Work Meds Quotes

We're the ones who arent normal. People are supposed to be like that: obedient, calm, working together. It's us-who can't focus, who can't work together, who can't do the Feeder or Shipper jobs-we're the ones who aren't normal. We're the ones who have to take the mental meds just so we don't go loons.

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

Life with a man is more businesslike after it, and money matters work better. And then, you see, if you have rows, and he turns you out of doors, you can get the law to protect you, which you can't otherwise, unless he half-runs you through with a knife, or cracks your noddle with a poker. And if he bolts away from you--I say it friendly, as woman to woman, for there's never any knowing what a man med do-- you'll have the sticks o' furniture, and won't be looked upon as a thief.

By the end of medical school, most students tended to focus on "lifestyle" specialities - those with more humane hours, higher salaries, and lower pressures - the idealism of their med school application essays tempered or lost. As graduation neared and we sat down, in a Yale tradition, to re-write our commencement oath - a melding of the words of Hippocrates, Maimonides, Osler, along with a few other great medical forefathers - several students argued for the removal of language insisting that we place our patients' interests above our own. (The rest of us didn't allow this discussion to continue for long. The words stayed. This kind of egotism struck me as antithetical to medicine and, it should be noted, entirely reasonable. Indeed, this is how 99 percent of people select their jobs: pay, work environment, hours. But thats the point. Putting lifestyle first is how you find a job - not a calling).

There is so much drivel about psychoactive meds, so much corruption, bad faith, over- and underprescription, vagueness, profiteering, ignorance, and hope, that it’s easy to forget they sometimes work, alleviating real suffering, at least for a time. This was such a time.   I

Would I be more comfortable in a business meeting wearing my pajamas? No! It would feel, honestly, very weird. I would think, Where's my IV? When do I take my next meds?

I can’t overstate how little I knew about myself at 22, or how little I’d thought about what I was doing. When I graduated from college I genuinely believed that the creative life was the apex of human existence, and that to work at an ordinary office job was a betrayal of that life, and I had to pursue that life at all costs. Management consulting, law school, med school, those were fine for other people — I didn’t judge! — but I was an artist. I was super special. I was sparkly. I would walk another path. And I would walk it alone. That was another thing I knew about being an artist: You didn’t need other people. Other people were a distraction. My little chrysalis of genius was going to seat one and one only.

It was the cruelest thing about bipolar disorder, I thought; there was never one thing that worked forever. No one med, no one dose, no one routine. My mom said it was like walking on a rope bridge, where every step was slightly different from the last and sometimes you had to stop and just hold on until you could find your balance again. But she also liked to remind me that sometimes the views from her bridge were incredible too.

Cassandra caught my quizzical look and shrugged. “Problems adjusting. You just missed the latest of the new souls. It would seem none of us are quite as good with people as you are.” That was an understatement. With any luck, Cassandra hadn’t caused any psychological scarring with her “Yeah, you’re dead, get over it” speech. She wasn’t a people person. Ordinarily, I greeted the new souls and took special care to deal with any “adjustment problems.” I enjoyed that part of my work. It was one of the few good deeds I could credit myself with. But as much as I’d love to tell myself otherwise, I wasn’t settling in the souls out of the goodness of my heart. Just lack of better alternatives. The other gods had difficulties relating to humans. But those difficulties were nothing compared to the problems the humans in my court had relating to each other. Souls lose something the longer they’re dead. They forget what it was like to worry, to be scared, to be human. Just yesterday, I’d caught Cassandra telling a frightened new soul I’d gone through a dark phase back when Dante passed through, but not to worry. I hadn’t gone off my meds for centuries. Fucking Dante.

know, I get how this works,” she said. “I came to you and I’m supposed to tell you all about my life, but I really don’t like talking about all of this. It took me a long time to put all that behind me. I just need help with this insomnia.” “Isn’t it possible it’s all related?” Dr. Newell asked. “Can’t you just give me some meds? I mean, maybe I just need a little Ambien or something.” “I can, but

You went to med school at Hopkins,” he says with quiet wonder in his voice. “Undergrad at Tufts. I’m so proud of you, Mace.” My eyes go wide in understanding. “You rat. You Googled me?” “You didn’t Google me?” he shoots back. “Come on, that’s step one post-run-in.” “I got home from work at two in the morning. I fell face-first into the pillow. I don’t know if I’ve brushed my teeth since this weekend.

Truthfully though, there are some advantages to being on antipsychotics. This might seem silly but when you go to the pharmacy and you're standing in line with twenty germy people sneezing all over the place you can honestly say, "Would you mind if I went first? I have to pick up my antipsychotic meds and I REALLY needed them yesterday." This tactic also works for grocery lines, the DMV, and some buffets.

Things changed after that between me and Mark. I stopped being mortified that people might mistake me for one of his acolytes. I was his Boswell, don’t you know. I interviewed him about his childhood—his father was a psychiarist in Beverly Hills. I cataloged the contents of his van. I followed him around at work, sitting in while he examined patients. He had been a bit of a prodigy when we were in college. After his father developed a tumor, Mark, who was pre-med, started studying cancer with an intensity that convinced many of his friends that his goal was to find a cure in time to save his father. As it turned out, his father didn’t have cancer. But Mark kept on with his cancer studies. His interest was not in fact in oncology—in finding a cure—but in cancer education and prevention. By the time he entered medical school, he had created, with another student, a series of college courses on cancer and coauthored The Biology of Cancer Sourcebook, the text for a course that was eventually offered to tens of thousands of students. He cowrote a second book, Understanding Cancer, that became a bestselling university text, and he continued to lecture throughout the United States on cancer research, education, and prevention. “The funny thing is, I’m not really interested in cancer,” Mark told me. “I’m interested in people’s response to it. A lot of cancer patients and suvivors report that they never really lived till they got cancer, that it forced them to face things, to experience life more intensely. What you see in family practice is that families just can’t afford to be superficial with each other anymore once someone has cancer. Corny as it sounds, what I’m really interested in is the human spirit—in how people react to stress and adversity. I’m fascinated by the way people fight back, by how they keep fighting their way to the surface.” Mark clawed at the air with his arms. What he was miming was the struggle to reach the surface through the turbulence of a large wave.

There are times that I am doing so well, I stop taking my meds. And suddenly I feel like the light switch has flipped off. And suddenly I feel like I am not better because of my hard work. And suddenly I feel like a fraud. I try to remind myself that the brain is an organ, that this is a disease, that diabetics need insulin and no one thinks of that as cheating. I try to remind myself that this is not a boost, this is a treatment. So I swallow my pride along with my pills and let myself get better.

