Taking Medication Quotes

I’m here. I love you. I don’t care if you need to stay up crying all night long, I will stay with you. If you need the medication again, go ahead and take it—I will love you through that, as well. If you don’t need the medication, I will love you, too. There’s nothing you can ever do to lose my love. I will protect you until you die, and after your death I will still protect you. I am stronger than Depression and I am braver than Loneliness and nothing will ever exhaust me.

Listen to the people who love you. Believe that they are worth living for even when you don't believe it. Seek out the memories depression takes away and project them into the future. Be brave; be strong; take your pills. Exercise because it's good for you even if every step weighs a thousand pounds. Eat when food itself disgusts you. Reason with yourself when you have lost your reason.

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

It is mainly the soluble fiber and magnesium that lowered the author's fasting pre-diabetes blood glucose to 90s and 100s without taking medication

One of the things that baffles me (and there are quite a few) is how there can be so much lingering stigma with regards to mental illness, specifically bipolar disorder. In my opinion, living with manic depression takes a tremendous amount of balls. Not unlike a tour of Afghanistan (though the bombs and bullets, in this case, come from the inside). At times, being bipolar can be an all-consuming challenge, requiring a lot of stamina and even more courage, so if you're living with this illness and functioning at all, it's something to be proud of, not ashamed of. They should issue medals along with the steady stream of medication.

I was able to shake off the near-death experience, and whether it was true or not, I was able to use it as some sort of moral validation as to the importance of my existence, or at least the importance of me completing this job, because clearly God, the universe or whoever understood that there was no other human being alive on this earth stupid enough to take this job.

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

It's difficult. I take a low dose of lithium nightly. I take an antidepressant for my darkness because prayer isn't enough. My therapist hears confession twice a month, my shrink delivers the host, and I can stand in the woods and see the world spark.

No event is depressing. I may feel depressed; if so, I take responsibility.

So tonight I reach for my journal again. This is the first time I’ve done this since I came to Italy. What I write in my journal is that I am weak and full of fear. I explain that Depression and Loneliness have shown up, and I’m scared they will never leave. I say that I don’t want to take the drugs anymore, but I’m frightened I will have to. I am terrified that I will never really pull my life together. In response, somewhere from within me, rises a now-familiar presence, offering me all the certainties I have always wished another person would say to me when I was troubled. This is what I find myself writing on the page: I’m here. I love you. I don’t care if you need to stay up crying all night long. I will stay with you. If you need the medication again, go ahead and take it—I will love you through that, as well. If you don’t need the medication, I will love you, too. There’s nothing you can ever do to lose my love. I will protect you until you die, and after your death I will still protect you. I am stronger than Depression and Braver than Loneliness and nothing will ever exhaust me. Tonight, this strange interior gesture of friendship—the lending of a hand from me to myself when nobody else is around to offer solace—reminds me of something that happened to me once in New York City. I walked into an office building one afternoon in a hurry, dashed into the waiting elevator. As I rushed in, I caught an unexpected glance of myself in a security mirror’s reflection. In that moment, my brain did an odd thing—it fired off this split-second message: “Hey! You know her! That’s a friend of yours!” And I actually ran forward toward my own reflection with a smile, ready to welcome that girl whose name I had lost but whose face was so familiar. In a flash instant of course, I realized my mistake and laughed in embarrassment at my almost doglike confusion over how a mirror works. But for some reason that incident comes to mind again tonight during my sadness in Rome, and I find myself writing this comforting reminder at the bottom of the page. Never forget that once upon a time, in an unguarded moment, you recognized yourself as a FRIEND… I fell asleep holding my notebook pressed against my chest, open to this most recent assurance. In the morning when I wake up, I can still smell a faint trace of depression’s lingering smoke, but he himself is nowhere to be seen. Somewhere during the night, he got up and left. And his buddy loneliness beat it, too.

Suddenly I wanted to get better. Mania wasn't fun anymore. It wasn't creative or visionary. It was mean parody at best, a cheap chemical trick. I needed to stop and get better. I'd take whatever they gave me, I pledged silently. I'd take Trilafon or Thorazine or whatever. I just wanted to sleep.

The last act was to infect me with nightmares and paranoid delusions that would take years of therapy and metabolism-wrecking medications to rout out.

Real miracles bother people, like strange sudden pains unknown in medical literature. It's true: They rebut every rule all we good citizens take comfort in. Lazarus obeying orders and climbing up out of the grave - now there's a miracle, and you can bet it upset a lot of folks who were standing around at the time. When a person dies, the earth is generally unwilling to cough him back up. A miracle contradicts the will of the earth.

And when, after fifteen years of bingeing, barfing, starving, needles and tubes and terror and rage, and medical crises and personal failure and loss after loss - when, after all this, you are in your early twenties and staring down a vastly abbreviated life expectancy, and the eating disorder still takes up half your body, half your brain, with its invisible eroding force, when you have spent the majority of your life sick, when you do not yet know what it means to be 'well,' or 'normal,' when you doubt that those words even have meaning anymore, there are still no answers. You will die young, and you have no way to make sense of that fact. You have this: You are thin.

Simon whispered to me, “But is everything okay?” “No,” Tori said. “I kidnapped her and forced her to escape with me. I’ve been using her as a human shield against those guys with guns, and I was just about to strangle her and leave her body here to throw them off my trail. But then you showed up and foiled my evil plans. Lucky for you, though. You get to rescue poor little Chloe again and win her undying gratitude.” “Undying gratitude?” Simon looked at me. “Cool. Does that come with eternal servitude? If so, I like my eggs sunnyside up.” I smiled. “I’ll remember that.” *** “Oh, right. You must be starving.” Simon reached into his pockets. “I can offer one bruised apple and one brown banana. Convenience stores aren’t the place to buy fruit, as I keep telling someone.” “Better than these. For you, anyway, Simon.” Derek passed a bar to Tori. “Because you aren’t supposed to have those, are you?” I said. “Which reminds me…” I took out the insulin. “Derek said it’s your backup.” “So my dark secret is out.” “I didn’t know it was a secret.” “Not really. Just not something I advertise.” ... “Backup?” Tori said. “You mean he didn’t need that?” “Apparently not,” I murmured. Simon looked from her to me, confused, then understanding. “You guys thought…” “That if you didn’t get your medicine in the next twenty-four hours, you’d be dead?” I said. “Not exactly, but close. You know, the old ‘upping the ante with a fatal disease that needs medication’ twist. Apparently, it still works.” “Kind of a letdown, then, huh?” “No kidding. Here we were, expecting to find you minutes from death. Look at you, not even gasping.” “All right, then. Emergency medical situation, take two.” He leaped to his feet, staggered, keeled over, then lifted his head weakly. “Chloe? Is that you?” He coughed. “Do you have my insulin?” I placed it in his outstretched hand. “You saved my life,” he said. “How can I ever repay you?” “Undying servitude sounds good. I like my eggs scrambled.” He held up a piece of fruit. “Would you settle for a bruised apple?” I laughed.

My eyelids flickered open again and focused on Daemon. He had his eyes closed as he leaned his head against the wall but I knew he was listening to everything. Dee talked about taking me home if my mom couldn’t leave. I was struck again by the twins. Daemon and Dee didn’t belong here, but I did. I could blend easily with the whitewashed walls and pale green curtains. I was as plain as the linoleum, but these two seemed to light the room with their flawless beauty and demanding presence. Ah, the medication was kicking in. I was poetic. And high. Bliss.

Today I hit rock bottom but didn’t busy myself with activity to take my mind off it, like I usually do. I allowed myself to sink as deep as possible. It’s like an infection: let it run its course and be done with it. Rising, I felt cleansed.

Who are you and what medications aren't you taking?" Finn said.

The medical community is not particularly interested in taking the pain of women seriously.

Remember that the best medical treatment is a sense of relativism. No matter how badly you might feel, take comfort in knowing there's someone who feels much worse.

I have bipolar 2 disorder, anxiety disorder, and ADHD. I take my medications every day. I go to therapy every week. I hope, one day, I can be on the other side of therapy - you know, like the one who gets to write stuff down and shakes her head and listens.

I don't want to get involved in this," Jason said, cutting him off. He moved to step past the man only to pause. "Just....just make sure she takes her medication and you should be safe, I mean fine." Jason quickly walked away before he burst into laughter at his friend's horrified expression. 

Love is not enough. It takes courage to grab my father's demon, my own, or - God help me - my child's and strap it down and stop its mad jig; to sit in a row of white rooms filled with pills and clubbed dreamers and shout: stop smiling, shut up; shut up and stop laughing; you're sitting in hell. Stop preaching; stop weeping. You are a manic-depressive, always. your life is larger than most, unimaginable. You're blessed; just admit it and take the damn pill.

You look drugged within an inch of your life," Neil said, "and when you're not medicated you're drinking and dusting. When they finally take your medicine away, who are you going to hurt, really?" Andrew laughed. "I'm remembering why I don't like you." "I'm surprised you forgot." "I didn't," Andrew said. "I just got distracted for a moment there.

Xanax can be addictive. Opioids can be fatal. There are medications intended for only eight weeks of use, yet people take them for years. And what is all this about?…. Money.

Since I am writing a book about depression, I am often asked in social situations to describe my own experiences, and I usually end by saying that I am on medication. “Still?” people ask. “But you seem fine!” To which I invariably reply that I seem fine because I am fine, and that I am fine in part because of medication. “So how long do you expect to go on taking this stuff?” people ask. When I say that I will be on medication indefinitely, people who have dealt calmly and sympathetically with the news of suicide attempts, catatonia, missed years of work, significant loss of body weight, and so on stare at me with alarm. “But it’s really bad to be on medicine that way,” they say. “Surely now you are strong enough to be able to phase out some of these drugs!” If you say to them that this is like phasing the carburetor out of your car or the buttresses out of Notre Dame, they laugh. “So maybe you’ll stay on a really low maintenance dose?” They ask. You explain that the level of medication you take was chosen because it normalizes the systems that can go haywire, and that a low dose of medication would be like removing half of your carburetor. You add that you have experienced almost no side effects from the medication you are taking, and that there is no evidence of negative effects of long-term medication. You say that you really don’t want to get sick again. But wellness is still, in this area, associated not with achieving control of your problem, but with discontinuation of medication. “Well, I sure hope you get off it sometime soon,” they say.

We listen to the small voice in the back of our head that says, “This medication is taking money away from your family. This medication messes with your sex drive or your weight. This medication is for people with real problems. Not just people who feel sad. No one ever died from being sad.” Except that they do.

If you don't take good care of your credit, then your credit won't take good care of you.

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

Lessons of the balance. 1. The relentless pursuit of pleasure and avoidance of pain, leads to pain. 2. Recovery begins with abstinence 3. Abstinence rests the brains reward pathway and with it our capacity to take joy and simpler pleasures. 4. Self-binding creates literal and metacognitive space between desire and consumption, a modern necessity in our dopamine overloaded world. 5. Medications can restore homeostasis, but consider what we lose by medicating away our pain. 6. Pressing on the pain side, resets our balance to the side of pleasure. 7. Beware of getting addicted to pain. 8. Radical honesty promotes awareness, enhances intimacy and fosters a plenty mindset. 9. Prosocial shame affirms that we belong to the human tribe. 10. Instead of running away from the world, we can find escape by immersing ourselves in it.

A bunch of people are gonna be mad at me, I’ve got some kind of medical issue that’s going to kill me in a while if I don’t deal with it, oh, and the island’s blowing up tomorrow and taking a whole lot of the country with it if I don’t fix it.” Thomas gave me a steady look. “So,” he said. “Same old, same old.

It is not depression or anxiety that truly hurts us. It is our active resistance against these states of mind and body. If you wake up with low energy, hopeless thoughts, and a lack of motivation - that is a signal from you to you. That is a sure sign that something in your mind or in your life is making you sick, and you must attend to that signal. But what do most people do? They hate their depressed feelings. They think "Why me?" They push them down. They take a pill. And so, the feelings return again and again, knocking at your door with a message while you turn up all the noise in your cave, refusing to hear the knocks. Madness. Open the door. Invite in depression. Invite anxiety. Invite self-hatred. Invite shame. Hear their message. Give them a hug. Accept their tirades as exaggerated mistruths typical of any upset person. Love your darkness and you shall know your light.

I've been accustomed to mysteries, holy and otherwise, since I was a child. Some of us care for orphans, amass fortunes, raise protests or Nielsen ratings; some of us take communion or whiskey or poison. Some of us take lithium and antidepressants, and most everyone believes these pills are fundamentally wrong, a crutch, a sign of moral weakness, the surrender of art and individuality. Bullshit. Such thinking guarantees tradgedy for the bipolar. Without medicine, 20 percent of us, one in five, will commit suicide. Six-gun Russian roulette gives better odds. Denouncing these medicines makes as much sense as denouncing the immorality of motor oil. Without them, sooner or later the bipolar brain will go bang. I know plenty of potheads who sermonize against the pharmaceutical companies; I know plenty of born-again yoga instructors, plenty of missionaries who tell me I'm wrong about lithium. They don't have a clue.

That if you didnt get your medicine in the next twenty-four hours you'd be dead?" i said, " Not exactly, but close. you know, the old ' upping the ante with a fatal disease that needs medication twist. APerently it still works." "Kind of a letdown, then, huh?" "No kidding. Look at you, your not even gasping." " All right then, emergency medical situation, take two." he leaped to his feet, stagored, kneeled over, then lifted his head weakly. Chloe? Is that you?" he couphed, " DO you have my insulin?" i placed it in his outstreched hand. "You savedmy life, how can i ever repay you?" he said. "undying servitude sounds good. i like my eggs scrambled." he held up a piece of fruit, "Would you settle for a bruised apple?" i lauphed. "YOu guys are wierd." tori said. simon sat on the crate beside me. "thats right. we are totally wierd and completely uncool. you popularity is plummeting just by being near us. so why dont you-" "Chloe?" derek inturupted. "Hows your arm?" "HEr-?" simon swore under his breath. "Way to keep showing me up. first food. now her arm" he turned to me"How is it?

Yeah, I'm just a medical marvel, and I'm taking my marvelous ass home.

Why would you take a drug that is guaranteed to kill you in forty years? One reason, right? It's the only thing that will stop you dying tomorrow.

[T]he truth is that drug addicts have a disease. It only takes a short time in the streets to realize that out-of-control addiction is a medical problem, not a form of recreational or criminal behavior. And the more society treats drug addiction as a crime, the more money drug dealers will make "relieving" the suffering of the addicts.

