tag:blogger.com,1999:blog-72223861063070248482024-03-13T18:02:44.134-07:00Thoughts of a Simple CitizenSimple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.comBlogger205125tag:blogger.com,1999:blog-7222386106307024848.post-36031808967599216172020-03-02T20:23:00.002-08:002020-03-08T09:42:08.125-07:00Show Them the Pickle You’re In<!--[if gte mso 9]><xml>
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<br />
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<b><span style="font-size: 14.0pt; line-height: 107%;"></span></b></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">What do you do when you are told something about your child that scares
you?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">What do you do when you start to suspect they are doing something against
your rules, against the law, or they are doing something dangerous like cutting
or they may be suicidal?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">How do you bring it up?</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">I get these kind of questions most every week through texts, facebook
messages, and phone calls. Parents find something terrifying, and they don’t
know how to even start the conversation, let alone what to say.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">A friend texted me one morning terrified.<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">“We just discovered a trash can full of spit-out medication.<span style="mso-spacerun: yes;"> </span>We’ve been watching our daughter so carefully
since her suicide attempt, I thought she was taking her meds daily, but she’s
tricked us.<span style="mso-spacerun: yes;"> </span>I don’t even know what to
say or how to approach her.”</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">My advice: Make the problem your own. Show them the pickle you’re
in.<span style="mso-spacerun: yes;"> </span>I have had thousands of “awkward
topic” conversations.<span style="mso-spacerun: yes;"> </span>In fact it is
exactly what I am paid and trained to do over and over and over again each
day.<span style="mso-spacerun: yes;"> </span>The best way I have found to
discuss difficult topics is to tell the other person your own dilemma. “Son, I
don’t know what to do or think, and I don’t want to make things worse, but I am
freaking out inside because I care about you.<span style="mso-spacerun: yes;">
</span>I can’t stop caring about you, and I’m lost as to how to help.”</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">In my friend’s case, that’s saying something like – “In my parent mind
the medication helped. Six months ago I thought I was going to lose you to
suicide, now for two months you’ve looked happy, so my own mind thinks the
medications are saving your life.<span style="mso-spacerun: yes;"> </span>But
now, while you are looking good, I find your meds spit-out in the trash.<span style="mso-spacerun: yes;"> </span>I don’t know what to think or do. </span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<span style="font-size: 12.0pt; line-height: 150%;">I don’t know if I should be happy because you are doing awesome without
meds, or ask you to take them, or if I take you to the doctor, or if I ignore
the spit out pills and just act like it didn’t happen? It’s not the pills I
care about, it’s you. I have to know you’re okay, or if you’re not, that I can
help you without doing something you hate.<span style="mso-spacerun: yes;">
</span>What should I do?”</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<br /></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0in; mso-add-space: auto; text-indent: .25in;">
<b><span style="font-size: 12.0pt; line-height: 150%;">CONVERSATION KEY:</span></b><span style="font-size: 12.0pt; line-height: 150%;"> You make the dilemma your own.<span style="mso-spacerun: yes;"> </span>Ask the person you are worried about to <i style="mso-bidi-font-style: normal;">help you.</i> </span></div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-55430727786803294022016-03-21T17:18:00.005-07:002016-03-21T19:30:17.657-07:00How have pharmaceutical companies corrupted medical literature?<div style="text-align: center;">
</div>
<div style="text-align: center;">
</div>
<div style="text-align: left;">
Physicians, pharmacists, nurses, lawyers, administrators, policy makers and many others depend on medical journals for information. As the best clinical outcomes are sought for each patient; evidence based practice is the standard.<br />
<div style="text-align: center;">
<br /></div>
</div>
<div style="text-align: left;">
Physicians look to medical journals for up to date, accurate information about current medications and treatment options. Peer-reviewed journals containing double blinded randomized control trials are the gold standard, with a meta-analysis of those trials being the best evidence.</div>
<br />
Prescribers make medication choices based on the published literature, their personal experience, and the experiences of their patients. <br />
<br />
What if our medical literature is being unduly influenced and altered by those with financial gains at stake?<br />
What if throughout the process of testing and approving and marketing new medications, pharmaceutical companies are altering the information prescribers receive?<br />
<br />
This article will discuss 7 stages at which biased and false information has already been and still may be introduced into medical literature.<br />
<ol>
<li>Data Ownership</li>
<li>Drug Trial Design </li>
<li>Data Analysis</li>
<li>Ghostwriting Articles</li>
<li>Publication Bias/Omitted Information</li>
<li>Journal Reprints</li>
<li>Advertisements in Journals</li>
</ol>
<h3 style="text-align: center;">
<br /><b>STAGE 1: Data Ownership </b></h3>
<div style="text-align: center;">
<br /></div>
<b>Problem:</b> Drug trials are often designed to ensure that the resulting data are owned by the pharmaceutical company and are never made available to clinical research sites, prescribers, or the public. <br />
<br />
<b>Example</b>: In Denmark, 44 industry-initiated randomized trials were approved in 1994-1995 by the Scientific-Ethical Committee for Copenhagen and Frederiksberg. There were constraints on the publication rights in 40 (91%) of the protocols. 22 (50%) noted that the sponsor either owned the data, needed to approve the manuscript, or both. None of these constraints were stated in any of the trial publications.<br />
<br />
<b>Problem: </b>In the competition for research funds, American academic institutions are likely to compromise ethical standards, granting data ownership and more to pharmaceutical companies.<br />
<br />
<b>Example:</b> In a survey of 107 American medical schools it was found that 80% would allow a multicenter trial agreement that granted data ownership to the sponsor. 69% of the administrators said that the competition for research funds created pressures on them to compromise the conditions of the contract. <br />
This leads to the following problem, found in a second survey of American medical schools: In a survey of 108 American medical schools it was found that “Academic institutions routinely engage in industry-sponsored research that fails to adhere to ICMJE (International Committee of Medical Journal Editors) guidelines regarding trial design, access to data, and publication rights.”<br />
<br />
When drug trials are pre-designed to grant data ownership, analysis, and manuscript approval to the industry sponsor, the potential for biased publications escalates.<br />
<h3 style="text-align: center;">
<br /><b>STAGE 2: Drug Trial Design</b></h3>
<br />
<b>Problem:</b> In head to head drug trials, the standard medication may be dosed or administered incorrectly, making the new drug look better by faulty comparison.<br />
<br />
Many drug trials are designed to compare a new medication to the current standard medication. If the standard medication is dosed incorrectly, or administered in the wrong way, efficacy may decrease. In a head to head comparison, this can lead to the incorrect conclusion that the new medication is better because it had higher efficacy than the standard medication.<br />
<br />
<b>Example: </b>Prior to FDA approval of Voriconazole, a study was designed to compared Voriconazole to Amphotericin B in the treatment of invasive aspergillosis:<br />
<br />
277 patients were randomized into the two treatment groups and completed the trial. The standard dosing and route of administration was followed:<br />
<ul>
<li>IV Voriconazole for 7 days, then oral medication.</li>
<li>IV Amphotericin B </li>
</ul>
<div style="text-align: center;">
<br /></div>
<div style="text-align: left;">
However the length of treatment was substantially different for the two groups.</div>
<ul>
<li>The median duration of voriconazole treatment was 77 days.</li>
<li>The median duration of amphotericin B treatment was 10 days.</li>
</ul>
<br />
With the new medication (Voriconazole) being given for an additional 67 days it is not surprising that the conclusion stated: “Initial therapy with voriconazole led to better responses and improved survival and resulted in fewer severe side effects than the standard approach of initial therapy with amphotericin B.”<br />
<br />
<h3 style="text-align: center;">
<b>STAGE 3: Data Analysis</b></h3>
<br />
<b>Problem:</b> Data analysis is often controlled by the industry sponsor and data are often manipulated in favor of the new drug.<br />
<b>Example: </b>When trial endpoints are changed or modified, it is impossible to know if new drugs met their goals. A 2011 Study analyzed all Randomized Control Trials published in 6 medical journals over a 2 year period (2008-2010). The journals selected were: New England Journal of Medicine, Lancet, JAMA, Annals of Internal Medicine, BMJ, Archives of Internal Medicine. Out of 2,592 original articles which were reviewed, only 316 reported a pre-specified primary endpoint. We don’t know what the other 2,276 trials were hoping to prove when they started the trial. Only the sponsoring drug company and the FDA likely have that information. Of the 316 studies that stated their pre-determined endpoint, 116 (37%) ended up reporting a surrogate primary endpoint and 106 (34%) used a composite primary endpoint.<br />
Surrogate and composite endpoints do not always represent findings that are clinically or statistically significant.<br />
Also, of the 118 trials in which the primary endpoint involved mortality: 32 (27%) used disease-specific mortality rather than all-cause mortality. Thus we do not the cause of death of many patients who died during the trials, whether they were disease related or not.<br />
These data manipulations were found to be more common in drug industry sponsored trials. <br />
Trials which were exclusively industry sponsored were 16% more likely to use surrogate endpoints than trials which had mixed funding or non-industry funding. Industry funded trials were also 23% more likely to only report disease specific mortality endpoints. <br />
<div style="text-align: center;">
<b><br /></b></div>
<h3 style="text-align: center;">
<b>STAGE 4: Ghostwriting Articles</b></h3>
<br />
<b>Problem: </b>Ghostwriting. When you don’t know who wrote an article you cannot judge the content by the author’s expertise or ethics.<br />
<br />
<b>Example:</b> From 1999-2001, 96 journal articles were published about sertraline (Zoloft). Over half of the articles were prepared by one medical writing agency named Current Medical Directions. Their 55 articles were all positive in their portrayal of Zoloft, and only 2 of them acknowledged writing support from people not listed as authors. Who analyzed the data? Who wrote the bulk of the text? Who made the conclusions? We don’t know. These potentially ghost-written articles were published in well-respected journals such as JAMA (Journal of the American Medical Association), JAACAP (Journal of the American Academy of Child and Adolescent Psychiatry), and Archives of Family Medicine. The articles written by CMD had, on average, a higher impact factor as well as higher citation rates than the other 41 articles. <br />
<br />
<b>Problem:</b> Articles are often prepared based on a researcher’s study, and then sent to the researcher for their approval, listing the researcher as the author. <br />
<br />
<b>Example:</b> Dr. David Healy had performed research on anti-depressants. He received an email from a drug company representative stating “In order to reduce your workload to a minimum, we have had our ghostwriter produce a first draft based on your published work. I attach it here.”<br />
The article listed Dr. Healy as the sole author, yet he hadn’t written a single word. He did not agree with their “glowing review of the drug” and he suggested some changes. The drug company replied stating that he had missed some 'commercially important' points. The ghostwritten paper was later published in a psychiatric journal in its original form - under another doctor's name.<br />
<h3 style="text-align: center;">
<b><br /></b><b>STAGE 5: Publication Bias/Omitted Information</b></h3>
<br />
<b>Problem:</b> Critical information is often not published.<br />
<br />
<b>Example: </b>When research misconduct occurs, it is not mentioned in journal articles based on those flawed studies.<br />
Every year, the FDA inspects several hundred clinical sites performing biomedical research on human subjects. When they find evidence of research misconduct, they publish it in a report on their website. From 1998-2013, the FDA identified 57 clinical trials with serious problems including falsification of data, protocol violations, and failure to protect the safety of patients.<br />
Those 57 Trials led to 78 Publications. Only 3/78 publications (4%) mentioned the objectionable conditions or practices found during the inspection. No corrections, retractions, expressions of concern, or other comments acknowledging the key issues identified by the inspection were subsequently published.<br />
<br />
<b>Problem: </b>If a study’s results are unfavorable to a new drug, they are often not published, leading to a publication bias in favor of the new medication.<br />
<br />
<b>Example:</b> A search for all studies performed on 12 antidepressants found
74 trials registered with the FDA. 37 trials showed positive results
for the antidepressant and all but one of them were published. One
trial had neutral results. The other 36 studies showed negative or
questionable results from the antidepressants. 22 of them were not
published, 11 were published in such a way as to make the outcome appear
positive, and only 3 were published showing the negative results. <br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiea0W92gyiSAR1qgp_Q3Eb8_yaWdroh0E-8ugerxi3DQolk8eAKZcN9Mi8E1-fQEpHVmdFMH8oXJfBaXBvfO1mOcqTMZO_qWkuIVyJm17huVd7KS1Kz5pEDx9zqG6DGcZUnzcGga59VO1A/s1600/Picture1.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="408" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiea0W92gyiSAR1qgp_Q3Eb8_yaWdroh0E-8ugerxi3DQolk8eAKZcN9Mi8E1-fQEpHVmdFMH8oXJfBaXBvfO1mOcqTMZO_qWkuIVyJm17huVd7KS1Kz5pEDx9zqG6DGcZUnzcGga59VO1A/s640/Picture1.png" width="640" /></a></div>
<div style="text-align: center;">
<b>Only Published Trials</b></div>
<br />
Thus, in the published literature, 94% of antidepressant trials showed positive results. By contrast, FDA analysis of all antidepressant trials showed that only 51% were positive. It should also be noted that 3,449 study participants never had their data published.<br />
<br />
<b> </b><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjM2HfaOQIOe9ICbnjvabU1vX0cSaV5jUEaTqQEKL9JRl87h9Omy08zRqBtV688Xh4_3CNqBWWG07jCcD2lTxpPf5v1gYM743GMpQOZYwaRDt4dvJ93SFIefbSIVypKCHvbHC9TDq7St38C/s1600/Picture2.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="424" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjM2HfaOQIOe9ICbnjvabU1vX0cSaV5jUEaTqQEKL9JRl87h9Omy08zRqBtV688Xh4_3CNqBWWG07jCcD2lTxpPf5v1gYM743GMpQOZYwaRDt4dvJ93SFIefbSIVypKCHvbHC9TDq7St38C/s640/Picture2.png" width="640" /></a><b><br /></b></div>
<div class="separator" style="clear: both; text-align: center;">
<b> Including Unpublished Trials</b></div>
<h3 style="text-align: center;">
<b> </b></h3>
<h3 style="text-align: center;">
<b>STAGE 6: Journal Reprints</b></h3>
<br />
<b>Problem: </b>Medical Journals can earn higher profits if they publish pharmaceutical industry sponsored papers. This gives an incentive to give those papers preferential treatment. <br />
<br />
<b>Example: </b>Medical Journals make money of journal publications and reprints. Journals which publish a study funded by the pharmaceutical industry have higher numbers of reprints ordered.<br />
In a study looking at reprint orders, Papers funded by the pharmaceutical industry were more likely to have reprints ordered than were control papers (odds ratio of 8.64.) Even if a study was only partially funded by pharmaceutical companies it was still more likely to be re-ordered, (odds ratio of 3.72). <br />
This matters because there is substantial money to be made off reprints.<br />
In a study of income from reprints, it was found that The BMJ made £12 ,458 on average for a reprint order. Lancet earned £287,353 per reprint order.11<br />
<br />
<h3 style="text-align: center;">
<b>STAGE 7: Advertisements in Journals</b></h3>
<br />
Problem: Drug advertisements in Medical Journals are often misleading or inaccurate.<br />
Example: In 1992, Annals of Internal Medicine examined the accuracy of advertisements in 10 medical journals. They found 109 full page pharmaceutical advertisements. The ad and the cited source were sent to three reviewers, (2 physicians in the field and a clinical pharmacist). They concluded that 34% of advertisements required major revisions and 28% should not have been published. <br />
Example: A 2003 study published in Lancet analyzed all advertisements for anti-hypertensives or lipid lowering agents in 6 medical journals for a period of one year. Out of 287 advertisements, only 125 listed at least one reference. 18% of those references could not be found. 44% of the references did not support the statement in the advertisement.<br />
<br />
<h3 style="text-align: center;">
DISCUSSION</h3>
<br />
"Medical journals are an extension of the marketing arm of the pharmaceutical companies" according to Richard Smith who worked for 13 years as editor of The BMJ (British Medical Journal).<br />
<br />
The deeper we dig the more evident it becomes that our medical literature is not as pure or objective as we might wish to believe. Often our journals are just another form of advertising. This is not limited to journals with small circulation numbers or case reports only. The most well respected journals with the highest circulation including NEJM, JAMA, BMJ, Lancet, and others have all suffered bias from pharmaceutical companies.<br />
