is often affected in stroke patients when the blood supply to that region is cut off. Without a functioning Broca’s area, you cannot put your thoughts and feelings into words.

The conceptual problem at the center of contemporary healthcare is the confusion between disease processes and disease origins. Instead of asking why an illness occurs and trying to remove the conditions that led to it, medical researchers try to understand the mechanisms through which the disease operates, so that they can then interfere with them. These mechanisms, rather than the true origins, are seen as the causes of disease in current medical thinking. In the process of reducing illness to disease, the attention of physicians has moved away from the patient as a whole person. By concentrating on smaller and smaller fragments of the body – shifting its perspective from the study of bodily organs and their functions to that of cells and, finally, to the study of molecules – modern medicine often loses sight of the human being, and having reduced health to mechanical functioning, it is no longer able to deal with the phenomenon of healing. Over the past four decades, the dissatisfaction with the mechanistic approach to health and healthcare has grown rapidly both among healthcare professionals and the general public. At the same time, the emerging systems view of life has given rise to a corresponding systems view of health, as we discuss in Chapter 15, while health consciousness among the general population has increased dramatically in many countries. The

there is something in it, inasmuch as logotherapy, in comparison with psychoanalysis, is a method less retrospective and less introspective. Logotherapy focuses rather on the future, that is to say, on the meanings to be fulfilled by the patient in his future. (Logotherapy, indeed, is a meaning-centered psychotherapy.) At the same time, logotherapy defocuses all the vicious-circle formations and feedback mechanisms which play such a great role in the development of neuroses.

The surgical resident interested in learning trauma will bypass a residency at a quiet community hospital for a residency at a fast-paced Level 1 trauma center treating a high volume of trauma patients. A Level 1 trauma center residency is far more rigorous—and not particularly glamorous—but the intensive culture of a dedicated trauma center will cultivate the decisive judgment and action required of a surgeon specializing in trauma. By choice or by chance, we must actively test our limits to know our capabilities.

Equally as intriguing as the concept of personalized medicine is the proposal to develop the first drugs based on race. Think of the paradox: a classification system constructed centuries ago to enslave people became the portal for the most cutting-edge biomedical advance of the twenty-first century. Predicting drug response based on a patient’s race rather than on genetic traits, says Lawrence Lesco of the FDA’s Center for Drug Evaluation Research, is “like telling time with a sundial instead of looking at a Rolex watch.

And Kate thought about a time, long ago, when she had witnessed an ongoing romance between two mental patients. As a teenager watching their unlikely relationship unfold in front of her, she had understood that people did whatever they needed to do to be happy, regardless of their unfortunate circumstances. She supposed her mother’s day care center was born out of the desire to feel needed, while making use of the skills that were practically all she had managed to acquire during decades of battling a debilitating illness.

The enemy of my soul didn't want me painting that day. To create meant that I would look a little bit like my Creator. To overcome the terrifying angst of the blank canvas meant I would forever have more compassion for other artists. You better believe as I placed the first blue and gray strokes onto the white emptiness before me, the "not good enough" statement was pulsing through my head in almost deafening tones... This parlaying lie is one of his favorite tactics to keep you disillusioned by disappointments. Walls go up, emotions run high, we get guarded, defensive, demotivated, and paralyzed by the endless ways we feel doomed to fail. This is when we quit. This is when we settle for the ease of facebook.... This is when we get a job to simply make money instead of pursuing our calling to make a difference. This is when we put the paintbrush down and don't even try. So there I was. Standing before my painted blue boat, making a choice of which voice to listen to. I'm convinced God was smiling. Pleased. Asking me to find delight in what is right. Wanting me to have compassion for myself by focusing on that part of my painting that expressed something beautiful. To just be eager to give that beauty to whoever dared to look at my boat. To create to love others. Not to beg them for validation. But the enemy was perverting all that. Perfection mocked my boat. The bow was too high, the details too elementary, the reflection on the water too abrupt, and the back of the boat too off-center. Disappointment demanded I hyper-focused on what didn't look quite right. It was my choice which narrative to hold on to: "Not good enough" or "Find delight in what is right." Each perspective swirled, begging me to declare it as truth. I was struggling to make peace with my painting creation, because I was struggling to make make peace with myself as God's creation. Anytime we feel not good enough we deny the powerful truth that we are a glorious work of God in progress. We are imperfect because we are unfinished. So, as unfinished creations, of course everything we attempt will have imperfections. Everything we accomplish will have imperfections. And that's when it hit me: I expect a perfection in me and in others that not even God Himself expects. If God is patient with the process, why can't I be? How many times have I let imperfections cause me to be too hard on myself and too harsh with others? I force myself to send a picture of my boat to at least 20 friends. I was determined to not not be held back by the enemy's accusations that my artwork wasn't good enough to be considered "real art". This wasn't for validation but rather confirmation that I could see the imperfections in my painting but not deem it worthless. I could see the imperfections in me and not deem myself worthless. It was an act of self-compassion. I now knew to stand before each painting with nothing but love, amazement, and delight. I refused to demand anything more from the artist. I just wanted to show up for every single piece she was so brave to put on display.. Might I just be courageous enough to stand before her work and require myself to find everything about it I love? Release my clenched fist and pouty disappointments, and trade my "live up" mentality for a "show up" one? It is so much more freeing to simply show up and be a finder of the good. Break from the secret disappointments. Let my brain venture down the tiny little opening of love.. And I realized what makes paintings so delightful. It's there imperfections. That's what makes it art. It's been touched by a human. It's been created by someone whose hands sweat and who can't possibly transfer divine perfection from what her eyes see to what her fingertips can create. It will be flawed.

Regardless of a patient's true motives to get out of bed, I always applaud on the inside. That's what physical therapy is all about. To get them out of bed. To coax them down to the rehab gym. To do their strengthening exercises. To buy into the program. All in order to prepare them for the day they will eventually walk again. But I downplay my enthusiasm at a soldier's pain-tinged request for fear he'll figure out that's what I've been trying to get him to do and rebel. It's always better to make it seem like it is their idea all along.

logotherapy, in comparison with psychoanalysis, is a method less retrospective and less introspective. Logotherapy focuses rather on the future, that is to say, on the meanings to be fulfilled by the patient in his future. (Logotherapy, indeed, is a meaning-centered psychotherapy.) At the same time, logotherapy defocuses all the vicious-circle formations and feedback mechanisms which play such a great role in the development of neuroses. Thus, the typical self-centeredness of the neurotic is broken up instead of being continually fostered and reinforced.

People continue to deploy the same justification of market society—that it would secure the personal independence of workers from arbitrary authority—long after it failed to deliver on its original aspiration. The result is a kind of political hemiagnosia: like those patients who cannot perceive one-half of their bodies, a large class of libertarian-leaning thinkers and politicians, with considerable public following, cannot perceive half of the economy: they cannot perceive the half that takes place beyond the market, after the employment contract is accepted.

If Snow kept weaving around the corners, she would reach the center of the maze and her mother's beloved aviary. The two-story wrought iron dome looked like a giant birdcage. It was her mother's pride and joy and the first thing she had commissioned when she became queen. She'd always had a love of birds. Snow's mother kept several species inside the netted walls, and she patiently explained each bird's nature to Snow in detail. The two had spent countless hours watching the aviary, with Snow naming all of the creatures inside it. Her favorite was Snowball, a small white canary.