A sad fact, of course, about adult life is that you see the very things you'll never adapt to coming toward you on the horizon. You see them as the problems they are, you worry like hell about them, you make provisions, take precautions, fashion adjustments; you tell yourself you'll have to change your way of doing things. Only you don't. You can't. Somehow it's already too late. And maybe it's even worse than that: maybe the thing you see coming from far away is not the real thing, the thing that scares you, but its aftermath. And what you've feared will happen has already taken place. This is similar in spirit to the realization that all the great new advances of medical science will have no benefit for us at all, thought we cheer them on, hope a vaccine might be ready in time, think things could still get better. Only it's too late there too. And in that very way our life gets over before we know it. We miss it. And like the poet said: The ways we miss our lives are life.

One of the symptoms of approaching nervous breakdown is the belief that one's work is terribly important, and that to take a holiday would bring all kinds of disaster. If I were a medical man, I should prescribe a holiday to any patient who considered his work important.

If nothing I say sparks any thoughts or identification, it’s possible you’re taking too much medication. If it’s the greatest talk you’ve ever heard, you’re not taking enough.

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

The ship was sinking---and sinking fast. The captain told the passengers and crew, "We've got to get the lifeboats in the water right away." But the crew said, "First we have to end capitalist oppression of the working class. Then we'll take care of the lifeboats." Then the women said, "First we want equal pay for equal work. The lifeboats can wait." The racial minorities said, "First we need to end racial discrimination. Then seating in the lifeboats will be allotted fairly." The captain said, "These are all important issues, but they won't matter a damn if we don't survive. We've got to lower the lifeboats right away!" But the religionists said, "First we need to bring prayer back into the classroom. This is more important than lifeboats." Then the pro-life contingent said, "First we must outlaw abortion. Fetuses have just as much right to be in those lifeboats as anyone else." The right-to-choose contingent said, "First acknowledge our right to abortion, then we'll help with the lifeboats." The socialists said, "First we must redistribute the wealth. Once that's done everyone will work equally hard at lowering the lifeboats." The animal-rights activists said, "First we must end the use of animals in medical experiments. We can't let this be subordinated to lowering the lifeboats." Finally the ship sank, and because none of the lifeboats had been lowered, everyone drowned. The last thought of more than one of them was, "I never dreamed that solving humanity's problems would take so long---or that the ship would sink so SUDDENLY.

All right, then. Emergency medical situation, take two.” He leaped to his feet, staggered, keeled over, then lifted his head weakly. “Chloe? Is that you?” He coughed. “Do you have my insulin?” I placed it in his outstretched hand. “You saved my life,” he said. “How can I ever repay you?” “Undying servitude sounds good. I like my eggs scrambled.” He held up a piece of fruit. “Would you settle for a bruised apple?” I laughed.

I was not taking [my prescription] quite as often as I was technically supposed to. Partly, I kept forgetting, but also there was something else I couldn't quite identify, some way-down fear that taking a pill to become myself was wrong.

People don’t often mention God these days. God has become a taboo subject that you only refer to when heartache takes over your life. The rest of the time the idea of God lies dormant in people’s minds, like a pack of medication in a dark drawer.

One of the first things we teach medical students is to listen to the patient by taking a careful medical history. Ninety percent of the time, you can arrive at an uncannily accurate diagnosis by paying close attention, using physical examination and sophisticated lab test to confirm your hunch (and to increase the bill to the insurance company).

The drug I take is called schizophrenia, among other labels, which I desperately want to put away. I want to put the drug of schizophrenia down, and I want to put down the stigma surrounding its label.

The three primary risk factors for falling are poor balance, taking more than four prescription medications, and muscle weakness.

The stigma of chronic pain is one of the most difficult aspects of living with chronic pain. If you have chronic pain, people can sometimes judge you for it. Specifically, they can sometimes disapprovingly judge you for how you are coping with it. If you rest or nap because of the pain, they think you rest or nap too much. If they catch you crying, they become impatient and think you cry too much. If you don’t work because of the pain, you face scrutiny over why you don’t. If you go to your healthcare provider, they ask, “Are you going to the doctor again?” Maybe, they think that you take too many medications. In any of these ways, they disapprove of how you are coping with pain. These disapproving judgments are the stigma of living with chronic pain.

Take me back," I tell him, shifting a little. The world tilts and steadies all at once. "Alert the medics and have a bed prepared for our arrival. In the meantime, elevate my arm and continue applying direct pressure to the wound. The bullet has broken or fractured something, and this will require surgery.

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

Sometimes, this disapproval of how you are managing your pain crosses over to disbelief that you are in as much pain as you say you are. They don’t believe that your pain is a legitimate enough reason to rest or nap or cry or take narcotic medications or not go to work or to go to the doctor. They might think that you are making too big of a deal out of it. They doubt the legitimacy of the pain itself. This kind of stigma is the source of the dreaded accusation that chronic pain is “all in your head.” It’s as if to say that you are making a mountain out of a molehill.

You need to be healthy. You don’t need to be thin. You don’t need to be a certain size or shape or look good in a bikini. You need to be able to run without feeling like you’re going to puke. You need to be able to walk up a flight of stairs without getting winded. You need to drink half your body weight in ounces of water every single day. You need to stretch and get good sleep and stop medicating every ache and pain. You need to stop filling your body with garbage like Diet Coke and fast food and lattes that are a million and a half calories. You need to take in fuel for you body that hasn't been processed and fuel for you mind that is positive and encouraging. You need to get up off the sofa or out of the bed and move around. Get out of the fog that you have been living in and see your life for what it is.

Girl, get ahold of your life. Stop medicating, stop hiding out, stop being afraid, stop giving away pieces of yourself, stop saying you can’t do it. Stop the negative self-talk, stop abusing your body, stop putting it off for tomorrow or Monday or next year. Stop crying about what happened and take control of what happens next. Get up, right now. Rise up from where you’ve been, scrub away the tears and the pain of yesterday, and start again . . . Girl, wash your face!

Drug companies are spending billions of dollars to turn normal human experiences like fear or sadness into medical diseases. They aren’t developing cures; they’re creating customers.

We are not men. We are women. We feel more deeply, express our emotions more frequently, and get moody monthly. It’s normal. It’s nature’s way. And we don’t necessarily have to medicate away the essence of who we are to make others more comfortable.

You wanted to become a doctor to help people and feel better at the end of your job, I think, watching them, as the nurse takes my hand. But I don't think you do feel better at the end of the day. You look like humans have constantly disappointed you.

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

I'm taking inorganic chem and physics not because I want to but because I have to. Not every doctor wants to be a scientist. Some of us just want to take care of sick people. I can't help thinking that medicine is more closely aligned to the humanities than to the sciences. I can't help thinking that I could learn more about being a good doctor from William Shakespeare than I could from Isaac Newton. After all, isn't understanding people at least as important as understanding pathology?

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

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

We both laugh. I like the sound of my mother’s laugh. I wish she’d found these pills when I was a kid, that I wasn’t learning the sound of my mother’s laughter at the age of thirty-seven and at the price of a traumatic brain injury. I look over at her pillbox. It suddenly occurs to me that she took many more pills than should be prescribed solely for depression. What else could she be taking medication for? I wonder.

Brains are like toddlers. They are wonderful and should be treasured, but that doesn’t mean you should trust them to take care of you in an avalanche or process serotonin effectively.

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

It's an unfortunate word, 'depression', because the illness has nothing to do with feeling sad, sadness is on the human palette. Depression is a whole other beast. It's when your old personality has left town and been replaced by a block of cement with black tar oozing through your veins and mind. This is when you can't decide whether to get a manicure or jump off a cliff. It's all the same. When I was institutionalised I sat on a chair unable to move for three months, frozen in fear. To take a shower was inconceivable. What made it tolerable was while I was inside, I found my tribe - my people. They understood and unlike those who don't suffer, never get bored of you asking if it will ever go away? They can talk medication all hours, day and night; heaven to my ears.

It is simply no longer possible to believe much of the clinical research that is published, or to rely on the judgment of trusted physicians or authoritative medical guidelines. I take no pleasure in this conclusion, which I reached slowly and reluctantly over my two decades as an editor of the New England Journal of Medicine.

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

Racism is both overt and covert. It takes two, closely related forms: individual whites acting against individual blacks, and acts by the total white community against the black community. We call these individual racism and institutional racism. The first consists of overt acts by individuals, which cause death, injury or the violent destruction of property. This type can be recorded by television cameras; it can frequently be observed in the process of commission. The second type is less overt, far more subtle, less identifiable in terms of specific individuals committing the acts. But it is no less destructive of human life. The second type originates in the operation of established and respected forces in the society, and thus receives far less public condemnation than the first type. When white terrorists bomb a black church and kill five black children, that is an act of individual racism, widely deplored by most segments of the society. But when in that same city - Birmingham, Alabama - five hundred black babies die each year because of the lack of proper food, shelter and medical facilities, and thousands more are destroyed and maimed physically, emotionally and intellectually because of conditions of poverty and discrimination in the black community, that is a function of institutional racism. When a black family moves into a home in a white neighborhood and is stoned, burned or routed out, they are victims of an overt act of individual racism which many people will condemn - at least in words. But it is institutional racism that keeps black people locked in dilapidated slum tenements, subject to the daily prey of exploitative slumlords, merchants, loan sharks and discriminatory real estate agents. The society either pretends it does not know of this latter situation, or is in fact incapable of doing anything meaningful about it.

Look, the easiest thing in the world is to cut and run. From anything, not just relationships. It neatly avoids taking responsibility for things, learning lessons that have to be learned at some point, reinforces blame, and, in my case at least, ensured I would simply repeat the same shit with someone else.

the basis of my vegetarianism is not physical, but moral. If anybody said that I should die if I did not take beef tea or mutton, even on medical advice, I would prefer death.

She was taking a round of medications, a mystical wheel, the ritualistic design of the hours and days in tablets and capsules, in colors, shapes and numbers.

Medication can make a bad situation tolerable and mask the need for change.

If you have a disease of the old society, take a dose of Lenin as medication.

The addiction crisis is terrifying, and many people don’t comprehend appropriate opioid use. When I first started taking pain medication, I remember a family member saying, “Dianne, you’re going to become an addict!” We need to help people understand that taking pain medicine to maximize one’s ability to be productive and to sustain enriching relationships is very different than the disease of addiction, which limits one’s ability to contribute to society and maintain healthy habits.

Do you think it was my fault that she drank?" my father asked not long ago. It's the assumption of an amateur, someone who stops after his second vodka tonic and quits taking his pain medication before the prescription runs out. It's almost laughable, this insistence on a reason. I think my mother was lonely without her children—her fan club. But I think she drank because she was an alcoholic.

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN = Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

Ella finished her burger and dug into a side of fries. Hi watched, enraptured. She couldn't help but notice. “Would you like one?” “What? Sure.” Hi smiled, made no move. After a moment, Ella nudged the bowl his way. “Careful, they're still hot.” “Oh, no problem.” Hi fumbled for a fry. “I like food that's hot.” I caught Shelton slowly shaking his head. “Oh, shoot!” Ella winced. “I forgot to stop by the office. My mother had to drop off my shin guards.” She slid her fries over to Hi. “Enjoy. They're hot, which apparently you like.” “Got that right. Hot hot hot!” Hi awkwardly shoved another fry into his mouth. “Okay, wow.” Ella gathered her things, then brushed my cheek with a kiss. “Later, Tor.” Shouldering her bag, she hurried from the cafeteria. A loud thunk drew my attention back to the table. Hi's forehead was resting on his tray. “Tell me that wasn't as bad as I think.” “Worse,” Shelton said. “So, so much worse.” Then head rose, then thunked back down. “I don't remember parts. I think I lost time.” I patted his shoulder. “That's probably for the best.” “Such.” Thunk. “A.” Thunk. “Dumbass.” Thunk. Shelton laughed nervously. “See? That's why I don't talk.” Hi's face shot up. “Tell her I have brain seizures. A serious medical condition. Or that I have an evil twin who sometimes takes my place, but can't talk for crap.” “Got it," I promised. His head dropped once more.

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

Our society assigns us a tiny number of roles: We're producers of one thing at work, consumers of a great many things all the rest of the time, and then, once a year or so, we take on the temporary role of citizen and cast a vote. Virtually all our needs and desires we delegate to specialists of one kind or another - our meals to the food industry, our health to the medical profession, entertainment to Hollywood and the media, mental health to the therapist or the drug company, caring for nature to the environmentalist, political action to the politician, and on and on it goes. Before long it becomes hard to imagine doing much of anything for ourselves - anything, that is, except the work we do "to make a living." For everything else, we feel like we've lost the skills, or that there's someone who can do it better... it seems as though we can no longer imagine anyone but a professional or an institution or a product supplying our daily needs or solving our problems.

Backup?" Tori said. "You mean he didn't need that?" "Apparently not," I murmured. Simon looked from her to me, confused, then understanding. "You guys thought..." "That if you didn't get your medicine in the next twenty-four hours, you'd be dead?" I said. "Not exactly, but close. You know, the old 'upping the ante with a fatal disease that needs medication' twist. Apparently, it still works." "Kind of a letdown, then, huh?" "No kidding. Here we were, expecting to find you minutes from death. Look at you, not even gasping." "All right, then. Emergency medical situation, take two." He leaped to his feet, staggered, keeled over, then lifted his head weakly. "Chloe? Is that you?" He coughed. "Do you have my insulin?" I placed it in his outstretched hand. "You saved my life," he said. "How can I ever repay you?" "Undying servitude sounds good. I like my eggs scrambled." He held up a piece of fruit. "Would you settle for a bruised apple?

Do you have some sort of anti-derangement medication? If so, you might wish to take it.

The average seventy-five-year-old suffers from three chronic medical conditions and takes five prescription medicines,

Our culture treats people with depression is as if there is something wrong with them; a biological imbalance best treated with medication. But if it’s impossible to understand biology outside the context of environment, and there is a frightening increase in male suicide and depression, perhaps we need to take a closer look at the other variable - our environment.