1) Levophed—a common blood pressure medication. Used to be called “leave ’em dead” because people used it for the sickest of the sick in sepsis and those patients still frequently died, but it has now come back into favor. We were maxed. 2) Vasopressin—another BP med. Not titratable. Left on normal dose. 3) Phenylephrine, aka Neo, from its brand name, Neosynephrine—another BP med—maxed. Pharmacy was mixing higher concentrations of this for us, so that we could give it in less fluid volume for the patient’s sake. 4) Sodium Bicarb—also high-concentrated dose for fluid reasons—given to attempt to combat patient’s acidosis. 5) Fentanyl—pain control—not maxed. 6) Versed—an amnesiac—hopefully makes you “less aware” of WTF is happening to you. Also not maxed, because they were also on…. 7) Nimbex—a paralytic we give to patients to make them “ride the vent” so that they don’t fight it and can save energy, as the vent does the work of breathing for them. 8) Heparin—blood thinner, to reduce the clotting that covid can cause. 9) Amiodarone—heart med, stops arrhythmias. 10) Insulin—which requires hourly insulin checks to titrate effectively. Unfortunately, many covid patients are also on steroids, which means their blood sugars fluctuate all over the place.

What can we do to maintain slowness in the face of those periods of busyness? How can we avoid overload, exhaustion, or even burnout? Perhaps unsurprisingly, my answer is simply to pay attention. I recognize the way I'm inclined to stay up late, the way I will procrastinate at every option- and instead of spiraling into that overwhelming sense of too much, I check in with myself. Why am I feeling this way? What has changed? What is there more of? What is there less of? Become better at recognizing the signs of a looming backslide and pay close attention to the areas of our lives that have the greatest impact, ensuring they never slip too far out of hand. Nicholas Bate refers to this regular checking in as "taking your MEDS" or more specifically, paying attention to: - Mindfulness - Exercise - Diet - Sleep Once I recognize which of these areas has changed, its simpler (not necessarily easier) to recognize the issue and start fixing it. Sometimes the changes aren't in my control, so I need to look for ways of finding slow by creating more opportunities for a moment of deep breathing or paying close attention to whats in front of me. But other times, I've simply lost sight of what works, and its a matter of adding more of these things I've neglected- Mindfulness, simplicity, kindness- and reducing the things that don't serve me well. Above all else, though, I simply go back to my Why. I call to mind the foundation of this life I want. The vivid imaging of a life well lived. The loved ones, the generosity, the adventure, and the world I want to leave behind. And if that feels too big, I call to mind even smaller reminders, like the warm pressure of my kids hands in mine, the wholeness of a good conversation with Ben, the lightness of simply sitting quietly. Our Why is the antidote to overload. Its a call back to the important things and a reminder that we don't need to carry the weight of everything- only those things that are important to us.

Thanks both to the help he received and his own great character, Paul worked through this and is now better off than if he hadn’t fallen into his abyss, because he developed strengths he didn’t have but needed. Paul was once wild—staying out till all hours, disorganized, smoking marijuana and drinking—but he now faithfully takes his meds, meditates, goes to bed early, and avoids drugs and alcohol. He had loads of creativity but lacked discipline. Now he has plenty of both. As a result, he is more creative now than he was before and is happily married, the father of two boys, an accomplished filmmaker, and a crusader helping those who struggle with bipolar disorder.

The ceiling is actually the jungle that keeps most people away from the hidden treasure. And if you’re ready to work on the skills category of your Career Savings Account, this is a tremendous gift. Author Seth Godin calls it the “Dip.” He says, “The Dip is the set of artificial screens set up to keep people like you out. If you took organic chemistry in college, you’ve experienced the Dip. Academia doesn’t want too many unmotivated people to attempt medical school, so they set up a screen. Organic chemistry is the killer class, the screen that separates the doctors from the psychologists. If you can’t handle organic chemistry, well, then you can’t go to med school.”2

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

I just have to ask these questions. Are you DEA? FDA? NICB? NHCAA? Are you a private investigator hired by any private or governmental entity? Do you work for a medical insurance company? Are you a drug dealer? Drug addict? Are you a clinician? A med student? Getting pills for an abusive boyfriend or employer? NASA?” “I think I have insomnia. That’s my main issue.” “You’re probably addicted to caffeine, too, am I right?” “I don’t know.” “You better keep drinking it. If you quit now, you’ll just go crazy. Real insomniacs suffer hallucinations and lost time and usually have poor memory. It can make life very confusing. Does that sound like you?” “Sometimes I feel dead,” I told her, “and I hate everybody. Does that count?” “Oh, that counts. That certainly counts. I’m sure I can help you. But I do ask new patients to come in for a fifteen-minute consultation to make sure we’ll make a good fit. Gratis. And I recommend you get into the habit of writing notes to remind yourself of our appointments. I have a twenty-four-hour cancellation policy. You know Post-its? Get yourself some Post-its. I’ll have some agreements for you to sign, some contracts. Now write this down.” Dr. Tuttle told me to come in the next day at nine A.M.

What are you making?" "It doesn't matter. I'm only cooking so that I can smell something besides you." There was that edge in his voice again. He turned up the fire and poured oil into a skillet and water into a pot and then he lined up the jars of spice that Louise kept on the countertop: parsley, oregano, bay leaves, pepper, and thyme, and mini branches of herbs, including basil and dill as well as some lemons and fresh cloves of garlic. He added them to the oil. His plan worked- the kitchen filled up with new odors that did not quite overcome my own, but were certainly gaining ground. "The ancient Romans wore bay leaves on their heads for virility," he said. "You don't need any," I said. "Borage is used to induce abortion. We learned that in the first year of med school." "I don't need any." "Arabs believe that cardamom builds good feelings among friends." "We don't need any other people in our lives." "I'm showing off, you know." "I know. Keep going." "Let's see. Curry powder should always be browned in butter. Fenugreek is hairy and it'll make you dream of sex. Ginger makes men horny, but not women. Lavender should be spread on the bedsheets. Not yours, of course, we don't need to add any more scent to your bed, but it can also be used in making soup." "I'm impressed.

My huge generalities touched on millennials’ oversensitivity, their sense of entitlement, their insistence that they were always right despite sometimes overwhelming proof to the contrary, their failure to consider anything within its context, their joint tendencies of overreaction and passive-aggressive positivity—incidentally, all of these misdemeanors happening only sometimes, not always, and possibly exacerbated by the meds many this age had been fed since childhood by overprotective, helicopter moms and dads mapping their every move. These parents, whether tail-end baby boomers or Gen Xers, now seemed to be rebelling against their own rebelliousness because they felt they’d never really been loved by their own selfish narcissistic true-boomer parents, and who as a result were smothering their kids and not teaching them how to deal with life’s hardships about how things actually work: people might not like you, this person will not love you back, kids are really cruel, work sucks, it’s hard to be good at something, your days will be made up of failure and disappointment, you’re not talented, people suffer, people grow old, people die. And the response from Generation Wuss was to collapse into sentimentality and create victim narratives, instead of grappling with the cold realities by struggling and processing them and then moving on, better prepared to navigate an often hostile or indifferent world that doesn’t care if you exist.

