Treatment Plan Quotes

A comprehensive treatment plan for the heart’s diseases is to deny the self of its desires,        Enjoin hunger, keep worship vigilance in the night, be silent, and meditate in private;        Also keep company with good people who possess sincerity, those who are emulated in their states and statements;        And, finally, take refuge in the One unto whom all affairs return. That is the most beneficial treatment for all of the previous diseases.        This must be to the point in which you are like a man drowning or someone lost in a barren desert and see no source of succor        Except from the Guardian, possessor of the greatest power. He is the One who responds to the call of the distressed.

Page 142: "When a spouse says to the alcoholic, "you need to go to AA," that is obviously not true. The addict feels no need to do that at all, and isn't. But when she says, "I am moving out and will be open to getting back together when you are getting treatment for your addiction," then all of a sudden the addict feels "I need to get some help or I am going to lose my marriage." The need has been transferred. It is the same with any kind of problematic behavior of a person who is not taking feedback and ownership. The need and drive to do something about it must be transferred to that person, and that is done through having consequences that finally make him feel the pain instead of others. When he feels the pain, he will feel the need to change...A plan that has hope is one that limits your exposure to the foolish person's issues and forces him to feel the consequences of his performance so that he might have hope of waking up and changing.

In my view, prescribing antidepressant drugs is too often a quick and easy substitute for developing treatment plans that address the totality of health concerns and lifestyle factors that have an impact on wellness, including emotional wellness.

PUNISHMENT if you plan on giving someone the silent treatment, make sure they give a fuck about what you have to say

While a psychiatric diagnosis can serve a purpose in treatment plans, it should not become a tool to discredit a person's disclosure of abuse.

We’re all familiar with the idea that lifestyle can be the cause of disease. What’s not common knowledge is that a change in lifestyle can also be the treatment and prevent us from getting sick in the first place.

third choice was to strike off toward some new projection—a new job, a better (different) relationship, a seductive ideology, or sometimes to drift into some unconscious “self-treatment plan” such as an addiction or an affair.

Thousands of those men and boys died here, and I have recently learned that their inhuman treatment was the intended policy of Himmler. He called his plan Death by Exhaustion, and he implemented it. Work them hard, don't waste valuable foodstuffs on them, and let them die. They could, and would, always be replaced by new slave workers from Europe's Occupied countries.

The nine in our list are based on a longer list in Robert Leahy, Stephen Holland, and Lata McGinn’s book, Treatment Plans and Interventions for Depression and Anxiety Disorders. For more on CBT—how it works, and how to practice it—please see Appendix 1.) EMOTIONAL REASONING: Letting your feelings guide your interpretation of reality. “I feel depressed; therefore, my marriage is not working out.” CATASTROPHIZING: Focusing on the worst possible outcome and seeing it as most likely. “It would be terrible if I failed.” OVERGENERALIZING: Perceiving a global pattern of negatives on the basis of a single incident. “This generally happens to me. I seem to fail at a lot of things.” DICHOTOMOUS THINKING (also known variously as “black-and-white thinking,” “all-or-nothing thinking,” and “binary thinking”): Viewing events or people in all-or-nothing terms. “I get rejected by everyone,” or “It was a complete waste of time.” MIND READING: Assuming that you know what people think without having sufficient evidence of their thoughts. “He thinks I’m a loser.” LABELING: Assigning global negative traits to yourself or others (often in the service of dichotomous thinking). “I’m undesirable,” or “He’s a rotten person.” NEGATIVE FILTERING: You focus almost exclusively on the negatives and seldom notice the positives. “Look at all of the people who don’t like me.” DISCOUNTING POSITIVES: Claiming that the positive things you or others do are trivial, so that you can maintain a negative judgment. “That’s what wives are supposed to do—so it doesn’t count when she’s nice to me,” or “Those successes were easy, so they don’t matter.” BLAMING: Focusing on the other person as the source of your negative feelings; you refuse to take responsibility for changing yourself. “She’s to blame for the way I feel now,” or “My parents caused all my problems.”11

HUMAN BILL OF RIGHTS [GUIDELINES FOR FAIRNESS AND INTIMACY] I have the right to be treated with respect. I have the right to say no. I have the right to make mistakes. I have the right to reject unsolicited advice or feedback. I have the right to negotiate for change. I have the right to change my mind or my plans. I have a right to change my circumstances or course of action. I have the right to have my own feelings, beliefs, opinions, preferences, etc. I have the right to protest sarcasm, destructive criticism, or unfair treatment. I have a right to feel angry and to express it non-abusively. I have a right to refuse to take responsibility for anyone else’s problems. I have a right to refuse to take responsibility for anyone’s bad behavior. I have a right to feel ambivalent and to occasionally be inconsistent. I have a right to play, waste time and not always be productive. I have a right to occasionally be childlike and immature. I have a right to complain about life’s unfairness and injustices. I have a right to occasionally be irrational in safe ways. I have a right to seek healthy and mutually supportive relationships. I have a right to ask friends for a modicum of help and emotional support. I have a right to complain and verbally ventilate in moderation. I have a right to grow, evolve and prosper.

It sucks enough when girlfriends break plans with each other for a boy, but at least that’s not against the natural order of things, like when a boy blows off his girlfriend for friends. . . . Or maybe I’ve had it wrong all along. Since friendships usually outlast relationships, why shouldn’t friends receive preferential treatment? Because you don’t sleep with your friends!

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.

We have an entire culture of addictive treatment plans, of sensate distraction, and of jejune impatience that is driven by the preference of security through unconsciousness as an antidote to growth.

I have other stories just as mysterious, just as beautiful, just as sacred, but it seems good to stop here and wonder if it is possible for us to begin to let go of our expectations about the shape in which healing may arrive, to trust the treatment plan lying dormant and waiting within our people, to cultivate a gradually gathering stillness so that, in the safety of the space between, healing pathways have the possibility of revealing themselves.

The next time you drive into a Walmart parking lot, pause for a second to note that this Walmart—like the more than five thousand other Walmarts across the country—costs taxpayers about $1 million in direct subsidies to the employees who don’t earn enough money to pay for an apartment, buy food, or get even the most basic health care for their children. In total, Walmart benefits from more than $7 billion in subsidies each year from taxpayers like you. Those “low, low prices” are made possible by low, low wages—and by the taxes you pay to keep those workers alive on their low, low pay. As I said earlier, I don’t think that anyone who works full-time should live in poverty. I also don’t think that bazillion-dollar companies like Walmart ought to funnel profits to shareholders while paying such low wages that taxpayers must pick up the ticket for their employees’ food, shelter, and medical care. I listen to right-wing loudmouths sound off about what an outrage welfare is and I think, “Yeah, it stinks that Walmart has been sucking up so much government assistance for so long.” But somehow I suspect that these guys aren’t talking about Walmart the Welfare Queen. Walmart isn’t alone. Every year, employers like retailers and fast-food outlets pay wages that are so low that the rest of America ponies up a collective $153 billion to subsidize their workers. That’s $153 billion every year. Anyone want to guess what we could do with that mountain of money? We could make every public college tuition-free and pay for preschool for every child—and still have tens of billions left over. We could almost double the amount we spend on services for veterans, such as disability, long-term care, and ending homelessness. We could double all federal research and development—everything: medical, scientific, engineering, climate science, behavioral health, chemistry, brain mapping, drug addiction, even defense research. Or we could more than double federal spending on transportation and water infrastructure—roads, bridges, airports, mass transit, dams and levees, water treatment plants, safe new water pipes. Yeah, the point I’m making is blindingly obvious. America could do a lot with the money taxpayers spend to keep afloat people who are working full-time but whose employers don’t pay a living wage. Of course, giant corporations know they have a sweet deal—and they plan to keep it, thank you very much. They have deployed armies of lobbyists and lawyers to fight off any efforts to give workers a chance to organize or fight for a higher wage. Giant corporations have used their mouthpiece, the national Chamber of Commerce, to oppose any increase in the minimum wage, calling it a “distraction” and a “cynical effort” to increase union membership. Lobbyists grow rich making sure that people like Gina don’t get paid more. The

I also see how essential a comprehensive treatment plan is, a plan that incorporates education, understanding, empathy, structure, coaching, a plan for success and physical exercise as well as medication. I see how important the human connection is every step of the way: connection with parent or spouse; with teacher or supervisor; with friend or colleague; with doctor, with therapist, with coach, with the world “out there.” In fact, I see the human connection as the single most powerful therapeutic force in the treatment of ADHD.

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

But delivery has to do with the safety of two lives. Jiyoung chose to give birth in a hospital with the help of experts because she had decided it was the safer way, and believed the birthing plan was a decision based on the parents’ values and circumstances, not something to make a value judgment on. However, a significant number of media outlets reported on the possible adverse effects of medical treatment and medication on newborns—their causal relationship speculative—to arouse guilt and fear. People who pop a painkiller at the smallest hint of a migraine, or who need anaesthetic cream to remove a mole, demand that women giving birth should gladly endure the pain, exhaustion, and mortal fear. As if that’s maternal love. This idea of “maternal love” is spreading like religious dogma. Accept Maternal Love as your Lord and Savior, for the Kingdom is near!

an interaction is not a relationship; rather, a relationship is the remembered history of previous interactions.