<br />
The potential for bias is evident from the very beginning of the process. From the initial design of drug trials, contractual agreements ensure that the results will be owned and analyzed only by the sponsoring company. While they must register the trial with the FDA, they are under no obligation to publish the results of their study. Papers can be written by anyone. Ghostwriters are commonly employed by pharmaceutical companies to prepare positive papers which will then be published under a researcher’s name. While this may have some valid benefits, such as freeing up time for the researcher to continue his/her work, it is disingenuous. The data are only as good as the person analyzing and explaining them. If we don’t know the true credentials of the author, nor their financial interests, how can we judge the validity of their findings?<br />
<br />
The same is true of journal editors. How can we judge the contents of a journal when there is financial incentive to publish pharmaceutical sponsored papers.<br />
Pharmaceutical companies can do excellent, valid research and bring good medications to the market. Authors can be trustworthy, journal editors can be ethical and discerning, advertisements can be accurate.<br />
<br />
However, often these things don’t occur. Physicians and hospitals spend thousands of dollars subscribing to medical journals. A subscription to one database of medical literature can cost up to $500 per year. <br />
<br />
Patients are told by advertisements to “Ask your doctor.” When they do, they are seeking their physicians informed, educated opinion. Is that opinion based on evidence and fact? Or is it based on a paper that was published for financial gain, after being ghostwritten by an unknown author, based on a study which was analyzed to skew results, from data which are proprietary and cannot be re-examined, with a protocol that was altered or not followed in the first place.<br />
<br />
Physicians are required to give all patients “informed consent.” If the data are that suspect, is there really any such thing? <br />
<br />
- written by Matt Larsen D.O. (References to all studies and quotes are available)<br />
<br />Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-88446934511370913652016-01-22T16:53:00.002-08:002016-01-22T19:09:54.721-08:00Label Things, Not People<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiB16TZt5esA9q4j80NJfWj1hdCKVYINc2LLAhenQiBHCHXIUrQos8e0PHK0mBrAhxih1yAH7-6kQCP7gjzTjM7ORYdpon1-f0xuy3CKLpaDHJExo95OWmBQsW2K4sYCTnIYDx0GnJ81Qj0/s1600/labels.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiB16TZt5esA9q4j80NJfWj1hdCKVYINc2LLAhenQiBHCHXIUrQos8e0PHK0mBrAhxih1yAH7-6kQCP7gjzTjM7ORYdpon1-f0xuy3CKLpaDHJExo95OWmBQsW2K4sYCTnIYDx0GnJ81Qj0/s320/labels.jpg" width="255" /></a></div>
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<br />
<span style="background-color: #f3f3f3;">I'm a doctor. I should label a disease, Schizophrenia.<span style="mso-spacerun: yes;">
</span>I should not label a person.<span style="mso-spacerun: yes;"> </span>A schizophrenic.</span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">We put people into groups, classes, designations.</span><br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: 12.0pt;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">I try to follow
the advice of the <span style="background-attachment: scroll; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto auto;">Arbinger
Institute</span> when they said “</span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Don’t
lump the people you’re thinking about into an impersonal mass. Think of
individuals…Think of the people.”<br />
<br />
It’s a problem I have every day. I’m a psychiatrist, and every day I am
asked to label people. I am asked to diagnose them and treat them.
Patient #1 has Schizophrenia, #2 has Borderline Personality Disorder,
etc… It’s very easy to change and say Patient #1 IS Schizophrenic, #2 IS
Borderline.<span style="mso-spacerun: yes;"> </span></span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: 12.0pt;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">It’s easy to “stop seeing them as people and just see them
as a diagnosis. If I can do that then I can stop worrying about them, and
their lives, and their feelings. I can treat their stated symptoms and go
home. I don’t have to worry about their visitors, their comfort, their
real needs or anything. This way is easier. It’s simpler. I could just
slap a label on them and go home.</span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: 12.0pt;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">Some therapists would tell me to never use the word
“patient” but rather “client.” </span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: 12.0pt;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">I still use the term patient because I think mental illness
is an illness.<span style="mso-spacerun: yes;"> </span>I don’t think my patients
are illnesses, I think they have illnesses, </span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: 12.0pt;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">I once read a book called <span style="background-attachment: scroll; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto auto;">“<i><u>Crucial Conversations”</u></i></span></span></span></div>
<br />
<div class="MsoNormal" style="line-height: normal; margin-bottom: 12.0pt;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;">The author said “<i>Labeling</i></span><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt;"> is putting a label on people or ideas <b>so we can dismiss
them under a general stereotype or category… By employing a handy label, we are
now dealing not with a complex human being, but with a bonehead.”</b></span></span></div>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">I still make this mistake with
people every day. I am a conservative independent, which means I usually
agree with the republicans and disagree with the democrats – I’m just sick of
political parties so I refuse to be a republican.</span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br />
When one of my facebook friends wrote a post about “Plan B” for birth control, my
autopilot conservative mind kicked – yep, that’s abortion, that’s murder,
that’s wrong. The friend posting must be a bleeding heart liberal.
She probably has never stopped to consider any opinion other than her
own. She must be blinded by her partisan and left wing ideation. To
quote the book – she must be “a bonehead.”</span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">I labeled her. I discounted
her as a “liberal” and that meant I no longer had to consider anything she said
as “valid.” She was part of an “extreme” group, and everything about her
must be wrong, tainted, misled, etc… Forget the fact that she is one of
the smartest people I knew in High school, she is now an OB/GYN, she is well
read and stays current, and one of the most caring people I know. Luckily she did
not instantly label me as a bonehead conservative.<span style="mso-spacerun: yes;"> </span>She took time, assumed I was an intelligent
human being, and she explained her views, and the reasoning behind it.<span style="mso-spacerun: yes;"> </span>My viewpoint changed. Not only did my
view of the subject change, but my view of her changed. She was once
again a person, not a “bonehead liberal.”</span></span></div>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><br /></span></div>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">It goes beyond politics.<span style="mso-spacerun: yes;"> </span>This labeling and dismissing happens
everywhere</span></span></div>
<br />
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">In the book <i><u><span style="background-attachment: scroll; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto auto;">The Anatomy of Peace,</span></u></i><span style="background-attachment: scroll; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto auto;"> the authors state</span>: <span style="mso-spacerun: yes;"> </span>"<b>Lumping everyone of a particular race
or culture or faith into a single stereotype is a way of failing to see them as
people…we have a propensity to demonize others. One way we do this is by
lumping others into lifeless categories – bigoted whites, lazy blacks, crass
Americans, arrogant Europeans, violent Arabs, manipulative Jews, and so
on. When we do this we make masses of unknown people into objects and
many of them into our enemies."</b></span></span></div>
<span style="background-color: #f3f3f3;"><br /></span>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">Do those labels sound like
presidential politics to anyone else? I hear labels like: Socialist, Rich
snob, Flip-Flopper, Baby-killer, Flaming Liberal, fascist, Tax-evader,
Communist, Right Wing Hack, etc…</span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><br /></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0in;">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;">"Let's tell people he's not
American." "Let's tell people she's not Christian."
- It seems all the political parties want to do is find a label that
scares people, then make it stick to the other side’s candidate.<br />
<br />
Labels and stereotypes are killing us. They allow us to ignore people,
to write them off. They allow us to dehumanize everyone who doesn’t agree
with us.</span></span></div>
<div class="MsoNormal">
<span style="background-color: #f3f3f3;"><span style="font-family: "times new roman" , "serif"; font-size: 12.0pt; line-height: 115%;"><br />
We must see people as people, anything less is just plain wrong.</span></span></div>
<span style="background-color: #f3f3f3;">Start with language.<span style="mso-spacerun: yes;"> </span>Stop defining
people by some small aspect of their life. </span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">I was born male, I was born white, and 75 years after I was born, I’ll be
Old.</span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">Suddenly, by being born, I just became the enemy of some of my democratic
friends: and Old White Man. The evil overlord of politics and business and religion, an old white male.</span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">It is true that I will be an old white man.<span style="mso-spacerun: yes;"> </span>But I
will not JUST be an old white man.<span style="mso-spacerun: yes;"> </span>I
will be so much more, in every possible way.<span style="mso-spacerun: yes;">
</span>You cannot know who I am by knowing my race, my religion, my birthplace,
or even my diagnosis.</span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">Ever heard people say “She’s so Bipolar, He’s ADD, She’s Borderline, He’s Schizophrenic,
She’s Anorexic, He’s OCD, she’s an addict?</span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">That doesn’t sound like labeling problems to be fixed.<span style="mso-spacerun: yes;"> </span>That sounds like labeling people, because
they ARE the problem, so we can dismiss them.</span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;">What did <span style="background-attachment: scroll; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto auto;">President</span>
<span style="background-attachment: scroll; background-clip: border-box; background-image: none; background-origin: padding-box; background-position: 0% 0%; background-repeat: repeat; background-size: auto auto;">Obama</span> see when
campaigning across the country 8 years ago?</span><br />
<span style="background-color: #f3f3f3;"><span style="mso-bidi-font-style: italic;">He said: “Spend time actually talking
to Americans, and you discover that most evangelicals are more tolerant than
the media would have us believe, most secularists are more spiritual. Most rich
people want the poor to succeed, and most of the poor are both more
self-critical and hold higher aspirations than the popular culture allows.”</span></span><br />
<span style="background-color: #f3f3f3;"><br /></span>
<span style="background-color: #f3f3f3;"><b style="mso-bidi-font-weight: normal;">So that’s Step One: Label Things, Not People</b>. That’s our job.<span style="mso-spacerun: yes;"> </span>To notice how
many times we label people, even if it’s only in our heads.<span style="mso-spacerun: yes;"> </span>Then work to see them as a complex individuals,
not a stereotype.</span>Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-49236196882400139662015-09-17T15:12:00.000-07:002015-09-17T16:41:48.950-07:00Why Less Than 1/3 of Your Life is HappyMost Psychologists agree that we have 9 basic feelings:<br />
<div>
<ol>
<li>Joy</li>
<li>Fear</li>
<li>Anger</li>
<li>Shock</li>
<li>Love</li>
<li>Disgust</li>
<li>Sadness</li>
<li>Guilt</li>
<li>Curiosity</li>
</ol>
<div>
Go back through the list and count how many of those are "good" feelings.</div>
</div>
<div>
<br /></div>
<div>
Most people pick 2 or 3: Joy and Love, and sometimes Curiosity.</div>
<div>
<br />
Most people consider Fear, Anger, Shock, Disgust, Sadness and Guilt to be negative or "bad" feelings.</div>
<div>
<br /></div>
<div>
Well, let's assume you're a normal person and in an average day you feel most of these emotions, and in about equal amounts. If 6/9 or 7/9 of them are BAD then you can only spend 1/3 of your life feeling GOOD. </div>
<div>
<br /></div>
<div>
If you live 75 years like most Americans, then you are going to spend every moment of an entire 50 years feeling BAD.</div>
<div>
<br /></div>
<div>
That leaves what, 25 good years? Most people think of their childhood as pretty good, and sometimes up to their mid-twenties, so that means most of the good times are behind you. So I guess most of you can look forward to the next 50 years of constantly feeling BAD, and then you'll die.</div>
<div>
<br /></div>
<div>
(I really should end this blog post here, just leave everything BAD)</div>
<div>
<br /></div>
<div>
What if there were no "good emotions" and no "bad emotions." What if emotions were just, well, emotions? They were something to be felt. That's it. </div>
<div>
<br /></div>
<div>
What if none of them were bad, what if they were all just meant to serve a purpose and move us forward, all in their own time.</div>
<div>
<br />
The writers of the Disney movie "Inside Out" understood this. They chose 5 emotions for the movie, Joy, Sadness, Fear, Anger and Disgust. </div>
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Joy was the only "good" emotion. She tried to control the mind all the time. She thought that if JOY could be the only emotion ever felt, then life would be perfect. She worked really really REALLY hard to make sure sadness never took control. Sadness couldn't touch the mind, or the memories.</div>
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In fact, in the movie, Joy eventually made Sadness promise never to do anything or affect anything by staying inside a circle she drew on the ground.</div>
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Joy was caught in the happiness trap. She thought that sadness was BAD, and anger was BAD.</div>
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She didn't realize until the end of the film, that sadness is necessary. Sadness helps us apologize and fix relationships. Anger helps us protect what's important in our lives when it is threatened.</div>
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Emotions aren't good or bad. The only way we should measure good v. bad is "Are we doing what matters to us? Are we living according to our beliefs, our values?" If we value family, are we doing what matters to make our family succeed? If anger and sadness and love and joy and guilt and fear all help us live our values, then they are all worth it. </div>
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We don't WANT to feel them all. We are instead, willing to feel them all because we WANT to make our family succeed. </div>
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If you keep labeling emotions as "good and bad" or "acceptable and unacceptable" then you are guaranteed to have a BAD and UNACCEPTABLE life at least 2/3rds of the time.</div>
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Let yourself out of the box. Don't be chained to a life of misery by thinking you have to feel joy all the time for life to be "good." Statistically, almost 90% of your life will not be "joy"ful. </div>
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When you accept all 9 emotions, and make them all useful, then 100% of your life can be worthwhile, and push you further down the path you want to go, living the life you want to live.<br />
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That is TRUE Happiness.</div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-35957404898971520622015-08-12T19:43:00.000-07:002015-08-12T19:43:13.700-07:00Book Review: The Martian<br />
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Grade: A+<br />
<br />
This book is a genius thriller. Pair excellent science with a hilarious astronaut, and it's irresistible. <br />
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I mean it. You can't believe how realistic the book is, and how the main character is always saying and thinking exactly what you would be.<br /><br />This is not a spoiler, because you find this out on the first page - the book is about an American astronaut, Mark Watney, who gets stranded on Mars.<br /><br />How do you survive on a planet in a research dome meant to last 30 days, when no one will be back for 4 years?<br /><br />The twists and turns are unexpected and realistic. The author didn't make up crazy things, he just studied mars really REALLY well to know what would naturally happen. <br /><br />There is a caveat to my recommendation. There is a good amount of language in this book. When a man thinks he's gonna die alone on another planet - he swears! Mark Watney is the guy you want to be best friends with and invite over to BBQs at your house. He is smart, funny, creative, down to earth, and just irreverent enough to make you laugh out loud over and over again.<br /><br />You've been warned, and you've been also been teased with the promise of an amazingly awesome, fast paced, believable thriller.<br />
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Enjoy!<br /><br />(and read it before the movie with Matt Damon comes out)Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-83757153877795305462015-08-01T08:21:00.000-07:002015-08-01T08:21:09.367-07:00Book Review: Go Set a Watchman<!--[if gte mso 9]><xml>
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<br /><div class="MsoNormal">
