Treatment Room Quotes

It’s estimated that AI could free up to 25% of clinician time across different specialties. This increased amount of time could mean less hurried encounters and more humane interactions, including more empathy from happier doctors. This is important because empathy has been shown to improve outcomes by boosting patient adherence to the prescribed treatments, increasing motivation, and reducing anxiety and stress.

An algorithm that expedites care to a stroke patient in a chaotic emergency room (ER) has a good chance of adoption. An algorithm that reads a routine scan and provides some quantification of what the physicians can already estimate won’t be in as much demand. There are good reasons for algorithms to parse patient records to look for signs of rare diseases, but there are fewer good reasons for using them to evaluate clinical symptoms. It’s cool that AI tools can make diagnoses from scratch, but for most clinical encounters doctors are already pretty good at it.

The great thing about treating borderline patients is that it is like having a supervisor always in the room.

My daughter, Carly, has been in and out of drug treatment facilities since she was thirteen. Every time she goes away, I have a routine: I go through her room and search for drugs she may have left behind. We have a laugh these days because Carly says, “So you were lookingfor drugs I might have left behind? I’m a drug addict, Mother. We don’t leave drugs behind, especially if we’re going into treatment. We do all the drugs. We don’t save drugs back for later. If I have drugs, I do them. All of them. If I had my way, we would stop for more drugs on the way to rehab, and I would do them in the parking lot of the treatment center.

Melody began to mumble incomprehensibly under her breath as she worked frantically on securing her most important papers into bankers boxes. Her father stomped into her room, eating a banana. Melody looked up at him with a sweaty and nauseated look on her face. “What are you tramping around so heavily about?” she asked him. Bernie finished the last of the banana, and then held the peel in his hand as though it were a washcloth he had just found on the floor of a gym locker room. Melody pointed to her trashcan with her eyes. “I make an insane amount of noise when I approach you, because you once yelled at me claiming that I was 'sneaking up on you',” Bernie replied, using finger quotes on the last phrase. “That kind of treatment stays with a guy.” Melody shook her head. Her father knew how much she hated finger quotes. Why he insisted on using them was beyond her. “I was five at the time”, she said. “Ah,” Bernie said, with a knowing grin on his face. “The angry period.

The mental health system is filled with survivors of prolonged, repeated childhood trauma. This is true even though most people who have been abused in childhood never come to psychiatric attention. To the extent that these people recover, they do so on their own.[21] While only a small minority of survivors, usually those with the most severe abuse histories, eventually become psychiatric patients, many or even most psychiatric patients are survivors of childhood abuse.[22] The data on this point are beyond contention. On careful questioning, 50-60 percent of psychiatric inpatients and 40-60 percent of outpatients report childhood histories of physical or sexual abuse or both.[23] In one study of psychiatric emergency room patients, 70 percent had abuse histories.[24] Thus abuse in childhood appears to be one of the main factors that lead a person to seek psychiatric treatment as an adult.[25]

...I realized how naive I was. My aunt Tina was right: this stuff does exist, and it does hurt people, and although there are lots of people at Liberty who condemn violence against gays--including Dr. Falwell himself--the number of students who want to give them the Goliath treatment isn't zero. In fact, the number who live in my room isn't zero.

But behind every misguided treatment—from Ottomans eating clay to keep the plague away to Victorian gents sitting in a mercury steam room for their syphilis to epilepsy sufferers sipping gladiator blood in ancient Rome—is the incredible power of the human desire to live.

Death is always death, and in real life, especially in the world of the hospital, sudden death, whether violent and gruesome or unbelievably prosaic, is unsettling. What can one do? Go home, love your children, try not to bicker, eat well, walk in the rain, feel the sun on your face, and laugh loud and often, as much as possible, and especially at yourself. Because the antidote to death is not poetry, or miracle treatments, or a roomful of people with technical expertise and good intentions—the antidote to death is life.

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

Just start somewhere," Dr. Marshall had said to me as I ground a banana-pineapple one to bits between my teeth. "It doesn't have to be at the beginning." She'd pulled her legs up, Indian-style, letting the legal pad she'd been holding drop to the floor. "I thought everything always had to start at the beginning," I said. "Not in this room," she said easily. "Go ahead, Caitlin. Just tell me one thing. It gets easier, I promise. The first thing is always the hardest." I looked down at my hands, stained mildly red from the particularly sticky watermelon Rancher. "Okay," I said, reaching forward to take another one out of the bowl, just in case. She was already sitting back in her chair, readying herself for whatever glimpse I would give her into the mess I'd become. "What was the name of Pygmalion's sister?" She blinked, twice, obviously surprised. "Ummm," she said, keeping her eyes on me. "I don't know." "Rogerson did," I told her. "Rogerson knew everything.

When a worker is injured at an IBP plant in Texas, he or she is immediately presented with a waiver. Signing the waiver means forever surrendering the right to sue IBP on any grounds. Workers who sign the waiver may receive medical care under IBP's Workplace Injury Settlement Program. Or they may not. Once workers sign, IBP and its company-approved doctors have control over the job-related medical treatment - for life. Under the program's terms, seeking treatment from an independent physician can be grounds for losing all medical benefits. Workers who refuse to sign the IBP waiver not only risk getting no medical care from the company, but also risk being fired on the spot...Injured workers almost always sign the waiver. The pressure to do so is immense. An IBP medical case manager will literally bring the waiver to a hospital emergency room in order to obtain an injured worker's signature. When Lonita Leal's right hand was mangled by a hamburger grinder at the IBP plant in Amarillo, a case manager talked her into signing the waiver with her left hand as she waited in the hospital for surgery. When Duane Mullin had both hands crushed in a hammer mill at the same plant, an IBP representative persuaded him to sign the waiver with a pen held in his mouth.

Atheism is an idea. Most often (thank God), it is an idea lived and told with blunt jumbo-crayon clumsiness. Some child of Christianity or Judaism dons an unbelieving Zorro costume and preens about the living room. Behold, a dangerous thinker of thinks! A believer in free-from-any-and-all-goodness! Fear my brainy blade! Put candy in their bucket. Act scared. Don't tell them that they're adorable. Atheism is not an idea we want fleshed out. Atheism incarnate does happen in this reality narrative. But it doesn't rant about Islam's treatment of women as did the (often courageous) atheist Christopher Hitchens. It doesn't thunder words like evil and mean it (as Hitch so often did) when talking about oppressive communist regimes. His costume slipped all the time—and in many of his best moments. Atheism incarnate is nihilism from follicle to toenail. It is morality merely as evolved herd survival instinct (non-bindng, of course, and as easy for us to outgrow as our feathers were). When Hitchens thundered, he stood in the boots of forefathers who knew that all thunder comes from on high.

We will martyr ourselves, suffering under the weight of a non-reciprocal relationship until some part of us bursts in protest. Suddenly, we lose our mind, and allowing ourselves to heap all manner of nastiness, name calling, patronizing, death threats on the “deserving” jerk who has it coming after all we do for him/her! As the final insult rings across the room and we regain consciousness, we are horrified by what has come out of our mouth. After all, we LOVE these people, and we quickly move into anxious terror that this time we have gone too far . . . this time we crossed the line and they will leave us. So, we hunker back down and the martyrdom begins again. It’s a terrible cycle.

No domestic dispute between Franny and David had inspired the removal of their wedding rings. She would take hers off at work when she was giving scalp massages. Once she thought she had lost the ring, but she found it in the treatment room on a candleholder David had made for her during a personal failure of a pottery class he had taken the year he lost his job. After she found her ring, she started leaving it at home.

Everybody knows that it makes no sense that you send a kid to the emergency room for a treatable illness like asthma. They end up taking up a hospital bed. It costs when, if you, they just gave, you gave, treatment early, and they got some treatment, and uhhh a breathalyzer, or uhh, an inhalator, not a breathalyzer...

Guess what? Your brain is part of your body! Why am I yelling this? Because too often we treat our brain as though it’s a separate operating system tucked away in a room we call the skull. Our tendency to divorce our brains from our bodies is one of the sneaky ways in which body shame thrives. Isolating our brains gives us permission to treat them differently. Depression, bipolar disorder, and other examples of neurodivergence7 are stigmatized because we are unwilling to extend the same care and treatment to our brains that we afford our bodies. If I broke my arm and never went to a see a doctor, not only would I be in extreme pain but the people in my life would be incensed by such a reckless choice. Yet we make statements like “It’s all in your head” all the time, minimizing the experiences of our brains and neglecting their care.

Creating a home that makes you feel wonderful is a gift you give yourself that echoes through the rest of your life. A bedroom you love is one in which you want to have an organized, well-cared-for wardrobe, which means less money spent replacing your battered items. A happy, practical, smartly appointed kitchen is one you actually *want* to cook in, which means much less money spent eating out or ordering in. A chic and comfortable living room means more entertaining at home and embracing the lost art of dinner parties (always cheaper than doing drinks and a restaurant dinner!). Even a Zen, candle-filled, clean bathroom is one in which you want to spend time doing home spa treatments instead of feeling like you have to go somewhere expensive to feel beautiful. If you create a home that is most attuned to your life and somewhere you really enjoy being, everything benefits.

The only real issue with these people, besides the occasional hygiene challenge, was that they always seemed to embrace failure as a positive outcome. “I have not failed,” they’d endlessly quote Edison, “I’ve just found ten thousand ways that won’t work.” Which may be an acceptable thing to say in science but is absolutely the wrong thing to say to a roomful of investors looking for an immediate, high-ticket, chronic treatment for cancer. God save them from actual cures. Much harder to make money off someone who doesn’t have a problem anymore.

She went to her room and curled into a ball of misery and decided that she would die of a broken heart. Minstrels would write songs about how she had turned her face to the wall and died of the false-heartedness of men. She could not quite make up her mind whether she wanted to be a ghost who would haunt the convent or not. It would be very satisfying to be a sad-eyed, beautiful ghost who drifted through the halls, gazing up at the moon and weeping silently, as a warning to other young women. On the other hand, she was still short and round-faced and sturdy, and there were very few ghost stories about short, sturdy women. Marra had not managed to be pale and willowy and consumptive at any point in eighteen years of life and did not think she could achieve it before she died. Possibly it would be better to just have songs made about her. The Sister Apothecary came to her, the nun who doctored all the residents of the convent for various ailments, and who compounded medicines and salves and treatments for the farmer’s wives who lived nearby. She studied Marra intensely for a few minutes. “It’s a man, is it?” she said finally. Marra grunted. It occurred to her about an hour earlier that she did not know how the minstrels would find out that she existed in order to write the sad songs in the first place, and her mind was somewhat occupied by this problem. Did you write them letters?