How can it be good practice to select a ready-made formulation before the therapist lays eyes on a new client?

How often does it occur that information provided you on morning radio or television, or in the morning newspaper, causes you to alter your plans for the day, or to take some action you would not otherwise have taken, or provides insight into some problem you are required to solve? For most of us, news of the weather will sometimes have consequences; for investors, news of the stock market; perhaps an occasional story about crime will do it, if by chance it occurred near where you live or involved someone you know. But most of our daily news is inert, consisting of information that gives us something to talk about but cannot lead to any meaningful action...You may get a sense of what this means by asking yourself another series of questions: What steps do you plan to take to reduce the conflict in the Middle East? Or the rates of inflation, crime and unemployment? What are your plans for preserving the environment or reducing the risk of nuclear war? What do you plan to do about NATO, OPEC, the CIA, affirmative action, and the monstrous treatment of the Baha’is in Iran? I shall take the liberty of answering for you: You plan to do nothing about them. You may, of course, cast a ballot for someone who claims to have some plans, as well as the power to act. But this you can do only once every two or four years by giving one hour of your time, hardly a satisfying means of expressing the broad range of opinions you hold. Voting, we might even say, is the next to last refuge of the politically impotent. The last refuge is, of course, giving your opinion to a pollster, who will get a version of it through a desiccated question, and then will submerge it in a Niagara of similar opinions, and convert them into—what else?—another piece of news. Thus, we have here a great loop of impotence: The news elicits from you a variety of opinions about which you can do nothing except to offer them as more news, about which you can do nothing.

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

They understand the importance of diet in the prevention and treatment of many disease conditions such as diabetes, cancer, hypertension, and heart disease, and their advice can enhance your quality of life.

For all its fine phrases, what this cause really seeks is a return to oligarchy, to a world in which both economic and effective political power are to be concentrated in the hands of a few. It would like to reinstate the kind of political economy that prevailed in America at the opening of the twentieth century, when the mass disfranchisement of voters and the legal treatment of labor unions as illegitimate enabled large corporations and wealthy individuals

Whoever is planning a nuclear war or seriously thinking about using nuclear weapons must directly be taken to a mental hospital! Mad people are mentally sick and they only need a medical treatment! Every nation has the responsibility to weed their deranged politicians out from their governments!

Chelation Therapy. If you’ve been exposed to a lot of heavy metals, you might want to try chelation therapy. This is the strongest way to detox heavy metals. It involves an intravenous injection of compounds called chelators that bind to toxins in the bloodstream so you can then pass them normally. Chelation therapy is effective for removing lead, mercury, aluminum, arsenic, iron, and copper. However, it can also be dangerous. If your liver and kidneys have been damaged by the heavy metal poisoning and can’t process the metals, this treatment can make you very ill. Talk to your doctor before attempting this one.

Now, years later and with Carnegie’s blessing, Frick had launched his plan to further consolidate his rule over their industrial kingdom by destroying the Amalgamated Association of Iron and Steel Workers. The labor union, formed in 1876, was one of many that emerged in the industrial age to combat the cruel and oppressive treatment of workers. In the steel mills, workers typically put in 12-hour days, six days a week, for less than a dime an hour. There were no government agencies to inspect the work sites, no forms of compensation in case of injury, and more than 35,000 workers died each year in industrial accidents. Only the unions offered some hope by fighting for higher wages, eight-hour workdays, and improved working conditions.

The ability to change the direction of our work opportunistically is a form of control that is completely different from the attempt to control the circumstances by clinging to a plan. The beginning of the research project that led to the discovery of DNA’s structure was the application for a grant. The grant was not to discover DNA’s structure, but find a treatment for cancer.

I planned playdates and barbecues and pediatric dental checkups and adult dental checkups and plain old internists and plain old pediatricians and hair salon treatments and educational testing and cleats-buying and art class attendance and pediatric ophthalmologist and adult ophthalmologist and now, suddenly, mammograms. I made lunch. I made dinner. I made breakfast. I made lunch. I made dinner. I made breakfast. I made lunch. I made dinner.

It is the position of the American Dietetic Association that appropriately planned vegetarian diets, including total vegetarian or vegan diets, are healthful, nutritionally adequate, and may provide health benefits in the prevention and treatment of certain diseases. Well-planned vegetarian diets are appropriate for individuals during all stages of the life cycle, including pregnancy, lactation, infancy, childhood, and adolescence, and for athletes.[2]

Niacin also reduces lipoprotein(a), or Lp(a). Lipoprotein(a) is basically a special kind of LDL, and it’s a really bad one. This, folks, is the real cholesterol story! Lp(a) is an independent risk factor for heart disease and for heart attacks, yet it doesn’t get as much attention as cholesterol does because there aren’t effective drug treatments for lowering it, and no one really knows what to do about it. Niacin lowers Lp(a) levels by a remarkable 10 to 30 percent.

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

If the goal was to keep us from questioning the treatment we were getting in our support sessions because we didn’t know what, exactly, to question, to disagree with—the Bible or the psychology she was using—it kind of worked. But I don’t think it was necessarily so organized, so planned out as a means to manipulate us. I just think it really was the Wild West out there and they were making shit up as they went along. I mean, who was there to stop them? I know the word for all this now: it’s pseudoscientific.

Long before there were effective treatments, physicians dispensed prognoses, hope, and, above all, meaning. When something terrible happens-and serious disease is always terrible-people want to know why. In a pantheistic world, the explanation was simple-one god had caused the problem, another could cure it. In the time since people have been trying to get along with only one God, explaining disease and evil has become more difficult. Generations of theologians have wrestled with the problem of theodicy-how can a good God allow such bad things to happen to good people? Darwinian medicine can't offer a substitute for such explanations. It can't provide a universe in which events are part of a divine plan, much less one in which individual illness reflects individual sins. It can only show us why we are the way we are, why we are vulnerable to certain diseases. A Darwinian view of medicine simultaneously makes disease less and more meaningful. Diseases do not result from random or malevolent forces, they arise ultimately from past natural selection. Paradoxically, the same capacities that make us vulnerable to disease often confer benefits. The capacity for suffering is a useful defense. Autoimmune disease is a price of our remarkable ability to attack invaders. Cancer is the price of tissues that can repair themselves. Menopause may protect the interests of our genes in existing children. Even senescence and death are not random, but compromises struck by natural selection as it inexorably shaped out bodies to maximize the transmission of our genes. In such paradoxical benefits, some may find a gentle satisfaction, even a bit of meaning-at least the sort of meaning Dobzhansky recognized. After all, nothing in medicine makes sense except in the light of evolution.

Make school affordable. For example, provide family stipends for keeping girls in school. Help girls overcome health barriers. For example, offer deworming treatments. Reduce the time and distance to get to school. For example, provide girls with bikes. Make schools more girl-friendly. For example, offer child-care programs for young mothers. Improve school quality. For example, invest in more and better teachers. Increase community engagement. For example, train community education activists. Sustain girls’ education during emergencies. For example, establish schools in refugee camps. Today,

A short treatment of anti-nausea agents can be considered. A person may use benzodiazepines or meclizine to reduce the vertigo, but it is vital to remember NOT to use such medications for more than 2-3 days. After vestibular neuritis, the brain needs to adapt to the loss of inner ear function and reorganize the balance system (a process called central compensation). These medications impede central compensation, and will cause a person to feel off balance and dizzy for a very long time. On the other hand, vestibular rehabilitation therapy helps improve central compensation, and should be started as soon as possible after vestibular neuritis.

Spend more time in nature to boost your own natural killer cells and enhance your immune system; bonus points for frequently visiting a forest with lots of evergreen trees. Or at least use some forest-based essential oils like cypress. •​Consider boron supplements for stem cells, as well as the other listed stem cell enhancers. Calcium fructoborate or food-grade boron (tetraborate) work well. •​Make sure your sexual function is that of a young person. If it isn’t, get your hormone levels checked and look at any prescription meds that may be causing a problem. To improve sexual function, consider GAINSWave treatments or simply practice Kegel exercises on a daily basis.

Couples counseling has long been banned from the list of acceptable treatments for domestic violence . . . "an inappropriate intervention that further endangers the woman." Schechter explained: 'It encourages the abuser to blame the victim by examining her "role" in his problem. By seeing the couple together, the therapist erroneously suggests that the partner, too, is responsible for the abuser's behavior. Many women have been beaten brutally following couples counseling sessions in which they disclosed violence or coercion. The abuser alone must take responsibility for the assaults and understand that family reunification is not his treatment goal; the goal is to stop the violence.

