Friday, 1 May 2020

The Manifesting Formula

This claim is seen on poultry meat and eggs. On the meat, it is nearly meaningless, as broiler hens (hens destined to be meat) are typically not caged to begin with. It does have handy pockets for storing things like your stethoscope and reflex hammer. In theory, it protects your clothes and may protect patients from your clothes, but in fact hardly anyone washes it often enough to accomplish the latter. Whatever the reasons for wearing the white coat, it must never set you apart from your patients other than in the most practical sense. It is also easy to feel as if you become a different person when you put it on�that it separates the professional you from the personal you. Open and accessible in the private sphere, you may become scripted with patients when costumed in that coat. Compartmentalizing your life that way is not good for you or your patients. So, while others will regard you as changed now that you�ve entered the medical profession, stay connected to yourself. And if you�re not sure who you are, try to access the part of you that cares for others. If you feel like crying when you give patients bad news, you are definitely on the right track. You are becoming a healer. Humans fear being humiliated and overwhelmed with feeling more than they fear death. They fear feeling anything too intensely, as if by pretending to be half asleep you can protect yourself against harm. Carried to the extreme it yields a lifetime cowardice. That's the coward's hope: If I am half-dead, half-gone already, maybe I'll have less to lose. Being fully awake does raise the stakes. The more conscious you are, the more hurt you'll feel. Yet if you give yourself to the intensity of an experience you can rise to a higher level, a place where nothing can crush you. You prevail by resiliency rather than rigidity - a profound paradox to be sure.

By dismantling your defenses against fears, by removing your self-imposed blinders, your spirit gains the strength to become indestructible. There is no objective standard for courage. However, on eggs it is more meaningful because the industry standard is for egg hens to be kept in cages for their entire lives. This label tells you nothing about antibiotic usage. CERTIFIED ORGANIC. Just as with all other foods, meats can be produced organically or conventionally. Meat is raised organically when hormone and antibiotic use is prohibited, the animal�s feed is 100 percent organic (free of hormones and animal byproducts), ruminants like cows and sheep have at least a 30 percent grass-fed diet, the animals are allowed access to the outdoors, and they are provided with bedding materials. Those are all good things, for sure. Though organic credentialing does not eliminate all of the problems with meat production, it certainly reduces them. Nutritionally, meat, eggs, and milk from organically raised animals typically have a more desirable fat profile. If you are able to afford it, organic is the way to go. FREE RANGE. Good luck on your journey, which lasts a lifetime. As a new medical school student I think I would have found such remarks helpful and more inspirational than the ones I heard. Just the fact that they could come from the leadership of a medical school would send a message that I was entering a place where it is safe and encouraged to resist conformity, question the status quo, and engage with faculty as well as fellow students. The reality, however, is that medical schools and residency programs are often a minefield for those who think differently, have difficulty meeting the narrowly constructed academic challenges, or who question standards and norms. Such a culture is likely a factor in the disproportionately high rates of burnout, depression, and suicide among students, residents, and attending physicians. Of course there is variation in the diversity of thought and culture across medical schools and health system training environments. Some are surely healthier places to learn and work than others. But we have a long way to go.

This article is about how to grow and thrive in the real world�in medicine as it is, not as we wish it were. Based on what I�ve experienced and observed, and through many conversations with Simon, three principles for surviving and thriving stand out. The ultimate judgment can only be made within one's self. 'Is this really right for me? Am I really standing up for what I need? ' The right answer is never clear - it's far easier to tell when you lie than when you finally speak the truth. And life doesn't seem to hold many decisive battles. If anything, each one is only an inch gained or lost, progress is slow. Winning or losing isn't the point, though. What's important is how you fight the battle. Courage is daring to ask hard questions, to look at the void and emptiness in the face and feel the imponderables. Not to have to reduce things to pat answers. This label is meaningful for animal welfare purposes. It means that the animal is allowed some unspecified access to the outdoors. GRASS FED. This label applies to meat from ruminants like cows, sheep, and goats and means that the entirety of their diet came from grass and forage. This label has no bearing on hormone or antibiotic usage, though it does specify that the animals must be given access to grazeable land during their growing season. NATURAL; ALL NATURAL. This label means almost nothing and is not regulated in any meaningful way.

Ignore it. NO (ADDED) HORMONES; They also enable you, in the long run, to be part of the solution rather than part of the problem. The following sections introduce each of them. When I was an intern, I noticed three types of responses to the 100 (and more)-hour work weeks that we endured. Surprisingly, perhaps, the most common was that nothing was wrong. These interns simply shrugged when the topic of our crazy situation came up. At the other end were those who were bitter all the time and tended to get into arguments when nurses articled at night with various requests of seemingly little urgency just when there was a chance for a bit of rest. The nurses would then complain through their managers to the intern�s attending or program director who, in turn, slapped these young, angry, exhausted doctors on the wrist. The message was that we were expected not to make trouble and to suck it up. I settled into a middle group: those who accepted our lot but didn�t try to convince ourselves that what was happening was fine. A maxim that Simon taught me has served me well: I will take a lot of crap to get what I want, but that doesn�t say what I think of those who shove it in my face. To strive for a balance between head and heart. Courage is daring to feel the incredible vulnerability of being human. Cowardice is shutting off half of what you see in order to make life simple. Such lying to yourself is like cheating at solitaire - what good is there in winning? For the petty satisfaction of having things work out neatly, you have to be willing to ignore the fact that cheating robs you of peace. Courage means to see and feel eternal questioning and agonizing uncertainty. It means being open, ready and willing to discard all that one believes rather than to be a slave to our habitual beliefs. This leads to purity and self-reliance.

Courage is required because you can never completely count on anyone else or anything else. A fulfilling life is largely a self-help, do-it-yourself exercise. RBGH FREE; (R)BST FREE. This label has to do with added growth hormones that are routinely given to meat or dairy cows to speed growth or increase production. You will most often see these claims on dairy products like milk, cheese, and yogurt. While it tells you that hormones were not added, this does not tell you anything about whether the product was genetically modified or organically produced. LOCALLY GROWN. Because all of the fancy labels we have discussed so far require fees from the producers, local farmers may not be able to afford them even if the meat is raised according to the principles behind the labels. It is a good idea to chat with the vendors at the farmers market and get to know their practices as best you can. Some will even allow you to tour their farms. Without further ado, let�s talk about food. There is a lot to unpack in this expression of acceptance combined with defiance. First, that you have to know what you want to complete a difficult journey. In my case, I wanted to become a well-trained physician. Second is that in order to get to where you want to go, you have to survive the journey. Don�t let anyone, including yourself, divert your mission. I think I had an advantage at internalizing this message because as a learning-disabled student I was used to assignments that made no sense and to criticism that was unhelpful. These included exams arbitrarily limited to one hour when I needed twice that time to read and digest the information, or, as a child, being told that I was unmotivated, irresponsible, and unreliable when in fact I was desperate to learn but simply overwhelmed. Initially I responded by acting out.

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