What’s more, AI researchers have begun to realize that emotions may be a key to consciousness. Neuroscientists like Dr. Antonio Damasio have found that when the link between the prefrontal lobe (which governs rational thought) and the emotional centers (e.g., the limbic system) is damaged, patients cannot make value judgments. They are paralyzed when making the simplest of decisions (what things to buy, when to set an appointment, which color pen to use) because everything has the same value to them. Hence, emotions are not a luxury; they are absolutely essential, and without them a robot will have difficulty determining what is important and what is not.

cause of cavities, even more damaging than sugar consumption, bad diet, or poor hygiene. (This belief had been echoed by other dentists for a hundred years, and was endorsed by Catlin too.) Burhenne also found that mouthbreathing was both a cause of and a contributor to snoring and sleep apnea. He recommended his patients tape their mouths shut at night. “The health benefits of nose breathing are undeniable,” he told me. One of the many benefits is that the sinuses release a huge boost of nitric oxide, a molecule that plays an essential role in increasing circulation and delivering oxygen into cells. Immune function, weight, circulation, mood, and sexual function can all be heavily influenced by the amount of nitric oxide in the body. (The popular erectile dysfunction drug sildenafil, known by the commercial name Viagra, works by releasing nitric oxide into the bloodstream, which opens the capillaries in the genitals and elsewhere.) Nasal breathing alone can boost nitric oxide sixfold, which is one of the reasons we can absorb about 18 percent more oxygen than by just breathing through the mouth. Mouth taping, Burhenne said, helped a five-year-old patient of his overcome ADHD, a condition directly attributed to breathing difficulties during sleep. It helped Burhenne and his wife cure their own snoring and breathing problems. Hundreds of other patients reported similar benefits. The whole thing seemed a little sketchy until Ann Kearney, a doctor of speech-language pathology at the Stanford Voice and Swallowing Center, told me the same. Kearney helped rehabilitate patients who had swallowing and breathing disorders. She swore by mouth taping. Kearney herself had spent years as a mouthbreather due to chronic congestion. She visited an ear, nose, and throat specialist and discovered that her nasal cavities were blocked with tissue. The specialist advised that the only way to open her nose was through surgery or medications. She tried mouth taping instead. “The first night, I lasted five minutes before I ripped it off,” she told me. On the second night, she was able to tolerate the tape for ten minutes. A couple of days later, she slept through the night. Within six weeks, her nose opened up. “It’s a classic example of use it or lose it,” Kearney said. To prove her claim, she examined the noses of 50 patients who had undergone laryngectomies, a procedure in which a breathing hole is cut into the throat. Within two months to two years, every patient was suffering from complete nasal obstruction. Like other parts of the body, the nasal cavity responds to whatever inputs it receives. When the nose is denied regular use, it will atrophy. This is what happened to Kearney and many of her patients, and to so much of the general population. Snoring and sleep apnea often follow.

Howdy there, you’ve reached Boricio’s Center For Mental Fitness. Please listen to the following options: If you’re obsessive compulsive, press #1 over and over, 47 times or your mother will die. If you’re co-dependent, turn to the nearest asshole and ask them to press #2 for you. Multiple personalities, I will direct you to buttons #3, 4, 5, and 6. Press them all, one at a time. If you’re paranoid, we know who you are, and we will motherfucking find you. Delusionals press #7, then patiently wait for your transfer to Planet Zebot. Schizophrenics, listen for your inner assholes. Sufferers of short-term memory loss, try again later. And those afflicted with low self-esteem: Fuck you, no one wants to talk to you.

Logotherapy focuses rather on the future, that is to say, on the meanings to be fulfilled by the patient in his future. (Logotherapy, indeed, is a meaning-centered psychotherapy.) At the same time, logotherapy defocuses all the vicious-circle formations and feedback mechanisms which play such a great role in the development of neuroses. Thus, the typical self-centeredness of the neurotic is broken up instead of being continually fostered and reinforced. To be sure, this kind of statement is an oversimplification; yet in logotherapy the patient is actually confronted with and reoriented toward the meaning of his life. And to make him aware of this meaning can contribute much to his ability to overcome his neurosis.

Morrie's doctors guessed he had two years left. Morrie knew it was less. But my old professor had made a profound decision, one he began to construct the day he came out of the doctor's office with a sword hanging over his head. Do I wither up and disappear, or do I make the best of my time left? he had asked himself. He would not wither. He would not be ashamed of dying. Instead, he would make death his final project, the center point of his days. Since everyone was going to die, he could be of great value, right? He could be research. A human textbook. Study me in my slow and patient demise. Watch what happens to me. Learn with me. Morrie would walk that final bridge between life and death, and narrate the trip.

Our most surprising finding was a white spot in the left frontal lobe of the cortex, in a region called Broca’s area. In this case the change in color meant that there was a significant decrease in that part of the brain. Broca’s area is one of the speech centers of the brain, which is often affected in stroke patients when the blood supply to that region is cut off. Without a functioning Broca’s area, you cannot put your thoughts and feelings into words. Our scans showed that Broca’s area went offline whenever a flashback was triggered. In other words, we had visual proof that the effects of trauma are not necessarily different from—and can overlap with—the effects of physical lesions like strokes. All trauma is preverbal.

The clearest short-term yardstick may be the PSA nadir (discussed above). One study of 743 patients at Memorial Sloan-Kettering Cancer Center in New York confirmed that higher-intensity radiation does a better job of achieving a rock-bottom PSA level. Of the men who received higher doses—76 to 81 Gy—90 percent achieved a PSA nadir of 1.0 ng/ml or less; 76 percent of men who received 70 Gy and 56 percent of men who received 64.8 Gy achieved those low PSA levels. But there was a trade-off—the men who received higher doses of radiation also had a significantly higher rate of gastrointestinal side effects, urinary tract complications, and impotence. To overcome these side effects at high doses, intensity-modulated radiation therapy

I was genuinely surprised to read a novel that shows many sides of grief experienced by the main characters...that just is not acknowledged in real life today. So many are crying out but not allowing themselves to actually cry through the inner pain and anguish as we are created to do as humans beings. I have seen this working with kids.in schoo!s...with hospice patients as a chaplain, in one-on-one spiritual direction and in ministering a church. This is the first novel\book I have read that deals with grief in a way that can help those reading it...and not believe they have to do it alone or with those closest to them without feeling they are being unfaithful to them. An inspirational truth-centered read! --- A Retired Minister

The Brits call this sort of thing Functional Neurological Symptoms, or FNS, the psychiatrists call it conversion disorder, and almost everyone else just calls it hysteria. There are three generally acknowledged, albeit uncodified, strategies for dealing with it. The Irish strategy is the most emphatic, and is epitomized by Matt O’Keefe, with whom I rounded a few years back on a stint in Ireland. “What are you going to do?” I asked him about a young woman with pseudoseizures. “What am I going to do?” he said. “I’ll tell you what I’m goin’ to do. I’m going to get her, and her family, and her husband, and the children, and even the feckin’ dog in a room, and tell ’em that they’re wasting my feckin’ time. I want ’em all to hear it so that there is enough feckin’ shame and guilt there that it’ll keep her the feck away from me. It might not cure her, but so what? As long as I get rid of them.” This approach has its adherents even on these shores. It is an approach that Elliott aspires to, as he often tells me, but can never quite marshal the umbrage, the nerve, or a sufficiently convincing accent, to pull off. The English strategy is less caustic, and can best be summarized by a popular slogan of World War II vintage currently enjoying a revival: “Keep Calm and Carry On.” It is dry, not overly explanatory, not psychological, and does not blame the patient: “Yes, you have something,” it says. “This is what it is [insert technical term here], but we will not be expending our time or a psychiatrist’s time on it. You will have to deal with it.” Predictably, the American strategy holds no one accountable, involves a brain-centered euphemistic explanation coupled with some touchy-feely stuff, and ends with a recommendation for a therapeutic program that, very often, the patient will ignore. In its abdication of responsibility, motivated by the fear of a lawsuit, it closely mirrors the beginning of the end of a doomed relationship: “It’s not you, it’s … no wait, it’s not me, either. It just is what it is.” Not surprisingly, estimates of recurrence of symptoms range from a half to two-thirds of all cases, making this one of the most common conditions that a neurologist will face, again and again.