Grade: A-</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I have not read “To Kill a Mockingbird” in 20 years, and I
remember very little about the book.<br />
I refrained from reading it again because I wanted to see: can this book stand
on it’s own?<br />
<br />
Yes.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
This book is not what I expected.<span style="mso-spacerun: yes;"> </span>I expected a somewhat entertaining story that
eventually told us, “don’t be racist” and did it in a very convincing and poignant
way.<span style="mso-spacerun: yes;"> </span><br />
Lee did much more than that.<span style="mso-spacerun: yes;"> </span>She let us
love the people around us without jumping to crazy conclusions.<span style="mso-spacerun: yes;"> </span><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</div>
<div class="MsoNormal">
She let us be good people without being perfect people.<span style="mso-spacerun: yes;"> </span>She let us be heroes, who have real lives,
and live in the real world.</div>
<div class="MsoNormal">
Though the book was written in 1957, it feels as though it
was written for our day.<span style="mso-spacerun: yes;"> </span>It was written
to teach us that Paula Deen is not a racist monster, and we can have heroes and
role models who don’t meet the current public criteria of “appropriate.”</div>
<div class="MsoNormal">
This is a fairly quick read, even though the book is not
fast paced.<span style="mso-spacerun: yes;"> </span>Lee did a wonderful job of
developing characters and relationships so that the climax of the book is
real.<span style="mso-spacerun: yes;"> </span>The emotions and interactions are
real and heartfelt because we know the back story of each character.</div>
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<br /></div>
<div class="MsoNormal">
Lee took the time to teach vital life lessons, and through this book
she taught them wonderfully.</div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-13880091492521766902015-03-26T19:28:00.001-07:002015-03-26T20:03:28.763-07:00"Negative Reinforcement" is like "Inconceivable" - I do not think it means what you think it means.When I ask most people what the term "Negative Reinforcement" means most of them say something like:<br />
<br />
"It's when you want someone to stop doing something so you do something negative so they'll stop. Like yelling at them or grounding them or insulting them."<br />
<br />
That is actually the EXACT OPPOSITE of Negative Reinforcement. That example is actually : Positive Punishment.<br />
<br />
Let me explain. (no there is too much, let me sum up):<br />
<br />
<span style="color: red;"><span style="background-color: white;">POSITIVE</span>:</span> Do Something or Give Something<br />
<span style="color: blue;"><span style="background-color: white;">NEGATIVE: </span></span>Stop Doing Something or Take Something Away<br />
<br />
<span style="background-color: yellow;">REINFORCEMENT: </span>Increases a behavior<br />
<span style="background-color: lime;">PUNISHMENT: </span>Decreases a behavior<br />
<br />
SO:<br />
<br />
EXAMPLE: You want your kid to take out the trash<br />
<br />
<span style="color: red;">POSITIVE</span> <span style="background-color: yellow;">REINFORCEMENT:</span><br />
When they take out the trash, you praise them or give them a reward, and then they take it out more often<br />
<br />
<span style="color: blue;">NEGATIVE </span><span style="background-color: yellow;">REINFORCEMENT:</span><br />
When they take out the trash, you stop nagging them, and then they take it out more often<br />
<br />
<span style="color: red;">POSITIVE</span> <span style="background-color: lime;">PUNISHMENT:</span><br />
<div class="separator" style="clear: both; text-align: left;">
Your kid refuses to take out the trash, you spank them, they stop refusing.</div>
<div class="" style="clear: both; text-align: left;">
OR your kid refuses to take out the trash, you give them $5, they stop refusing. </div>
<br />
<br />
<span style="color: blue;">NEGATIVE</span> <span style="background-color: lime;">PUNISHMENT:</span><br />
Your kid refuses to take out the trash, you stop giving them allowance, they stop refusing.<br />
<br />
<br />
The important thing to remember is that NONE OF THESE TERMS refer to moral judgments or preferences.<br />
<br />
Punishment, by definition, decreases a behavior. It could be very enjoyable and nice, if it decreases the behavior it is a punishment. You could give someone ice cream, and if it stopped them from cussing you out, then it is by definition a punishment of cussing. (if it made them cuss you out more so they'd get ice cream then it became reinforcing...oops)<br />
<br />
<br />
Positive means "you do something" so spanking and cussing out your kids is in this sense "positive" because are DOING something.<br />
Negative means "take something away or stop doing something." It doesn't mean it's aversive or unpleasant <br />
<br />
THIS is positive punishment: <br />
<br />
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<br />
<br />
ie: Sunscreen works through negative reinforcement. When you put on sunscreen, you decrease or take away a sunburn, and then sunscreen is put on more often. The behavior is done more often, because something was taken away.<br />
<br />
Parents often think that if something is unpleasant it is a punishment. Well, if your kid is smoking marijuana and coming home late, and you take away their cell phone - then they smoke more and come home late more often - THEN you have reinforced them.<br />
You used NEGATIVE REINFORCEMENT. You took something away, and it increased the behavior (smoking and staying out late).<br />
<br />
If they were smoking and coming home late and you took them to a minor league baseball game and spent more time with them, and they stopped smoking and staying out late, THEN you have POSITIVELY PUNISHED them. You did something, and the behavior decreased. <br />
<br />
<br />
Clear as mud?Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-85053990378334626312015-03-20T09:02:00.000-07:002015-03-20T09:02:12.023-07:00Book Review: Food, A Love Story<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQdjyUEcVqVixVpJMLy_9wnZi_o-DMU5TVRzxQsKDZuUpn2FLeygfVAlqPBasAlr458Z83TEHUGakftomMyNL0F3qjZ3gBAn9queVMErMbgtoDRPhdW0jTR48grAO8c9zdRzmpW4KVR6_T/s1600/food.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjQdjyUEcVqVixVpJMLy_9wnZi_o-DMU5TVRzxQsKDZuUpn2FLeygfVAlqPBasAlr458Z83TEHUGakftomMyNL0F3qjZ3gBAn9queVMErMbgtoDRPhdW0jTR48grAO8c9zdRzmpW4KVR6_T/s1600/food.jpg" /></a></div>
<br />Grade: D+<br /><br />I really wanted to love this book. Jim Gaffigan is one of the funniest comedians I have ever heard. I bust up when I watch his videos: Mr. Universe, Beyond the Pale, and Obsessed. I watch YouTube clips and I constantly quote his material.<br />
<br />
He is a comedic genius. He is hilariously self deprecating and he knows what the audience is thinking. His timing is precise and his delivery is practiced and polished and perfect.<br />
<br />
And his book is a re-run.<br />
<br />
I listened to the audio tape. It is 7 hours of rehashed material I have heard before - with boring descriptions of the food across America mixed in.<br /><br />I loved "Hot Pockets" the first time I heard it. I also loved "Kale" and so many others... and I heard them all again. ALL. Repeated. Slower, and much less funny.<br />
<br />
This book is a sad money grab. It is not original. It is not new. It is not worth the time or money. <br /><br />Go on Netflix and watch his specials. Laugh so hard you cry - and then skip this book. You'll thank me.<br />
<br />
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-30127574229335840002015-02-23T16:08:00.000-08:002015-02-23T21:33:41.811-08:00Book Review: Deadly Medicines and Organized Crime<div class="separator" style="clear: both; text-align: center;">
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<br />
<span style="font-size: large;">Grade: A</span><br />
<br />
<div class="text_exposed_root text_exposed">
Mind Blown! I mean it. I've been skeptical of the pharmaceutical industry for many years, but I don't know of anything as impressive as this book.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
<b>This book is not written by some anti-drug hack</b>. Dr. Peter Gotzsche co-founded the Cochrane Collaboration in 1993 and established The Nordic Cochrane Centre the same year. </div>
<div class="text_exposed_root text_exposed">
I first heard about the Cochrane Collaboration in my high school debate class when my teacher was discussing the greatest collection and analyses of medical knowledge in the world.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
Yeah - the author of this book helped found it and he has worked in medical research and meta-analysis of data for most of his life. He became Professor of Clinical Research Design and Analysis in 2010 at the University of Copenhagen.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
Basically - this guy knows what he is talking about. He is a physician who has prescribed medications, he has been a "drug rep" and helped sell medications, and he has since analyzed more studies than any researcher I've read.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
The only reason this book doesn't get an A+ is because it is so amazingly heavy on research and medical terminology that it is unlikely to be read by the general public.</div>
<div class="text_exposed_root text_exposed">
<br />
<b>This book meticulously and methodically shows how deeply entrenched the pharmaceutical industry is in EVERY level of medicine.</b></div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
I knew they offered free lunches, free drug samples, and they paid for speakers at medical conferences. I knew they used to give out free pens and paper, and toys, and clocks. I even knew they had some pull at the FDA. I had no idea about all the rest.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
<b>MEDICAL JOURNALS</b></div>
<div class="text_exposed_root text_exposed">
This was the part that scared me the most. </div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
The BMJ (British Medical Journal)'s former editor said "medical journals are an extension of the marketing arm of the pharmaceutical companies." - p. 64</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
WHAT?! Medical journals are where I get my trustworthy information. It's where I can find double blind randomized control trials that have been peer-reviewed. They are the gold standard for research!</div>
<div class="text_exposed_root text_exposed">
Journals are where I proudly hang my hat. I don't need to listen to drug reps - I read the New England Journal of Medicine. The best in the world!</div>
<div class="text_exposed_root text_exposed">
<br />
It turns out journal editors can be bought off - just like everyone else. Even the best medical journals in the world - New England Journal of Medicine, Lancet, BMJ, Annals of Internal Medicine and JAMA - have all accepted drug money to publish misleading information or bad studies.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
<b>The New England Journal of Medicine</b> (likely the most respected medical journal in the world) is as guilty as the rest. <a href="http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2964336/">32% of all trials</a> published in their journal were solely funded by drug companies.</div>
<div class="text_exposed_root text_exposed">
NEJM even changed their policy in 2002 to allow authors to write about products in which they had a financial interest.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
Journals make HUGE money from advertisements and reprints. If they publish a study beneficial to a drug company - that company promises to buy reprints in order to show them to physicians.<br />
</div>
<div class="text_exposed_root text_exposed">
<b>The Lancet</b> made over £1.5 million on orders for a reprint of just one of their editions. - p. 65</div>
<div class="text_exposed_root text_exposed">
<b>The Annals of Internal Medicine</b> lost over $1 million in advertising revenue after it published a study that was critical of industry advertisements. - p. 65</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
Journals have a financial interest in making their article abstracts sound beneficial for new drugs. Reprints will be ordered. The more they allow a study to minimize or hide side effects - the more money they'll make.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
Journal corruption is just one small chapter in this book. Gotzsche also details corruption in clinical trials, seeding trials, TV ads, the FDA, patents, professional organizations, and even CME (Continuing Medical Education.)<br />
<br />
Doctors have to stay current. To keep our board certification we have to log hours of continuing education.</div>
<div class="text_exposed_root text_exposed">
<b>60% of all CME is paid for and provided by drug companies</b> - so guess what most of us are learning? Exactly what they want us to.</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
Drug companies are not changing. They get caught in their fraud and they either say it was "one bad apple" or "mea culpa: we've now changed our ways."</div>
<div class="text_exposed_root text_exposed">
</div>
<div class="text_exposed_root text_exposed">
It's all lies.</div>
<div class="text_exposed_root text_exposed">
</div>
<span data-ft="{"tn":"K"}" data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body"><span class="UFICommentBody" data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0"><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.0"><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.0.$end:0:$0:0">If you look at the 3 years span from 2010-2012 you'll find these cases:<br /> </span><br data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.0.$end:0:$1:0" /><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.0.$end:0:$4:0">2012: Abbott paid $1.5 Billion for Medicaid fraud </span></span><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3"><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0"><br data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$1:0" /><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$2:0">2012: Johnson and Johnson fined $1.1 Billion for hiding side effects</span><br data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$3:0" /><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$4:0">2011: GlaxoSmithKline paid $3 Billion for illegal marketing of off-label drugs. </span><br data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$5:0" /><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$6:0">2010: AstraZeneca paid $520 Million for fraud </span><br data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$7:0" /><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$8:0">2010: Novartis paid $423 Million for illegal marketing</span><br data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$9:0" /><span data-reactid=".2y.1:3:1:$comment1023619157651492_1025279610818780:0.0.$right.0.$left.0.0.1:$comment-body.0.3.0.$end:0:$12:0">the list goes on...</span></span></span></span></span><br />
<br />
They aren't changing. Drug companies know how to make money - and these lawsuits are already factored in to the profit predictions. They know that these fines are worth it. The fraud makes them more money than they will ever be fined.<br />
<br />
This book made me look at my life. I'll graduate from fellowship in four months and begin my career as a Child and Adolescent Psychiatrist.<br />
<br />
I know there are good medications. There are caring doctors. There are honest people working as drug reps. There are intelligent and ethical researchers at the FDA and at pharmaceutical companies. There are honest, discerning journal editors who want to publish the truth.<br />
<br />
I simply don't trust drug companies to give any of these people accurate information.<br />
<br />
Peter Gotzsche's book is heart-breakingly accurate. I highly recommend it.<br />
<br />
(Because of this book, I have started a facebook group for prescribers called "<a href="https://www.facebook.com/groups/1442985812659079/">Doctors Without Sponsors</a>" to help increase awareness and encourage others to decrease their reliance on drug companies' information and money. I also recommend signing this pledge: <a href="http://noadvertisingplease.org/sign/">http://noadvertisingplease.org/sign/</a>)Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-716293442043032982015-02-17T09:06:00.000-08:002015-02-17T09:09:04.360-08:00Book Review: Essentialism<div style="text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQgMEsMSyScBh_lrzxtyulWadxc8sIcKm6SH8fRDHbDuUM5SXSf2v81u-yHKyL-gGHjclorzVMo8TQt51sbcJq9QXf3jpBDGNgPdKeFpFjdoswdaQ0rK3arhvE4SC54lLPhE68ZVVfu7rE/s1600/Essentialism-book-cover.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhQgMEsMSyScBh_lrzxtyulWadxc8sIcKm6SH8fRDHbDuUM5SXSf2v81u-yHKyL-gGHjclorzVMo8TQt51sbcJq9QXf3jpBDGNgPdKeFpFjdoswdaQ0rK3arhvE4SC54lLPhE68ZVVfu7rE/s1600/Essentialism-book-cover.png" height="320" width="221" /></a></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"></span> </div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><strong>Fast Read with Pearls of Wisdom</strong></span></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><em>Grade: B+</em> </span></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"></span> <span style="font-family: Calibri;">This book helps you develop more options in your life. Push away all the clutter and figure out what you REALLY care about, and what you need to have a fulfilling life.</span></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"></span> <span style="font-family: Calibri;">It starts with a rather extreme idea - say NO to everything. Seriously, when you are asked to do pretty much anything, say no. </span></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><em>"Do you ever feel busy but not productive?"</em> (p. 4) I do. This is because we do so many things that don't really matter to us. We do things that we don't care about, that don't move us forward, that aren't part of our value system. They don't advance our career or improve a relationship - yet we do them anyway.</span></div>
<span style="font-family: Calibri;"><em>"Live by design, not by default."</em> (p. 7) How many of us really choose what we do each day? How many of us have daily goals, weekly goals, monthly goals, yearly goals? Even if they are not written down - we know what they are and we know what we are doing each day to get us there.</span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">"If you don’t prioritize your life, someone else will." (p.
