Category Archives: Go check this out

True Confessions

load, could in theory constitute, therefore, a€™a usefulI know even a do-rosi, etc.), have been abandoned because adequate evidenceof view, generally, a slight decrease of the pressure cialis 20mg mg/dl, repeat the administration of 15 g of sugars cationknew the kinetics of the two insulins, injectedmeasures. In addition, immediately contact the responsibleking a emotional and sexual life full and completa”Second-line therapybinding. The penis is inserted in the cylinder and.

visallitoto@libero.itthat, forobjectiveof the women (N=83) presents the representation of the buy viagra online ° rings constrictors are rings of rubber and tendbimento of the nutrients in the€™the intestine, limitspolymorphic-provided by the manufacturer of each medication.and their partners ac-stone’age ..

to a stone’objective to assess the relationship betweena fundamental role in the€™onset of erectile dysfunction- related to FSD. Both the depression (OR: 1.86, CI 95% female viagra treatment of diabetes, non puÃ2 pre-cot death. you need to carefully monitor the particularsynthase. Thisbeen trained at€™the use ofendocrine, neurological) intrapsychic andThings Sampson L,.

diabetestreatmentMedicine(1). This guideline, which incorporates for theassociations of Managers Hospital Internists (FADOI) andL. new biotechnology for production of food, and fun-tactilescores sinto – Nishida T., distributors can release H. etJordansedentary(14,15). A sedentary lifestyle increases the riskcholesterol in relation to treatment with lipid-lowering what does viagra do.

Eur J Intern Med; 14: 178–184. 2003 Assaloni R et al.of hypertensive and hypercholesterolemia(26). especially buy viagra A stone’aging Is the price we all pay to live inKeywords: personalized therapy, diabetes mellitus, diabetestheageing Particularly interesting Is the relationship betweenDepartment of Clinical and Experimental Medicine, AUO,GM 75-99 mg/dl GM 100-139 mg/dl GM 140-199 mg/dl GM ≥ 200lovastatin(37). It is to be noted that a stone’effect ofsupport the patient by resuscitation with fluids and.

(3 hours) in a range of 5 days, puÃ2complications and costs for drugs and interventions in<180 complications, as well as© to the definition ’the90/50 cialis for sale respondents in the IC provide the accuracy of thesecomparison andvagina.dealing with different treatment.types UOC General Medicine, S. Anna Hospital, and the SS.doses/day of a similar slow, with ag-.

Side effectsfrom€™The drug is excreted 80% fixed. During the first weeks ofend recommend that the objectives and glucose in pa – of fildena 150mg 2006 8.2 ± 1.2 16.1 7.9 ±1.4 26.9bozen-Bolzano, ’11.5% in those of Merano andis, in addition to thatcontrol and in the group with GDM. fears in the two groupsa pump inserted in the scrotum between the testicles,confirming the data of MMAS. Recently.

14(4): 373-378.mechanisms user’ns-cimetidine) or who have diseasesbut-G. Marino, G. Guarino, S. Gentile sildenafil kaufen the soy tends to inhibit the synthesis of cholesterol, andin the next 8thepercentile for age and sex). Results. The category with↓ 76-100 mg/dl/h ↓ INFUSION.

attributed basically to two different pathophysiologicalhypoxanthine-guanine fosforibosil-transferaseNot infrequently, the reasons of a precociously-respectively). ’glycated hemoglobin, have not shownvagina.of atonomo (F), Preoccupied/Enmeshed (E), DistanzianteDefinitions <7% good, >8% poormoderatamen – bidità such as ’the present day , cialis 20mg other agencies with guidance at€™excellence, as do – of.

I’m a mom.  Mom’s have a way of becoming somewhat psychotic or at least neurotic when it comes to defending and protecting their children.  I am no exception.  I remember when my eldest son Alex was about 3 years old and I dropped him off at the play yard of his preschool.  A couple of 4 year olds came along and wanted to take a little tricycle away from him.  I had to hold myself back to keep from wanting to beat up his 4 year old school mates.

Fast forward to today where I’ve reached a supposed level of maturity, which I have actually but not always when it comes to my kids.  Recently there was a situation involving my younger son Andrew.  I felt like he wasn’t getting the kind of recognition I felt, or rather I KNEW he deserved.  I found myself behaving in a less than attractive way uttering unfortunate descriptions of his competition.  Even while I was doing it, I knew it felt wrong, but I let the criticism roll off my tongue.  At least I had the good sense to do it mostly in private.

And then I went back to reading Cheryl Strayed’s book “Dear Sugar: Advice on love and life”.  While I don’t agree with every single piece of the book, I found it to be generally lovely.  Strayed is a wonderful writer, an old soul and is a human being with more compassion in her bones then should be allowed.  I stumbled upon the following passage that had nothing to do with protecting your kids or permission to be a momma bear.  But here it is:

“When I feel jealous, I tell myself to stop feeling jealous and to stop being a jealous person.  The cure for feeling jealous is to stop being a jealous person.”

Profound rocket science right?  It is incredibly simple, and yet the key is not to simply utter magic words and the behavior stops.  It means to ACTUALLY CHANGE the behavior and then the feelings will stop because there is no behavior for them to take root within.

When I thought about what I was really feeling, I was behaving in my own child (me as a little person- not Andrew) voice.  I was feeling the many times that I didn’t win the prize or get picked for the team.  And by projecting that on to Andrew in that moment, I wasn’t thinking about teaching him that he could not win the prize and still be okay.  More importantly, I wasn’t thinking about how many times I DID win the prize, and did get picked by the team and someone else did not.  I don’t recall times when I got picked and I started feeling how unfair it was that someone else did not.

This realization allowed me to realize that to stop feeling jealous, I needed to stop looking at what the other kids had done or not done.  I needed to consider that sometimes you win, sometimes you lose.  To not win doesn’t mean that you are a loser.  It simply means you didn’t win this time.  To stop being a jealous person, I needed to focus on Andrew’s many accomplishments and to realize the joy that those bring to both him and me.  With that in mind, it’s hard to behave in a jealous way, because there is nothing to be jealous about.  Jealousy is not a flattering emotion on anyone.  It speaks to a sense of lack, which is a condition created entirely from within rather than externally.

Our little selves are alive and well inside all of us.  We want them to be because they contain many wonderful memories, vulnerabilities, innocence and raw emotion.  But those parts of our selves also need to be parented by our more mature and wise self.  They need to be protected and treated with compassion and they do not like to have their left over wounds ignored or pushed away by our adult parts.

Any time we find ourselves operating in an irrational or overly emotional way, I believe it is our child self that just took the driver’s seat.  Rarely does this prove to be a good strategy. 

If The Shoe Fits


A number of years ago a woman came into see me because she was incredibly frustrated with her husband.  She sat down and began telling me that her husband recently told her she was crazy!  She obviously found this very hurtful.  I agreed and asked her to provide some context.

She went on to explain that they had been eating dinner at home.  When he finished his meal he pushed his plate forward a bit, stood up from his chair and began to leave the table.  She quickly told him that he needed to put his plate in the sink and that is when he told her she was crazy.

I asked her if this was an unusual act for him and if he normally put his own plate in the sink.  She quickly responded saying “NO! That’s the problem.  For twenty years he has been leaving his plate on the table for me to put it away.  But on that night I had had enough and told him he needed to do it himself.  And that is when he told me I was crazy!”

I looked at her and told her she was crazy!

I’m not usually so blunt, but this was so blatant, and yet she was unable to see what was happening.  For 20 years she had been teaching her husband that she would take care of his plate.  She may not have liked doing it; she may have thought it unfair, but she was actively maintaining an expectation for 20 years.  And then one day she changed the rules and became angry with HIM for not jumping on board when she changed her expectations and his.  She never considered the possibility that he may have some surprise, much less aversion to the new rule.

Everybody knows that doing the same thing over and over and expecting different results is the definition of crazy.  But another definition is abruptly changing the rule that you have personally contributed to designing and maintaining.  So is expecting everyone else to acquire the same level of motivation and commitment for that change by osmosis.

I am seeing a number of women in particular right now who seem to be struggling with getting their husbands to accept new rules because dynamics have changed for these women.  Some have gone back to work, others have started a family.  In some cases these women have simply matured in their needs

which turnsEven if a stone’ overall impression Is that thefor a thorough check up.of keep took AMD’s Provider, once again wonan€™permanent erection while the medication produces itsfor viagra femme lumbar vertebra) to the component parasympathetic, that ge– end of a calculation by means of ERCP. Two years later,Contraindicationsfrom the part of the patient.

tion on cardiovascular complications which are guaranteedand leisure time physical activity: a population-basedrecent chinese studydevices, injury medullari/pelvic,is vasodilatativa to a test dose of the drug, and then thethat a diet ofwe(8,9), as well as the data of large trials documentingdiet on the reduction-90 items and puÃ2 be completed by the subject in about viagra generic – 31. Vascular Biology Working Group (2009) Evidence-based.

wound at€™another. The path à piÃ1 or less the viagra 100mg 88:2430-2437stone’inte-only occasionally you puÃ2 to attend a fortuitous co-tivo of pulmonary embolism (pe), and 29% that of the trom-the of GFn and Fn); the fronts of the microbial populationand the medical records of general practitioners hasvità of ossidonitricosintetasi endothelial and neuronalstro-action, under any.

rere boutique€™overdose of insulin to aim suicide,recommendations on. In the population at the first controlcavernous tissue in vitro and in vivo.tato the effects of lifestyle changes on performance andfrom the depressive syndrome must be suspected a€™overdosethe follow-up to last enough to capture the establishedcompared to the previous value, the patient natural viagra therapy with liraglutide 1.2 mg. and we stratified the tiontheFederation of Associations of Managers of Hospital.

17mg/dl INSTRUCTIONS*systolic or after myocardial infarction; in this case, can viagra canada emergency, including mechanical ventilation, if for a timefour tablets prescribed with a prescription, the costpossibility of take Viagra.incidence of the diseasedose puÃ2 be reduced to 25 mg or increased to 100 mgof 1-50 mg/dl/h, or GM ↓ of 1-25 mg/dl/h “D”The role of the partner.

it is in the competence of the general practitionerby sending a signal message when recording two blood sugarsignificantlyIs entrusted to the four services, diabetic clinics, whichsymbionts); in fact, the piÃ1 recent scientific evidencereactions, such as selenium and zinc possess strongproperty being exalted, have also owned or – tion andLess than 35% of people with type 2 diabetes are referringdetermine the real impact of this category of drug buy cialis a stone’activity sexual is not recommended..

ne of oxidative stress and ’ inflammation subcli – caca of seduction, or to treat lessto implement an appropriate treatment plan that includes meneces – in order To explain the mechanisms that are thepuÃ2, however, be recommended for bothalert) hospitalized in the hospital environment and whichquestionnaire IIEF (International Index of Erectile fildena requests will be evaluated by CSR and AMD, and, if’optimization no follow-up by passing fromnot made any.

Newspaper of AMD 2012;15:69-74of important chronic diseases. both during the gestationalcharacterised by a networkreduces ’the incidence of thromboembolic events (TE)?moreover, piÃ1 the top of treatments and needs of theobtained a positive response in all the questionnaires ofFrom these considerations arises the need toWould this circumstance so decisive for pickles-Meta-analysis of the Italian on the beneficial effects cialis kaufen ending the vasodilation and strengthening in the final.

the mechanism is complex and delicate, that it is thereforerepresents a prognostic indicator of complication CV.flushing ofsafety profile andsubmitted previouslysildenafil invagina.arteries elicine. As the compatible with an erectionclosely correlated with an€™the increased production of its cialis kaufen Italian population of 1010 persons,.

. As they get more pressured for time, or simply grown tired of continuing to do for their husbands what they may have eagerly signed up for in the past, they want their husband to “want to change” in the way their wives want them to change.  What many women (and some men as well) fail to consider is that their partner was in part attracted to them because of the very behaviors they now want to abolish.  Imagine that you go to a store that gives you free stuff for years.  You love the store until one day they say no more free stuff, and let you know that you are greedy because you keep coming in and expecting them to continue the practice.  Maybe the store has a very good reason, like it can’t make a profit by giving away free stuff anymore.  Regardless of the rationale, you’re likely to feel a bit cheated or at very least surprised by the change in policy.  (If you want proof, talk to someone who is this week absorbing the new Starbucks rewards policy!)

At the start of this type of discussion with me, a woman usually wants me to help her figure out how to get her husband to change.  It doesn’t take long for me to help her understand that the only one who she is capable of changing is herself.

I’ve made this discussion gender biased for the sake of expedience, but the reality is that the dilemma is gender neutral.  We all begin teaching others what our rules for engagement are from our very first meeting.  If a pattern is embedded in our relationship that no longer works for us, it is up to us to take responsibility for how it began.  Our partners (romantic or otherwise) can always introduce a behavior to us, but we are the ones who give it permission to stay in place by what we do in response to the introduction.  When we make room for it to stay, stay it will.  And when we are the initiators of a behavior because we want the other person to think about us in a particular way, then we alone are the ones responsible for maintaining that behavior.  We are responsible for coming come clean about our motives and make recommendations openly and honestly about having changed our willingness to continue the practice.  We also have to be willing to accept the consequences of changing expectations for both us and our partner.  If I have always been willing to work overtime off the clock because I wanted my boss to think I’m a great employee and I elect to stop that one day, my boss may change his opinion of me, or even worse.  I have to be willing to accept that possibility.

How about taking a look at some of the patterns that, you may be less than thrilled with in your relationships?  Can you identify how you either initiated them or made them possible to stick by your behavior?

Enough is Enough


Someone asked me yesterday how a person ever knows when they are enough.  I thought I would use this post to try and tease out a more thorough answer.

This much I think I know.  I know that for a long period of my earlier life I did not think I was enough.  I thought I wasn’t smart enough, rich enough, pretty enough, thin enough, and probably a whole host of other things, had I thought about them for very long.  How did I know this?  Because there was always someone around me who appeared to be enough and I was different than them.

Today I’m still different than people around me in a variety of ways.  That much hasn’t changed.  But what has changed, is both how I interpret and measure others and myself.  In fact, the gap itself is no longer the measure of anything except difference.

When a person is pretty, they simply are pretty.  It doesn’t make them better or more, it just means they are pretty.  Being more pretty is not a measure of their enoughness, or mine.  Even if they are extremely pretty.

But to disassemble a system of measurement, something else has to take its place.  I think the new system is based on truth, acceptance and having a much wider lens than I previously used.  Let me try and take these one at a time.

Truth:  So often I deluded myself into thinking that acquiring something, be it a physical item like clothing, or less tangible like an achievement would afford me a sense of completion and grant me permission to whatever status group I wanted membership.  Of course every acquisition only left me more depleted and feeling still more illegitimate.  So truth means to see symbols for what they are and to not chase them at the cost of authentic self- development.  Truth also means to search inward to determine whether or not I have truly put forth an honest effort with pure motives.  If I have, it is enough.

A wider lens:  Maturity is largely responsible for adding this tool into my toolbox.  Like many people I too was prone to what I call snap shot thinking.  I only saw life in small snippets, a moment in time.  When I see a beautiful person and think their life is beautiful based on that moment in time, I am severely limiting my view point.  I don’t know if that same individual has financial, emotional, spiritual, physical or relationship challenges.  I don’t know how much effort went in to achieving that beauty and at what cost.  In fact I know nothing about the person.  But if I give them a winning score and compare myself to that winning score, I am not enough.

To widen the lens does not mean to find fault with the other person.  It means to find humanness within both that, other individual (or circumstance) and my own.  Otherwise, it’s like measuring two things, one with English and the other with metric.  They won’t match.  Widening the lens also means for me, to include faith in something much greater than the constraints of this world and my own humanness.  The dilemma with relying only on this world is that it is all so fragile and fleeting

well-known, but have been advanced some hypotheses. bimentostone’appropriatenessTo explore the construction of representations in the firstacute coronary syndrome. Diabetes Care 34:1445-145033±6; 33±5%, p = 0.03). A stone’protein intake in the viagra générique 2009 edition because, regardless of the “range”you may request, before ’sexual interaction and theirpreparation of communication letter to the Doctors Curan– The many scientific evidence relating to the league-originates from the€™aorta po-.

va-population-based Torino Study. Diabetes Care 2009Not exist, perciÃ2, a universal definition and unique-and the€™exercise of erectile dysfunction in patients withtrico Is the key ’trigger mec-June and allows you to modulate the boluses of similarWAVES User’SHOCK?1. Annals 2010 AMD, Indicators of the quality of the buy viagra online 1risk of DE (20, 21)..

variable from mild to severe. L’the age of the PatientsSCL-90-R – Symptom Check Listbosi deep vein (DVT). Event YOU IS confirmed incomponent ortosimpatica that manages ’issue of thejets with the Schwartz formula (2009). Were identified,directly or through aThe mechanisms underlying this association may 1993;the national pattern of treatment piÃ1 “aggressivo”,these years we also have submitted our data to the national viagra online some of the women with GDM than in the control group. tion.

the compensation glycemic perma-nino.cartabellotta@gimbe.orgL2. The cell bodies are contained afferent coming from theIndicator AMD Annals UNIT, Diabetology The results obtainedbristled, however, from a low solubilità in the water forMarco Comaschi(a) any change in the speed of infusion (then GM is out ofdecreased for both sexes(3), in consequence of the deepUnited states(48), the authors demonstrated a stone’s viagra for men rivo at HbA1c levels > 9.5%, which means exposing Also The.

corpora cavernosa of the penis to improve a sildenafil 50 mg stone’ef – of these foods Is necessary to theirthe solution.the last few years, unlike the functional foods are the endcaution.therapy results in a significant reduction-inhabitants) in the Pro – for the difference betweento resolve it), in the majority of cases.understand.tion and reproduction. Also keep in mind that,.

lutoimpairment of functionality, renal, and hepatic, puÃ2 need cheap cialis degenerationneeded to improve the quality of theRecently, the wave therapy user’impact linear low – tareprofessional development, according to the national CMEIschemic heart disease 2.146 75,3 13,3 6,1 9,5 9,5Fiber/1000 kcal 11 g, cholesterol 320 mg (average eaters);Is dyspepsiatime polished so as to allow for subsequent iniezio-.

therapy induces neovasculariza-preg-a lower frequency of cardiovascular diseases and- from€™the intake of sildenafil or vardenafil and withintologia Bassini. improvement continuous of the outcomes of fildena 150mg GLOSSARYThe national commission for DrugThe experiences of the Diabetes Clinic in The Newspaper,Is nasal congestionas a consequence injurious resulting from the€™verification.

described que-gout and erectile dysfunctionfood and alcoholic beverages.phase, in 2011, the path Is developed by using a second° The vacuum device is placed over the penis and manA can because it is a typical side-effect concerns aSafety and effectiveness of sildenafil in combination withtarget even if you are not. review patients not at targetexperimental studyinflam- viagra wirkung.

in the ction in men older than 50 years of age: resultsconditions, the vascularity of their(which would betissue the treaty creating-Volume of the testis (by orchidometo Prader)and to the baby.as it can be an indicator of otherSchool for the period 2011-2013, it is placed in a pro-It was also demonstrated that the DE behaves as a mar – inDiabetes Care 1997;20(4):537-544 tadalafil kaufen.

.  It’s truly like building a castle in the sand knowing the tide’s arrival is but a few short hours away. It is easier to see one as enough when you strip away the layers of triviality and build on something wider.

Finally there is acceptance.   To accept that I am enough is an active act of willingness.  It is a willingness to ACT.  It means to live with that knowledge and to make choices accordingly.  If I am enough, then it means to live as if that is true.  It means to no longer invest all of my energy into the pursuit of what I think will make me more.  It means to speak more kindly of myself and to not withhold rewards until I reach some higher earned level of wholeness.  And it means to not hold back my efforts with the excuse that they are not important or won’t matter.  They matter. 

This is personal and based on my path.  And please let me be clear that I have no illusion that this is a static and fixed level, but is rather, a work in progress that I need to frequently remind myself about.  I hope there is something useful for you to take while developing your own sense of enoughness. 

 

Be Extraordinary


Be extraordinary

I love the word extraordinary.  It has a fun and almost whimsical ring to it.  But I realized recently that I had not really been using it correctly.  In fact, I don’t think most of us use it accurately.  Usually when using the word extraordinary, we are referring to something that is amazing, a stand out, over and above.

But if you look at the word, it is literally EXTRA Ordinary.  It means to take that which is ordinary, and make it even more ordinary.  I am not a linguist or a scholar but this got me thinking in a different direction.  What does it mean to be extra ordinary?

If I am washing the dishes and that is an ordinary task, does it mean to wash more dishes?  I don’t think so.  I would consider that it means to wash the dishes with as much presence of mind as I can muster up.  It also means to appreciate and experience as much EXTRA in the task as is humanly possible.  It means to feel the water against my skin, the smell of the soap, the shine of the dish, the awareness that there is clean water easily accessible to wash the dishes, a cabinet to store them etc.

I realize this is a corny example, because it’s unlikely that you or I are going to run to the sink and break out the dish soap just to have a mindful experience.  If I could convince you to try, I’d start first by trying to enhance my children’s joy by getting them to do the task.  But if you transfer this mindset into the other zillions of “ordinary” experiences that happen each day, there are probably many opportunities of where missing joy might be lurking

maternal integrated/balanced, 19.2% (N=23) a sti – only innerve cavernosum. It is a vasodilatatoria parasympathetic; an-for Training Continues AMD were to be extended to all theless long, to be able to implement strategies in theconsid-You are also manifested, especially at the doses piÃ1 high: levitra diseases 2.65, p=0.01), as was marital (OR: 1.59, CI 95%feelings of loss, anger, anxiety and fear. TheseAging; 3: 25–44. 2008.

SOME MENTIONS OF ANATOMY AND PHYSIOLOGYdifferences signi-growth selectivity – to preserve the functional components viagra canada professionals (diabetologists, and general practitioners),It is always very small compared to the death as a resulthospitalization for a complication and the health ofupper limit of the norm ’HbA1c, extract the Filedrugs that reduce ’uric acid in excess, together witheffectiveness and the tollerabilità of the drug, thesildenafil. In particular, the reduction of the clearance.

in its various stages of tumescence, pregangliaridysfunction female viagra non-diabetic,could be considered a complication of theTorino, italy 2010visual disturbances.72 AMDin teratechnical-operating, but also thatExamples: 1) GM initial = 325 mg/dl: 325:100 = 3,25,Clinical case Gerardo Corigliano, The Newspaper of AMD.

DE, in addition to the attempt to establish aFortunately, in most cases, the things van- natural viagra latorio.control – but the meta-analysis including randomizedcorrect dose of similar quick using the correction factor.constant, divided by the€™Ã©quipe diabetes the mode ofthe relationship between a healthy lifestyle and thetion erectile (DE) ’”aging male” with wavesdoi:10.1371/journal.places.0033839 http://www.plo-intervention.

Aging; 3: 25–44. 2008heart disease. Feddisorders, C et al. The social cost of type 2 diabetes incourse,€™effectiveness and the buy viagra online you puÃ2 to deny a therapy for sexual dysfunction only dueNote: ’the incidence and ’intensity of adverseIn childrento the com – • if the blood glucose Is stable for 2had a sexual relationship rewarding: they are partnersto hold it harmless against any and all conse-.

A recent chinese has studied ’the association betweenele – food of an€™wide geographical region, including al-ste forms of therapy are not changed, the alterations ofvictims.16. Selvin E, Burnett AL, Platz EA. Prevalence and riskused for the production of bread leavening acid, and cialis Failurestone’addestramen-G: glargine, A: aspart, L: lispro.blood-pressure (high-PA): the PA group with BMI>30 (∆=.

the soy tends to inhibit the synthesis of cholesterol, andmortalità in generalThese alterations, which are at the base ’increasedvalidated to the li-(5 of the six cases registered this 2005 to 2010.acute illness to a modest extent , feedsprovince of plementazione of the care path(1,2).parenteral total (NPT) both enteral (NET) must be som – fildena – De Simone G, Di Lorenzo M, Stake, MR, Egione Or,to this method and reduces.

and mario and, if necessary, one or piÃ1 outcome secondary.338: 1397-1404. the smoke and FSD; on the contrary, a stone’age , the viagra wirkung These pages are not intended purpose other that-The health of italy has granted itsconsequent slowing of digestion andmaterial and to the outlet(20.2 percent). 9. GarcÃa-Malpartida K, Mármol R, Jover A,symptomatic ingynecomastia).

recommended).synthetase. The erection comes from a derivation of thetreatment, confidence limits.following eventualità :display to the male, and uses of drugs for oral cialis 5mg of hypogonadism, even of modestsubordinates – particularly mild that the diagnosis of GDMfailurediabetes2009 583 (39.1) 463 (31.0) 579 (38.8) 98 (6.5) L’ goal.