Obviously, in those situations, we lose the sale. But we’re not trying to maximize each and every transaction. Instead, we’re trying to build a lifelong relationship with each customer, one phone call at a time. A lot of people may think it’s strange that an Internet company is so focused on the telephone, when only about 5 percent of our sales happen through the telephone. In fact, most of our phone calls don’t even result in sales. But what we’ve found is that on average, every customer contacts us at least once sometime during his or her lifetime, and we just need to make sure that we use that opportunity to create a lasting memory. The majority of phone calls don’t result in an immediate order. Sometimes a customer may be calling because it’s her first time returning an item, and she just wants a little help stepping through the process. Other times, a customer may call because there’s a wedding coming up this weekend and he wants a little fashion advice. And sometimes, we get customers who call simply because they’re a little lonely and want someone to talk to. I’m reminded of a time when I was in Santa Monica, California, a few years ago at a Skechers sales conference. After a long night of bar-hopping, a small group of us headed up to someone’s hotel room to order some food. My friend from Skechers tried to order a pepperoni pizza from the room-service menu, but was disappointed to learn that the hotel we were staying at did not deliver hot food after 11:00 PM. We had missed the deadline by several hours. In our inebriated state, a few of us cajoled her into calling Zappos to try to order a pizza. She took us up on our dare, turned on the speakerphone, and explained to the (very) patient Zappos rep that she was staying in a Santa Monica hotel and really craving a pepperoni pizza, that room service was no longer delivering hot food, and that she wanted to know if there was anything Zappos could do to help. The Zappos rep was initially a bit confused by the request, but she quickly recovered and put us on hold. She returned two minutes later, listing the five closest places in the Santa Monica area that were still open and delivering pizzas at that time. Now, truth be told, I was a little hesitant to include this story because I don’t actually want everyone who reads this book to start calling Zappos and ordering pizza. But I just think it’s a fun story to illustrate the power of not having scripts in your call center and empowering your employees to do what’s right for your brand, no matter how unusual or bizarre the situation. As for my friend from Skechers? After that phone call, she’s now a customer for life. Top 10 Ways to Instill Customer Service into Your Company   1. Make customer service a priority for the whole company, not just a department. A customer service attitude needs to come from the top.   2. Make WOW a verb that is part of your company’s everyday vocabulary.   3. Empower and trust your customer service reps. Trust that they want to provide great service… because they actually do. Escalations to a supervisor should be rare.   4. Realize that it’s okay to fire customers who are insatiable or abuse your employees.   5. Don’t measure call times, don’t force employees to upsell, and don’t use scripts.   6. Don’t hide your 1-800 number. It’s a message not just to your customers, but to your employees as well.   7. View each call as an investment in building a customer service brand, not as an expense you’re seeking to minimize.   8. Have the entire company celebrate great service. Tell stories of WOW experiences to everyone in the company.   9. Find and hire people who are already passionate about customer service. 10. Give great service to everyone: customers, employees, and vendors.

If you were to assume that many experts use their information to your detriment, you’d be right. Experts depend on the fact that you don’t have the information they do. Or that you are so befuddled by the complexity of their operation that you wouldn’t know what to do with the information if you had it. Or that you are so in awe of their expertise that you wouldn’t dare challenge them. If your doctor suggests that you have angioplasty — even though some current research suggests that angioplasty often does little to prevent heart attacks — you aren’t likely to think that the doctor is using his informational advantage to make a few thousand dollars for himself or his buddy. But as David Hillis, an interventional cardiologist at the University of Texas Southwestern Medical Center in Dallas, explained to the New York Times, a doctor may have the same economic incentives as a car salesman or a funeral director or a mutual fund manager: “If you’re an invasive cardiologist and Joe Smith, the local internist, is sending you patients, and if you tell them they don’t need the procedure, pretty soon Joe Smith doesn’t send patients anymore.” Armed with information, experts can exert a gigantic, if unspoken, leverage: fear. Fear that your children will find you dead on the bathroom floor of a heart attack if you do not have angioplasty surgery. Fear that a cheap casket will expose your grandmother to a terrible underground fate. Fear that a $25,000 car will crumple like a toy in an accident, whereas a $50,000 car will wrap your loved ones in a cocoon of impregnable steel.

Risch points out that taxpayers spent $660 million building field hospitals across the country.44 Democratic Governor Andrew Cuomo and other Democratic governors kept these facilities empty to maintain bed inventories in anticipation of the flood of patients inaccurately predicted by the fear-mongering models, ginned up by two Gates-funded organizations, IMHE and Royal College of London, and then anointed as gospel by Dr. Fauci—seemingly as part of the crusade to generate public panic. With those quarantine centers standing empty, those governors sent infected elderly back to crowded nursing homes, where they spread the disease to the most vulnerable population with lethal effect. Risch points out that, “Half the deaths, in New York, and one-third nationally,45 were among elder care facility residents.

How do you last a torrid time in Life? 1. Accept the reality that you are in the throes of a crisis. Stop wishing that it didn’t exist. Acceptance always delivers inner peace. 2. Know that the storm will always be strong. By even thinking of its ferocity, you are only going to feel debilitated. At the epicenter of a storm, it is always calm. Find that center, your center. That’s where you will find strength. 3. Your center is where you lose sense of time, place and thought. Art – anything inherent that makes you come alive – often leads you there. 4. Trust the process of Life. Do what you can do without losing your inner peace – daily, diligently. 5. No matter how intense it is, no storm lasts forever. All storms pass. So, be patient, surrender completely, let go…and offer yourself to be led by Life…

Because there is always new news to report, we rarely get the kind of background information that allows us to understand why the news is happening. We learn that hospitals have run out of ICU beds to treat gravely ill Covid-19 patients, but we do not learn of the decades-long series of choices that led to a U.S. healthcare system that privileged efficiency over capacity. This flood of information without context can so easily, and so quickly, transform into misinformation. Over one hundred and fifty years ago, the American humorist Josh Billings wrote, “I honestly believe it is better to know nothing than to know what ain’t so.” And that seems to me the underlying problem—not just with CNN and other cable news networks, but with contemporary information flow in general. So often, I end up knowing what just ain’t so.

I am not sure how we came to believe that we know more about what our people need than they do. A core, culturally supported assumption about their brokenness may have something to do with it, and so might our left-dominant culture and training that makes it more challenging to be present to anyone's implicit experience. Many it is equally about our inability to trust our own inner wisdom to guide us because no-one helped us listen when we were young. Without this trust, we may get frightened for our people and the process, and such feelings bring on the need to assert control ... experiment with the pause, remembering that our rupture and repair are optimal, trust will grow as we and our 'patients' stumble together into the tentative, fluid process of attunement with one another that supports the awakening of the inherent wisdom and health.

if our attention is what we're going to do next to accomplish a specific goal (often decrease a symptom) rather than openness to what the other person is bringing to the moment, we have stepped into our left hemispheres and out of relationship- and our patient will feel that as a kind of subtle abandonment. This interchange will likely happen below the level of conscious awareness and yet lead our person to step back a bit internally, awaiting the arrival of true presence, without agenda or judgement, so that safety can arise in the space in between. At that moment, the healing power inherent in this co-organizing/co-regulating relationship arrives. We have been returning to this crucial distinction in these pages, as much as possible with ongoing compassion for the challenge we experience as we open to the right remaining consistently in the lead.

Do they imagine that the students who come in here and patiently fill out the questionaires, who repeat their own names again and again for the woman to type into her computer--do they imagine that these people want to hurt the woman behind the desk. Do they think that because Connell sometimes lies on his own floor for hours, he might one day purchase a semi-automatic machine gun online and commit mass murder in a shopping center? Nothing could be further from his mind than committing mass murder. He feels guilty after he stammers a word on the phone. Still, he can see the logic: mentally unhealthy people are contaminated in some way and possibly dangerous. If they don't attack the woman behind the desk due to uncontrollable violent impulses, they might breathe some microbe in her direction, causing her to dwell unhealthily on all the failed relationships in her past.