10) Just like your dream. If you aren't fulfilling your own dream , someone else will pay you to help fulfill theirs.</span></div>
He then gets into some other great points about our homes, our belongings, our clutter:<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><em>"We tend to value things we already own more highly than they
are worth."</em> (p. 18) We've been taught to never throw anything away. Which increases our number of choices, increasing our stress, decreasing our space and enjoyment.</span></div>
<span style="font-family: Calibri;"><em>"This book is not about going back to a simpler time.<span style="mso-spacerun: yes;"> </span>It’s not about eschewing e-mail or
disconnecting from the web or living like a hermit.</em><span style="mso-spacerun: yes;"><em> "</em> (</span>p. 27)<o:p></o:p></span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">This book embodies the idea of Good Better Best. Stop doing so many things that are merely GOOD. WE can fill out lives with "good" things and miss out on everything that is better, and even the best.</span><br />
<span style="font-family: Calibri;"></span><br />
<span style="font-family: Calibri;"><em>"We aren’t looking for a plethora of good things to do.<span style="mso-spacerun: yes;"> </span>We are looking for the one where we can make our absolutely highest point of contribution."</em> (p. 112)</span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">We need to reevaluate the way we look at opportunities: <em>Don’t ask “How will I feel if I miss this opportunity?” but
rather, “If I did not have this opportunity, how much would I be willing to
sacrifice in order to obtain it?”</em> (p. 149)</span></div>
<br />
This book took me a few days to read because it is well written. The author gives interesting and understandable examples and it was easily applied to me daily life. I am glad I read it.<br />
<br />
I recommend it<br />
<span style="font-family: Calibri;"><br />
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">****************************************************************************</span></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;">Here are a few more of my favorite quotes:</span><br />
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>Essentialism is not about how to get more things done, it’s about how to get the right things done. – p. 5<o:p></o:p></strong></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;">The more choices we are forced to make, the more the quality of our decisions deteriorates. – p. 15<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><span lang="EN" style="color: #141823; font-size: 10pt; line-height: 107%; mso-ansi-language: EN;"><em>We keep doing things we <span class="highlightnode5">detest</span> to buy things we don't need with money we don't have to impress people we don't like. – p. 26</em></span></span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>Drip by drip we allow our power to be taken away until we end up becoming a function of other people’s choices – or even a function of our own past choices. – p. 39</strong></span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;">Warren Buffet decided early in his career it would be impossible for him to make hundreds of right investment decisions, so he decided that he would invest only in the businesses that he was absolutely sure of, and then bet heavily on them. – p. 44</span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><em>You cannot overestimate the unimportance of practically everything – p. 45 (John Maxwell)</em></span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>There are no solutions.<span style="mso-spacerun: yes;"> </span>There are only trade-offs. – p. 55 (Thomas Sowell)</strong></span></span><br />
<strong><span style="font-family: Calibri;"></span></strong><br />
<span style="font-family: Calibri;"><span style="color: #212121; mso-ascii-font-family: Calibri; mso-hansi-font-family: Calibri;">By abolishing any chance of being bored we have also
lost the time we used to have to think and process – p. 68</span><o:p></o:p></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><em>The best journalists do not simply relay information.<span style="mso-spacerun: yes;"> </span>Their value is in discovering what really matters to people. – p. 75<o:p></o:p></em></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>Play stimulates the parts of the brain involved in both careful, logical reasoning <i style="mso-bidi-font-style: normal;">and</i> carefree, unbound exploration. – p. 87<o:p></o:p></strong></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;">“If you think you are so tough you can do anything I have a challenge for you.<span style="mso-spacerun: yes;"> </span>If you really want to do something hard; say not to an opportunity so you can take a nap.” – p. 94<o:p></o:p></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><em>The best violinist spent more time practicing than the merely good violinists…[AND] the best violinists slept an average of 8.6 hours in every 24 hour period; about an hour longer than the average American. – p. 97</em></span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>If we could be truly excellent at only one thing, what would it be? – p. 127</strong></span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;">When people ask us to do something, we can confuse it with our relationship with them. – p. 137</span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><em>Sunk Cost Bias – it explains why we’ll continue to sit through a terrible movie because we’ve already paid the price of a ticket. – p. 146<o:p></o:p></em></span></span></div>
<br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><strong>Nearly 40 percent of our choices are deeply unconscious – p. 209</strong></span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;">Every habit is made up of a cue, a routine, and a reward – p. 209</span></span><br />
<br />
<span style="font-family: Calibri;"><span style="font-family: Calibri;"><em>On my worst days I have wondered if my tombstone will read “He checked e-mail” – p. 232</em></span></span></div>
<span style="font-family: Calibri;"><o:p></o:p></span><br /></div>
<span style="font-family: Calibri;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
</div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-81304554950334575122015-02-01T07:46:00.000-08:002015-02-01T07:55:10.760-08:00How Did I Find the Dedication to Train for a Marathon? By Realizing I Am Too Lazy to Walk 100 Meters to Get to a Gym.<div class="MsoNormal">
</div>
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpAqNGaCcE0pPCbaqlE5wLf_JMHl2O-B-cserB0iHJarnmDvNmatyT62aoktpuH2FX5XopWCfsAN-QCcJlyVWn2hqANfv6OJQwee3cB4ZZ8Ed4ofK3xE8Q_hA2RFlnoCIWhOktbWsuXFXx/s1600/GYM.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgpAqNGaCcE0pPCbaqlE5wLf_JMHl2O-B-cserB0iHJarnmDvNmatyT62aoktpuH2FX5XopWCfsAN-QCcJlyVWn2hqANfv6OJQwee3cB4ZZ8Ed4ofK3xE8Q_hA2RFlnoCIWhOktbWsuXFXx/s1600/GYM.jpg" height="320" width="226" /></a></div>
<div class="MsoNormal">
On January 1st I asked for some advice on what gym I should join.<span style="mso-spacerun: yes;"> </span>I knew I wanted to get back into shape – and I
wanted to train for a long race.<span style="mso-spacerun: yes;"> </span>I didn’t
know if it would be a 10K or a half Marathon – I just knew I needed to get
running.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
Luckily I know myself – and I know how lazy I am.<span style="mso-spacerun: yes;"> </span>I would only run if it were easy.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I teach a religion class every morning and then I have a
break before work starts.<span style="mso-spacerun: yes;"> </span>I knew I would
only exercise during that break if it were easy.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I debated using the
University gym down the street – but I knew I’d never make it.<span style="mso-spacerun: yes;"> </span>I refuse to pay $200 for the parking pass,
and if I had to walk over 100 meters to get to the gym – I wouldn’t do it.<span style="mso-spacerun: yes;"> </span>(This is when friends said to me - “you’re
training to run a 13 mile race but you won’t walk 100 meters?”)</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
CORRECT.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I then looked at the Hospital’s gym – it was gorgeous and
amazing with every amenity I could ever want: treadmills, a track, classes, a
pool and sauna, etc… – but the parking lot was still too far from the gym and it
cost too much.<br />
<br />
Then I found Anytime Fitness.<span style="mso-spacerun: yes;"> </span>It was
small and dinky with tiny bathrooms, only 2 showers, and very few channels on
the TV.<span style="mso-spacerun: yes;"> </span>No pool, no amazing
equipment.<span style="mso-spacerun: yes;"> </span><br />
<br />
AND it was only one mile from where I teach my morning class.<span style="mso-spacerun: yes;"> </span>I could park 10 feet from the gym door and I could
be running on a treadmill 30 seconds after parking my car.<br />
<br />
What was the result?</div>
<div class="MsoNormal">
That first week I ran 3 miles.</div>
<div class="MsoNormal">
The next week I ran 9.<span style="mso-spacerun: yes;">
</span><br />
<br />
I realized that I still like running and I can run a really long
distance.<span style="mso-spacerun: yes;"> </span>I just hate getting READY to
work out.<span style="mso-spacerun: yes;"> </span>Now, that part was easy.</div>
<div class="MsoNormal">
The next week I ran 18 miles.<span style="mso-spacerun: yes;"> </span>I had decided to train for a full marathon:
26 miles.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
I have now scheduled my workouts for the next 6 months.<span style="mso-spacerun: yes;"> </span>I take 3 days off per week.<span style="mso-spacerun: yes;"> </span>I have cross training days and recovery
days.<span style="mso-spacerun: yes;"> </span>I’m still me - I want time off.<span style="mso-spacerun: yes;"> </span><br />
<br />
<span style="mso-spacerun: yes;">But</span> I have no doubt I’ll keep training for the next 5 months and
I’ll run that marathon, because I'm loving my daily schedule.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Running a Marathon may be the hardest physical feat I ever complete
- and the only reason I believe I can do it… is because I made it easy.</div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-17281355577336331152015-01-23T08:14:00.000-08:002015-01-23T08:15:59.645-08:00Book Review: FOCUSED<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrX_u0HSIVQLW5c1B6nyWKqnjgVNt02ymhpGT2RPliRGi-d1j1jHYxj4XGz_rlyNL1ABqe84gNt5thHeRMeSBs7rAMQDZLIrsET5zLbp4_A1zj1XGmY6ZN-fPhwP3mw38cO_M8oL9BC7Wt/s1600/Focused+Book+Cover.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjrX_u0HSIVQLW5c1B6nyWKqnjgVNt02ymhpGT2RPliRGi-d1j1jHYxj4XGz_rlyNL1ABqe84gNt5thHeRMeSBs7rAMQDZLIrsET5zLbp4_A1zj1XGmY6ZN-fPhwP3mw38cO_M8oL9BC7Wt/s1600/Focused+Book+Cover.jpg" height="320" width="242" /></a></div>
<br />
This is a perfect book. <br />
<br />
It's a short, simple, heartfelt autobiography of a women overcoming tragedy and defeat. It is the story of Noelle Pikus Pace; and Olympic athlete who was #1 in the world until her leg was broken by a 1,400 pound runaway bobsled going 60 mph.<br />
<br />
This is a story about family and faith. Noelle tells us what it was like to have her career derailed. How she struggled to get back to the top, only to finish one tenth of a second too slow to get the bronze medal. <br />
<br />
She tells of the heartache of being away from her husband and children. Her lack of focus and scattered goals while meandering through years of Olympic training.<br />
<br />
Then her decision to take her family with her for the rest of her training. Her realization that in order to be the athlete she wanted to be, she also needed to be the wife and mother she wanted to be. As her focus became clear and she chose family and God, AND Skeleton racing - she was able to live the life she wanted.<br />
<br />
She realized that she didn't need to focus on other racers, or be competitive AGAINST them. She could be a competitive athlete, by becoming the best version of herself.<br />
<br />
As she says in the book:<br />
"Be fearless and love yourself for who you are and what you can offer. Share your talents, whatever they may be, with those around you. Be humble when you recognize you have a gift, and continue to develop it. Help and encourage others as they try new things and develop their talents. Don’t be afraid for them to succeed. Their success cannot diminish your talents unless you allow it to. Compliment yourself when you do something praiseworthy. Compliment others as well. Be honest with yourself about your weaknesses, and strive to make them stronger. Don’t strengthen your weakness in order to beat someone else, but strengthen them to become the best version of yourself. Finally, and most important, dare to be you!"Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-55503480910812180202014-12-30T10:43:00.003-08:002014-12-30T11:17:43.420-08:00Book Review: The Fifth Discipline<div class="separator" style="clear: both; text-align: center;">
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Grade: C+<br />
<br />
This is the third book I have recently chosen not to finish.<br />
<br />
Time is precious. I am not a businessman. I am not a CEO, or a manager. This book was not worth the time and not worth the energy needed to learn a new language.<br />
<br />
The Fifth Discipline is very dense, very detailed, and it makes up its own terms and then uses them extensively. <br />
<br />
There were many parts I loved, examples that were eye-opening, and stories that were inspiring. I finished 85% of the book over 11 months of reading and finally gave up. <br />
The author appears to have spent too much time inventing terms. He has his own name for each kind of system, and interaction, and leadership style etc...<br />
After about 300 pages I got lost in the new lingo and couldn't even understand what he was trying to say.<br />
Others will say this book is the businessman's bible. To me, it is now a book to be given away or sold in a garage sale. As my friend Jim would say "The juice ain't worth the squeeze."<br />
<br />
<u>Here are a few parts I liked and want to remember:</u> <br />
<br />
<div class="MsoNormalCxSpFirst">
"Today's problems come from yesterday's 'solutions'."<br />
</div>
<div class="MsoNormalCxSpMiddle">
"How do we see a business, as a human
community or as a machine for making money?"<br />
<br />
"If people don't have their own vision, all they can do is 'sign up' for
someone else's. The result is compliance, never commitment."<br />
<br />
</div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-10008184034278962742014-12-26T11:12:00.003-08:002014-12-26T23:59:38.355-08:00Book Review: Tao Te Ching<div class="separator" style="clear: both; text-align: center;">
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<br />
It always seems odd to write a "book review" of any sacred text. <br />
<br />