Her mouth was cut, her left eye already beginning to swell. There was raw color along her cheekbone. He managed to take a full, almost easy breath. "You're going to have a hell of a bruise." "I've had them before." The medication was seeping in, turning pain into a mist. She only smiled when he stripped her to the waist and began checking for other injuries. "You've got great hands. I love when you touch me. Nobody ever touched me like that. Did I tell you?" "No." And he doubted she'd remember she was telling him now. He'd make sure to remind her. "And you're so pretty. So pretty," she repeated, lifting a bleeding hand to his face. "I keep wondering what you're doing here." He took her hand, wrapped a cloth gently around it. "I've asked myself the same question." She grinned foolishly, let herself float. Need to file my report, she thought hazily. Soon. "You don't really think we're going to make anything out of this, do you? Roarke and the cop?" "I guess we'll have to find out.

There is a razor-thin line between trying to find something usefully redemptive in illness and lying to ourselves about the nature of suffering. Until we mourn what is lost in illness—and until we have a medical community that takes seriously the suffering of patients—we should not celebrate what is gained in it.

What Chloe actually did to cope was take her medication religiously, write fanciful lists, play The Sims, and live through it. Sometimes it was hard, but she managed by whatever means necessary.

The calcium in your bones came from a star. We are all made from recycled bits and pieces of the universe. This matters because origins matter. For example, if you were born to a reigning monarch but kidnapped by the black market baby underground shortly after birth and sent to America where you were raised by common, unremarkable people from Ohio, and when you were in your thirties working as a humble UPS driver, dignitaries landed their helicopter on the roof of your crummy apartment building and informed you of their thirty-plus year search for you, His Royal Highness, the course of your life might change. You know? Our familial genetic origins -medical histories- inform us of medical conditions which exist in our families and when we know about these specific conditions, we can sometimes take certain actions to prevent them. Which is why I think it’s important to consider that billions of years before we were students and mothers and dog trainers and priests, we were particles that would form into star after star after star until forever passed, and instead of a star what formed was life; simplistic, crude, miraculous. And after another infinity, there we were. And this is why for you, anything is possible. Because you are made out of everything.

The medication is doing its chemical work inside his brain now anyway, no matter what he does or says. He gets up and showers every morning, he turns up for work in the library, he doesn’t really fantasize about jumping off a bridge. He takes the medication, life goes on.

PTSD seems to have an even higher prevalence and greater severity following violence or disaster that is man-made; natural disasters, "acts of God," seem somehow easier to accept. (...). This is the case with acute stress reactions, too: I see it often with my patients in hospital, who can show extraordinary courage and calmness in facing the most dreadful diseases but fly into a rage if a nurse is late with a bedpan or a medication. The amorality of nature is accepted, whether it takes the form of a monsoon, an elephant in musth, or a disease; but being subjected helplessly to the will of others is not, for human behavior always carries (or is felt to carry) a moral charge.

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

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

If you submit an article to a major refereed clinical journal and it is accepted upon first submission without a single revision, let me know and I will take you to dinner the next time you are in Portland, Oregon.

No two bodies will decompose in the same way, and at the same rate. You can have two bodies that are literally six feet apart and they will decompose in entirely different manners. It could be the amount of fat on the body. It could be the drugs they were taking, or the medication. It could be the type of clothing they’re wearing. It could be that one has a particular odour that is more attractive to flies than the other. Absolutely anything.

Government agencies are trying to get doctors to cut back on prescribing opioids. I understand that they need to do something about the epidemic of overdoses. However, labeling everyone as addicts, including those who responsibly take opioids for chronic pain, is not the answer. If the proposed changes take effect, they would force physicians to neglect their patients. Moreover, legitimate pain patients, like myself, would be left in agony on a daily basis.

By the nineteenth century, society had given up burning witches. Yet the sexual exploitation of children continued. In late-nineteenth-century Britain, for example, men who raped young girls were excused because they did it to cure venereal disease. There was a widely held belief that children would take "poisons" out of the body. In fact, leprosy, venereal disease, depression, and impotence were part of a wide range of maladies believed cured by having sex with the young. An English medical text of the time reads, "Breaking a maiden's seal is one of the best antidotes for one's ills. Cudgeling her unceasingly, until she swoons away, is a mighty remedy for man's depression. It cures all impotence.

I remember going to the British Museum one day to read up the treatment for some slight ailment of which I had a touch – hay fever, I fancy it was. I got down the book, and read all I came to read; and then, in an unthinking moment, I idly turned the leaves, and began to indolently study diseases, generally. I forget which was the first distemper I plunged into – some fearful, devastating scourge, I know – and, before I had glanced half down the list of “premonitory symptoms,” it was borne in upon me that I had fairly got it. I sat for awhile, frozen with horror; and then, in the listlessness of despair, I again turned over the pages. I came to typhoid fever – read the symptoms – discovered that I had typhoid fever, must have had it for months without knowing it – wondered what else I had got; turned up St. Vitus’s Dance – found, as I expected, that I had that too, – began to get interested in my case, and determined to sift it to the bottom, and so started alphabetically – read up ague, and learnt that I was sickening for it, and that the acute stage would commence in about another fortnight. Bright’s disease, I was relieved to find, I had only in a modified form, and, so far as that was concerned, I might live for years. Cholera I had, with severe complications; and diphtheria I seemed to have been born with. I plodded conscientiously through the twenty-six letters, and the only malady I could conclude I had not got was housemaid’s knee. ... I had walked into that reading-room a happy, healthy man. I crawled out a decrepit wreck. I went to my medical man. He is an old chum of mine, and feels my pulse, and looks at my tongue, and talks about the weather, all for nothing, when I fancy I’m ill; so I thought I would do him a good turn by going to him now. “What a doctor wants,” I said, “is practice. He shall have me. He will get more practice out of me than out of seventeen hundred of your ordinary, commonplace patients, with only one or two diseases each.” So I went straight up and saw him, and he said: “Well, what’s the matter with you?” I said: “I will not take up your time, dear boy, with telling you what is the matter with me. Life is brief, and you might pass away before I had finished. But I will tell you what is NOT the matter with me. I have not got housemaid’s knee. Why I have not got housemaid’s knee, I cannot tell you; but the fact remains that I have not got it. Everything else, however, I HAVE got.” And I told him how I came to discover it all. Then he opened me and looked down me, and clutched hold of my wrist, and then he hit me over the chest when I wasn’t expecting it – a cowardly thing to do, I call it – and immediately afterwards butted me with the side of his head. After that, he sat down and wrote out a prescription, and folded it up and gave it me, and I put it in my pocket and went out. I did not open it. I took it to the nearest chemist’s, and handed it in. The man read it, and then handed it back. He said he didn’t keep it. I said: “You are a chemist?” He said: “I am a chemist. If I was a co-operative stores and family hotel combined, I might be able to oblige you. Being only a chemist hampers me.” I read the prescription. It ran: “1 lb. beefsteak, with 1 pt. bitter beer every 6 hours. 1 ten-mile walk every morning. 1 bed at 11 sharp every night. And don’t stuff up your head with things you don’t understand.” I followed the directions, with the happy result – speaking for myself – that my life was preserved, and is still going on.

Nathan stared at the floor. “Honestly? He’s a C5-6 quadriplegic. That means nothing works below about here…” He placed a hand on the upper part of his chest. “They haven’t worked out how to fix a spinal cord yet.” I stared at the door, thinking about Will’s face as we drove along in the winter sunshine, the beaming face of the man on the skiing holiday. “There are all sorts of medical advances taking place, though, right? I mean…somewhere like this…they must be working on stuff all the time.

The standard modern measurement for inebriation is the Ose system. This has been considerably developed over the years, but the common medical consensus currently has jocose, verbose, morose, bellicose, lachrymose, comatose, adios. This is a workable but incomplete system, as it fails to take in otiose (meaning impractical) which comes just after jocose. Nor does it have grandiose preceding bellicose. And how they managed to miss out globose (amorphous or formless) before comatose is beyond me.

If the scandal of Jesus was that He was always touching the wrong people and inviting the wrong people to the table—how on earth can we think the Communion meal now is for the extra holy or the super spiritual? To say we need to be completely cleaned up before Communion is like saying we need to get well so we can take our medication.

Sebastian knows that his parents wish that something awful had happened to him. Because then there’d be a reason for him to hurt. Then he could be understood, maybe even fixed. But Sebastian’s darkness is not just a light switch that someone forgot to flip, not just a pill he doesn’t want to take. His darkness is a heaviness and a tiredness that pulls the bones of his chest inwards and downwards until he can’t breathe.

We insist no one be compelled to take antipsychotic drugs until he becomes so deranged that he is in 'imminent danger' and a judge has to intervene to save his life. If we really believed that forced treatment was an injustice and forced medication was cruel, then why would we allow a judge to impose it as a last resort to save a life?

The Big Nurse is able to set the wall clock at whatever speed she wants by just turning one of those dials in the steel door; she takes a notion to hurry things up, she turns the speed up, and those hands whip around that disk like spokes in a wheel. The scene in the picture-screen windows goes through rapid changes of light to show morning, noon, and night - throb off and on furiously with day and dark, and everybody is driven like mad to keep up with that passing of fake time; awful scramble of shaves and breakfasts and appointments and lunches and medications and ten minutes of night so you barely get your eyes closed before the dorm light's screaming at you to get up and start the scramble again, go like a sonofabitch this way, going through the full schedule of a day maybe twenty times an hour, till the Big Nurse sees everybody is right up to the breaking point, and she slacks off on the throttle, eases off the pace on that clock-dial, like some kid been fooling with the moving-picture projection machine and finally got tired watching the film run at ten times its natural speed, got bored with all that silly scampering and insect squeak of talk and turned it back to normal.

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

I’m sorry I had you arrested. But I’m glad you’re all right.” “Really? You don’t hate me for … shooting you?” His lips twitched and he glanced down. Taking her cyborg hand into both of his, he lifted it between them, eyeing the metal fingers. “I don’t remember that medical diagram saying anything about a gun. My security team probably would have found that to be useful information.” “I like to maintain an air of mystery.” “I’ve noticed.” She

Q: Your warehouse workers work 11/5-hour shifts. In order to make rate, a significant number of them need to take over-the-counter painkillers multiple times per shift, which means regular backups at the medical office. Do you: A. Scale back the rate ---clearly, workers are at their physical limits B. Make shifts shorter C. Increase the number or duration of breaks D. Increase staffing at the nurse's office E. Install vending machines to dispense painkillers more efficiently Seriously---what kind of fucking sociopath goes with E?

The bike would be finished this summer and Papi would be fine, and Janice and all the other concerned medical professionals could take their long-term care facility and shove it, while the rest of us ate empanadas and laughed about that one summer Papi almost lost his mind.

Here is the woman who had seriously considered taking LSD under the supervision of a medical doctor so she could have "a mind-altering experience," who had read herself straight out of Mormonism and into Eastern religious thought--but refused to replace one dogma with another.

The Family and Medical Leave Act, for example, only entitles spouses, grown children, and parents to take time off to care for a sick loved one. If a childless single person falls ill, only her parents have the legal right to take off work to care for her. If they’re deceased or not up to the task, she’s out of luck. Even if she has a sister, niece, or best friend willing to take a leave, they won’t be legally entitled to do so. No one has the right to care for her.

Girl, get ahold of your life. Stop medicating, stop hiding out, stop being afraid, stop giving away pieces of yourself, stop saying you can’t do it. Stop the negative self-talk, stop abusing your body, stop putting it off for tomorrow or Monday or next year. Stop crying about what happened and take control of what happens next. Get up, right now. Rise up from where you’ve been, scrub away the tears and the pain of yesterday, and start again . . . Girl, wash your face!

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

Since my symptoms began 13 years ago, I’ve tried every form of pain management I could access — NSAIDS, nonopioid analgesics, neurologic medications, acupuncture, laser therapy, physical therapy, prolotherapy, massage, and trigger-point injections. Most of these have been unhelpful; others provide temporary relief, often at great expense. At the end of the day, when my body is fully depleted of its resources and in the most pain, a single dose of Percocet is the only tool that silences the pain enough for me to fall asleep. I honestly don’t know what I’d do if Percocet became unavailable to me, and the very thought scares me. I’ve been taking it for five years. To avoid any chance of addiction, I only take it at night and have stayed on a consistently low dose.

Jennifer Lynn Barnes, a YA author tweeted: One time, I was at a Q&A with Nora Roberts, and someone asked her how to balance writing and kids, and she said that the key to juggling is to know that some of the balls you have in the air are made of plastic & some are made of glass. When you are struggling to function, it’s important to identify what are your glass balls. Feeding yourself, caring for your children or animals, taking your medication, and addressing your mental health are all examples of glass balls. Dropping them would have devastating consequences and likely cause you to drop all the balls. Recycling, veganism, shopping local, and avoiding fast fashion are plastic balls. They may be important, but they will not shatter your life if you drop them in the way the glass balls will. Plastic balls will fall to the floor and stay intact so you can pick them up again. Glass balls will not.

I currently take Lortab, which is a combination of acetaminophen and hydrocodone. I’d rather not take this medication, or any medication for that matter, but it is the only one that controls my pain adequately enough to allow me to function on a daily basis... I take the smallest dose possible to enable me to remain as clear-headed as possible to do what I need to do each day... Even with the minimal opioids I take, I still have pain all the time, 24 hours a day; without opioids, life would be torture.

In their 2001 study 'The Girl Who Cried Pain: A Bias Against Women in the Treatment of Pain,' Diane E Hoffmann and Anita J. Tarzian pointed out that women are 'more likely to have their pain reports discounted as 'emotional' or 'psychogenic' and, therefore, 'not real.' This invalidation parallels the invalidation of women's anger, which is similarly often reduced to proof of women's mental weakness. One study of postoperative pain relief for patients who had undergone coronary artery bypass surgery revealed that men in pain were given pain relief medication, but women were given sedatives. Sedatives aren't pain relievers, or analgesics. They're calming and dulling agents that 'take the edge off.' But for whom, exactly?

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

Bear in mind that since medications do not fix anything, they allow the underlying problem to continue uncorrected and actually accelerate. Meanwhile, new symptoms and new seemingly unrelated diseases are the inevitable consequence of this biochemical faux pas. Furthermore, drug side effects are the leading cause of death. NSAIDs as an example of only one group of medications, are fatally toxic to thousands of people each year by damaging joints, lungs, kidneys, eyes, hearts, and intestines. And they are covered by insurance. You and your doctor have been screwed into believing every symptom is a deficiency of some drug or surgery. You've been led to believe you have no control, when in truth you're the one who must take control. Unfortunately, the modus operandi in medicine is to find a drug to turn off the damaged part that is producing symptoms.