Randolph Maddix, a schizophrenic who lived at a private home for the mentally ill in Brooklyn, was often left alone to suffer seizures, his body crumpling to the floor of his squalid room. The home, Seaport Manor, is responsible for 325 starkly ill people, yet many of its workers could barely qualify for fast-food jobs. So it was no surprise that Mr. Maddix, 51, was dead for more than 12 hours before an aide finally checked on him. His back, curled and stiff with rigor mortis, had to be broken to fit him into a body bag.” THE NEW YORK TIMES April 28, 2002

Lia eyed me. She eyed Michael. She eyed Dean. “Honestly,” she said, “I doubt that anyone is as happy as Cassie is at this exact moment.” I was getting better at ignoring Lia’s suggestive little digs, but this one hit its target, dead center. Squished in between Michael and Dean, I blushed. I was not going to go there—and I wasn’t going to let Lia ruin this. A grim expression on his face, Dean stood and marched toward Lia. For a moment, I thought he might say something to her about spoiling the moment, but he didn’t. He just picked her up and tossed her over his shoulder. “Hey!” Lia protested. Dean grinned and threw her onto the sofa with Michael and me and then resumed his perch on the edge of the couch like nothing had happened. Lia scowled, and Michael poked her cheek. “Admit it,” he said again. “You’re just as happy as we are.” Lia tossed her hair over her shoulder and stared straight ahead, refusing to look any of us in the eye. “A little girl is going home,” she said. “Because of us. Of course I’m as happy as you are.” “Given individual differences in serotonin levels, the probability that any four people would be experiencing identical levels of happiness simultaneously is quite—” “Sloane,” Michael said, without bothering to turn around. “If you don’t finish that sentence, there’s a cup of fresh ground coffee in your future.” “My immediate future?” Sloane asked suspiciously. Michael had a long history of blocking her consumption of caffeine. Without a word, Michael, Lia, and I all turned to look at Dean. He got the message, stood up, and strode toward Sloane, giving her the exact same treatment he’d given Lia. When Dean tossed Sloane gently on top of me, I giggled and almost toppled onto the floor, but Lia grabbed hold of my collar. We did it, I thought, as Michael, Lia, Sloane, and I elbowed for room and Dean stared on from his position, just outside the fray.

In the one-treatment-fits-all approach, clients sit in group meetings all day and all evening and listen to each other stories. At the end of the first week, everyone in the room knows everyone's story. That goes on for three more weeks, and then most people go home with the same problems they brought with them when they arrived.

My dear George, a psychologist never saw a fact in his life. He only hears about feelings; vague things. This doesn’t feel good, I tell you. Trust my hunches and my instincts. I have a nose for something bad. This is very bad. My advice to you is to have the whole damn room torn down and your children brought to me every day during the next year for treatment.

Whatever clever reply she’d begun to formulate in response to the conundrum of his affection was entirely forgotten as Bea crossed the room in three brisk steps and flung herself into his arms. She could resist his blond curls, certainly, and withstand the tug of his twinkling blue eyes easily, but she was utterly powerless against the ruthless treatment of a beloved relative.

For the first time in a long time, she had nowhere to go and nothing to do. Her life was a white room. She felt like one of her patients who came out of her treatments and suddenly had an emptiness in their brain where something horrible had been. They’d faced their fears, but they always asked her what to do next. She told them: the hardest part is to start over by building something new.

have not failed,” they’d endlessly quote Edison, “I’ve just found ten thousand ways that won’t work.” Which may be an acceptable thing to say in science but is absolutely the wrong thing to say to a roomful of investors looking for an immediate, high-ticket, chronic treatment for cancer. God save them from actual cures. Much harder to make money off someone who doesn’t have a problem anymore.

By all kinds of traps and sign-boards, threatening the extreme penalty of the divine law, exclude such trespassers from the only ground which can be sacred to you. It is so hard to forget what it is worse than useless to remember! If I am to be a thoroughfare, I prefer that it be of the mountain-brooks, the Parnassian streams, and not the town-sewers. There is inspiration, that gossip which comes to the ear of the attentive mind from the courts of heaven. There is the profane and stale revelation of the bar-room and the police court. The same ear is fitted to receive both communications. Only the character of the hearer determines to which it shall be open, and to which closed. I believe that the mind can be permanently profaned by the habit of attending to trivial things, so that all our thoughts shall be tinged with triviality. Our very intellect shall be macadamized, as it were,--its foundation broken into fragments for the wheels of travel to roll over; and if you would know what will make for the most durable pavement, surpassing rolled stones, spruce blocks, and asphaltum, you have only to look into some of our minds which have been subjected to this treatment so long.

Shortly after you left the room, Bushell came over and spoke to your father. I was not near enough to hear what he said, but Maria Lucas told me afterwards that he had been -' (she smiled) 'amazingly impertinent.' 'Peter actually spoke to Papa?' 'He did. According to Maria, he had the impudence to criticise Mr Bennet for his treatment of you. I must say it gives me the most favourable idea of his character.

The only real issue with these people, besides the occasional hygiene challenge, was that they always seemed to embrace failure as a positive outcome. “I have not failed,” they’d endlessly quote Edison, “I’ve just found ten thousand ways that won’t work.” Which may be an acceptable thing to say in science but is absolutely the wrong thing to say to a roomful of investors looking for an immediate, high-ticket, chronic treatment for cancer.

Each time I met a parent struggling to come up with the money to get treatment for a sick child, I thought back to the night Michelle and I had to take a three-month-old Sasha to the emergency room for what turned out to be viral meningitis—the terror and helplessness we felt as the nurses whisked her away for a spinal tap, and the realization that we might never have caught the infection in time had the girls not had a regular pediatrician we felt comfortable calling in the middle of the night.

I work at home, where there is indeed a bar-room, and can suit myself. But I don't. At about half past midday, a decent slug of Mr. Walker's amber restorative, cut with Perrier water (an ideal delivery system) and no ice. At luncheon, perhaps half a bottle of red wine: not always more but never less. Then back to the desk, and ready to repeat the treatment at the evening meal. No "after dinner drinks"- ​most especially nothing sweet and never, ever any brandy. "Nightcaps" depend on how well the day went...

He shut the door, and stood looking across the room at her. 'Cressy, what did you mean when you told that harridan that your affections were engaged?' The colour deepened a little in her cheeks, but she replied lightly: 'Well, she talked so much like someone in a bad play that I became carried away myself! Besides, I had to say something to convince her! I could see she didn't quite believe me when I said I wasn't going to marry your brother.' He let his breath go in a long sigh, and walked forward, setting his hands on her shoulders, and saying: 'You don't know how much I have wanted to tell you the truth! Cressy, my dear one, forgive me! I've treated you abominably, and I love you so much!' Miss Stavely, who had developed an interest in the top button of his coat, looked shyly up at this. 'Do you, Kit?' she asked. 'Truly?' Mr Fancot, preferring actions to words, said nothing whatsoever in answer to this, but took her in his arms and kissed her. Miss Stavely, who had previously thought him unfailingly gentle and courteous, perceived, in the light of this novel experience, that she had been mistaken: there was nothing gentle about Mr Fancot's crushing embrace; and his behaviour in paying no heed at all to her faint protest could only be described as extremely uncivil. She was wholly unused to such treatment, and she had a strong suspicion that her grandmother would condemn her conduct in submitting to it, but as Mr Fancot seemed to be dead to all sense and propriety it was clearly useless to argue with him.

The orchestra musician’s plight caught the interest of Harvard researcher Richard Hackman, who was studying the job satisfaction of workers employed in a variety of industries. Orchestral musicians were near the bottom, scoring lower in job satisfaction and overall happiness than airline flight attendants, mental health treatment teams, beer salesmen, government economic analysts, and even federal prison guards. Only operating room nurses and semiconductor fabrication teams scored lower than these musicians.

Shortly after Lewandowski, with whom Hicks had an on-and-off romantic relationship, was fired in June 2016 for clashing with Trump family members, Hicks sat in Trump Tower with Trump and his sons, worrying about Lewandowski’s treatment in the press and wondering aloud how she might help him. Trump, who otherwise seemed to treat Hicks in a protective and even paternal way, looked up and said, “Why? You’ve already done enough for him. You’re the best piece of tail he’ll ever have,” sending Hicks running from the room.

National laws, company policies, school curricula, medical protocols, academic research and media style guides are being rewritten to privilege self-declared gender identity over biological sex. Facilities that used to be sex-separated, from toilets and changing rooms to homeless shelters and prisons, are switching to gender self-identification. Meanwhile more and more people are coming out as trans, usually without undergoing any sort of medical treatment. This book explains why this has happened, and how it happened so fast.

So now let’s address the elephant in the room: No real physical, chemical, or therapeutic mechanisms made these changes happen. None of these people had actual surgery, took active medication, or received any real treatment to create these significant alterations in health. The power of their minds so influenced their bodies’ physiology that they became healed. It’s safe to say that their real transformation happened independent of their conscious minds. Their conscious minds may have initiated the course of action, but the real work happened subconsciously, with the subjects remaining totally unaware of how it happened.

The odd sensation I had while cooking would often last through the meal, then dissolve as I climbed the stairs. I would enter my room and discover the homework books I had left on the bed had disappeared into my backpack. I’d look inside my books and be shocked to find that the homework had been done. Sometimes it had been done well, at others it was slapdash, the writing careless, my own handwriting but scrawled across the page. As I read the work through, I would get the creepy feeling that someone was watching me. I would turn quickly, trying to catch them out, but the door would be closed. There was never anyone there. Just me. My throat would turn dry. My shoulders would feel numb. The tic in my neck would start dancing as if an insect was burrowing beneath the surface of the skin. The symptoms would intensify into migraines that lasted for days and did not respond to treatment or drugs. The attack would come like a sudden storm, blow itself out of its own accord or unexpectedly vanish. Objects repeatedly went missing: a favourite pen, a cassette, money. They usually turned up, although once the money had gone it had gone for ever and I would find in the chest of drawers a T-shirt I didn’t remember buying, a Depeche Mode cassette I didn’t like, a box of sketching pencils, some Lego.

have any skeletons in my closet that can’t be allowed out.” He didn’t seek any control over what I wrote, or even ask to read it in advance. His only involvement came when my publisher was choosing the cover art. When he saw an early version of a proposed cover treatment, he disliked it so much that he asked to have input in designing a new version. I was both amused and willing, so I readily assented. I ended up having more than forty interviews and conversations with him. Some were formal ones in his Palo Alto living room, others were done during long walks and drives or by telephone. During my two years of visits, he became increasingly intimate and

I’ve been so eager to make my time at Liberty tolerable that I’ve been sweeping all kinds of dirt under the rug. Homophobia? Nah, they’re just a little behind the times. Using religion to justify violence? Nope, not since the Crusades. But tonight, sitting there at my desk as my roommates reenacted The Laramie Project, I realized how naïve I was. My aunt Tina was right: this stuff does exist, and it does hurt people, and although there are lots of people at Liberty who condemn violence against gays—including Dr. Falwell himself—the number of students who want to give them the Goliath treatment isn’t zero. In fact, the number who live in my room isn’t zero.