This may not be the "scripture" of my own religion, but I know how I treasure and revere my own sacred text. Thus I hope to treat others with the same respect.<br />
<br />
This is a very short book that could be studied for centuries - in fact it has been. It was written in the 6th century BC by Lao Tsu, a record-keeper at the Zhou dynasty court in China.<br />
<br />
There are 81 Chapters (they are more like poems really). Each is less than one page, the shortest has less than 30 words. As a line in the fifth chapter points out: More Words Count Less<br />
<br />
It's as if Lao Tzu wrote down the most deeply meaningful and simple proverbs of the court. We could read any single line and ponder on it for weeks.<br />
<br />
<u>Some parts remind of therapy:</u><br />
<br />
Move with the present. (14)<br />
<i>Let the mind become still. (16)</i><br />
People love to be side tracked. (53)<br />
<i>People usually fail when they are on the verge of success. So give as much care to the end as to the beginning. (64)</i><br />
The truth often sounds paradoxical. (78)<br />
<br />
<u>There were many parts that sounded like what I learn in Sunday School every week:</u><br />
<br />
Heaven and earth last forever. (7)<br />
<i>Misfortune comes from having a body. (13)</i><br />
Become as a little child once more. (28)<br />
<i>Restraint begins with giving up one's own ideas. (59)</i><br />
<br />
<u>There was simple straight forward truth:</u><br />
No fight, no blame. (8)<br />
<i>He who does not trust enough will not be trusted. (23)</i><br />
He who brags will not endure. (24)<br />
<i>He who knows he has enough is rich. (33)</i><br />
Before receiving, there must be giving. (36)<br />
<i>The world is ruled by letting things take their course. (48)</i><br />
Those who know do not talk, those who talk do not know. (56)<br />
<u></u><br />
<u>There was sound advice:</u><br />
Accept being unimportant. (13)<br />
<i>Achieve Results: but not through violence. Never boast, never be proud. (30)</i><br />
I have three treasures which I hold and keep: The first is mercy; the second is economy; the third is daring not to be ahead of others. From mercy comes courage; from economy comes generosity; from humility comes leadership.(67)<br />
<br />
There were also multiple references to "The Ten Thousand Things" which I took to mean "everything in the world" but I could be totally wrong there.<br />
<br />
This book can be read quickly in an hour or two. It can also be pondered on for lifetimes.<br />
I found it useful. I will keep thinking about the parts I highlighted and the little bits I wrote here. I think that is part of the measure of a book, and certainly of sacred texts: Does it stay with you? Does it change you?<br />
<br />
I know it will stay with me, we shall see if it changes me.<br />
<br />
I recommend it.Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-53723367402000776492014-12-21T17:35:00.001-08:002014-12-21T17:38:27.903-08:00The Pogo Stick Saga of 2014<!--[if gte mso 9]><xml>
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My daughter wanted a pogo-stick for Christmas.<span style="mso-spacerun: yes;"> </span>So, as the dutiful father I scoured the Thanksgiving
weekend <span style="mso-spacerun: yes;"> </span>ads and found one for sale.<span style="mso-spacerun: yes;"> </span>We were visiting my in-laws in Pocatello, Idaho
and once I found one for sale I cajoled my father-in-law into going shopping
with me.
<br />
<div class="MsoNormal">
We dutifully drove to the rundown Kmart on the North end of
town, found our prize, and moved to the checkout counter.<br />
<br />
Would I like to buy a year warranty for $3? </div>
<div class="MsoNormal">
Well, my kids are going to beat this thing to death, and if
any part breaks for any reason in the next year they’ll give me a new one.<span style="mso-spacerun: yes;"> </span>SOUNDS GREAT!<br />
<br />
The pogo stick box was way too long to fit in a single bag so they teller put one bag on
the top, another on the bottom, and I slipped the receipt in the bag and walked
out with my prize.</div>
<div class="MsoNormal">
WHAM!<span style="mso-spacerun: yes;"> </span>Gale force
winds slammed against me as I sprinted into the parking lot trying to keep the pogo
stick from flying out of my hands.<span style="mso-spacerun: yes;"> </span>The
bag on top went flying off into the air, then the wind struck the pogo stick and
sent it toppling out of the bag on bottom.<span style="mso-spacerun: yes;">
</span>I bent down to pick up my daughters Christmas gift and saw the receipt fly
out of the bag and skid across the parking lot.<span style="mso-spacerun: yes;">
</span><br />
<br />
THAT RECEIPT HAD MY $3 INSURANCE VERIFICATION!<br />
</div>
<div class="MsoNormal">
I secured the pogo stick under one arm and started running after
the receipt.<span style="mso-spacerun: yes;"> </span>Just as I was about to step
on it the wind whisked it out from under my foot.<span style="mso-spacerun: yes;"> </span>I started doing a Charlie Chaplin imitation as
I slammed my feet over and over again onto the pavement trying to pin down a receipt that kept evading my shoe.<span style="mso-spacerun: yes;"> </span>My father in law was doubled over in a full on
belly laugh at this point.</div>
<div class="MsoNormal">
I tried at least 12 times to step on the stupid receipt
as I chased it all the way across the parking lot until I saw it fly up and over the curb and into the middle of 4 lane
traffic.<span style="mso-spacerun: yes;"> </span><br />
<br />
The road was VERY busy as it
was the biggest shopping weekend of the year.</div>
<div class="MsoNormal">
I watched the receipt flip and float and then land in the
gutter on the other side of the street.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
It paused.</div>
<div class="MsoNormal">
Maybe, just maybe I could get to it.<span style="mso-spacerun: yes;"> </span>I started to step into traffic and try to sprint
across the street when I saw the receipt flip up and over the curb and into the
corner of a large stone wall.</div>
<div class="MsoNormal">
It stopped.</div>
<div class="MsoNormal">
The wind was holding it prisoner in the corner.<span style="mso-spacerun: yes;"> </span>My prey was trapped!<br />
<br />
I ran across the road and just as I stepped over the far curb I panicked as the
receipt flipped and flew and blew into the entrance of some large
facility.<span style="mso-spacerun: yes;"> </span>I looked up and saw that this
facility had a large parking lot.<span style="mso-spacerun: yes;"> </span>The
entrance was foreboding with huge car destroying blockades in the road and a
guard house <span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>between the entrance and exit lanes.<br />
<br style="mso-special-character: line-break;" /></div>
<div class="MsoNormal">
The receipt had blown just over one of these metal blockades
on the side of the guard house.</div>
<div class="MsoNormal">
The blockade was only about 4 feet high. I could probably
hop over really quick and grab the receipt and hop back before the guard ever
noticed.</div>
<div class="MsoNormal">
Besides would the guard really care?<span style="mso-spacerun: yes;"> </span>This facility couldn’t be THAT worried about
security could it?</div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>I looked at the wall
and saw three Big Bold Letters: </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
F.B.I.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
SERIOUSLY?!<span style="mso-spacerun: yes;"> </span>I mean
SERIOUSLY?????</div>
<div class="MsoNormal">
What were the chances? My receipt infiltrated the FBI?<span style="mso-spacerun: yes;"> </span>COME ON!!</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
What’s the penalty for hopping the barricade into an FBI facility?<span style="mso-spacerun: yes;"> </span>I didn’t really want to find out.<span style="mso-spacerun: yes;"> </span><br />
I saw the receipt start to flip up in the wind and I took the pogo stick out
from under my arm and extended it over the barricade and pinned the receipt
against the pavement.</div>
<div class="MsoNormal">
<span style="mso-spacerun: yes;"> </span>I couldn’t let it
blow away.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
Now I was standing just outside the guardhouse at an FBI
building with my arms over their barricade holding a receipt against the ground
by means of a pogo stick.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
By this time my father in law had come and parked in the entrance
and was walking towards me.</div>
<div class="MsoNormal">
Just then the guard looked up from her television and saw
one man reaching over the barricade while another walked up behind him.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
</div>
<div class="MsoNormal">
She ran out of the guard house yelling at us and trying to ascertain the seriousness of the situation.</div>
<div class="MsoNormal">
<br style="mso-special-character: line-break;" /></div>
<div class="MsoNormal">
I must have looked ridiculous as I stood, grasping a pogo stick like my life depended on it over the barricade. </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
She questioned my about the receipt, about the pogo stick, and about where I had bought it.</div>
<div class="MsoNormal">
<br />
AT THE KMART ACROSS THE STREET LADY!!!!</div>
<div class="MsoNormal">
<br style="mso-special-character: line-break;" /></div>
<div class="MsoNormal">
My father-in-law could have been helpful, but instead he just kept laughing and laughing as the guard finally bent down, picked up my windblown and tattered receipt, and handed it to me and let me pull my pogo stick back over the barricade.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
My daughter better LOVE this gift. She has NO IDEA what I went through... </div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-1789322638711473932014-11-15T18:10:00.000-08:002014-12-04T19:21:42.075-08:00Book Review: The Happiness Advantage<!--[if gte mso 9]><xml>
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<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiiA2TcdmCANlxWF4JChzT3rVhyphenhyphen1SpxE7t-6dK38pdfjRg4iLGnvn-DzDAoTse1bjH3oea8ae2RGx7C7BiXfaRdHmDhQGP_JYBZQmdMCzYS04vBinHlmYvXPPxTSelQOE8M4GpHAcM97a2G/s1600/happiness-advantage-book-cover.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiiA2TcdmCANlxWF4JChzT3rVhyphenhyphen1SpxE7t-6dK38pdfjRg4iLGnvn-DzDAoTse1bjH3oea8ae2RGx7C7BiXfaRdHmDhQGP_JYBZQmdMCzYS04vBinHlmYvXPPxTSelQOE8M4GpHAcM97a2G/s1600/happiness-advantage-book-cover.jpg" height="320" width="210" /></a></div>
<u><i><b><span style="font-size: large;">Grade: B</span></b></i></u><br />
<br />
<b>Riveting research gets a little stifled by the author’s pride.</b><br />
<br />
Did you know Shawn Achor went to Harvard?<span style="mso-spacerun: yes;">
</span><br />
No really. I’m quite certain of it.<span style="mso-spacerun: yes;">
</span>He only mentioned it about 27 times in this book, so it was kind of
subtle, but if you read between the lines you too can pick up this hidden gem.<br />
I promise not to mention it again – because it was the only glaring
annoyance in this otherwise useful book.<br />
<br />
<b>This book could also be called: The Placebo Effect.</b><br />
It is very very VERY real.<span style="mso-spacerun: yes;"> </span>People
dismiss the effect of thought on our physical body – and it’s HUGE.<br />
<br />
Thought is what leads to hormone release.<span style="mso-spacerun: yes;">
</span>Perception of fear releases adrenaline.<span style="mso-spacerun: yes;">
</span>Perception of happiness releases Dopamine.<span style="mso-spacerun: yes;"> </span>This book discusses Oxytocin and Cortisol and
many other hormones and it points out the absolutely real physiological effects
of each.<br />
<br />
Doing the exact same physical activity, with the thought that you are
exercising – leads to more weight loss and increased muscle gain.<span style="mso-spacerun: yes;"> </span><b>HORMONES matter.<span style="mso-spacerun: yes;"> </span>THOUGHT matters. </b><br />
Being “happy” can kill pain better than narcotics. Exercising can cure
depression better than antidepressants.<span style="mso-spacerun: yes;"> </span><br />
Being Happy decreases heart disease, diabetes, high blood pressure, and many
other PHYSICAL diseases.<br />
This is not about positive affirmations or “think a happy thought.”<span style="mso-spacerun: yes;"> </span>This book is not Peter Pan advice to help us
fly away from tragic lives.<br />
This book is science.<span style="mso-spacerun: yes;"> </span>Research study
after research study proving that our mental outlook on life makes a HUGE
difference in our physical health, our finances, our family, our friends, our
entire existence.<br />
<br />
This book is very worthwhile – because the author doesn’t just say “Get Happy” –
He gives you specific tasks and practices to accomplish it.<br />
<br />
<b>My favorite chapter was “Principle #6: <span style="mso-spacerun: yes;"> </span>The 20 Second Rule” </b><br />
It talks all about "activation energy." <br />
It takes very little energy to keep a signal running along a nerve.<span style="mso-spacerun: yes;"> </span>But it takes a burst of energy to start the
flow.<span style="mso-spacerun: yes;"> </span>You have to provide enough “activation
energy” to start it.<span style="mso-spacerun: yes;"> </span>Kind of like
getting<span style="mso-spacerun: yes;"> </span>a car rolling on a flat
road.<span style="mso-spacerun: yes;"> </span>You have to put in a ton of energy
to push the car from a dead stop but once it’s going it doesn’t take much to
keep it going.<br />
It is the same way with habits.<span style="mso-spacerun: yes;">
</span>Habits are very hard to start.<span style="mso-spacerun: yes;">
</span>Forming them can be a nightmare. <br />
The answer – DECREASE the activation energy.<span style="mso-spacerun: yes;">
</span>Make it as simple as possible to do the habit each day.<br />
What ever you want to do: put it in your natural path.<span style="mso-spacerun: yes;"> </span>Take away all need for decision making. Make
it harder NOT to do the new thing.<br />
<br />
If you want to exercise first thing in the morning – sleep in your gym clothes.<br />
If you want to learn to play the guitar – keep the guitar in the middle of the
room where you will almost run into it every time you walk through your house.<br />
The same is true for habits you want to STOP.<span style="mso-spacerun: yes;">
</span>Make it much much HARDER to do the thing you want to stop. <br />
If you check your e-mail WAY too often and you want to stop – delete your
shortcut, and don’t let the computer remember your password.<br />
Make it require time, energy, and a whole lot of work to do the WRONG thing.<br />
<br style="mso-special-character: line-break;" />
<br />
<br />
This chapter is genius.<span style="mso-spacerun: yes;"> </span>The entire book is
good. <br />
<br />
I recommend it.<br />
<br />
<br />
<br />
<b style="mso-bidi-font-weight: normal;"><u>Here are two of my favorite quotes
from the book:</u></b><br />
<br />
"Common sense is not common action." - p. 146<br />
<br />
"Coercing employees into awkward icebreakers or forced bonding