I’m the living dead. I feel no connection to any other human. I have no friends and I don’t really care much about my family any longer. I feel no love for them. I can feel no joy. I’m incapable of feeling physical pleasure. There’s nothing to ever look forward to as a result. I don’t miss anyone or anything. I eat because I feel hunger pangs, but no food tastes like anything I like. I wear a mask when I’m with other people but it’s been slipping lately. I can’t find the energy to hide the heavy weight of survival and its effect on me. I’m exhausted all the time from the effort of just making it through the day. This depression has made a mockery of my memory. It’s in tatters. I have no good memories to sustain me. My past is gone. My present is horrid. My future looks like more of the same. In a way, I’m a man without time. Certainly, there’s no meaning in my life. What meaning can there be without even a millisecond of joy? Ah, scratch that. Let’s even put aside joy and shoot for lower. How about a moment of being content? Nope. Not a chance. I see other people, normal people, who can enjoy themselves. I hear people laughing at something on TV. It makes me cock my head and wonder what that’s like. I’m sure at sometime in my past, I had to have had a wonderful belly laugh. I must have laughed so hard once or twice that my face hurt. Those memories are gone though. Now, the whole concept of “funny” is dead. I stopped going to movies a long time ago. Sitting in a theater crowded with people, every one of them having a better time than you, is incredibly damaging. I wasn’t able to focus for that long anyway. Probably for the best. Sometimes I fear the thought of being normal again. I think I wouldn’t know how to act. How would I handle being able to feel? Gosh it would be nice to feel again. Anything but this terrible, suffocating pain. The sorrow and the misery is so visceral, I find myself clenching my jaw. It physically hurts me. Then I realize that it’s silly to worry about that. You see, in spite of all the meds, the ketamine infusions and other treatments, I’m not getting better. I’m getting worse. I was diagnosed 7 years ago but I’m sure I was suffering for longer. Of course, I can’t remember that, but depression is something that crept up on me. It’s silent and oppressive. I don’t even remember what made me think about going to see someone. But I did and it was a pretty clear diagnosis. So, now what? I keep waking up every morning unfortunately. I don’t fear death any more. That’s for sure. I’ve made some money for the couple of decades I’ve been working and put it away in retirement accounts. I think about how if I was dead that others I once cared for would get that money. Maybe it could at least help them. I don’t know that I’ll ever need it. Even if I don’t end it myself, depression takes a toll on the body. My life expectancy is estimated to be 14 years lower as a result according to the NIH. It won’t be fast enough though. I’m just an empty biological machine that doesn’t know that my soul is gone. My humanity is no more

metastases has become talk of a few months left. When I saw her in A&E, despite obvious suspicions, I didn’t say the word ‘cancer’ – I was taught that if you say the word even in passing, that’s all a patient remembers. Doesn’t matter what else you do, utter the C-word just once and you’ve basically walked into the cubicle and said nothing but ‘cancer cancer cancer cancer cancer’ for half an hour. And not that you’d ever want a patient to have cancer of course, I really really didn’t want her to. Friendly, funny, chatty – despite the litres of fluid in her abdomen splinting her breathing – we were like two long-lost pals finding themselves next to each other at a bus stop and catching up on all our years apart. Her son has a place at med school, her daughter is at the same school my sister went to, she recognized my socks were Duchamp. I stuck in a Bonanno catheter to take off the fluid and admitted her to the ward for the day team to investigate. And now she’s telling me what they found. She bursts into tears, and out come all the ‘will never’s, the crushing realization that ‘forever’ is just a word on the front of Valentine’s cards. Her son will qualify from medical school – she won’t be there. Her daughter will get married – she won’t be able to help with the table plan or throw confetti. She’ll never meet her grandchildren. Her husband will never get over it. ‘He doesn’t even know how to work the thermostat!’ She laughs, so I laugh. I really don’t know what to say. I want to lie and tell her everything’s going to be fine, but we both know that it won’t. I hug her. I’ve never hugged a patient before – in fact, I think I’ve only hugged a grand total of five people, and one of my parents isn’t on that list – but I don’t know what else to do. We talk about boring practical things, rational concerns, irrational concerns, and I can see from her eyes it’s helping her. It suddenly strikes me that I’m almost certainly the first person she’s opened up to about all this, the only one she’s been totally honest with. It’s a strange privilege, an honour I didn’t ask for. The other thing I realize is that none of her many, many concerns are about herself; it’s all about the kids, her husband, her sister, her friends. Maybe that’s the definition of a good person.

Twas the night before Christmas and in SICU All the patients were stirring, the nurses were, too. Some Levophed hung from an IMED with care In hopes that a blood pressure soon would be there. One patient was resting all snug in his bed While visions—from Versed—danced in his head. I, in my scrubs, with flowsheet in hand, Had just settled down to chart the care plan. Then from room 17 there arose such a clatter We sprang from the station to see what was the matter. Away to the bedside we flew like a flash, Saved the man from falling, with restraints from the stash. “Do you know where you are?” one nurse asked while tying; “Of course! I’m in France in a jail, and I’m dying!” Then what to my wondering eyes should appear? But a heart rate of 50, the alarm in my ear. The patient’s face paled, his skin became slick And he said in a moment, “I’m going to be sick!” Someone found the Inapsine and injected a port, Then ran for a basin, as if it were sport. His heart rhythm quieted back to a sinus, We soothed him and calmed him with old-fashioned kindness. And then in a twinkling we hear from room 11 First a plea for assistance, then a swearing to heaven. As I drew in my breath and was turning around, Through the unit I hurried to respond to the sound. “This one’s having chest pain,” the nurse said and then She gave her some nitro, then morphine and when She showed not relief from IV analgesia Her breathing was failing: time to call anesthesia. “Page Dr. Wilson, or May, or Banoub! Get Dr. Epperson! She ought to be tubed!” While the unit clerk paged them, the monitor showed V-tach and low pressure with no pulse: “Call a code!” More rapid than eagles, the code team they came. The leader took charge and he called drugs by name: “Now epi! Now lido! Some bicarb and mag! You shock and you chart it! You push med! You bag!” And so to the crash cart, the nurses we flew With a handful of meds, and some dopamine, too! From the head of the bed, the doc gave his call: “Resume CPR!” So we worked one and all. Then Doc said no more, but went straight to his work, Intubated the patient, then turned with a jerk. While placing his fingers aside of her nose, And giving a nod, hooked the vent to the hose. The team placed an art-line and a right triple-lumen. And when they were through, she scarcely looked human: When the patient was stable, the doc gave a whistle. A progress note added as he wrote his epistle. But I heard him exclaim ere he strode out of sight, “Merry Christmas to all! But no more codes for tonight!” Jamie L. Beeley Submitted by Nell Britton