What’s more, AI researchers have begun to realize that emotions may be a key to consciousness. Neuroscientists like Dr. Antonio Damasio have found that when the link between the prefrontal lobe (which governs rational thought) and the emotional centers (e.g., the limbic system) is damaged, patients cannot make value judgments. They are paralyzed when making the simplest of decisions (what things to buy, when to set an appointment, which color pen to use) because everything has the same value to them. Hence, emotions are not a luxury; they are absolutely essential, and without them a robot will have difficulty determining what is important and what is not. So emotions, instead of being peripheral to the progress of artificial intelligence, are now assuming central importance. If a robot encounters a raging fire, it might rescue the computer files first, not the people, since its programming might say that valuable documents cannot be replaced but workers always can be. It is crucial that robots be programmed to distinguish between what is important and what is not, and emotions are shortcuts the brain uses to rapidly determine this. Robots would thus have to be programmed to have a value system—that human life is more important than material objects, that children should be rescued first in an emergency, that objects with a higher price are more valuable than objects with a lower price, etc. Since robots do not come equipped with values, a huge list of value judgments must be uploaded into them. The problem with emotions, however, is that they are sometimes irrational, while robots are mathematically precise. So silicon consciousness may differ from human consciousness in key ways. For example, humans have little control over emotions, since they happen so rapidly and because they originate in the limbic system, not the prefrontal cortex of the brain. Furthermore, our emotions are often biased.

Once again, I had traversed the line from doctor to patient, from actor to acted upon, from subject to direct object. My life up until my illness could be understood as the linear sum of my choices. As in most modern narratives, a character’s fate depended on human actions, his and others. King Lear’s Gloucester may complain about human fate as “flies to wanton boys,” but it’s Lear’s vanity that sets in motion the dramatic arc of the play. From the Enlightenment onward, the individual occupied center stage. But now I lived in a different world, a more ancient one, where human action paled against superhuman forces, a world that was more Greek tragedy than Shakespeare. No amount of effort can help Oedipus and his parents escape their fates; their only access to the forces controlling their lives is through the oracles and seers, those given divine vision. What I had come for was not a treatment plan—I had read enough to know the medical ways forward—but the comfort of oracular wisdom.

Because nobody brought that up to you?” “No, we had no idea that there were any problems that would suggest that.” Besides, as she pointed out later in her testimony, she was not an expert on poison. Dr. Henry testified that Peru was not mentioned in papers on tropical sprue, and that even where the disease was common, those who contracted it had lived in the area for a long time, at least a year. Typhoid fever didn’t fit either. “Even though it’s an acute infection, [it] does not cause a tremendous elevation of the white blood cell count.” Dr. Henry believed that Mike had been septic more than once during his three hospitalizations. Dr. Pam McCoy, the ER physician at the UK Medical Center, testified next. “I work with residents and medical students. I teach them how to work in an emergency department. And usually . . . I go see patients, they go see patients with me; we talk about how you see a patient in the emergency department, how you take care of people, how you put in stitches, that sort of thing.

We may find ourselves in a role similar to that of a gardener as we cultivate a space in which healing can naturally unfold. In terms of neurobiology, this stance encourages us to lean into the reassuring awareness that our systems already contain seeds awaiting our attention. For some examples, we humans are always seeking the warmest possible attachments we can imagine (Cozolino, Siegel), our brains are continuously yearning for the arrival of a co-organizing other (Badenoch, Cozolino, Schore), emotional regulation flows naturally from being in the presence of someone we trust (Beckes & Coan) and even our nervous systems have a preference for the social engagement circuitry that sustains connection (Porges). With this kind of support from the biology inherent in both practitioner and patient, our bodies may begin to open into a welcoming state as others come towards us, with a sense of partnership being established rather than someone doing something to us. However this also means letting go of the potential certainty that comes from feeling we are in charge.

These Things, whose essential life want to express, first ask you, “Are you free? Are you prepared to devote all your love to me, to lie with me as St. Julian the Hospitaller lay beside the leper, giving him the supreme embrace which no simple, fleeting love of one’s neighbor could accomplish, because its motive is love, the whole of love, all the love that exists on earth.” And if the Thing sees that you are otherwise occupied, with even a particle of your interest, it shuts itself off; it may perhaps give you some slight sign of friendship, a word, or a nod, but it will never give you its heart, entrust you with its patient being, its sweet sidereal constancy, which makes it so like the constellations in the sky. In order for a Thing to speak to you, you must regard it for a certain time as the only one that exists, as the one and only phenomenon, which through your laborious and exclusive love is now placed at the center of the universe, and which, in that incomparable place, is on that day attended by angels." —from letter to Baladine Klossowska, (December 16, 1920)

All Night, All Night Rode in the train all night, in the sick light. A bird Flew parallel with a singular will. In daydream's moods and attitudes The other passengers slumped, dozed, slept, read, Waiting, and waiting for place to be displaced On the exact track of safety or the rack of accident. Looked out at the night, unable to distinguish Lights in the towns of passage from the yellow lights Numb on the ceiling. And the bird flew parallel and still As the train shot forth the straight line of its whistle, Forward on the taut tracks, piercing empty, familiar -- The bored center of this vision and condition looked and looked Down through the slick pages of the magazine (seeking The seen and the unseen) and his gaze fell down the well Of the great darkness under the slick glitter, And he was only one among eight million riders and readers. And all the while under his empty smile the shaking drum Of the long determined passage passed through him By his body mimicked and echoed. And then the train Like a suddenly storming rain, began to rush and thresh-- The silent or passive night, pressing and impressing The patients' foreheads with a tightening-like image Of the rushing engine proceeded by a shaft of light Piercing the dark, changing and transforming the silence Into a violence of foam, sound, smoke and succession. A bored child went to get a cup of water, And crushed the cup because the water too was Boring and merely boredom's struggle. The child, returning, looked over the shoulder Of a man reading until he annoyed the shoulder. A fat woman yawned and felt the liquid drops Drip down the fleece of many dinners. And the bird flew parallel and parallel flew The black pencil lines of telephone posts, crucified, At regular intervals, post after post Of thrice crossed, blue-belled, anonymous trees. And then the bird cried as if to all of us: 0 your life, your lonely life What have you ever done with it, And done with the great gift of consciousness? What will you ever do with your life before death's knife Provides the answer ultimate and appropriate? As I for my part felt in my heart as one who falls, Falls in a parachute, falls endlessly, and feel the vast Draft of the abyss sucking him down and down, An endlessly helplessly falling and appalled clown: This is the way that night passes by, this Is the overnight endless trip to the famous unfathomable abyss.

I know. I think they probably just want to see you performing the full load of a chief. It’s because they like you. Seriously.” I realized it was true: For the past few months, I had been acting merely as a surgical technician. I had been using cancer as an excuse not to take full responsibility for my patients. On the other hand, it was a good excuse, damn it. But now I started coming in earlier, staying later, fully caring for the patients again, adding another four hours to a twelve-hour day. It put the patients back in the center of my mind at all times. The first two days I thought I would have to quit, battling waves of nausea, pain, and fatigue, retreating to an unused bed in down moments to sleep. But by the third day, I had begun to enjoy it again, despite the wreck of my body. Reconnecting with patients brought back the meaning of this work. I took antiemetics and nonsteroidal anti-inflammatory drugs (NSAIDs) between cases and just before rounds. I was suffering, but I was fully back. Instead of finding an unused bed, I started resting on the junior residents’ couch, supervising them on the care of my patients, lecturing as I rode a wave of back spasms. The more tortured my body became, the more I relished having done the work. At the end of the first week, I slept for forty hours straight. But I was calling the shots:

Things you shouldn’t do when someone is dying: Don’t talk about when your aunt or your grandmother or your dog died. This isn’t about you, and the sick person shouldn’t have to comfort you; it should be the other way around. There are concentric circles of grief: the patient is at the center, the next layer is the caregiver, then their kids, then close friends, and so on. Figure out what circle you’re in. If you are looking into the concentric circles, you give comfort. If you’re looking out, you receive it. Don’t say things that aren’t true: You’re going to beat this cancer! It’s all about a positive outlook! You look stronger! You aren’t fooling anyone. Don’t overact your happiness. It’s okay to be sad with someone who is dying. They’ve invited you close at a very tender time, and that’s a moment of grace you can share. Don’t think you have to discuss the illness. Sometimes, a sick person needs a break. And if you ask up front if he wants to talk about how he feels—or doesn’t—you’re giving him control at a time when he doesn’t have a lot of choices. Don’t be afraid of the silence. It’s okay to say nothing. Don’t forget: No one knows what to say to someone who’s dying. Everyone is afraid of saying the wrong thing. It’s more important to be there than to be right. Win and I have reached the stage where we can sit in quiet, without a background noise of NPR on the radio or the television murmuring.