Needless to say, elderly people taking steroids may also experience the same side effects as younger persons. So, if you are a senior and need to be on a long course of steroids, what should you do? We would suggest a practical approach—which could apply to anyone on steroids, regardless of age, but may be particularly relevant for seniors because they are particularly vulnerable to side effects: • Understand and verify the need for steroids in your own situation, weighing the anticipated benefit with the possible risks. This means that you should explore the range of other treatments that may be available for your particular condition. You need to learn about the benefits and risks of any other treatment suggested. In other words, get all the information you can prior to going on treatment, be it with steroids or other medications. • Be sure that your health is well-assessed before or at the start of therapy. If you have underlying, separate health conditions, those should be noted and followed while you are on steroids. • Assess bodily systems that might particularly be affected by being on steroids. This means an assessment of your skeletal health, your eyes, your teeth, and your internal organs. • Request guidance about staying active. Physical therapy should be planned, to minimize the chances that your muscles and joints will be overtaxed or that any existing damage might get worse. • Ask to reassess the length and dose of your medication course at various intervals. A reasonable interval is every couple of months, if you are on a long course of steroids.

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

you’re over fifty or have dealt with serious health problems in the past, find a local ozone doctor and get IV treatments when they are affordable for you. At worst, your mitochondria will become better. At best, the ozone will knock out other unpleasant stuff growing in your body that you don’t even know about. •​If you have arthritis or sore joints that don’t get better, consider prolozone injections into the impacted joint to speed healing dramatically. •​If you’re having dental work done, look for a dentist who uses ozone gas to sterilize the teeth before treatments. This can help you avoid chronic inflammation and its corresponding aging. •​Up your NAD+ with supplements or IV treatments to boost mitochondrial function at any age. If you don’t want to try either of these, you can increase your NAD+ levels through cyclical ketosis, intermittent fasting, and/or calorie restriction.

Your butler informed me you were here. I thought-that is, I wondered how things were going.” “And since my butler didn’t know,” Ian concluded with amused irritation, “you decided to call on Elizabeth and see if you could discover for yourself?” “Something like that,” the vicar said calmly. “Elizabeth regards me as a friend, I think. And so I planned to call on her and, if you weren’t here, to put in a good word for you.” “Only one?” Ian said mildly. The vicar did not back down; he rarely did, particularly in matters of morality or justice. “Given your treatment of her, I was hard pressed to think of one. How did matters turn out with your grandfather?” “Well enough,” Ina said, his mind on meeting with Elizabeth. “He’s here in London.” “And?” “And,” Ian said sardonically, “you may now address me as ‘my lord.’” “I’ve come here,” Duncan persisted implacably, “to address you as ‘the bridegroom.’” A flash of annoyance crossed Ian’s tanned features. “You never stop pressing, do you? I’ve managed my own life for thirty years, Duncan. I think I can do it now.” Duncan had the grace to look slightly abashed. “You’re right, of course. Shall I leave?” Ian considered the benefits of Duncan’s soothing presence and reluctantly shook his head. “No. In fact, since you’re here,” he continued as they neared the top step, “you may as well be the one to announce us to the butler. I can’t get past him.” Duncan lifted the knocker while bestowing a mocking glance on Ian. “You can’t get past the butler, and you think you’re managing very well without me?” Declining to rise to that bait, Ian remained silent. The door opened a moment later, and the butler looked politely from Duncan, who began to give his name, to Ian. To Duncan’s startled disbelief, the door came crashing forward in his face. An instant before it banged into its frame Ian twisted, slamming his shoulder into it and sending the butler flying backward into the hall and ricocheting off the wall. In a low, savage voice he said, “Tell your mistress I’m here, or I’ll find her myself and tell her.” With a glance of furious outrage the older man considered Ian’s superior size and powerful frame, then turned and started reluctantly for a room ahead and to the left, where muted voices could be heard. Duncan eyed Ian with one gray eyebrow lifted and said sardonically, “Very clever of you to ingratiate yourself so well with Elizabeth’s servants.” The group in the drawing room reacted with diverse emotions to Bentner’s announcement that “Thornton is here and forced his way into the house.” The dowager duchess looked fascinated, Julius looked both relived and dismayed, Alexandra looked wary, and Elizabeth, who was still preoccupied with her uncle’s unstated purpose for his visit, looked nonplussed. Only Lucinda showed no expression at all, but she laid her needlework aside and lifted her face attentively toward the doorway.

Milton’s treatment of Satan reminds us of the rabbis’ description of the “evil inclination” that is inextricably combined with human progress and productivity. Satan embodies many of the achievements of early modernity. When he embarks on his dangerous journey through Chaos, he becomes an intrepid early modern explorer, courageously seeking a New World; in his plan to invade Eden, he becomes a European coloniser; and, of course, he shares Milton’s passion for republican liberty when he inveighs against the monarchical elevation of the Son. Looking back on his moment of rebellion, he declares that he “sdeind [i.e., disdained] subjection”: “Will ye submit your necks, and chuse to bend / The supple knee?” he asks his fellow angels: Who can in reason then or right assume Monarchie over such as live by right His equals, if in power and splendor less, In freedom equal?70 Like the rabbis, Milton implied that evil was not an alien, omnipotent force; it was rather intricately combined with the creativity and inventiveness that were essential to human nature and its achievements.

Among the many vital jobs to be done, the nation must not only radically readjust its attitude toward the Negro in the compelling present, but must incorporate in its planning some compensatory consideration for the handicaps he has inherited from the past. It is impossible to create a formula for the future which does not take into account that our society has been doing something special against the Negro for hundreds of years. How then can he be absorbed into the mainstream of American life if we do not do something special for him now, in order to balance the equation and equip him to compete on a just and equal basis? Whenever this issue of compensatory or preferential treatment for the Negro is raised, some of our friends recoil in horror. The Negro should be granted equality, they agree; but he should ask nothing more. On the surface, this appears reasonable, but it is not realistic. For it is obvious that if a man is entered at the starting line in a race three hundred years after another man, the first would have to perform some impossible feat in order to catch up with his fellow runner.

Virtually every version of CBT for anxiety disorders involves working through what’s called an exposure hierarchy. The concept is simple. You make a list of all the situations and behaviors you avoid due to anxiety. You then assign a number to each item on your list based on how anxiety provoking you expect doing the avoided behavior would be. Use numbers from 0 (= not anxiety provoking at all) to 100 (= you would fear having an instant panic attack). For example, attempting to talk to a famous person in your field at a conference might be an 80 on the 0-100 scale. Sort your list in order, from least to most anxiety provoking. Aim to construct a list that has several avoided actions in each 10-point range. For example, several that fall between 20 and 30, between 30 and 40, and so on, on your anxiety scale. That way, you won’t have any jumps that are too big. Omit things that are anxiety-provoking but wouldn’t actually benefit you (such as eating a fried insect). Make a plan for how you can work through your hierarchy, starting at the bottom of the list. Where possible, repeat an avoided behavior several times before you move up to the next level. For example, if one of your items is talking to a colleague you find intimidating, do this several times (with the same or different colleagues) before moving on. When you start doing things you’d usually avoid that are low on your hierarchy, you’ll gain the confidence you need to do the things that are higher up on your list. It’s important you don’t use what are called safety behaviors. Safety behaviors are things people do as an anxiety crutch—for example, wearing their lucky undies when they approach that famous person or excessively rehearsing what they plan to say. There is a general consensus within psychology that exposure techniques like the one just described are among the most effective ways to reduce problems with anxiety. In clinical settings, people who do exposures get the most out of treatment. Some studies have even shown that just doing exposure can be as effective as therapies that also include extensive work on thoughts. If you want to turbocharge your results, try exposure. If you find it too difficult to do alone, consider working with a therapist.

to an AirPort Express in his hospital room, announcing his surgery. He assured them that the type of pancreatic cancer he had “represents about 1% of the total cases of pancreatic cancer diagnosed each year, and can be cured by surgical removal if diagnosed in time (mine was).” He said he would not require chemotherapy or radiation treatment, and he planned to return to work in September. “While I’m out, I’ve asked Tim Cook to be responsible for Apple’s day to day operations, so we shouldn’t miss a beat. I’m sure I’ll be calling some of you way too much in August, and I look forward to seeing you in September.” One side effect of the operation would become a problem for Jobs because of his obsessive diets and the weird routines of purging and fasting that he had practiced since he was a teenager. Because the pancreas provides the enzymes that allow the stomach to digest food and absorb nutrients, removing part of the organ makes it hard to get enough protein. Patients are advised to make sure that they eat frequent meals and maintain a nutritious diet, with a wide variety of meat and fish proteins as well as full-fat milk products. Jobs had never done this, and he never would.