MY PROCESS I got bullied quite a bit as a kid, so I learned how to take a punch and how to put up a good fight. God used that. I am not afraid of spiritual “violence” or of facing spiritual fights. My Dad was drafted during Vietnam and I grew up an Army brat, moving around frequently. God used that. I am very spiritually mobile, adaptable, and flexible. My parents used to hand me a Bible and make me go look up what I did wrong. God used that, as well. I knew the Word before I knew the Lord, so studying Scripture is not intimidating to me. I was admitted into a learning enrichment program in junior high. They taught me critical thinking skills, logic, and Greek Mythology. God used that, too. In seventh grade I was in school band and choir. God used that. At 14, before I even got saved, a youth pastor at my parents’ church taught me to play guitar. God used that. My best buddies in school were a druggie, a Jewish kid, and an Irish soccer player. God used that. I broke my back my senior year and had to take theatre instead of wrestling. God used that. I used to sleep on the couch outside of the Dean’s office between classes. God used that. My parents sent me to a Christian college for a semester in hopes of getting me saved. God used that. I majored in art, advertising, astronomy, pre-med, and finally English. God used all of that. I made a woman I loved get an abortion. God used (and redeemed) that. I got my teaching certification. I got plugged into a group of sincere Christian young adults. I took courses for ministry credentials. I worked as an autism therapist. I taught emotionally disabled kids. And God used each of those things. I married a pastor’s daughter. God really used that. Are you getting the picture? San Antonio led me to Houston, Houston led me to El Paso, El Paso led me to Fort Leonard Wood, Fort Leonard Wood led me back to San Antonio, which led me to Austin, then to Kentucky, then to Belton, then to Maryland, to Pennsylvania, to Dallas, to Alabama, which led me to Fort Worth. With thousands of smaller journeys in between. The reason that I am able to do the things that I do today is because of the process that God walked me through yesterday. Our lives are cumulative. No day stands alone. Each builds upon the foundation of the last—just like a stairway, each layer bringing us closer to Him. God uses each experience, each lesson, each relationship, even our traumas and tragedies as steps in the process of becoming the people He made us to be. They are steps in the process of achieving the destinies that He has encoded into the weave of each of our lives. We are journeymen, finding the way home. What is the value of the journey? If the journey makes us who we are, then the journey is priceless.

The vast majority of chatter surrounding parenthood is junk. All of these seemingly divisive decisions - like pain meds in labor, newborn sleep arrangements, and scheduling - are often phrased as moral imperatives from both sides. Screw that. Take care of your kid. Do what works.

November 24, 2014 8:49:46 AM 999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999 ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Note on Location 103 | Added on Monday, November 24, 2014 8:51:57 AM 9999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999990999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999 ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Note on Location 103 | Added on Monday,

November 27, 2013 8:01:33 AM 16 ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Highlight Location 24-24 | Added on Wednesday, November 27, 2013 8:01:33 AM ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Highlight Location 25-25 | Added on Wednesday, November 27, 2013 8:01:46 AM ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Note Location 25 | Added on Wednesday, November 27, 2013 8:01:58 AM 17 ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Note Location 25 | Added on Wednesday, November 27, 2013 8:02:18 AM 18 ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Highlight Location 25-25 | Added on Wednesday, November 27, 2013 8:02:18 AM ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Note Location 26 | Added on Wednesday, November 27, 2013 8:03:26 AM 9 ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Highlight Location 26-26 | Added on Wednesday, November 27, 2013 8:03:26 AM ========== Cool Down and Work Through Anger (Learning to Get Along®) (Cheri J. Meiners M.Ed.) - Your Note Location 26 | Added on Wednesday, November 27, 2013 8:03:45 AM 19

The lights went out in the dining room and Owen entered the kitchen, stopping several feet away. She leaned on her hands, her head bent nearly to her chest. She could only see his feet and legs. “Claire, you’re exhausted. Why didn’t you just go up to bed?” “The meds kicked in. Too tired to move.” Unexpected and exciting, he plucked her right off the counter and settled her in his arms and against his broad, hard chest. Too tired to make a fuss and exert her independence, she gave in to something else entirely and snuggled closer, nestling her face in his neck and settling her head on his strong shoulder. His chest rumbled with a laugh. “You’re like a contented cat, snuggling in for the night.” “Deep down, I’m fine on my own. The meds have made me mushy and weak.” “Not weak. After the night you’ve had, you just need a hug.” He squeezed her to his chest. She tried to hide the wince of pain, but he felt her stiffen in his arms. “Sorry, overstepped.” They reached the top of the stairs, and he stopped. “No, you didn’t. I didn’t realize how banged up I got. I feel like I got hit by a car,” she joked. “The meds are helping out considerably. My room’s on the right.” Owen walked down the hall and entered her room, stopping just inside and looking around. “Wow. It’s like another house in here.” “I moved in over a year ago, but I spent all my time opening the shop and running it. A couple of months ago, I started on the house. I spend so much time at the shop, the most time I spend here is sleeping, so I redid the master bedroom first. I’ve upgraded the bathroom, but I still need to add the finishing touches.” “You added the flower pots on the back patio with the lounge and table set.” “I like to drink my coffee out there in the morning when the weather is nice.” “You spend a lot of time working, so spending the morning outside is relaxing.” “Yes. Sounds like the same is true for you, too.” He nodded. “I spend most evenings outside reading over briefs and preparing for court. I take care of the horses and barn cats. It gets me out of my head.” “You can put me down now.” “I knew you’d say that.” She laughed, and he set her on her bed. -Owen & Claire

I can try harder. I’ll go... I’ll see more doctors. I’ll take more meds. I can try harder for you. For us.” “It’s not working.” “Just give it a chance. Would you just give it a chance?

Av jord var de kommet, til jord skulle de bli, og i de få årene livet levde i dem, var det fra jorden det hentet sin kraft. Den eneste veien ut av det, var lenger inn i det. Lavt er pliktens himmel hvelvet, men det er en himmel. Under den gikk Lamek, og der fant han sin mening. Denne meningen hadde en fiende, det var lengselen etter noe annet, og den bekjempet han med det eneste middelet han kjente: mer arbeid. Arbeidet var således både flukten, og det han flyktet fra.