In my experience, the basis of almost all psychological problems is an unsatisfactory relation to one's urge to individuality. And the healing process often involves an acceptance of what is commonly called selfish, power-seeking or autoerotic. The majority of patients in psychotherapy need to learn how to be more effectively selfsh and more effective in the use of their own personal power; they need to accept responsibility for the fact of being centers of power and effectiveness. So-called selfish or egocentric behavior which expresses itself in demands made on others is not effective conscious self-centeredness or conscious individuality. We demand from others only what we fail to give ourselves. If we have insufficient self-love or self-prestige, our need expresses itself unconsciously by coercive tactics toward others. And often the coercion occurs under the guise of virtue, love, or altruism. Such unconscious selfishness is ineffectual and destructive to oneself and others. It fails to achieve its purpose because it is blind, without awareness of itself. What is required is not the extirpation of selfishness, which is impossible but rather that it be wedded to consciousness and thus becomes effective. All the facts of biology and psychology teach us that every individual unit of life is self-centered to the core. The only varying factor is the degree of consciousness which accompanies that fact.

Several recent studies (Bliss, 1980; Boon & Draijer, 1993a; Coons & Milstein, 1986; Coons, Bowman, & Milstein, 1988; Putnam et al., 1986; Ross et al., 1989b) are largely consistent in terms of the general trends that they demonstrate. At the time of diagnosis (prior to exploration) approximately two to four personalities are in evidence. In the course of treatment an average of 13 to 15 are encountered, but this figure is deceptive. The mode in virtually all series is three, and median number of alters is eight to ten. Complex cases, with 26 or more alters (described in Kluft, 1988), constitute 15-25% of such series and unduly inflate the mean. Series currently being studied in tertiary referral centers appear to be more complex still (Kluft, Fink, Brenner, & Fine, unpublished data). This is subject to a number of interpretations. It is likely that the complexity of the more difficult and demanding cases treated in such settings may be one aspect of what makes them require such specialized care. It is also possible that the staff of such centers is differentially sensitive to the need to probe for previously undiscovered complexity in their efforts to treat patients who have failed to improve elsewhere. However, it is also possible that patients unduly interested in their disorders and who generate factitious complexity enter such series differently, or that some factor in these units or in those who refer to them encourages such complexity or at least the subjective report thereof.

Chinese seek victory not in a decisive battle but through incremental moves designed to gradually improve their position. To quote Kissinger again: “Rarely did Chinese statesmen risk the outcome of a conflict on a single all-or-nothing clash: elaborate multi-year maneuvers were closer to their style. Where the Western tradition prized the decisive clash of forces emphasizing feats of heroism, the Chinese ideal stressed subtlety, indirection, and the patient accumulation of relative advantage.”48 In an instructive analogy, David Lai illustrates this by comparing the game of chess with its Chinese equivalent, weiqi—often referred to as go. In chess, players seek to dominate the center and conquer the opponent. In weiqi, players seek to surround the opponent. If the chess master sees five or six moves ahead, the weiqi master sees twenty or thirty. Attending to every dimension in the broader relationship with the adversary, the Chinese strategist resists rushing prematurely toward victory, instead aiming to build incremental advantage. “In the Western tradition, there is a heavy emphasis on the use of force; the art of war is largely limited to the battlefields; and the way to fight is force on force,” Lai explains. By contrast, “The philosophy behind go is to compete for relative gain rather than seeking complete annihilation of the opponent forces.” In a wise reminder, Lai warns that “It is dangerous to play go with the chess mindset. One can become overly aggressive so that he will stretch his force thin and expose his vulnerable parts in the battlefields.

checked the load, and slipped it under my belt behind my right hip. “Are you supposed to be wearing a bulletproof vest, are you supposed to be carrying a gun?” a guard asked. “Isn’t that against the rules?” “What rules?” I said. He didn’t have an answer for that. I put on my leather coat. The money was still packed in the gym bags, the gym bags strapped to the dolly in the center of my living room. I grabbed the handle and started wheeling it to the back door of my house. I had a remote control hanging from the lock on the window overlooking my unattached garage. I used it to open the garage door. “There’s no reason for you guys to hang around anymore,” I said. The guards followed me out of my back door, across the driveway, and into the garage just the same. They stood by and watched while I loaded the dolly and the gym bags into the trunk of the Audi. “Nice car,” one of them said. If he had offered me ten bucks, I would have sold the Audi and all of its contents to him right then and there. Because he didn’t, I unlocked the driver’s door and slid behind the wheel. “Good luck,” the guard said and closed the door for me. He smiled like I was a patient about to be wheeled into surgery; smiled like he felt sorry for me. I put the key in the ignition, started up the car, depressed the clutch, put the transmission in reverse, and—sat there for five seconds, ten, fifteen … Why are you doing this? my inner voice asked. Are you crazy? The guard watched me through the window, an expression of concern mixed with puzzlement on his face. “McKenzie, are you okay?” he asked. “Never better,” I said. I slowly released the clutch and backed the Audi out of my driveway

Dr. Knox Todd began documenting how patients’ race affects the treatment of pain when he was a doctor in the UCLA Emergency Center in the 1990s.46 He and colleagues examined the way doctors treated 139 white and Latino patients coming to the emergency room over a two-year period with a single injury—fractures of a long bone in either the arm or leg. Because this type of fracture is extremely painful, there is no medical reason to distinguish between the two groups of patients. Yet the researchers discovered that Latinos were twice as likely as whites to receive no pain medication while in the emergency room.47 Although it’s possible that the Latino patients complained less of pain, the doctors should have been aware of the high degree of pain they suffered, given the nature of their injuries. When Todd moved to Emory University School of Medicine, he led an Atlanta-based study that confirmed his finding in Los Angeles. This time his research team analyzed medical charts of 217 patients who were treated for long-bone fractures at an inner-city emergency room that served both black and white patients. In a 2000 article in Annals of Emergency Medicine, Todd reported that 43 percent of blacks, but only 26 percent of whites, received no pain medication. In this study, Todd took the additional step of documenting whether or not the patients expressed pain to their doctors. By carefully looking at notations in the medical files, he found that black patients were about as likely as whites to complain of pain. Black patients thus received pain medication half as often as whites because doctors did not order it for them, not because blacks do not feel pain or do not want pain relief.

From my WIP "In Hiding" Hidden in the darkness, she exhaled, releasing the tension. As she sunk into the worn cushions, Kate felt the wave of exhaustion crash over her. She dug in her backpack for the crackers wrapped in a paper towel. Closing her eyes, she ate, using her imagination to change the bland wafer into something more appealing. Retrieving her cell from her pocket, she shielded the artificial light with her hand as she set the alarm, always set to vibrate mode. The glow from the screen briefly illuminated her face. Her blond hair was history, the honey golden hue hidden under the dull dark cheap hair dye. Without makeup, she appeared younger than her twenty years, until you looked into her eyes. Here her anguish was center stage for the world to see. She barely slept and seldom ate. Worse were the dreams. Trapped in a surreal world, the explosion of gunfire surrounded her followed by blood splatter. Often, she woke on the edge of a scream waking in time to stifle her terror. She could ill afford this, screaming could bring him down on her. There were nights that she prayed it would, thus ending the torment for them both. Perhaps another night. Kate took one last glance around the room as she tucked her phone into her back jeans pocket. Slumping over, she was out before her head hit the sofa. Camouflaged she appears to be nothing more than a bundle of rags. Unseen in the darkness he slipped inside the house, blending into the shadows, he had waited patiently hidden in the edge of the woods, knowing she would seek shelter. Wayne closed his eyes and zoned in on her. Chasing this bitch was wearing on him; it was killing his focus. As his prey, she had developed self-persevering habits. She never left a trace of herself, not a sound, not a fiber or a hair. He drew a deep, silent breath, directing his senses, he concentrated on Kate, how she thought, what she feared.