Bob Cavallo remembers early on in the process, ‘We were at odds with each other. Our contract was up; five years had gone by since Purple Rain. We met at the Four Seasons with his lawyer and his accountant, me and Steve Fargnoli to discuss some kind of rapprochement because he had fired us. Basically he said, “I’ll work with you again but you’ve got to help me make this movie.” I read the treatment and said, “This could be an interesting thing,” and I said, “I’ll try to put you together with some young hip writers and maybe we can come up with a script quickly, ’cause this is pretty detailed.” And he went, “What are you talking about? That is the script.” It was thirty pages. And he said, “I’m going to shoot it, I know exactly how to do it.” So I said, “Maybe we could get this on Broadway for you. Would you be interested in that?” And he said, “No.” Now he was pissed that I didn’t think this was a good enough script, so we shook hands and that was the end of it. Then, about a year later, we were suing each other. But even when we sued each other, it was kinda funny. I said, “How could you not pay me?” He said, “How could you sue me?” He said, “You can’t have my children, those songs. You’re gonna give your involvement in those songs to your grandchildren?” And I said, “Yeah, I put ten years of my life into you, and you sucked all the air out of the room. I couldn’t really manage anybody else except for your friends.

Eaton was the original upbeat undertaker. His goal was “to erase all signs of mourning.” Forest Lawn was the genesis of some of the American funeral industry’s most beloved death-denial euphemisms. Death became “leave-taking,” a corpse became “the loved one,” “the remains,” or “Mr. So-and-So,” who, after elaborate embalming and cosmetic treatment, awaited burial in a private, well-furnished “slumber” room. An article in a 1959 issue of Time called Forest Lawn the “Disneyland of Death,” and described Eaton as starting his day off by leading his staff in prayer and reminding them that “they were selling immortality.” There were, of course, limits to who would be allowed to purchase immortality. The same article tells us that “Negroes and Chinese were regretfully refused.

I thundered hot water into the big tub, setting up McGee's Handy Home Treatment for Melancholy. A deep hot bath, and a strong cold drink, and a book on the tub rack. Who needs the Megrims? Surely not McGee, not that big brown loose-jointed, wirehaired beach rambler, that lazy fishcatching, girlwatching, grey-eyed iconoclastic hustler. Stay happy, McGee, while you use up the stockpiled cash. Borrow a Junior from Meyer for the sake of coziness. Or get dressed and go over to the next doc, over to the big Wheeler where the Alabama Tiger maintains his permanent floating house party and join the festive pack. Do anything, but stop remembering the way Sam Taggart looks with all the wandering burned out of him. Stop remembering the sly shy way Nicki would walk toward you, across a room. Stop remembering the way Lois died. Get in there and have fun, fella. While there's fun to have. While there's some left. Before they deal you out.

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.

Scarcity has a way of revealing our true understanding of the Golden Rule. Here’s the bare truth: when there is one piece of pie, I don’t want to deny myself and bless someone else with it, and I don’t want to divide it equitably. I want the whole piece. And that’s precisely why I should give the whole piece to someone else—because in doing so, I fulfill the Golden Rule. Yes, at bare minimum I want to be treated fairly by others. But what I really want is to be treated preferentially. My love of preferential treatment displays itself in a thousand ways. I want the best concert seats, the best parking spot, the upgrade to first class, the most comfortable seat in the living room, the biggest serving of pie, the last serving of pie, all the pie all the time. Giving someone else the preferential treatment that I want requires humility. But God gives grace to the humble. Any time we dine on humble pie, we can be certain it will be accompanied by an oversized dollop of grace.

Around that time, Musk was asked by a user on Twitter if he was bipolar. “Yeah,” he answered. But he added that he had not been medically diagnosed. “Bad feelings correlate to bad events, so maybe the real problem is getting carried away for what I sign up for.” One day, when they were sitting in the Tesla conference room after one of Musk’s spells, McNeill asked him directly whether he was bipolar. When Musk said probably yes, McNeill pushed his chair back from the table and turned to talk to Musk eye to eye. “Look, I have a relative who is bipolar,” McNeill said. “I’ve had close experience with this. If you get good treatment and your meds dialed right, you can get back to who you are. The world needs you.” It was a healthy conversation, McNeill says, and Musk seemed to have a clear desire to get out of his messed-up headspace. But it didn’t happen. His way of dealing with his mental problems, he says when I ask, “is just take the pain and make sure you really care about what you’re doing.

In the dark melodramas of the forties, woman came down from her pedestal and she didn’t stop when she reached the ground. She kept going – down, down, like Eurydice, to the depths of the criminal world, the enfer of the film noir – and then compelled her lover to glance back and betray himself…. But for all her guts and valor, and for all her unredeemable venality…she hadn’t a soul she could call her own. She was, in fact, a male fantasy. She was playing a man’s game in a man’s world of crime and carnal innuendo, where her long hair was the equivalent of a gun, where sex was the equivalent of evil. And where her power to destroy was projection of man’s feeling of impotence. Only this could never be spelled out; hence the subterfuge and melodrama. She is to her thirties’ counterpart as night – or dusk – is to day. And the difference between their worlds, between the drawing room of romantic comedy and the underground of melodrama, is the difference between flirtation and fornication … or rape” (Haskell 191).

Evangeline had lain here, in this bed. Paced this floor. She'd been younger than Ruby when she came to this house, trying to find her way in the world, and she left it pregnant and scared, with no one to help her. Ruby thought of all the women who came into Warwick Hospital and St. Mary's Dispensary, seeking treatment. Heavy with child, or writhing in pain from venereal diseases, or carrying newborns and toddlers. All the burdens of being poor and female, as Dr. Garrett put it. No one to catch you if you fell. Looking down at the worn pine floor, Ruby was struck by a realization; she'd been in this room before, when she was barely more than a whispered thought. "Will you excuse me?" Mr. Whitstone said. "I'll just be a minute." She nodded. It was late in the afternoon. She wanted to get back to her lodgings before dark. Though she wasn't looking forward to the long voyage back to Tasmania, she was eager to share what she'd learned during her year abroad. This moment in Evangeline's room, she knew, had nothing to do with the rest of her life and everything to do with it. She would leave this house changed, but no one would ever know she'd been here.

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.

Addicts should not be coerced into treatment, since in the long term coercion creates more problems than it solves. On the other hand, for those addicts who opt for treatment, there must be a system of publicly funded recovery facilities with clean rooms, nutritious food, and access to outdoors and nature. Well-trained professional staff need to provide medical care, counseling, skills training, and emotional support. Our current nonsystem is utterly inadequate, with its patchwork of recovery homes run on private contracts and, here and there, a few upscale addiction treatment spas for the wealthy. No matter how committed their staff and how helpful their services may be, they are a drop in comparison to the ocean of vast need. In the absence of a coordinated rehabilitation system, the efforts of individual recovery homes are limited and occur in a vacuum, with no follow-up. It may be thought that the cost of such a drug rehabilitation and treatment system would be exorbitant. No doubt the financial expenses would be great — but surely less than the funds now freely squandered on the War on Drugs, to say nothing of the savings from the cessation of drug-related criminal activity and the diminished burden on the health care system.

The BFMSS [British False Memory Syndrome Society] The founder of the 'false memory' movement in Britain is an accused father. Two of his adult daughters say that Roger Scotford sexually abused them in childhood. He denied this and responded by launching a spectacular counter-attack, which enjoyed apparently unlimited and uncritical air time in the mass media and provoke Establishment institutions that had made no public utterance about abuse to pronounce on the accused adults' repudiation of it. p171-172 The 'British False Memory Syndrome Society' lent a scientific aura to the allegations - the alchemy of 'falsehood' and 'memory' stirred with disease and science. The new name pathologised the accusers and drew attention away from the accused. But the so-called syndrome attacked not only the source of the stories but also the alliances between the survivors' movement and practitioners in the health, welfare, and the criminal justice system. The allies were represented no longer as credulous dupes but as malevolent agents who imported a miasma of the 'false memories' into the imaginations of distressed victims. Roger Scotford was a former naval officer turned successful property developer living in a Georgian house overlooking an uninterrupted valley in luscious middle England. He was a rich man and was able to give up everything to devote himself to the crusade. He says his family life was normal and that he had been a 'Dr Spock father'. But his first wife disagrees and his second wife, although believing him innocent, describes his children's childhood as very difficult. His daughters say they had a significantly unhappy childhood. In the autumn of 1991, his middle daughter invited him to her home to confront him with the story of her childhood. She was supported by a friend and he was invited to listen and then leave. She told him that he had abused her throughout her youth. Scotford, however, said that the daughter went to a homeopath for treatment for thrush/candida and then blamed the condition on him. He also said his daughter, who was in her twenties, had been upset during a recent trip to France to buy a property. He said he booked them into a hotel where they would share a room. This was not odd, he insisted, 'to me it was quite natural'. He told journalists and scholars the same story, in the same way, reciting the details of her allegations, drawing attention to her body and the details of what she said he had done to her. Some seemed to find the detail persuasive. Several found it spooky. p172-173

In August 1977 Canadians reacted with horror and revulsion when they learned that in the 1950s and early 1960s, one of the most eminent psychiatrists in the country had used his vulnerable patients as unwitting guinea pigs in brainwashing experiments funded by the CIA and the Canadian government. Behind the doors of the so-called sleep room on Wards 2 South, Dr. Ewen Cameron, the director of Montreal’s Allan Memorial Institute, exposed dozens of his own patients to barbaric treatments from which some never fully recovered. Operating under the belief that he could wipe brains clean of "bad behavior" and program in new behaviour, Cameron kept patients in a chemical sleep for weeks and months at a time exposing them to massive amounts of electro-shock and drugs such as LSD, and forced them to listen to tape-recorded messages repeated endlessly through headphones. Cameron was not alone in his desire to reprogram the human brain. The U.S. intelligence establishment found in him an eager collaborator, and funded his work substantially and covertly. Eventually, after years of stonewalling by the CIA, nine of the dozens of victims were at last given a chance to claim restitution for Cameron’s “treatments” by taking the powerful U.S. intelligence agency to court.