Truth be told, GX Smartwatch was worked in under supervision of great engineers. That is the reason you can appreciate some extraordinary features like coordinated versatile help, area GPS following, cautions for meds and Wi-Fi.In the modern-day, health smartwatches aren’t worth considering if they don’t give you all the latest technology on your wrist. Thankfully, times have changed to make them more affordable so you can use them to check your health as well as arrange meetings.The impressive GX SmartWatch ensures you can keep up to date with your loved ones, business partners and check your wellbeing. That’s just the tip of the iceberg

Earth corporations wouldn’t sell the good cancer meds to Belters. Gave us the crap left over from the farms on Ganymede. Only vat meats aren’t like people, yeah? Don’t work the same, but who cares?

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As medical students, we were confronted by death, suffering and the work entailed in patient care, while being simultaneously shielded from the real brunt of responsibility, though we could spot its specter. Med students spend the first two years in classrooms, socializing, studying and reading; it was easy to treat the work as a mere extension of undergraduate studies. But my girlfriend, whom I met in the first year of medical school, understood the subtext of the academics. Her capacity to love was barely finite, and a lesson to me. One night on the sofa in my apartment, while studying the reams of wavy lines that made up EKGs, she puzzled over, then correctly identified, a fatal arrhythmia. All at once, it dawned on her and she began to cry: wherever this “practice EKG” had come from, the patient had not survived. The squiggly lines on that page were more than just lines; they were ventricular fibrillation deteriorating to asystole, and they could bring you to tears.

We could talk about it.” “Talk about what?” “Why you look like someone shot your dog. Shelby, I assume.” “Nah,” Luke said, taking a drink. “That’s not serious.” “I guess that has nothing to do with your sleeplessness or your mood then. Trouble with the cabins? The town? Your tenant/helper?” “Aiden, there’s nothing bothering me, except maybe that I’ve been working my ass off for three months getting a house and six cabins rebuilt and furnished.” Aiden took a sip of his drink. “Twenty-five, so Sean and Mom say. And gorgeous.” “Sean’s an idiot who can’t mind his own business. She’s just a girl.” “She’s just a girl who has you looking a little uptight.” “Thanks,” he said, standing. “You don’t look that great yourself—I’m going to bed.” He threw back the rest of his drink. “Nah, don’t,” Aiden said. “Fix another one. Give me ten minutes, huh? I can just ask a couple of questions, right? I’m not like Sean, I’m not going to get up your ass about this. But you haven’t talked about it much and I’m a little curious.” Luke thought about that for a second and against his better judgment, he went into the kitchen and poured himself a short shot. He went back and sat down, leaning his elbows on his knees. “What?” he asked abruptly. Aiden chuckled. “Okay. Relax. Just a girl? Not serious?” “That’s right. A town girl, sort of. She’s visiting her family and she’ll be leaving pretty soon.” “Ah—I didn’t know that. I guess I thought she lived there.” “Long visit,” Luke said. “Her mother died last spring. She’s spending a few months with her uncle until she gets on with things—like where she wants to live. College and travel and stuff. This is temporary, that’s all.” “But—if you felt serious, there isn’t any reason you wouldn’t let it…you know…evolve…?” “I don’t feel serious,” he said, his mouth in a firm line. “Okay, I get that. Does she? Feel serious?” “She has plans. I didn’t trap her, Aiden. I made sure she knew—I’m not interested in being a family man. I told her she could do better, I’m just not built that way. But when I’m with a woman, I know how to treat her right. If she needed something permanent, she was in the wrong place. That’s how it is.” “Never?” “What do you mean, never? No one in this family is interested in that.” “Bullshit. I am. Sean says he’s having too much fun, but the truth is he has the attention span of a cabbage. But me? I’d like a wife, a family.” “Didn’t you already try that once?” Luke asked, sitting back in his chair, relaxing a little bit since the attention had shifted to Aiden’s life. “Oh, yeah—I tried hard. Next time I try, I’m going to see if I can find a woman who’s not certifiable and off her meds.” He grinned. “Really, that’s what happens when you ignore all the symptoms because she’s such a friggin’ miracle in bed, it causes brain damage.” He shrugged. “I’m on the lookout for that.” Luke grinned. “She was hot.” “Oh, yeah.” “She was worse than nuts.” “Nightmare nuts,” Aiden agreed.

Lion Daily Schedule 5:30 a.m.: Wake up, no snooze. 5:45 a.m.: Breakfast: high-protein, low-carb. 6:15 a.m. to 7:00 a.m.: Big-picture conceptualizing and organizing. Morning meditation. 7:00 a.m. to 7:30 a.m.: Sex. If you have kids who need help getting ready for school, make it a quickie. 7:30 a.m. to 9:00 a.m.: Cool shower, get dressed, interact with friends or family before heading to work. 9:00 a.m.: Small snack: 250 calories, 25 percent protein, 75 percent carbs. Ideally, have it at a breakfast meeting. 10:00 a.m. to 12:00 p.m.: Personal interactions, morning meetings, phone calls, emails, strategic problem solving. 12:00 p.m. to 1:00 p.m.: Balanced lunch. Go outside for sunlight exposure, if possible. 1:00 p.m. to 5:00 p.m.: Creative thinking time. Listen to music, catch up on reading and journaling. In a workplace setting, lead or attend brainstorming meetings. 5:00 to 6:00 p.m.: Exercise, preferably outdoors, followed by a cool shower. 6:00 p.m. to 7:00 p.m.: Dinner. Keep it balanced—equal parts protein, carbs, and healthy fats. A carb-heavy meal like pasta might make you crash. 7:30 p.m.: Last call for alcohol. A drink after this hour will knock you out. 7:00 p.m. to 10:00 p.m.: Socialize on the town, or connect with loved ones online while relaxing at home. You bought yourself an extra hour, so make the most of it! 10:00 p.m.: Be in your home environment by now. Turn off all screens to begin the downshift before bed. 10:30 p.m.: Go to sleep.