Where’s the baby?” “I just fed and changed him,” Haven said. Hardy lifted Luke’s carrier and gave it to Jack, who took it with his free hand. “Thank you.” I gave Haven a woeful glance as she handed me the diaper bag. “I’m sorry.” “For what?” “For falling asleep like that.” Haven smiled and reached out to hug me. “There’s nothing to be sorry about. What’s a little narcolepsy among friends?” Her body was slim and strong, one small hand patting my back. The gesture surprised me in its naturalness and ease. I returned the embrace awkwardly. Haven said over my shoulder, “I like this one, Jack.” Jack didn’t answer, only nudged me out into the hallway. I trudged forward, nearly blind with exhaustion, staggering with it. It took extreme focus to keep one foot in front of the other. “I don’t know why I’m so tired tonight,” I said. “It’s all caught up with me, I guess.” I felt Jack’s hand descend to the center of my back, guiding me forward. I decided to talk to keep myself awake. “You know, chronic sleep deper . . . dep . . .” “Deprivation?” “Yes.” I shook my head to clear it. “It gives you memory problems and raises your blood pressure. And it results in occupational hazards. It’s lucky I can’t get hurt doing my job. Unless I fall forward and hit my head on the keyboard. If you ever see QWERTY imprinted on my forehead, you’ll know what happened.” “Here we go,” Jack said, loading me onto the elevator. I squinted at the row of buttons and reached for one. “No,” he said patiently, “that’s the nine, Ella. Press the upside-down one.” “They’re all upside-down,” I told him, but I managed to find the 6. Propping myself up in the corner, I wrapped my arms around my midriff. “Why did Haven tell you ‘I like this one’?” “Why shouldn’t she like you?” “It’s just . . . if she says it to you, it implies . . .”— I tried to wrap my foggy brain around the idea—“. . . something.” A quiet laugh escaped him. “Don’t try thinking just now, Ella. Save it for later.” That sounded like a good idea. “Okay.

By collecting data from the vast network of doctors across the globe, they added dozens of new compounds to the arsenal—all proven effective against COVID-19. Dr. Kory told me that he was deeply troubled that the extremely successful efforts by scores of front-line doctors to develop repurposed medicines to treat COVID received no support from any government in the entire world—only hostility—much of it orchestrated by Dr. Fauci and the US health agencies. The large universities that rely on hundreds of millions in annual funding from NIH were also antagonistic. “We didn’t have a single academic institution come up with a single protocol,” said Dr. McCullough. “They didn’t even try. Harvard, Johns Hopkins, Duke, you name it. Not a single medical center set up even a tent to try to treat patients and prevent hospitalization and death. There wasn’t an ounce of original research coming out of America available to fight COVID—other than vaccines.” All of these universities are deeply dependent on billions of dollars that they receive from NIH. As we shall see, these institutions live in terror of offending Anthony Fauci, and that fear paralyzed them in the midst of the pandemic. “Dr. Fauci refused to promote any of these interventions,” says Kory. “It’s not just that he made no effort to find effective off-the-shelf cures—he aggressively suppressed them.” Instead of supporting McCullough’s work, NIH and the other federal regulators began actively censoring information on this range of effective remedies. Doctors who attempted merely to open discussion about the potential benefits of early treatments for COVID found themselves heavily and inexplicably censored. Dr. Fauci worked with Facebook’s Mark Zuckerberg and other social media sites to muzzle discussion of any remedies. FDA sent a letter of warning that N-acetyle-L-cysteine (NAC) cannot be lawfully marketed as a dietary supplement, after decades of free access on health food shelves, and suppressed IV vitamin C, which the Chinese were using with extreme effectiveness.

God’s Message to Women When I created the heavens and the earth, I spoke them into being.  When I created man, I formed him and breathed life into his nostrils. But you, woman, I fashioned after I breathed the breath of life into man because your nostrils are too delicate.  I allowed a deep sleep to come over him so I could patiently fashion you.  Man was put to sleep so he could not interfere with the creativity. From one bone I fashioned you, and I chose the bone that protects man’s life.  I chose the rib, which protects his heart and lungs and supports him as you are meant to do.  Around this one bone, I shaped and modeled you. I created you perfectly and beautifully.  Your characteristics are as the rib, strong yet delicate and fragile.  You provide protection for the most delicate organ in man, his heart.  His heart is the center of his being; his lungs hold the breath of life.  The rib cage will allow itself to be broken before it will allow damage to the heart.  Support man as the rib cage supports the body.  You were not taken from his feet to be under him, nor were you taken from his head to be above him.  You were taken from his side to be held close as you stand beside him. I have caressed your face in your deepest sleep. I have held your heart close to Mine. Adam walked with Me in the cool of the day and yet he was lonely. He could not see or touch Me but could only feel My presence.  So I fashioned in you everything I wanted Adam to share and experience with Me: My holiness, My strength, My purity, My love, My protection and support. You are special because you are an extension of Me.  Man represents My image–woman My emotions. Together, you represent the totality of God. So man, treat woman well. Love and respect her, for she is fragile.  In hurting her, you hurt Me. In crushing her, you only damage your own heart. Woman, support man.  In humility, show him the power of emotion I have placed within you.  In gentle quietness show your strength.  In love, show him that you are the rib that protects his inner self. —Author Unknown

Dr. Sperry, after detailed studies of split-brain patients, finally concluded that there could be two distinct minds operating in a single brain. He wrote that each hemisphere is “indeed a conscious system in its own right, perceiving, thinking, remembering, reasoning, willing, and emoting, all at a characteristically human level, and … both the left and right hemisphere may be conscious simultaneously in different, even in mutually conflicting, mental experiences that run along in parallel.” When I interviewed Dr. Michael Gazzaniga of the University of California, Santa Barbara, an authority on split-brain patients, I asked him how experiments can be done to test this theory. There are a variety of ways to communicate separately to each hemisphere without the knowledge of the other hemisphere. One can, for example, have the subject wear special glasses on which questions can be shown to each eye separately, so that directing questions to each hemisphere is easy. The hard part is trying to get an answer from each hemisphere. Since the right brain cannot speak (the speech centers are located only in the left brain), it is difficult to get answers from the right brain. Dr. Gazzaniga told me that to find out what the right brain was thinking, he created an experiment in which the (mute) right brain could “talk” by using Scrabble letters. He began by asking the patient’s left brain what he would do after graduation. The patient replied that he wanted to become a draftsman. But things got interesting when the (mute) right brain was asked the same question. The right brain spelled out the words: “automobile racer.” Unknown to the dominant left brain, the right brain secretly had a completely different agenda for the future. The right brain literally had a mind of its own. Rita Carter writes, “The possible implications of this are mind-boggling. It suggests that we might all be carrying around in our skulls a mute prisoner with a personality, ambition, and self-awareness quite different from the day-to-day entity we believe ourselves to be.” Perhaps there is truth to the oft-heard statement that “inside him, there is someone yearning to be free.” This means that the two hemispheres may even have different beliefs. For example, the neurologist V. S. Ramanchandran describes one split-brain patient who, when asked if he was a believer or not, said he was an atheist, but his right brain declared he was a believer. Apparently, it is possible to have two opposing religious beliefs residing in the same brain. Ramachandran continues: “If that person dies, what happens? Does one hemisphere go to heaven and the other go to hell? I don’t know the answer to that.