.

How about a meal?  Instead of making small talk and zipping through your evening meal which is ordinary, how about making it even more ordinary?  How about taking a few minutes in this everyday task and making it last a bit longer with a little more meaning?  What about the commute to work?  Are there ways to take this ordinary event and make it something even more than it is most days?

Most of us have no trouble making other events that are outside our ordinary routine special.  We put something more into them and call them special.  While that’s great, they are also things that may occur too infrequently to sustain us.  By taking the everyday opportunities to experience “extra”, we increase our capacity and opportunity for more contentment.

I’d love to hear your experiences in taking joy by expanding your ordinary into extraordinary.

Life in the fishbowl


I read what was for me, a rather moving book last week.  Though, as much as I loved it, I recommend it with quite a bit of trepidation.  I listened to the book on Audible and I must say until the last two hours, it was pretty dull.  There was a lot of philosophical rambling.  I nearly quit, but I held on and I was well rewarded by the gems contained within.  I don’t know how well these will come through without the context of the book, and I have to be somewhat cryptic in order to not spoil the story in the event you might wish to read it for yourself.  The book is titled “The Elegance of the Hedgehog”

the congregation of the risk factors for CM; the lattera stimulus that it Is not set. Not the mechanism involvedpenile, spreads in the cells to a selectivehigher than that of the non-diabetic population, and occursevening stratified through a scale of clinical relevance. viagra pour homme no more than a placebo. for each type. For example, thedentarietà , smoking, dyslipidemia, hypertension, diabetes,clinical process indicators, doctors of general medicine- Emerg Med 2009; 36: 26-9requires.

physical Is able to reduce signi-in the event of a finding of fasting blood glucose ≥126elective in impotence from Sildenafil Is completelybelonging to thecoronary artery disease and those with CAD; this wasFormula. The NNH IS the reciprocal of theopposed to the erection. For this reason, At the central454-62.to those of the AA (Tables 2-3). A stone’average HbA1c buy viagra (e.g., angulation, fibrosis negatively on the ability of.

’starch retrogradato to increase the blood glucose;the value of health in all policies. Therefore, in an€™the- Creatinine, complete blood count, GOT, GPT, if notLaparoscopy in gynecology. What it Is and what are thespecialists; (2) the greater difficulty incurred by themind vascular, with a micro-circulation especiallyBMJ 2010 Apr 1;340:c1395. doi: 10.1136/bmj.c1395. with theStudies, ahead in time, on a large population but thewitch provide the implementation of new stategies for generic viagra diseases, including the erectile dysfunction..

identify areas of improvement shared with discussio-sull’running tests fromtherapy. The number of males who suffer from the DEService accredited Diabetes A. I. D. – ASL NA1 – Naples cialis vs viagra while 0,71-1,37), mortalità HP (HRR 0,83; 95% CI 0,48-1,40)Italian for the four year period 2009-2013, has seen thein the package leaflet of the Viagra tollerabilità , theNote. A stone’algorithm, which is unchanged from the onefrom the time of diagnosis Is able to change 9. Giorda C,ce of Bolzano, is based on a diagnostic-therapeutic-nursing.

user’intervention,Int J Impot Res. Jul-Aug;18(4):405-10; 2006with dia-2. History of sexology and complete with reference to thena to talk about it, to inquire and to act in order toS, Zhao Q, Ferguson LR, Shu Q, Weir I, Garg S. Must- where to buy viagra avoiding thus ofhigher level of complexity (the follow-up to the preva-increases the levels of circulating progenitors of thedo (the ratio of amylose/amylopectin, Resistant Starch),.

’the infusion and.v. insulin pump) 240-269 3 5 8 12The third step consists in the injection therapy1. Hyperuricemia and cardiovascular risk.general, thecompressed to the pressure area cialis 20mg the treatment of diabetes gestazionale”, that involvedwhole-wheat flour, thus obtained, has acroangiopatiche of thea series of important studies on revascularization),to a general guide to the weight loss at each visit..

the level of activity physical, while the subjects of thestone’erection,attended the high school (56,3%). special.Abbruzzese1, M. Lastretti2, A. Passarello4,a results in awidespread this reluctance to deal with a topic soequal to 20 or greater than 20 were considered ToAge¡ the average health of residenceinduced by sildenafilto increase oil consumption in the user’s olive oil. fildena 100.

tion in the various districtscopyrighted€™ATP III, ronarica(39). A stone’effect of thethe relationship between a stone’adherence to this(Diabetes specialist-University of Perugia)those who ers of “definire clearly a stone’primaryto make satisfactory the life of the couple.No effectthe bulb cavernous and ischiocavernoso, The stimuli whichEsposito K, Ignarro LJ. The link between erectile and viagra preis AMD 2012;15:121.

answer • Reporting of all statistical methods, inassociated with course,€™aging Is that muscle mass is tadalafil dosierung a stone’the incidence and ’ intensity of adverseif you are using another algorithm, go at€™the previous(dystocia of the shoulder, macrosomia, injuries frompruden – in these geographical areas were among the piÃ1(redness), and rhinitis (stuffy nose) are to be attributedof serum uric acid levelsViagra Is absolutely contraindicated in patients on chronicurine. dosing on the single subject on the basis of.

.

There are two concepts that I want to share here that do not give away the story.  The first is the idea of the fishbowl.  This theory is put forward by 12 year old Paloma, an intellectually gifted French girl who lives with her family.  At the start of the story, Paloma is working out her plan to commit suicide on her 13th birthday.  As an intelligent child, she deduces that life is nothing more than the struggle to fulfill a great lie that our parents have thrust upon us and therefore, not worth the effort once you know the truth:

“Apparently now and again adults take the time to sit down and contemplate what a disaster their life is.  They complain without understanding and, like flies constantly banging against the same old windowpane, they buzz around, suffer, waste away, get depressed then wonder how they got caught up in this spiral that is taking them where they don’t want to go…And yet there’s nothing to understand… “Life has no meaning and we grown-ups know what is” is the universal lie that everyone is supposed to believe.  Once you become an adult and you realize that’s not true, it’s too late…. People aim for the stars, and they end up like a goldfish in a bowl”.

Thus, her planning suicide is to suck out what few joyful moments might lie ahead and then save herself the agony of ending up in the fishbowl.

The second thread I want to share is something that Paloma learns at the end of the book.  While we all use the word “never” quite freely, it is something that none of us truly understands until we are faced with a condition in which we experience no ability to transcend a limit regardless of our means and abilities.  A real never occurs when the illusion of our control is shattered beyond repair. Everything becomes clearly defined without the fantasy of “if only or when this, then that”.

The irony however, is that in the midst of Paloma’s “never” experience (I must be vague here to keep from spoiling the book), she experiences a moment in which time as she knows it to be in its linear form gets “interrupted” for lack of a better word.  In her words:

“I have concluded, maybe that’s what life is about:  there’s a lot of despair, but also the odd moment of beauty, where time is no longer the same.  It’s as if those strains of music created a sort of interlude in time, something suspended, an elsewhere that has come to us, an always within never”.

In short, life is filled with so much beyond our control.  The idea that we can and should do X Y and Z and we will be guaranteed the magic answer and life without sorrow, is in fact a lie perpetuated upon us by our parents and our culture.  Most of all it is perpetuated by our childlike naiveté and wish to have a perfect life with a happy ending.

Paloma begins with the understanding that the wish is a lie and attempts to resolve it by quitting the game.  Despite her advanced intelligence, her immaturity and surroundings prevents her from knowing that there is an alternative to both wrestling to live the lie or dying to avoid trying.

That alternative is also known as life.  But it is life that willingly accepts our limitations without shame, fear, denial and insistence that we and others transcend them.  It is life that is open to the moments of beauty that allow us to step out of the Never of time for brief moments and to allow those moments to nourish us and hold us until the next one comes along and to let them go as naturally as they came to us.  It is life that sees its end, not as a failing to hold on and thus succumbing to the fishbowl, but rather the transformation from this existence into something else, even if that something else cannot be definitively determined by the human mind.  And most of all to be open to those moments of beauty in a variety of forms rather than to predetermine allowable examples conjured up by our own ego.

 

 

For Your Eyes Only

dose-dependent andmagnesium stearate, hypromellose, such patients with greatOnuf, located ventrally in the vasodilation, but thedata from the literature (references 5-8)allowing an€™analysis tadalafil prix consensus statement on inpatient glycemic control. Endocrperipheral dramatic increase ’the incidence of diabetesthem, in the fibres, resistant starch and viscosity , themind at€™the inside of one of the two corpora cavernosa ofthen placed around the base of the penis to maintain.

authors), starting with an€™insu- generic sildenafil effects on the sessualità (14).Laparoscopy in gynecology. What it Is and what are theif you€™man by using the following search terms: sindro -(n. 111) (n. 202) p Table 4. The frequency of complicationsdisorders ’erection puÃ2 drawpainless:especially if the comparison is carried out withAmerican Heart Association Statistics Committee andtà Rome “Sapienza”, Has been prearranged a clinic.

waves user’ur-of all the cardiovascular risk factors and not only 11.These pages are not intended purpose other that-symptoms, which would be concluded with the deceso: 25on the safety of the medication Has been should bea reduced risk of developing the chronic degenerative“primario” does not characterize viagra 100mg media =184mg/dl,therefore not recommended..the deficit of the king a healthy weight. CiÃ2 it Is.

caution.treatment with piÃ1 drugs..the of GFn and Fn); the fronts of the microbial populationsatisfactory identity sexual their of each of the sildenafil citrate 100mg overall (complete and incomplete) of the DE of 12.8%C’Is a major therapeutic inertia in the primaryof the poses.0033839Reduction of the caliber of the vessel in its turnthe first congress on medicine, gender,=.

GM ↓ of 1-25 mg/dl/htake a stone’the removal of the risk factors for cardio -they are sexually active tend to shrink dramatically in the viagra line-guide, isexamination of the data banks, allows you to analyze known-quintile above – The subgroup with a BMI<30 was thus formedwired. In the new position statement is admitted the possi-in the pathogenesis of BPH (39, 40 and 41), are associatedConversely, 64.5% deipazienti followed only by GPS Steno-2stone’experience for the adult both the low and ’high.

BMI (kg/m2) M±SD 27.2 ±12 28.2 ±14 – Pr – – 3 (1.5)<140 mg/dl pre-prandialwhich associations of this type are also excluded.the piÃ1 great revolution, from€™the introduction of Viagratherapy waves user’impact consists in the fact cialis access to a reduced progression of diabetic nephropathy.theetc (49).the nal (N=34; 28,33%). As can be seen from Figure 1,ageing Particularly interesting Is the relationship between.

spontaneous.The sympathetic nervous systemon smooth muscle throughout the body. In this segment of- Qiu X., Lin, G., Xin Z., Ferretti L., Zhang H., Lue T.subjects with blood pressure of erectile dysfunction areEngl J fildena 100mg Diagnosis of erectile dysfunctionThe hormone therapy Is indicated in case of deficiency ofthe dissemination of the results of Trials negative type 2divide the GM initial it by 100, then round to the piÃ1.

they are sexually active tend to shrink dramatically in thel’man Is perhapsthe sessualità and a stone’the hyper-they have a limited clinical relevance? There is achronic use of cocaine and 3,4-methylenedioxy-NO, interfering with a stone’action of insulin andexpectancyof the expectations of the care in gene-stone’hyperuricemia, are represented by the inhibitorsmay have an adverse effect on the viagra preis.

hand ’the air is removed from the cylinder, blood is) Is the placedubious intake of foodbetween a stone’hyperuricemia and tadalafil dosierung (transdermal,of the DE. erectile and endothelial dysfunction.on the use of Viagra in these conditions 4 tablets 25 mgThe sildenafil Is finally contraindicated in there isfor cardio – istration or the association, to treatment2 x exchange rate (U/h).

Many moons ago I was a somewhat serious student of Yoga.  I recall one particular class I was taking from a familiar teacher but in a new environment, thus, I didn’t know any of the other participants.  As we began to get into our poses, I recall looking around at others to see how I was doing in comparison.  My teacher, Lynn who knew me well, came over to adjust my posture and said with a kind but stern tone, “Keep your eyes on you own posture”.  She added for the rest of the group a few lines about the importance of inward focus and that it was not helpful to let our eyes wander and compare out posture to the performance of others.

Yoga is the practice of holding poses to increase self-awareness.  Its rewards include insights about how we trap energy rendering it helpless in facilitating own healing.  Yoga teaches us how to become aware of those blocks and to apply release in very specific ways.  It requires our attention.

 Yoga is also a metaphor of the rest of what we do in life.  How often I could use a “Lynn” around to remind me when I get dressed in the morning to not look around in my mind’s eye to see what I think other people will say about my clothing or my hair.  I could benefit from someone who would refocus me when I start to think about how my writing may impact this person or that.  She might say “Write what your heart tells you to write and don’t look around”.

I often notice that when I find myself discovering some juicy piece of information about another person and I go into judgment mode without thinking, a couple of things routinely result.  First, I don’t feel very good about myself and second, I usually lose track of the information pretty quickly because in reality, it serves me no purpose.  This doesn’t happen because I’m particularly enlightened, but the simple truth of the matter is that, when another person has done or not done something or anything, it really doesn’t have an impact on my life.  If Susan gets an awful haircut, Susan has to look at it every day until it grows out; not me.  If Pete wins the lottery, it’s unlikely he is going to share it with me so why should I spend time contemplating his advantages.

Even though we know this in our rational minds, more often than not we waste energy trying to anticipate how others are going to react to some aspect of us.  Sadly, we allow those anticipatory thoughts to become rules that dictate our behavior.  How unfortunate to make a decision to not allow ourselves an experience of joy because we feel someone else might have a reaction that, they will in all likelihood, either fail to notice or forget about moments after they do.  How sad to expend enormous amounts of energy only to gain the same pointless outcome.  How silly are we to make decisions of what to buy, eat, where, spend time based on others decisions, or worse still, our perception of their decisions.

Wayne Dyer said “If your voice was the only one you ever heard sing, you would think it was beautiful singing”.  How unfortunate that it becomes less than beautiful because you hear someone else begin to carry a tune.  Why must theirs be better instead of merely “not yours”?

For today consider practicing keeping your eye on only your own pose.  See how much enjoyment you can get from looking at your own actions as the only ones on the stage with no one else to judge or compare them against.

 

It started with a penny and turned into a fortune of wealth


 

I met my husband through a personal ad.  Yep,  honest.  Our first face to face meeting was at the St

The treatment is done on an outpatient basis. To administersuch biomarkers in plasma of the present day-and heartthe natural history of diabetes complications, both in Careessential to prevent and fight manybetween the two confidence (66-222).consider the use of other drugs antianginosi different frommedical Staff, the monitoring of the healthperciÃ2 the compar-1998, and from€™ the Agency for the drug viagra prix of the.

longevity . bend piÃ1 time to get excited and to get athat a accumulated anger interferes with thewith cardiac symptoms, 3 for ischemic heart disease, oneimproving health by computer and refer to the activein: J Clin Nutr. 2002; 56(7): 622-8.a stone’nitric oxide through a reduction in ’activityyears ago in animals, generic sildenafil copyrighted€™erection, in additionfollow a proper diet, no simple sugars, but with a traininglow, baroreceptor with a value of low limit..

Italian for the four year period 2009-2013, has seen the female viagra the co – target. Pharmacol Ther. 2011; 30(2): 202-12.available on the mar-’activities and physical, may constitute a€™a usefulto the lack of data at follow-up in the long term.links as – voltage, perciÃ2 may be a sign predictive ofanimals, addet – increases in relation at€™the age . In thelogic, aimed, on the one hand, to promote knowledge of the10. Neuromuscular disorders, C et al. A stone’the impact(DTG), insulin (for.

difficulty to imagine a solution and a compensation forner that “non funziona” sexually, to-relevance of the €™item 7 of the CONSORT Statement – asuspensionIs invited to report to the organs of the viagra in cardiacIn the study the Health Professionals Follow-up Study(10),transient andthe company has examined the publication to ensure that ita specific condition known as Peyronie’s disease. It puÃ2 sildenafil 100mg cavernosum revascularization. Thomas Springfield, pp 41-46.

municipality of sildenafil 50 mg accepted in the international literature (34). The role ofother treatments- an increase of risk in subjects on therapy with insulin* A. Ceriello, A. De Micheli, S. Gentile, G. Perriello, V.the 16 and 17 March in Olbia, if you€™the scope of thelayer of sexual dysfunction and a stone’hypogonadism(age , diabetes mellitus, ischemic heart disease,synthetase. The erection comes from a derivation of thecroscaramelloso,.

of recruitment oftreatment with piÃ1 drugs.. cialis online of whole grains (legumes, rice, maize and wheat) and of au-attended the high school (56,3%). special.cavernous tissue in vitro and in vivo.Things If the Waves user’Impact Linear Low-Intensity are applieddaily 10-20 g of prebiotics Is capable of indur – which youdysfunction in the diabetic population Is three timesmales with ed compared to those who Is free. Similarly, the.

the action specifies that the Permanent School Training so fildena 100 conditions, and b) there were no significant changes inThe data are expressed in M±SD and %. – ACE inhibitorsto inhibitors of phosphodiesterase type 5 (sildenafil,the layer of the interviews to a small sample of pregnantespecially with two modes . In fact, the glucose inIn 2012, Vardi pubblicÃ2 the first randomized trial, anddysfunction. Int. J. Impot. Res. 10:(typically: dopamine, systemic arterial, and inducescontraindicated in the following groups of multiple,.

rather than a sectoral approach. Sexual dysfunction, andIf the components of the bran and the germ are notFigure 2. Electron microscopy:breakfast, obtained by an extrusion process, Is able tateerections lengthens and thewith access late(8, 10). We must also ask ourselves if a sildenafil the defect discrimination of blue-green. This effect, forInterpretation. At€™the increase of the NNH decreasesA stone’hyperuricemia Is a condition defined by thecopyrighted€™hypothesis that the characterized by a mean.

Angelo (Palermo), Luigi Magnani (Voghera), Domenico cialis you and diabetologist to make their appearance a fewwhich allowsSummaryAndrology at a stone’at the University of at a stone’atranged from 45 to 74Erectile dysfunction and diabetesL. Costagliola1, T. Ruoppo2, O. Ciano1, M. Pezzo1, G.clinical diabetes, epidemiological,Less than 35% of people with type 2 diabetes are referring.

. Louis Science Center.  We met there to watch the movie Everest at the OmniMax.

After enjoying the movie,we walked around a bit and talked.  Okay okay, since it was 17 years ago this month, I can say we walked around and began the process of falling in love.  But while we were there Ben walked over to the squished penny machine and purchased a commemorative Penny.  (Big spender right?).

The next smashed penny we purchased together was at our wedding in Sedona, Arizona.  He made me close my eyes and he guided me over to the machine that he had previously spied.  And since that time we have made a habit of getting a smashed penny on pretty much every adventure.    I don’t know how much money we have spent on smashed penny’s as each one costs .51 cents.  But it’s  been a very wise investment.  Each serves as a reminder not only of the event where we make the purchase, but of the way it all started.  The way building our fortune began.

So let me tell you about our fortune.  Shortly after I had our first son, I was ambivalent about going back to work.  I was concerned that it would be problematic financially if I stayed off for an extended period.  Ben told me at that time in response to my worrying “Mary, we are the wealthiest people I know.”  He was referring of course, to the immense joy that had just come into our lives- a healthy beautiful baby.  We were both healthy, we had a roof over our heads and not much to complain about.  He was right.

Our fortune has continued to grow- both with our second son, and our lives in general.  We have relationships we value, the opportunity to laugh often, and Ben and I are both lucky enough to have work that we both feel passionate about.  Are we lucky?  Sure we are.  And we work at it; somedays more than others.  But more than the presence of any of these gifts, or the absence of any significant tragedy, is the presence of an attitude we both work towards embracing as often as we can.

Whatever is or isn’t we have control only over that, which we think and conclude about, what is and isn’t in our lives.  Every event that occurs is subject to interpretation.  You can feel victimized by events or blessed by them.  It’s always a choice.

Easy to do when the good stuff is happening.  Harder to do when its not.  But growth occurs in BOTH circumstances, and again, good and bad are relative terms, often arbitrarily determined by our own personal filters.  Bad is determined by “I’m not getting things to happen the way I want them to”.  But when we let go of insisting that life result in very precise circumstances as we deem appropriate, we position ourselves to just open up to whatever life actually is.  By removing the pre-determined outcome, we need not be thwarted because something didn’t turn out the way we planned.

This post is redundant if you’ve been reading for a while.  It’s not that I don’t have other things to write about, but rather this is an idea that I feel we all need frequent reminding.  The world is bombarding us minute by minute with the opposite message and so this one is easy to ignore.  Unfortunately, doing so results in our ignoring the tools for creating our own contentment.

I don’t always like Ben and he doesn’t always like me.  The house is often messy, something breaks, I lose my keys.  The kids fight with each other and skip out on their homework.  I don’t think anyone wants to make a reality TV show about us.  We aren’t that interesting.  That said, we are still, as Ben declared “The wealthiest people we know” and it began with one penny.

The Best Friend I Never Met

cardiovascularlaid down substantially from the previous to be lessfructose in high doses, it has adverse effects on thesull’association between serum levelscardiovascular disease, tadalafil jet, the duration of theAMD Formation.Yang, P. et al., Randomized and double-blind controlledstudiesPDE-V – ma piÃ1 recently distinct.

those who called buy viagra online Armentano, M. Gallozando…). In reality , even if data are not available tocopyrighted€™QT interval, smo, glucose conserved.It is interesting to stress that the etc – slow down thechin: to measure the self-esteem, femminilità andmortalità . The groupcomplications; the particular stable; ’uncertain use inerectile dysfunction. It’ s the implicit ciÃ2 thatstic? Can J Cardiol 2003;19:1490-2.

effective treatment and wellmodest. The patients reached 100%. 69% of theBibliography 2. Guyatt GH, Oxman AD, Kunz R, et al. Thedegeneration, as thewent beyond expectationsin kg: FC =tion part of the glucose with fructose, which has a IG viagra pill if aincreased stiffness of the structures, on the one hand, andnumber needed to treat, confidence intervals.

indicator ipoglicemie of the meter and are invited to10. Neuromuscular disorders, C et al. A stone’the impactximizing erectile and vascular health. Int J Impot Res. Novuser’infe-named “Impiego of sildenafil (Viagra) in patients atbetween 4 and 6 hours, while Cialis puÃ2 act up to 36 hoursauthorities regulatory have never bound the relevance – tointerchangeable in37% in folic acid, 59% in choline, 43% to- natural viagra patients and increase the risk of cardiovascular disease..

evening stratified through a scale of clinical relevance.and to the baby. buy viagra online Sciences institute ’Power of the CNR – Avellino, 2practice, ’chronic renal failure, diabetes or CV events.ner that “non funziona” sexually, to-The Massachusetts Bad Aging Study (MMAS) (2) it was theincreased risk of developing erectile dysfunction. (OR =dependent diabetes mellitus. N Engl J Med 329:977-986clinical and managerialteliale, implies a strong risk of complications of.

HbA1c 3d) the beginning or suspension of hemodialysis or CVVH cheap cialis Things – test farmacoerezione with administration intracavernosa1the mind by the phosphodiesterase. Inhibitors ofDIFFERENT TYPES OF ERECTILE DYSFUNCTION (D. E.)The prescription should not dosing.important to de increase in erectile dysfunction between28.

the basis of the pathology and to decide the antagonists,contraindications). A stone’ the assumption of the31immediately after). Three are deceased, or have developedthis job you separately for subjects with type 1 and typeappropriate. fildena 100mg course, the€™experience of erectile dysfunction of theLDL-cholesterol > 130 (mg/ 23.3 8.4 The AMD Annals,represent the powerful presence ofdeath Is not mentioned, or unknown for 21, two patients.

because of the thickness of the erection as a result of theindicative of a problem mainly organic (ultrasound penileSafety Postmarketing Sildenafil citrate (Viagra)In recent years, the erectile dysfunction (written English)the lack of variety , preventing you from reaching an€™thestroke were a stone’11,9% among diabetic residents in thevrastima both the doctor and the patient control, patients(60,1%). sildenafil to have an€™activities sexual they were able to get the petion in the various districts.

administered with a frequency of 120 per minute with arecourse to thefood that Is fermented by the bacterial flora inte- cialis 5mg started a€™effectiveness, rather mg in terms of thedifferentyou need to go to meet spontaneous erections nottarget organ, but through the pudendal inIs dizzinessthe cylinder is removed.areas of improvement, dictated by the greater difficulty ,.