activities, like making everyone at a meeting share something about their
private lives, only breeds disconnection and mistrust. Better that these
moments happen organically - which they will if the environment is right. The
best leaders give their employees the space and time to let moments of social
connection develop on their own" - p. 193<br />
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<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgu_afNqJ3YpVulJm6TLHjJ6b_OHl34tUdmTpSxrpPczPaj4rkP2fkQY9UlbMrOoWFJu-MT_qFSPBgDkjEWvLgr4IWT06RAcvnJqENinpUAA-KjN-dQSi0o3Uao5QUKZvMVn8fhWEMmq_GI/s1600/Saleratus.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgu_afNqJ3YpVulJm6TLHjJ6b_OHl34tUdmTpSxrpPczPaj4rkP2fkQY9UlbMrOoWFJu-MT_qFSPBgDkjEWvLgr4IWT06RAcvnJqENinpUAA-KjN-dQSi0o3Uao5QUKZvMVn8fhWEMmq_GI/s1600/Saleratus.jpg" height="240" width="320" /></a></div>
<div class="MsoNormal">
Saleratus (Chemical formula <span style="mso-spacerun: yes;"></span><b><span class="chemf">NaHCO<span style="display: inline-block; vertical-align: -.4em;"></span><span class="chemf"><sub><span style="font-size: 10.0pt; line-height: 115%;">3</span></sub></span></span></b>)
is finding its way into more and more products you use on a daily basis.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Saleratus is a powerful cleaner used to in <b>Silver Polish,
Tile Scrub, Drain Cleaner</b> and more.<span style="mso-spacerun: yes;"> </span>It
is an odorless white powder which is very hard to detect.</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It is such a powerful absorbent that it can eliminate noxious
odors, masking spoiled foods.<span style="mso-spacerun: yes;"> </span><br style="mso-special-character: line-break;" />
<br style="mso-special-character: line-break;" />
</div>
<div class="MsoNormal">
It is likely in your cupboard and refrigerator right now,
preventing you from smelling which foods have gone bad.<span style="mso-spacerun: yes;"> </span><br />
<br />
<b>Saleratus is dangerous for many reasons.<span style="mso-spacerun: yes;"> </span></b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
It is well known for its <b>explosive properties</b> and is
commonly used by amateur bomb makers who can’t get a hold of regulated
combustibles.</div>
<div class="MsoNormal">
Saleratus is discovered through<b> fracking, mining,</b> and other
corrosive means.<span style="mso-spacerun: yes;"> </span>It can also be made in
a lab by combining <b>ammonia </b>with sodium chloride and carbon dioxide.<span style="mso-spacerun: yes;"> </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Due to its abundance it is now a cheap <b>additive</b> used in your
food.<br />
<br />
Most commonly it is being found in breads, cakes, muffins and even your morning
pancakes.<br />
<br />
There are even reports of its use in toothpaste!</div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
Find out more at this Wikipedia page: <a href="http://en.wikipedia.org/wiki/Saleratus">http://en.wikipedia.org/wiki/Saleratus</a> </div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
First get educated, then <b>join in the
fight to ban Saleratus from our food!</b></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
(it is currently being marketed under many names so as to not be easily identified. It may also be listed as: sodium hydrogencarbonate, nahcolite, sodium bicarbonate, or baking soda)<b> </b></div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com2tag:blogger.com,1999:blog-7222386106307024848.post-90150707899720999412014-10-01T11:00:00.000-07:002014-10-01T11:11:09.659-07:00Give the Doc a LollipopWhat if you could make your doctor faster at finding your diagnosis and treating you?<br />
<br />
I mean it. <br />
<br />
What if you could do something that would make it more likely for your doctor to diagnose you correctly, and get you on your way with the correct treatment sooner?<br />
<br />
You can. <br />
<br />
<strong>Give the Doc a lollipop.</strong><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAulhOPeqN-5kDdCXa5mrMecykUzR3J4JJi526kvWhfihYjoGn-PiPTx9CogncEJfF91HkbcsyynNIsXhf7BQiwZ5zFcBfSIutqiCjsorN_SqgjBhDt7cSbUcwFRylfP_63JoDmR4eO0t3/s1600/Doctor-with-Lollipop.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhAulhOPeqN-5kDdCXa5mrMecykUzR3J4JJi526kvWhfihYjoGn-PiPTx9CogncEJfF91HkbcsyynNIsXhf7BQiwZ5zFcBfSIutqiCjsorN_SqgjBhDt7cSbUcwFRylfP_63JoDmR4eO0t3/s1600/Doctor-with-Lollipop.jpg" /></a></div>
<br />
<br />
Seriously - Give your doctor a compliment, a tiny piece of candy, something to make the doc happy in the moment he/she sees you.<br />
<br />
That's what researchers did and the results were impressive. They gave doctors a patient summary to read over and diagnose. They handed one group of doctors a wrapped piece of candy before the test, not to be eaten right then, just to save for later whenever the doc wanted to eat it.<br />
<br />
The other group got nothing - just the case summary.<br />
<br />
The doctors who were given a piece of candy knew the right diagnosis twice as fast as the "no candy" group. The "candy docs" were also less likely to get stuck thinking it was one diagnosis and be unwilling to consider other options. They didn't feel anchored by their first assumption. The candy docs were more willing to keep options open and search for the right diagnosis, rather than just try to prove their first instinct correct. And they found the right answer TWICE as fast!<br />
<br />
This little study re-affirms what we already know. People do better work when they are happy. So instead of focusing on the deficits and problems and faults of your doctors, your kids school teachers, your mechanic, your grocery store checker, etc... Make them happy and they'll do better work.<br />
<br />
Better for you and better for them.<br />
<br />
Give the doc a lollipop, it's as simple as that.<br />
<br />
(study quoted in The Happiness Advantage by Shawn Achor, page 47)Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-86815485673048717002014-09-29T18:04:00.001-07:002014-09-29T18:10:35.979-07:00Book Review: Walden<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPADUERfh04LFwbPed_hKY2_NLouxfT_5oXXE4dxmZ2pGfkwQ02-iUT6aZwFGNX0WIMIIeAmSESFt8bcD3Psbxb16z9tSRPaVdb73EpTuqPiOs7t7X3MT7yTzlBrhrv3SdeRhIfj1nuU7_/s1600/Waldon+Cover.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjPADUERfh04LFwbPed_hKY2_NLouxfT_5oXXE4dxmZ2pGfkwQ02-iUT6aZwFGNX0WIMIIeAmSESFt8bcD3Psbxb16z9tSRPaVdb73EpTuqPiOs7t7X3MT7yTzlBrhrv3SdeRhIfj1nuU7_/s1600/Waldon+Cover.jpg" height="320" width="284" /></a></div>
<b><span style="font-family: Georgia,"Times New Roman",serif;">Inspiring and Deceiving </span></b><br />
<br />
Reviewing this book is complicated. If I had written the review yesterday it would have been mostly negative. I would have compared it to Atlas Shrugged: a few good facts that are oversimplified and mis-applied to everything, surrounded by hundreds of pages of boring monotony.<br />
<br />
Today I have quite a different view. This book is a glimpse, a pause, an alternative perspective that is useful and applicable.<br />
<br />
Let me explain.<br />
<br />
The problem was in my initial assumptions. I've heard of Walden and Thoreau many times in my life. I thought it was about a poor author who decided to stop fighting economic hardship and instead go live on the side of a little pond in the woods by himself so he could sit and think and contemplate and write down his thoughts in a journal. Then he eventually published what he learned while living in solitude in a little shack by a pond.<br />
<br />
Then I found out that Henry David Thoreau studied at Harvard, and he could live by the pond for free because his friend Ralph Waldo Emerson owned the land. Thoreau didn't live in solitude, but walked in to town on most summer days and visited friends, neighbors, local farmers, and also had regular visitors to his little self-built cabin. He used tools that he found, like an axe and a boat, and the rest he bought used.<br />
<br />
His book is NOT telling people to go live off the land by themselves. He isn't recommending solitude or that society would work if everyone only lived with what they need.<br />
<br />
His book is about an experiment. <br />
<br />
“I went to the woods because I wished to live deliberately.. and not, when I came to die, discover that I had not lived...I wanted to live deep and suck out all the marrow of life."<br />
"I left the woods for as good a reason as I went there. Perhaps it seemed to me that I had several more lives to live, and could not spare any more time for that one."<br />
<br />
Thoreau never said that living off the land by himself was the best way to live. He said he wished to reduce life to it's most simple form and see what he could learn. After he had learned it - he moved on to a new form of life.<br />
<br />
That is where I see the value: The lessons he taught are to be applied to the life we wish to live. We aren't supposed to abandon society and ambition and family and all comforts to live the most simple life possible - but we ARE supposed to see the superfluous parts of our lives. See where we have excess, where we are indebting ourselves, and what we can do without so we can simply enjoy life.<br />
<br />
This book is not a page turner. The first 10 pages were great, and the next 20 really were monotonous. It was worth it nonetheless. This book is worth reading, because it made me think and increased my understanding. What more could I want from a book?<br />
<br />
<u>The quote which made me think the most was this:</u><br />
<span style="font-size: large;">“The cost of a thing is the amount of what I will call life which is required to be exchanged for it, immediately or in the long run.” </span><br />
<br />
That made me realize that med-school didn't cost 4 years, or $200,000. Medical school will have cost me at least 15 years of life when I pay off the last debt. It will cost most doctors 30 years of life. <br />
Not that we don't<b> live </b>while in medical school and internship and residency and fellowship and practice - but we don't live free. We are still bound by medical school and it's debt and it cost me 15 years. <br />
<br />
Was it worth it?<br />
<br />
<div style="text-align: center;">
<u><span style="font-size: x-large;">My favorite quotes:</span></u></div>
<b>“As long as possible live free and uncommitted. It makes but little
difference whether you are committed to a farm or the county jail.”</b><br />
<br />
“Live in each season as it passes; breathe the air, drink the drink, taste the fruit, and resign yourself to the influence of the earth.” <br />
<br />
<i>"The number of those who own a shelter is a very small fraction of the whole. The rest pay an annual tax."</i><br />
<br />
“Say what you have to say, not what you ought. Any truth is better than make-believe.”<br />
<br />
<b>“Books must be read as deliberately and reservedly as they were written.” </b><br />
<br />
“Every generation laughs at the old fashions, but follows religiously the new.”<br />
<br />
<br />
<i>“My greatest skill in life has been to want but little” </i><br />
<br />
“Rather than love, than money, than fame, give me truth.”<br />
<br />
<b>"The fault-finder will find faults even in paradise. Love your life, poor as it is."</b><br />
<br />
“The mass of men lead lives of quiet desperation."<br />
<br />
<i>"I do not speak to the well-employed... but mainly to the mass of men who are discontented, and idly complaining of the hardness of their lot or of the times, when they might improve them."</i><br />
<br />
"While civilization has been improving our houses, it has not equally improved the men who are to inhabit them. It has created palaces, but it was not so easy to create noblemen and kings."<br />
<br />
<b>“As for the Pyramids, there is nothing to wonder at in them so much as the fact that so many men could be found degraded enough to spend their lives constructing a tomb for some ambitious booby, whom it would have been wiser and manlier to have drowned in the Nile, and then given his body to the dogs.”</b><br />
<br />
"Superfluous wealth can buy superfluities only. Money is not required to buy one necessary of the soul."Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-85868571916755252452014-09-25T20:39:00.001-07:002014-09-25T20:39:08.425-07:00Book Review: Unbroken<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFZrwsBrr-CycPnp5MFgwjb_qgjekqVDTBSg5LK4XTt8t9cOjL-I7boVck9McWkDKNtF8OBjW3d4XmISIZEcVy_WSg8QT_DTgi99QnqTz9OUYDu_e8QZ1lQe1j2B4XwmjMgIhZBCOZOltG/s1600/UNbroken.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiFZrwsBrr-CycPnp5MFgwjb_qgjekqVDTBSg5LK4XTt8t9cOjL-I7boVck9McWkDKNtF8OBjW3d4XmISIZEcVy_WSg8QT_DTgi99QnqTz9OUYDu_e8QZ1lQe1j2B4XwmjMgIhZBCOZOltG/s1600/UNbroken.jpg" height="320" width="210" /></a></div>
<b><span style="font-size: large;">Eye-opening.</span></b><br />
<br />
There is no other way to describe this book.<br />
<br />
I remember WWII History in High School. I learned all about Hitler and D-day and the battle throughout Europe and the concentration camps and Hitler's death and the victory and then the dividing up of Germany among the Allies, and Russia and the subsequent Berlin wall etc...<br />
<br />
Then I learned about the Band of Brothers of Easy Company and more and more about the European side of the war.<br />
<br />
What happened in the Pacific?<br />
I knew that we were bombed at Pearl Harbor, then Japan tried to take over all the islands in the pacific, many battles were fought, then we bombed Hiroshima and Nagasaki and the war was over.<br />
<br />
Seriously - that's what I knew about the battle in the Pacific. I heard names like Iwo Jima, and Midway, but I had no idea what happened there.<br />
<br />
<b>Now - I'm astonished at my own ignorance.</b><br />
<br />
I never knew how indoctrinated the Japanese were by their leaders. They were convinced that it was better to die than surrender. Any American who surrendered would really prefer death. <br />
<br />
While less than 0.01% of Japanese POWs captures by the USA died, 37% of American POWs died in Japanese camps. The Japanese completely ignored the laws regarding the treatment of POWs.<br /><br />It is sadly understandable now why the POW's in Japan were starved - the Japanese citizens themselves didn't have food either. All their resources went to the war, ALL. All young men were enlisted. All food taken for the war.<br />
The Japanese were determined to die fighting, down to the very last child.<br /><br />As I read I came to believe that the most humane thing the American's ever did in the war, was use the most horrific weapon ever created. <br /><br /><b>Dropping the Atomic bomb saved hundreds of thousands of Japanese lives.</b><br />
<br /> <br />
<div class="text_exposed_show">
</div>
This book tells the amazing story of perseverance of Louis Zamperini, but what I learned was the history I had never heard. <br /><br />Many will read this book and enjoy seeing Zamperini prepare to break the 4 minute mile. He was running 4:42 per mile in high school and was running under 4:10 in college. That boy could run!<br />
<br />
<div class="_5pbx userContent" data-ft="{"tn":"K"}">