The village square teemed with life, swirling with vibrant colors and boisterous chatter. The entire village had gathered, celebrating the return of their ancestral spirit. Laughter and music filled the air, carrying with it an energy that made Kitsune smile. Paper lanterns of all colors floated lazily above, their delicate glow reflecting on the smiling faces below. Cherry blossoms caught in the playful breeze, their sweet, earthy scent settling over the scene. At the center, villagers danced with unbridled joy, the rhythm of the taiko drums and the melody of flutes guiding their steps. To the side, a large table groaned under the weight of a feast. Sticky rice balls, steamed dumplings, seaweed soup, sushi, and more filled the air with a mouthwatering aroma. As she approached the table, she was greeted warmly by the villagers, who offered her food, their smiles genuine and welcoming. She filled a plate and sat at a table with Goro and Sota, overlooking the celebration. The event brought back a flood of memories of a similar celebration from her childhood—a time when everything was much simpler and she could easily answer the question who are you? The memory filled her heart with a sweet sadness, a reminder of what she lost and what had carved the road to where she was now. Her gaze fell on the dancing villagers, but she wasn’t watching them. Not really. Her attention was fully embedded in her heart ache, longing for the past, for the life that was so cruelly ripped away from her. “I think... I think I might know how to answer your question,” she finally said, her voice soft and steady, barely audible over the cacophony of festivity around them. “Oh?” Goro responded, his face alight with intrigue. “I would have to tell you my story.” Kitsune’s eyes reflected the somber clouds of her past. Goro swallowed his bite of food before nodding. “Let us retire to the dojo, and you can tell me.” They retreated from the bustling square, leaving behind the chaos of the celebration. The sounds of laughter and chatter and drums carried away by distance. The dojo, with its bamboo and sturdy jungle planks, was bathed in the soft luminescence of the moonlight, the surface of its wooden architecture glistening faintly under the glow. They stepped into the silent tranquility of the building, and Kitsune made her way to the center, the smooth, cool touch of the polished wooden floor beneath her providing a sense of peace. Assuming the lotus position, she calmed herself, ready to speak of memories she hadn’t confronted in a long time. Not in any meaningful way at least. Across from her, Goro settled, his gaze intense yet patient, encouraging her with a gentle smile like he somehow already understood her story was hard to verbalize.

He gripped the sides of her body carefully, keeping her in place as he parted her with his tongue and stroked the sides of the soft furrow. Entranced by the vulnerable shaper of her, he lapped at the edges of softly unfurled lips and tickled them lightly. The delicate flesh was unbelievably hot, almost steaming. He blew a stream of cooling air over it, and relished the sound of her moan. Gently he licked up through the center, a long glide through silk and salty female dampness. She squirmed, her thighs spreading as he explored her with flicks and soft jabs. The slower he went, the more agitated she became. He paused to rest the flat of his tongue on the little pearl of her clitoris to feel its frantic throbbing, and she jerked and struggled to a half-sitting position. Pausing, Keir lifted his head. "What is it, muirninn?" Red-faced, gasping, she tried to pull him over her. "Make love to me." "'Tis what I'm doing," he said, and dove back down. "No- Keir- I meant now, right now-" She quivered as he chuckled into the dark patch of curls. "What are you laughing at?" she asked. "At you, my wee impatient bully." She looked torn between indignation and begging. "But I'm ready," she said plaintively. Keir tried to enter her with two fingers, but the tight, tender muscle resisted. "You're no' ready," he mocked gently. "Weesht now, and lie back. 'Tis one time you won't be having your way." He nuzzled between her thighs and sank his tongue deep into the heat and honey of her. She jerked at the feel of it, but he made a soothing sound and took more of the intimate flavor he needed, had to have, would never stop wanting. Moving back up to the little bud where all sensation centered, he sucked at it lightly until she was gasping and shaking all over. He tried to work two fingers inside her again, and this time they were accepted, her depths clenching and relaxing repeatedly. As he stroked her with his tongue, he found a rhythm that sent a hard quiver through her. He kept the pace steady and unhurried, making her work for it, making her writhe and arch and beg, and it was even better than he'd imagined, having her so wild beneath him, hearing her sweet little wanton noises. There was a suspended moment as it all caught up to her... she arched as taut as a drawn bow... caught her breath... and began to shudder endlessly. A deep and primal satisfaction filled him at the sounds of her pleasure, and the sweet pulsing around his fingers. He drew out the feeling, patiently licking every twitch and tremor until at last she subsided and went limp beneath him. Even then, he couldn't stop. It felt too good. He kept lapping gently, loving the salty, silky wetness of her. Her weak voice floated down to him... "Oh, God... I don't think... Keir, I can't..." He nibbled and teased, breathing hotly against the tender core. "Put your legs over my shoulders," he whispered. In a moment, she obeyed. He could feel the trembling in her thighs. A satisfied smile flicked across his mouth, and he pressed her hips upward to a new angle. Soon he'd have her begging again, he thought, and lowered his head with a soft growl of enjoyment.

Develop a rapid cadence. Ideal running requires a cadence that may be much quicker than you’re used to. Shoot for 180 footfalls per minute. Developing the proper cadence will help you achieve more speed because it increases the number of push-offs per minute. It will also help prevent injury, as you avoid overstriding and placing impact force on your heel. To practice, get an electronic metronome (or download an app for this), set it for 90+ beats per minute, and time the pull of your left foot to the chirp of the metronome. Develop a proper forward lean. With core muscles slightly engaged to generate a bracing effect, the runner leans forward—from the ankles, not from the waist. Land underneath your center of gravity. MacKenzie drills his athletes to make contact with the ground as their midfoot or forefoot passes directly under their center of gravity, rather than having their heels strike out in front of the body. When runners become proficient at this, the pounding stops, and the movement of their legs begins to more closely resemble that of a spinning wheel. Keep contact time brief. “The runner skims over the ground with a slithering motion that does not make the pounding noise heard by the plodder who runs at one speed,” the legendary coach Percy Cerutty once said.7 MacKenzie drills runners to practice a foot pull that spends as little time as possible on the ground. His runners aim to touch down with a light sort of tap that creates little or no sound. The theory is that with less time spent on the ground, the foot has less time to get into the kind of trouble caused by the sheering forces of excessive inward foot rolling, known as “overpronation.” Pull with the hamstring. To create a rapid, piston-like running form, the CFE runner, after the light, quick impact of the foot, pulls the ankle and foot up with the hamstring. Imagine that you had to confine your running stride to the space of a phone booth—you would naturally develop an extremely quick, compact form to gain optimal efficiency. Practice this skill by standing barefoot and raising one leg by sliding your ankle up along the opposite leg. Perform up to 20 repetitions on each leg. Maintain proper posture and position. Proper posture, MacKenzie says, shifts the impact stress of running from the knees to larger muscles in the trunk, namely, the hips and hamstrings. The runner’s head remains up and the eyes focused down the road. With the core muscles engaged, power flows from the larger muscles through to the extremities. Practice proper position by standing with your body weight balanced on the ball of one foot. Keep the knee of your planted leg slightly bent and your lifted foot relaxed as you hold your ankle directly below your hip. In this position, your body is in proper alignment. Practice holding this position for up to 1 minute on each leg. Be patient. Choose one day a week for practicing form drills and technique. MacKenzie recommends wearing minimalist shoes to encourage proper form, but not without taking care of the other necessary work. A quick changeover from motion-control shoes to minimalist shoes is a recipe for tendon problems. Instead of making a rapid transition, ease into minimalist shoes by wearing them just one day per week, during skill work. Then slowly integrate them into your training runs as your feet and legs adapt. Your patience will pay off.