George W. Bush’s initiative to fight AIDS around the world, the President’s Emergency Plan for AIDS Relief (PEPFAR), saved millions of lives in Africa and elsewhere. From the program’s launch in 2003 to the time Bush left office, the number of HIV-infected people in Africa getting proper treatment went from fewer than fifty thousand to two million. 19 His efforts didn’t go unnoticed by the people of the African continent. When President Bush took a farewell tour of Africa near the end of his second term, massive crowds of grateful Africans cheered for him. 20 Despite massive spending increases spearheaded by Obama, he cut funding for PEPFAR21 and deprived hundreds of thousands of people around of treatment. This inexplicable decision had a devastating effect on Africa, where most AIDS deaths occur. 22 The AIDS Healthcare Foundation was highly critical of Obama’s cuts, which came after he had promised to expand the fight against AIDS months earlier: “This latest action merely confirms what people with HIV/ AIDS and their advocates have long suspected—the President simply is not committed to fighting global AIDS. Coming on the heels of the President’s flowery rhetoric last December, the cynicism is simply breathtaking,” said Michael Weinstein, President of AIDS Healthcare Foundation, which provides free HIV/ AIDS medical care to over 125,000 people in 26 countries abroad. 23 The lesson for Africans: American friendship was fickle and patronizing and they couldn’t trust our promises. And we wonder why ISIS propaganda was so attractive to North Africans.

It’s not like I wasn’t busy. I was an officer in good standing of my kids’ PTA. I owned a car that put my comfort ahead of the health and future of the planet. I had an IRA and a 401(k) and I went on vacations and swam with dolphins and taught my kids to ski. I contributed to the school’s annual fund. I flossed twice a day; I saw a dentist twice a year. I got Pap smears and had my moles checked. I read books about oppressed minorities with my book club. I did physical therapy for an old knee injury, forgoing the other things I’d like to do to ensure I didn’t end up with a repeat injury. I made breakfast. I went on endless moms’ nights out, where I put on tight jeans and trendy blouses and high heels like it mattered and went to the restaurant that was right next to the restaurant we went to with our families. (There were no dads’ nights out for my husband, because the supposition was that the men got to live life all the time, whereas we were caged animals who were sometimes allowed to prowl our local town bar and drink the blood of the free people.) I took polls on whether the Y or the JCC had better swimming lessons. I signed up for soccer leagues in time for the season cutoff, which was months before you’d even think of enrolling a child in soccer, and then organized their attendant carpools. I planned playdates and barbecues and pediatric dental checkups and adult dental checkups and plain old internists and plain old pediatricians and hair salon treatments and educational testing and cleats-buying and art class attendance and pediatric ophthalmologist and adult ophthalmologist and now, suddenly, mammograms. I made lunch. I made dinner. I made breakfast. I made lunch. I made dinner. I made breakfast. I made lunch. I made dinner.

In both oral and typographic cultures, information derives its importance from the possibilities of action. Of course, in any communication environment, input (what one is informed about) always exceeds output (the possibilities of action based on information. But the situation created by telegraphy, and then exacerbated by later technologies, made the relationship between information and action both abstract and remote. For the first time in human history, people were faced with the problem of information glut, which means that simultaneously they were faced with the problem of a diminished social and political potency. You may get a sense of what this means by asking yourself another series of questions: What steps do you plan to take to reduce the conflict in the Middle East? Or the rates of inflation, crime and unemployment? What are your plans for preserving the environment or reducing the risk of nuclear war? What do you plan to do about NATO, OPEC, the CIA, affirmative action, and the monstrous treatment of the Baha'is in Iran? I shall take the liberty of answering for you: You plan to do nothing about them. You may, of course, cast a ballot for someone who claims to have some plans, as well as the power to act. But this you can do only once every two or four years by giving one hour of your time, hardly a satisfying means of expressing the broad range of opinions you hold. Voting, we might even say, is the next to last refuge of the politically impotent. The last refuge is, of course, giving your opinion to a pollster, who will get a version of it through a desiccated question, and then will submerge it in a Niagara of similar opinions, and convert them into--what else?--another piece of news. Thus, we have here a great loop of impotence: The news elicits from you a variety of opinions about which you can do nothing except to offer them as more news, about which you can do nothing.

Of course, historical scholarship on the New Testament is open to all, whether Jewish or Christian, atheist or agnostic. But the present debate about Paul and justification is taking place between people most of whom declare their allegiance to Scripture in general, and perhaps to Paul in particular, as the place where and the means by which the living God has spoken, and still speaks, with life-changing authority. This ought to mean, but does not always mean, that exegesis-close attention to the actual flow of the text, to the questions that it raises in itself and the answers it gives in and of itself-should remain the beginning and the end of the process. Systematize all you want in between-we all do it; there is nothing wrong with it and much to be said for it, particularly when it involves careful comparing of different treatments of similar topics in different contexts. But start with exegesis, and remind yourself that the end in view is not a tidy system, sitting in hard covers on a shelf where one may look up "correct answers," but the sermon, or the shared pastoral reading, or the scriptural word to a Synod or other formal church gathering, or indeed the life of witness to the love of God, through all of which the church is built up and energized for mission, the Christian is challenged, transformed and nurtured in the faith, and the unbeliever is confronted with the shocking but joyful news that the crucified and risen Jesus is the Lord of the world. That is letting Scripture be Scripture. Scripture, in other words, does not exist to give authoritative answers to questions other than those it addresses-not even to the questions which emerged from especially turbulent years such as the sixteenth and seventeenth centuries. That is not to say that one cannot deduce from Scripture appropriate answers to such later questions, only that you have to be careful and recognize that that is indeed what you are doing.

Charles Bean, the official historian of Australia’s part in World War I, was unusual in dealing closely with the deeds of the soldiers on the front line, and not just the plans and orders of their leaders. At the end of his account of the Gallipoli landing in the Official History, he asked what made the soldiers fight on. What motive sustained them? At the end of the second or third day of the Landing, when they had fought without sleep until the whole world seemed a dream, and they scarcely knew whether it was a world of reality or of delirium – and often, no doubt, it held something of both; when half of each battalion had been annihilated, and there seemed no prospect before any man except that of wounds or death in the most vile surroundings; when the dead lay three deep in the rifle-pits under the blue sky and the place was filled with stench and sickness, and reason had almost vanished – what was it then that carried each man on? It was not love of a fight. The Australian loved fighting better than most, but it is an occupation from which the glamour quickly wears. It was not hatred of the Turk. It is true that the men at this time hated their enemy for his supposed ill-treatment of the wounded – and the fact that, of the hundreds who lay out, only one wounded man survived in Turkish hands has justified their suspicions. But hatred was not the motive which inspired them. Nor was it purely patriotism, as it would have been had they fought on Australian soil. The love of country in Australians and New Zealanders was intense – how strong, they did not realise until they were far away from their home. Nor, in most cases was the motive their loyalty to the tie between Australia and Great Britain. Although, singly or combined, all these were powerful influences, they were not the chief. Nor was it the desire for fame that made them steer their course so straight in the hour of crucial trial. They knew too well the chance that their families, possibly even the men beside them, would never know how they died. Doubtless the weaker were swept on by the stronger. In every army which enters into battle there is a part which is dependent for its resolution upon the nearest strong man. If he endures, those around him will endure; if he turns, they turn; if he falls, they may become confused. But the Australian force contained more than its share of men who were masters of their own minds and decisions. What was the dominant motive that impelled them? It lay in the mettle of the men themselves. To be the sort of man who would give way when his mates were trusting to his firmness; to be the sort of man who would fail when the line, the whole force, and the allied cause required his endurance; to have made it necessary for another unit to do his own unit’s work; to live the rest of his life haunted by the knowledge that he had set his hand to a soldier’s task and had lacked the grit to carry it through – that was the prospect which these men could not face. Life was very dear, but life was not worth living unless they could be true to their idea of Australian manhood.

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THE INSTRUCTION OF PTAHHOTEP Part III Report your commission without faltering, Give your advice in your master’s council. If he is fluent in his speech, It will not be hard for the envoy to report, Nor will he be answered, "Who is he to know it ?” As to the master, his affairs will fail If he plans to punish him for it. He should be silent upon (hearing): "I have told.” If you are a man who leads. Whose authority reaches wide, You should do outstanding things, Remember the day that comes after. No strife will occur in the midst of honors, But where the crocodile enters hatred arises. If you are a man who leads. Listen calmly to the speech of one who pleads; Don’t stop him from purging his body Of that which he planned to tell. A man in distress wants to pour out his heart More than that his case be won. About him who stops a plea One says: “Why does he reject it ?” Not all one pleads for can be granted, But a good hearing soothes the heart. If you want friendship to endure In the house you enter As master, brother, or friend, In whatever place you enter, Beware of approaching the women! Unhappy is the place where it is done. Unwelcome is he who intrudes on them. A thousand men are turned away from their good: A short moment like a dream, Then death comes for having known them. Poor advice is “shoot the opponent,” When one goes to do it the heart rejects it. He who fails through lust of them, No affair of his can prosper. If you want a perfect conduct, To be free from every evil, Guard against the vice of greed: A grievous sickness without cure, There is no treatment for it. It embroils fathers, mothers, And the brothers of the mother, It parts wife from husband; It is a compound of all evils, A bundle of all hateful things. That man endures whose rule is rightness, Who walks a straight line; He will make a will by it, The greedy has no tomb. Do not be greedy in the division. Do not covet more than your share; Do not be greedy toward your kin. The mild has a greater claim than the harsh. Poor is he who shuns his kin, He is deprived of 'interchange' Even a little of what is craved Turns a quarreler into an amiable man. When you prosper and found your house, And love your wife with ardor, Fill her belly, clothe her back, Ointment soothes her body. Gladden her heart as long as you live, She is a fertile held for her lord. Do not contend with her in court, Keep her from power, restrain her — Her eye is her storm when she gazes — Thus will you make her stay in your house. Sustain your friends with what you have, You have it by the grace of god; Of him who fails to sustain his friends One says, “a selfish ka". One plans the morrow but knows not what will be, The ( right) ka is the ka by which one is sustained. If praiseworthy deeds are done, Friends will say, “welcome!” One does not bring supplies to town, One brings friends when there is need. Do not repeat calumny. Nor should you listen to it, It is the spouting of the hot-bellied. Report a thing observed, not heard, If it is negligible, don’t say anything. He who is before you recognizes worth. lf a seizure is ordered and carried out, Hatred will arise against him who seizes; Calumny is like a dream against which one covers the face. If you are a man of worth, Who sits in his master’s council. Concentrate on excellence, Your silence is better than chatter. Speak when you know you have a solution, It is the skilled who should speak in council; Speaking is harder than all other work. He who understands it makes it serve.