Do you think she's going to hang out your dirty laundry for all to see?" "How can you say she has sense after what she pulled today? Bah! You don't know what you're talking about." "What Willow did today was nothing more than an act of rebellion, a way to let off steam and let you know, in the only way she knew how, that your treatment of her is entirely unacceptable." "Woman, what you need is a man, then maybe you wouldn't be putting your nose in everybody's business." "Why,Mr. Vaughn, are you applying for the job?" Miriam asked, with an ill-humored smile. "Hell,no!" "Then I suggest you leave my personal life out of this. My life is in perfect order, which is more than can be said for yours!" Owen grunted and took a pull on his pipe. Well aware of his bold perusal, Miriam attacked her darning as if it were infinitely more engaging than any conversation with the man across the room from her. Owen wasn't a handsome man by any standards with his bearlike build and ruddy complexion. And heaven knew he wasn't very likeable either. Thus, Miriam was at a complete loss to explain her powerful attraction to him. Good heavens, she thought, I haven't felt so giddy since that time on my eighteenth birthday when Hiriam pulled me behind Aunt Harriet's coachhouse and we... The landlady's face reddened.

BILL OF RIGHTS Respect means I give myself and others the right to: Space and privacy (e.g., knocking on doors before entering, not opening one another’s mail, respecting each other’s needs for quiet and space); Be different (e.g., allowing preferences for food, movies, volume of music, and how we spend our time); Disagree (e.g., making room for each person to think and see life differently); Be heard (e.g., listening to each other’s desires, opinions, thoughts, feelings, etc.); Be taken seriously (e.g., listening and being present to one another); Be given the benefit of the doubt (e.g., checking out assumptions rather than judging one another when misunderstandings arise); Be told the truth (e.g., counting on the truth when asking each other for information—from “Did you study for the test that you failed?” to “Why were you late coming home?”); Be consulted (e.g., checking and asking when decisions will affect others); Be imperfect and make mistakes (e.g., leaving “room” for breaking things, forgetting things, letting each other down unintentionally, failing tests when we have studied, etc.); Courteous and honorable treatment (e.g., using words that don’t hurt, asking before using, consulting when appropriate, treating each other as I-Thou’s); and Be respected (e.g., taking one another’s feelings into account)

The cemetery watchman left the room and returned with a tray holding three small skulls and a large one. I could feel the short hairs on the back of my neck standing up of their own accord. None of them were real though; they were wood or celluloid imitations. They all had flaps that opened at the top; one was a jug and the other three steins. The man behind the desk named the toast. 'To our Friend!' I thought he meant myself at first; he meant that shadowy enemy of all mankind, the Grim Reaper. 'We are called The Friends of Death,' he explained to me when the grisly containers had been emptied. 'To outline our creed and purpose briefly, it is this: That death is life, and life is death. We have mastered death, and no member of the Friends of Death need ever fear it. They 'die,' it is true, but after death they are buried in special graves in our private cemetery - graves having air vents, such as you discovered. Also, our graves are equipped with electric signals, so that after the bodies of our buried members begin to respond to the secret treatment our scientists have given them before internment, we are warned. Then we come and release them - and they live again. Moreover, they are released, freed of their thralldom; from then on death is an old familiar friend instead of an enemy. They no longer fear it. Do you not see what a wonderful boon this would be in your case, Brother Bud; you who have suffered so from that fear?' ("Graves For The Living")

Cohen continued to struggle with his own well-being. Even though he had achieved his life’s dream of running his own firm, he was still unhappy, and he had become dependent on a psychiatrist named Ari Kiev to help him manage his moods. In addition to treating depression, Kiev’s other area of expertise was success and how to achieve it. He had worked as a psychiatrist and coach with Olympic basketball players and rowers trying to improve their performance and overcome their fear of failure. His background building athletic champions appealed to Cohen’s unrelenting need to dominate in every transaction he entered into, and he started asking Kiev to spend entire days at SAC’s offices, tending to his staff. Kiev was tall, with a bushy mustache and a portly midsection, and he would often appear silently at a trader’s side and ask him how he was feeling. Sometimes the trader would be so startled to see Kiev there he’d practically jump out of his seat. Cohen asked Kiev to give motivational speeches to his employees, to help them get over their anxieties about losing money. Basically, Kiev was there to teach them to be ruthless. Once a week, after the market closed, Cohen’s traders would gather in a conference room and Kiev would lead them through group therapy sessions focused on how to make them more comfortable with risk. Kiev had them talk about their trades and try to understand why some had gone well and others hadn’t. “Are you really motivated to make as much money as you can? This guy’s going to help you become a real killer at it,” was how one skeptical staff member remembered Kiev being pitched to them. Kiev’s work with Olympians had led him to believe that the thing that blocked most people was fear. You might have two investors with the same amount of money: One was prepared to buy 250,000 shares of a stock they liked, while the other wasn’t. Why? Kiev believed that the reluctance was a form of anxiety—and that it could be overcome with proper treatment. Kiev would ask the traders to close their eyes and visualize themselves making trades and generating profits. “Surrendering to the moment” and “speaking the truth” were some of his favorite phrases. “Why weren’t you bigger in the trades that worked? What did you do right?” he’d ask. “Being preoccupied with not losing interferes with winning,” he would say. “Trading not to lose is not a good strategy. You need to trade to win.” Many of the traders hated the group therapy sessions. Some considered Kiev a fraud. “Ari was very aggressive,” said one. “He liked money.” Patricia, Cohen’s first wife, was suspicious of Kiev’s motives and believed that he was using his sessions with Cohen to find stock tips. From Kiev’s perspective, he found the perfect client in Cohen, a patient with unlimited resources who could pay enormous fees and whose reputation as one of the best traders on Wall Street could help Kiev realize his own goal of becoming a bestselling author. Being able to say that you were the

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

This was my first rebirth into a body of the same species. I found the transfer much more difficult than changing planets because I had so many expectations about being human already in place. Also, I’d inherited a lot of things from Petals Open to the Moon, and not all of them were pleasant. I’d inherited a great deal of grief for Cloud Spinner. I missed the mother I’d never known and mourned for her suffering now. Perhaps there could be no joy on this planet without an equal weight of pain to balance it out on some unknown scale. I’d inherited unexpected limitations. I was used to a body that was strong and fast and tall—a body that could run for miles, go without food and water, lift heavy weights, and reach high shelves. This body was weak—and not just physically. This body seized up with crippling shyness every time I was unsure of myself, which seemed to be often these days. I’d inherited a different role in the human community. People carried things for me now and let me pass first into a room. They gave me the easiest chores and then, half the time, took the work right out of my hands anyway. Worse than that, I needed the help. My muscles were soft and not used to labor. I tired easily, and my attempts to hide that fooled no one. I probably couldn’t have run a mile without stopping. There was more to this easy treatment than just my physical weakness, though. I was used to a pretty face, but one that people were able to look at with fear, mistrust, even hatred. My new face defied such emotions. People touched my cheeks often, or put their fingers under my chin, holding my face up to see it better. I was frequently patted on my head (which was in easy reach, since I was shorter than everyone but the children), and my hair was stroked so regularly that I stopped noticing when it happened. Those who had never accepted me before did this as often as my friends.

I got a servant, a nice clean German girl from the Volga. Her village had been devastated—no other word can convey my meaning—by the liquidation of the Kulaks. In the German Volga Republic the peasants, who had been settled there two hundred years before to set an example to the Russians, had been better farmers and so enjoyed a higher standard of life than most peasants in Russia. Consequently, the greater part of them were classified as Kulaks and liquidated. *** The girls came to the towns to work as servants, and were highly prized, since they were more competent, cleaner, more honest and self-respecting than the Russian peasants. Curiously, they were the most purely Teutonic Germans I had ever seen, Germans like the pictures in Hans Andersen fairy tales, blue-eyed, with long golden plaits and lovely, fair skins. Being Protestants, and regarding the Russians around them as no better than barbarians, they had intermarried little and retained a racial purity which would no doubt have delighted Hitler. *** My Hilda seemed a treasure. She could cook, she could read and write, she kept herself and the rooms clean and looked like a pink and flaxen doll. I could treat her as an equal without finding that this led to her stealing my clothes and doing no work. The servant problem in Moscow for Jane and me lay in our inability to bully and curse and drive, which was the only treatment the Russian servant understood. It was quite natural that this should be so, since Soviet society, like Tsarist society but to a far higher degree, was based on force and cheating. *** I was amazed at the outspoken way in which Hilda and Sophie (another German girl who worked for Jane) voiced their hatred and contempt of the Soviet Government. Sophie, one of thirteen children of a bedniak (poor peasant) would shake her fist and say: “Kulaks! The Kulaks are up there in the Kremlin, not in the village.” Since the word “Kulak” originally signified an exploiter and usurer, her meaning was quite plain.

But perhaps the best and most memorable way to explain the conflict that arose between honoring traditional honor, and honoring one’s individual psyche, can be conveyed in a story from World War II. In 1943, coming off his dazzling victories in the Sicily campaign, George S. Patton stopped by a medical tent to visit with the wounded. He enjoyed these visits, and so did the soldiers and staff. He would hand out Purple Hearts, pump the men full of encouragement, and offer rousing speeches to the nurses, interns, and their patients that were so touching in nature they sometimes brought tears to many of the eyes in the room. On this particular occasion, as Patton entered the tent all the men jumped to attention except for one, Private Charles H. Kuhl, who sat slouched on a stool. Kuhl, who showed no outward injuries, was asked by Patton how he was wounded, to which the private replied, “I guess I just can’t take it.” Patton did not believe “battle fatigue” or “shell-shock” was a real condition nor an excuse to be given medical treatment, and had recently been told by one of the commanders of Kuhl’s division that, “The front lines seem to be thinning out. There seems to be a very large number of ‘malingerers’ at the hospitals, feigning illness in order to avoid combat duty.” He became livid. Patton slapped Kuhl across the face with his gloves, grabbed him by his collar, and led him outside the tent. Kicking him in the backside, Patton demanded that this “gutless bastard” not be admitted and instead be sent back to the front to fight. A week later, Patton slapped another soldier at a hospital, who, in tears, told the general he was there because of “his nerves,” and that he simply couldn’t “stand the shelling anymore.” Enraged, Patton brandished his white-handled, single-action Colt revolver and bellowed: Your nerves, Hell, you are just a goddamned coward, you yellow son of a bitch. Shut up that goddamned crying. I won’t have these brave men here who have been shot seeing a yellow bastard sitting here crying…You’re a disgrace to the Army and you’re going back to the front lines and you may get shot and killed, but you’re going to fight. If you don’t I’ll stand you up against a wall and have a firing squad kill you on purpose. In fact I ought to shoot you myself, you God-damned whimpering coward.