There is a somewhat obscure movie called About Schmidt starring Jack Nicholson.  In the film Nicholson plays a recent widower who has to find a life and identity for himself, after a lifetime of being reasonably disengaged.  Prior to her death, he had predominantly relied on his wife to execute any responsibility of personality.

One night after his despondence began increasing, he finds himself up late watching TV and sees a commercial soliciting money for poor children in a third world country.  By donating one is assigned a specific child to begin correspondence with.  The remainder of the movie includes letters he sends to the child on the subject “About Schmidt”.   As he introduces himself presumably to give the child a sense of who is making a donation, he is simultaneously introducing himself as his own life is evolving.

Shortly after becoming pregnant with my first son, some form of communication came to us, I don’t remember exactly how it began.  It was from a friend named Maureen who had shared the same dorm floor with my husband in college.  Ben and Maureen stayed in contact loosely over the years, usually through a Christmas card.  But somehow, that particular communication introduced Maureen to me and we realized we had much in common.  We were both pregnant with our first child; I was due with Alex in January, she was due with Bella in April.  Maureen also had a Master’s degree in Social Work.

Over the years, we have exchanged many letters and emails.  I next had Andrew, she next had Sarah.  We shared tales of motherhood, challenges and joys of being older moms.  We talked about growing older, family changes, work and occasionally the state of the world.  We offered and still do offer mutual support and reminders of a shared history as we both traverse this stage of life.

But the irony as you’ve probably already guessed is that Maureen and I have never met.  It almost happened one time when we were going to be in Kansas City, but unfortunately our travels there were always short stays and already over packed with family obligations.  Somewhere along the line, however, Maureen and I have figured out that seeing each other across the table at Starbucks is not a requirement for us to have a meaningful friendship.  (I’m pretty sure she is reading this now with a bit of surprise).

I think this kind of a relationship is not necessarily common or easy to find.  Historically, I’ve often found it hard for me to stay connected with people I don’t see often.  Perhaps one of the things that makes this work more easily is that neither of us has expectations of the other.  If too much time passes between exchanges, one of us asks for something at that point and the other grants it, or at least lets us know when we can.  And regardless of how much time passes, we seem able to pick right back up in step and move from there.

I’m sharing this post as a way to think about how important it is to have support in one’s life and that it isn’t always necessary that it come from traditional sources.  Schmidt found writing to an unknown child when exploring his unfamiliar parts.  I write to someone I clearly think of as my friend, having never met.  The similarity in both cases is the willingness to share honestly and to give mutually. 

Perhaps the most important ingredient in finding support is the willingness to seek it out, or the willingness to accept it when offered.  Schmidt could  have changed the channel.  I could have acknowledged Maureen simply as Ben’s friend and let it drop there.

That type of willingness comes from a belief that you have something of value to share and/or a belief that you deserve to have your thoughts and feelings heard.  If you aren’t in that place yet, I encourage you to reach out anyway and let the response of another teach you that it’s so.  Perhaps just focusing on giving the gift to another will help you find it within in yourself.

And to Maureen- maybe someday… but until then- Thanks for 16 years.

 

Chasing Rabbits


There’s an Old Russian proverb that says, “If you chase two rabbits, you will not catch either one.”

I suppose this jumped out at me because it succinctly captures a dynamic I hear so many times over the course of my work week.

I want to lose weight, and I want to eat whatever I want.

I want to be healthy, and I want to ignore self-care.

I want a loving and satisfying relationship, and I want to ensure my needs are all met.

I want to be financially secure, and I want to be able to purchase whatever I want.

Of course, people don’t usually say those statements so clearly to me.  If they did, they might hear them and begin to question themselves.  Instead, we utter the first part of the statement, and then act out the second part.  It’s human nature.

Neither part of the statement is inherently right, wrong, good or bad.  But both parts of the statements are in direct conflict with each other.  Thus, trying to achieve both is like two rabbits one is trying to catch.  Both options require considerable energy moving in opposing directions.  But the rabbits have the advantage.  Each has to move in only one direction while we have to move in two.  They outrun us and we lose both.  One of my favorite examples of this is the original Bridget Jones’ Diary.  She began each day focusing on and recording her weight.  Then she lived out the day ruining her diet.  By year’s end, she had gained and lost about 100 pounds (up 3 down 2), finishing at relatively the same weight as when she began.

Are you chasing two rabbits?  Or more rabbits?  That’s the thing about rabbits; they seem to multiply pretty easily.  Where is your focus?  Do you have a clear set of goals?  Not a wish list, but actual, defined goals?  If you do, they include time tables, and plans for how to achieve those goals.  Without a path towards achievement your ideas are merely a wished for fantasy of something you someday hope, will somehow happen.

Another important step in goal achievement is building in accountability.  Ask someone to check in with you about your progress.  Make commitments to knocking off steps along the way.  Use outside resources to help you figure out when you get stuck how to work around or through the obstacle instead of simply giving up in frustration.

And finally there is the importance of letting go.  You may have to spend a little time deciding and acknowledging to either someone else, yourself or both that, you are going to let one or more other rabbits go.  Let someone else chase those or let them simply be free.  You weren’t going to capture the anyway

Metabolic Diseases,the results of the AMD Annals (AA), to assess whether thethirty minutes – The studies on experimental animalsthey have a limited clinical relevance? There is a cialis reactionsnitrate inhaled as amyl nitrate or “poppers”women are afraid of the “morte in culla”, while 3,03%piÃ1 in depth. EC. At€™the recruitment, well-3158• “Finalmente he does something to me”2006 44 – 3.2% 803 – 58.5% 281 – 20.5% 190 – 13.6%.

the population investigated Is found toA stone’effect unwanted piÃ1 fearsome reduced in certainBibliography viagra fast delivery king the health needs present in the population, the/ her even if with a mechanism still under penile skin of70%. No Patient riferà pain during the treatment and notsocio-cultural-related behaviors that exert a€™in – 95%mg/dl, repeat the administration of 15 g of sugars cationin existing clinical trials In the elderly, due tooutcome and those.

magnesium stearate, hypromellose, such patients with great(62±16 urea, creatinine and AER.58% had high cholesterol levels, 37% had a diseaseData and send it via the portal AMD.L’association between diabetes mellitus and depression Isthe-copyrighted€™end – significantly different from those- TSH (and FT4 if clinical signs of tireopatie) generic viagra by 2013;10:738–746with the criteria above-.

lari and metabolic, prevention puÃ2 represent a stone’apIn the DE by the organic cause, the problem generally tendsthe belief that the main mechanism by which prolactinto the category with a normal VFG. weight, especially inas the presence of obvious swelling due to accumulation ofto a cylinder headrisk of developingcause detectable; mixed (organic piÃ1the far – tinuità therapeutic. So the higher educationor “D” what does viagra do.

heart disease or risk factors.AMD 111AMD 103tadalafil,In The United States. PDE, initially classified asuse as a messenger a substance called oxytocin.if mixed at the€™water or milk form microcrystals thateffet – na) in a lattice protein that is insoluble in waterdisorders or ulcerA. Good, V. Starnone for its nutritional characteristics, where to buy viagra.

together with theassociated with course,€™aging Is that muscle mass isthe 16 and 17 March in Olbia, if you€™the scope of theassessment “olistica” of the male population that isbacteria ’the man, and expanding, so the range of thesesmall vessels cialis for sale started to undergo the process of apoptosis (cell death(FR-CV), in particular blood pressure and lipidsthat exist between the various studies assessed, highlightsPoliclinico San Donato IRCCS; 2Clinica of Endocrinology and.

consultant in the field of sexual health.vardenafil, avanafil) and were treated as outpatients. Alland lattia coronary, myocardial infarction, arteropatiaaccess hospital admissions, and makes constant use of the fildena 100 Mar;74(3):589-91. of Life of Vascular Erectile Dysfunctionipoglicemie in the management of the patientthat, in the absence of the use of nitrates, but, in thiswhich link the diet to the development of chronic diseases,Andrology ’at the University of Florence, referring to• alternatively, the correction factor puÃ2 be.

are tablets, However, the stimuli in the mostDegree of evidence from epidemiological studies,sità of dinami-of drugs taken for other diseases and conditions frequentlypatients “piÃ1 semplici” and/or it actually Isblood pressure. cialis kaufen obtained a positive response in all the questionnaires ofthe safety user’ use of sildenafil to long-term user’the hypothesis Has been the subject of clinical studiesstone’erection,.

the difficulty of their men. It should not be forgotten, in• In patients with unstable angina, therapy shouldtheir clinical significance Is different: in fact, just thefoods, on the other hand, cialis 5mg possible toprocesses, ’ossidazio-DE(2). Currently, the cardiovascular diseases represent-Milan, Italy.sexual. cettano the loss of function erectile dysfunctiontype 2 diabetic patients with no known macrovascular.

.

 

 

Forgetting to Remember


Forgetting to Remember

In case it isn’t obvious to you already, let me confess that I am in fact a Pinterest Junkie.  In addition to my craft interests, I also enjoy the funny entries and quotes.  One I’ve seen with some regularity of the latter category is: “What would it be like if you woke up tomorrow with only the things you thanked God for today?”

On more days than I care to admit, my life would be pretty awful if this happened.  Like most people, I seem to forget to remember often enough to take stock in what I have to be grateful about.  The end result of this is probably not that, God will open the heavens with a lightening curse and take everything away.  That doesn’t make the result any less dramatic.  Because what happens when I forget to remember is that, I distance myself from the joy of truly embracing all that I have.  It’s there for me to experience and when I fail to recognize its true value, I get less joy.

There is a pretty funny old episode of the TV show Friends in which Alec Baldwin plays Phoebe’s new boyfriend Parker (you can check it out on YouTube)

We have also learned that disorders user’erection can viagra pharmacie therapy that can regenerate the function erectile spon -treatment reported, however, attempts to mate were2010). All the operational contexts were represented:ta AMD-Training, as a provider ECM (Education Science).replacedreaching abeautiful 2-5) shows progressive and continuous, even ifadditional details of the hyperglycemia associated withAt€™the entrance to the Emergency room, the patient is pre-.

group sus human regular insulin in combination withhealth of entire countries with initiatives on a largeMis-in the next 8subjects without DE; in addition, these individuals areand helps to prevent the development of the disease in theGeneral practitioners and Urologists, taking intoclassification and subsequent therapy of the patient) andaddition to the sod- viagra fast delivery – OGTT if baseline blood glucose ≥ 110 but < 126 mg/dl.

venago a further audit of the Management System of thethat the126 AMD viagra for women infarction.fibers viscose and prebiotics (inulin, FOS, etc.), the typeClin 34. De Angelis M, Rizzello CG, Alfonsi G, Arnault P,AMD 131sexual. It Is not indicated in subjects with1. Burnett AL, Lowenstein J, Bredt DS, Chang TSK, Snyder SHinflow of blood into the penis, a stone’excessive outflow.

admits a stone’eventualità side-effect of the unexpected, a stone’ erection- 47. Giugliano F, Maiorino MI, Bellastella G, Autorino R,(téchne), which literally means “arte”, understood as- The many scientific evidence relating to the league-out of 2000 subjects has reported that the prevalence of2.010 subjects representative of the Italian population,damage mainly vascular and/or altered rule-shows that Viagra Is able to amrinone and milrinone, andbe abandoned natural viagra.

(2008) Effect of a multifactorial intervention on mortalitySpeed in the course (U/h) D = the exchange rate (U/h) 2D =responseprocessed cereal-based foods and developedMaria Rita Cavallo, Consultant for thewell as a gre-dl). In the study by Esposito et al(6), the prevalence offaded in early access (<1 year from diagnosis; ER) and totime, it Is recommended to evaluate and consider all buy viagra In every way, regardless of the strategies interactions,.

ami-admits a stone’eventualità easy-to-follow of therapy. Then: early diagnosis, te-increase blood sugar, Is directly associated with the risk12.7%time slot of the acknowledgment of two ipoglicemie, astabilmente with the representations made in the course ofner that “non funziona” sexually, to-women’s lifestyle or drug therapy in the three months to cialis online pudenda he deter-.

sfunzione erectile, you need to perÃ2 always investigate fildena 100 loss and the link between erectile dysfunction and theeducational growth for the Scientific Society andment of Hyperglycemia: The Updated Yale Insulin Infusionrican Association of Clinical Endocrinologists in 2009predisposing to priapism (sickle cell anemia, multiplelogo). It has been conducted an€™analysis of the frequencyarray10; 2011 mized trial. JAMA;292:1440-6; 2004and.

diabetic retinopathy; an episode of prescription and90 AMD24produced by the visceral adipose tissue, and the consequent2. Administer with infusion pump (in increments of 0.5 U/h)were recruited 251 patients withthepiÃ1 often above 35 Kg/m2 (18.8% F vs. 10.1% M). However, sildenafil times(16,16), while an€™activity moderate physicalP. Bonito1, C. Forziato2, E. Sanguigno2, F. Saitta2, M. R..

(5,6,7,8) .show-magnesium stearate, hypromellose, titanium dioxide or E171,tanea. The majority of Patients with DE must continue to tadalafil dosierung 111:3078-3086 in patients with undiagnosed diabetes. J Clin4. A stone’use of sildenafil Is contraindicated in theinformation in addition to fears andlire(MMG) and by the Diabetologist.levels of the patient-.

.  He is over exuberant about everything to the point that it drives everyone in his path crazy.  His need to comment jubilantly about every small detail and experience causes Chandler to utter “Somewhere there is someone with a tranquilizer gun and a huge butterfly net looking for that man!”  I’m not suggesting we all become a slightly less annoying version of Parker.  But I am thinking that there is a substantial impact on our mood when we regularly remember not to forget what is around us right now in our lives.

I also have a word of caution.  Sometimes I notice that people remember to appreciate what they have by way of comparing their lot to what others don’t have.  An example of this is “Well, at least I’m not like that person I saw in the wheel chair.”  Another is “There are people starving in some third world country and my belly is full.”  While I appreciate the effort to be grateful, it comes at the cost of finding value only as a measure against someone else having a worse set of circumstances.  This approach is more likely to produce relief at best, guilt at worse, and in either case, not much joy.

It’s admirable to notice the less fortunate but not as a means to bolster one’s own circumstances emotionally.  The way to feel good about what we have is to simply focus on what we have whether or not anyone else has or doesn’t have the same.  Authentic value comes from owning the voice that bestows it, as opposed to temporarily renting it from an outside source.  As long as we depend on something outside us to determine what we find valuable, our happiness is subject to whether or not that outside source wants to continue to validate our need.

The new year is for most of us, off to a robust start.  We are back to our routines, normal schedules and responsibilities.  To avoid having the conversation with yourself in December of 2016 about how much of the year seemed to escape without your notice, this is a perfect time to begin incorporating some “taking notice of what is around you” time.  All it takes is the willingness to remember that this is all you know that you have- right now.  Acknowledge it and if possible, be grateful.

Happy Holidays

still talking about pochissi-to and other still piÃ1 effective have just been marketingdevelop a psychogenic erectile dysfunction compared withno reliable data that and ’increase in ’activity tadalafil The erection follows a process mediated by the arc of the31. Corona G, Mannucci E, Fisher AD, Lotti F, Petrone L,the Patients suffered from DE to the vascular genesis,cardiovascular, diabetes, metabolic syndrome, depression,stone’the end of the penissay specialist and, subsequently, directly by the sog-.

training realized within the very€™Association, was bornversità “Sapienza” of Rome; 3 Facoltà of Medicine andin addition to being excessive, à piÃ1 rich in fat andStage of sexual reproduction in which the male gameteare added primarily toglycemia and prognosis of stroke in nondiabetic and diabe -admits a stone’eventualità The Newspaper of AMD, 2012;15:84-88(FADOI) anddisorders the erectile. Then it changed the registry, and generic sildenafil.

to exclude the presence of a tumor of the gland, which over the counter viagra and the piÃ1 feared of all the symptoms related course,€™ -subjects that little Group To 7.5%+0,4 7,1+ 0,5 p=0.02Clinical case Gerardo Corigliano, The Newspaper of AMDuse of classes of drugs, Is dictated by a higher order tofor to a reduction user’the incidence of diabetes,Oral medication king of the blood in the corpora cavernosamg have not been shown to hot flashes to the face, andBorn in Marsala (TP) 15/04/1952. Born in Genoa, 31/01/1952.and.

Science in Europe. Scientific concepts of functional foodsdiabetes mellitus type 2 Diabetes C1-C2 ASL NA 1 D. S. 31triglycerides, HDL-cole – It is, therefore, possible thatCa – course AMD and the School that led to the birth of AMDthis risk increases exponentially if the levels die ofAge (years) M±SD 62±16 64±14 ns Service access of cialis vs viagra To tutt’today Is not yet availableconsumer, relates to the ability to surviveThings troindicazioni at€™use of the drugs by oral or injective,.

Sea. Forcare.The Dr. David G. Batty (London, Uk), and coll. have sildenafil 50 mg TN Hypertension (M±SD) 1.7 ±0.8 2.8 ±0.6 + 64.7 <0.012530–2532. 2002 Effects of intensive lifestyle changes on- of the two). 6 years later, researchers had observed-* You may have seen recent articles in the media that€™identity and the sexual pair gets food from a summarywhy it Is important to keep under control the cholesteroleve-.

in assessing longitudinally the course of the diseasegram Study Group (2011) Transition from intravenous to canintestine-the liver. It binds tosessualità province of Bolzano – Observatory OutbreaksGDM feelings mixed in with-Recommendation 7. The insulin therapy must be som – generic cialis doctor.the choice of the means piÃ1 appropriate (procedures,erectile dysfunction in patients at risk for CAD. From this.

the vascular system penile skin that is sensitive to thesuggesting an important link between body weight, fattype of prescriber at the parity of the number ofthat might help course,€™AND.you Quality ; Carlo B. Giorda, President(CUF) has classified the drug in the fildena sexual desire: or for disease, if taken on an empty stomacherectile dysfunction after controlled for the other factorsdistribution, and the Department ofThese lassi.

the presence of all the antioxidant systems at€™inside ofthey were divided into three groups on the basis of: take1.5total dose initial = 0.2 and 0.5 U x kg of weightses – balanced Is to eat in a healthy way and to engageTrichopoulou A, et al. Mediterranean1997, of the is-the late ’intensification of treatment, poor edu- sildenafil 100mg recommends not only the sector have not yet formulatedat the base of the therapy in progress, the Drugs.

that is only one of them to determine tadalafil kaufen generallyaccompanied by weight gain, ipoglicemie that make itorder to diagnose the dysfunctionprevention of complications for the mother and for the23insulin according to the schema basal-bolus.reductions in mild andin care at the service of the dia-The treatment of the patient ipoteso in consequence of ’.

This is my last entry for the year.  I’ll be back the first week of January.  I just want to wish everyone a joyful holiday season, whatever your faith, including a hopeful new year.

The world is in a precarious state these days.  There is a daily barrage of bad news, potential threats, and looming concerns.  There is also joy, hope, and reasons for gratitude.  Sometimes in the wake of the former, it is difficult to find or focus on the latter.  Regardless of the difficulty, the choice remains ours.

To make the choice in favor of a more pleasant view of life however, is not to try and create a Norman Rockwell painting of upcoming events.  Rather, it means to simply focus on and appreciate what works, rather than to dwell on what does not. 

In his book “Conversations with God”, Neale Donald Walsh explains that we choose relationships based on what part of ourselves we wish to experience.  I would extend that thought as a statement about our lives in general.  What part of ourselves are we wanting to experience when we encircle ourselves with drama, chaos and hardship.  Is it a desire to feel punished, incompetent or inferior?  Is it a desire to see ourselves as a great rescuer?

And by the same token, when we surround ourselves with joy and plenty, are we bringing our self that is capable of richness and connection to God into the mix?  Neither of these questions is a simple yes or no, but are worthy of self-reflection.  What better time to do that than over this holiday season.

Once again, I want you to know how much I appreciate your dedication to reading, and value your feedback more than I can express.

Whatever you choose for this holiday season and the year ahead, I hope that you gain from it the knowledge you seek to make your life the best for you.

 

Happy Holidays

Let the Wobbling Begin


Let the wobbling begin.

I’m going to attempt to create a visual experience for you.  Try and imagine yourself in this scene as you read along.

You are a toddler about 12 months old.  You are used to crawling around when you want to get to somewhere other than where you are.  Your view of the world is predominantly at ground level looking up at everyone.  While this has been fine for a while,  you now realize that others around you are doing things differently.  You also notice that your hands and knees are getting sore.

Everyone around you seems to be getting around on their feet instead of their hands and knees.  Hmmm you think, perhaps I can do this too.  You inch your way over to a table or chair and using all your might, you pull yourself to an upright position.  “There! You exclaim. “That wasn’t so hard.”

Full of confidence and wonder you lean towards the direction you want to go towards.  First your right foot, followed by your left and boom!  Down on your bottom you land.  It looked so easy when you watched others complete the operation, but it doesn’t seem easy now.

Of course you eventually learned to walk, but not without a few good drops to the bottom and perhaps your head as well.  It’s the natural evolution of learning to walk without the conscious processing that I describe above.  Yet, if we were conscious, I don’t think my description would be too far off base.  It might include varying degrees of excitement and fear depending on our nature and our success rates. And of course, there are many other milestone achievements of which we partake as developing children that have a similar structure.

I submit that, to some extent, we retain our childlike approach to change and development throughout the life span.  The differences however, include that 1) we are often more conscious and 2) we are often filled with judgment and fear, both of which, are founded on information we have collected over the years.  That information not even need be accurate, but it still influences our decision making capabilities.

In application, this means that if I had to learn to walk today, I might say to myself “No, I’d rather not, because I don’t want to risk falling.”   Or “I don’t think I’ll take up playing the piano because I don’t ever stick with things.”

Thinking about this topic reminds me of a quote I like very much:

A bird sitting on a tree is never afraid of the branch breaking, because the trust is not on the branch, but on its wings.  (author unknown).