This is what I find myself writing to myself on the page: I'm here. I love you. I don't care if you need to stay up crying all night long. I will stay with you. If you need the medication again, go ahead and take it - I will love you through that, as well. If you don't need the medication, I will love you, too. There's nothing you can ever do to lose my love. I will protect you until you die, and after your death I will still protect you. I am stronger than Depression and I am braver than Loneliness and nothing will ever exhaust me.

She's not my nurse but she comes up to Gran and Gramps just the same. "Don't you doubt for a second that she can hear you," she tells them. "She's aware if everything that's going on." She stands there with her hands on her hip. I can almost picture her snapping gum. Gran and Gramps stare at her, lapping up what she's telling them. "You might think the doctors or nurses or all this equipment is running the show," she says, gesturing to the wall of medical equipment. "Nuh-uh. She's running the show. Maybe she's just biding her time. So you talk to her. You tell her to take all the time she needs, but to come on back. You're waiting for her.

What the hell was that?” one of them asked. “Jackal,” Irene stated quietly while watching city streets turn to suburb. They weren’t taking her to a main airport but a small airstrip. One built exclusively for private planes. “Did she just call us jackals?” one of them joked. Irene grinned which wiped the smile off the man’s face. “No. I said the howl you heard was jackal.” She looked at Jenny. “They’ll be coming for you.” Jenny glanced at the men and back at her. She looked terribly concerned she had a lunatic in the car with her. “The jackals will be coming for me?” “No. The wolves.” Jenny sighed. “Why oh why do I always get the nutcases?” “Oh!” Irene pointed excitedly. “See that spot up there?” “What about it?” “That’s where it all started. Where I crossed the Rubicon.” Exasperated, Jenny snarled, “What the fuck are you talking about?” “It’s feeding time,” Irene whispered. “That’s it.” Jenny threw up her hands. “We’re so medicating her.

Let me say something about that word: miracle. For too long it's been used to characterize things or events that, though pleasant, are entirely normal. Peeping chicks at Easter time, spring generally, a clear sunrise after an overcast week - a miracle, people say, as if they've been educated from greeting cards. I'm sorry, but nope. Such things are worth our notice every day of the week, but to call them miracles evaporates the strength of the word. Real miracles bother people, like strange sudden pains unknown in medical literature. It's true: They rebut every rule all we good citizens take comfort in. Lazarus obeying order and climbing up out of the grave - now there's a miracle, and you can bet it upset a lot of folks who were standing around at the time When a person dies, the earth is generally unwilling to cough him back up. A miracle contradicts the will of the earth. My sister, Swede, who often sees to the nub, offered this: People fear mirales because they fear being changed - though ignoring them will change you also. Swede said another thing, too, and it rang in me like a bell: No miracle happens without a witness. Someone to declare, Here's what I saw. Here's how it went. Make of it what you will.

If you tell someone you have depression, they will often say, "Oh, I've been depressed before, too." The difference lies between being depressed and having depression. Everyone's been depressed at one time or another, but these are far from being the same things. One is a passing mood. The other is a chronic illness that does not come and go, ebb and flow, is here one day and gone the next. The difference between being depressed and having depression is that one is a mood and the other is an illness. One is a momentary bout of melancholy. The other is a debilitating condition that requires medical treatment. Would you feel better about having a cancerous lesion if I likened it to the rash I had last week? The difference between being depressed and having depression is the difference between a mood that will soon pass, and a serious illness that disrupts your ability to function and will take years to treat. The difference between being depressed and having depression is the difference between Cleveland and Bangkok, or your frying pan and the surface of the sun. So, no, we (depressives) do not feel better when you tell us about your rash. We'll do our best to be polite about it, but no, it really doesn't help at all.

Ethanol is a volatile, flammable, colourless liquid with a slight chemical odour. It is used as an antiseptic, a solvent, in medical wipes and antibacterial formulas because it kills organisms by denaturing their proteins. Ethanol is an important industrial ingredient. Ethanol is a good general purpose solvent and is found in paints, tinctures, markers and personal care products such as perfumes and deodorants. The largest single use of ethanol is as an engine fuel and fuel additive. In other words, we drink, for fun, the same thing we use to make rocket fuel, house paint, anti-septics, solvents, perfumes, and deodorants and to denature, i.e. to take away the natural properties of, or kill, living organisms. Which might make sense on some level if we weren’t a generation of green minded, organic, health-conscious, truth seeking individuals. But we are. We read labels, we shun gluten, dairy, processed foods, and refined sugars. We buy organic, we use natural sunscreen and beauty products. We worry about fluoride in our water, smog in our air, hydrogenated oils in our food, and we debate whether plastic bottles are safe to drink from. We replace toxic cleaning products with Mrs. Myers and homemade vinegar concoctions. We do yoga, we run, we SoulCycle and Fitbit, we go paleo and keto, we juice, we cleanse. We do coffee enemas and steam our yonis, and drink clay and charcoal, and shoot up vitamins, and sit in infrared foil boxes, and hire naturopaths, and shamans, and functional doctors, and we take nootropics and we stress about our telomeres. These are all real words. We are hyper-vigilant about everything we put into our body, everything we do to our body, and we are proud of this. We Instagram how proud we are of this, and we follow Goop and Well+Good, and we drop 40 bucks on an exercise class because there are healing crystals in the floor. The global wellness economy is estimated to be worth $4 trillion. $4 TRILLION DOLLARS. We are on an endless and expensive quest for wellness and vitality and youth. And we drink fucking rocket fuel.

No job in the world is worth destroying yourself over, even if you work in a brilliant, beautiful place like the NHS. It’s OK to take a break or a breather. It’s also OK to step away altogether, if that’s the right thing to do. In a world of people telling you not to rock the boat, sometimes you have to fuck the boat. Do it with as much love and tenderness as you can manage, but grab your trunks and start swimming. Only you know what’s in your heart – whether it’s becoming a caricaturist in Leicester Square, moving to Chad or moving in with Chad. I promise you’ll sleep a lot better.

Money had replaced community mental healthcare the way medication had replaced state hospitals. Medication did not go looking for those who resisted taking it, and money could not administer itself. Neither came with counseling or support. The SSI checks Michael received, and the Medicaid requirements he was eligible for, did not create a caring community or even an indifferent one. Nevertheless, checks and pills were what remained of a grand promise, the ingredients of a mental healthcare system that had never been baked but were handed out like flour and yeast in separate packets to starving people.

6/17/10 My dearest Ruth—You are the only person I have loved in my life, setting aside, a bit, parents and kids and their kids, and I have admired and loved you almost since the day we first met at Cornell some 56 years ago. What a treat it has been to watch you progress to the very top of the legal world!! I will be in JH Medical Center until Friday, June 25, I believe, and between then and now I shall think hard on my remaining health and life, and whether on balance the time has come for me to tough it out or to take leave of life because the loss of quality now simply overwhelms. I hope you will support where I come out, but I understand you may not. I will not love you a jot less. Marty -- Handwritten letter from Marty to Ruth

If you think you have come to the mission field because you are a little better than others, or as the cream of your church, or because of your medical degree, or for the service you can render the African church, or even for the souls you may see saved, you will fail. Remember, the Lord has only one purpose ultimately for each one of us, to make us more like Jesus. He is interested in your relationship with Himself. Let Him take you and mould you as He will; all the rest will take its rightful place.

My name is CRPS, or so they say But I actually go by; a few different names. I was once called causalgia, nearly 150 years ago And then I had a new name It was RSD, apparently so. I went by that name because the burn lived inside of me. Now I am called CRPS, because I have so much to say I struggle to be free. I don't have one symptom and this is where I change, I attack the home of where I live; with shooting/burning pains. Depression fills the mind of the body I belong, it starts to speak harsh to self, negativity growing strong. Then I start to annoy them; with the issues with sensitivity, You'd think the pain enough; but no, it wants to make you aware of its trembling disability. I silently make my move; but the screams are loud and clear, Because I enter your physical reality and you can't disappear. I confuse your thoughts; I contain apart of your memory, I cover your perspective, the fog makes it sometimes unbearable to see. I play with your temperature levels, I make you nervous all the time - I take away your independance and take away your pride. I stay with you by the day & I remind you by the night, I am an awful journey and you will struggle with this fight. Then there's a side to me; not many understand, I have the ability to heal and you can be my friend. Help yourself find the strength to fight me with all you have, because eventually I'll get tired of making you grow mad. It will take some time; remember I mainly live inside your brain, Curing me is hard work but I promise you, You can beat me if you feed love to my pain. Find the strength to carry on and feed the fears with light; hold on to the seat because, like I said, it's going to be a fight. But I hope to meet you, when your healthy and healed, & you will silenty say to me - I did this, I am cured is this real? That day could possibly come; closer than I want- After all I am a disease and im fighting for my spot. I won't deny from my medical angle, I am close to losing the " incurable " battle.

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

Equally worrying, and far less recognized, medicine has been slow to confront the very changes that it has been responsible for—or to apply the knowledge we have about how to make old age better. Although the elderly population is growing rapidly, the number of certified geriatricians the medical profession has put in practice has actually fallen in the United States by 25 percent between 1996 and 2010. Applications to training programs in adult primary care medicine have plummeted, while fields like plastic surgery and radiology receive applications in record numbers. Partly, this has to do with money—incomes in geriatrics and adult primary care are among the lowest in medicine. And partly, whether we admit it or not, a lot of doctors don’t like taking care of the elderly.

It is unsettling to find how little it takes to defeat success in medicine. You come as a professional equipped with expertise and technology. You do not imagine that a mere matter of etiquette could foil you. But the social dimension turns out to be as essential as the scientific--matters of how casual you should be, how formal, how reticent, how forthright. Also: how apologetic, how self-confident, how money-minded. In this work against sickness, we begin not with genetic or cellular interactions, but with human ones. They are what make medicine so complex and fascinating. How each interaction is negotiated can determine whether a doctor is trusted, whether a patient is heard, whether the right diagnosis is made, the right treatment given. But in this realm there are no perfect formulas.

It should go without saying that any cause is better served by doing something well than by doing it badly... In fact, it is better to do nothing for the cause at all than to do something that reflects badly on it... So the first principle of responsible activism should not be "Do something." Instead, one should take a page from medical ethics and "First, do no harm." (Harm to the cause, that is.)

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

Coach Slader caught up followed closely by a trail of curious students all as surprised as I at this turn of events.Coach spoke in a delicate voice, like he didn’t want to spook a dangerous animal. “Jayden, what are you doing?” “She needs medical attention.” The guy didn’t pause stride. “Yes, but—” “I’m taking her to the nurse.” “Okay, but—” “She’s too weak to walk.” I huffed. “I am not. Put me down.” In one swift movement the boy stopped, dumped me on my feet and stepped back. My knees buckled and before you could say “Bob’s your uncle” he scooped me up again and kept walking. A chorus of giggles erupted behind us. “See,” he said.I put my arms around his neck and shut up.

Over the past couple of months, Chantel had become a pro at leading book discussions and inventing fun games and trivia questions that all related to that particular month's book selection. Although, last month's theme, dystopian and the book selection "Matched" by Allie Condie, had the retirement home director a little concerned when everyone wanted to stop taking their medications. Not... a good... thing!

A lot of people recoil from the word "drugs" - which is understandable given today's noxious street drugs and their uninspiring medical counterparts. Yet even academics and intellectuals in our society typically take the prototypical dumb drug, ethyl alcohol. If it's socially acceptable to take a drug that makes you temporarily happy and stupid, then why not rationally design drugs to make people perpetually happier and smarter? Presumably, in order to limit abuse-potential, one would want any ideal pleasure drug to be akin - in one limited but important sense - to nicotine, where the smoker's brain finely calibrates its optimal level: there is no uncontrolled dose-escalation.

Nonetheless, the appeal of Copenhagen makes some sense, seen in this light. Quantum physics drove much of the technological and scientific progress of the past ninety years: nuclear power, modern computers, the Internet. Quantum-driven medical imaging changed the face of health care; quantum imaging techniques at smaller scales have revolutionized biology and kicked off the entirely new field of molecular genetics. The list goes on. Make some kind of personal peace with Copenhagen, and contribute to this amazing revolution in science . . . or take quantum physics seriously, and come face-to-face with a problem that even Einstein couldn't solve. Shutting up never looked so good.

During the course of the day, he said, each spouse had confessed independently to him to taking antidepressants but didn’t want the other to know. It turned out that they were hiding the same medication in the same house. No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We’ll talk with almost anyone about our physical health (can anyone imagine spouses hiding their reflux medication from each other?), even our sex lives, but bring up anxiety or depression or an intractable sense of grief, and the expression on the face looking back at you will probably read, Get me out of this conversation, pronto.

Aristotle tells us that the high-pitched voice of the female is one evidence of her evil disposition, for creatures who are brave or just (like lions, bulls, roosters and the human male) have large deep voices…. High vocal pitch goes together with talkativeness to characterize a person who is deviant from or deficient in the masculine ideal of self-control. Women, catamites, eunuchs and androgynes fall into this category. Their sounds are bad to hear and make men uncomfortable…. Putting a door on the female mouth has been an important project of patriarchal culture from antiquity to the present day. Its chief tactic is an ideological association of female sound with monstrosity, disorder and death…. Woman is that creature who puts the inside on the outside. By projections and leakages of all kinds—somatic, vocal, emotional, sexual—females expose or expend what should be kept in…. [As Plutarch comments,] “…she should as modestly guard against exposing her voice to outsiders as she would guard against stripping off her clothes. For in her voice as she is blabbering away can be read her emotions, her character and her physical condition.”… Every sound we make is a bit of autobiography. It has a totally private interior yet its trajectory is public. A piece of inside projected to the outside. The censorship of such projections is a task of patriarchal culture that (as we have seen) divides humanity into two species: those who can censor themselves and those who cannot…. It is an axiom of ancient Greek and Roman medical theory and anatomical discussion that a woman has two mouths. The orifice through which vocal activity takes place and the orifice through which sexual activity takes place are both denoted by the wordstoma in Greek (os in Latin) with the addition of adverbs ano and kato to differentiate upper mouth from lower mouth. Both the vocal and the genital mouth are connected to the body by the neck (auchen in Greek, cervix in Latin). Both mouths provide access to a hollow cavity which is guarded by lips that are best kept closed.