No sooner did the plan let them off at New Caledonia, than Barby found another friend. He was a Kanaka taxi driver, over six feet tall and muscled like a blacksmith, with sooty skin and hair turned yellow from many applications of lime, a standard native treatment for lice. He chewed betel incessantly, which Barby thought was fascinating, since it turned his tongue and lips the color of a ripe tomato. His name, he said in wonderfully bad English, was Henri. He pronounced it 'On-ree.

Struggling to lift up his own weight, he staggered down a dirt path. Pain radiated throughout his body, his spirit crushed by insult and mockery. Despite the excruciating affliction he continued to walk, knowing that his destination would led him to even more suffering. Heavy, splintering wood pressed against his back, joining in with gravity to pull this man to the dusty ground. Anguish gripped his heart, yet he walked. Blood dripped from raw wounds, yet he carried on. There was no rescue plan. This man knew that he would experience death, but only after the shock of agony pierced his flesh. Still, he walked on, headed towards the place where he would breathe his last. His motivation was you.   Jesus Christ was sacrificed for you and for all mankind. He endured harsh treatment that led to death on the cross, providing people redemption from sin and the only way to be reconciled to God. He made that walk in humiliation regardless of whether or not anyone accepts Him as Lord and Savior. He didn’t do it because you deserve it or because you earned it. There is only one way He could have endured that immense amount of pain: true, unconditional, selfless love.   Knowing that someone would go through so much for you regardless of how you respond strips away any reason apart from love. The power of that kind of love is transforming. It transforms those who believe in it, drawing them closer to God, thus transforming their character to be more like His.

Caught between two global forces, Gehlen and Wessel chose the West. Coming to this realization, Gehlen and his organization made plans. Large dossiers of German intelligence on Soviet activities, which included surveillance photos of Russian industrial complexes and detailed intelligence on the capacity of the Soviet air force, were consolidated and hidden, often in makeshift holes beneath the floorboards of foresters’ cottages. When the time came Gehlen and his colleagues would present themselves to the Allies, offering up their cache in return for lenient treatment.

Engineers have a peculiar relationship with doctors. When they have need of one, and the doctor decides on a treatment plan for them, they think about the complexity of the problem space the doctor had to navigate to reach that decision. They wish the doctor would chart the parameter space for them, so they can agree or disagree with the choice in an informed manner, and have more of a clue about the competence of the doctor. This is usually not what happens, not to their satisfaction anyway, and it's deeply unsettling having to trust rather than know when it comes to something that appears so much like engineering on the surface.

...what struck me the most was my father's total immersion in not only her disease but her quest to get well. That is, as long as Laura was game, he was willing to explore every single option and provide every last bit of support that he could. Moreover, he did so by blurring conventional understandings of medical specialties and medication options, crafting a unique plan of treatment culled from his vast clinical knowledge and that of his peers. It is impossible to know the exact impact of my father's ministrations on Laura's survival, but I would like to think she knew that she was receiving all the expertise and comfort that was humanly available to her.

Talking to patients is given short shrift in medical training. The focus of medical education is on technology and treatments; medicine is about doing, not talking. Communicating with patients, especially about end-of-life care, usually takes a backseat.

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Paige, I want you to know something. I know it’s too soon for you to think about a whole lifetime, but I’m not fooling around here. I don’t have any expectations, I swear. I just want you to know that. I’m in all the way. Committed. I don’t want you to ever worry that I’m just passing the time.” She ran her fingertips through the short hair at his temple. “Aren’t you a little afraid you could get tired of me, John?” He shook his head. “I’m not that kind of guy. I take it slow—too slow, sometimes. I give things a lot of time—being sure is a good thing. But I don’t change my mind. I know in some things that can be bad. I like things to stay the same.” “I won’t hold you to anything,” she said. “I’m just so happy to be here, like this, right now....” “There’s something else I want to say about that, about us. I’m not the kind of guy who doesn’t want you to talk back or have your opinions or expects you to never have a bad day when you’re all cranky and annoyed. I want all of that—I want you to speak up, make demands, insist on the most exceptional treatment and get pissed off if you don’t get it. I want you to feel safe to yell at me just because you’re in a mood. If I’m not what you want for the long haul, I can live with that. What I could never live with is you being afraid of how I’ll act when you’re just being yourself.” It was impossible to keep tears from gathering in her eyes. “John... No one’s ever loved me like that....” “Well, baby, I do. In fact, that’s the only way I love you. Every part of you—strong and bossy, scared and needy—it doesn’t matter. If I’m gonna have you, it has to be all of you, not some little part that feels safe.” She kissed him, quick, on the lips. He brushed a tear off her cheek. “I know that baby you lost wasn’t planned, and it still hurt you pretty bad that it didn’t make it. Maybe someday, when you’re ready, you’ll talk to me about adding to our family. Giving Chris a little brother or sister.” “You’d like children?” she asked. “I never thought I would. But with you, it comes to mind.” He laughed. “It comes to mind pretty hard. It’ll keep, Paige. It’s just an idea....” She gently touched his face. “You do understand that if there’s a baby between us, you might have to cut back a little?” “How much?” he asked, that frown that she had come to adore drawing his brows together. And she laughed at him. “You’re teasing me,” he said. “Okay, you asked for it,” he said, starting on her eyelids. She grabbed his face in her hands and stopped him. “John,” she said. “I want it, too. Everything. All of you. I’ve never been this happy.” He smiled. “More where that came from,” he said. “Forever, if you want.” *

It is perfectly true that diabetes is a chronic disease, but unlike rheumatism and cancer, it is painless; unlike tuberculosis, it is clean and not contagious, and in contrast to many diseases of the skin, it is not unsightly. Moreover, it is susceptible to treatment, and the downward course of a patient can be promptly checked. Treatment, however, rests in the hands of the patient.

You will need to come in as soon as possible, the sooner we treat this, the better the chance of recovery…” Rose began to cry. “Will I die?” The doctor didn’t reply. Treatment began only days later, Rose took to it really well, phoning Kelly was the hardest part of telling the news, but Kelly supported her mother, offering to take some time out and come home to take care of her. Rose went into remission, the cancer was brought under control and Jim planned a holiday for her in Spain. Madeleine McCann a three-year-old child went missing in Portugal. Heavy flooding devastated Hull and Sheffield at least three people died. Four fire fighters were feared dead in the ‘Atherstone fire disaster.

Look at any profession where the stakes are high and you’ll see a well-thought-out plan being followed. Professionals never just wing it. Doctors follow a treatment plan. Airline pilots follow a flight plan. Soldiers follow a military operation plan. How would you feel about engaging the services of any of the above professions where the practitioner says to you “screw the plan, I’ll just wing it.” Yet this is exactly what most business owners do.

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No one claims that faithful action spurred by the Hillary Doctrine would resolve all conflicts. Clinton herself, often termed a hawk for the foreign policy decisions she has espoused, has never held out for some kind of peaceable kingdom. Instead, taking to its logical conclusion Clinton’s proposal to make the treatment of women a yardstick in decision making, the authors suggest that the United States and the international community would have moved against the Taliban sooner. Stopping the egregious abuses of women would not have been an afterthought, nor an excuse for an invasion already planned.