It did not take long for the entire town of Beldingsville to learn that the great New York doctor had said Pollyanna Whittier would never walk again; and certainly never before had the town been so stirred. Everybody knew by sight now the piquant little freckled face that had always a smile of greeting; and almost everybody knew of the "game" that Pollyanna was playing. To think that now never again would that smiling face be seen on their streets—never again would that cheery little voice proclaim the gladness of some everyday experience! It seemed unbelievable, impossible, cruel. In kitchens and sitting rooms, and over back-yard fences women talked of it, and wept openly. On street corners and in store lounging-places the men talked, too, and wept—though not so openly. And neither the talking nor the weeping grew less when fast on the heels of the news itself, came Nancy's pitiful story that Pollyanna, face to face with what had come to her, was bemoaning most of all the fact that she could not play the game; that she could not now be glad over—anything. It was then that the same thought must have, in some way, come to Pollyanna's friends. At all events, almost at once, the mistress of the Harrington homestead, greatly to her surprise, began to receive calls: calls from people she knew, and people she did not know; calls from men, women, and children—many of whom Miss Polly had not supposed that her niece knew at all. Some came in and sat down for a stiff five or ten minutes. Some stood awkwardly on the porch steps, fumbling with hats or hand-bags, according to their sex. Some brought a book, a bunch of flowers, or a dainty to tempt the palate. Some cried frankly. Some turned their backs and blew their noses furiously. But all inquired very anxiously for the little injured girl; and all sent to her some message—and it was these messages which, after a time, stirred Miss Polly to action. First came Mr. John Pendleton. He came without his crutches to-day. "I don't need to tell you how shocked I am," he began almost harshly. "But can—nothing be done?" Miss Polly gave a gesture of despair. "Oh, we're 'doing,' of course, all the time. Dr. Mead prescribed certain treatments and medicines that might help, and Dr. Warren is carrying them out to the letter, of course. But—Dr. Mead held out almost no hope.

Then call me Pierce because we're friends." He bent in close in the turn, eyes gleaming as they dropped to her lips. "Intimate friends, if I get my wish." This time there was no mistaking his meaning. But he was so practiced and smooth that she couldn't help herself-she laughed. When that made him frown, she tried to suppress her amusement, but that only made her laugh harder. "What's so funny?" he muttered. "I'm sorry," she said, swallowing her amusement. "It's just that I've heard my brothers make such insinuations to women in that tone of voice for years, but I've never been on the receiving end." Pierce's smile would rival that of Casanova. "I don't know why not," he said in a lazy drawl. His gaze raked her appreciatively as they swirled about the room. "Tonight, in that purple gown, you look particularly fetching. The color suits you." "Thank you." Minerva had been trying to get her to stop wearing browns and oranges for years, but Celia had always pooh-poohed her sister's opinions. It was only after Virginia had said exactly the same thing last month that she'd begun to think she should listen. And to order new gowns accordingly. "You're a lovely woman with the figure of a Venus and a mouth that could make a man-" "You can stop now." Her amusement vanished. She'd be flattered if he meant a single word, but clearly this was just a game to him. "I don't need the full rogue treatment, I assure you." Interest sparked in his eyes. "Hasn't it occurred to you that I might be sincere?" "Only if you're sincerely trying to seduce me." He cast her a blatantly carnal glance as he held her tighter. "Well, of course I'm trying to seduce you. What else would I be doing?" She pitched her voice over the music. "I'm a respectable woman, you know." "What has that got to do with anything?" She arched an eyebrow at him as they moved in consort. "Even a respectable woman might be tempted into, say, slipping out with a gentleman for a walk in the moonlit courtyard. And if said gentleman should happen to steal a kiss or two-" "Lord Devonmont!" "Fine." He smiled ruefully. "Bu you can't blame me for trying. You do look ravishing this evening." "There you go again," she said, exasperated. "Can you never talk to a woman as if she's a normal person?" "How dull that would be." When she frowned, he shook his head. "Very well. What scintillating topics of conversation did you have in mind?

For some reason, Jase thought it would be really funny to lock me out of the house, and I was furious. I kept banging on the door, but Jase had turned the music up loud so he wouldn’t hear me. He kicked his feet up on a table and kept yelling, “I can’t hear you. I can’t hear you.” I went to Granny’s house and told Kay what Jase had done. Kay went marching back to our house and was hotter than a catfish fry in July. She started banging on the door, but Jase thought it was still me and just kept blaring the music and enjoying having the house to himself. Kay got so angry that she banged on the glass pane and her fist went right through the window, cutting up her hand pretty badly. This caught Jase’s attention. When he saw her hand, he knew he was in big trouble. “When your dad gets home, he’s going to whip y’all’s butts,” Kay told us. I hadn’t even done anything, but Phil didn’t usually conduct and investigation to find out who was at fault. He just whipped whoever was in the vicinity of the crime. Jase and I ran back to our room and padded up with anything we could find-socks, underwear, and pillowcases. We sat on our bed with our butts padded, waiting for Phil to get home, certain we were in big trouble. Phil came into our house and saw the bandage on Kay’s hand. “What in the world did you do?” Phil asked her. “Look at what these boys did,” Kay told him. “Jase locked Willie out of the house, and I was banging on the door for him to let us in. My hand went right through the window.” “Kay, that’s the dumbest thing I’ve ever heard. Why would you bang on a glass window?” Phil said. Phil walked right by her and took a shower. Jase and I were standing there with padded behind, our mouths wide open with relief. Phil was always in charge of disciplining us, but sometimes Kay tried to take matters into her own hands. Unfortunately for Kay, she was really an uncoordinated disciplinarian. One day when Phil was out fishing, Kay announced that she was going to whip us. She grabbed a belt that had a buckle on one end and told us to line up for a whipping. Now, Kay never liked whipping us and always closed her eyes when she swung because she didn’t want to watch. This time, she reared back and swung and missed, and the buckle flew back and hit her right in the forehead. Jase and I just looked at her, started laughing, and took off running into the backyard. I really don’t know how she survived raising us four boys. Korie: Poor Kay! All that testosterone in one house! Maybe that’s why she is so great to us daughters-in-law. She is thankful we took them off her hands. She has definitely enjoyed all of her granddaughters. She has set up a cute little library and a place for tea parties. They have coloring contests and dress-up parties. She didn’t get to do any of that with her four boys so our daughters have gotten the full “girly” grandma treatment.

NOTE: The character of Aoleon is deaf. This conversation takes place in the book via sign language... “Feeling a certain kind of way Aoleon?” She snapped-to and quickly became defensive. “What in the name of the Goddess are you on about?” Shades of anger and annoyance. The old Aoleon coming out. “I’m sorry. I shouldn’t poke at you like that. It’s okay you know. There’s nothing wrong about the way you feel.” As if suddenly caught up in a lie, Aoleon cleared her throat and ran her fingers absentmindedly over her ear and started to fidget with one of the brass accents in her snowy hair. A very common nervous reaction. “No…I mean…well I was…uh...” “Aoleon, I know about you and Arjana.” he admitted outrightly as he pointed at the drawing. She coughed, stuttered, smiled, but could bring herself to fully say nothing. Words escaped her as she looked about the room for answers. “My sight is Dįvįnë, lest we forget. I knew you were growing close.” “Yes. Well…she’s…something else.” “Indeed?” he responded. Images flashed briefly in Aoleon’s head of her father’s old friend. Verging on her fiftieth decade of life. She was a fierce woman by all accounts. One who’d just as soon cut you with words as she would a blade. Yet, she was darling and caring towards those she held close to her. Lovely to a fault; in a wild sort of way. Dark skin, the colour of walnut stained wood. Thick, kinky hair fashioned into black locs that faded into reddish-brown tips that were dyed with Assamian henna; the sides of her head shaved bare in an undercut fashion. Tattoos and gauged ears. Very comfortable with her sexuality. Dwalli by blood, but a native of the Link by birth although she wasn’t a Magi. Magick was her mother’s gift. “I heard her say something very much the same about you once Aoleon.” “Really?” Aoleon perked up right away. “Did she?” “Yes. After she first met you in fact. Nearly exactly.” Aoleon’s smile widened and she beamed happiness. She sat up assertively and gave a curt nod. “Well, of course she did.” “She’s held such a torch for you for so long that I was starting to wonder if anything would actually come of it.” “Yeah. Both you and Prince Asshole.” Aoleon exclaimed with a certainty that was absolute as she once again tightened up with defensiveness. Samahdemn walked his statement back. “Peace daughter. I didn't know your brother had been giving you a row about her. Then again, he is your brother. So anything is possible.” Aoleon sighed and nodded. “Not so much problems as he’s been giving me the silent treatment over it. Na’Kwanza. It’s always Na’ Kwanza.” Samahdemn nodded knowingly and waived a dismissive hand. “He’s just jealous. He always has been.” “So I’ve noticed.” “Why would you hide it? Why not tell me?” “I don’t know.” she said; shrugging her shoulders. “I didn’t know how you’d take it I suppose.” “Seriously? You were afraid of rejection? From me? Love, have I ever held your individuality against you? Have I ever not supported you or your siblings?” She shook her head; a bit embarrassed that she hadn't trusted him. "No, I suppose not." -Reflections on the Dįvonësë War: The Dįvįnë Will Bear Witness to Fate