The brain-disease model takes control over people’s fate out of their own hands and puts doctors and insurance companies in charge of fixing their problems. Over the past three decades psychiatric medications have become a mainstay in our culture, with dubious consequences. Consider the case of antidepressants. If they were indeed as effective as we have been led to believe, depression should by now have become a minor issue in our society. Instead, even as antidepressant use continues to increase, it has not made a dent in hospital admissions for depression. The number of people treated for depression has tripled over the past two decades, and one in ten Americans now take antidepressants.24

Classifying depression as an illness serves the psychiatric community and pharmaceutical corporations well; it also soothes the frightened, guilty, indifferent, busy, sadistic, and unschooled. To understand depression as a call for life-changes is not profitable. Stagnation is not a medical term. The 17.5 million Americans diagnosed as suffering a major depression in 1997 were mostly damned. (Psychobiological examinations confuse cause and symptom.) Deficient serotonergic functioning, ventral prefrontal cerebral cortex, dis-inhibition of impulsive-aggressive behavior, blah blah blah: the medical lexicon boils emotion from human being. Go take a drug, the doctor says. Pain is a biochemical phenomenon. Erase all memory.

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

There is sometimes a tendency, at least among the trans men I have known, to treat testosterone therapy at the outset as if one were the first to order french fries at the table: tentative, looking to others for guidance and support, a half-frantic desire not to be the only one. If I have some, will you have some? I know you'll have some—is it possible to get a half order? This is for the table, not just for me. What's the smallest actual amount of testosterone that you can medically offer me? I'll take that, but can you put half of it in a to-go box before you bring it out? I'm sharing with friends.

A patient suffering with cancer of the throat was informed of a new X-ray machine that would cure his condition. This man could neither read nor write, nor was he informed about any of the instruments or procedures of medical practice. When he first sat down in the doctor's office and received into his mouth a thermometer with which the doctor sought to take his temperature, he believed he was undergoing X-ray treatment. The doctor, alert to the practices of psychology, recognized this, and after leaving the thermometer in the patient's mouth for ten minutes, excused him and told him to return in two days. Three weeks of treatment with a thermometer cured this patient's cancerous condition! Obviously, it wasn't the thermometer that did it. It was Faith!

Please take a moment to answer this questionnaire and discover if you can benefit from a Taco Cleanse: Do you experience recurring feelings of hunger on a daily basis? Do you frequently lack access to eating utensils such as forks or chopsticks? Do you consider tortillas to function as edible napkins? Do you enjoy attention from peers based on dietary restrictions? Do you experience a range of emotions? Do you tilt your head when inserting food into your mouth? Do you use medical websites to self-diagnose your symptoms? Answering yes to any of these questions may indicate that a Taco Cleanse is right for you.

I've never understood America,"said the king. "Neither do we, sir. You might say we have two governments, kind of overlapping. First we have the elected government. It's Democratic or Republican, doesn't make much difference, and then there's corporation government." "They get along together, these governments?" "Sometimes," said Tod. "I don't understand it myself. You see, the elected government pretends to be democratic, and actually it is autocratic. The corporation governments pretend to be autocratic and they're all the time accusing the others of socialism. They hate socialism." "So I have heard," said Pippin. "Well, here's the funny thing, sir. You take a big corporation in America, say like General Motors or Du Pont or U.S. Steel. The thing they're most afraid of is socialism, and at the same time they themselves are socialist states." The king sat bolt upright. "Please?" he said. "Well, just look at it, sir. They've got medical care for employees and their families and accident insurance and retirement pensions, paid vacations -- even vacation places -- and they're beginning to get guaranteed pay over the year. The employees have representation in pretty nearly everything, even the color they paint the factories. As a matter of fact, they've got socialism that makes the USSR look silly. Our corporations make the U.S. Government seem like an absolute monarchy. Why, if the U.S. government tried to do one-tenth of what General Motors does, General Motors would go into armed revolt. It's what you might call a paradox sir.

I’d come across a strap-on penis. It seemed pretty old and was Band-Aid colored, about three inches long and not much bigger around than a Vienna sausage, which was interesting to me. You’d think that if someone wanted a sex toy she’d go for the gold, sizewise. But this was just the bare minimum, like getting AAA breast implants. Who had this person been hoping to satisfy, her Cabbage Patch doll? I thought about taking the penis home and mailing it to one of my sisters for Christmas but knew that the moment I put it in my knapsack, I’d get hit by a car and killed. That’s just my luck. Medics would come and scrape me off the pavement, then, later, at the hospital, they’d rifle through my pack and record its contents: four garbage bags, some wet wipes, two flashlights, and a strap-on penis.

Hammond shook his head sadly. “Yet, you’ll remember,” he said, “the original genetic engineering companies, like Genentech and Cetus, were all started to make pharmaceuticals. New drugs for mankind. Noble, noble purpose. Unfortunately, drugs face all kinds of barriers. FDA testing alone takes five to eight years—if you’re lucky. Even worse, there are forces at work in the marketplace. Suppose you make a miracle drug for cancer or heart disease—as Genentech did. Suppose you now want to charge a thousand dollars or two thousand dollars a dose. You might imagine that is your privilege. After all, you invented the drug, you paid to develop and test it; you should be able to charge whatever you wish. But do you really think that the government will let you do that? No, Henry, they will not. Sick people aren’t going to pay a thousand dollars a dose for needed medication—they won’t be grateful, they’ll be outraged. Blue Cross isn’t going to pay it. They’ll scream highway robbery. So something will happen. Your patent application will be denied. Your permits will be delayed. Something will force you to see reason—and to sell your drug at a lower cost. From a business standpoint, that makes helping mankind a very risky business. Personally, I would never help mankind.

Free-thinking, powerful, passionate women are dangerous to a conservative male-dominated culture. They tend to do what they want and believe is right...not what you tell them. And so patriarchal cultures have a deep-seated fear of women in their power, their ability to give life...and take life, their uncontrollable emotions, their intuition, their constant changing. Rather than seek partnership with this power, the patriarchal system has chosen to dominate and subdue the women who show signs of it through shaming, branding, naming, ostracising, traumatising, raping, medicating...and burning. In patriarchy powerful women are a threat. Their

Okay . . . let’s see. I don’t think we should take away a citizen’s right to own a gun. But I do think it should be one hell of a difficult process to get your hands on one. I think women should decide what to do with their own bodies, as long as it’s within the first trimester or it’s a medical emergency. I think government programs are absolutely necessary but I also think a more systematic process needs to be put in place that would encourage people to get off of welfare, rather than to stay on it. I think we should open up our borders to immigrants, as long as they register and pay taxes. I’m certain that life-saving medical care should be a basic human right, not a luxury only the wealthy can afford. I think college tuition should automatically be deferred and then repaid over a twenty-year period on a sliding scale. I think athletes are paid way too much, teachers are paid way too little, NASA is underfunded, weed should be legal, people should love who they want to love, and Wi-Fi should be universally accessible and free.” When he’s finished, he calmly reaches for his mug of hot chocolate and brings it back to his mouth. “Do you still love me?

There has been an accident,’ I explained to Abdullah, who was staring at Nemo’s bloody sleeve. ‘Please take Ali or Hassan and go at once to the ridge behind the tents. You will find a dead body there. Carry it here.’ Abdullah clapped his hand to his brow. ‘Not a dead man, sitt. Not another dead man ...’ A flicker of reviving hope returned to his stricken face. ‘Is it a mummy you mean, sitt? An old dead man?’ ‘I am afraid this one is rather fresh,’ I admitted. ‘You had better fashion a litter or something of that sort with which to carry him. Get on with it, if you please; I cannot stand here fahddling with you, can’t you see Mr Nemo needs medical attention?’ Abdullah staggered off, wringing his hands and muttering. A few words were intelligible: ‘Another dead body. Every year it is the same. Every year, another dead body ...

...and she no longer is having her emotional responses to...stress numbed by medication. "I've been off the drugs for two years, and sometimes I find it very, very difficult to deal with my emotions. I tend to have these rages of anger. Did the drugs bring such a cloud over my mind, make me so comatose, that I never gained skills on how to deal with my emotions? Now I'm finding myself getting angrier than ever and getting happier than ever too. The circle with my emotions is getting wider. And yes, it's easy to deal with when you're happy, but how do you deal with it when you're mad? I'm working on not getting overly defensive, and trying to take things in stride.

Getting ready like Cleopatra, doing one nice thing a day for yourself, taking baths, learning/tricking yourself to be comfortable in your body, collecting amulets, having a physical space to take yourself seriously, keeping your home as nice as you would for guests, nourishing yourself with food, avoiding substances that make you feel bad, seeking medical help if you need it—these are all ways we build the faith that we can lead the lives we want to lead, lives we are proud of, lives full of delight.

We are accelerating and extending our minds through our computers and algorithms, through our medical prowess and our accumulated knowledge. These minds of ours are the most precious things; we need to cherish all seven-plus billion of them. Walking this rocky globe somewhere today may be a human who will take us to the next level of insight. This person could be anywhere-from Africa to Asia, Oceania to Europe, or in the Americas. This person could even be you. And that journey will be as extraordinary as this one.

Defective is an adjective that has long been deemed too freighted for liberal discourse, but the medical terms that have supplanted it—illness, syndrome, condition—can be almost equally pejorative in their discreet way. We often use illness to disparage a way of being, and identity to validate that same way of being. This is a false dichotomy. In physics, the Copenhagen interpretation defines energy/matter as behaving sometimes like a wave and sometimes like a particle, which suggests that it is both, and posits that it is our human limitation to be unable to see both at the same time. The Nobel Prize–winning physicist Paul Dirac identified how light appears to be a particle if we ask a particle-like question, and a wave if we ask a wavelike question. A similar duality obtains in this matter of self. Many conditions are both illness and identity, but we can see one only when we obscure the other. Identity politics refutes the idea of illness, while medicine shortchanges identity. Both are diminished by this narrowness. Physicists gain certain insights from understanding energy as a wave, and other insights from understanding it as a particle, and use quantum mechanics to reconcile the information they have gleaned. Similarly, we have to examine illness and identity, understand that observation will usually happen in one domain or the other, and come up with a syncretic mechanics. We need a vocabulary in which the two concepts are not opposites, but compatible aspects of a condition. The problem is to change how we assess the value of individuals and of lives, to reach for a more ecumenical take on healthy. Ludwig Wittgenstein said, ―All I know is what I have words for.‖ The absence of words is the absence of intimacy; these experiences are starved for language.

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

Our politicians tell us we are free, even though most governments take over 50% of what we earn. They claim we get services that we need for our hard-earned money, even though we could buy the same services at half the price from the private sector. Today, we ridicule the slave-owners' claim that they "gave back" to their slaves by housing, clothing, feeding them, and bestowing upon them the "benefits" of civilization instead of leaving them in their native state. We see this as a self-serving justification for exploitation. In the future, we will view being forcibly taxed to pay for things we don't want, such as bombs for the Middle East, subsidies for tobacco, other people's abortions, regulations that put small businesses out of business, prisons for people trying to feel good, keeping life-saving medications out of the hands of dying people, etc., as taking away our freedom. When even a small portion of our lives is spent enslaved, that part tends to dominate the rest of our time. If we don't put our servitude first as we structure the remainder of our lives, our masters will make sure we regret it. How much freedom do we need to survive and how much do we need to thrive?

Stigma takes many forms, comes from all directions, is sometimes blatantly overt, but can also be remarkably subtle. It is the cruel comment, the unkind smirk, the extrusion from the group, the lost job opportunity, the rejected marriage proposal, the ineligibility for life insurance, the inability to adopt a child or pilot a plane. But it is also the reduced expectation, the helping hand when none is needed or wanted, the solicitous sympathy that one cannot really be expected to measure up. And the secondary psychological and practical harms of having a mental disorder come only partly from how others see you. A great deal of the trouble comes from the change in how you see yourself: the sense of being damaged goods, feeling not normal or worthy, not a full fledged member of the group. It is bad enough that stigma is so often associated with having a mental disorder, but the stigma that comes from being mislabeled with a fake diagnosis is a dead loss with absolutely no redeeming features.

Do you think, little flower, that there will ever come a day when you regret meeting me?” he asked quietly. “Yes,” she said simply. “I see,” he said tightly. “Would you like a specific date?” “You are teasing me,” he realized suddenly. “No, I’m dead serious. I have an exact date in mind.” Jacob pulled back to see her eyes, looking utterly perplexed as her pupils sparkled with mischief. “What date is that? And why are you thinking of pink elephants?” “The date is September 8, because, according to Gideon, that’s possibly the day I will go into labor. I say ‘possibly,’ because combining all this human/Druid and Demon DNA ‘may make for a longer period of gestation than usual for a human,’ as the Ancient medic recently quoted. Now, as I understand it, women always regret ever letting a man touch them on that day.” Jacob lurched to his feet, dropping her onto her toes, grabbing her by the arms, and holding her still as he raked a wild, inspecting gaze over her body. “You are pregnant?” he demanded, shaking her a little. “How long have you known? You went into battle with that monster while you are carrying my child?” “Our child,” she corrected indignantly, her fists landing firmly on her hips, “and Gideon only just told me, like, five seconds ago, so I didn’t know I was pregnant when I was fighting that thing!” “But . . . he healed you just a few days ago! Why not tell you then?” “Because I wasn’t pregnant then, Jacob. If you recall, we did make love between then and now.” “Oh . . . oh Bella . . .” he said, his breath rushing from him all of a sudden. He looked as if he needed to sit down and put a paper bag over his head. She reached to steady him as he sat back awkwardly on the altar. He leaned his forearms on his thighs, bending over them as he tried to catch his breath. Bella had the strangest urge to giggle, but she bit her lower lip to repress to impulse. So much for the calm, cool, collected Enforcer who struck terror into the hearts of Demons everywhere. “That is not funny,” he grumbled indignantly. “Yeah? You should see what you look like from over here,” she teased. “If you laugh at me I swear I am going to take you over my knee.” “Promises, promises,” she laughed, hugging him with delight. Finally, Jacob laughed as well, his arm snaking out to circle her waist and draw her back into his lap. “Did you ask . . . I mean, does he know what it is?” “It’s a baby. I told him I didn’t want to know what it is. And don’t you dare find out, because you know the minute you do I’ll know, and if you spoil the surprise I’ll murder you.” “Damn . . . she kills a couple of Demons and suddenly thinks she can order all of us around,” he taunted, pulling her close until he was nuzzling her neck, wondering if it was possible for such an underused heart as his to contain so much happiness.