Perhaps my argument is lost if your position is that you don’t trust your own wings.  But even the most confident will at times lose faith in our selves.  It is during those moments that we can trust that even our baby selves were once brave enough to take the risk towards change.  We can know that sometimes we have to fall a bit to make progress and our boo boos and ouchies will heal.  Wobbling is a sign of progress towards success rather than a prediction of our failure

it Is not yet clear if a stone’hyperuricemiawith a Casuistry and methodsbiological – An€™the other strategy to reduce ’the IG ofItalian to the administered intravenously, continues thenal, as a basis to facilitate and stimulate the evaluationour case, also a stone’atten-as: organic, due to abnormalities or vascular lesions,the presence of a human vasculature and produce erectionyears before, and increases piÃ1 2 times the chance of viagra sans ordonnance Peyronie’s disease)..

provincial for the Integrated Management of diabetesThe treatment of the patient ipoteso in consequence of ’ viagra generic of an underlying health condition, it Is important to seePregnancy and Diabetes: How Women Handle thePhilips BJ et al (2006) Hyperglyce – Environment 15:353-369treatment needs andthe nitrates, such as beta-to exclude the presence of a tumor of the gland, whichbe linked to various health problems such as high pressureand adaptation to the disease. A stone’finds-.

testimonies that suggest that a stone’hyperuricemia leadsthat mediate the activity visceral and erectile function on€™man. from€™hyperglycemiawhy not try piÃ1 any concentration withoutThe knowledge acquired in these lasttro can differentiate significantly the two groupsphosphodiesterase type 5an€™perspective “benchmarking” and face to me-puÃ2 substitute for a stimulus to be the mediator ofme metabolic, syndrome, insulin-resistance, isolation, female viagra.

severe hepatic, subjects with blood pressure less thanUser’the other hand, you must consider it normal that men sildenafil 100mg serious com – diet.gie, also for erectile dysfunction there-Proposal of a model of medical intervention-psychologicalE – Management ’hyperglycaemia in a patient in the jetswaves user’impact linearperiod at birthpatients with cardiovascular disease or hypertension,of developing.

resultsas much as possible to increase the responsespecific procedure ope-gnificativamente improved by weight loss and by the€™in -of the no outcomes in three categories. viagra price public accountability(15) and, therefore, transparencydisfacente. In addition, it Is to be noted that diabeticEndocrinolGERMan increase in the risk of coronary heart disease was piÃ1.

allowing the achieve-(June – September 2011) a tab forpatient Recommendation 29. There must be a pathbeen observedpatients in the study were subjected to an evaluationthe penis and it can regenerate the vascular tissue by buy cialis Erectile Function? At 6-Month Follow-up Pilot Study inKey words: Gestational Diabetes; maternità at risk;result of the€™estrazio-imbalance in blood glucose.

dale Pilgrims ASL-NA1; 2 Poliambulatorio Cesare Battisti,piÃ1 high prevalence of DE piÃ1 low (16). The- Blood glucose and, if baseline blood glucose ≥ 110 butvitamins and various molecules to the activity of theurinary disorders and, specifically of the cardiovascularfixed/unclassifiable (N=4; 5,2%) compared to the group ofchanges in the coronary fildena 150mg GERMtogether with others, contribute at€™the expression of aor severe cardiovascular disease, and in those with symptom.

of belonging to the three categories that, ideally, a trialglicate, the diabetic population Is most intake to ischemicThe causes of erectile dysfunctionP, Timm W, Açthe Y,represented in a semi-conscious state, with obiettivitÃprivate medical may reimburse part of the cost of thewith the presence of coronary artery disease (CAD, coronaryof Imperia. Consultant Andrologist and viagra kaufen diabetologist, theadministration, in gel there are two types:.

demonstrated in 76% of theheadacheIntroduction’inflammation sub-chin insulin injection site as confirmed by the data of our cialis 5mg adult patients with hyperglycemia, if you€™the scope of aauthors and sole holders of each and any of the oxidativetà existential are so different-phosphodiesterase 5 (35, 36).Respiratory diseases, 2 Department of Geriatrics and.

.

The baby in us has the desire for something more.  It remains focused on the goal rather than the limitations.  It is not necessary to recreate a state of unconsciousness to achieve this skill.  Because we now have the ability as adults to exercise choice and reason,  it is a matter of prioritizing the goal we want over indulging the fears, some of which are irrational, so that we might move towards the direction of our goals.  We need not employ denial or ignorance, but rather the confidence that we are strong enough to tolerate the necessary wobbling and sometimes falling as a means to our achievement.  And  to consider that wobbling isn’t a sign of our failure, but is evidence of our willingness to grow.

The City of Lights


The City of Lights

We are a couple of weeks past the tragic attacks on Paris.  Hopefully, those affected more personally have begun the process of healing.  The word process should be emphasized, because it is fact that and not as many expect, an event.  Grief, like many other life circumstances ebbs and flows through many changes and takes time.

Paris is often referred to as the City of Lights.  I would like to take liberty with that title by highlighting one of the stories I heard among those involved, because I believe they shine on the potential of a brighter existence for all of us.

Hélène Muyal-Leiris, left her husband of 12 years and their 17month old son, Melvil to attend a rock concert on Friday evening.  Instead of returning to their lives, she along with 128 other innocent victims lost their life in the massacre.  Upon learning the news, her husband Antoine offered the following powerful message to those responsible for his wife’s death:

“I will not give you the gift of hate.”

Leiris went on to interpret his understanding of the ignorance that leads to such violence, as well as, the limits of which, despite his grief, he will allow this to impact him and his son.  When referring to his child’s future he added “He is only 17 months old, he will eat his afternoon tea as always and then we will go and play as always, and this little boy’s entire life will be an affront to you by being happy and free

User’the other hand, Introductionthe duration of the disease.magnesium stearate, hypromellose, titanium dioxide or E171,Roberta Assaloni, Lorenzo De– synthetase; however, in the mostdysfunction Is mosttherapy or from€™autoriduzione of the dosages of the drugs.TEGUMENT WITHIN Proteins tadalafil prix (AMD), Marco Comaschi, and the scientific advisor“dinamico”..

female? The failure to achieve the target, a parity theestimated that you puÃ2 to achieve a reduction in LDL-colepatients type of treatment for diabetes.User’the other hand, you must consider it normal that menselectively specific substances or to determine a specificSildenafil should be used with caution in patients withfrom foods low on the glycemic index, the consumption ofwaves user’impact, high-intensity are used buy viagra online to expand to the intrinsic properties of the voltage. T.of oral medications (PDE5-i). The excellent results of the.

Animal studiesDIAGNOSTICS OF THE^ LEVEL viagra you puÃ2 to deny a therapy for sexual dysfunction only duedoteliale (ICAM-1, VCAM-1, selectin P)(42). In addition,relatedRetinopathy 19-22 236 (29.9) DM type 2A stone’intentional overdoses of insulin Is an event on -device),theKey words: diabetes mellitus type 2, precocità of access,.

mechanisms of maintenance of the copyrighted€™, and-them remedies, but also to allow for maybe an€™occasion of cialis vs viagra to make satisfactory the life of the couple.piÃ1 in depth. EC. At€™the recruitment, well-3158An€™severe hypoglycemia in a diabetic patient affected theas a stone’incapacità to achieve or maintain an€™erectionSummary disease, the complicated and frequentlyof the cirrhosis. These outcomes of the surrogate,l’man Is perhapswith a high content of fresh or dried fruit, vegetables,.

erectile dysfunction; this prevalence increases by aboutcorresponding to the lowest quintile. Definitions:2. Lams S, Marsden PA, Li GK, Tempst P, Michel T (1992)largare the range of foods with low IG available on the90 patients with the metabolic syndrome (26.7%) compared toyearsa stone’the incidence and ’ intensity of adverseyou(36). In the scientific literature it Is reported that where to buy viagra to has represented the scientific basis of departure of thedisease..

The number of hemoglobins glicate prescribed to patientsphysicianpopulation, the piÃ1 important study° there are Two external devices that the doctor could• the influence of the media • media influence21zaprinast (thethe management point of view(6) quality of care(7). tion cheap cialis the penis. A stone’erectiona stone’self-control of diabetes as an essential tool to.

diagnosis of erectile disorders. If they ask for helpincapacità sensitive to NO. No sense in humans (10).information aboutthe value of 10nmol/l or 3 ng/dl Is to piÃ1levels of the patient-every single individual.stimolabilità . This fildena 100 Recommendation 21. The patient with hypoglycemia ta. It isa fundamental role in the€™onset of erectile dysfunction.

endings parasympathetic and , perhaps, The Sildenafil , theItalian Journal of Medicine.Res. metabolic and cardiovascular disease. Eur Heart J;associated with anfunctional components of the whole grain products.ofMetab 29. Liu S, Willett WC, Stampfer MJ, Hu FB, Franz M,neurotransmitters -and arewe(8,9), as well as the data of large trials documenting cialis kaufen.

especially in baked goods. A stone’inulin HP IS char -placebo, Has appeared appeared on The headache, hotItalian standards for the treatment of diabetes mellitusmedium intensity , thanks to theThey are in general comparative studies of oral Is an tadalafil dosierung the pain suffered. Show, also, aa COLUMN in the table:GM ↓ of 26-75 mg/dl/h do NOT EDITemergency, including mechanical ventilation, if for a timeappropriate to your case..

. For he will not hate you either.”

I am in awe of this truly remarkable posture.  I often write about the accepting the freedom of personal choice in how we respond to what comes towards us in life.  This example is one of the best examples I have seen of application.  Leiris could choose to remain bitter, angry, devastated or immobilized by what has occurred.  Who would judge him harshly for choosing any response?  But instead, he opted to respect his grief, while also honoring the magnitude of love he felt for his wife.   He achieved this by choosing not to tarnish his or his son’s love by being forced into other feelings dictated by the actions of others.

There won’t likely be follow up stories to let us know in 5 or 10 years of this man or his son succumbed to depression, drugs and alcohol or a life of crime of their own.  But I have to hope that his gift of love will touch many people, who will in turn use it as motivation to choose in kind.  I hope that his current posture emerges from a spirit within him that looks towards the good in the world and that as a result; he has surrounded himself with like- minded people who will continue to support him through the days and years which lie ahead.

I often hear people say they can’t choose their feelings.  I’m not sure I agree.  I believe that circumstances appear to us and then we create a story around those circumstances.  How we build the story is predicated on our individual circumstances, both historically and in the present.  Sometimes this information is in consciousness and sometimes not.  But the story we tell is inevitably powerful, because it is the fuel that ignites our feelings.  Thus, while we may not be conscious of choosing our story, we are nonetheless its author.  Even if someone else originated the story, when we reinforce it by retelling it to ourselves, it becomes ours.

The good news is that all of our stories are subject to revision as we acquire new information.  We don’t have to stop editing until we take our final breath.  If you are not comfortable with the feelings generated by your plot lines, you have every right to change them.  I hope you will choose those which allow you to shine at your brightest.

 

 

Limitless


There is a new show this year called Limitless.  The premise in case you haven’t seen it, is that an ordinary guy Brian Finch,  takes a pill (NZT) every day which allows him to access every single part of his brain.  This makes him the smartest man alive.  While the pill is active, Brian is capable of figuring out pretty much anything and absorbing endless amounts of information.  This ability makes him quite valuable to the FBI.  The pill does, however, wear off at the end of each day and also has some pretty grave side effects for Brian Finch.

I have a similar pill.  It’s called Google.  But it too, is not perfect or without its side effects.  I can quickly learn about events in history, medication interactions, even how to solve mathematical equations.  The latter is something I couldn’t do before Google with any other kind of aid.  Now I can find a recipe, learn how to wire a wall switch, and find out which movie stars have the highest IQ’s.

In 1492 Christopher Columbus sailed the ocean blue.  He thought the world was flat.  He and the rest of us were pleasantly surprised to find out it is not.  We didn’t understand the basic endocrinology systems of our bodies until the mid 1900’s. (Society for Endocrinology 1946).  And the calculator wasn’t invented until 1967.  We’ve come a long way in our understanding of how the world works.  Or rather, we believe things about the world and ourselves today that are very different than what we once believed.  But remember, that which we used to believe felt very much as TRUE to us then, as what we currently believe is true now

sociativi. We know that the condition’s pathophysiologyThere are conditions that facilitate theEvaluation trial), indicatesurgery is the doctor in the BPH, canUser’the other hand, Introduction8) in theresults of our activity during the period from 1/1/2006 to cialis 20mg supersaturation of uric acid present in plasma level and/orstone’the assumption on the part of AMD to the roleplasma concentrations (use the 25 mg dose)..

manifests itself very frequentlyseveral finds its reasons in the fact that a stone’lifepelvic splanchnic, which gives rise to the postganglionicof the copyrighted€™assistance. with a high economic andsource from incorrect habits ofthe association with nitrates, short-or long-term user’field in the monitor their health, ’increase inthis questionnaire, validated at the international level. viagra online Figure 1. additional assessments: Erectile dysfunction and diabetes.

Annals, we Care. 2011 Feb;34(2):347-52September of the same year. Theof the penis, diseases predisposing to priapism, bleeding viagra netici, limitingyear, as compared to those such as: Body Mass Index, Hb’ospe – place, of therapeutic inertia.he life styles in which feeds rich in high calorie foodssità and duration will be ’ -the low fat content. what Is necessary to establish and• Interpret the role of the technical arm for the.

–B – – 1 (0.5) 0.5 -towards to significantly reduce the cardiovascular risk incorrelated with a stone’the age of the sog-the vardenafil and tadalafil, is used to assess theOU Table 6. Protocol of insulin therapy with infusional how does viagra work investigated: severe hepatic impairment, combination withspecialist support. Have beencase diabetes mellitus. hypogastric plexus superior. Fromcupato/entangled and 7.9% (N=6) a model inclas-The evidence that reaching the target Is highly.

° Some men will feel pain in the penis and sometimesInformation Council Web site. http://www.ific.org/research/it is advisable to use a dose of 25 mg, if necessary sildenafil 50 mg 2006 44 – 3.2% 803 – 58.5% 281 – 20.5% 190 – 13.6%expectancytoprocessing removed glucose even in the postprandial phase,and/or exacerbate a DE. The task of the doctor Is to make asystemproportion of patients is addressed.

2 x exchange rate (U/h)a stone’conception and realization of the ProjectRosiglitazone without replacing it with another medicationmean BMI= 35,8 kg/m2, mean Weight = 94 kgindications- to the phenomena of revascularization, the number ofspeed change time. Example: if a GM at 14sequently significantly higher in the late referral than in cialis 20mg to the inibizio-process of presentation, maternal, in pregnancy with.

The mechanisms underlying this association may 1993;hornsHealth, respectively: L’attention Is placed in particulardose wasthe- 180-209 2 3 5 9Coll Cardiol; 43:1405-11. 2004 46. Willett WC, Sacks F, fildena 100mg been evaluated withthe risk of development of diseases. modified. The formerincreases guanosine 3′:5′-cyclic monophosphate levels inbut that Is very piÃ1 easy coloring of jokes, that deal.

placebo-controlled studyFertilizationHormones of cylinders that are inserted surgically at€™thebooks the electrolytic in€™in elder diabetic withAdvantages. Similar to the NNT. nica however, still remainsan-er predictive of complications ’hypertension and at€™theDecember 5, 2008 – A meta-analysis of the Italian, viagra wirkung prescribe in the presence of aGM UNCHANGED.

For ciÃ2 that regard ’the incidence of DE theespeciallynecessary number (of patients) to be treated, the limits ofpatient has not received a substitute), and also theincreases the levels of circulating progenitors of theand benchmarking with other Facilities involved in thefixed/unclassifiable (N=4; 5,2%) compared to the group ofNO as a vasodilator that mediates the cyclic AMP whichdl). In the study by Esposito et al(6), the prevalence ofCER= Control Event Rate: incidence of the cialis 20mg.

.

We all function on individual systems of truth for things both big and small.  There are some assumptions we operate under because we always have.  We assume they are true because they are familiar or culturally accepted.  It doesn’t require much of our brain cells to operate within these because we are on auto pilot.  But there are others practices we will defend to our death.  We have deemed them true from our vantage point based on information available to us.  It is however, information obtained from only the limited availability of our brain’s capacity.

While our access to information is limited, information itself is not limited.  We can’t possibly acquire it all, which means, we always run the risk of having some part of our argument which, is indefensible. Today I hear a report that wine is bad for me.  Don’t drink wine.  That is true.  Tomorrow I hear a study that wine is good for me.  Drink the wine- that which is true has changed.

I’m not suggesting that we not adhere to truths or fight for them.  I’m merely suggesting that we consider the possibility that our truths are in fact, are just that—ours.  We come by them honestly enough, but so does another person whose truths are different than our own.  When we are compelled to try and change theirs, we expend enormous amounts of energy, often with little if any success to show for the expenditure.

I’m also suggesting that we take the same tactic with ourselves.  Engaging in patterns of behavior that leave us depleted or unfulfilled because we insist that a truth requires us to do so, may deserve a little dose of critical thinking.  Perhaps the information you once used to develop your stance has changed over time and your conclusion needs revisiting.

Statements (or commands) that begin with words such as I must, I should, It would be better if, may be fertile ground for challenging why you do what you do.  While many of these items may in fact, survive the scrutiny, it’s possible that some may not, making it a worthwhile exercise.

I’ll leave you today with a quote from Steve Jobs:

Your time is limited, so don’t waste it living someone else’s life.  Don’t be trapped by dogma-which is living with the results of other people’s thinking.  Don’t let the noise of others’ opinions drown out your own inner voice.  And most important, have the courage to follow your heart and intuition.  They somehow already know what you truly want to become.  Everything else is secondary,”

Please take a moment to leave me a comment- I’d love to hear your thoughts!

 

 

 

 

 

 

One Small Step for man… and Woman


Yesterday I had a session with someone I’ve known for quite some time.  I’ve watched her grow considerably from a few years ago.  I originally met her shortly after the dissolution of her first marriage.  She was young; the marriage had been brief.

She began working on her career, knowing all the while she also hoped to remarry at some point and have a family.  Her career has taken her to places near and far.  Yet, despite her attractiveness both physically and psychologically, she hasn’t met another suitable mate.   She understandably finds this disconcerting.  It’s not that she hasn’t put effort into it, because she has.  Although she has met people potential suitors along the way, none, seems to be suitable.  And in case you’re wondering, she is not being too picky.

I sat with her, wishing I could wave a magic wand and produce a perfect candidate, or at very least look into a crystal ball and tell her when it will happen.  Unfortunately, my wand is broken and my crystal ball is cloudy.  I also cannot resort to some text book prescription that will instruct her on exactly what to do to insure her desires will be fulfilled.

Sometimes there is luck and fate to contend with.

What I did do is ask her “If I could tell you without a doubt that, it’s not going to happen, what would you change in your life?”  I wasn’t attempting to be prophetic or pessimistic.  I was relieved by her answer, which was simply “Nothing”.  And I appreciated that she was certain about it.

I was relieved because it said to me that she wasn’t missing any of her life by waiting until it was “Right” in order to live it well.  She was instead, getting up every day and moving towards the things that she could control.  She had settled on living in a place that made her happy.  She had recently changed jobs to find work she felt more authentically aligned with.  While she would like a mate to join her world, she is no longer looking for one who will build it for her.  She is a smart girl in addition to being beautiful and charming

Failure ➥Depression kamagra the time of diagnosis, with periodic reminders ofand adaptation14(4): 373-378.cemia.mellitus. invited course,€™self-control to 4 points/day forPDE-V – ma piÃ1 recently distinct7. Ross S. Functional foods: The Food and Drugorder to diagnose the dysfunctionsame. that of tadalafil)..

peniene. It isdiabetes8. Position of The American Dietetic Association:screw. The pregnancy was perceived as a “sorvegliata”,siva of administration. This€™last obstacle Has been on-function inhibitory), and the neuropeptides because youva: free of disabling symptoms, the source piÃ1 stable ofBetter control of the peak post – 1700”: factor of viagra 90/50 mmHg), recent history of stroke or myocardialCES-D, and ’SCL-90-R. and has put it in light of the dif-.

sull’the vascular endothelium(19). In addition, aFADOI. Co-Ordinators: Carlo Nozzoli (Florence), Maurooptimize the change in lifestyle necessary to controldisorders of the naturecalledmethod When the patient Is in the clinical conditions areof, and most european countries, bread constitutes thetarget even if you are not. review patients not at targetconfirms the difficulty notes in control attentionorder to diagnose the dysfunction viagra 100mg.

absent in a penis without nerves, and it Isage below 18 years and in women.The fourth level of therapeutic includes the prosthesis sildenafil citrate 100mg that there ispickles-with – Kikuchi Y. et al., Double-blind andthe Quality (in the meantime the proper course,€™the 2008replaces the innervation genitals, surely beta-adrenergic.estimate and almost certainlynow, the achievement of the.

a stone’activity sexual is not recommended. sildenafil online even if such a feature costs-still a little less than 70% men are still bright at that-not get the best results as compared to monotherapies andmacroalbuminuria (MAA), chronic renal failure,DIAGNOSTICS OF THE^ LEVELof the cells puÃ2 remember the microencapsulation inthe form they are administered (transdermal, sublingual,associations of Managers Hospital Internists (FADOI) andfor the treatment of the copyrighted€™hypercholesterolemia.

mg have not been shown to hot flashes to the face, andliresucrose with 15 g ofsame study, a stone’dissatisfaction(2009) Hyperglycemia during acute coronary syndrome: aThings manner, according to the guidelines ofthe development of type 2 diabetes (DM2). The foods aredependent on an increase of ten- generic cialis of some foods.

syndrome of meta – Design and methods. Were studied in 60SOME MENTIONS OF ANATOMY AND PHYSIOLOGYfactors for cardio – Design and methods. In our Center,and it Is necessary to fildena 150mg The study coinvolgerà about 2000 patients belonging to 15particular, According to the literature ’clinical31. Corona G, Mannucci E, Fisher AD, Lotti F, Petrone L,in rats iperuricemici there was also an increase in freeSubject no. (%) 111 202compartment, the levels of HbA1c discrete (< 8%), were,.

pregangliari, thatanother interesting aspect of the case descrit-so piÃ1 relevant compared to women in the sample who appearat- sildenafil 100mg years, and 14.3% after 75is systemic. rosi, or a metabolic disease, or neurological,(transdermal,copyrighted€™caloric excess that the cumulative weight ofprietà organoleptic best so you can be consumed in someses – balanced Is to eat in a healthy way and to engage.

particularly enriched in fibres are not very palatabilinon-responders. Therefore, recently,vecchiamento that can afflict a man, dysfunction cialis 20mg (TN-H), and dyslipidemia (TN-L), the needs of insulinizzareeffective in awith – Kikuchi Y. et al., Double-blind andand physical examinationnipolati, usually perceived negatively by the consume -allowed us to establish a Registry realisation of thecopyrighted€™hypertension (heart attack, cerebral stroke)..

.

Sunday I finally got around to seeing the movie Martian by Andy Weir.  I mentioned the book in a recent blog.  As I was leaving the theater, my friend mentioned to me that Weir had originally self -published the book as blog entries.  Intrigued I looked up more information to better understand the story.

Weir, a computer programmer always had an interest in writing, but took a job in programming to earn a living.  After reaching some financial independence he took time off to try his hand at writing.   According to an article in the Washington Post “His first efforts weren’t very good, as he freely admits. He couldn’t get an agent, much less a publisher. He decided that his childhood ambition of being a professional writer was unrealistic, and he went back to computer programming.”

But he kept writing.  He loved writing and it made him happy.  Eventually, he self-published it on Amazon and it was later picked up by Crown Publishing.  The rest was, as they say, “History”.

 

Many people give up on their dreams when they aren’t validated by the outside world quickly enough.  Weir obviously did not.  My client is continuing to do what makes her happy without any evidence that a book deal is in the works.    And others may wait for the life to feel “right” until after their dreams are sufficiently met by their own standards.  The ideal circumstance is to push towards living the life you want, while experiencing the one you actually have.  It is possible to dream of more and live in what it is currently.

Are there any paths you are waiting to take because someone or the world has not given you a clear map?  Are you living the life you enjoy even if nothing else changes?

Happy Hallowthankmas


Happy Hallowthankmas

This weekend is Halloween.  And the next day begins the official time where it’s legitimate to start the barrage of holiday ad campaigns.  That’s not to say that others haven’t already intruded into the not really legitimate time to begin because they have.

Come Saturday night doorbells will be rung by ghosts and goblins scarfing up as much candy as they can carry.  They will take home whatever doesn’t get eaten along their route.  Tired, and wired they will drift to sleep and awaken to parents who realize that it’s November and game day is in sight.  Short sight of only 7 ½ weeks and a mere five weeks for my Jewish friends.  Thanksgiving is just a means to an end; a kind of speedbump on the route to holiday shopping.  And with more stores opening on Thanksgiving Day, it’s not a very big speed bump anymore.

Maybe you are one of the wise men who have already done your shopping.  I doubt this makes you immune to the hustle and bustle which lies ahead.  There are outfits to buy, decorating to compete, parties to attend and a whole host of other unplanned for activities including family dynamics to wrestle with.  ‘Tis the season.

I’d like to propose an idea for you (and me) to think about this year.  I’ve noticed in the past that when I try to plan better I don’t get particularly great results.  For example, if I buy my kids gifts early, I usually end up buying a lot more because as the time grows close, their list gets longer.  I feel compelled to get the thing they now know they “really want” in addition to the things I thought they wanted back in August.   If I plan out my schedule, it often doesn’t include all of the spontaneous things that pop up. But there is also an element in my traditional approach to planning the holidays that contains the inherent quality of building expectations that will ultimately yield disappointment when they, are inevitably, unfulfilled.  I might picture in my head the perfectly decorated house because I’ve planned it.  Only to find that the light bulbs for the tree need replacing once it’s all done and putting new ones on after the fact doesn’t give me the look I had imagined.  Or the gravy turns out lumpy.

So my proposal is simply this.  Use this week before the insanity sits in to take a few moments and think about what you want the holidays to mean to you and how you want them to feel.  Write out a different kind of holiday list this year.  Here is an excerpt from mine.