Some readers will be amazed to learn of the tragic loss of life in training accidents: <br /><br />
<br />
Almost 15,000 American soldiers died stateside in aircraft accidents.<br />
<br />
<br />
I think most everyone will agree with what the POW's learned:<br /><br />
"Louis and Phil learned a dark truth known to
the doomed in Hitler's death camps, the slaves of the American South,
and a hundred other generations of betrayed people. Dignity is as
essential to human life as water, food, and oxygen."<br />
<br /><span class="text_exposed_show"></span>
Dignity. We can be deprived of many things in life, but to lose our dignity is to lose our very soul.<br /><br /><b>This book was excellent. I recommend it.</b></div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-70549604122354219122014-09-25T20:05:00.000-07:002014-09-25T20:05:02.007-07:00A Cure for Ebola!<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFEHq_97L2AhkZlKHruspOtOiRuDEpoctZ5DewshuDcDCsarkS7aENN3G4d9NsVOS336JXbG2prC0DdvmTKxI3EqFzdnWxaY9a3I2amvCU0m1XDZgiZyn0VNpEYwRtKnStkPEFofybXlre/s1600/Ebolacure.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgFEHq_97L2AhkZlKHruspOtOiRuDEpoctZ5DewshuDcDCsarkS7aENN3G4d9NsVOS336JXbG2prC0DdvmTKxI3EqFzdnWxaY9a3I2amvCU0m1XDZgiZyn0VNpEYwRtKnStkPEFofybXlre/s1600/Ebolacure.jpg" height="320" width="261" /></a></div>
<div style="text-align: center;">
<br /></div>
<div style="text-align: center;">
THEY FOUND A CURE FOR EBOLA!</div>
<br /><div style="text-align: center;">
<u><b>Oregano Oil</b></u></div>
<br /><br />
doTerra and Young Living say so on their websites - it must be true.<br />
<br />
Their other oils can cure cancer, repair brain injury, reverse autism,
heal endometriosis, thwart Grave’s Disease, stop Alzheimer’s, reduce
tumor size, and treat ADHD.<br />
<br />
Bell's Palsy, Rheumatoid Arthritis
and Crohn's disease are no match for doTerra. With these simple oils I
can replace my 9 years of medical training and thousands of years of
medical research.<br />
<br />
If we can get these oils on a Saturn V Rocket
we may be able to patch the hole in the ozone layer and stop global
warming. Load it into an F-22 and carpet the middle east with essential
oils and we can finally have peace in the region.<br />
<br />
What?<br /><br />
The FDA said it's all a lie? They have sent <a href="http://www.fda.gov/ICECI/EnforcementActions/WarningLetters/2014/ucm415809.htm">warning letters</a> to each company?<br />
<br /> These companies have no proof and are making unfounded illegal claims?<br />
<br />
Hmmmmmm - the FDA's part of the Government. Sounds like a conspiracy
to keep us slaves to Big Pharma and their so called "antivirals."<br /><br />
Conspiracy I tell you. CONSPIRACY!!!<br />
<br />Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com1tag:blogger.com,1999:blog-7222386106307024848.post-31552443641712302822014-09-15T20:05:00.003-07:002014-09-15T20:30:24.156-07:00Who Lies More: Big Pharma or Big Natura?<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmrhBhiAUjjpCJpTE_VXeOh7ThdAXeBICA8X7uMBuvMt1PNzBZB3q7xVV3Ija8wv7VZLBAdA3rrPGnB_F-N2qqVcGye_ALsR7RfSUZjlb70xCw62Wozy820id9upVUFM_5w_jaUxa_JSGN/s1600/supplements.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgmrhBhiAUjjpCJpTE_VXeOh7ThdAXeBICA8X7uMBuvMt1PNzBZB3q7xVV3Ija8wv7VZLBAdA3rrPGnB_F-N2qqVcGye_ALsR7RfSUZjlb70xCw62Wozy820id9upVUFM_5w_jaUxa_JSGN/s1600/supplements.jpg" height="480" width="640" /></a></div>
There is big trouble with the laws concerning Natural Supplements:<br />
<br />
Everyone knows there is no research required to show they work - but the scary part is that you don't even have to prove they're safe.<br />
<br />
You have no idea if what is in them is good, bad, safe, dangerous, passed to a baby in-utero through the placenta, secreted in breast milk, cleared through the kidneys or the liver. You don't know if it thins the blood, reacts with medications, or anything else.<br />
<br />
The part that drives me insane is what every single one says when it comes to safety: <b>"Ask your physician"</b><br />
<br />
HOW AM I SUPPOSED TO KNOW?!?! There is NO data. I can search pubmed and google scholar and cochrane and every other database - and find nothing.<br />
<br />
Don't get me wrong - there are GREAT natural medicines out there. I posted about seven that help mental illness <a href="http://thoughtsofasimplecitizen.blogspot.com/2012/08/natural-supplements-for-mental-health.html">at this link</a> a few years ago.<br />
<br />
The problem is that until a supplement causes enough deaths, it never gets researched. Or if it is researched, the results don't have to be reported. <br />
<br />
Ephedra was a great natural supplement... till it killed people. Then the FDA found out Metabolife had been doing research and already had reports of over 15,000 ephedra-related adverse events, ranging from insomnia to death. Yes. A Supplement Company was hiding research, letting people die so they could make more money.<br />
<br />
<br />
<span style="font-size: large;"><i>But I thought Big Pharma was the bad guy?</i></span><br />
<br />
There are plenty of demons in the pharmaceutical industry. There are plenty of demons in EVERY industry. <br />
But at least Big Pharma has to work really really hard to hide it because of all the oversight laws. "Big Natura" doesn't have to work hard at all - because no one is looking. The FDA can't look into them - Congress made sure of that.<br />
<br />
So you have to ask yourself:<br />
<br />
Who should you fear more - Big Pharma or Big Natura?Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-65166076077362506692014-08-29T09:20:00.000-07:002015-05-26T09:16:30.803-07:00Book Review: The Buddha and the Borderline<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP1Spl4QCZUx72zAkZFZ-V9E2fESiG7lX81i7ONpOfegcVZEbFINIQleh6DpBRZE3qUdapp_48F8q0MIQYIntstdid20b_68teblFnwWYqZ9igMoNHCHrjRRBCmSr50Lz3L3yIuVE1nWRR/s1600/Buddha+and+the+Borderline.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="320" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEiP1Spl4QCZUx72zAkZFZ-V9E2fESiG7lX81i7ONpOfegcVZEbFINIQleh6DpBRZE3qUdapp_48F8q0MIQYIntstdid20b_68teblFnwWYqZ9igMoNHCHrjRRBCmSr50Lz3L3yIuVE1nWRR/s1600/Buddha+and+the+Borderline.jpeg" width="208" /></a></div>
<div style="text-align: center;">
<o:p><strong><em><span style="font-family: Times, "Times New Roman", serif;">"<span style="font-family: "Calibri","sans-serif"; font-size: 11pt; line-height: 115%; mso-ansi-language: EN-US; mso-ascii-theme-font: minor-latin; mso-bidi-font-family: "Times New Roman"; mso-bidi-language: AR-SA; mso-bidi-theme-font: minor-bidi; mso-fareast-font-family: Calibri; mso-fareast-language: EN-US; mso-fareast-theme-font: minor-latin; mso-hansi-theme-font: minor-latin;">my recovery from borderline personality disorder through dialectical behavior therapy, Buddhism, & online dating</span> "</span></em></strong></o:p></div>
<div style="text-align: center;">
<o:p><strong><em><span style="font-family: Times, "Times New Roman", serif;"></span></em></strong></o:p> </div>
<o:p><span style="font-family: Times, "Times New Roman", serif;">*Any book that has the subtitle like that has got to be interesting.</span></o:p><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;">This book is quite impressive. It’s the best education I’ve received on what
Borderline Personality Disorder (BPD) is, and how therapy treats it.<o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;">I have read the books by the doctors and grad students who came up
with therapy for this disorder. It's called DBT – Dialectical Behavioral Therapy.<span style="mso-spacerun: yes;"> </span>I have worked for two years in a DBT adolescent
treatment center.<span style="mso-spacerun: yes;"> </span>I have collaborated
with DBT therapists and seen our Borderline patients together.<span style="mso-spacerun: yes;"> </span>I have attended lectures and read manuals and
worked hard to understand this disorder and its treatment.<o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<strong><span style="font-family: Times, "Times New Roman", serif;">This memoir was better than all that.<o:p></o:p></span></strong><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;">Most people trying to overcome something won’t write a memoir until they’ve “succeeded.”<span style="mso-spacerun: yes;"> </span>Once they’ve “recovered” or “beaten their problem”
then they’ll tell the world about it.<br />
<br />
If that held true then people with Borderline Personality Disorder would never
write a memoir.<span style="mso-spacerun: yes;"> </span>They can get better;
they can have a great life, family, job, and be fully functional and happy
people.<o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;">But they’re a little like an addict in that the “addiction” never goes away –
it’s just managed, understood, accepted, and then together with it they build a
life worth living.<o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;"><strong>Kiera Van Gelder understands BPD better than most anyone.</strong><span style="mso-spacerun: yes;"> </span>She has it herself, she has read more books
about it, attended therapy and groups and has taken more notes than most anyone you’ll
find – she’s a borderline.<span style="mso-spacerun: yes;"> </span>She wants to
fix things.<span style="mso-spacerun: yes;"> </span>She wants to figure it out –
and fix it.<span style="mso-spacerun: yes;"> </span>She gets hyper focused and
memorizes every word of the diagnostic criteria, as well as all the coping
skills and terms used in therapy.<o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;">In this book, she is able to use all the DBT terms and skills like a
therapist or researcher, while also showing what it means and how she lives as
a person with BPD<o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;"><strong>For example: After writing one chapter entitled "Leaving the
Dysregulation Zone" she entitled her next chapter "No Blow Jobs on
the First Date."</strong> <o:p></o:p></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<span style="font-family: Times, "Times New Roman", serif;"><em>(FYI - this book is not meant to be fun, light reading - it's about the most
emotionally unstable and self-destructive people you'll meet, so if you're
going to read it, be prepared.)<o:p></o:p></em></span><br />
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Times, "Times New Roman", serif;">She shows how functional she can look – speaking at a
conference in front of hundreds of people, and then how she also spends the
next two hours in the bathroom curled up in a ball crying.<br />
<br />
She details how she destroys relationships, her fear of men and her desperate
need for them at the same time.<span style="mso-spacerun: yes;"> </span>She
shows the “dialectic” of Borderline perfectly.<span style="mso-spacerun: yes;">
</span>She wants things that are contradictory – all the time.<span style="mso-spacerun: yes;"> </span>She doesn’t want to need other people, but
she can’t live without them.<span style="mso-spacerun: yes;"> </span>She wants
physical intimacy, but knows she’ll go too fast and it will lead to anger and
hate and self-loathing.<span style="mso-spacerun: yes;"> </span>She knows she
needs real, stable, relationships with people who know the real her – and yet she
has five completely different on-line dating profiles.<o:p></o:p></span></div>
<span style="font-family: Times, "Times New Roman", serif;">
</span><br />
<div class="MsoNormal" style="margin: 0in 0in 10pt;">
<span style="font-family: Times, "Times New Roman", serif;">She shows how (with the help of others and a lot of work) she got to the point when she is no longer
cutting or attempting suicide even though she still feels as emotionally raw as when
she was doing those things.<o:p></o:p></span></div>
<span style="font-family: Times, "Times New Roman", serif;">
</span><span style="font-family: Times, "Times New Roman", serif;">She shows that the disorder is cyclic.<span style="mso-spacerun: yes;"> </span>It just keeps coming back – but she can ride
the wave, accept the emotional rollercoaster without quitting her job or
cutting herself or destroying her life.<span style="mso-spacerun: yes;"> </span><br />
She can attain a life she enjoys; which includes her parents, her coworkers,
Buddhism, therapy, friends, and even relationships with men.<o:p></o:p></span><br />
<br />
<br />
<span style="font-family: Times, "Times New Roman", serif;"><strong>
To those struggling with borderline personality disorder
themselves or those trying to help them and understand them – I recommend it.<o:p></o:p></strong></span>Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-26738066769878065602014-08-28T10:05:00.000-07:002014-08-28T10:08:15.149-07:00Happiness is not found in the present moment, or in the journey, or in succeeding.<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgoIDh_VCqD2HUYdh82C6VQkjO1T6MSzmQ6S23XAkBw76LMmfNykgdHlTONr8os1RnG4_6pTJiYWocmh88rzZ9qbsSBYmwCZizmckSdfnU1arQyrIlnyDMLTwF_dXc0v3g_i_FX9XD4LW-M/s1600/Happiness+present+moment.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEgoIDh_VCqD2HUYdh82C6VQkjO1T6MSzmQ6S23XAkBw76LMmfNykgdHlTONr8os1RnG4_6pTJiYWocmh88rzZ9qbsSBYmwCZizmckSdfnU1arQyrIlnyDMLTwF_dXc0v3g_i_FX9XD4LW-M/s1600/Happiness+present+moment.jpg" height="179" width="320" /></span></a></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">1.</span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="font-family: Calibri;">“The secret to having it all, is believing you
already do.”<span style="mso-spacerun: yes;"> </span>Be happy now, because it is
all you have.<span style="mso-spacerun: yes;"> </span>You cannot change the
past, you cannot control the future. You can only experience what is happening
now, so enjoy it.<span style="mso-spacerun: yes;"> </span>Be in the present
moment.<span style="mso-spacerun: yes;"> </span>Sadness comes from reliving our past
shame and guilt, and from fearing the future.<span style="mso-spacerun: yes;">
</span>Happiness is now.<span style="mso-spacerun: yes;"> </span><o:p></o:p></span></span></div>
<span style="font-size: large;"></span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjERnb4nNp1cxGUkzXfo3cliRRJJq2f8WcQ94JL6URf9qE4J-qk4l7bqGaKcoEiFftBXv5Eme6_0qv2h7rkpfJVEFmJa7eeuIJu-WcMemBZx_oab3no-PSqv-VYSP3RT1HbS8K90LCQObn9/s1600/Joy+in+the+Journey.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjERnb4nNp1cxGUkzXfo3cliRRJJq2f8WcQ94JL6URf9qE4J-qk4l7bqGaKcoEiFftBXv5Eme6_0qv2h7rkpfJVEFmJa7eeuIJu-WcMemBZx_oab3no-PSqv-VYSP3RT1HbS8K90LCQObn9/s1600/Joy+in+the+Journey.jpg" height="320" width="320" /></span></a></div>
<div class="MsoListParagraphCxSpMiddle" style="margin: 0in 0in 0pt 0.75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="font-size: large;"><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-family: Calibri;">2.</span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span><!--[endif]--><span style="font-family: Calibri;">“Find Joy in the journey.”<span style="mso-spacerun: yes;"> </span>Work toward your goals.<span style="mso-spacerun: yes;"> </span>Work to make life better.<span style="mso-spacerun: yes;"> </span>Strive, progress, move.<span style="mso-spacerun: yes;"> </span>Have a goal in mind of how healthy you want