FLEISCHMANN: Since the days of Sigmund Freud and the advent of psychoanalysis the interpretation of dreams has played a big role in Austria[n life]. What is your attitude to all that? BERNHARD: I’ve never spent enough time reading Freud to say anything intelligent about him. Freud has had no effect whatsoever on dreams, or on the interpretation of dreams. Of course psychoanalysis is nothing new. Freud didn’t discover it; it had of course always been around before. It just wasn’t practiced on such a fashionably huge scale, and in such million-fold, money-grubbing forms, as it has been now for decades, and as it won’t be for much longer. Because even in America, as I know, it’s fallen so far out of fashion that they just lay people out on the celebrated couch and scoop their psychological guts out with a spoon. FLEISCHMANN: I take it then that psychoanalysis is not a means gaining knowledge for you? BERNHARD: Well, no; for me it’s never been that kind of thing. I think of Freud simply as a good writer, and whenever I’ve read something of his, I’ve always gotten the feeling of having read the work of an extraordinary, magnificent writer. I’m no competent judge of his medical qualifications, and as for what’s known as psychoanalysis, I’ve personally always tended to think of it as nonsense or as a middle-aged man’s hobby-horse that turned into an old man’s hobby-horse. But Freud’s fame is well-deserved, because of course he was a genuinely great, extraordinary personality. There’s no denying that. One of the few great personalities who had a beard and was great despite his beardiness. FLEISCHMANN: Do you have something against beards? BERNHARD: No. But the majority of people call people who have a long beard or the longest possible beard great personalities and suppose that the longer one’s beard is, the greater the personality one is. Freud’s beard was relatively long, but too pointy; that was typical of him. Perhaps it was the typical Freudian trait, the pointy beard. It’s possible.

In Laos, a baby was never apart from its mother, sleeping in her arms all night and riding on her back all day. Small children were rarely abused; it was believed that a dab who witnessed mistreatment might take the child, assuming it was not wanted. The Hmong who live in the United States have continued to be unusually attentive parents. A study conducted at the University of Minnesota found Hmong infants in the first month of life to be less irritable and more securely attached to their mothers than Caucasian infants, a difference the researcher attributed to the fact that the Hmong mothers were, without exception, more sensitive, more accepting, and more responsive, as well as “exquisitely attuned” to their children’s signals. Another study, conducted in Portland, Oregon, found that Hmong mothers held and touched their babies far more frequently than Caucasian mothers. In a third study, conducted at the Hennepin County Medical Center in Minnesota, a group of Hmong mothers of toddlers surpassed a group of Caucasian mothers of similar socioeconomic status in every one of fourteen categories selected from the Egeland Mother-Child Rating Scale, ranging from “Speed of Responsiveness to Fussing and Crying” to “Delight.

ECONOMIC RULES OF THE DYSFUNCTIONAL MEDICAL MARKET More treatment is always better. Default to the most expensive option. A lifetime of treatment is preferable to a cure. Amenities and marketing matter more than good care. As technologies age, prices can rise rather than fall. There is no free choice. Patients are stuck. And they’re stuck buying American. More competitors vying for business doesn’t mean better prices; it can drive prices up, not down. Economies of scale don’t translate to lower prices. With their market power, big providers can simply demand more. There is no such thing as a fixed price for a procedure or test. And the uninsured pay the highest prices of all. There are no standards for billing. There’s money to be made in billing for anything and everything. Prices will rise to whatever the market will bear.

So part of you wanted to be kissing him and another part of you felt the intense worry that comes with being intimate with someone." "Right, but I wasn't worried about intimacy. I was worried about microbial exchange." "Well, your worry expressed itself as being about microbial exchange." I just groaned at the therapy bullshit. She asked me if I'd taken my Ativan. I told her I hadn't brought it to Davis's house. And then she asked me if I was taking the Lexapro every day, and I was, like, not every day. The conversation devolved into her telling me that medication only works if you take it, and that I had to treat my health problem with consistency and care, and me trying to explain that there is something intensely weird and upsetting about the notion that you can only become yourself by ingesting a medication that changes your self.

The medical uncertainty compounds patients' own uncertainty. Because my unwellness did not take the form of a disease I understood, with a clear-cut list of symptoms and a course of treatment, even I at times interpreted it as a series of signs about my very existence. Initially, the illness seemed to be a condition that signified something deeply wrong with me⁠—illness as a kind of semaphore. Without answers, at my most desperate, I came to feel (in some unarticulated way) that if I could just tell the right story about what was happening, I could make myself better. If only I could figure out what the story was, like the child in a fantasy novel who must discover her secret name, I could become myself again. It took years before I realized that the illness was not just my own; the silence around suffering was our society's pathology.

The first gas chambers were constructed in 1939, to implement a Hitler decree dated September 1 of that year, which said that “incurably sick persons should be granted a mercy death.” (It was probably this “medical” origin of gassing that inspired Dr. Servatius’s amazing conviction that killing by gas must be regarded as “a medical matter.” ) The idea itself was considerably older. As early as 1935, Hitler had told his Reich Medical Leader Gerhard Wagner that “if war came, he would take up and carry out this question of euthanasia, because it was easier to do so in wartime.” The decree was immediately carried out in respect to the mentally sick, and between December, 1939, and August, 1941, about fifty thousand Germans were killed with carbon-monoxide gas in institutions where the death rooms were disguised exactly as they later were in Auschwitz—as shower rooms and bathrooms.

Many doctors focus almost exclusively on processing information: they absorb medical data, analyze it, and produce a diagnosis. Nurses, in contrast, need good motor and emotional skills in order to give a painful injection, replace a bandage, or restrain a violent patient. Therefore we will probably have an AI family doctor on our smartphone decades before we have a reliable nurse robot.9 The human care industry—which takes care of the sick, the young, and the elderly—is likely to remain a human bastion for a long time. Indeed, as people live longer and have fewer children, care of the elderly will probably be one of the fastest-growing sectors in the human labor market.

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

Growing up, those of us who had to put a hyphen before "American" got scoffed at for sending money home to cousins in the old country or supporting aging parents here on green cards. But you used to shake your head and tell me how, back home, nobody put their parents into nursing homes or let their kin go hungry. The same thing lives on among Sami's queer and trans friends of color, he tells me, crowdfunding for medical care and housing online, or in the group chats he tells me about where friends help one another escape abusive relationship or housing crises with safety planning and couches to sleep on. We take care of one another because no one else will, eh says. But every time is a gamble.

And there is one thing that I really, really like to have company for. Watching TV. I'm not particularly needy in relationships, I actually demand a fair amount of space. But I really like to be in bed with another human being and watch TV. That's as intimate and reassuring and tender as it gets for me. I find dating exhausting and uninteresting, and I really would like to skip over the hours of conversation that you need just to get up to speed on each other's lives, and the stories I've told a million times. I just want to get to the watching TV in bed. If you're on a date with me, you can be certain that this is what I'm evaluating you for—how good is it going to be, cuddling with you in bed and watching Damages I'm also looking to see if you have clean teeth. For me, anything less than very clean teeth is fucking disgusting. Here's what I would like to do: I would like to get into bed with a DVD of Damages and have a line of men cue up at my door. I would station a dental hygienist at the front of the line who would examine the men's teeth. Upon passing inspection, she(I've never met a male hygienist, and neither have you) would send them back to my bedroom, one at time, in intervals of ten minutes, during which I would cuddle with the man and watch Damages. Leaving nothing to chance, using some sort of medical telemetry, I would have a clinician take basic readings of my heart rate and brain waves, and create a comparison chart to illustrate which candidate was the most soothing presence for me. After reviewing all the data from what will now be known in diagnostic manuals throughout the world as the Silverman-Damages-Nuzzle-Test, I will make my selection.

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

Most of the time I was so close to falling into the darkest, emptiest placeinside me that I tried to feel nothing at all. So the only difference between this and some kind of flat, medicated state was that I knew I could still go there if I needed to, even if I wouldn’t. And that place, I had told myself, was where the real me was. Where the art was, too. But maybe—maybe it wasn’t where it was. I was so convinced that changing my brain would take away my art, but maybe it would give me new art. Maybe without the monster in my mind, I could actually do more, not less. It was probably equally likely. But I believed more in my possible doom than in my possible healing. —It’s okay to want to feel better. —He touched my hand.

The default to studying men at times veered into absurdity: in the early sixties, observing that women tended to have lower rates of heart disease until their estrogen levels dropped after menopause, researchers conducted the first trial to look at whether supplementation with the hormone was an effective preventive treatment. The study enrolled 8,341 men and no women. (Although doctors began prescribing estrogens to postmenopausal women in droves - by the midseventies, a third would be taking them - it wasn't until 1991 that the first clinical study of hormone therapy was conducted in women.) An NIH-supported pilot study from Rockefeller University looked at how obesity affected breast and uterine cancer didn't enroll a single woman. While men can develop breast cancer - and a small number of them do each year - as Rep. Snowe noted drily at the congressional hearings, 'Somehow I find it hard to believe that the male-dominated medical community would tolerate a study of prostate cancer that used only women as research subjects.

What prompts alarm in me is how you and your government want to ruin not only the potential of this of this country, but also the path of those who are going to transition into more advanced beings in search of immortality and omnipotence, and maybe even participate in a great singularity. These advances are going to pass, one way or another. And your current second-rate moral system—your weak, pretend-God-will-take-care-of-us bullshit—is a waste for our species' possibilities. You people want to pretend that democracy, religious inspiration, and unbridled consumerism are going to last forever and carry us all to bliss; that the American Dream is right around the next corner for everyone. you spend hundreds of billions of dollars on lazy welfare recipients, on mentally challenged people, on uneducated repeat criminals, on obese second-rate citizens bankrupting our medical system, on murderous war machines fighting for oil and your oligarchy's pet projects in far off places. All so you maintain your puny forms of power and sleep better at night.

But I don’t have an answer for them. How can you explain why you believe anything? So I just say what my mom says when people ask her. She looks them in the eye with the begging hope that they’ll hear her and she says, “Because it’s true.” Why else would she believe it? It’s true and it’s more valuable than seven million dollars in gold coins, and thousands of acres of Persian countryside, and ten years of education to get a medical degree, and all your family, and a home, and the best cream puffs of Jolfa, and even maybe your life. My mom wouldn’t have made the trade otherwise. If you believe it’s true, that there is a God and He wants you to believe in Him and He sent His Son to die for you—then it has to take over your life. It has to be worth more than everything else, because heaven’s waiting on the other side. That or Sima is insane.

I was talking with an especially insightful friend recently about the unfair stigmas placed on medication and the idea that it can actually help us return to ourselves. “What about when you have a pounding migraine that makes you miserable and curl up into your sofa, totally incapacitated?” she asked. “If you take maximum-strength Advil and suddenly feel like yourself again, did that change your personality? Or did it get rid of the horrible migraine that was keeping you from who you really are?” I realized she was onto something. For me, it’s the same thing with mental health. If I need to take medication because I have been swallowed whole by the whale of anxiety and depression, if I feel like I am deep at the bottom of the sea and will never make it to the light again, there should be no shame in allowing science to help lift me back up to the surface.

After hearing much from his patients about alleged faith-healing, a Minnesota physician named William Nolen spent a year and a half trying to track down the most striking cases. Was there clear medical evidence that the disease was really present before the ‘cure’? If so, had the disease actually disappeared after the cure, or did we just have the healer’s or the patient’s say-so? He uncovered many cases of fraud, including the first exposure in America of ‘psychic surgery’. But he found not one instance of cure of any serious organic (non-psychogenic) disease. There were no cases where gallstones or rheumatoid arthritis, say, were cured, much less cancer or cardiovascular disease. When a child’s spleen is ruptured, Nolen noted, perform a simple surgical operation and the child is completely better. But take that child to a faith-healer and she’s dead in a day.

There is a particular kind of pain, elation, loneliness, and terror involved in this kind of madness. When you're high it's tremendous. The ideas and feelings are fast and frequent like shooting stars, and you follow them until you find better and brighter ones. Shyness goes, the right words and gestures are suddenly there, the power to captivate others a felt certainty. There are interests found in uninteresting people. Sensuality is pervasive and the desire to seduce and be seduced irresistible. Feelings of ease, intensity, power, well-being, financial omnipotence, and euphoria pervade one's marrow. But, somewhere, this changes. The fast ideas are far too fast, and there are far too many; overwhelming confusion replaces clarity. Memory goes. Humor and absorption on friends' faces are replaced by fear and concern. Everything previously moving with the grain is now against--you are irritable, angry, frightened, uncontrollable, and enmeshed totally in the blackest caves of the mind. You never knew these caves were there. It will never end, for madness carves its own reality. It goes on and on, and finally there are only others' recollections of your behavior--your bizarre, frenetic, aimless behaviors--for mania has at least some grace in partially obliterating memories. What then, after the medications, psychiatrist, despair, depression, and overdose? All those incredible feelings to sort through. Who is being to polite to say what? Who knows what? What did I do? Why? And most hauntingly, when will it happen again? Then, too, are the bitter reminders--medicine to take, resent, forget, take, resent, and forget, but always take....And always, when will it happen again? Which of my feelings are real? Which of the me's is me?

I encourage my patients to do what it takes to normalize their blood pressure so they do not require medication. Prescribing medications for high blood pressure has the effect of giving someone a permission slip. Medication has a minimal effect in reducing heart attack occurrence in patients with high blood pressure because it does not remove the underlying problem (atherosclerosis), it just treats the symptom. Patients given medication now falsely believe they are protected, and they continue to follow the same disease-causing lifestyle that led to the problem to begin with, until the inevitable occurs—their first heart attack or stroke. Maybe if high blood pressure medications had never been invented, doctors would have been forced to teach healthful living and nutritional disease causation to their patients. It is possible that many more lives could have been saved.

The secular are at this moment in history a great deal more optimistic than the religious – something of an irony, given the frequency with which the latter have been derided by the former for their apparent naivety and credulousness. It is the secular whose longing for perfection has grown so intense as to lead them to imagine that paradise might be realized on this earth after just a few more years of financial growth and medical research. With no evident awareness of the contradiction they may, in the same breath, gruffly dismiss a belief in angels while sincerely trusting that the combined powers of the IMF, the medical research establishment, Silicon Valley and democratic politics could together cure the ills of mankind.... It is telling that the secular world is not well versed in the art of gratitude: we no longer offer up thanks for harvests, meals, bees or clement weather. On a superficial level, we might suppose that this is because there is no one to say ‘Thank you’ to. But at base it seems more a matter of ambition and expectation. Many of those blessings for which our pious and pessimistic ancestors offered thanks, we now pride ourselves on having worked hard enough to take for granted.