Here’s a classic case in point: Eva had been taking an antidepressant for two years but wanted to get off it because she was planning to get pregnant. Her doctor advised her not to stop taking the drug, which motivated her to see me. Eva explained that her saga had begun with PMS, featuring a week each month when she was irritable and prone to crying fits. Her doctor prescribed a birth control pill (a common treatment) and soon Eva was feeling even worse, with insomnia, fatigue, low libido, and a generally flat mood dogging her all month long. That’s when the doctor added the Wellbutrin to “pick her up,” as he said, and handle her presumed depression. From Eva’s perspective, she felt that the antidepressant helped her energy level, but it had limited benefits in terms of her mood and libido. And if she took it after midnight, her insomnia was exacerbated. She soon became accustomed to feeling stable but suboptimal, and she was convinced that the medication was keeping her afloat. The good news for Eva was that with careful preparation, she could leave medication behind—and restore her energy, her equilibrium, and her sense of control over her emotions. Step one consisted of some basic diet and exercise changes along with better stress response strategies. Step two involved stopping birth control pills and then testing her hormone levels. Just before her period, she had low cortisol and progesterone, which were likely the cause of the PMS that started her whole problem. Further testing revealed borderline low thyroid function, which may well have been the result of the contraceptives—and the cause of her increased depressive symptoms. When Eva was ready to begin tapering off her medication, she did so following my protocol. Even as her brain and body adjusted to not having the antidepressant surging through her system anymore, her energy levels improved, her sleep problems resolved, and her anxiety lifted. Within a year she was healthy, no longer taking any prescriptions, feeling good—and pregnant.

Schedule a comprehensive evaluation to not only provide a formal diagnosis, but to also delineate a clear picture of your strengths and weaknesses. You will then be ready to participate in designing a total treatment plan that meets your unique needs. Get Treatment An effective, total treatment program is essential to future success. Such programs usually include a combination of medication, psychotherapy, coaching, alternative treatments, and necessary related services (support groups, counseling, family therapy, etc.). ADHD can have serious consequences, but it is treatable with safe and effective medications that can change people’s lives. (See Question 35 for a more in-depth discussion of medications used to treat ADHD.)

You see, I suffer from a disease that you cannot see; a disease that there is no cure for and that keeps the medical community baffled at how to treat and battle this demon, who’s[sic] attacks are relentless. My pain works silently, stealing my joy and replacing it with tears. On the outside we look alike you and I; you won’t see my scars as you would a person who, say, had suffered a car accident. You won’t see my pain in the way you would a person undergoing chemo for cancer; however, my pain is just as real and just as debilitating. And in many ways my pain may be more destructive because people can’t see it and do not understand....” “Please don’t get angry at my seemingly [sic] lack of interest in doing things; I punish myself enough, I assure you. My tears are shed many times when no one is around. My embarrassment is covered by a joke or laughter…” “I have been called unreliable because I am forced to cancel plans I made at the last minute because the burning and pain in my legs or arms is so intense I cannot put my clothes on and I am left in my tears as I miss out on yet another activity I used to love and once participated in with enthusiasm.” “And just because I can do a thing one day, that doesn’t mean I will be able to do the same thing the next day or next week. I may be able to take that walk after dinner on a warm July evening; the next day or even in the next hour I may not be able to walk to the fridge to get a cold drink because my muscles have begun to cramp and lock up or spasm uncontrollably. And there are those who say “But you did that yesterday!” “What is your problem today?” The hurt I experience at those words scars me so deeply that I have let my family down again; and still they don’t understand….” “On a brighter side I want you to know that I still have my sense of humor….I love you and want nothing more than to be a part of your life. And I have found that I can be a strong friend in many ways. Do you have a dream? I am your friend, your supporter and many times I will be the one to do the research for your latest project; many times I will be your biggest fan and the world will know how proud I am at your accomplishments and how honored I am to have you in my life.” “So you see, you and I are not that much different. I too have hopes, dreams, goals… and this demon…. Do you have an unseen demon that assaults you and no one else can see? Have you had to fight a fight that crushes you and brings you to your knees? I will be by your side, win or lose, I promise you that; I will be there in ways that I can. I will give all I can as I can, I promise you that. But I have to do this thing my way. Please understand that I am in such a fight myself and I know that I have little hope of a cure or effective treatments, at least right now. Please understand….

It seems reasonable to say that people make good choices in contexts in which they have experience, god information, and prompt feedback - say, choosing among ice cream flavors. People know whether they like chocolate, vanilla, coffee, licorice, or something else. They do less well in contexts in which they are inexperienced and poorly informed, and in which feedback is slow or infrequent - say, in choosing between fruit and ice cream (where the long-term effects are slow and feedback is poor) or in choosing among medical treatments or investment options. If you are given fifty prescription drug plans, with multiple and varying features, you might benefit from a little help. So long as people are not choosing perfectly, some changes in the choice architecture could make their lives go better (as judged by their own preferences, not those of some bureaucrat).

Hamilton was more persuasive than he realized, and a delegation of business leaders soon approached him to subscribe to a “money-bank” that would thwart Livingston’s land bank. “I was a little embarrassed how to act,” Hamilton confessed sheepishly to Church, “but upon the whole I concluded it best to fall in with them.” 51 Instead of launching a separate bank, Hamilton decided to represent Church and Wadsworth on the board of the new bank. Ironically, he held in his own name only a single share of the bank that was long to be associated with his memory. On February 23, 1784, The New-York Packet announced a landmark gathering: “It appearing to be the disposition of the gentlemen in this city to establish a bank on liberal principles . . . they are therefore hereby invited to meet tomorrow evening at six o’clock at the Merchant’s Coffee House, where a plan will be submitted to their consideration.” 52 At the meeting, General Alexander McDougall was voted the new bank’s chairman and Hamilton a director. Snatching an interval of leisure during the next three weeks, Hamilton drafted, singlehandedly, a constitution for the new institution—the sort of herculean feat that seems almost commonplace in his life. As architect of New York’s first financial firm, he could sketch freely on a blank slate. The resulting document was taken up as the pattern for many subsequent bank charters and helped to define the rudiments of American banking. In the superheated arena of state politics, the bank generated fierce controversy among those upstate rural interests who wanted a land bank and believed that a money bank would benefit urban merchants to their detriment. Within the city, however, the cause of the Bank of New York made improbable bedfellows, reconciling radicals and Loyalists who were sparring over the treatment of confiscated wartime properties.

In dental surgery to plan for retreating gum line surgery, the patient's gum line is analyzed for regardless of whether gum tissue has subsided because of periodontal infection or injury.

There is no simple way to determine when and where to get help. Many factors come into play, including the child’s age, family’s financial status, insurance, knowledge of resources, religious affiliation, availability of services in community, and so on. Parents may seek outside assistance for their adopted child when other factors such as a divorce, job loss, or other stresses compound the family needs. Parents are generally in the best position to determine when to get help, but advice from relatives, family physicians, teachers, and others in a position to know the family should be carefully considered. Services for children with special needs are provided by a variety of professionals. A physician—pediatrician or the family practitioner—is usually the place to begin. Families may be referred to a neurologist for a thorough assessment and diagnosis of neurological functioning (related to cognitive or learning disabilities, seizure disorders or other central nervous system problems). For specific communication difficulties, families may consult with a speech and language therapist, while a physical therapist would develop a treatment plan to enhance motor development. A rehabilitation technologist or an occupational therapist prescribes adaptive aids or activities of daily living. Early childhood educators specializing in working with children with special needs may be called a variety of titles, including Head Start teachers, early childhood special education teacher, or early childhood specialist.

I said it before, but it’s worth repeating: most of today’s 401(k) plans allow you to simply “check a box,” and your contributions will receive the Roth tax treatment. This decision means you pay tax today, but you never pay tax again!

It is our constant endeavor to stand out as providers of unbiased health care and advice for you and your family’s clinical and cosmetic dermatology related needs. We have worked hard to acquire and periodically update the clinical skills that are essential to effectively prevent, diagnose, and treat all skin and hair-related ailments like acne scars and hair loss. The staff at the Garekar clinic has been handpicked to aid in the smooth deliverance of the therapies and also to provide the patients with a warm and courteous atmosphere at the clinic. Right from the time of inception, our skin clinic in Gurgaon has been equipped with only the state of the art technology like the ALMA Soprano PRO laser machine. This holds true to our notion that the skin clinic would adhere to strict quality guidelines from day one and no compromises would be made in inpatient care. Inception and Core Beliefs The initial concept of Garekars M.D. Dermatology Clinic evolved with our intention to deliver an outstanding experience to the people walking into a dermatology clinic. An experience that is the precise mix of clinical expertise and high service quality provided in a serene ambiance with the highest standards of hygiene. The treatment plans at the skin clinic are comprised of evidence-based and research-backed products and procedures that aid in regaining and maintaining healthy skin. Dermatologists and skin specialists in Gurgaon Dr. Siddharth Garekar & Dr. Gurveen Waraich Garekar are dermatologists in Gurgaon with 11+ years of experience in clinical and cosmetic treatments.

using copper peptides topically or via injection or IV to enhance your body’s ability to heal. •​If you want to pull out all the stops or have major injuries that need healing, look into available stem cell treatments. These aren’t cheap, but they’re often similar to the price of surgery without many of the risks.