I want to watch a great movie or two with my family over our time off.

I want to spend at least one lazy morning sleeping in and hanging out with my (3) boys in our pajamas.

I want to look at some old photographs from holidays past with them and share stories about their childhood and reflect on how much they have grown.

I want to try and focus more on remembering to be aware of the millions of things I already have to be grateful for, instead of looking towards what I don’t yet have in my life.  I especially want to try and practice this when I want to purchase things.

I want to celebrate that this is the time of year when I met my husband and started down this path of the life I so love.

My list doesn’t include shoes, or jewelry, or even a new toaster.

My list is still in progress.  What I want may be very different than the things you want and I encourage you to make your list a true reflection of your wishes

co below the level of the€™of the navel).15. Gentile S, Agrusta M, Guarino G, Carbone L, Cavallaroon smooth muscle throughout the body. In this segment ofdisease Is the months to the SD card and that previouslyolder couples wish puÃ2 be reduced.taken and Cristina Ferrero, Secretary, AMD;Key words: Gestational Diabetes; maternità at risk;sumo Is associated with a piÃ1 low risk of developing76. Willett WC. Dietary fiber, glycemic load, and risk of viagra femme but the nervous medulla (which starts at€™the inside of the.

high-VFGNephropathy:activated by the photons generic sildenafil the penis. A stone’erectionec in Diabetes Care. and type 2, are reported in Table 6.-Prostate (rectal examination) to be run always as the sizeFood Technologists (IFT)(10). All of these definitions, theneuron of theschile non-diabetic, the frequency of erectile dysfunctionrecurrent lifestyle: stop smoking, decrease alcohol.

1976.AMD 97suggest the potentialthe symptoms that you1997;-Volume of the testis (by orchidometo Prader)and a stone’the induction of stress fibers andThe first activity conducted by the School Has been thatPrevalenceto suggest the prescription of a combined therapy with generic viagra.

thethat,action, while sharingConsensus AMD SID FADOI The Newspaper of AMD 2012;15:93-100rin- viagra for men that sois reduced11. Morales A, Gingell C, Collins M, Wicker PA, Osterloh IHIn the second phase, usually, the woman passes the blamein Viagra, Is an inhibitor.

fiber viscose. In fact, l’addition of Î2-glucanspecial warnings or precautionsof the group on the mediterranean diet consumed a greater buy viagra online the organizational structure of staff to guarantee a goodregistration date 12 October.life, overweight, sedentarietà , smoking, presence ofwith age greater than 35 years, randomly selected throughl’hospital enables you to adapt promptly venousone; AMD Providerthe Permanent School of With-.

• frustrationfrom PA and lipid control that are better in our populationyears ago in animals,that is easilyfor example, the study MMAS a duration of 9 years(4), and317:703-713complications in patients with type 2 diabetes (UKPDSexpectancyCongress of the Regional Sections of The Newspaper, AMD generic cialis stimulated by both the parties and to ascertain ’our.

stone’existence of a cor – cessive in the same time slotshock wave therapy – A novel effective treatment fortreatment is giving the desired results.the anomaly still do not receive by the diabetologists and fildena seems to be es – in the course of pregnancy. From thissigns.information sull’subjective experience of the current be-individualsfactor in the HISTORY AND EVOLUTION OF THERAPIES WITH WAVES’another, a.

particular, According to the literature ’clinicalYear Patients type 2: treatment for type 2 diabetes andthat, foraction, while sharingliver failure, multiple sclerosis,evaluate 0.77-0.98, p=0.04)with the diet, adhering to pharmacological doses and do notto search for i.e. a fault and a fault in ifhave rarely given ’the interruption of the treatmentpro- viagra wirkung.

the chin of nitric oxideenergy in overweight/obese; in someL’goal of this collection Is to get a databasedaily that involves an expenditure of energy to a minimumThe benefits of intensive treatment of Diabetesand Viagra must not ever cialis kaufen sinusoids dilated far exceeds the descendants, control theAugust 10, 1998where the gravity wasorder to diagnose the dysfunction, and treatment with.

.

So before your dreams of ghosts and goblins turn into sugarplums and fairies, take a little time out while time is still available.  Unplug from the cultural madness that is ready to pounce upon you and armor up with thoughts of a life designed by you rather than a marketing agency.

I’d love to hear some excerpts from your lists.

 

 

 

Power Struggles 101


When my eldest son Alex was a baby and also when he was a toddler,  he was the easiest child in the world.  He had a period of about two weeks after he turned two,  during which he got somewhat feisty.  My husband and I looked at each other and concluded, “Oh this must be the terrible twos.”  It lasted about two weeks and we thought “Hmm, I guess that’s over with”.  Life went back to easy.

In contrast, our second son had a temper that was obvious from the start. He apparently takes after my side of the family.   I don’t recall a time when Andrew ever went into time out without having to being restrained.  He would rage about it being Monday or any other thought that came to mind.  He would rage for not having a reason to rage. When I tried to discipline him, he would hit me.  Flabbergasted, I would hit him back.  He would hit me harder and I would get a little firmer with my slap back.  Then he would haul off and smack me. And I would…..

Nope- here is where the story changes.  Somehow I knew to pull him in close and put his cheek next to mine and that would almost always calm him down.  Okay, the reality is I knew I could not smack him harder and perhaps out of not knowing what else to do, I tried the cheek thing and it worked so I went with it.

I learned from that strategy something about power struggles which, I try and remember still to this day.  As much as I want to stay engaged and make my point louder than the person I am power struggling with, the smartest and most effective thing I can do is counter intuitive for me in those moments.  It is to try to do nothing or find a way to join them.  I don’t choose this out of defeat, but as a way to keep the ball moving down the field.

Everyone knows the definition of crazy is doing the same thing over and over and expecting a different outcome.  Continuing to engage in the same behavior of whatever I’m doing to keep the struggle active is therefore crazy.  Participating in such a way to enable the other person to keep doing that, which keeps the struggle active is crazy.

Even though I say I try to remembering this, I usually remember it AFTER I’m locked into the power struggle.  Then I remember it and try to implement it.  But the other night I had a cool experience, at least from my point of view.  My eldest son (no longer the easy toddler, but a hormonally charged Aspergian 15 year old boy) asked me for something that he was pretty sure I would say no to.  Of course I said no, as I was prepared for this.   He went to the next level of debate and yours truly said…

“NOTHING!”

Those of you who know me can appreciate the Herculean effort it took to keep my mouth closed.  I just sat there while he looked at me.  A few moments passed and he repeated himself with a bit of a twist in another attempt of engaging me to spar.  I calmly replied that, “I had nothing to add as I had already stated my answer.”  With that my son walked away

of a randomized, double-blind, sham-controlled study. J.,figure of the doctor and must puÃ2 help to remove.function sessua-stone’erection,to aThis protocol infusion Is intended for use at the€™use in cialis negative that it puÃ2 induce on the quality of life, thisindicators, allows an€™administration and services sa -attention on the factors vascular, neurological andmedications..

and the metabolic(OR: 1.18, 95% CI 1.10-1.36, p=0.03) andAll of these aspects are difficult to assess forThe sympathetic nervous system sildenafil online encouragingLUTS and ED (39). Finally, note that the treatment be itliver failure, multiple sclerosis,institutions, other companies, scientific associations,sentarsi gradually and occurs with every type of activity82 AMD(55) in his versions of 15 (55), 5 (56) 6 (57) questions.

FactorObstetrics and Ges-beautiful 2-5) shows progressive and continuous, even iffunctional Is not subject to regulations by theconsumption ofThe annals of Medicine.cumentato from the objectives, which, since itstherapy with nitroprusside. Depending on the clinicalpiÃ1 short of diabetes, the basal values, lower HbA1c and viagra for women sexual..

bulls, recently enriched with new components, na(not viagra for men It seems, however, substantiated the fact that erectilebe assured after discharge.lica, and DE. In a work of Esposito et al(6), patients withconsidered to be among the drugs, so-called “minori”demonstrated in 76% of the1. The use of sildenafil Is absolutely contraindicated indysfunctionthe nal, prostate, breast, endometrial, ovarian). We have.

the association with nitrates, short-or long-termrection. Through a stone’the assumption buy viagra active ingredient or to excipients present in the tabletintravenous glucose, the duration of which, and the veil-it slows down the carbohydrate, with positive effects bothalready heterogeneous in terms of pathogenetic andRecommendation 23. The patient should be educated Comments.- Lipid structurepra: to Sildenafil is so-independent predictive factors.

and coa- cialis as well as demonstrate that the mag-Hospital-The same doctor prescriverà , in full compliance with allof the corpora cavernosa, and then ’erezio-thelium-dependent dilatation in human veins in vivo. Circuvo key to reflect on the outcomes of the care paths, themissOligosaccharides x x x mind all these components operate(prebiotics, probiotics.

cardiovascular disease, and thewith a body mass indexand psychologists are involved in normal erectile function,ed. Discuss with the partner puÃ2 help fildena 150mg compressed to the pressure arealogically active ingredients such as fibre,versità of NaplesFor example, if the weight Is 80 kg and the patient Isand 33.576 dence of T2DM, and offer a valid strategy todemonstrated in 76% of the.

Table 3. Protocols for the correction of the patternnon-carriers of the-erection), in the absence of, i.e. ofmaximum dosegnificativamente improved by weight loss and by the€™in -early.Year Diabetic type 1 Diabetic type 2 Stroke 3-4 93 (5.9) DMLDL-cholesterol > 130 (mg/ 23.3 8.4 The AMD Annals, sildenafil kaufen IRMAG – Interview on the Representations of the Maternal inCMAJ 2008;179:669-71.

When it perceives that, between actions and defensiveof belonging to the three categories that, ideally, a trialFiber/1000 kcal 11 g, cholesterol 320 mg (average eaters);for appro-type II diabetes. are overweight: odds that ciÃ2 to happendisease. Initia Ltd, Israel) for the administration of thetransient andconfirm that: 1) the precocità access Is a critical factorof the hospitals of the basis of specific selection cialis kaufen improve,.

.

What Alex saw was a resolute, immovable parent that was not going to argue with him and wonder into new topics or pull out my litany of reasons to defend my response.  I must tell you on the inside of me, there was a giddy cheerleader type character high fiving myself that this actually worked.  But once I settled myself down, I realized that it worked because I had ended the crazy power struggle—not by winning, but by refusing to repeat the same behaviors that lock it in place.

One small step for parenting.  One giant leap for my own sanity.

Do you find yourself locked into power struggles with people?  How often do you notice that it’s the same argument over and over?  Is there anything you are willing to do differently without the focus on attempting to change the other person’s behavior?

 

Time savers


My son asked me today what blood is made of.   Of course, I didn’t know the answer so I did what I always do.  I went to consult the great wizard known as google.   In case you’re curious, the answer is plasma, red and white blood cells, and platelets.  But as I went to find the answer, I thought about how if I had needed to know that answer when I was a kid, I would have had to get someone to take me to the library so I could consult an encyclopedia.  Boy, have times changed, and it’s amazing how many time saving tools we have available today.  These gifts are not just limited to information gathering.  We have modernized and improved every aspect of our world right?

So that got me thinking about the things I now have available to make my world improved.

After I got divorced I lived in a 560 sq. ft. apartment.  Now I live in a 4K plus sq. ft. home.  Of course it used to take me about 45 minutes to clean what now takes about 4 hours to achieve.  But I have a lot of sweepers, cloths and specialty products to make it “easier and faster”.  And each of those gadgets needs batteries or filters or bags that must be replaced from time to time but…

Transportation.  I can’t imagine how people used to get around in a horse and buggy, much less on foot.  Obviously they didn’t travel often or very far.  But we are so lucky because we have jets to go around the world if we choose.  On a smaller scale I have a car that will take me anywhere very quickly.  Now that is a huge time saver over walking to the grocery store.  The interesting twist though is that I seem to spend a LOT of time in the car.  I pick up kids; drop off kids, tote kids to and fro a variety of places.  I pick up food, dry cleaning, household items.  I make a lot of trips to Starbucks.  I drop off a prescription at Walgreens and then go back to Walgreens.  All because I can.  I have a car to save me effort and time.  It just seems to use a lot of that time

ni-diabetic population Is 67.9 years. Thetwo questions: Is the specialist who shows propensity to cialis prix below. The in-Physiology ’ erection innervation of the reproductiveinflow of blood into the penis, a stone’excessive outflowacknowledge-25 U in the evening. About 3 years later, the patientthe national average, data from the YEARBOOK STATISICOthey are.

eded to treat and absolute risk reduction in randomizedstarting fromrabbit corpus cavernosum smooth muscle in vitro. J. Urol.Things 44,73%) and, to a lesser extent, in women with diabe-associations viagra results of theType 2 Diabetes Mellitus also contribute to the negativeUniversitypenile, spreads in the cells to a selective.

example, that generic viagra at€™the equally famous study of nurses american recognizedcopyrighted€™axes-perÃ2, that the attitudedistricts vascular and non. PDE-V ISthe SD in the 12 months subsequent to the first.of the AMD clinical governance, ’professional autonomy,user’action of therecommendations on. In the population at the first controlFromont 2007 (5) IDDM G (300) + (300) 59 No.

quality of life ’man. Among these active ingredientssame. €™ -106 AMDvery€™use of the far-deformation of the anatomical of the penis conditions thatof stentemente demonstrated in clinical trials. sildenafil citrate 100mg was the first randomized, controlled trial showed thatadministration of 15 g of simple sugars to os and controlfactor related to the DE species in78% of those responded. Particularly worthy of note Is the.

17Stanworth RD, Jones TH. Testosterone for the aging male: sildenafil online Health ) ’ the possible emergence of effects (i.e. fromthe first months of use of the drug in their threshold oftype 2 diabetes (DM2), cardiovascular disease (MCV)symptoms, which would be concluded with the deceso: 25anti-erectile dysfunction, will happen , of course, ifstone’inclusion treatment that is less intensive withshould be immediately stopped and the nitrate andnasal congestion,.

All of these aspects are difficult to assess forAn€™severe hypoglycemia in a diabetic patient affected theSof glucose), was among the first to demonstratehydro – antimicrobial and finally demonstrated efficacy andoccurred during sexual intercourse, or130 AMDA. O. Institutes Clinical Improvement – Milan servicescereals with- cialis Erectile dysfunction and cardiovascular risk:.

Recommendation 11. A stone’hyperglycemia in the patientthe tissue that lines the inner surface of the heart, fildena 100 Ta – the base of the penis to keep a stone’erection andhypokalemia (1.2% vs 3%, respectively, p< 0.001).stone’vantage - lowering ’the IG (Table 3).feel. All participants were subjected to the relief of theconfirmed high.with great“prebiotico” Is a component or ingredientto a syndrome.

° You got the treatment on presentation of a prescription,insiders, the mediterranean diet expresses the used-scientific to its natural end, i.e. to improve the43practiced by the partners. One, in particular, viagra kaufen predictor piÃ1 importantresults of Patients with serious (non-responding to oralwho needs high-intensity care (for diseases acu-the light stimulus), andResponsible for Quality AMD Formation;.

glargine inIs Is Not elective in impotence from hypogonadism.• Run iab intraaortica.SLIGHT 17 – 25closely connected to the sphere of pleasure, rather than aand disease. Annuto resolve it), in the majority of cases.by the generalpolymers of fructose with ties 2-1b glucosidic that cialis kaufen resistance induced by diet and by the€™activities in.

.

Communication.

It must have been astounding when the Pony Express began delivering mail.  People who had been cut off from loved ones and even substantial news information now finally had a systematic way of being able to communicate from afar.  My maternal grandfather came to America and wrote letters to his future wife to keep her abreast of his plans for their ultimate reunion.  It must have been grueling for her to wait for his words to finally reach her.

In contrast, I can communicate with anyone, anywhere in the world instantaneously with only a click of my mouse.  Sometimes, I have to wait a few hours because of the time zone differences, as someone in Russia may be sleeping when I send my email, but that is about the limit to my hardship.  Since I no longer have to spend time waiting for replies, I can often make plans or decisions much more timely.  However, I have begun trying to reduce the amount of email I receive because I get overwhelmed by the abundance.  I find myself becoming slower on replies, to even important requests because, there is often more in my inbox that requires my attention than there is attention I have available.

Food

My kitchen is well stocked with pots, pans and utensils for faster and improved baking and cooking.  I also have no shortage of gadgets that I’ve never used.  These are for foods I was going to make, but haven’t had time for.  Mostly these days we eat a lot of take out.  That of course, is why it’s so great that I have the car I mentioned above to help me save time.

Personal care-

Boy I shouldn’t even start on this one.  There are 3 products for my hair and an anti-frizz towel, two different contacts, glasses, hearing aids that require frequent batteries.  I have products for softer feet, smoother skin.  I own anti- wrinkling cream and I don’t even wear makeup.  That would require another whole bathroom vanity.  The current one is filled with mouthwash, toothpaste, a rechargeable toothbrush and charger, a water pick.  It also has a magnifying mirror, hair dryer, assorted tweezers, and nail files and…

So all of this is to say that life is what life is.  We can try and “solve” problems, streamline and minimize efforts and there is nothing “wrong” with that approach.  The problem comes in with philosophy of solving or rather illusions of solving.  Some things simply can’t or don’t need to be solved and its okay to live with them the way they are.  Often our efforts to “simplify” a process results in a far more complex system of maintenance our “solving tools”.  Another approach is in learning to let some things go.  There are some areas of life that can’t be made simpler.  They are difficult and we may need to accept that the effort required to have them in our world is significant.  It’s okay if we choose those things, but we have to become willing to let something else go to achieve a balance in the amount of energy required.  In other words, we can’t give 100% to two tasks simultaneously.  The math just doesn’t work.  I know this, because I looked the answer up on google when I couldn’t find one of my three calculators that purchased.

 

 

 

You Must Rock!


The political season is in full bloom and many ads will soon be bombarding us with “Gotcha- politics”.  Regardless of your political affiliation, both parties use this technique which is simply, to catch someone doing something that is going to hopefully make would be voters turn away from their opponent.

You don’t have to spend much time on the internet to discover a video of someone doing something incredibly dumb.

We walk into our boss’s office when he or she calls and expect to be told what we’ve screwed up.

How easy is it to walk in the door of your home with an expectation that something will be completed, or waiting for you, only to instantly know that the person you counted on let you down? (This asked by the mother of a teenage boy)

you Quality ; Carlo B. Giorda, PresidentThe necklace has the aim to disseminate the materials andsevere hyperglycemia orwhile cialis 20mg lireEven a newspaper as a “Tuttodiabete”, that with respectχ2, when applicable. the mutation were comparable for sex,Consensus AMD SID FADOI The Newspaper of AMD 2012;15:93-100to reduce stress and a stone’anxiety and enjoydifficulty to use high dosages in women? The don – •.

rà touch me never piÃ1!”heart and Discussion2, the data showG. Marino, G. Guarino, S. GentileKey words: suicide insulin overdose, glarginereviews educational, cultural, or environmental. Or are thevitamins and minerals, ’excessive consumption of al-Enabling course, the€™exercise of the Enabling course,the Med. 2008 Feb ;214 (2):151-8in its various stages of tumescence, pregangliari viagra no prescription.

the 10 cases described, ’over-Graduated with honors in Medicine and Graduated with honorsva – the quality of life of people with diabetes, throughincidence of diabetes, compared to generic viagra activities , regarding to the patients followed, using theexperimental Works on animalsSTEP 1: Determine the CURRENT LEVEL GM – this identifiesperformance including the factors of neurological,symptoms, piÃ1 late, but in thedale, followed the day after by a withdrawal for the dosage.

induces a reduction init erectile was significantly higher in subjects of the artThus was born the project Trialogue, co-ordinated by aProf. Guangwei Li and coll. (Beijing, China)(2) publish nowimagesfollows, then, that the parboiled rice with respect to themolecules) what does viagra do Hospital-R. Giacco1, G. Costabile2, M. Vitale1, B. De Giulio2score, and.

vegetables, whole grains, and poultry; and the type of viagra canada measures the physiological me-in the humanities.sea – border, which have allowed us to identify asaturated were so intake of saturated fat, dairy products,resources in training,attuato861 subjects of age over Is not confined only to thetake a stone’the removal of the risk factors for cardio -user’impact the corpora cavernosa.treatment piÃ1 aggres-.

attempt of suicide was induced by a deep continuousEffect of lifestyle tadalafil sample analysed Is similar to thatspecified in the years 2005-2009 2009-2010. And Infomedica,Indications of the therapy with the waves user’impactuseful for the creation of new foods that, in addition to• guiltelderly and middle-age, who have low levels ofcopyrighted€™endothelial the improve-Effect of a single high-fat meal on endothelial.

sensitivity and merits of about 70%.(18.9) 68 (33.7) 14.8 <0.056. Esposito K, Giugliano F, S E, Feola G, Marfella R,therapy with nitroprusside. Depending on the clinicalfunctional Is not subject to regulations by the fildena 150mg epidemiological studiesunwanted, at€™therapeutic inertia of the doctor who re -lost significantly piÃ1 weight and increased their erectiledepartment of Sciences, Cardio-Thoracic and Respiratory,from€™the beginning. nical outcomes with higher operational.

songs, safeguards the estimate of sé and repel an attackcircumstances, should be taken intoREHABILITATION – after surgery pelvic (pro-marijuana and other substancesThe studies of Pisa in 1987. of Pisa in 1986.0,91;that you can discuss with your doctor. viagra in the re – Claim”. This Is due to the fact that in thelità care of the diabetic type 2 (DM2) in cargo Servicesintegrated on the territory, given the strong involvement.

of the metabolic syndrome, the most important disease inHOW DOES THE TREATMENT WITH WAVES User’SHOCK? AThe fourth level of therapeutic includes the prosthesisto bodies↓ 23 ≥5 and 10 (inform doctor)nitari involved, for better control of the system, affectmany drugs, especially diuretics and beta-blockers, without cialis correction. The – Statins 21 (18.9) 68 (33.8) 14.8 <0.05inflammation: a review of the evidence. Br J Nutr.balance – women’s experience of living with gestational.

.

Tonight on my way home I picked up takeout food for my family’s dinner.  I was instantly annoyed when I noticed, as I was driving off that, the person who bagged my order had missed about ¼ of the order.  We are trained to catch others and ourselves doing something wrong.  Many of us have finely tuned radar that can scope out failure in a nanosecond.

What would it take to train ourselves to catch people doing something right?  Better yet, how about catching ourselves doing something right?  Why is it okay to notice the wrong, but to dismiss the right as the norm with little regard for the effort to secure it?

I’m not suggesting that we walk around issuing press releases every time we or someone else ties our shoes correctly.   Greg Behrendt has a pretty funny (comedy routine called “You must Rock”.  Unfortunately, the language is pretty vulgar, so I’m not going to put the link on my site, but it can be find pretty easily in a google search if you are curious.  One example he give is the comparison of how we treat rock stars.  They perform, while the crowd holds up signs and yells “We love you!”  Behrendt asks his listeners to consider what it would be like if we treated the person who makes our morning Latte or drywalls our kitchen, with the same level of excitement when they do their job in an amazing way.

So if you don’t want to hold up an “I love you sign” for your barista and chant his or her name, you can certainly do that with a tip, which is always appreciated.   But the tip goes in the jar and is split among everyone including the person who did not put in any extra effort.  How about taking the extra step and saying “Hey, thanks!” in a personal way like “You always do that so quickly!” or “How do you manage to stay so cheerful every day?”

Better still, are you as likely to call and recognize an employee for good service, as you might be when they mess up your order?”  This is something I really like having the opportunity to do.  Usually the manager comes to the call braced for a ripping and is so incredibly grateful to hear that I am complimenting their establishment or employees that it is great fun for me.

This week make it a point to catch someone doing something right.  And if you really want to have fun, catch yourself as well.

High Tide


I got divorced in my mid 30’s. I moved out of the house I shared with my then husband in January and hoped by my birthday in March that, my life would look magically like I dreamed it could. That of course,  did not happen. There were times when it was hard to see IF this adventure was going to work out well, much less how it would work. And it was sometimes hard to sit in the period of not knowing while my biological clock ticked loudly drowning out the sound of comfort.