I remember my first dose of Klonopin the way I imagine the elect recall their high school summer romances, bathed in the golden light of a perfect carelessness, untouched and untouchable by time's predations or the foulness of any present pain. As Cat Stevens wrote, The first cut is the deepest, though I've always preferred Norma Fraser's cover to the original (the legendary Studio One, Kingston, Jamaica, 1967). Stevens sings it like a pop song, but Fraser knows the line is true, that she'll never love like that again. Her voice soars over the reverb like a bird in final flight. The first cut is the deepest. I've since learned all about GABA receptors and molecular binding, benzos and the dangers of tolerance, but back then I knew only that I had received an invisible and highly effective surgery to the mind, administered by a pale yellow tablet scored down the middle and no larger than an aspirin. There is so much drivel about psychoactive meds, so much corruptions, bad faith over- and underprescription, vagueness, profiteering, ignorance, and hope, that it's easy to forget they sometimes work, alleviating real suffering, at least for a time. This was such a time.

office walls then grabbed his attention.  The framed awards, recognitions, degrees, and honors ranging from his days of the basics of pre-med studies to last day as a professor at the medical college covered a wall from top to bottom.  But, as he figured, they represented something other than his work.  Basically, they were mere tokens and therefore had no place on the centerpiece.  Besides, he noted while staring at the antique bookcase measuring five feet by four feet by eighteen inches and its three shelves, there was simply no room to display such vanity.   He was all too aware

Men dersom Nordfarernes Troe var saa stoer, De kunde faa Bergen henfløttet i Noer, Ved ongefahr hundrede Miile; Hvor skulle den ganske Nordlendingens Tract, Af inderste Hierte sig fryde med Magt, Med lystige Ansigter smiile.

She shifted the light to the next section. “Huh. He was brought to Lyle House by a children’s services agency. No mention of that father they’re always talking about. If child services is involved, then you can bet he’s no dad of the year. Oh, here it is. Diagnosis … antisocial personality disorder.” She snorted a laugh. “Yeah? Tell me something I didn’t know. Is that really an illness? Being rude? What kind of meds do they give you for that?” “Whatever it is, they aren’t working.

break?" She stared back at him, but speaking was beyond her. She was so taken aback by the concern and care he couldn't hide. This was just one more aspect of his personality that she was seeing, whether he wanted her to see it or not. She sucked in a ragged breath. She had one thought and one thought only. She was falling in love with the Neanderthal. **** During the evening and night, Logan fed her soup and made her drink Gatorade and lots of water. Lauren knew he'd called someone, she suspected it was his mother, because she'd heard him talking on the phone. After that, he timed her medicine and alternated between giving her ibuprofen and acetaminophen. He took care of her, and she left any worries she might have had to him. Since the following day was Friday, she already knew she wasn't going in to work, and so did her immediate boss. It had been more than obvious when Lauren had left with chills and a fever and he had called out, "See you Monday." She knew he didn't want her spreading what she had all over the office. So Lauren alternated between sleeping through the evening and night, and being taken care of by Logan. All she had to do on her own was pick her way to the bathroom, and a couple of times, she hadn't even had to do that. He'd lifted her up when she'd swayed a little too much for his liking, and deposited her in the bathroom and closed the door. He'd been there waiting for her, ready to carry her back after she opened the door. They watched some television together, and at about midnight, he carried her through to the bedroom and held her as she slept. Lauren couldn't ever remember having had so much fun being sick. She reveled in his care; she luxuriated in the undivided attention he was showing her. Nothing anyone had ever done for her had ever felt so . . . compelling. The next morning when she realized that he wasn't going to go to work, she rebelled against that. "I'm okay. I'm going to live. Please go to work." He frowned in obvious agitation. "Your fever might flare up again." "I just took the ibuprofen. I'll take some more meds in a couple of hours, okay?" He watched her as if debating the idea. "I think you still need me." God, yes, she needed him. "I'll be fine." She watched him warily, a thousand emotions bouncing around in her head. "You can come back after work if you want." He leaned in and kissed her on the forehead. "That's a given, baby." **** Lauren went back to work on Monday but was slow to fully get her strength back. Two weeks later, however, she was full steam ahead. She'd laid low at work, put a lot of stuff on the back burner as she recovered from what she guessed was a mild case of the flu. Then one day, feeling much better, she took a look at her upcoming calendar and almost flipped out. She had a full schedule packed into the next ten days or so, starting with an out of town trip. Logan took her out to dinner that evening, and after they'd eaten and she'd delayed as long as she could, she lowered the boom on him. After she told him about the trip, he turned in his seat to stare down at her. He said nothing for a moment, as if not trusting himself to speak. The waiter walked by, and Logan motioned for the check with a jerk of his hand. Every motion of his body indicated his heightened stress level. "Logan, you're overreacting," Lauren chided softly. "Am I?" he asked, staring across the restaurant, out the windows, looking everywhere else but not at her while he drummed his fingers on the table. "Yes. It's no big deal, really, I'll be home before you know it," she tried to soothe. "I don't think you understand," he said flatly as he turned to look at her. Oh, Lauren was pretty sure she did understand and told him so in no uncertain terms. "I

To be cut off from family for years -- to be too far away for regular visits. To watch so many of your closest relationships fray and then dissolve. To see your children grow up through family pictures. To be hungry for days at a time because the food you eat is never enough, and there is nothing you can do about it. To be isolated. To be in a place with thousands of men but to somehow feel alone. This is what it means to be socially dead. To be subected to violence and humiliation. To be shackled, one to another, during daily routines, your ability to work and provide for yourself taken away. To move in a coffle down long hallways like animals for 'feeding time' of 'meds.' To be marched away from your lover and your children every time visitation ends. To be cut off from the human community or to have no community at all -- at least, no community that might be valued by members of a free society. To have few benefits and fewer protections. To become a figure who walks the yard or haunts the neighborhood so many years after your release, unable to find work or secure a home, unable to participate in the politics of the city in the ways most people find meaningful. To have no say over where or how often you connect with people you love. To be made a 'nonperson,' in the words of sociologist Orlando Patterson, who gave us the term 'social death.' To be at once part of the wider world, through labor or punishment or as a social problem of national concern, yet to be kept just outside of it.

I’d like to extend a hearty fuck you to the national news media. This is for spending more time talking about my emails than all policy issues combined. . . . This is for constantly saying I “am flawed” or “have flaws” . . . motherfucker, name one!!! My fucking charity that gives HIV meds to poor people? Are you for real with this shit? And the Monday morning quarterbacks right now? You’re gonna criticize my campaign?? Bitch, I won the popular vote and I was running against America! Last toast: undecided voters . . . honey, if you were undecided after the Mexican rapist speech it means one thing: You needed me to be perfect. . . . You know, back in 1965, I ran for class president of my high school and lost to a boy who told me, “You are really stupid if you think a girl can be elected president.” Well, I put in fifty years of tireless, grueling work, and now, at long last, that little boy has been vindicated.

Yet, the entire population of middle-aged women are showing up to work on three hours of sleep (some with their night meds still coursing through their bloodstream), running meetings, making deadlines, and putting curses on their bosses. (It was just a little packet of dirt from a graveyard sprinkled in their office.) And the rest of the world has no idea. Why? Because we are superwomen. Because it’s how we are. We’re high, we’re sleep deprived, and we’re still doing all the shit.