They'd followed him up and had seen him open the door of a room not far from the head of the stairs. He hadn't so much as glanced their way but had gone in and shut the door. She'd walked on with Martha, past that door, down the corridor and around a corner to their chamber. Drawing in a tight-faintly excited-breath, she set out, quietly creeping back to the corner, her evening slippers allowing her to tiptoe along with barely a sound. Nearing the corner, she paused and glanced back along the corridor. Still empty. Reassured, she started to turn, intending to peek around the corner- A hard body swung around the corner and plowed into her. She stumbled back. Hard hands grabbed her, holding her upright. Her heart leapt to her throat. She looked up,saw only darkness. She opened her mouth- A palm slapped over her lips. A steely arm locked around her-locked her against a large, adamantine male body; she couldn't even squirm. Her senses scrambled. Strength, male heat, muscled hardness engulfed her. Then a virulent curse singed her ears. And she realized who'd captured her. Panic and sheer fright had tensed her every muscle; relief washed both away and she felt limp. The temptation to sag in his arms, to sink gratefully against him, was so nearly overwhelming that it shocked her into tensing again. He lowered his head so he could look into her face. Through clenched teeth, he hissed, "What the hell are you doing?" His tone very effectively dragged her wits to the fore. He hadn't removed his hand from her lips. She nipped it. With a muted oath, he pulled the hand away. She moistened her lips and angrily whispered back, "Coming to see you, of course. What are you doing here?" "Coming to fetch you-of course." "You ridiculous man." Her hands had come to rest on his chest. She snatched them back, waved them. "I'm hardly likely to come to grief over the space of a few yards!" Even to her ears they sounded like squabbling children. He didn't reply. Through the dark, he looked at her. She couldn't see his eyes, but his gaze was so intent, so intense that she could feel... her heart started thudding, beating heavier, deeper. Her senses expanded, alert in a wholly unfamiliar way. he looked at her...looked at her. Primitive instinct riffled the delicate hairs at her nape. Abruptly he raised his head, straightened, stepped back. "Come on." Grabbing her elbow, he bundled her unceremoniously around the corner and on up the corridor before him. Her temper-always close to the surface when he was near-started to simmer. If they hadn't needed to be quiet, she would have told him what she thought of such cavalier treatment. Breckenridge halted her outside the door to his bedchamber; he would have preferred any other meeting place, but there was no safer place, and regardless of all and everything else, he needed to keep her safe. Reaching around her, he raised the latch and set the door swinging. "In here." He'd left the lamp burning low. As he followed her in, then reached back and shut the door, he took in what she was wearing. He bit back another curse. She glanced around, but there was nowhere to sit but on the bed. Quickly he strode past her, stripped off the coverlet, then autocratically pointed at the sheet. "Sit there." With a narrow-eyed glare, she did, with the haughty grace of a reigning monarch. Immediately she'd sat, he flicked out the coverlet and swathed her in it. She cast him a faintly puzzled glance but obligingly held the enveloping drape close about her. He said nothing; if she wanted to think he was concerned about her catching a chill, so be it. At least the coverlet was long enough to screen her distracting angles and calves. Which really was ridiculous. Considering how many naked women he'd seen in his life, why the sight of her stockinged ankles and calves should so affect him was beyond his ability to explain.

• No matter how open we as a society are about formerly private matters, the stigma around our emotional struggles remains formidable. We will talk about almost anyone about our physical health, even our sex lives, but bring depression, anxiety or grief , and the expression on the other person would probably be "get me out of this conversation" • We can distract our feelings with too much wine, food or surfing the internet, • Therapy is far from one-sided; it happens in a parallel process. Everyday patients are opening up questions that we have to think about for ourselves, • "The only way out is through" the only way to get out of the tunnel is to go through, not around it • Study after study shows that the most important factor in the success of your treatment is your relationship with the therapist, your experience of "feeling felt" • Attachment styles are formed early in childhood based on our interactions with our caregivers. Attachment styles are significant because they play out in peoples relationships too, influencing the kind of partners they pick, (stable or less stable), how they behave in a relationship (needy, distant, or volatile) and how the relationship tend to end (wistfully, amiably, or with an explosion) • The presenting problem, the issue somebody comes with, is often just one aspect of a larger problem, if not a red herring entirely. • "Help me understand more about the relationship" Here, here's trying to establish what’s known as a therapeutic alliance, trust that has to develop before any work can get done. • In early sessions is always more important for patients to feel understood than it is for them to gain any insight or make changes. • We can complain for free with a friend or family member, People make faulty narratives to make themselves feel better or look better in the moment, even thought it makes them feel worse over time, and that sometimes they need somebody else to read between the lines. • Here-and-now, it is when we work on what’s happening in the room, rather than focusing on patient's stories. • She didn't call him on his bullshit, which this makes patients feel unsafe, like children's whose parent's don’t hold them accountable • What is this going to feel like to the person I’m speaking to? • Neuroscientists discovered that humans have brain cells called mirror neurons, that cause them to mimic others, and when people are in a heightened state of emotion, a soothing voice can calm their nervous system and help them stay present • Don’t judge your feelings; notice them. Use them as your map. Don’t be afraid of the truth. • The things we protest against the most are often the very things we need to look at • How easy it is, I thought, to break someone’s heart, even when you take great care not to. • The purpose on inquiring about people's parent s is not to join them in blaming, judging or criticizing their parents. In fact it is not about their parents at all. It is solely about understanding how their early experiences informed who they are as adults so that they can separate the past from the present (and not wear psychological clothing that no longer fits) • But personality disorders lie on a spectrum. People with borderline personality disorder are terrified of abandonment, but for some that might mean feeling anxious when their partners don’t respond to texts right away; for others that may mean choosing to stay in volatile, dysfunctional relationships rather than being alone. • In therapy we aim for self compassion (am I a human?) versus self esteem (Am I good or bad: a judgment) • The techniques we use are a bit like the type of brain surgery in which the patient remains awake throughout the procedure, as the surgeons operate, they keep checking in with the patient: can you feel this? can you say this words? They are constantly calibrating how close they are to sensitive regions of the brain, and if they hit one, they back up so as not to damage it.

George could dig and pour the concrete basement for a house. He could saw the lumber and nail the frame. He could wire the rooms and fit the plumbing. He could hang the drywall. He could lay the floors and shingle the roof. He could build the brick steps. He could point the windows and paint the sashes. But he could not throw a ball or walk a mile; he hated exercise, and once he took early retirement at sixty he never had his heart rate up again if he could help it, and even then only if it were to whack through some heavy brush to get to a good trout pool. Lack of exercise might have been the reason that, when he had his first radiation treatment for the cancer in his groin, his legs swelled up like two dead seals on a beach and then turned as hard as lumber. Before he was bedridden, he walked as if he were an amputee from a war that predated modern prosthetics; he tottered as if two hardwood legs hinged with iron pins were buckled to his waist. When his wife touched his legs at night in bed, through his pajamas, she thought of oak or maple and had to make herself think of something else in order not to imagine going down to his workshop in the basement and getting sandpaper and stain and sanding his legs and staining them with a brush, as if they belonged to a piece of furniture. Once, she snorted out loud, trying to stifle a laugh, when she thought, My husband, the table. She felt so bad afterward that she wept.

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She grabbed the knob. In the past, anger had often been her fuel. She’d been energized by it, and she realized, had depended on it to propel her over hurdles of exhaustion when Ben was an infant. Through red tape when dealing with insurance companies and physicians. Into new routines like learning sign language and coordinating treatments and surgeries with various specialists. She all but stumbled to her room. Closed the door and sank to sit on the bed, her breathing shallow. Yes, there’d been long periods of time she’d lived on anger. Now she saw she couldn’t afford it, or the way it made her behave toward her family.

It was past eight on a Friday night, so calling the Homeward to speak to Dr. Casbus was out of the question. The head nurse would never bother him this late. A sly idea struck me. Just because I couldn’t call the doctor, didn’t mean I couldn’t go see him in person. I’d gone to the Homeward at night before. On those nights when I’d been afraid for my mother, afraid she’d be scared, or missing me, or they would be hurting her with their treatments. The head nurse, Mrs. Huds didn’t like it, but Casbus always showed up to save me from her lecture on rules. He didn’t let me have a room to stay in—it wasn’t the Holiday Inn, but he’d let me stay long enough to dial down my fears a notch or two. And sometimes, I learned more about myself, like the last after-hours session, when Casbus had explained why I had holes in my memories.

There is no room for passion in journalism—unless it is a passion for presenting the truth. Accurately, honestly, and unbiased.

John’s adolescence was marked by loss. When he was thirteen his father died, swiftly followed by his two sisters. Shortly after he turned seventeen his eldest brother, James, whose progress through his chosen medics, career had taken him to London, became unable to work due to ill health and returned to the farm, lying for days on one of the beds that pulled out from the walls of the two-roomed cottage like drawers, coughing himself to death at least while John watched or was nearby; and I find it hard to imagine, now, when death is largely hedged about with treatment plans, when it does not often come senseless out of nowhere, but can be postposted, or if not, then at least explained, what grief must have been like when that boundary was a curtain you could put your hand through. It is easy to think that when death could be so quickly turned to, a matter of mistral and all families counted lost children in their numbers, that loss must have been a blunter thing- that having so much practice, they must have been better at it, or inoculated, that it cannot have been for them such devastation, this laying waste- as the birth of a tenth child might be of less account in a busy week than the loss of a pair of, so that the date of it was not looked for until later, when it was found to have been forgotten. It is easy to think that in an age without anaesthetics, when legs might be hacked off on kitchen tables, teeth pulled sigh pliers taking gobbets of jaw and gun away with the , that pain must have been somehow a less precise, less devastating thing, the alternative being unthinkable- that it was just the same but persisting, could only be endured, to universal to allow concession; and so John Hunter watched the bodies of those he loved carried out of the tiny farmhouse one by one, making their last journey to the church, and afterwards he went about the business of his day, he went to school or to the fields, and then at last, summoned by William, the sole surviving brother he barely remembered, he went to London and, did not return.

Most autistics' opinions fall somewhere in the middle, with autistic people believing that institutionalization may be necessary in some circumstances, but whenever this happens, whatever facility houses these individuals must be run well, with the occupants being treated humanely. But there is still room for arguments with the people who take the middle-of-the-road point of view. Under what criteria may a person be judged in need of institutionalization? What does a well-run institution look like? What is the definition of humane treatment? People

Short-term memory is  the memory process that allows you to do many things at once, or  ‘multitask.’ For example, when you are cooking breakfast, you can remember how long the eggs have been boiling, when the frying bacon needs to be turned, when in the process to turn on the coffee maker and start the toast, and when you can fit in peeling the oranges. In contrast, a person with short-term memory deficit can concentrate on only one thing at a time, and if a second thing distracts them, the first may leave their consciousness completely. Trying to concentrate on many things at once, as we do if we are multitasking, becomes difficult, and then impossible, for people with short-term memory loss. Think about the process of making breakfast described above. The cook has to remember to check on each item of food being prepared. They also have to recall all the steps required to cook each item from start to finish. Not only that, but they also need to use their short-term memory to remember which of those steps they’ve already done and what comes next. People with short-term memory loss due to dementia usually stop doing complex tasks like cooking very early in the disease process. These complex tasks are very common in the work world. If a person is still working when they start to develop dementia, they often lose their job because they can no longer function the way they need to in order to complete their work. Speaking from my own experience as a nurse on a hospital ward, I had to remember the names, diagnoses, room and bed number, and general health conditions of a dozen or more people; also, what medications they got and when, what care and treatments they needed to receive and how well those went, whether or not I’d recorded all this information, what I needed to ask physicians when they arrived on the ward; and, still be cooperative with the many interruptions that happened every hour. Most jobs have similar complexities. They require a reliable short-term memory.