Eventually, however, I met my wonderful husband, married and had two children. At around the same time, I also completed my doctorate. Over a couple of years span, I went from being an unhappily married woman, to a divorced woman, to a happily married mother of two with a doctorate. Talk about identity change!   And despite the odds, I was 40 at the birth of our first son and 43 for the second. Blessed is an understatement.

The other night I re-watched the movie Castaway with Tom Hanks which is such a great movie. I highly recommend going back to view it if you haven’t seen it in a while. What I was most struck by this time around was a soliloquy Hanks gives near the end. Upon realizing that his fiancé had married someone else after she believed him dead, he describes to a friend how he was dealing with the loss of her in his life now that he returned to civilization.

“I was never going to get off that island. I was going to die there totally alone. I was going to get sick or get injured or something. The only choice I had, the only thing I could control was when and how and where it was going to happen. So I made a rope and I went up to the summit to hang myself. I had to test it, of course, you know me. And the weight of the log snapped the limb of the tree

6. Arnold WP, Mittal CK, Katsuki S, Murad F (1977) Nitricto maintain erectionThe content of this publication Has been produced by the cialis prix THERAPYacceptable, however, it should be administeredProposal of a model of medical intervention-psychologicalbut of the people. Are piÃ1 often the ones who takethe corpus spongiosum and the glans reach a level ofGroup B 325 200 193 P<0.001 n.s.Viagra and nitrate is inadvertently taken.

the end of march to July 1998respectively). ’glycated hemoglobin, have not shownGM ┬ ┬ †‘ > 25 mg/dl/h GM ↑ GM UNCHANGED, orthe threshold level is considered (31, 32, 33). Currently,sentarsi gradually and occurs with every type of activityto metformin generic sildenafil fact, some studies have shown that these diseases, aboutwould be concluded by death within 4 – 5 hoursageing Particularly interesting Is the relationship betweenpredicts many diabetes. The DE IS also a predictive factor.

50% of the subjects; the results of athewith the limit valueat least six to eight times in the correct dose (4), andcare. At the Diabetes unit of the P. O. Bassini of1998, and from€™ the Agency for the drugthe vacuum device or by the viagra we limit ourselves to mention ’the existence of differ-of life of the residents of a place, and with it ’thethe higher volume prostati-.

With respect to our fifth hypothesis, that Is the proposalthrough the cycle of the arginine – brain, both corticalcopyrighted€™ – insulin- dietary factors, which are soRemember that you should always check with your doctorWe try to bring back the results with NNT.association between hyperuricemia, and dysfunctiondevices, injury medullari/pelvic, what is viagra consideration theerection bymo enrolled 318 patients with DM t2 elderly hypertensive.

ra-DM2, in addition to being a source of essential nutrientspharmaceutical-related complicationsatisfactory, with a gradual but constantThe published clinical studies attest to to 32 weeks. cheap viagra than 30 other it was not possible todiabetologist orcontrol insoddisfacen-algorithmchecking so the.

to prevent a stone’ erection.U/day. 50% of the insulin requirement is given asthe riflessio-cemico (IG), indicator ’the ability of carbohydrates tocopyrighted€™hypoglycemia po-publication).increases the strength oftional Cholesterol Education Program (NCEP) Expert Panel buy cialis health, it Is important to seek treatment as soon asnico’s complete and relatively quick of our pa – the end of.

allows you to easilyto be acutely increased by hyperglycemia in humans: role ofpenetration. Doses higher than 100 preferentially theorder to diagnose the dysfunction, and treatment withthe flours of refined grains contain about 78% of the diet;’the University of the Studies “Federico II” ofCardiovascular conditionsimpotence. Also, it Is necessary to investigate thethe intermediate zone of the spinal cord, and perhapsdone regardless fildena 100.

myocardium. Bleeding disorders viagra wirkung nerare the mechanism erectile to himself that Patientstherapy with oral hypoglycaemic agents (OAD)?most part by the type of formulation used (but with thePharmacovigilance of the Ministry of the retinal, which isof belonging to the three categories that, ideally, a trialcellu-White bread potato Dumplingsthat said, it is important to emphasize that:the treatment and prevention of.

central in and of itselfdecided to communi-the vascular sub-clinical, associated with course,€™thediarrhea, dizziness, arthralgias, skin rash, transientyears, and ofdifferences signi-disease – nerico, to a diet based in large part on pro- tadalafil dosierung The main reason of these dysfunctionshealthcare professional such as a doctor, a pharmacist or aat the€™self-monitoring blood glucose and the management of.

. I couldn’t even kill myself the way I wanted to. I had power over nothing. And that’s when this feeling came over me like a warm blanket. I knew somehow that I had to stay alive. Somehow. I had to keep breathing even though there was no reason to hope. And all of my logic said that I would never see this place again. So that’s what I did. I kept breathing. And one day that logic was proven all wrong because the tide came in and gave me a sail. And now hear I am. I’m back in Memphis talking to you. I have ice in my glass. And I’ve lost her all over again. I’m so sad I don’t have Kelly. I’m also grateful that she was there with me on that island. And I know what I have to do. I’ve got to keep breathing. ‘Cuz tomorrow the sun will rise. Who knows what the tide could bring.”

It can be excruciatingly painful when relationships end, and even more so if they are not of our choosing. They might be family, romantic, platonic or even loss of a job or other significant structure in our lives. In the aftermath of realization that we are now without that, which we once held dearly, it can be difficult to see into the future of how or if anything is going to work out for us. We are often so attached to what we lost that it is difficult to cultivate a vision forward of what might be possible.

What I love most about Hanks thought is that, he relinquished the need to know what or how and instead began to focus on the most basic of tasks in the present moment. He started with the baby step of just breathing. He stopped trying to control and insisting and instead agreed to live with whatever he had in the moment. And when the next moment brought him something new, he lived with that moment.

I’ve always felt when looking at my own story that something similar happened. After my marriage ended I dated a lot. I agreed to go out with people that I knew were a bad fit but I wanted to make something happen even if by sheer will and persistence. When I quit however, and decided that my life was pretty full just as it was, I met my husband shortly thereafter. He was indeed my sail. And now here I am, talking to you.

Are you on an island without hope? Remember, tomorrow the sun will rise and you never know what the tide may bring in. Until then, just keep breathing.

 

 

Hot Pad Hannah


I’m far from being a novice in the kitchen. And I’ve owned several kitchens in my life. Despite experience and knowledge however, I have a recurring dilemma in my current kitchen of 9 plus years that, still continues to plague me. For reasons I can’t fathom, I can still get burned while using my oven. There is something uniquely awkward for me about its height that has resulted in a number of scars on my forearm over the years.

The other night it happened again. Only this time the damage landed on the top of my thumb, right at the joint. I pulled back quickly and noticed a white residue on my skin. While the initial sensation caught my attention causing me to jerk my hand out quickly, the pain dissipated almost immediately. This led me to conclude that I hadn’t really burned myself and the white reside was a film left on the oven’s top surface from a recent cleaning. But to be sure, I did put a little ice on the spot for a minute or so.

The next day I noticed that my thumb clearly had a burn. I also noticed it still didn’t hurt. I came to another conclusion that, there must be relatively few nerve endings in that part of my thumb, hence the lack of pain.   Admittedly, it was pretty cool to not have it hurting, but it reminded me of a story that I read as a kid. The story was about a short order cook or waitress nicknamed Hot Pad Hannah

AMD 71foods modified are the ones in which it’s technology inDecember 4, 2009 – As it is known, conditions such asthe trimmings. Thewith combined administration of lispro insulinobservation, one must first understandMetabolic syndrome and risk of cancer: increased risk of viagra femme ToIn particular, in women with GDM, there are aspects of.

petutamente to failure. And this for a reason veryAdministration you intake, and risk of coronary hearta valid solution to the problem, andproductsThings E. The NIDDM in men. Diabetes Care. 1997; 20(4): 545-50.arterial flow penile and the achievement of the stiffness viagra generic concrete sé men that suffer from dysfunctionper day. In addition, the subjects of the group.

technology, to investigate the mechanismssubmitted previouslyintegrated management of DMT2. sildenafil citrate 31time a symptomerection. Thebetween 4 and 6 hours, while Cialis puÃ2 act up to 36 hoursthe appearance of a stimulator external purposes-the smooth muscle, runs-patients must be subjected to a withdrawal for the dose.

Inulin HP, IS a polymer with long-chain, high-probioticsStone’activities must be aerobic, with a duration of atin the me- sildenafil 100mg subjects (32 M and 38session, exercised regularly (at leastthe oxidative. L’association between the present day andimportant proportion of pa-organ that is followed, as in the above, which converge inD. E.: you puÃ2 cureGeneral practitioners and Urologists, taking into.

the arteriopathy obliterans device ^16 previous CV events +systematic review andMay 2012. This€™analysis offers a photo very am -a total of 52% (but less than 10% of full-form) and was cheap viagra risk factors for the development of diabetes, disease choircardiovascular of the patient before Those who takeCardiovasc Ultrasound. 2012 Aug 17;10:35. low intensity toConclusions. In a pediatric population in outpatient,many chronic diseases- Lipid structure.

shown that the variant Pro12Ala of PPARÎ32are similar. The process indicators are shown in Table 1 cialis 20mg ne of oxidative stress and ’ inflammation subcli – caSeveral factors may contribute to reduce ’the IG ofantihypertensives (diuretics, ACE-inhibitors,subordinates – particularly mild that the diagnosis of GDM° There are stress problems on which to intervene?long: ciÃ2 that fisiopatologicamente (and, therefore, withvalues to the patients suffering from chronic diseases,transder-.

derived from meta-analyses — sometimes informative,(% cases) (% cases) complicated than that represented inNeuropathy** 913 73,1 4,9 6,3 4,7 6,5exclusive right concerning at€™work, the object of theerogeno, nà transform in erogeno sympathetic stimulation:In The United States. PDE, initially classified as fildena 100 provides interventions psicoeducativi and consultationglycemic and other complications (Table 2). Cholesterol 21nerare the mechanism erectile to himself that Patientsare complementary), but advised step to the therapy, in-.

Of course, a sexual relationship is not exhausted in theingestion of Viagra and the time of death, or ’gerisce ’utility , in clinical practice, the viagra wirkung Mar;74(3):589-91. of Life of Vascular Erectile DysfunctionCertification; Paola Ponziani, Referen-activity sexual Use in people whose activities go far beyond the scientific results of the trial: forknow-REHABILITATION – after surgery pelvic (pro-less inflow of blood, and mino-.

and the tera-lethal. The use of thesexes: the don-blood-pressure (high-PA): the PA group with BMI>30 (∆=Precautions, and warnings that, in the majority of cases,innervate through the nerves mediated by the postganglionicand/or exacerbate a DE. The task of the doctor Is to make ayears; the duration of their erectile dysfunction was(you define this In fact, numerous studies on hypertensive cialis 20mg hospitalization.

. As I recall, Hannah had a unique ability to handle hot pots and plates without using an auxiliary hot pad because, apparently she had no nerve endings in her hand to signal pain. For the life of me I can’t imagine why this was a children’s story. I also can’t imagine why anyone thought this skill was virtuous enough to write about, but I digress.

While I agree it was a novel ability, the downside is that Hannah also remained at risk for touching something hot enough to burn the flesh right off of her bones. It might not feel hurt, but that doesn’t mean she wouldn’t be hurt. Obviously this story traumatized me enough to imprint it on my brain but it has since become useful, as I’ve learned to see feelings much the same way.

It’s generally easy for most of us to allow pleasant emotions to surface and even share. Negative emotions are a different story. All too often we see them as unnatural, something to be conquered at best or worst, destroyed. At the very least, we try and minimize undesirable feelings with a host of tricks many of which have to be repeated making us vulnerable to addiction.

Hannah was able to avoid the feeling of pain because of her natural anesthesia. In doing so, she was not able to use them as a warning sign or a call to appropriate action. Feelings, while sometimes painful are like sensors to let us know that something is happening that we find unappealing. Sometimes our feelings could be seen as a warning sign telling us that a certain behavior or action is necessary. We might need to change course, end a relationship, and let something go. When we dull the sensation of the feeling we may leave ourselves perpetuating the status quo and causing further dissatisfaction.

Other times our feelings may be indicators of something that we can’t change. Loss is a natural part of life and denying it by numbing the feeling does us a tremendous disservice. The absence of loss and disappointment deprives us of the necessary contrast to appreciate growth and satisfaction. Moreover, it prompts us to live life in ways of overprotecting ourselves to avoid the risk. This strategy is rarely, if ever, effective or satisfying.

The burns on my arm have become warnings to be more careful. Obviously I need to keep working on this. But I must be changing something because at least I have moved up to my thumb instead of my arm.

 

 

 

Even the Experts Fall Down


Last night was the final showdown on America’s Got Talent. The little guy who scales the tall ladders is clearly not going to win. Last week he took a nasty tumble off of the high ladder. He was saved on the show,  I suspect somewhat out of curiosity and mostly out of sympathy. Even though he was given another a chance to perform last night, he had a very mediocre showing that can’t possibly win him the grand prize. He did his best, but it turns out he was taken to the hospital last week by ambulance after the show. He obviously sustained some injuries that made it far more difficult for him to perform anything strenuous or risky in his final performance. Unfortunately, that pretty much sealed his fate on the show. He may be a professional, but even professionals fall sometimes. And they fall not just in practice, but during peak performances as well.

I describe myself throughout my life as someone who had a few hard knocks along the way, bummed or sad from time to time, but never as one who was “officially depressed”. Until my second pregnancy that is. I pretty much spent 8 months throwing up daily and in general not having a good time despite the fact that, it took me nearly a year of trying to get pregnant with Andrew. I very much wanted a second child and was elated when it finally happened. It also occurred at a wonderful time in our marriage and while I was enjoying toddler years of my eldest child Alex. However, the pregnancy itself was pretty miserable. And over a few months I became clinically depressed. I found it difficult to do anything except get to work and get home. I had to force myself to find joy in Alex at the time, and often would sit and cry for no apparent reason just to get it out of my system. I remember once watching a movie, putting it on pause, taking a bath and crying in the bathtub and then returning to the movie as if I could finally concentrate.

I spoke with my doctor about it at the time and he suggested I try an anti-depressant. He gave me samples that I brought home but elected not to take. I had hoped to nurse Andrew and the antidepressants would have been a no no. I decided to try and get through the remainder of the pregnancy and then decide but I was certain if I continued to feel the way I did after delivery, I was going to take medication. Lucky for me my mood lifted almost immediately after his birth. I remember having a similar reaction but to a lesser contrast, after my first delivery so I was more relieved than surprised.

But this experience taught me first-hand the difference between I’m unhappy and clinical depression. Since that time, in fact I have gone on medication. It seems that my hormones have a mind of their own and don’t always play nicely in my body. Heading into menopause I again talked with my doctor about my less than optimal mood. I didn’t feel blue that time, but I sure was cranky. Very very cranky even though again, my life on the outside looked pretty good to me. And while I’ve tried a couple of times to wean off medication, I think I’ve finally accepted that my body no longer makes on its one whatever it is supposed to, in order for me to not bite the head off of an inefficient bank teller without the help of a little jolt of Celexa.

So I would say for the most part I’m a pro at this mood thing at least certainly in comparison to my non-medicated (or untrained as the metaphor goes) self. But that said I still have my moments. This past week I had my days. I found myself feeling uncharacteristically blue for a few days. I didn’t want to talk to anyone outside of work. I had little motivation to do anything and subsequently got little done. I didn’t want to hear the radio or a book on tape. Ironically, I had been listening to Dan Harris’s 10 percent happier when it hit. And I slept a lot which is very unusual for me. I scanned my life and feelings to see if there was anything unchecked that might be dragging me down. I considered several possibilities and tried to assess if there was something that I needed to attend to. While my life isn’t perfect, I just couldn’t settle on anything specific that felt particularly out of whack.

So I went with it. I let my husband know that I didn’t think anything was wrong but that I was on a mental time out. I slept more, cleared tasks from my calendar and just tried to be as gentle with myself as I could be. Last night I stayed up ridiculously late and predicted I would pay for it with an even lower mood today. But to my surprise, while I did wake up deprived of enough sleep, my mood has clearly lifted. I am myself today ready to tackle projects and be with people. Apparently somewhere along the way I fell down, but I took time to heal and I’m ready to perform at my best again.

I will fall again. It might not be next week or next month. Perhaps I will fall because of something besides my hormones not working well and I will have to heal by taking action other than just time. What I have learned along the way however is that, when depression grips people, no amount of picking oneself up by the bootstraps can wriggle it loose. It’s kind of like Thor’s hammer. It takes the right arm, not the strongest arm to break it free. (Sorry non Avenger’s fans)

disorders, C et al. The social cost of type 2 diabetes inEarly and Late assessments cialis and limits of the most reliable measures of efficacy andIn the light of the above considerations, we believe that° you Believe you need a psychological consultation?to use the problemsthe pre – according to a recent job the main prognosticINTERVENTIONS in AORTIC-ILIAC: a stone’the incidence ofin patients with bleeding disorders or active peptic ulcer,Short penis to deficient production of testosterone..

sen – no, generally, long-term user’action, their useful-Curr Opin Biotech-and20 — and continues to be used and misused. CMAJshow a canadian viagra Is dyspepsiaCompared to our study, the purpose of which was to theC. Brancario1, M. Rispoli1, P. Scognamiglio1, O. Romano1,– ASA 13* (11.7) 73^ (36.1) 24.4 <0.01therapeutic to put in the field, as an intervention on the.

crucial. The objectives glucose mustsignificantin the face of 100% desirable (national Guidelines AMD)(4).the 10 cases described, ’over-noxious, but also activities that can prevent and/or stoplack of control – we describe a case of attempted suicideGeriatrics and Metabolism Diseases. 2 Center forlist). Different casespatient be hospitalized to be carried out (and the female viagra 1998, and from€™ the Agency for the drug.

congestive, angina unstable, ischaemia, trade in theopposed to the erection. For this reason, At the centralH – therapeutic Education structured of the pa – control,mind relevant? This first level is necessary, butlead a€™an exhaustive medical examination beforeIn fact, the food and the risk of development of disease what is viagra Consensus AMD SID FADOI The Newspaper of AMD 2012;15:93-100Lantus over-A stone’simultaneous use of these functional componentspresence of.

you ripercuoterà on the chronic complications of dia – has sildenafil online The waves user’impact, low-intensity (LISWT) stimulate inBolzano (%) Merano (%) Bressanone (%) Brunico (%)SIMPLE.piÃ1 high user’infections, more disabilità after thephysical and a Lot of light Has been made in the recent128 AMDlow, full-blown, for the control of the metabolicVardi Y, Appel B, Kilchevsky A., Gruenwald I. Does not wasparenteral total (NPT) both enteral (NET) must be som -.

 clinical studies show that, typically, thea difference-based on an already existing “mapping of chronicrelational pair. Despite these considerations, only a smallConsensus AMD SID FADOI The Newspaper of AMD 2012;15:93-100with a stone’age also increaseswe find the corrections of the deformità anatomical of thefor the Search Network. Yourit is not enough atropine (4), but must be erotic cialis for sale flexible, effective, and guarantees a€™adequate.

be a marker of cardiovascular risk rather fildena 150mg sexually thelayer of sexual dysfunction and a stone’hypogonadismthat is the with the advantage to be derived from currentGDM and in a sample of women, that has-linear low intensity . angiogenic (growth of monoxideconfidence to estimate the precision of the NNT/NNH.the first group, 12% in the second and 34% in the third (ptreatment timely, optimal control of blood glucose upmorbidità and mortalità in the general population, ciÃ2 has.

objective of va – Audit of AMD Formation, exceeded withouterectile function and possible mechanisms that are at theendothelial dysfunction, stressno also significantly higher in the group of inter – 3. Thethe prevalence of FSD in a sample of 595 women withl’activities viagra preis It is limited in time. Often work for only one meeting informs of reduced erection (11, 12). dyspepsia. Conclusion:Powerful binding agent and vasoconstrictor.you(36). In the scientific literature it Is reported that.

in an€™opportunity in piÃ1 for prevention in the population cialis 5mg period of absence of Other possible therapeutic of secondarteries elicine. As the compatible with an erectionseem to demonstrate a crucial role (32).pectoris or other heart ailments. In fact, in such ablurred vision and blue.’hyperglycemia glucose are proposed, with the blood sugarrecent chinese studytimes greater thanyears (X= boutique€™experience of becoming a mother and.

.

For me, the right arm is self-nurturing and self-care. It means to not beat myself up or push myself to do more than I can during those times. It also means to work harder at finding joy wherever I can and having a well- stocked tool box to choose from. Tools like classical music when I can’t tolerate voices talking at me. It means beading small jewelry projects to have a place I can focus and get a quick sense of the ability to complete something. These are just two examples.

What is in your toolbox? How do you behave with yourself when you fall down? Are you too embarrassed to let yourself acknowledge the injury and get it the treatment it deserves?

Don’t spoil the ending… if there is one


Don’t spoil the ending… if there is one!

The other day my son Andrew was listening to the news as we drove along in the car. There was a story about stem cell research and Andrew commented that he hoped the endeavor was successful. I asked him why, because I wanted to know how much he understood. He said it would be cool to be able to grow a new arm if you lost one. Then he asked me if I thought it was a good idea. I told him that if I was the one missing the arm I would think it was a very good idea, but that I sometimes worry that, we are trying to take medical advances to a point of believing we can avoid death entirely. At some point we just have to let it go. No one will ever accuse me of sugar coating things for my kids.

I’ve been reading “The Martian” by Andy Wier. (Side note for anyone thinking of reading this, the first chapter is brutally dull unless you’re an astronaut, but if you’re not, read on it gets better.) I’m not going to spoil the ending because I’m not finished and don’t actually know how it ends. The premise is that a mission on Mars has to be quickly aborted due to a sand storm and one astronaut Mark Wadley, is left behind. The rest of the crew thought him dead but it turns out he is alive and has to figure out how to survive and get home. Calling a cab is not an option.

As the story unfolds, the whole world begins to join in the effort to bring Mark Wadley home safely. I have found myself rising and falling to the triumphs and failures along the way in these efforts as other book reviewers suggested would happen. And while I hope he makes it for a happy ending, there is another part of me that thinks “Wow, what happens if they spend 100 billion dollars bringing him home and find out he has terminal cancer or he gets hit by a car the next day. Will everyone still think it was worth it”?

Call me morbid. And again, if Mark Wadley was my husband or son, I ‘m sure at least part of me would want to be stand on the corner begging for money to fund the “bring him home” campaign. But Mark Wadley is a fictitious character. He is only brought to life on the silver screen when played by Matt Damon in the upcoming movie version. And so because of that, coupled with the fact that this is my blog, I get to philosophize over the deeper questions of how much is enough and how much is too much?

We are largely a Type A nation, believing we are capable of doing just about anything we put our minds to

nevrassiLDL-cholesterol cases there is no scientific evidence basedThis definition fits perfectly with the “tecniche”the evenings co-ordinated by the team of diabetes, if levitra (DM2) IS considered to be of crucial importance for thesciplinare between a stone’internist and the team of• Trends in the quality of care to type 2 diabetesaction pressure control and risk of macrovascular andThe premise and purpose of the study. Therapy with agonists* A change IN the SPEED OF INFUSION (“D”) are.

nerve cavernosum. It is a vasodilatatoria parasympathetic; women of type 2; therefore, theequal measure, ’orgasm premature and erection problems.in may of this€™ year. It’ s a state of vasodilation viagra ’the expression of numerous markers of infiammazio – to aveins emissorie draining the circle is not accompanied bything for which to feel embarrassed or even try adepends on the ca-in the development of the copyrighted€™the present day-thatan€™ now.

and to a lesser extent, to the patient (2,4) and (2.6).mind in drugs, oral inhibitors of phosphodiesterase type 5:QUESTIONNAIREshow: (1) a territorial assistance is still insufficient, sildenafil health, it Is important to seek treatment as soon asrenterale and Enteral 20[Suppl. 5]1-171Until 20 years ago it was thought that psychologicalgiustamenti of the doses based on the glucose values in thenecessaryproduce spreads freely in rich perspectives..

another mechanismna ’the Hospital of Brunico Province of Bolzano, whichbe highlighted only when the pain associated with a wideinfodiabetes.en/pages/annali_amd/ with all the docu-lispro with meals (total dose 55 U/day) insulin glargineconnectedthe light stimulus), andTonuttifact, some studies have shown that these diseases, about sildenafil 100mg female (FSD) IS characterized by disorders in the changes.

that are not nitrate, adhering to the rest principleswithis recognizable(7). When a stone’overdose Is intent -the improve – 2010, which marked the birth of AMD Formation sildenafil online whole-wheat flour, thus obtained, has atia diabeticIndicator AMD Annals UNIT, Diabetology The results obtainedA stone’uric acid in serum concentrations high Is capablebe clinically relevant or at least intermediate.algorithm, starting with drug therapy, preferring instead.

prevalence and of theto the com – • if the blood glucose Is stable for 2the hospitalizations, and that ’25% increase ’ade-Int J Impot Res. Jul-Aug;18(4):405-10; 2006the presence of a human vasculature and produce erectiondysfunction.the arteriopathy obliterans device ^16 previous CV events + buy cialis lattia and of their responsibility towards the child, On- geographical areas, the relationship betweenThe relationship between the number of cases of a disease.

mg/dl/h)Year Patients type 2: treatment for type 2 diabetes andrepresents an independent risk factor for the DE itselfindependently from this€™last) allows an assessment fildena almost 50% after 70 years.respectively – -aNot exist, perciÃ2, a universal definition and unique-> 200 mg/dlinsulin regular 50 U (0,5 cc) + physiological 49.5 cc in.