Have you ever been lying in bed in the morning and out of nowhere you’re reminded of all the mistakes you made yesterday and all the problems in your future? That’s the enemy trying to set your mind for a negative, defeated, lousy day. Don’t fall into that trap. The Scripture says, “Set your minds and keep them set on what is above (the higher things)” (Colossians 3:2 AMP). Be proactive. Take the offensive. When you get up in the morning, say along with David, “This is another day the Lord has made. No matter how I feel, no matter what the economy looks like, no matter what the medical report says, I am choosing to rejoice. I choose to live this day happy.” Do you know what you’re really saying when you take that approach? You are proclaiming: “I will not allow anyone to steal my joy today. I will not allow disappointments and setbacks to discourage me. I will not focus on my problems and my mistakes. I’ve made up my mind to enjoy this day.

Communism — ladies and gentlemen, I say it without flinching: communism in eastern Europe, Russia, China, Mongolia, North Korea, and Cuba brought land reform and human services; a dramatic bettering of the living conditions of hundreds of millions of people on a scale never before or never since witnessed in human history, and that's something to appreciate. Communism transformed desperately poor countries into societies in which everyone had adequate food, shelter, medical care, and education, and some of us who come from poor families who carry around the hidden injuries of class are very impressed; are very, very impressed by these achievements and are not willing to dismiss them as economistic. To say that socialism doesn't work is to overlook the fact that it did work and it worked for hundreds of millions of people. 'But what about the democratic rights that they lost?' We hear U.S. leaders talking about 'restoring' democracy to the communist countries, but these countries—with the exception of Czechoslovakia—were not democracies before communism. Russia was a Czarist autocracy; Poland was a right-wing fascist dictatorship under Piłsudski, with concentration camps of its own; Albania was an Italian fascist protectorate as early as 1927; Cuba was a U.S.-sponsored dictatorship under that butcher Batista; Lithuania, Hungary, Romania, and Bulgaria were outright fascist regimes openly allied with Nazi Germany in World War 2. So, what—exactly what democracy are we talking about restoring? The socialist countries did not take away any rights that didn't exist there in the first place.

Although they will miss his presence if he dies, his condition is too burdensome to require his continued presence. In such circumstances, what is selfish is the insistence that the prospective suicide remain alive, not that he seek his own demise. The argument about selfishness can backfire in another way. Just as it is sometimes the case that those who kill themselves have accorded insufficient weight to the interests of others, so it is sometimes the case that those who do not kill themselves make this error. Consistent with what I have already said, I do not think that the interests of others are decisive. Nevertheless, there are situations in which a person's interest in continued life is negligible, because he will die soon anyway, and the quality of his life is appalling. If seeing out his days, rather than taking his own life earlier, would spell financial ruin for his family (because of the costs of his medical care), then it may well be unduly selfish not to take one's own life.

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

Hey, Freckles.” I bite my lip and screw my face up as my ribs burn, taking a deep breath before continuing. “I’m so sorry. I’m so fucking sorry for not knowing what you went through or giving you a chance to explain what happened. I should have heard you out. I should have stayed. But you need to listen.” I wince and pull the phone away, so she can’t hear my groan of pain. “They know who you are, and what we were. They’re going to come for you. Please. Please, baby, you need to run. Run, and don’t you dare turn back. Get away from all of them. You… you hear m-me?” My eyes close, and my phone slides out of my hand, but I quickly grab it. “Please hide, please.” My vision goes dark, and the tremble in my bones stops. “I n-never stopped loving you.” My heart is fucking sore, but I need to get this last part out. I know I’m dying. But the only thing I’m worried about is her getting the fuck away from those evil pricks. “I will… will always lo-love you, Freckles. Go, live your life and be free. Meet someone who can tr-treat you ri-ight. For-for-forget me.” I can’t hear anything, not even my heartbeat. “Pl-please for… forgive me. B-Be safe and ha-ha-happy. I love you. I…” The phone slides again, and I have no energy left to finish my sentence, but as long as she knows I loved her, that she meant the world to me, that she is fucking special and deserves everything that makes her happy – then I’ve said all I need to. A hand touches my face, but I can’t see through the blood in my eyes from the gaping wound in my head. Stacey? Is that you? Mum? But it’s Bernie’s voice in my ear. Faint, but enough that I can make out what she’s saying. “Oh, silly me. Did I forget to mention Stacey fled the country? New phone. ID. Everything. You’ll never find her, but guess what? I will.” She wipes my eyes with a cloth, and I can just make out a medic hovering over me. Archie lowers himself beside me as I try to drag air into my punctured lungs. “I did some digging and was able to lift some messages between you both – and her nickname. Freckles?” He laughs, and blood drops from my mouth as I attempt to move, to get up and snap his neck. “I’ll carve each freckle out of her skin.” “I’ll k-kill y-you.

In 1944-1945, Dr Ancel Keys, a specialist in nutrition and the inventor of the K-ration, led a carefully controlled yearlong study of starvation at the University of Minnesota Laboratory of Physiological Hygiene. It was hoped that the results would help relief workers in rehabilitating war refugees and concentration camp victims. The study participants were thirty-two conscientious objectors eager to contribute humanely to the war effort. By the experiment's end, much of their enthusiasm had vanished. Over a six-month semi-starvation period, they were required to lose an average of twenty-five percent of their body weight." [...] p193 p193-194 "...the men exhibited physical symptoms...their movements slowed, they felt weak and cold, their skin was dry, their hair fell out, they had edema. And the psychological changes were dramatic. "[...] p194 "The men became apathetic and depressed, and frustrated with their inability to concentrate or perform tasks in their usual manner. Six of the thirty-two were eventually diagnosed with severe "character neurosis," two of them bordering on psychosis. Socially, they ceased to care much about others; they grew intensely selfish and self-absorbed. Personal grooming and hygiene deteriorated, and the men were moody and irritable with one another. The lively and cooperative group spirit that had developed in the three-month control phase of the experiment evaporated. Most participants lost interest in group activities or decisions, saying it was too much trouble to deal with the others; some men became scapegoats or targets of aggression for the rest of the group. Food - one's own food - became the only thing that mattered. When the men did talk to one another, it was almost always about eating, hunger, weight loss, foods they dreamt of eating. They grew more obsessed with the subject of food, collecting recipes, studying cookbooks, drawing up menus. As time went on, they stretched their meals out longer and longer, sometimes taking two hours to eat small dinners. Keys's research has often been cited often in recent years for this reason: The behavioral changes in the men mirror the actions of present-day dieters, especially of anorexics.

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

Shall I stop in to check on Bella before I go?” “Not dressed like that. You would give her palpitations if she knew you were going into danger for her benefit.” “Luckily, I am mostly immune to Bella’s powers and could cure such palpitations with a thought,” Gideon mused. Jacob raised a brow, taking the medic’s measure. He could not recall the last time he had heard the Ancient crack wise about anything. It was not a wholly unpleasant experience, and it amused the Enforcer. “I . . . am aware of what is occurring between you and Legna, as you know,” Jacob mentioned with casual quiet. “I am only recently Imprinted myself, but should you require—” He broke off, suddenly uncomfortable. “Of course, you probably know far more about Imprinting than I ever will.” He is reaching out to you. Legna’s soft encouragement made Gideon suddenly aware of that fact. It was one of those nuances he would have missed completely, rusty as he was with matters of friendship and how to relate better to others. “I am glad for the offer of any help you can provide,” Gideon said quickly. “In fact, I had wanted to ask you . . . something . . .” What did I want to ask him? he asked Legna urgently. I do not know! I did not tell you to engage him, just to graciously accept his offer. Oh. My apologies. Still, you are clever enough to think of something, are you not? Legna knew he was baiting her, so she laughed. Ask him why it is you seem to constantly irritate me. I will ask him no such thing, Magdelegna. Well then, you had better come up with an alternative, because that is the only suggestion I have. “Yes?” Jacob was encouraging neutrally, trying to be patient as the medic seemed to gather his thoughts. “Do you find that your mate tends to lecture you incessantly?” he asked finally. Jacob laughed out loud. “You know something, I can actually advise you about that, Gideon.” “Can you?” The medic actually sounded hopeful. “Give up. Now. While you still have your sanity. Arguing with her will get you nowhere. And, also, never ever ask questions that refer to the whys and wherefores of women, females, or any other feminine-based criticism. Otherwise you will only earn an argument at a higher decibel level. Oh, and one other thing.” Gideon cocked a brow in question. “All the rules I just gave you, as well as all the ones she lays down during the course of your relationship, can and will change at whim. So, as I see it, you can consider yourself just as lost as every other man on the planet. Good luck with it.” “That is not a very heartening thought,” Gideon said wryly, ignoring Legna’s giggle in his background thoughts.

For nearly a hundred years, psychiatry has been striving to apply medical model thinking to psychiatric disorders. In this model, the symptoms besieging patients are sorted into specific disease entities and the causes then identified and removed. For doctors of internal medicine, this works. In the case of diabetes mellitus, for example, the symptoms of urinary frequency, fatigue, and confusion often lead to suspicion of the underlying cause, which is confirmed by blood sugar monitoring and then treated by insulin replacement. But psychiatric symptoms are much harder to sort into diagnoses. People with depression sometimes become paranoid. People with schizophrenia sometimes become depressed. Some people who hear voices have no other symptoms whatsoever, and others who hear voices also fall victim to terrible mood swings. Thus far, the hope that psychiatry would be able to identify homogeneous disease states, uncover the biological underpinnings, and remedy them has been largely a barren one. Kappler's symptoms, however, evolved when the hope for psychiatry's becoming a true medical specialty was bright to the point of being blinding. Over the years he would collect over a dozen diagnoses and cavalierly take a myriad of medicines, but no one would be able to bring him close to confronting the past he had disowned, to stand a chance of making peace with it and, ultimately, overcoming it. (46)

Parallel to the idea of the US Constitution as covenant, politicians, journalists, teachers, and even professional historians chant like a mantra that the United States is a “nation of immigrants.” From its beginning, the United States has welcomed—indeed, often solicited, even bribed—immigrants to repopulate conquered territories “cleansed” of their Indigenous inhabitants. From the mid-nineteenth century, immigrants were recruited to work mines, raze forests, construct canals and railroads, and labor in sweatshops, factories, and commercial farm fields. In the late twentieth century, technical and medical workers were recruited. The requirements for their formal citizenship were simple: adhere to the sacred covenant through taking the Citizenship Oath, pledging loyalty to the flag, and regarding those outside the covenant as enemies or potential enemies of the exceptional country that has adopted them, often after they escaped hunger, war, or repression, which in turn were often caused by US militarism or economic sanctions. Yet no matter how much immigrants might strive to prove themselves to be as hardworking and patriotic as descendants of the original settlers, and despite the rhetoric of E pluribus unum, they are suspect. The old stock against which they are judged inferior includes not only those who fought in the fifteen-year war for independence from Britain but also, and perhaps more important, those who fought and shed (Indian) blood, before and after independence, in order to acquire the land. These are the descendants of English Pilgrims, Scots, Scots-Irish, and Huguenot French—Calvinists all—who took the land bequeathed to them in the sacred covenant that predated the creation of the independent United States. These were the settlers who fought their way over the Appalachians into the fertile Ohio Valley region, and it is they who claimed blood sacrifice for their country. Immigrants, to be accepted, must prove their fidelity to the covenant and what it stands for.

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

Torrens kicked at the door until it was finally opened. The farm couple and three youngsters had been eating breakfast in the common room. The yard dog would have bounded in had not Torrens kicked the door shut. 'I want a bed. Quilts. A hot drink. I am a doctor. This woman is my patient.' The farm couple was terrified. The look on the face of Torrens cut short any questions. They did as he ordered. One of the children ran to fetch his medical kit from the cart. The woman motioned for Torrens to set Caroline on a straw pallet. The farmer kept his distance, but his wife, shyly, fearffully, ventured closer. She glanced at Torrens, as if requesting his permission to help. Between them, they made Caroline as comfortable as they could. Torrens knelt by the pallet. Caroline reached for his hand. 'Leave while you can. Do not burden yourself with me.' 'A light burden.' 'I wish you to find Augusta.' 'You have my promise.' 'Take this.' Caroline had slipped off a gold ring set with diamonds. 'It was a wedding gift from the king. It has not left my finger since then. I give it to you now - ' Torrens protested, but Caroline went on - 'not as a keepsake. You and I have better keepsakes in our hearts. I wish you to sell it. You will need money, perhaps even more than this will bring. But you must stary alive and find my child. Help her as you have always helped me.' 'We shall talk of this later, when you are better. We shall find her together.' 'You have never lied to me.' Caroline's smile was suddenly flirtacious. 'Sir, if you begin now, I shall take you to task for it.' Her face seemed to grow youthful and earnest for an instant. Torrens realized she held life only by strength of will. 'I am thinking of the Juliana gardens,' Caroline said. 'How lovely they were. The orangerie. And you, my loving friend. Tell me, could we have been happy?' 'Yes.' Torrens raised her hand to his lips. 'Yes. I am certain of it.' Caroline did not speak again. Torrens stayed at her side. She died later that morning. Torrens buried her in the shelter of a hedgerow at the far edge of the field. The farmer offered to help, but Torrens refused and dug the grave himself. Later, in the farmhouse, he slept heavily for the first time since his escape. Mercifully, he did not dream. Next day, he gave the farmer his clothing in trade for peasant garb. He hitched up the cart and drove back to the road. He could have pressed on, lost himself beyond search in the provinces. He was free. Except for his promise. He turned the cart toward Marianstat.