There is an affordable laser treatment device that can be used at home with a headset that emits near infrared light through diodes placed on the scalp and inside the nostril called Vielight. They are conducting a clinical trial with 228 participants across North America to see what it does for Alzheimer’s. If someone I love was suffering from Alzheimer’s right now, I wouldn’t want to have to wait for this trial to be over before getting the device. The risk of allowing Alzheimer’s to progress is much higher than the risk of trying it out. Devices that use light on the brain range from $200 to many thousands of dollars.

The exhaustion and pollution of earth's resource is, above all, the result of man's self-image, of a regression in his consciousness. Some would like to speak about a mutation of collective consciousness which leads to a conception of a man as an organism dependent not on nature and individuals, but rather on institutions. This institutionalization of substantive values, this belief that a planned process of treatment ultimately gives results desired by the recipient, this consumer ethos, is at the heart of the Promethean fallacy. Efforts to find a new balance in the global milieu depend on the deinstitutionalization of values.

What if we treated racism in the way we treat cancer? What has historically been effective at combatting racism is analogous to what has been effective at combatting cancer. I am talking about the treatment methods that gave me a chance at life, that give millions of cancer fighters and survivors like me, like you, like our loved ones, a chance at life. The treatment methods that gave millions of our relatives and friends and idols who did not survive cancer a chance at a few more days, months, years of life. What if humans connected the treatment plans?

While getting treatment for compulsive sexual behavior, it’s important to know about the details of coping and support plans. Here’s what we have curated for you today about Porn Addiction Therapist Grapevine.

We don’t think about saving money very often. When we finally do think about it, our thoughts rarely lead us to save more. To test the extent that the design of digital wallets could influence behavior, Dan and his colleagues conducted a large-scale experiment with thousands of customers of a mobile money-saving system in Kenya. Some participants received two text messages every week: one at the start of the week to remind them to save and another one at the end of the week with a summary of their savings. Other participants got slightly different text reminders: It was framed like it came from their kid, asking them to save for “our future.” Four other groups were bribed (formally known as “financially incentivized”) for saving. The first of these groups got a 10 percent bonus for the first 100 shillings that they saved. The second group got a 20 percent bonus for the first 100 shillings that they saved. The third and fourth groups got the same 10 percent and 20 percent bonuses for the first 100 shillings that they saved, but they got it together with loss aversion. (In these conditions, the researchers placed the full amount of the match—10 or 20 shillings—into their account at the beginning of the week. The participants were told that they would get the match based on how much they saved, and that the amount of the match that they did not save would be taken out of their account. Financially, this loss aversion approach was the same as the regular end-of-the-week match, but the idea was that experiencing money leaving their account would be painful and would get the participants to increase their savings.) A final set of participants received those same text messages plus a golden-colored coin with the numbers 1–24 engraved on it, to indicate the 24 weeks that the plan lasted. These participants were asked to place the coin somewhere visible in their home and scratch with a knife the number for that week to indicate if they saved or not.2 At the end of six months, the treatment that performed spectacularly better than every other was—drumroll please!—the coin. Every other treatment increased savings a bit, but those who received the coin saved about twice as much as those who only received text messages. You might think the winner would have been the 20 percent bonus or maybe the 20 percent bonus with loss aversion—and this is in fact what most people predict would be the most effective way to get people to save—but you’d be wrong.

People still feel uncomfortable when I bring up my vagina. Viagra is still being easily covered by insurance while people sometimes have to lie and say the physical therapy they are getting for their vagina is actually for their back so that insurance will cover it, and we still don’t have anything close to an accessible treatment plan for any of it. Millions of people live with conditions similar to mine, but stigma, shame, and lack of awareness keep us all from talking about and normalizing it.

But ask: ‘Whose autonomy?’ Consider a person who is faced with a decision about whether to have life-prolonging treatment for cancer. The biological man may want to cling onto life with the help of any available technology. The sentimental family man might want to see his children for those extra few months. The considerate family man might want to die early so as ‘not to be a burden’ to his family. The man who has read John Stuart Mill and drafted a ‘life-plan’ might want to die as he has lived, with a proud independence unfettered by morphine and incontinence. The religious man might think that sophisticated therapy frustrates the will of God. And so on.

Aligning the anti-violence, anti-racism, and pro-reform movements is essential to ensure fair and equitable treatment for poor people of color.

Medicare supplement plans, just like Medicare Parts A & B, are good anywhere in the 50 US states and possessions. The plans I recommend also have a $50,000 lifetime benefit for emergency treatment in foreign countries.

Not too many years ago, things were much worse,” Høidal confirms, which led to an edict from the country’s highest powers. “The government, the politicians said to the justice department, ‘Do something. It cannot go on like this. It has to stop.’” So in 1995 the Norwegian justice department created work groups to develop a plan to address the dysfunction and danger in their system of corrections. The principle of normality is a core part of the new perspective that emerged, and it requires that life inside the prison should resemble life outside the prison as much as possible. Thus inmates do not lose any rights other than their right to liberty while they’re incarcerated. This is not just a tenet of Norwegian law. It is also stipulated in international conventions about imprisonment, including the United Nations Standard Minimum Rules for the Treatment of Prisoners—known as the Mandela Rules in honor of Nelson Mandela—which state that “the prison regimen should seek to minimize any differences between prison life and life at liberty that tend to lessen the responsibility of the prisoners or the respect due to their dignity as human beings.” “So while he is here with us,” Høidal explains, “other than the fact that he cannot leave here whenever he wants to, the inmate has all the same rights as all other citizens who live in Norway.

History: *The owner noticed a soft, oozing mass on the head. *Mr. Snooze has been fighting with another cat recently. Assessment: *Mr. Snooze has a low grade fever. *There is an abscess on his head. An abscess is a pocket of pus that forms near an old bite or scratch wound. It is a collection of bacteria, white blood cells, and red blood cells. In other words, an abscess is an infected area under the skin. This abscess is draining. Treatment Plan: *If the abscess was not already draining, the doctor would have to sedate the cat and then surgically get the abscess to drain. If an abscess does not drain, it will be difficult to treat even with a medication. *Mr. Snooze is sent home with an oral antibiotic. This will help the cat fight off the bacteria that are causing the infection. *The owner is instructed to “hot pack” the wound multiple times a day. The

up the pathway to the front door.  She’d called and left him a message, letting him know that she was coming, and that she’d leave the documents with the housekeeper if he wasn’t there.  Ringing the doorbell, she couldn’t stop the blush that stole up her cheeks as she remembered the last time she’d been here.  Had it really been only two days ago?  It seemed like a lot longer.  Did he still have those stockings?  Surely he’d tossed them out by now.  And no, she hadn’t dared to purchase another pair.  Not after the last debacle.  When the door opened, she was bracing herself to face Hunter once again.  Her plan was to congratulate him, just as she would any other client, hand him the champagne and the closing documents, and then leave as quickly as possible.  Just as she would all of her other clients.  They were all trying to unpack, overwhelmed with the process but excited about their new purchase.  She very seriously doubted if anything overwhelmed Hunter, but she was going to go through her routine anyway.  All of her clients deserved the same treatment, and she shouldn’t slack off with Hunter simply because…well, because he could make her feel things that… “Goodness, come in out of the heat, my dear!” the housekeeper urged, waving Kara into the cool interior.  “Mr. West is out back in the pool, but he said he was expecting you and that you’d know the way.  If he needs anything at all,” she said, as she hefted a purse onto her shoulder that Kara suspected could substitute for a suitcase, “just tell him to give me a ring.” Kara opened her mouth to stop the woman as the two of them exchanged places, the housekeeper moving to the outside even as Kara was nudged inside.  Kara went so far as to lift her hand, trying to indicate that she wanted to say something, but the efficient woman bustled out of the house, closing the front door in the process.  Kara stared at the closed door for several long moments, wondering how that had just happened.  Her plan had been simple.  Just hand over the bottle and documents, convey her congratulations and head back.  What had just happened?  Kara turned around.  It felt strange to be standing here, alone, in Hunter’s house.  She’d been here two days ago, but the house hadn’t been his.  The man now owned the house, all the furniture, and the acres of land and waterfront.  It felt much more intimate now for some reason.  Looking around, she wished that she could just leave the documents on the kitchen counter or the rough, wooden coffee table that looked perfect next to the white sofas.  Everything felt and looked clean and comfortable, exactly as she would have decorated this area.  The pops of green were vibrant and exhilarating, a perfect accompaniment to the fresh, white furniture.  With a sigh, she turned away from the alluring great room décor and searched out the man of the moment.  As she stepped past the sofas, she saw him.  In the pool.  Without any clothes on! Oh goodness, she thought with a strangled breath.  It took her several moments to realize that she needed to inhale, her breath caught in her throat as she watched the man’s bare skin, and all the muscles, and…well, all of him!  Okay, so he wasn’t naked, he was wearing a bathing suit but his broad, muscular back and those arms…they were even more ridged with muscles than she’d thought.  He was spectacular!  Never in her wildest imaginings had she pictured him that buff, but there

They were accused in the first place of having committed individually murders and other offences against the camp inmates, and in the second place of having all knowingly participated in a common plan to operate a system of ill-treatment and murder in these camps.