No," she says. "No, I can't. How can I? I've started seeing someone." My heart stops. "A counselor," she adds, and it starts beating again, relieved. Of course. Of course she wouldn't have a bloody affair. "Once a week. I go during work time so Theo doesn't know." So that's where she's neem going, and probably why she wasn't in the shop, and where she was driving to the other day. "But he'll want me to go to the GP and I'm- I'm worried they'll put me on meds and the meds will numb me. I already feel so numb, Noelle. And I'm scared. Of being that mother who needs pills to get through what's supposed to be one of the best things that ever happened to her. I'm a shit mother.

I had received an invisible and highly effective surgery to the mind, administered by a pale yellow tablet scored down the middle and no larger than an aspirin. There is so much drivel about psychoactive meds, so much corruption, bad faith, over- and underprescription, vagueness, profiteering, ignorance, and hope, that it’s easy to forget they sometimes work, alleviating real suffering, at least for a time.

from writing up a fake schedule of classes they’d take based on college course guides, to researching a “thesis” project in their subject, to doing work-study programs in the community. If someone wants to do an SWS major in premed, they have to figure out how to finance med school, how to get all their prerequisites taken without overloading on hours for any semesters, which labs they’ll need, what their books will cost, and which academic groups to join. Then they do a minithesis—ten pages at least—learn about med school entrance exams, and finally, in the last week before summer, shadow a professional in the field well enough to get a good recommendation. Grades are based on that recommendation, their educational plan, their financial plan, and their thesis. And the faculty who grade them are those who aren’t burdened with the grading of normal finals. A.k.a.: me. Me, the counselors, special-subject teachers, coaches, even the nurse. It’s all hands

Continuous Glucose Monitors (CGMs) have revolutionized diabetes management by providing real-time data on blood glucose levels. Among the providers offering a range of CGM options, Med Supply US stands out as a trusted source for individuals seeking these essential devices in Miami, New York, and Florida. Let's delve into the cost of CGMs and how Med Supply US plays a pivotal role in making them accessible. CGMs are crucial tools for people with diabetes, allowing them to monitor their glucose levels 24/7. These devices not only offer convenience but also help in preventing dangerous spikes and crashes in blood sugar levels. However, one of the primary concerns for many individuals is the cost associated with CGMs. Med Supply US offers a wide selection of CGMs from various brands like Abbott and Dexcom, catering to different preferences and requirements. The cost of CGMs can vary depending on the brand, model, and the specific features they offer. Med Supply US works diligently to ensure competitive pricing for these life-changing devices, making them more accessible to those in need.

You got a taste of what it's like," Neelam says. "But I've been competing in math and science my whole life. I've been told girls can't win math competitions or can't built robots my whole life. My brothers are all pre-med, but I've been told every single day to act like a lady, to smile and be polite, to be pretty and dainty-and what boy ever has to hear that? Not once," she snaps, "and what you don't understand is that when you come into this world unprepared and unfocused and without even a fundamental understanding of what you're doing, you have nothing to fight back with. Take Mac," Neelam says, suddenly adamant. "You saw how much he favors Teo and Dash, right? But when you pointed it out he called you a bad teammate, he told you to work harder. I work hard because no matter what I do, people will always tell me I should have done more. So I do the most. Because I understand that it doesn't end here!" Neelam rises to her feet, agitated, and starts pacing in front of me. "If you really want to be an engineer, then get ready," she says with a glare at me. "Get ready to hear no. Get ready to hear you can't. Get ready for I just don't like her or she's not likable. Sure, you're lucky, you're pretty and bubbly and people like you," she adds with another look of annoyance, "but you're even worse off than I am for that, because they won't take you seriously. This team? This team only takes you seriously because Teo Luna did, and lucky you." She practically spits it at me. "Lucky you, because he doesn't take me seriously, and thanks to him nobody on our team ever will.

The Slow-Carb Diet® Cheat Sheet Many people lose hope when trying to lose weight. Fortunately, it need not be complicated. Though I regularly fast and enter ketosis, the Slow-Carb Diet (SCD) has been my default diet for more than a decade. It works almost beyond belief and affects much more than appearance. From one reader: “I just wanted to sincerely thank Tim for taking the time to research and write The 4-Hour Body. My mom, in her late 60s, lost 45 pounds and got off her high blood pressure meds that she had been on for 20+ years. She did all this in about 3 months. This means that I get to have her around for a long time.” The basic rules are simple, all followed 6 days per week: Rule #1: Avoid “white” starchy carbohydrates (or those that can be white). This means all bread, pasta, rice, potatoes, and grains (yes, including quinoa). If you have to ask, don’t eat it. Rule #2: Eat the same few meals over and over again, especially for breakfast and lunch. Good news: You already do this. You’re just picking new default meals. If you want to keep it simple, split your plate into thirds: protein, veggies, and beans/legumes. Rule #3: Don’t drink calories. Exception: 1 to 2 glasses of dry red wine per night is allowed, although this can cause some peri-/post-menopausal women to plateau. Rule #4: Don’t eat fruit. (Fructose → glycerol phosphate → more body fat, more or less.) Avocado and tomatoes are allowed. Rule #5: Whenever possible, measure your progress in body fat percentage, NOT total pounds. The scale can deceive and derail you. For instance, it’s common to gain muscle while simultaneously losing fat on the SCD. That’s exactly what you want, but the scale number won’t move, and you will get frustrated. In place of the scale, I use DEXA scans, a BodyMetrix home ultrasound device, or calipers with a gym professional (I recommend the Jackson-Pollock 7-point method). And then: Rule #6: Take one day off per week and go nuts. I choose and recommend Saturday. This is “cheat day,” which a lot of readers also call “Faturday.” For biochemical and psychological reasons, it’s important not to hold back. Some readers keep a “to-eat” list during the week, which reminds them that they’re only giving up vices for 6 days at a time. Comprehensive step-by-step details, including Q&As and troubleshooting, can be found in The 4-Hour Body, but the preceding outline is often enough to lose 20 pounds in a month, and drop 2 clothing sizes. Dozens of readers have lost 100–200 pounds on the SCD. My 6-Piece Gym in a Bag I take these 6 items with me whenever I travel.