As she explained to her students, patients often awoke from very bad illnesses or cardiac arrests, talking about how they had been floating over their bodies. “Mm-hmmm,” Norma would reply, sometimes thinking, Yeah, yeah, I know, you were on the ceiling. Such stories were recounted so frequently that they hardly jolted medical personnel. Norma at the time had mostly chalked it up to some kind of drug reaction or brain malfunction, something like that. “No, really,” said a woman who’d recently come out of a coma. “I can prove it.” The woman had been in a car accident and been pronounced dead on arrival when she was brought into the emergency room. Medical students and interns had begun working on her and managed to get her heartbeat going, but then she had coded again. They’d kept on trying, jump-starting her heart again, this time stabilizing it. She’d remained in a coma for months, unresponsive. Then one day she awoke, talking about the brilliant light and how she remembered floating over her body. Norma thought she could have been dreaming about all kinds of things in those months when she was unconscious. But the woman told them she had obsessive-compulsive disorder and had a habit of memorizing numbers. While she was floating above her body, she had read the serial number on top of the respirator machine. And she remembered it. Norma looked at the machine. It was big and clunky, and this one stood about seven feet high. There was no way to see on top of the machine without a stepladder. “Okay, what’s the number?” Another nurse took out a piece of paper to jot it down. The woman rattled off twelve digits. A few days later, the nurses called maintenance to take the ventilator machine out of the room. The woman had recovered so well, she no longer needed it. When the worker arrived, the nurses asked if he wouldn’t mind climbing to the top to see if there was a serial number up there. He gave them a puzzled look and grabbed his ladder. When he made it up there, he told them that indeed there was a serial number. The nurses looked at each other. Could he read it to them? Norma watched him brush off a layer of dust to get a better look. He read the number. It was twelve digits long: the exact number that the woman had recited. The professor would later come to find out that her patient’s story was not unique. One of Norma’s colleagues at the University of Virginia Medical Center at the time, Dr. Raymond Moody, had published a book in 1975 called Life After Life, for which he had conducted the first large-scale study of people who had been declared clinically dead and been revived, interviewing 150 people from across the country. Some had been gone for as long as twenty minutes with no brain waves or pulse. In her lectures, Norma sometimes shared pieces of his research with her own students. Since Moody had begun looking into the near-death experiences, researchers from around the world had collected data on thousands and thousands of people who had gone through them—children, the blind, and people of all belief systems and cultures—publishing the findings in medical and research journals and books. Still, no one has been able to definitively account for the common experience all of Moody’s interviewees described. The inevitable question always followed: Is there life after death? Everyone had to answer that question based on his or her own beliefs, the professor said. For some of her students, that absence of scientific evidence of an afterlife did little to change their feelings about their faith. For others,

On the evening of March 2, Dr. Yakov Rapoport was in his cell in Lefortovo Prison awaiting another torture session. He had been told that the hours for a “voluntary admission” of his guilt were running out. Stalin himself was following the course of his investigation, and was “displeased.” When his interrogator entered his cell, Rapoport was taken aback. He expected this was his end, but his torturer told him he needed his expert opinion. Would the doctor tell him what “Cheyne-Stokes respiration” was? Presumably Stalin’s doctors had ventured this as their diagnosis. Rapoport replied that it was “spasmodic, interrupted breathing,” found in infants and adults suffering “lesions of the respiratory centers in the brain . . . as in brain tumours, cerebral haemorrhages, uremia, or severe arteriosclerosis.” Could someone with such a condition recover? his interrogator asked. “In the majority of cases, death is inevitable,” Rapoport replied.11 He was asked to recommend a Moscow specialist to attend such a patient. He named eight specialists but said that, unfortunately, they were all in prison.

There are some infections that definitely require antibiotic treatment, but more often the need for antibiotics is a gray area. A study published in the journal Pediatrics found that pediatricians prescribed antibiotics 62 percent of the time when they perceived that parents expected them to be prescribed, and only 7 percent of the time when they thought parents didn’t, suggesting that the need for antibiotics is almost always optional. It’s not just children who are being overtreated. Two out of every three adults who see a health practitioner for cold or flu symptoms are prescribed antibiotics, which 80 percent of the time don’t meet Centers for Disease Control and Prevention (CDC) guidelines for antibiotic therapy. When I ask my patients about previous antibiotic use, they usually respond that they took “a normal amount,” but after I have them add up every prescription, they’re often shocked to realize just how much “normal” really is.

Best orthopedical surgeons at Hip Surgery Center of Excellence formulate personalized treatment plans for patients with all differing kinds of hip conditions. Learn about hip dislocation and how to treat it. Contact the hip surgeons at the Hip Surgery Center of Excellence by calling 888.760.3378 today.

Freud saw that a patient in analysis developed a peculiarly intense attachment to the person of the analyst. The analyst became literally the center of his world and his life; he devoured him with his eyes, his heart swelled with joy at the sight of him; the analyst filled his thoughts even in his dreams. The whole fascination has the elements of an intense love affair, but it is not limited to women. Men show the “same attachment to the physician, the same overestimation of his qualities, the same adoption of his interest, the same jealousy against all those connected with him.”6 Freud saw that this was an uncanny phenomenon, and in order to explain it he called it “transference.” The patient transfers the feelings he had towards his parents as a child to the person of the physician. He blows the physician up larger than life just as the child sees the parents. He becomes as dependent on him, draws protection and power from him just as the child merges his destiny with the parents, and so on.

God’s plan has always been centered on the gathering of a peculiar people who will embody God’s reconciliation.

Experiencing Christ’s Love For I am persuaded that neither death nor life, nor angels nor principalities nor powers, nor things present nor things to come, nor height nor depth, nor any other created thing, shall be able to separate us from the love of God which is in Christ Jesus our Lord. Romans 8:38-39 NKJV How much does Christ love us? More than we, as mere mortals, can comprehend. His love is perfect and steadfast. Even though we are fallible and wayward, the Good Shepherd cares for us still. Even though we have fallen far short of the Father’s commandments, Christ loves us with a power and depth that are beyond our understanding. The sacrifice that Jesus made upon the cross was made for each of us, and His love endures to the edge of eternity and beyond. Christ is the ultimate Savior of mankind and the personal Savior of those who believe in Him. As His servants, we should place Him at the very center of our lives. And, every day that God gives us breath, we should share Christ’s love and His message with a world that needs both. Christ’s love changes everything. When you accept His gift of grace, you are transformed, not only for today, but also for all eternity. If you haven’t already done so, accept Jesus Christ as your Savior. He’s waiting patiently for you to invite Him into your heart. Please don’t make Him wait a single minute longer. It is when we come to the Lord in our nothingness, our powerlessness and our helplessness that He then enables us to love in a way which, without Him, would be absolutely impossible. Elisabeth Elliot The love of Christ is a fierce thing. It can take the picture you have of yourself and burn it in the fire of His loving eyes, replacing it with a true masterpiece. Sheila Walsh Live your lives in love, the same sort of love which Christ gives us, and which He perfectly expressed when He gave Himself as a sacrifice to God. Corrie ten Boom Blessed assurance, Jesus is mine! O what a foretaste of glory divine! Fanny Crosby Christ is with us, and the warmth is contagious. Joni Eareckson Tada To a world that was spiritually dry and populated with parched lives scorched by sin, Jesus was the Living Water who would quench the thirsty soul, saving it from “bondage” and filling it with satisfaction and joy and

The approach of mortality isn’t essentially a medical challenge. It’s a highly personal one, centering on individual choice and priorities. The important lesson of Being Mortal is that patient well-being, not mere survival, is the proper object of care, and that “well-being is about the reasons one wishes to be alive.

They had met through the Cancer Center. Vivian had used her connection with Laura, who was on the center’s board of directors, to get him access to candidates to carry the phones on the planes. He needed men who were terminally ill and had financial worries. Vivian had told Laura that a fellow Carnegie Mellon alumnus wanted to set up a fund to help cancer patients with their expenses.

They live their day to day existence in their confined environment by passing the time either sitting around the dayroom, reading, drawing, painting, watching television, listening to music, doing puzzles, or sleeping in the dormitory. Quite often patients sit near the windows and stare outside to a world that seems both foreign and out of reach to them. Some just sit on the floor, while leaning against the wall, due to a limited amount of proper seating.

Each of these patients counts on us to help them to the best of our abilities. We have an obligation to them. We shouldn’t turn our backs on them and give up. It’s not fair to them, nor is it fair to ourselves.