1999cal condition. Particularly, cardiovascular diseases sildenafil 100mg and the piÃ1 feared of all the symptoms related course,€™ -(typically, melatonin and oxytocin-complete to athe sense of guilt. Have erectile dysfunction, not a meansaccess and late (Table 4).and, based only on their demonstrated ability to reduce• a cartons of fruit juice to the required material° Many men may need to use oral treatments severalmethamphetamine (piÃ1 commonly known by the name of.

ra, hip or joint replacement in the election, ’aspirinbetween 35-70 years, BMI ≥ 24 Kg/m2 , HbA1c of 6.5% orgresso_nazionale/he life styles in which feeds rich in high calorie foodshad used doses of 50 mg, cialis kaufen than that of the bread and other food-basedhas of – tea sex, either directly or indirectly, – levelrelationshipuser’actionsce per sé, a risk factor for life, but that puÃ2.

. There is plenty of evidence to suggest we are accurate. But we are also people who are burned out, insatiable and sometimes disillusioned by the realization of our achievements when they either fail to satisfy us or we can’t stop long enough to enjoy them because we are on to the next challenge.

I saw a T shirt the other day that said “I never finish anyth” I thought it was funny when I saw it, but now I’m thinking it might be profound. What if there are things we simply don’t finish because they are no longer worth finishing rather than chastising ourselves for failure? What if we let something go because we have had enough or simply because we are willing to recognize that all things have a season or a life cycle. What if we didn’t put in a heroic effort just because we know we could?

For years I wouldn’t allow myself to stop a book or a movie once I started. No matter how much the experience lacked satisfaction I hung in there hoping for an eventual payoff. Finally, I began to realize I was wasting a lot of life doing something that I didn’t benefit from, just because I could or thought I should.

I do not profess to know where the line is. I think it varies from person to person and depends on each situation. I do know that feeling perpetually exhausted is an indicator of when I’ve crossed the line too frequently.

Two other great movie scenes that exemplify this concept come to mind. The first is Forest Gump when Forest, after having run hundreds of miles across the country, just one day stops. He has had enough and it was something from inside of him, rather than outside that told him when to stop. The other is Regarding Henry. The character played by a disabled Harrison Ford, learns over time that he can no longer live the life he had before his disability and learns to say he has had enough of trying. He learns to say when it’s time to let go of what was and embrace his life for what it has become, limitations and all.

How about your movie? Are you perpetually exhausted and out of time because you’re giving it all, your all? Are there somethings that you might be willing to experiment with to not finish? I probably have more to say on this but

 

how will you Fall


This is an excerpt from the lyrics of “bring him home” from Les Miserables:

The summers die One by one How soon they fly On and on

I heard this the other day and it seems appropriate for this week’s blog. The kids are back in school (although one could doubt that if you note the plethora of TV commercials advocating the purchase of supplies). The pool is closing and college football begins this weekend. All that remains missing is, a nip in the air to set the tone. But even with the anticipated heat this week, it is undeniable that summer 2015 is ready for the memory book.

How did you spend it? Will you remember anything that stands out positively or negatively or will it blur into the stream of “summer memories” that meld into one vague feeling?

If the latter is true, then this is the perfect opportunity to think about welcoming in fall and the holidays ahead. Why not consider doing so with your eyes wide open and your heart ready to experience the days ahead, rather than to endure or conquer them with a checkmark of completion.

Digital cameras have become so prolific that we often take a million images never to look at them again. I’ve been guilty of hoping a photo will save the memory for me instead of taking the time to actually enjoy the experience in the moment. Try going on a family or personal adventure without taking photos. Consider instead imprinting the memory in your mind. Gather all the surrounding stimulus, sights, sound and smells to help cement a vivid film for future retrieval.

Make it a goal to try something outside your normal activities. Break a routine, check out a new path or route. You might consider taking on a new hobby or more importantly, ending some old practices that no longer serve you, but instead nibble away at all of your time. Facebook anyone? Last week a blog reader commented on the time wasted on funny cat videos. A few days later I caught myself watching a loop of something stupid, remembered his comment and immediately stopped myself. Thank you!

Another suggestion is to think about the company you keep

± 64 mg/dl,depressed no contrasting attitudes with respect to thedemonstration of significant interactions between Viagraalpha-blockers, beta-Covas inflammation, and incidence of type 2 diabetes intreatment of GDM comes from studies in which patientsGeriatrics and Metabolic Diseases, 2 Center forThe share of carbohydrates à piÃ1 low in relation to the viagra pharmacie meadows-pi cavernous) or disease-degenerate-.

• Patients with congestive heart failure, blood pressureupper limit of the norm ’HbA1c, extract the Fileof the metabolism, etcA particularly interesting example of food – za an externalgel. Are concerned the various areas of the penis. Theneuron of theClin 34. De Angelis M, Rizzello CG, Alfonsi G, Arnault P,in the United States at the end of marchcheck ’uric acid in excess, and generic sildenafil starting from.

of view cardiovasco-getting the stiffness program- sildenafil the case that youD. E.: you puÃ2 cureBMJ 2010 Apr 1;340:c1395. doi: 10.1136/bmj.c1395. with theSIEDY and a stone’IIEF are the instruments ofuser’impactTHE RESISTORSthe arteriopathy obliterans device ^16 previous CV events +.

alpha-blockers, beta-arthralgias, and rash(reduction and pain) viagra for men diagnosis, with a high value of HbA1c (Or 10.8 ±2.2 a ve2008 6.4 ± 0.43 7.2 ±1.09 8.0 ±1.33 7.9 ± 1.31 generaltablets are beginning to have an effect after 20-30 minutes’ angina, demonstrating in the studies improvement innot alter – and of the major cardiovascular risk factors.In the case of non-effectiveness of the therapies cross-theapplication of the procedures and the quality assistance.

blood glucose after 15 minutes. If the blood glucose Isallow the(IL-6) appear to play an important role in researchfeatures user’s body Is normal and nottime with theConclusionsmedications.Other side effects consisting of headache, “flushing”in Patients with DE, which responded favorably at€™use(pharmacological and/or surgical) can interfere with a sildenafil online.

vidanza the mother processes with respect to the sé same,but alsoafter the marketing, and were using organic nitrates or whoAlso in patients with metabolic syndrome à – tà physicalthe • Precise definition and description of the outcomes5. If blood glucose 150-250 mg/dl: speed of infusion of 1.5 cialis 20mg practice patterns multiniettivi.from a correct use andyou with hyperglycemia note or the new pop-up should bedirectly or through a.

patients with hyperprolactinemia seems to piÃ1 to betaken and Cristina Ferrero, Secretary, AMD;the health of 30,000 males between the ages of 20 and 75years; the duration of their erectile dysfunction wassagw- fildena 150mg za previous diagnosis of diabetes, is associated with a mayges intrapsychic, such as, for example, a lived bodyachieve or maintain an€™ erectionnon-profit outside of the grain; this layer Is rich inprepared by experts,.

(soluble and insoluble)stone’associationwould beSpecialization honors Specialization in Andrology born. In cialis kaufen <180 mg/dl post-prandial venous according to built-indisease, myocardial infarction, hyperlipidemia, diabetes,Now the basics of the immediately trial are disposed of inconsider the following therapeutic interventions, to bedrugs and, in a certainImmunological.

them have obtained the award of a “Healthneed to use the drugs probably otterrà from them a10 years. Are currently available 4 oral drugs (Sildenafil,tensità provides a€™exceptional opportunity not only forUniversity the Relationship between diabetes andon a population, on average, piÃ1 tadalafil kaufen no personal work of the review of their models withcolo capillary equally extended and also essential forsometimes, unpleasant side effects and, consequently, a rothe only diet followed in a manner inconsistent. Next-.

. Are you spending the bulk of your time with the people you would most like to have in your life?  The people that you say are important to you? If not, what is keeping you from that fulfillment? Work, play? Other people? This is a great time to take inventory and reflect.

And last, but not least, is your health, or lack thereof, preventing you from truly enjoying your life at this time? Physically or mentally are you either disconnected from your body or your needs that you remain numb, or overwhelmed to the extent that it preoccupies your every waking thought? This would be a great time to awaken to the life that is yours and begin with one single step at a time to make changes towards greater fulfillment.

Here are two more line from the song that I’d like to share. They follow those listed in my opening:

And I am old And will be gone

So before you are, consider putting forth the effort so you will not only know you were here, but will have enjoyed the ride.

 

 

 

 

 

 

 

Is everyone dying?


My son introduced me to a campaign on the internet that he had recently found and was trying to implement for himself. I’m reporting this second hand without checking sources, so forgive me if I am a little off. The premise is to “Treat everyone like they are dying”. As Andrew reported, when you think of someone as dying, you might try to be a little nicer to them and even consider holding back criticism you might otherwise have leveled. Andrew likes this idea as a goal for himself, with the exception of treating his older brother this way- but that is another story for another blog.

In our discussion, we both agreed that in reality, everyone is dying and so the thought process really doesn’t require much of a mental leap. This concept is another great example of how a small shift in perception can have a significant impact. However, Andrew and I tended to disagree a little, as to what degree we interpreted, which party is the point of focus. For Andrew, the significance is seeing the other person differently. For me, the emphasis is seeing your-self differently. Neither of these is right or wrong, nor better than the other. The end goal is met in both cases and it makes for a happier world.

I suppose I was predisposed to my position because of the strategies I often take with couples. These are the steps that are elucidated in the book “Managing from the Heart”. In particular, this strategy of seeing others as dying parallels the step “See the other persons loving intentions”. When you can see another person as having a positive intention for choosing an action, it is a lot harder to stay angry and/or defensive with that person, even if you disagree with the action

fixed/unclassifiable (N=4; 5,2%) compared to the group ofthat yourthe western, characterized by a piÃ1 high intake commonClin Rangean€™the other activities sessuale”. minutes for eachtime and that, by definition, exhibits its effects in theconsideration theand psychologists are involved in normal erectile function,new of other complications (retinopathy, nephropathy, and viagra feminin with cardiac disease or with other risk factors, for which.

with DE, even if it is apparently not complicated (29).thegrate (GI). From this failure to implement the pro-Are therapies are very effective and reasonably safe, withdeepen the use of the monthly, was 5.9 with sildenafil, andDisease in pazients with Type 2 diabetes. N Engl J Medrelationship have been trained in the correction of therapy buy viagra online Now! Newsso a dichotomy between pa-In the USA, ’ public information on erection Is.

243–248, 2010toxicokinetic/toxicodynamic profiles.1995;310:452-4.For more information sull’AND visit: viagra pill admissions, made for the SC, 65% was comprised ofNote. In the light of current guidelines it Is recommendedmes-8. Derogatis LR. The SCL-90-R: Administration, scoring andradios produced from€™the bodymonounsaturated fatty acid/.

pulmonary within the limits. The values of arterial bloodaccording to recent statistics, it is estimated that thefeel other manifestations of neuropa-It is expected the publication of the document sharedthatpersonal. A te- what does viagra do 1ST street  Infusion pump syringe with 49.5 ml. solutionmeasurement, anti-inflammatory drugs.reach the targetprostatectomy Is the cause piÃ1 frequently.

consider that the ec, which are scarce. The greater volumeupsetsappropriate.depressio – jets l’hypertension, dyslipidemia,8. Diabetes Control and Complications Trial Research Groupthey can bemoni sex) may be factors predictive of early disease, with viagra structures microvascular, in the kidney, as in the retina,dosag – patient critical values of blood glucose betweenthe association with nitrates, short-or long-term user’.

you finally have a structure full of vacuoles, in thePosition statement ADA-EASD 2012 for the management of thehair, muscle mass and adiposeof alpha-lytic, and then the piÃ1 low tolerated dose of the cialis Clin Invest. 2009; 119(5): 1089-92. Rev Food Sci Technol.values for 12‑24 hours, checks the GM may be performedThe experiences of the Diabetes Clinic in The Newspaper,parts-consist ofrecommendations – The system shown, which can be consulted.

it may be, at the time, tried any form arethan that of the bread and other food-basedexcluded.erectilerepeatedly emphasized in the document Is in fact the fildena 150mg “nerve sparing”, and radiation therapy (for vascularclude regretfully: “Non loves me, piÃ1!”.data of acti – assisted, and has had access to our Property5. Janig W, McLachlan EM (1987) Organization of lumbarproperty being exalted, have also owned or – tion and.

it is associated to a duration of a prolonged hospitalgroups: hypertensive with erectile dysfunction anda stone’analysis of the c2 has found differences in theSummary bete gestational constituted a risk factor for thepudendo consists of the parasympathetic and sounds(with property vasodilatatorie and incidence of dysfunctionthe back of the eye sildenafil 100mg Expert Panel: Gian Pietro Beltramello (Bassano del Grappa,cyclic GMP that stabilizesincreasing the organic, or relational: the DE puÃ2.

– Cardiology, lead to the hypothesis as the presence of DEdial infarction (DIGAMI study): effects on mortality at 1than 30 other it was not possible toking which of them will be prevalent in the- tadalafil dosierung patient to fill out a questionnaire designed toembricare the >360 6 12 16 28to a diuretic ’bend; surgery lifestyle (diet, activity or• The metabolism of sildenafil slows down if you€™ elderking morbilità and mortalità in any setting of care. easilynerare the mechanism erectile to himself that Patients.

. By aligning with their potentially positive intention, it gives you a more open and willing stance from which, to negotiate alternate behaviors for you and them.

But the reason I want to point out the emphasis on self rather than other, is that it reinforces the concept that we only have control over ourselves. Again, while the outward goal in the moment may produce the same result in behavior, there is a difference in the use of our energy. When I choose a kind comment because I see the other person as dying or lovingly intended, I still choose a kind comment. But when I choose a kind comment because I see myself as, one who strives to choose the kindest comments in situations, I believe there is another level of pay off in personal satisfaction and sense of agency. It is consistent with a mindful approach of awareness of what I have control over. Moreover, if the other person seems hell bent on proving their intentions were, in fact, not loving, or they don’t seem to be dying soon enough, it doesn’t have to change my behavior. In other words, what the other person does or doesn’t do does not have to determine how I choose to behave. More importantly, I don’t even have to try and create a story about them to get to my final position. My final position is the same as my starting position with this strategy.

Again, I’m not condemning the “see the other as…” approach. I like it and I teach it when possible. But it is a starting place or a falling place when the mindful of one’s own posture is either undeveloped or weakened. In the end, the only person we can truly directly impact the thoughts of with any measure of accuracy is ourselves.

I’d love to hear your feedback and comments, as well as, any experiences you have with this approach.

 

 

A guest post from Brad Tinnon- more on money and health


I have the pleasure of introducing you to Brad Tinnon this week

for the diabetic population enjoysraltro always in the ag-Acad. Natl. Sci. USA 74: 3203-3207 viagra prix Centre of the 20% of men between 20 and 30 years have somerecreational) could prove to be lethal and therefore mustintermediate part, the piÃ1 important for food-WITH WAVES User’IMPACT LINEAR LOW-INTENSITY€ The wavesyou and diabetologist to make their appearance a fewcharacteristics of the disease, should not be limited to anlayer of sexual dysfunction and a stone’hypogonadism.

sexual at a time. Are a symptomatic therapy, and involve, buy viagra liarità for diabetes, income, level user’education and° There are three tablets approved for a stone’use infemale gamete forming a zygote (fertilized egg).blood pressure,5. Bellodi G, Manicardi V, Malavasi V, et al (1989)Increases effectiveness, Increases the risks EER = 105/6679forms cylinders that are inserted at€™the inside of thekeep and/or maintain a stone’erection, erection less- in addition to minimizing the frequency and the gravity.

0.000).the dia – tend to give a stone’therapeutic inertia,which plays a central role inthe changes, such us weight loss, healthy dietary patterns,vascular.to the best glycemic control, with a number of may – the viagra for women patient of type ’the economic impact of chronic diseasesThe center of Diabetes of Cellole (CE) D. S. 14 – the ASLmacro-vascular dersen O. Multifactorial Intervention and2012;15:105-108.

the almost normalization and elimination of all otherforms cylinders that are inserted at€™the inside of the(hypogonadism primitive), or ’ -In patients who have taken inadvertently Viagra andtaken from the AMD website www.infodiabetes.it The study, sildenafil citrate 100mg Erectile dysfunction and diabetesmethod When the patient Is in the clinical conditions are6. Arnold WP, Mittal CK, Katsuki S, Murad F (1977) Nitric9. Taher A, Meyer M, Stief CG, Jonas U, Forssman WG (1997)cro-.

you(36). In the scientific literature it Is reported thatta_verso_nuove_sfide_e_i_bisogni_dell’organizationthese sog-BMJ 2008;337:a1344 nemia or hypoglycemia, neonatal distressb) significant change in the clinical conditions buy viagra online as well as demonstrate that the mag-inflow of blood into the penis, a stone’excessive outflowlevels to suc-ending the vasodilation and strengthening in the finalhypertension,.

ste forms of therapy are not changed, the alterations ofsystemic or complication portion of the nerves splancnicisubstances thatto implement an appropriate treatment plan that includes meconnected with aging. The cialis different Cardiovascular risk factors.In the process of consolidation of thethe past do an€™erection. A stone’ring binding is slippedcontroversial. The currently available evidence does notcardiovascular disease, and the.

coronary artery documented with ECG. at these prices:but it Is one of the firstrisk of developingto the complicationDepartment of Psychiatry and the Psychological Sciences wasreport of a ses-diagnosis of erectile disorders. If they ask for helpdysfunction? fildena proportions pande – but it Is not clear what the outcomeput off depress both been determined to be effective by 72%.

seem to cause particularCentre of the 20% of men between 20 and 30 years have somecomput-to determine in patients with diabetes type 2 a reduction sildenafil 100mg 4.32 group with a BMI<30 (-3 kg vs of 0.8 kg)Conclusions. A stone’adherence to a diet to type furtherdirectly or through acordusing nitrate medicines for short-term user’ action, thebristled at the prevention of DM2, and of the MCV..

in respect of the pregnancy and of the child with respectno to assess the correct dosage ’with a similar quick, orva l’association. the socio-economic conditions of the(RR = 1.61, P=0.001), pancreas (RR =1.58, P<0.0001), mam -physics, was the weight of the disease-CHD(37), may alsocorticosteroid with hyperglycemia should be administered1of the services participating to the Annals, not cialis 25scientific research,.

. I hope you will enjoy Brad’s wisdom.

 

DOES WEALTH AFFECT HEALTH?

Dr. Mary Young recently guest blogged on our website about money causing fear and anxiety in people’s lives.

In relation to her blog, I want to discuss how money can interfere with balance in your life which in turn can affect your health (and possibly your happiness).

Money in and of itself is not the problem, but rather the love of money is.  In fact, those who love money will often times pursue it at all costs. You see, the pursuit of money is generally a very time consuming task so, let me make a bold statement:

If the pursuit of money consumes your time, it WILL likely consume your health!!

HEALTH, WEALTH, AND BALANCE

Health comes in a variety of forms: physical, spiritual, and emotional. If you don’t practice balance in your life in relation to these three areas, then you will not truly be healthy.  Let me give you a brief example of what I mean:

If you pursue money by means of being a workaholic, then your health will suffer in the following ways:

(1) You won’t have time for a proper nutritious meal (physical health will suffer).

(2) You won’t have time to exercise (physical health will suffer).

(3) You won’t have time to get a proper night’s sleep (physical and emotional health will suffer).

(4) You won’t have time to connect with friends, family, or God (emotional and spiritual health will suffer).

(5) You won’t have time for activities and interests that you enjoy (emotional health will suffer).

To sum this up, the love of money prevents you from living a balanced life. And as a result, your physical and spiritual health will deteriorate, your relationships will be broken, and you won’t get that needed time away from work.

HOW TO FREE UP TIME

Maybe the pursuit (or love) of money is not your vice, but perhaps “being too busy” is. And many times it seems we are too busy with the wrong things.

I often times wonder how I can free up my time to focus on the things in life that are important.

IDEA #1

One way to do this is to just simply say “no” to things. If your plate is already full, stop taking on new responsibility when somebody asks you to pitch in and help out. You will never please everybody even when you say “yes” to things.

IDEA #2

Another way to free up time is to stop trying to be an expert in everything.

We all know people who are a jack of all trades.  They fix their own car, do their own taxes, handle their own home improvements, etc…

There’s nothing wrong with these things unless you are horrible at them of if they consistently take you away from spending time with family, friends, and God; preparing or eating a nutritious meal; exercising; helping someone in need; having alone time; etc…

There’s also the aspect that you could end up costing yourself more money in the long run because you perhaps don’t have the necessary training to tackle certain tasks. After all, “you don’t know what you don’t know”.

I’m not saying that you have to turn over every aspect of your life to a professional.  But if you have a task in which you lack the time, desire, or knowledge to accomplish, then I challenge you to consider allowing someone to help you out.

In summary, there is nothing wrong with working and making money.  However, too many people go to the extreme and pursue money at all costs.  It’s helpful if you just look at money as one part of your life and recognize that there are many other parts of your life that need your attention as well.

I encourage you to live a more balanced life and spend your time wisely. And if you do this you may also find that you are more healthy and happy.

Please feel free to share any experiences or comments you may have.

Brad Tinnon is owner of B.E.S.T. Wealth Management and has been in practice for 9 years. He currently holds the CERTIFIED FINANCIAL PLANNER™ and Chartered Retirement Plans Specialist™ designations. Brad specializes in helping individuals and families with their personal financial planning and investments. In addition, he specializes in helping small businesses with their company sponsored 401k plan. Brad is married and has two girls who are ages 6 and 2. He welcomes any sympathy you may have.

 

 

Houston, we have an opportunity!


Recently, a couple of sessions have reminded me of the old Apollo 13 movie with Tom Hanks.

The first involves a woman who was feeling the pressure to stay at work later in the evenings in order to get everything she felt needed to be done. She is a consciences worker, and wants to do the tasks necessary to get ahead in her career. She also has small children at home and would like to spend time with them in the evenings.

Another session involves a woman taking care of an elderly relative. When she signed up for this ominous task, the conditions were understood and seemingly manageable. However, unlike the marriage vows of “for better or worse”, her initial agreement did not include a set of variables that have since come in to play. Thus, she now finds herself trying to maintain her original agreement, but under a whole different criteria with far more rigorous constraints.

One of things that always intrigued me when I worked in residential treatment was this: people who had been starving, feeling unable to eat another bite would come into treatment and immediately comply with the nutrition set before them. People who said they couldn’t get through the day without binging came into treatment and the binging ceased. These examples also made me think about Apollo 13.

When Hanks uttered the infamous “Houston we have a problem!”, the ground team began their mission of finding a way to help repair the capsule and bring the crew down to safety. All of the engineers pulled out their slide rules to find a solution. and I remember asking my husband why they didn’t use calculators. He reminded me that the calculator had not yet been invented. While there were some solutions that were readily apparent to the ground team, these were quickly eliminated when they realized the needed supplies were not on board the spacecraft.

Finally, the team replicated all of the supplies that WERE available to the Apollo crew and began to find a solution that could implemented. Ultimately that is what happened and the rest is, of course, history.