Women still bear the vast brunt of the physical, emotional, and organizational labor involved in contraceptive use — whether any devices are available at all, whether they are safe or not, and when they fail. For the majority of the world’s women modern contraceptive measures such as the pill, condoms, injectibles, or IUDS are simply not an option—a situation that is exacerbated by the matricidal policies toward abortion and family planning by many of the world’s wealthiest countries (only family planning based on abstinence was supported under the “pro-Africa” Bush administration — a policy with extremely deleterious consequences for the ability of anti-retroviral treatment to prevent the spread of AIDS as well as for rates of maternal and child mortality). Access to safe, affordable, or free abortion is similarly limited. Famously, there is no country in the world where women have the legal right freely to make up their own minds about termination or continuation of pregnancy. Thus, despite the emphasis by many modern democratic nations on the protection of various individual rights and freedoms, women’s reproductive rights remain in an essentially pre-modern condition—a condition decried by both Firestone and Beauvoir as biological feudalism.

In fact, the culture of innovation is so pure and so stridently noble that it often sounds like advertising. You hear about the startup that is going to help with sanitation in African cities; the one that’s going to print out prosthetic hands for disabled children; the one that’s procuring clothes for homeless children. “We’re with people who are curing cancer in a different way, and changing banking technology, and helping folks who can’t see anymore,” says a woman in a short YouTube video about MassChallenge. Inno is going to solve global warming. Inno is coming up with new treatments for autism. Inno is so inherently moral that there is even a UNICEF Innovation team; dial up its homepage and you will encounter the following introductory sentence: “In 2015, innovation is vital to the state of the world’s children.” The fog of righteousness surrounding this concept is so thick it allows all manner of absurdly altruistic claims. “Can startups help solve Boston’s Biggest Problems?” asked an email I received last spring. Of course they can! The group that sent it, CityStart Boston (“Leveraging the Innovation Community to Tackle Civic Issues”), announced plans to mobilize “the entire Boston startup ecosystem” to “collaborate to develop viable ventures designed…” Wait! Stop here for a moment, reader, and try to guess: in what way is the startup ecosystem going to collaborate to solve Boston’s biggest problems? If you guessed “to enhance innovation in Boston’s neighborhoods,” you were right. Startups are going to collaborate to enhance startups.

You may get a sense of what this means by asking yourself another series of questions: What steps do you plan to take to reduce the conflict in the Middle East? Or the rates of inflation, crime and unemployment? What are your plans for preserving the environment or reducing the risk of nuclear war? What do you plan to do about NATO, OPEC, the CIA, affirmative action, and the monstrous treatment of the Baha'is in Iran? I shall take the liberty of answering for you: You plan to do nothing about them. You may, of course, cast a ballot for someone who claims to have some plans, as well as the power to act. But this you can do only once every two to four years by giving an hour of your time, hardly a satisfying means of expressing the broad range of opinions you hold. Voting, we might even say, is the next to last refuge of the politically impotent.

One important caveat: it is important for long-term recovery that the approach to food abstinence be aligned with the diagnosis and treatment of addiction as a whole. Thus while this second approach to abstinent eating based on learning—we might call it the introspective method—is often ideal for emotional eaters, it can be a set up for failure for food addicts. Food addiction is progressive, and the food addict becomes progressively unable to distinguish the true from the false. Not only do food addicts develop false starving followed by false thinking and finally a false sense of self, they become powerless to challenge these falsehoods by themselves. As a result, an approach to abstinence and recovery which relies on subjective individual discernment alone is almost always doomed to failure. On the other hand, if the food addict is helped to

If we disrespect each other during conflicts, conflicts become destructive; relationships are marked by criticism, defensiveness, the silent treatment, no compromise, no warmth, and no humor. Closeness spirals downhill fast. We wind up walking on eggshells, fighting louder, or withdrawing and avoiding one another. None of us wants that.

Children requiring primary somatosensory interventions are likely are to display frequent sensory misperceptions, appetite, feeding, or metabolism problems, persistent somatic or visceral dysregulation, fine or gross motor movement or balance impairment, sleep problems, or endocrine issues. Such anomalies will be in excess of normal for the developmental age. The treatment protocol will emphasize somatosensory experiences, self-regulation, and movement interventions, all of which provide the appropriate nature and pattern of activation to help these lower networks change. Language, reasoning, logic, and understanding are de-emphasized in favor of core regulatory functions. The somatosensory activities must be carried out in a richly positive relational context (Core Element 3) as the activity itself is insufficient for positive developmental growth and neural organization. Sensory activities must be planned and scheduled at specific times each day for short periods of about 10 to 15 minutes. Pick activities the child will enjoy, as children will not repeat those that are unrewarding. The activity, environment, and method may need to modified periodically to keep them fresh, attractive, and fun. Never force the child into an activity if he or she is uncomfortable with it. Take baby steps if the child is uncomfortable. Find safe ways for the child to engage in and experience the activity.

Summit Detox in South Florida offers a variety of highly effective treatment programs by using the most advanced medical procedures for treating withdrawal and addiction. Each addictive substance has its specific impact and produces its own telltale symptoms during the withdrawal process. This is why Summit offers an individualized detoxification treatment plan based upon the substance being abused. Whether it's benzos, alcohol, opiates, or something else entirely, you can trust Summit to help.

You may get a sense of what this means by asking yourself another series of questions: What steps do you plan to take to reduce the conflict in the Middle East? Or the rates of inflation, crime and unemployment? What are your plans for preserving the environment or reducing the risk of nuclear war? What do you plan to do about NATO, OPEC, the CIA, affirmative action, and the monstrous treatment of the Baha’is in Iran? I shall take the liberty of answering for you: You plan to do nothing about them. You may, of course, cast a ballot for someone who claims to have some plans, as well as the power to act. But this you can do only once every two or four years by giving one hour of your time, hardly a satisfying means of expressing the broad range of opinions you hold. Voting, we might even say, is the next to last refuge of the politically impotent.

In writing that article, and this book, I haven’t cured anyone’s burnout, including my own. But one thing did become incredibly clear: This isn’t a personal problem. It’s a societal one—and it will not be cured by productivity apps, or a bullet journal, or face mask skin treatments, or overnight fucking oats. We gravitate toward those personal cures because they seem tenable, and promise that our lives can be recentered, and regrounded, with just a bit more discipline, a new app, a better email organization strategy, or a new approach to meal planning. But these are all merely Band-Aids on an open wound. They might temporarily stop the bleeding, but when they fall off, and we fail at our newfound discipline, we just feel worse.

Who are we, the people who have ADHD? We are the problem kid who drives his parents crazy by being totally disorganized, unable to follow through on anything, incapable of cleaning up a room, or washing dishes, or performing just about any assigned task; the one who is forever interrupting, making excuses for work not done, and generally functioning far below potential in most areas. We are the kid who gets daily lectures on how we’re squandering our talent, wasting the golden opportunity that our innate ability gives us to do well, and failing to make good use of all that our parents have provided. We are also sometimes the talented executive who keeps falling short due to missed deadlines, forgotten obligations, social faux pas, and blown opportunities. Too often we are the addicts, the misfits, the unemployed, and the criminals who are just one diagnosis and treatment plan away from turning it all around. We are the people Marlon Brando spoke for in the classic 1954 film On the Waterfront when he said, “I coulda been a contender.” So many of us coulda been contenders, and shoulda been for sure. But then, we can also make good. Can we ever! We are the seemingly tuned-out meeting participant who comes out of nowhere to provide the fresh idea that saves the day. Frequently, we are the “underachieving” child whose talent blooms with the right kind of help and finds incredible success after a checkered educational record. We are the contenders and the winners. We are also imaginative and dynamic teachers, preachers, circus clowns, and stand-up comics, Navy SEALs or Army Rangers, inventors, tinkerers, and trend setters. Among us there are self-made millionaires and billionaires; Pulitzer and Nobel prize winners; Academy, Tony, Emmy, and Grammy award winners; topflight trial attorneys, brain surgeons, traders on the commodities exchange, and investment bankers. And we are often entrepreneurs. We are entrepreneurs ourselves, and the great majority of the adult patients we see for ADHD are or aspire to be entrepreneurs too. The owner and operator of an entrepreneurial support company called Strategic Coach, a man named Dan Sullivan (who also has ADHD!), estimates that at least 50 percent of his clients have ADHD as well.

talk over things and to lay plans for crimes, or to sell morphine, by appointment.” At the end of the year, library security reported they had apprehended 57 “mutilators of books”; 105 people who had written in books; 73 who engaged in general bad behavior; 23 forgers; 8 people who were caught hiding books; and 10 who had switched their books’ due dates. Sixty-three of the offenders were prosecuted, and six were “judged to have diseased brains” and sent for psychiatric treatment.