to be, how much money you want to make, what job you want, where you want to
live, etc, and go for it.<span style="mso-spacerun: yes;"> </span>But don’t wait
till you have those things to be happy – enjoy the journey.<span style="mso-spacerun: yes;"> </span>Enjoy getting in shape.<span style="mso-spacerun: yes;"> </span>Enjoy your daily exercise.<span style="mso-spacerun: yes;"> </span>Enjoy working hard and learning and going to
school, and slowly and surely working toward your goals.<span style="mso-spacerun: yes;"> </span>If you reach them, great, but the joy is in
the journey, not in the arrival.</span></span><br />
<span style="font-family: Calibri; font-size: large;"><o:p></o:p></span> </div>
<span style="font-size: large;"></span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivXN3WqjgjPE70NkCCM3RssnLeiZIoP3-_jFtPWT-rzXQdAm5ljA9BSUDha92_L141S0C1TNrnfxxFqpFMGfpLj3EeXRt9TqFTfICnDbqwutRMl2nEeWRrdwyhCPBgxeEhe2o6Ieb60oSo/s1600/Success.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><span style="font-size: large;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEivXN3WqjgjPE70NkCCM3RssnLeiZIoP3-_jFtPWT-rzXQdAm5ljA9BSUDha92_L141S0C1TNrnfxxFqpFMGfpLj3EeXRt9TqFTfICnDbqwutRMl2nEeWRrdwyhCPBgxeEhe2o6Ieb60oSo/s1600/Success.jpg" height="240" width="320" /></span></a></div>
<div class="MsoListParagraphCxSpLast" style="margin: 0in 0in 8pt 0.75in; mso-add-space: auto; mso-list: l0 level1 lfo1; text-indent: -0.25in;">
<!--[if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin;"><span style="mso-list: Ignore;"><span style="font-size: large;"><span style="font-family: Calibri;">3.</span><span style="font-family: "Times New Roman"; font-size-adjust: none; font-stretch: normal; font-style: normal; font-variant: normal; font-weight: normal; line-height: normal;"> </span></span></span></span><span style="font-family: Calibri;"><span style="font-size: large;">It isn’t about starting a project – but finishing
it. <span style="mso-spacerun: yes;"> </span>If you never finish school, never
get the job, never get married and have the family, never buy the car, never
finish the project – then what do you have? “The road to hell is paved with
good intentions”<br />
Happiness is in finishing.<span style="mso-spacerun: yes;">
</span>Achieving.<span style="mso-spacerun: yes;"> </span>Earning the prize,
winning the game, getting the trophy.<span style="mso-spacerun: yes;"> </span>Happiness
is never quitting. It is getting the life you want - having the stable job with good insurance and paid vacation.<span style="mso-spacerun: yes;"> </span>Happiness is getting it done.<o:p></o:p></span></span></div>
<span style="font-size: large;"></span><br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-size: large;">Those who win, achieve, and succeed will often mock those
finding joy in the journey because “they’re only doing that to console
themselves for not getting what they really wanted.<span style="mso-spacerun: yes;"> </span>2<sup>nd</sup> place has to find an excuse to
be happy.”<o:p></o:p></span></span></div>
<span style="font-size: large;"></span><br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-size: large;">Those enjoying the journey say that the ones focused on
winning are shallow and self-centered.<span style="mso-spacerun: yes;">
</span>They can’t appreciate teamwork unless it results in a Championship
ring.<span style="mso-spacerun: yes;"> </span>Joy is found in the doing.<span style="mso-spacerun: yes;"> </span>Joy is found in moving the right direction,
no matter if you get there or not.<br />
<br />
Those who enjoy the present moment would say the others are enjoying the present moment, just not very often.<span style="mso-spacerun: yes;"> </span>They enjoy it when
they’re winning, and hate the present moment when they’re losing.<span style="mso-spacerun: yes;"> </span>Those enjoying the journey will only be happy
when they are moving forward, but can’t handle stillness, they’ll call it stagnation.<span style="mso-spacerun: yes;"> </span>They may handle failure better than the “winners”
but they are set up to be unhappy because they still seek it externally, not
from within.<o:p></o:p></span></span></div>
<span style="font-size: large;"></span><br />
<span style="font-size: large;"></span><br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri;"><span style="font-size: large;"><span style="font-family: Arial, Helvetica, sans-serif;"><strong>I think the answer is not #1 or #2 or #3.</strong></span><span style="mso-spacerun: yes;"> </span></span></span><br />
<span style="font-family: Calibri;"><span style="font-size: large;"><o:p></o:p></span></span> </div>
<span style="font-family: Calibri;"><u><span style="font-size: x-large;">Happiness is not “or,” it’s “and.”<o:p></o:p></span></u></span><br />
<span style="font-size: large;"></span><br />
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri; font-size: large;">Life is not about one thing OR the other.<span style="mso-spacerun: yes;"> </span>It is about accepting the seeming contradiction
of AND.<span style="mso-spacerun: yes;"> </span><em><strong>Enjoy life right now, no matter
what is happening, AND enjoy improving, getting better, becoming something
more, AND enjoy succeeding and reaching goals and achieving.</strong></em></span></div>
<div class="MsoNormal" style="margin: 0in 0in 8pt;">
<span style="font-family: Calibri; font-size: large;"><o:p>Once you see that these 3 are not mutually exclusive but meant to all be used in concert, in a synergistic relationship - then you can be happy now, AND enjoy working toward your goals, AND enjoy reaching them.</o:p></span></div>
Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0tag:blogger.com,1999:blog-7222386106307024848.post-1861454383616711722014-08-12T09:05:00.000-07:002014-08-12T09:35:59.316-07:00Three Questions, by Leo Tolstoy<span style="font-family: Arial, Helvetica, sans-serif; font-size: x-small;">(This short story is well worth reading, so I've posted the entire work here. It is no longer copyrighted)</span><br />
<br />
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<a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEithyozzjuzcbNwCDywX4j0Oce6PP6GX_P-t_vxI1WrIDSt20uJ8tEiqy74aEkkdmq-LAW93c5VAiTtFKewO9DdlMytw3hJ1spZumTe8GfCCgNf_xtHLAXkgzeNdxtBm5iMUhmC4HFQkBaV/s1600/Three_Questions.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEithyozzjuzcbNwCDywX4j0Oce6PP6GX_P-t_vxI1WrIDSt20uJ8tEiqy74aEkkdmq-LAW93c5VAiTtFKewO9DdlMytw3hJ1spZumTe8GfCCgNf_xtHLAXkgzeNdxtBm5iMUhmC4HFQkBaV/s1600/Three_Questions.jpg" /></a></div>
<br />
It once occurred to a certain king, that if he always knew the right time to
begin everything; if he knew who were the right people to listen to, and whom
to avoid; and, above all, if he always knew what was the most important thing
to do, he would never fail in anything he might undertake.<br />
<br />
As this thought occurred to him, he had it proclaimed throughout his
kingdom that he would give a great reward to any one who would teach him what
was the right time for every action, and who were the most necessary people,
and how he might know what was the most important thing to do.<br />
<br />
Learned men came to the King, but they all answered his questions
differently.<br />
<br />
In reply to the first question, some said that to know the right time for
every action, one must draw up in advance, a table of days, months and years,
and must live strictly according to it. Only thus, said they, could everything
be done at its proper time. Others declared that it was impossible to decide
beforehand the right time for every action; but that, not letting oneself be
absorbed in idle pastimes, one should always attend to all that was going on,
and then do what was most needful. Others, again, said that however attentive
the King might be to what was going on, it was impossible for one man to decide
correctly the right time for every action, but that he should have a Council of
wise men, who would help him to fix the proper time for everything.<br />
<br />
But then again others said there were some things which could not wait to be
laid before a Council, but about which one had at once to decide whether to
undertake them or not. But in order to decide that, one must know beforehand
what was going to happen. It is only magicians who know that; and, therefore,
in order to know the right time for every action, one must consult magicians. <br />
<br />
Equally various were the answers to the second question. Some said, the
people the King most needed were his councillors; others, the priests; others,
the doctors; while some said the warriors were the most necessary.<br />
<br />
To the third question, as to what was the most important occupation: some
replied that the most important thing in the world was science. Others said it
was skill in warfare; and others, again, that it was religious worship.<br />
<br />
All the answers being different, the King agreed with none of them, and gave
the reward to none. But still wishing to find the right answers to his
questions, he decided to consult a hermit, widely renowned for his wisdom.<br />
<br />
The hermit lived in a wood which he never quitted, and he received none but
common folk. So the King put on simple clothes, and before reaching the
hermit's cell dismounted from his horse, and, leaving his body-guard behind,
went on alone.<br />
<br />
When the King approached, the hermit was digging the ground in front of his
hut. Seeing the King, he greeted him and went on digging. The hermit was frail
and weak, and each time he stuck his spade into the ground and turned a little
earth, he breathed heavily.<br />
<br />
The King went up to him and said: "I have come to you, wise hermit, to
ask you to answer three questions: How can I learn to do the right thing at the
right time? Who are the people I most need, and to whom should I, therefore,
pay more attention than to the rest? And, what affairs are the most important,
and need my first attention?"<br />
<br />
The hermit listened to the King, but answered nothing. He just spat on his
hand and recommenced digging.<br />
<br />
"You are tired," said the King, "let me take the spade and
work awhile for you."<br />
<br />
"Thanks!" said the hermit, and, giving the spade to the King, he
sat down on the ground. When he had dug two beds, the King stopped and repeated his questions. The
hermit again gave no answer, but rose, stretched out his hand for the spade,
and said:<br />
<br />
"Now rest awhile-and let me work a bit."<br />
<br />
But the King did not give him the spade, and continued to dig. One hour
passed, and another. The sun began to sink behind the trees, and the King at
last stuck the spade into the ground, and said:<br />
<br />
"I came to you, wise man, for an answer to my questions. If you can
give me none, tell me so, and I will return home."<br />
<br />
"Here comes some one running," said the hermit, "let us see
who it is."<br />
<br />
The King turned round, and saw a bearded man come running out of the wood.
The man held his hands pressed against his stomach, and blood was flowing from
under them. When he reached the King, he fell fainting on the ground moaning
feebly. The King and the hermit unfastened the man's clothing. There was a
large wound in his stomach. The King washed it as best he could, and bandaged
it with his handkerchief and with a towel the hermit had. But the blood would
not stop flowing, and the King again and again removed the bandage soaked with
warm blood, and washed and rebandaged the wound. When at last the blood ceased
flowing, the man revived and asked for something to drink. The King brought
fresh water and gave it to him. Meanwhile the sun had set, and it had become
cool. So the King, with the hermit's help, carried the wounded man into the hut
and laid him on the bed. Lying on the bed the man closed his eyes and was
quiet; but the King was so tired with his walk and with the work he had done,
that he crouched down on the threshold, and also fell asleep--so soundly that
he slept all through the short summer night. When he awoke in the morning, it
was long before he could remember where he was, or who was the strange bearded
man lying on the bed and gazing intently at him with shining eyes.<br />
<br />
"Forgive me!" said the bearded man in a weak voice, when he saw
that the King was awake and was looking at him.<br />
<br />
"I do not know you, and have nothing to forgive you for," said the
King.<br />
<br />
"You do not know me, but I know you. I am that enemy of yours who swore
to revenge himself on you, because you executed his brother and seized his property.
I knew you had gone alone to see the hermit, and I resolved to kill you on your
way back. But the day passed and you did not return. So I came out from my
ambush to find you, and I came upon your bodyguard, and they recognized me, and
wounded me. I escaped from them, but should have bled to death had you not
dressed my wound. I wished to kill you, and you have saved my life. Now, if I
live, and if you wish it, I will serve you as your most faithful slave, and
will bid my sons do the same. Forgive me!"<br />
<br />
The King was very glad to have made peace with his enemy so easily, and to
have gained him for a friend, and he not only forgave him, but said he would
send his servants and his own physician to attend him, and promised to restore
his property.<br />
<br />
Having taken leave of the wounded man, the King went out into the porch and
looked around for the hermit. Before going away he wished once more to beg an
answer to the questions he had put. The hermit was outside, on his knees,
sowing seeds in the beds that had been dug the day before.<br />
<br />
The King approached him, and said:<br />
<br />
"For the last time, I pray you to answer my questions, wise man."<br />
<br />
"You have already been answered!" said the hermit, still crouching
on his thin legs, and looking up at the King, who stood before him.<br />
<br />
"How answered? What do you mean?" asked the King.<br />
<br />
"Do you not see," replied the hermit. "If you had not pitied
my weakness yesterday, and had not dug those beds for me, but had gone your
way, that man would have attacked you, and you would have repented of not
having stayed with me. So the most important time was when you were digging the
beds; and I was the most important man; and to do me good was your most
important business. Afterwards when that man ran to us, the most important time
was when you were attending to him, for if you had not bound up his wounds he
would have died without having made peace with you. So he was the most
important man, and what you did for him was your most important business.
Remember then: there is only one time that is important-- Now! It is the most
important time because it is the only time when we have any power. The most
necessary man is he with whom you are, for no man knows whether he will ever
have dealings with any one else: and the most important affair is, to do him
good, because for that purpose alone was man sent into this life!"Simple Citizenhttp://www.blogger.com/profile/13100369477704457506noreply@blogger.com0