I’m sure our newcomers appreciate hearing that being diagnosed with HIV is not all doom and gloom.” The leader’s gaze swept over all the others in the circle. “With an attitude like Duncan’s, great things will happen to you. Don’t let the disease define you. Make the disease work for you instead.” An hour later, the meeting was over. John had gotten the opportunity to introduce himself to the group, something he would have preferred to have skipped, but that wasn’t allowed. Everyone must participate in that part; only the question and answer session that followed was optional. He hadn’t mentioned that he used to be a cop, certainly not that he had been fired. He’d just said that he was a private eye and that he would be happy to be their spy if they needed one. “That wasn’t so bad now, was it?” Linda asked John when they were outside the room and in the hallway, where donuts and coffee and tea were served. Most of the participants milled around there, connecting with each other. John shrugged and grabbed a jelly donut. “I guess not.” The bespectacled leader named Robert came up to them then. He was on the short side and had an emaciated face with delicate features. He stuck out a bony hand toward John. John took it and gave it a firm shake. “John, it’s so nice to have you join us today,” Robert said with a broad smile that displayed big, graying teeth. Robert was HIV-positive as well, and in the chronic HIV stage. “Thank you for having me,” John said and returned the smile as best he could. “It’s been very…educational. I’m glad I came.” “Great,” Robert said, then his attention went to Linda. “Thanks for bringing your friend, Linda. And for coming again yourself.” “Oh, of course,” Linda said and smiled. Her hazel eyes glittered with warmth. “It’s a great group and you’re a great leader.” “Thank you. That’s so kind of you to say.” Robert tossed a glance over his shoulder, then leaned in toward John and Linda. “I just wanted to apologize for Doris.” “Apologize?” Linda repeated. “What did she do?” “Well, for starters, she’s not 33. She’s 64 and has been infected for thirty years. She’s also a former heroin addict and prostitute. She likes to pretend that she’s someone else entirely, and because we don’t want to upset her, we humor her. We pretend she’s being truthful when she talks about herself. I’d appreciate it if you help us keep her in the dark.” That last sentence had a tension to it that the rest of Robert’s words hadn’t had. It was almost like he’d warned them not to go against his will, or else. Not that it had been necessary to impress that on either John or Linda. John especially appreciated the revelation. Maybe having HIV was not as gruesome as Doris had made it seem then. Six Yvonne jerked awake when the phone rang. It rang and rang for several seconds before she realized where she was and what was going on. She pushed herself up on the bed and glanced around for the device. When she eventually spotted it on the floor beside the bed, it had stopped ringing. Even so, she rolled over on her side and fished it up to the bed. Crossing her legs Indian-style, she checked who had called her. It was Gabe, which was no surprise. He was the only one who had her latest burner number. He had left her a voicemail. She played it. “Mom, good news. I have the meds. Jane came through. Where do you want me to drop them off? Should I come to the motel? Call me.” Exhilaration streamed through her and she was suddenly wide awake. She made a fist in the air. Yes! Finally something was going their way. Now all they had to do was connect without Gabe leading the cops to her. She checked the time on the ancient clock radio on the nightstand. It was past six o’clock. So she must have slept

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Bitsy seems unimpressed, even when I describe the big campaign. "You sound like Whitman," she says, slow and monotone. "Work, work, work." I don't react. Instead, I reply by asking about her husband, Whitman Strayer II, a med-school dropout turned venture capitalist who now helps Oxford's elite decide what to do with all their money. "He's fine." She adds nothing more. "Still traveling a lot? Last I heard he was partnering with investors in Atlanta? Birmingham? Dallas? Looking for start-ups." "Yep. As I said, he's fine." She gives me a glance that warns me to back off, so I turn my attention back to the landscape, eager to drink in every gift Mississippi offers. Behind the picnic table, a batch of invasive kudzu has crept in from a steep ravine. With no natural balance to keep it in check, the Asian species now abuses its power, growing thick, leafy webs across everything in reach. Even the trees with the deepest roots have fallen victim to this vicious vine. As Bitsy's words echo, I wonder what lesson the kudzu wants to teach me. Have I, too, done better in foreign soil, opting to go far from the challenging conditions of home? Have I been able to thrive out there in Arizona, living without any real competition? Or am I nothing more than a wayward transplant, an aimless seed taking more than my fair share?

The 2ams have held my hopes all these years as I calm my nerves down for there would only be three more hours for the world to wake up to my screams and wails of excruciating pain. Probably the drug store would open if I wait for three more hours then. 8am and the doc would prescribe me a few medicines over whatsapp. I would make three cups of tea by then. I would quiet my mouth as it would bite on my arm. By twelve I would finally be relieved as the meds would work. But it's only midnight now... wish you another goodnight's sleep....

Books can be sources of inspiration for anyone, anywhere. In 2011, I went to Madurai to inaugurate the Paediatric Oncology unit of the Meenakshi Mission Hospital. After the programme, a person who looked very familiar approached me. When he came closer, I realized that he has been my driver when I was working with DRDL in Hyderabad. His name is V. Kathiresan, and he worked with me day and night for nine years. During that time, I had noticed that he was always reading in his spare time, be it a book, magazine or a newspaper. That dedication attracted me. One day, I asked him what made him read so much during his leisure time. He replied that he had a son and daughter and both asked him lots of questions. In order to give them correct answers, he read and studied whenever he got the time. The spirit of learning in him impressed me and I told him to study formally through a distance education course. I also gave him some free time to attend the course and complete his +2 and then to apply for higher education. He took that as a challenge and kept on studying. He did B.A. (History), then M.A. (History) and then he did M.A. (Political Science). He also completed his B.Ed and then M.Ed. Then he registered for his Ph.D in Manonmaniam Sundaranar University and got his Ph.D in 2001. He joined the education department of Tamil Nadu government and served for a number of years. In 2011, when I met him, he was an assistant professor in the Government Arts College at Mellur near Madurai. What extraordinary commitment and dedication had helped him to acquire the right skills in his leisure time and changed the course of his life.

I spend hours at hockey games every week working as the assistant trainer. (Appa said it would great on my resume for med school. I don’t think he realized I’d spend most of my time bandaging up sexy shirtless boys, but I’m not complaining).

Recognizing a disability requires us to become comfortable with vulnerability. Self-advocacy begins with recognizing disability without shame. When we give our children permission to recognize their difficulties, we liberate them to ask for accommodations. We empower them to look beyond the status quo and find the solutions that work for them, instead of trying to use the solutions that work for other people. And we provide a framework for self-understanding and self-acceptance that is the key for neurodivergent people of all ages.

These are changes that occur within the system that already exists, and we already know this system isn’t working. We need a new system.

Underlying the work we are doing to build connection with our neurodivergent kids is the intent of creating change. We want our kids to be more empowered, independent, and contented in their lives. We want our houses to be calmer and to let down our guard about our children’s success at school. We want harmonious relationships that don’t rely on power struggles and strategic maneuvering to get things done.