When I look at a piece of furniture from across a room, I see form, style, scale, context, and intended use. As I approach it, I distinguish material, joinery, and proportions. When I get close enough to touch it, I take in details such as hardware, textures, finish, edge treatments, wood grain, quality, and comfort.

If a patient arrives via ambulance and is seriously injured or really sick or has a heart attack, a doctor checks him out and sends him to the nearest real emergency department connected to a hospital with facilities like operating rooms and a cardiac laboratory. Aside from the risk of delays in treatment, the sequence results in bills for two separate high-level ER visits and a charge for emergency transport.

In the examination room, I hold my hands in tight fists. I am on guard, ready to fight, and really, I do have to fight, for my dignity, for the right to basic medical treatment.

It hit me hard today, Winnie. I can't believe I'll have to do this chemotherapy thing again. Three more times. I feel like crap." What could I possibly say? It had been a bad day for Nancy. The phlebotomist who normally draws Nancy's blood was off, and her replacement "missed" the first two times. She had to stand to have a chest X-ray even though she felt particularly weak. And she had to give three different urine specimens. By late morning, fever and chills were return visitors to Room 842. Nancy had no energy to walk. She even turned down her daily shower, too tired to make another trip to her bathroom. "You know, Nancy, the day before yesterday, when Chuck and I took our mountain bake ride, we went on a brand new trail in Round Valley. It was really hard for me. But yesterday, we rode the same trail. And it wasn't so bad. Actually it was almost easy. Your treatments will be like that." Nancy grabbed my hand between both of hers. There were fewer wrinkles on her forehead than moments before. Her eyes speak volumes and I couldn't speak. I didn't need to. For once, I chose the correct words. She smiled, closed her eyes and feel asleep.

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.

Xuan pulled out his phone and searched Google. He had to ask for the correct spelling of the drug. He wanted more real information about how much of a financial burden he would be to his parents. Money was a big concern. Possibly a deal breaker. “Several sites—it’s around five hundred dollars a day! That’s fifteen thousand a month! How could I let my parents pay that much for me?” Fifteen thousand dollars. I gasped, appalled. I staggered to the chair and collapsed into it. He’ll never agree to that. Xuan opened his mouth and closed it again, in shock. The atmosphere in the room plunged from friendly and informative to frigid with mathematical figures and calculations. I sat with my elbows on my knees, my face buried in my hands. Saints, I knew cancer treatment was expensive, but I never imagined it was that expensive. That was too much. Ironically, I didn’t know if I could live with myself, knowing my parents were working day and night to keep me alive. That would be a huge financial responsibility. I just couldn’t imagine allowing it, month after month. Sadly, I wondered how many people died every year because of the cost of medication in the United States. In a way, it seemed like pharmaceutical companies were getting away with murder.

insider.” What follows is not a guidebook—because it is not comprehensive—but a recommendation guide. It is wholly personal, biased, and organic (I am not sponsored by any of the entities I will mention, nor given special treatment—at some of the restaurants, even I can’t get a reservation in the middle of August!). But I feel this Blue Book will be helpful in enhancing any stay on the island, especially if you are an Elin Hilderbrand reader! Two excellent resources for getting started on your trip planning: Nantucket Chamber of Commerce, 508-228-1700. Website: nantucketchamber.org; Instagram: @ackchamber. Town of Nantucket Culture and Tourism (known around town as “Nantucket Visitor Services”), 508-228-0925. Visitor Services keeps a list of available hotel rooms (and, yes, there were nights in the past few summers when the island was completely sold out!).

Narcissistic Disorder The basic premise of this personality disorder is an inflated sense of self worth. This trait is often emphasized by a need to be appreciated and admired although someone with this disorder usually is unable to have any empathy for others; no matter what their situation. People with this disorder will often be fond of overly grand gestures and will assume they are the most important part of anyone’s life; even if you met them just five minutes ago. There are very few scenarios where this inflated sense of self worth is appropriate in modern society. Surprisingly, under this façade there is usually a very fragile self esteem which needs the consistent bolstering of ego that their behavior attracts. People with this disorder will often appear to be snobbish, disdainful or simply patronizing and condescending. They are likely to give out opinions on the failings of others at the drop of a hat without acknowledging their own shortcomings. The belief that they should be the most important person in any room can lead to issues when dealing with relationships at home or at work; this will be particularly noticeable if someone else is praised and you are not. In situations such as these, it is common for someone with this disorder to react angrily or impatiently; making it very difficult to build a long term relationship. The Symptoms Again, in order for someone to be diagnosed with this condition they will need to display at least five of the following symptoms and to have had these issues for at least one year. •   A sufferer has a hugely inflated opinion of their own self worth. They will usually inflate their achievements and skills to ensure they are the best in the room. They are unlikely to be able to substantiate any of these claims. •   They often indulge in a fantasy world where they have unlimited success, power, money and love. This indulgence can occur at any time. •   They will have a belief that they are very special and that there are only a few other people in the world which are on the same level as them. This belief means they will often try to associate with these people and no one else; as these are the only people who will understand them. •   The belief that they are special necessitates them to expect and demand your praise and adulation at all times of the day. They expect to be admired simply for being who they are. This belief extends to expecting others to provide them with favorable treatment and to know their expectations without being told them. •   This feeling of their own self worth will cause many people with this disorder to take advantage of others in order to achieve their own goal. They are unlikely to see this as exploitation; instead, it is just others doing what they should to satisfy their needs. •   It is usual for someone with this personality disorder to lack empathy towards others, particularly those who they feel are beneath them; which is almost everyone. •   Envy is a common trait in people with this disorder. They are liable to be envious of anyone who has something they do not and they will believe others are envious of them; because of their importance. •   People who suffer from this illness will often come across as arrogant, haughty or even rude. This disorder occurs in more men than women and current estimates suggest that the disorder is present in approximately six percent of the population. Symptoms associated with this disorder will always be present, even when a child; but the constantly evolving personality is likely to mask this and it is not usually possible to diagnose the condition until the late teens or early twenties.

Thirty-Nine Ways to Lower Your Cortisol 1 Meditate. 2 Do yoga. 3 Stretch. 4 Practice tai chi. 5 Take a Pilates class. 6 Go for a labyrinth walk. 7 Get a massage. 8 Garden (lightly). 9 Dance to soothing, positive music. 10 Take up a hobby that is quiet and rewarding. 11 Color for pleasure. 12 Spend five minutes focusing on your breathing. 13 Follow a consistent sleep schedule. 14 Listen to relaxing music. 15 Spend time laughing and having fun with someone. (No food or drink involved.) 16 Interact with a pet. (It also lowers their cortisol level.) 17 Learn to recognize stressful thinking and begin to: Train yourself to be aware of your thoughts, breathing, heart rate, and other signs of tension to recognize stress when it begins. Focus on being aware of your mental and physical states, so that you can become an objective observer of your stressful thoughts instead of a victim of them. Recognize stressful thoughts so that you can formulate a conscious and deliberate reaction to them. A study of forty-three women in a mindfulness-based program showed that the ability to describe and articulate stress was linked to a lower cortisol response.28 18 Develop faith and participate in prayer. 19 Perform acts of kindness. 20 Forgive someone. Even (or especially?) yourself. 21 Practice mindfulness, especially when you eat. 22 Drink black and green tea. 23 Eat probiotic and prebiotic foods. Probiotics are friendly, symbiotic bacteria in foods such as yogurt, sauerkraut, and kimchi. Prebiotics, such as soluble fiber, provide food for these bacteria. (Be sure they are sugar-free!) 24 Take fish or krill oil. 25 Make a gratitude list. 26 Take magnesium. 27 Try ashwagandha, an Asian herbal supplement used in traditional medicine to treat anxiety and help people adapt to stress. 28 Get bright sunlight or exposure to a lightbox within an hour of waking up (great for fighting seasonal affective disorder as well). 29 Avoid blue light at night by wearing orange or amber glasses if using electronics after dark. (Some sunglasses work.) Use lamps with orange bulbs (such as salt lamps) in each room, instead of turning on bright overhead lights, after dark. 30 Maintain healthy relationships. 31 Let go of guilt. 32 Drink water! Stay hydrated! Dehydration increases cortisol. 33 Try emotional freedom technique, a tapping strategy meant to reduce stress and activate the parasympathetic nervous system (our rest-and-digest system). 34 Have an acupuncture treatment. 35 Go forest bathing (shinrin-yoku): visit a forest and breathe its air. 36 Listen to binaural beats. 37 Use a grounding mat, or go out into the garden barefoot. 38 Sit in a rocking chair; the soothing motion is similar to the movement in utero. 39 To make your cortisol fluctuate (which is what you want it to do), end your shower or bath with a minute (or three) under cold water.

Brooklyn grasps my hand tight as we leave gleaming corridors and treatment rooms behind. The exit awaits, real and terrifying. Life begins on the other side of those doors.

He found it easy to charm a girl: it was mainly a matter of pretending to be interested in everything she said, although good looks and good manners helped. He bowled them over without much effort. But now for the first time he had suffered the same treatment. When he was with Lizzie he always felt slightly breathless, and he knew that he stared at her as if she were the only person in the room, the way a girl stared at him when he was being fascinating. Was that love? He thought it must be.

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Despite the absence of speech, the green area on the upper part of the gyrus was glowing. “If it’s lighting up, it means she’s talking to me at this very moment.” “Eugenie?” Sharko grunted. Leclerc felt a chill. To see his chief inspector’s meninges react to speech like this, when you couldn’t even hear a fly buzzing, made him feel like there was a ghost in the room. “What’s she saying?” “She wants me to buy a pint of cocktail sauce and some candied chestnuts next time I go shopping. She loves those miserable chestnuts. Excuse me a second…” Sharko closed his eyes, lips pressed tight. Eugenie was someone he might see and hear at any moment. On the passenger seat of his old Renault. At night when he went to bed. Sitting cross-legged, watching the mini-gauge trains run around the tracks. Two years earlier, Eugenie had often shown up with a black man, Willy, a huge smoker of Camels and pot. A real mean son of a bitch, much worse than the little girl because he talked loud and tended to gesticulate wildly. Thanks to the treatment, the Rasta had disappeared for good, but the other one, the girl, came and went as she pleased, resistant as a virus.