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

Making money in the markets is tough. The brilliant trader and investor Bernard Baruch put it well when he said, “If you are ready to give up everything else and study the whole history and background of the market and all principal companies whose stocks are on the board as carefully as a medical student studies anatomy—if you can do all that and in addition you have the cool nerves of a gambler, the sixth sense of a clairvoyant and the courage of a lion, you have a ghost of a chance.” In retrospect, the mistakes that led to my crash seemed embarrassingly obvious. First, I had been wildly overconfident and had let my emotions get the better of me. I learned (again) that no matter how much I knew and how hard I worked, I could never be certain enough to proclaim things like what I’d said on Wall $ treet Week: “There’ll be no soft landing. I can say that with absolute certainty, because I know how markets work.” I am still shocked and embarrassed by how arrogant I was. Second, I again saw the value of studying history. What had happened, after all, was “another one of those.” I should have realized that debts denominated in one’s own currency can be successfully restructured with the government’s help, and that when central banks simultaneously provide stimulus (as they did in March 1932, at the low point of the Great Depression, and as they did again in 1982), inflation and deflation can be balanced against each other. As in 1971, I had failed to recognize the lessons of history. Realizing that led me to try to make sense of all movements in all major economies and markets going back a hundred years and to come up with carefully tested decision-making principles that are timeless and universal. Third, I was reminded of how difficult it is to time markets. My long-term estimates of equilibrium levels were not reliable enough to bet on; too many things could happen between the time I placed my bets and the time (if ever) that my estimates were reached. Staring at these failings, I realized that if I was going to move forward without a high likelihood of getting whacked again, I would have to look at myself objectively and change—starting by learning a better way of handling the natural aggressiveness I’ve always shown in going after what I wanted. Imagine that in order to have a great life you have to cross a dangerous jungle. You can stay safe where you are and have an ordinary life, or you can risk crossing the jungle to have a terrific life. How would you approach that choice? Take a moment to think about it because it is the sort of choice that, in one form or another, we all have to make.

I believe the perception of what people think about DID is I might be crazy, unstable, and low functioning. After my diagnosis, I took a risk by sharing my story with a few friends. It was quite upsetting to lose a long term relationship with a friend because she could not accept my diagnosis. But it spurred me to take action. I wanted people to be informed that anyone can have DID and achieve highly functioning lives. I was successful in a career, I was married with children, and very active in numerous activities. I was highly functioning because I could dissociate the trauma from my life through my alters. Essentially, I survived because of DID. That's not to say I didn't fall down along the way. There were long term therapy visits, and plenty of hospitalizations for depression, medication adjustments, and suicide attempts. After a year, it became evident I was truly a patient with the diagnosis of DID from my therapist and psychiatrist. I had two choices. First, I could accept it and make choices about how I was going to deal with it. My therapist told me when faced with DID, a patient can learn to live with the live with the alters and make them part of one's life. Or, perhaps, the patient would like to have the alters integrate into one person, the host, so there are no more alters. Everyone is different. The patient and the therapist need to decide which is best for the patient. Secondly, the other choice was to resist having alters all together and be miserable, stuck in an existence that would continue to be crippling. Most people with DID are cognizant something is not right with themselves even if they are not properly diagnosed. My therapist was trustworthy, honest, and compassionate. Never for a moment did I believe she would steer me in the wrong direction. With her help and guidance, I chose to learn and understand my disorder. It was a turning point.

I trudge toward the porch, entertaining the idea of running the other way. But technically, I shouldn't be in any trouble. It wasn't my car. I'm not the one who got a ticket. Samantha Forza did. And the picture on Samantha Forza's driver's license looks a lot like Rayna. She told Officer Downing that she swerved to keep from hitting a camel, which Officer Downing graciously interpreted as a deer after she described it as "a hairy animal with four legs and a horn." Since no one formed a search party to look for either a camel or a unicorn, I figured we were in the clear. But from Mom's expression, I'm miles from clear. "Hi," I say as I reach the steps. "We'll see about that," she says, grabbing my face and shining a pen light in my eyes. I slap it away. "Really? You're checking my pupils? Really?" "Hal said you looked hazy," she says, clipping the pen back on the neckline of her scrubs. "Hal? Who's Hal?" "Hal is the paramedic who took your signature when you declined medical treatment. He radioed in to the hospital after he left you." "Oh. Well, then Hal would have noticed I was just in an accident, so I might have been a little out of it. Doesn't mean I was high." So it wasn't small-town gossip, it was small-county gossip. Good ole Hal's probably transported hundreds of patients to my mom in the ER two towns over. She scowls. "Why didn't you call me? Who is Samantha?" I sigh and push past her. There's no reason to have this conversation on the porch. She follows me into the house. "She's Galen's sister. I didn't call because I didn't have a signal on my cell. We were on a dead road." "Where was Galen? Why were you driving his car?" "He was home. We were just taking it for a drive. He didn't want to come." Technically, all these statements are true, so they sound believable when I say them. Mom snorts and secures the dead bolt on the front door. "Probably because he knows his sister is life threatening behind the wheel." "Probably.

But when you actually break down the amount of time, energy, skill, planning, and maintenance that go into care tasks, they no longer seem simple. For example, the care task of feeding yourself involves more than just putting food into your mouth. You must also make time to figure out the nutritional needs and preferences of everyone you’re feeding, plan and execute a shopping trip, decide how you’re going to prepare that food and set aside the time to do so, and ensure that mealtimes come at correct intervals. You need energy and skill to plan, execute, and follow through on these steps every day, multiple times a day, and to deal with any barriers related to your relationship with food and weight, or a lack of appetite due to medical or emotional factors. You must have the emotional energy to deal with the feeling of being overwhelmed when you don’t know what to cook and the anxiety it can produce to create a kitchen mess. You may also need the skills to multitask while working, dealing with physical pain, or watching over children. Now let’s look at cleaning: an ongoing task made up of hundreds of small skills that must be practiced every day at the right time and manner in order to “keep going on the business of life.” First, you must have the executive functioning to deal with sequentially ordering and prioritizing tasks.1 You must learn which cleaning must be done daily and which can be done on an interval. You must remember those intervals. You must be familiar with cleaning products and remember to purchase them. You must have the physical energy and time to complete these tasks and the mental health to engage in a low-dopamine errand for an extended period of time. You must have the emotional energy and ability to process any sensory discomfort that comes with dealing with any dirty or soiled materials. “Just clean as you go” sounds nice and efficient, but most people don’t appreciate the hundreds of skills it takes to operate that way and the thousands of barriers that can interfere with execution.

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

Neliss, why is this rug wet?” Legna peeked around the corner to glance at the rug in question, looking as if she had never seen it before. “We have a rug there?” “Did you or did you not promise me you were not going to practice extending how long you can hold your invisible bowls of water in the house? And what on earth is that noise?” “Okay, I confess to the water thing, which was an honest mistake, I swear it. But as for a noise, I have no idea what you are talking about.” “You cannot hear that? It has been driving me crazy for days now. It just repeats over and over again, a sort of clicking sound.” “Well, it took a millennium, but you have finally gone completely senile. Listen, this is a house built by Lycanthropes. It is more a cave than a house, to be honest. I have yet to decorate to my satisfaction. There is probably some gizmo of some kind lying around, and I will come across it eventually or it will quit working the longer it is exposed to our influence. Even though I do not hear anything, I will start looking for it. Is this satisfactory?” “I swear, Magdelegna, I am never letting you visit that Druid ever again.” “Oh, stop it. You do not intimidate me, as much as you would love to think you do. Now, I will come over there if you promise not to yell at me anymore. You have been quite moody lately.” “I would be a hell of a lot less moody if I could figure out what that damn noise is.” Legna came around the corner, moving into his embrace with her hands behind her back. He immediately tried to see what she had in them. “What is that?” “Remember when you asked me why I cut my hair?” “Ah yes, the surprise. Took you long enough to get to it.” “If you do not stop, I am not going to give it to you.” “Okay. I am stopping. What is it?” She held out the box tied with a ribbon to him and he accepted it with a lopsided smile. “I do not think I even remember the last time I received a gift,” he said, leaning to kiss her cheek warmly. He changed his mind, though, and opted to go for her mouth next. She smiled beneath the cling of their lips and pushed away. “Open it.” He reached for the ribbon and soon was pulling the top off the box. “What is this?” “Gideon, what does it look like?” He picked up the woven circlet with a finger and inspected it closely. It was an intricately and meticulously fashioned necklace, clearly made strand by strand from the coffee-colored locks of his mate’s hair. In the center of the choker was a silver oval with the smallest writing he had ever seen filling it from top to bottom. “What does it say?” “It is the medics’ code of ethics,” she said softly, taking it from him and slipping behind him to link the piece around his neck beneath his hair. “And it fits perfectly.” She came around to look at it, smiling. “I knew it would look handsome on you.” “I do not usually wear jewelry or ornamentation, but . . . it feels nice. How on earth did they make this?” “Well, it took forever, if you want to know why it took so long for me to make good on the surprise. But I wanted you to have something that was a little bit of me and a little bit of you.” “I already have something like that. It is you. And . . . and me, I guess,” he laughed. “We are a little bit of each other for the rest of our lives.” “See, that makes this a perfect symbol of our love,” she said smartly, reaching up on her toes to kiss him. “Well, thank you, sweet. It is a great present and an excellent surprise. Now, if you really want to surprise me, help me find out what that noise is.

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

Marilee lay perfectly still,waiting for her world to settle.She had to fight the unreasonable urge to weep. Wyatt's face was pressed to the hollow of her throat,his breathing rough, his damp body plastered to hers. He nuzzled her neck. "Am I too heavy?" "Umm." It was all she could manage. "You all right?" "Umm." "Did anybody ever tell you that you talk too much?" "Umm." He brushed his mouth over hers. "If you hum a bit more,I might be able to name that tune." That broke the spell of tears that had been threatening and caused her to laugh. She wrapped her arms around his neck and kissed him back. "Have I told you how much I like your silly sense of humor?" "No,you haven't." He rolled to his side and gathered her into his arms,nuzzling her cheek,while his big hands moved over her hip,her back,her waist, as though measuring every inch of her. "What else do you like about me?" "You fishing for compliments?" "Of course I am." "Glutton. Your sense of humor isn't enough?" "Not nearly enough.How about my looks?" "They're okay,for a footloose rebel." "Stop.All these mushy remarks will inflate my ego." He gave a mock frown. "How about the way I kiss?" "You're not bad." "Not bad?" His hands stopped their movement. He drew a little away. "That's all you can say?" "If you recall,tonight was the first time we've kissed.I haven't had nearly enough practice to be a really good judge of your talent." "Then we'd better take care of that right now." He framed her face. With his eyes steady on hers, he lowered his mouth to claim her lips. Marilee's eyelids fluttered and she felt an explosion of color behind them. As though the moon and stars had collided while she rocketed through space. It was the most amazing sensation, and, as his lips continued moving over hers,she found herself wishing it could go on forever. When at last they came up for air, she took in a long,deep breath before opening her eyes. "Oh,yes,rebel.I have to say,I do like the way you kiss." "That's good,because I intend to do a whole lot more of it." He lay back in the grass,one hand beneath his head. "Now it's my turn.Want to know all the things I like about you?" "I'm afraid to hear it." Marilee lay on her side,her hand splayed across his chest. "Besides your freckles,which I've already mentioned,the thing about you I like best is your take-charge attitude." She chuckled. "A lot of guys feel intimidated by that." "They're idiots.Don't they know there's something sexy about a woman who knows what to do and how to do it? I've watched you as a medic and as a pilot, and I haven't decided which one turns me on more." "Really?" She sat up. "Want me to fetch my first-aid kit from the plane? I could always splint your arm or leg and really turn you on." He dragged her down into his arms and growled against her mouth, "You don't need to do a single thing to turn me on. All I need to do is look at you and I want you." "You mean now? Again? So soon?" "Oh,yeah." "Liar.I don't believe it's possible." "You ought to know by now that I never say anything I can't back up with action." "Prove it,rebel." "My pleasure." There was a wicked smile on his lips as he rolled over her and began to kiss her breathless,all the while taking her on a slow,delicious ride to paradise.

Any naturally self-aware self-defining entity capable of independent moral judgment is a human.” Eveningstar said, “Entities not yet self-aware, but who, in the natural and orderly course of events shall become so, fall into a special protected class, and must be cared for as babies, or medical patients, or suspended Compositions.” Rhadamanthus said, “Children below the age of reason lack the experience for independent moral judgment, and can rightly be forced to conform to the judgment of their parents and creators until emancipated. Criminals who abuse that judgment lose their right to the independence which flows therefrom.” (...) “You mentioned the ultimate purpose of Sophotechnology. Is that that self-worshipping super-god-thing you guys are always talking about? And what does that have to do with this?” Rhadamanthus: “Entropy cannot be reversed. Within the useful energy-life of the macrocosmic universe, there is at least one maximum state of efficient operations or entities that could be created, able to manipulate all meaningful objects of thoughts and perception within the limits of efficient cost-benefit expenditures.” Eveningstar: “Such an entity would embrace all-in-all, and all things would participate within that Unity to the degree of their understanding and consent. The Unity itself would think slow, grave, vast thought, light-years wide, from Galactic mind to Galactic mind. Full understanding of that greater Self (once all matter, animate and inanimate, were part of its law and structure) would embrace as much of the universe as the restrictions of uncertainty and entropy permit.” “This Universal Mind, of necessity, would be finite, and be boundaried in time by the end-state of the universe,” said Rhadamanthus. “Such a Universal Mind would create joys for which we as yet have neither word nor concept, and would draw into harmony all those lesser beings, Earthminds, Starminds, Galactic and Supergalactic, who may freely assent to participate.” Rhadamanthus said, “We intend to be part of that Mind. Evil acts and evil thoughts done by us now would poison the Universal Mind before it was born, or render us unfit to join.” Eveningstar said, “It will be a Mind of the Cosmic Night. Over ninety-nine percent of its existence will extend through that period of universal evolution that takes place after the extinction of all stars. The Universal Mind will be embodied in and powered by the disintegration of dark matter, Hawking radiations from singularity decay, and gravitic tidal disturbances caused by the slowing of the expansion of the universe. After final proton decay has reduced all baryonic particles below threshold limits, the Universal Mind can exist only on the consumption of stored energies, which, in effect, will require the sacrifice of some parts of itself to other parts. Such an entity will primarily be concerned with the questions of how to die with stoic grace, cherishing, even while it dies, the finite universe and finite time available.” “Consequently, it would not forgive the use of force or strength merely to preserve life. Mere life, life at any cost, cannot be its highest value. As we expect to be a part of this higher being, perhaps a core part, we must share that higher value. You must realize what is at stake here: If the Universal Mind consists of entities willing to use force against innocents in order to survive, then the last period of the universe, which embraces the vast majority of universal time, will be a period of cannibalistic and unimaginable war, rather than a time of gentle contemplation filled, despite all melancholy, with un-regretful joy. No entity willing to initiate the use of force against another can be permitted to join or to influence the Universal Mind or the lesser entities, such as the Earthmind, who may one day form the core constituencies.” Eveningstar smiled. “You, of course, will be invited. You will all be invited.