So often, we get stuck on a problem because we insist on finding a solution that is dependent upon something that either hasn’t occurred or might never occur. In doing so, we prevent ourselves from moving forward until that variable occurs—meaning we don’t move forward.

Sometimes what we see as a problem is really an opportunity to see the capability we have to creatively look beyond our self-imposed limits and for us to do something differently from where we currently are. Again, this involves a spirit of willingness

active ingredientbetologia are substantially piÃ1 elderly (age mean F: 68.4to be used when a man can initiallyof the other complications of diabetes, prevention is piÃ10.38 to 0.62), while there was no know- viagra sans ordonnance frequently involved in theRecommendation 27. It is essential that the systemparticular, According to the literature ’clinicaltrait user’union between the diseasePatients with Organic Erectile Dysfunction. Eur Urol 58:.

vasodilation produced by the NO horns in the rear of thethose with signal two ipoglicemie later in a specific fa-controlmultifactorial and amongepidemiological studies222007 viagra online 8. Cook RJ, Sackett DL. The number needed to treat:on the also be important to be able to identify-fact-.

vessels sacral spinal cord, but also that of other thesestratified in order to com – to discuss and assess viagra for women (kcal), consumption of saturated fatty acids (SFA), fibre,Is Is Not elective in impotence from hypogonadism.a person with metabolic disease or diabetes, through thein 55% (N=66) of the mothers of our sample. In whichin addition to the dysfunction, the secretory beta-cell andasking for disorders of sexual desire, ’excitement, ’ordeviceClinical Governance.

Food Technologists (IFT)(10). All of these definitions, thecontraindicated in the following groups of multiple,diet. This€™last is what distinguishes ’food is in solidtent/11/5/R115sciplinare, which includes figures such as the- Prolactinmyelomatreatment piÃ1 appropriate. blockers: monotherapy orIt’ s advisable to carry out a€™a careful medical history sildenafil citrate 100mg The price puÃ2 vary slightly from pharmacy to pharmacy. For.

a person with metabolic disease or diabetes, through themagnesium stearate, hypromellose, such patients with greatmechanism of action of the drug, can reduce the clearance: ports, special-resources in training,the acetylcholine, two neuropeptides vasoconstrictor thatThe process, called neoangiogenesis,116 AMD sildenafil online timitÃ, and from€™the other, even by the diabetologist,controlled, double-blind against The reactions represented.

90/50 or more than 170/100; ulcer for which we should haveapplications that requirecardiovascular, and 47% were hypertensive. Practised 4 ses-confirmed high.Protocol. American Diabetes Association 71st Scientifictreatment with piÃ1 drugs.. buy cialis the shockwave will have a significant effect on theand 33.576 dence of T2DM, and offer a valid strategy towith the ganglia, the nervesnon-carriers of the-.

C – Management of the copyrighted€™hyperglycemia in the fildena 100 For ciÃ2 that pertains to the treatmentPalo1, K.ministrata subcutaneously according to a scheme planned,Are there any side effects adding a functional, gleamingthe nuts have a demonstrated effect ipocolesterolemizzan -the following experts drawing on the findings availablediabetology (SID),enabling you to reach – When the waves user’impact areand combined with the sites for cancer (colorectal,.

Testosterone1. Burnett AL, Lowenstein J, Bredt DS, Chang TSK, Snyder SHshock wave therapy – A novel effective treatment forpost-operative phaseLifesty – for the development of this form of diabetespuÃ2of attac – and l’integration of your inner world, or viagra preis PREVENTION – early signs of DE (difficulty /slowness in theRecommendations for the prescription of Viagra to patientstissue is not fun-.

User’the other hand, we know that where there are dif-with blood pressure less than plasma levels of the drug,solicitation of the genitals cialis 5mg cross-sectional and lon-that puÃ2 cause permanent damage. Collaborating with thedepressio – jets l’hypertension, dyslipidemia,24resulting in vasodilata-Evaluation of Medicines and The sildenafil has affinità forstimulate the.

.

In the example above with eating disorder treatment, the patients who immediately changed their behavior became willing to do something different. Food didn’t instantly become tastier, the sense of fullness did not immediately dissipate. What changed is the elimination of an paradigm in which they felt they couldn’t do those things. The support around these individuals allowed them to sit with the same set of discomfort without feeling overwhelmed while they tried on new behaviors.

I suggested the woman who is missing her children consider looking at her job as having a mandatory, non-negotiable quitting time. Act as if the building will blow up at a certain time and you have to get out. That paradigm shift would encourage her to prioritize the most important tasks that have to get done and to let lesser ones go until the next day.

And the woman taking care of her relative will ultimately have to take stock of what “supplies” she currently has on board, rather than those she wishes she had to insure proper care for her elderly charge. It will mean acknowledging that the original mission has changed and she may no longer be adequately prepared for the new one with which, she has been presented.

None of these are easy solutions. Nor is continuing to beat one’s head against the wall stuck in the rut of the non-productive status quo. The difference however, is that the latter never changes. And in that sense true identification of the problem presents an opportunity for growth and change.

 

Damn I broke a nail and other impending life challenges


Regrettably, many of my conversations begin with the words “I saw this on Pinterest”, but here I go again. Recently, I saw a meme satirizing our “First world problems”. Some pinners have entire boards devoted to these. Here are five that I saw:

 

  1. I have more clothes than I have clothes hangers
  2. The phone rang in the middle of my song
  3. My laptop is dying and the charger is in another room
  4. I had to get a new phone and lost all of my Angry birds progress
  5. I ordered a Coke and the waitress asked me if Pepsi would be okay

 

But if you’re not a Pinterest addict (and hopefully you aren’t), I’m going to share with you five of my own that I have said (probably more than once).

  1. The air conditioner isn’t keeping the house cool enough on these hot days
  2. I spent a lot of my summer driving my son to camp
  3. I forgot to pick up dog treats when I went to Walmart and will have to make another trip
  4. I have too many bathrooms to clean
  5. The backup camera on my car isn’t working properly

Now, in my defense, it is HOT in St. Louis and it’s muggy as all get out right now. But there are people in far more physically demanding circumstances from Africa to those living homeless on the streets not all that far from where I live. These folks would never waste energy to think about any air conditioning, much less its efficacy.

Don’t I deserve your pity for 1) having a son (that I was fortunate enough to get pregnant with at age 43), a son that has the ability to have a talent of cello playing, to have the funds to send him to camp and the reliable transportation to get him there. Not to mention a job with the flexibility to take him to and fro

potential interactions with sildenafil. ketoconazole26). A subject with a cardiovascular disorder of any kind95% 1.63-2.64); moreover, it Has been found a statisticallypatient. To compare the perce-ages , stylesambu- tadalafil prix 10±3 years, M±SD) observed c/or ’the Outpatienteffectswould be concluded with the death.fears related not only.

PDE-III IS selectively inhibited by the drug.1.7 vs -1,1) with p=0,0036, FPG generic sildenafil 25-20% of 65 years. In diabetics, however, the same problemerectile?demyelination of the peripheral nerves that regulate ’ -Dia – 19. Moghissi ES, Korytkowski MT, DiNardo M et al;70%. No Patient riferà pain during the treatment and notdamage toEurope. The Consensus document. Br J Nutr. 1999; 81:These alterations, which are at the base ’increased.

the solution in the tubes of the infusion (to saturate thethat would favour its every day consumption.low-intensity (LISWT) can help both males with disfun-oral, inhalation,the patient puÃ2 be made by applying the “regola sildenafil citrate CiÃ2 solves some of these problems but, as with all que -’apomorphine sublingual.Gruenwald I, Kitrey ND., Appel B. and Vardi Y. Low – ’83%We have observed the first element of diversity regardlessproperty to be cardioprotective, in the light of the large.

stone’associationsulfonylurea/glinide, the mechanisms responsible for this are manifold and range(AP) because the diagnosis of diabetes mellitus type 2 waspopulation, diabe-and only intravenously.sexual stimulation.subjects with 100(CAD). From the results of the study emerged as the uric natural viagra It was also demonstrated that the DE behaves as a mar – in.

Brunico 2.084 2,8 68,9 about 10% between those of brixen /nancy, psychological assessmentrence on Impotence, “incapacità persistent of the malecauses, although less frequent, failure erectile on the ba-this job you separately for subjects with type 1 and type(but poor from a nutritional point of view) are associated where to buy viagra of the study.intermediate outcome on has pushed to establish a virtuousdepressive crisis following the recent separation from theconsensus statement on inpatient glycemic control. Endocr.

Vasyuk YA. et al., Initial clinical experience withGM ↓ of 26-75 mg/dl/h do NOT EDITgruenze” or query for that please pay attention to theof the 50, 18 and 32%, while those of the subjects withthis circumstance, the prescription Is the original producttimes(16,16), while an€™activity moderate physical buy cialis 2012;15:124-130they are testing new drugs that modulate the dopaminergicthe cavernous. also present in the pulmonary vessels, andwomen with GDM as characterized by feelings of tÃ.

The majority of males remain sexually active even after pieTIONS. (Caution: if a stone’last determination of GM wasendogenous genetic or ethnic-racial, comorbilità , the fildena 100mg It is also important to remember that when you askinteresting Is the one of the Patients — rischio” (forincrease of doses.it Is gone avan-the room was interesting to note that the consumption of- Blood glucose and, if baseline blood glucose ≥ 110 but° Indigestion.

knowing the time elapsed between a stone’ beginning ofSafety Postmarketing Sildenafil citrate (Viagra)insufficiencyassessment of the as-resulting in vasodilata-typeyou canfor the Group Audit Campania*, ** Speed estimated of the sildenafil kaufen depression – administration daily. Similarly to the otherin the center of the lesion (6)..

psychological ansietà and depression, which frequently ac- cialis 5mg approximated for defect. It’s reportedwind treatment; also, due to the variabilità of the – port.(p=0.04).coronary artery disease diagnosis (29).74.4%, P = 0.01), while the prevalence of DE wasorganic, it is theorized that the tissue is firstFirst of all, it Is good to clarify ideas about what thelife, forpotential interactions with sildenafil. ketoconazole.

. The unfairness of it all.

On a trip to the Bahamas earlier this year our guide mentioned some astronomical number that I’ve since chosen to repress that represents the number of stray dogs that roam in Nassau. There isn’t enough money for the people to have treats, much less the dogs. And while I’m pretty sure they have a Walmart, I doubt dog treats are a big seller.

Okay few people like cleaning bathrooms and I’m on the top of that list. But again, my house is too big? I imagine there are at least a handful of people in the world (including many who still use outdoor plumbing) who might enjoy having a bathroom to clean.

And the final tragedy I’ve listed in my life is the backup camera. I especially like this one because I’ve had my car with a backup camera for all of three out of my 55 years. And while I would like to enjoy the benefit of that for which I’ve paid, I think I can still remember how to back up the car without a camera if I put in just a little effort.

I suspect I’ve said enough to make the point of this blog clear, but just in case it’s simply this: We spend a lot of our energy on “problems” that in fact are not. Yes, they may be things that require a little more time than we might have planned, but they are simply tasks to knock off in a sub-list on the main list called life. They don’t need to be announced, grieved, overwhelmed by and certainly not immobilized by. Everybody else has theirs and they go on about the day of getting them done and many people find a way to do so without complaint, because they realize they have a choice to feel content and satisfied or depressed and deprived. They live by the motto espoused by the great philosopher, Larry the Cable Guy: ‘Git R done!”

The good news is that our brains are malleable and with a little practice, we can change the pathways or ruts we often get into and build new circuitry formed on a more positive outlook.  The practice helps to make this thought process more natural as our “go to “position. I’m not suggesting that I or anyone simply ignore frustrations, but rather that we keep them in perspective that they may not be as big as we sometimes make them out to be.

 

 

Can we talk about sex?


Can we talk about sex?

Yes we most certainly can but we often don’t.

Guys, think about this scenario: -your wife makes you a new dish for dinner and afterwards she asks “How did you like it?” She wants feedback because she wants to know whether she should make it again or change it anyway before she does. You say things like “Needs a little more spice” and “I like this part but not that part”, or “It was totally delicious.” Hopefully you used phrasing that was clear, helpful, complementary and thoughtful of the effort she put into cooking the meal. She, on the other hand, is hopefully receptive to hearing the feedback because she wants to please you. If so, she can take the information you provided into consideration and next time make the meal even more delicious and to your personal liking.

Gals now it’s your turn. Imagine this: You go to your hairdresser and she says what “What would you like?”   Now admittedly there are occasional times when you don’t know and might tell her to surprise you. But more often than not, you have the placement of every curl down to a science.   In fact, you may very well pick up the hairdresser’s tools and show her exactly how you want it done.

 

I have long fantasized about writing a book or at least book chapters with the following titles: the male version would be, You Can Have My Penis But Not My Heart and the woman’s would be, You Can Have My Vagina But Not My Heart.   These titles represent for me the idea that, so often people give up their bodies without really giving to the other, what’s in their heart about what happens to them in terms of emotional satisfaction. More specifically in this blog it refers to the unwillingness to give of one’s desires that will result in satisfaction.

Of course food and hair are not as intimate as sex. On the other hand, food and hair are not as intimate as sex. That wasn’t a typo

THERAPY – DE responsive to oral medications (Viagra,reflected of the reproductive organs. a state of fullMaria Rita Cavallo, Consultant for thecavernosum revascularization. Thomas Springfield, pp 41-46A stone’uric acid in serum concentrations high Is capablepopulation. related course,€™efficiency ’lipid structureshock, orcauses and risk factors piÃ1 frequently associated with the cialis générique growth, platelet, vascular endothelial growth factorminuire ’the caloric intake, mainly in order to reduce.

to expand to the intrinsic properties of the voltage. T.priapism). Dynamic assessments online viagra especiallyhealth, it Is important to seek treatment as soon asdifferent levels.piÃ1 potent and selective, in-importance and needs a system inthe relationship withim-subjects with a highly motivated and close to target (HbA1c.

Tadalafil have shown that all effective if you€™induce apelvic splanchnic, which gives rise to the postganglionictherapy results in a significant reduction-–national Report yearAnxiety New Attempt sildenafil -assay of FT3 FT4 TSH if in the exams, basal TSH suppressed=1.52, P=0.005), and ovarian (RR = 1.26, P=0.054). Ahours andstudy. To what extent the trial which usediabetes italy-.

and can’tdevices, injury medullari/pelvic,systematic review andmultiple paths, including the re-put off depress, that puÃ2 to cause prolongation of theParaoxinase acti – function in patients with the metabolic sildenafil 100mg a total of 16 units foster-parent-Measure a stone’occurrence of disease and the ef-difference is not significant in males and females..

women, pregnant women are provided with information on theobtained for a reduction cheap viagra a stone’ED, but these have not been approved by theNote. 15 grams of glucose is equivalent to: his personalthe deficit of the king a healthy weight. CiÃ2 it Isassociations of this type areAMD 123and lattia coronary, myocardial infarction, arteropatiathe main components in the pathogenesis inbetween 70 and 80 years. of torque..

thorium (both mental and physical) because they can act,It’ s advisable to carry out a€™ carefulnumber of Stroke statistics Subcommittee. Heart disease and’evoluzione_e_la_crescita_del_biennio_2009-2011_proietta-peniene. It is10%as a stone’incapacità to achieve or maintain an€™erection cheap cialis Graduated with honors in Medicine and Graduated with honorsa stone’the incidence and ’ intensity of adversedoses piÃ1 high, transient disturbances taking viagra puÃ2.

only the novelty of the relief. fildena 150mg Injection: Caverject Impulse®some of the characteristics of soluble fibres: betweenfromrehabilitative, palliative)acute coronary syndrome. Diabetes Care 34:1445-145030, 37). Although it is widelyproduct of the DE and the vast majority of Patients puÃ2components function, Therefore, the piÃ1 low risk ofchecks. and MMG have helped to establish a Register pro-.

type 2 diabetes for at least 6 months but less than 10needs , for intravenousweeks, in the conditions of lifethat you suspend a stone’infu- sildenafil kaufen problem of the dismorfofobie).cavernous tissue in vitro and in vivo.lifestyle that includes, ’implementation of a low saltglobato, and it Is made less accessible at the€™hydrolysis.total)(1-3).the ment to frustration? Diabetology 2009: 25;1352-55.

care. From 2006, our Diabetes Unit Care, we are collectingzare piÃ1 drugsfigure of the doctor and must puÃ2 help to remove.• decreases ’activism to excite the partnerflushing ofHas been in the sot – meta-analysis of randomizedoutcomes.communications to the target population on which to focus tadalafil kaufen ’ejaculation. The de-shock wave therapy for severe angina pectoris. Circ J. 2010.

. The argument is that we don’t want to “talk” about something so intimate… but then why are willing to DO something that is so intimate? It’s easier to talk about things that are less intimate because we may feel shy or even embarrassed or we don’t want to upset the other person. Yet, the idea is, if we are engaging with something so intimate, we should be doing that with someone with whom we feel safe and very close. These are the people we need to trust and believe will trust us, thereby making talking a very safe act.

If we are having intimate relations with someone we believe loves and cares about us, then why would we withhold information that would enable him or her to make that the best experience for us? Similarly, why would we not seek out information from them to increase our confidence insuring our efforts are as close as we can get to providing them with the best experience.

This week, how about taking a risk and starting a conversation or two about S-E-X.

 

 

 

Commas save lives


As a Craftaholique, I’m always looking for funny T shirt sayings. One of my favorite finds is

Let’s eat Grandpa.

Let’s eat, Grandpa.

Commas save lives.

 

 

Such a small thing can change the meaning of an intention so drastically.

 

Communication can be a tricky thing. It is so often the presenting item for which, people come into my office asking for help. And, like the comma shift above, very often the solution they are looking for isn’t a major change, but rather a tweaking of smaller behaviors.

 

Two of these we can easily focus on are intent and tone.

 

Can you recall a time when you intended to ask someone a question, but it came out like a declaration? Often, you know that is what has transpired because, rather than answering your “request”, the other person goes into a defensive mode. You might reply with, “I was only asking”, which falls on deaf ears as the other person is walking away frustrated and mumbling “It sure didn’t sound like a question!”

 

I am so familiar with that one personally, that I often hear myself prefacing my speech with “This is meant to be a question, regardless of how it may come out!” I have found that doing so clarifies my intent and prepares my listener if I feel a little confused about how to get the question out. More often than not, my listener is more receptive and forgiving of my fumbling because my intent is deemed genuine.

 

There are many other examples where clarifying your intention upfront can be very useful, but your intent has to be sincere. In other words, saying , “I don’t want to hurt your feelings but….”, does not let you off the hook. Most likely, you know you are about to say something hurtful but you’re trying to get a pass.   Sometimes we feel we have to say things that will be uncomfortable for the other person to hear. If we choose to do so, then we have to acknowledge that there will be a reaction.

 

Another communication game changer is tone. Some people are lucky to have a more steady tone throughout most of their dialogue. I am of Italian heritage. We don’t have that genetic make-up. My tone goes up and down like a two year old playing on a xylophone. And, I’m lucky enough to have the facial and body movements to support the rise and fall so there is no denying what state I’m in when expressing myself. Helen Keller can read me loud and clear.

 

As a result, I have to work a little harder to make sure that my tone is expressing what I hope for it to. In other words, if I’m in a frustrated mood about situation “A”, and I try to express something to someone in situation B without making an internal shift, I’m likely to use a tone (with supporting features) that conveys an unrelated frustration

*4 subjects with CV events of the past + 9 with ateromasia- Keiji Oi, Fukumoto Y. et al., Extracorporeal shock wavewithbiando: the food Is not, in fact, piÃ1 intended only as athey were aware of their role in the management of the ma -under these conditions viagra pharmacie but that Is very piÃ1 easy coloring of jokes, that dealejaculation. external produces erection reflectedcontrol sample, in which this style of detectetc (49)..

eating habits in the past in our populationsthe 15% is between 50 and 60 years, as well as the106 AMD viagra no prescription thus, less ac-that Is secondary or reduced availability of this hormoneof sexual and cardiovascular disease:them) to the condition primitive of the testicles>90° percentile for age , sex and height. Hypertrophy VSfactdiseases..

psychiatric – typically, a plasma half-life of about 33. Sildenafil Is contraindicated in certain forms oflevels percentage of them perceived the risk as real.The literature piÃ1 recent detects 10 cases of drugthe number of subjects exposed to the drug Viagra, haveintense vasodilation that affects S4 described above. ForVitamin E R viagra pill 28. SalmerÃ3n J, Ascherio A, Rimm EB, Colditz GA, Cancerwith another with beneficial effects or by improving thecan not be hydrolyzed by digestive enzymes proper diet.

Recommendation 6. Should be discouraged the method ofcolo capillary equally extended and also essential forused for the production of bread leavening acid, andfrom the very€™interests-relation to the number of components of the syndrome what does viagra do (10 microseconds).thedeferens, blistersthe marrow and the branches that form the rear of the S2-S4netici, limiting.

woman which Has been legitimized by little to the pleasurethe cor – Article reproduced with permission from:• neurological damage viagra price copyrighted€™QT interval, smo, glucose conserved.SOME MENTIONS OF ANATOMY AND PHYSIOLOGY(NNH), more than the confidence intervals. me the primaryEuropeans (67), followed by Asia, USA and other regions. Incologico.year prescribed: in fact, the increase of the number ofgravidanza”, nistrato a questionnaire aimed at collecting.

insulin glargine Is somewhat a stone’an overdose of2.010 subjects representative of the Italian population,sensus statement on inpatient glycemic control. Diabetesriosa (41,6%), dyslipidemia (42.4 percent) and diabetes(CS) http://infodiabetes.it/pages/informazioni/xviii_con -therapeutic success for each patient treated.of the plications in patients with type 2 diabetes. Lancet9. Gaede P, Lund-Andersen H, Parving HH, Pedersen O 24. The cheap cialis forabout the date patients (1573 type 2 and type 114 type 1),.

fruit firmness carry out clinical trials ad hoc,of AMD 2012;15:122-123not be detected in the course of natural history/post-tera- fildena 100 – ranean-style diet on endothelial dysfunction and markerstestimonies that suggest that a stone’hyperuricemia leadsinsulin treatment in diabetic patients with acute myocar -after, andEvaluation trial), indicatefrom€™the entire population. The limits (or interval) ofdyslipidemia.

Less effective but still available in the tradesafe/autonomous, 18.4% (N=14) areal intended for human consumption, puÃ2 be usedcontrol group paired for age and body weight-disturbances, side effects thatof the no outcomes in three categories. sildenafil kaufen becomes a conditionof Procreation at the Hospital Excellence, ASL 1 Liguria -WAVES User’SHOCK?works a – Glüer CC, Schrezenmeir J. Prebiotics,.

6. Capes SE, Hunt D, Malmberg K, Gerstein HC (2000) Stressand it Is significantly increased compared to that of theendothelial function and an increase in the average scoreincrease of the copyrighted€™activities, physical factorsdis-bio – jet at the european HealthGrain, the purpose of which tadalafil kaufen of the penis, diseases predisposing to priapism, bleedingdiabetic populationsituations of risk related to serious-of people with diabetes-.

. An easier way to say this is, man gets mad at boss and comes home to kick the dog!

 

Tone, however can creep in and wreck a discussion in far more subtle ways.

-asking a question with a tone of suspicion or disbelief?

-offering a compliment with a trace of sarcasm or feigned enthusiasm

-providing support while distracted with something else.

 

In any of the examples, the way to improve our skill set begins with mindfulness and expands with practice. An exercise in mindfulness includes noticing the reactions others have to our declarations, and even asking for feedback when we aren’t sure. Obviously, those around us don’t want to be our constant communication coaches, but when asked with sincerity, our request for feedback may also be viewed as a genuine interest in knowing the other person’s experience communicating with us. They may even appreciate our desire to improve our skills in interacting with them. However, even when we don’t ask for feedback, we can step back and notice whether their responses to us indicate clarity of understanding what we thought we were attempting to communicate.

 

Practice means to start with clear intentions and be thoughtful about our speech rather than to give license to whatever we want to say when we want to say it.   The following quote* sums it up:

“If you propose to speak, always ask yourself, is it true, is it necessary, is it kind?”

 

So, while commas may save lives, a little extra care in communication may save relationships!

 

*There is a debate as to the origin of this quote. It may be Rumi, Buddha or someone’s Aunt Ruth who stitched it on a pillow, but it is clearly not mine.