In the years to come, some of our best minds will try to dig deeper into that computer program, to figure out its individual lines of code (the IF-THENS that we call genes), the products of those lines (what we call proteins), how all those lines of biological code fit together, and how they make room for nurture. In the long run, the effects on society will be profound. Take, for example, the advances that our increasing understanding of genes will lead to in medicine. Because, as we have seen, the brain is built like the rest of the body, it is also amenable to many of the same types of treatment. For example, stem cell therapies originally developed for leukemia are being adapted to treat Parkinson's disease and Huntington's disease. Gene therapies developed for cystic fibrosis may someday help treat brain tumors. Both work by harnessing the body's own toolkit for development.

fitted Cinderella; but how much greater was their astonishment when she drew out of her pocket the other slipper and put it on! Just at this moment the fairy entered the room, and touching Cinderella's clothes with her wand, made her all at once appear more magnificently dressed than they had ever seen her before. The two sisters immediately perceived that she was the beautiful princess they had seen at the ball. They threw themselves at her feet, and asked her forgiveness for the ill treatment she had received from them. Cinderella helped them to rise, and, tenderly embracing them, said that she forgave them with all her heart, and begged them to bestow on her their affection. Cinderella was then conducted, dressed as she was, to the young prince, who finding her more beautiful than ever, instantly desired her to accept of his hand. The marriage ceremony took place in a few days; and Cinderella, who was as amiable as she was handsome, gave her sisters magnificent apartments in the palace, and a short time after married them to two great lords of the court.

When the Doctors were not dragging screaming patients away to the operating rooms, they would experiment in other ways by designing the most uncomfortable and painful ‘treatments,’ such as hosing patients down on a regular basis with ice cold blasts of water, or forcing them into steel cages or boxes, to be kept there until they calmed down, or tying them almost permanently to their beds, with the restrained patient barely able to move their limbs at all. This could last for days, weeks.

the slipper to her foot, it instantly slipped in, and he saw that it fitted her like wax. The two sisters were amazed to see that the slipper fitted Cinderella; but how much greater was their astonishment when she drew out of her pocket the other slipper and put it on! Just at this moment the fairy entered the room, and touching Cinderella's clothes with her wand, made her all at once appear more magnificently dressed than they had ever seen her before. The two sisters immediately perceived that she was the beautiful princess they had seen at the ball. They threw themselves at her feet, and asked her forgiveness for the ill treatment she had received from them. Cinderella helped them to rise, and, tenderly embracing them, said that she forgave them with all her heart, and begged them to bestow on her their affection. Cinderella was then conducted, dressed as she was, to the young prince, who finding her more beautiful than ever, instantly desired her to accept of his hand. The marriage ceremony took place in a few days; and Cinderella, who was as amiable as she was handsome, gave her sisters magnificent apartments in the palace, and a short time after married

Alone, [Chamcha] all at once remembered that he and Pamela had once disagreed, as they disagreed on everything, on a short-story they’d both read, whose theme was precisely the nature of the unforgivable. Title and author eluded him, but the story came back vividly. A man and a woman had been intimate friends (never lovers) for all their adult lives. On his twenty-first birthday (they were both poor at the time) she had given him, as a joke, the most horrible, cheap glass vase she could find, in colours a garish parody of Venetian gaiety. Twenty years later, when they were both successful and greying, she visited his home and quarrelled with him over his treatment of a mutual friend. In the course of the quarrel her eye fell upon the old vase, which he still kept in pride of place on his sitting-room mantelpiece, and, without pausing in her tirade, she swept it to the floor, crushing it beyond hope of repair. He never spoke to her again; when she died, half a century later, he refused to visit her deathbed or attend her funeral, even though messengers were sent to tell him that these were her dearest wishes. ‘Tell her,’ he said to the emissaries, 'that she never knew how much I valued what she broke.’ The emissaries argued, pleaded, raged. If she had not known how much meaning he had invested in the trifle, how could she in all fairness be blamed? And had she not made countless attempts, over the years, to apologize and atone? And she was dying, for heaven’s sake; could not this ancient, childish rift be healed at last? They had lost a lifetime’s friendship; could they not even say goodbye? 'No,’ said the unforgiving man. – 'Really because of the vase? Or are you concealing some other, darker matter?’ – 'It was the vase,’ he answered, 'the vase, and nothing but.’ Pamela thought the man petty and cruel, but Chamcha had even then appreciated the curious privacy, the inexplicable inwardness of the issue. 'Nobody can judge an internal injury,’ he had said, 'by the size of the superficial wound, of the hole.

Appalled by what he saw, he instead prepared a private, two-room apartment for her in the basement of Scotchtown. Each room had a window, providing light, air circulation, and a pleasant view of the grounds. The apartment also had a fireplace, which provided good heat in the winter, and a comfortable bed to sleep in." After placing Sarah there for “treatment” for a short time, at the urging of his personal physician Thomas Hinde, Henry vowed to take her back home and care for her himself. Thus, Henry moved her to Scotchtown plantation back in Hanover County. His oldest daughter, Patsy, also moved there with her husband, and together the family created a small, comfortable apartment in the basement of the home where Sarah could live and be supervised. To his credit, Henry remained devoted to her and cared for her himself when he was at home. When he was away, as he often was, Patsy and the other children, or a female slave, saw to her needs and kept her from harming herself or anyone else.

Chapter 11 The Vital Force Let’s pretend we are in a make-believe world and that there are 2 people in a room. One is a doctor, the other is a patient. The doctor is color blind but doesn’t know it. The doctor can’t see the color yellow at all. The patient is suffering from a rare disease that has given him chronic headaches, anemia, and has turned his skin completely yellow from head to foot. When the doctor tries to figure out what is going on with the patient, he will completely miss the fact that the patient is yellow. It won’t even register to him. Because of his color blindness that he is completely unaware of, the diagnosis that he makes will be flawed and incomplete, no matter how skilled he is, or how many lab tests he does, Now – in the above pretend scenario, it is possible that the illness that has turned the patient’s skin yellow will have other signs and symptoms that the doctor will discover (like the headaches and anemia), and it is possible that if the doctor treats those symptoms with a medicine that is strong enough, it will impact the patient’s system, and create some result. But because of the doctor’s inherent color blindness, he will be initiating a lopsided treatment, and if anything gets cured, it will be by chance

You fuckin’ guys! You have no idea what it’s like on this side of the little paper smock. You ever been in one of those managed-care Sam’s Clubs? You can’t just let your fingers do the walking. Then I read this article, and I almost hemorrhaged when I found out there are medical seminars teaching doctors how to manipulate a patient’s wait—they’ve actually done cost studies on how long people will tolerate the lobby, when to move them to the examining room, and how long they’ll wait there. Which is longer than you’d expect because, after all, ho! ho!—you’re in The Room! Then they instruct doctors to chop up the wait some more by sending in the nurses for blood pressure and other tap dancing. And you’re thinking, Hey, foolish to leave now—this is almost like actual treatment!

Yes, I could have gone in for injury treatment over the weekend, but I’m sick of being treated for injuries, sick of spending time in the training room, sick of feeling fragile.

routine foot care, continue shoulder strengthening exercises and treatment as needed. Continue anti-inflammatory medications and treatment in the training room for his left achilles tendon.” I’m given jersey number 14: standard-issue training camp receiver number. The eighties numbers go to active receivers and tight ends. The rest of us get numbers in the teens—the leftovers, basically.

It was her concern and commitment to a friend which last year involved her in perhaps the most emotional period of her life. For five months she secretly helped to care for Adrian Ward-Jackson who had discovered that he was suffering from AIDS. It was a time of laughter, joy and much sorrow as Adrian, a prominent figure in the world of art, ballet and opera, gradually succumbed to his illness. A man of great charisma and energy, Adrian initially found it difficult to come to terms with his fate when in the mid-1980s he was diagnosed as HIV positive. His word as deputy chairman of the Aids Crisis Trust, where he first met the Princess, had made him fully aware of the reality of the disease. Finally he broke the news in 1987 to his great friend Angela Serota, a dancer with the Royal Ballet until a leg injury cut short her career and now prominent in promoting dance and ballet. For much of the time, Angela, a woman of serenity and calm practicality, nursed Adrian, always with the support of her two teenage daughters. He was well enough to receive a CBE at Buckingham Palace in March 1991 for his work in the arts--he was a governor of the Royal Ballet, chairman of the Contemporary Arts Society and a director of the Theatre Museum Association--and it was at a celebratory lunch held at the Tate Gallery that Angela first met the Princess. In April 1991 Adrian’s condition deteriorated and he was confined to his Mayfair apartment where Angela was in almost constant attendance. It was from that time that Diana made regular visits, once even brining her children Princes Willian and Harry. From that time Angela and the Princess began to forge a supportive bond as they cared for their friend. Angela recalls: “I thought she was utterly beautiful in a very profound way. She has an inner spirit which shines forth though there was also a sense of pervasive unhappiness about her. I remember loving the way she never wanted me to be formal.” When Diana brought the boys to see her friends, a reflection of her firmly held belief that her role as mother is to bring them up in a way that equips them for every aspect of life and death, Angela saw in William a boy much older and more sensitive than his years. She recalls: “He had a mature view of illness, a perspective which showed awareness of love and commitment.” At first Angela kept in the background, leaving Diana alone in Adrian’s room where they chatted about mutual friends and other aspects of life. Often she brought Angela, whom she calls “Dame A”, a gift of flowers or similar token. She recalls: “Adrian loved to hear about her day-to-day work and he loved too the social side of life. She made him laugh but there was always the perfect degree of understanding, care and solicitude. This is the point about her, she is not just a decorative figurehead who floats around on a cloud of perfume.” The mood in Mount Street was invariably joyous, that sense of happiness that understands about pain. As Angela says: “I don’t see death as sad or depressing. It was a great journey he was going on. The Princess was very much in tune with that spirit. She also loved coming for herself, it was an intense experience. At the same time Adrian was revitalized by the healing quality of her presence.” Angela read from a number of works by St. Francis of Assisi, Kahil Gibran and the Bible as well as giving Adrian frequent aromatherapy treatments. A high spot was a telephone call from Mother Teresa of Calcutta who also sent a medallion via Indian friends. At his funeral they passed Diana a letter from Mother Teresa saying how much she was looking forward to meeting her when she visited India. Unfortunately Mother Teresa was ill at that time so the Princess made a special journey to Rome where she was recuperating. Nonetheless that affectionate note meant a great deal to the Princess.

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