“If I am not for myself, then who will be for me?
And if I am only for myself, then what am I?
And if not now, when?”
— Rabbi Hillel

“The problem which divides people today is not a political problem;
it is a social one.
It is a matter of knowing which will get the upper hand,
the spirit of selfishness or the spirit of sacrifice;
whether society will go for ever-increasing enjoyment and profit,
or for everyone devoting themselves to the common good.”
— Frederic Ozanam

We are social beings confronted with the fact that while many of us do as we please without concern for others, we cannot do so without affecting them. No matter how we isolate ourselves or ignore the plight of others, we still live in a web of relationships where our actions have consequences.

When resources are perceived to be limited, greed is an ethical issue whereby claiming
more for one’s self is done at the expense of others. Whether apportioning pieces of mother’s apple pie or the world’s crude oil reserves, the division of finite resources has consequential impact on all. How resources are distributed within a society is a function of its sense of separation or wholeness and its inclination toward internal competition or cooperation. This sets the moral tone of a society. When individuals disengage from concern for one another by becoming increasingly competitive, manipulative, and self-serving, morality is eroded.

Currently, we are socially programmed to believe that “more is better.” This perpetuates the illusion that one who has more is more valuable and successful than one who has less. We are taught that our self worth is contingent upon external standards of competition and accumulation of stuff. This consumes us in an insatiable quest for status driven by escalating desires. What one “needs” is no longer simply a matter of survival, but an expression of one’s ego as it seeks to distinguish itself from others striving to acquire the label “successful.” The urge to “measure up” propels us into a repetitive cycle of greed, seeking satisfaction and fulfillment through material gain. This drama is rooted in a “consciousness of lack.” Snared in greed’s grip, we are blind to the need to build community around a higher purpose than mere self-interest and material accumulation.

According to psychologist Lawrence Kohlberg, within the normal course of human development one evolves morally past the egocentricity of childhood into broader social perspectives, acquiring increasing sensitivity to the needs of others. However, his model assumes a social environment that encourages this process of moral development. Looking at American society today, it is apparent that many powerful societal forces including individualism, materialism, competition, capitalism, and the monetary measurement of success combine to stimulate our greed which in turn inhibits our moral maturation. There is nothing inherently wrong with material success and pleasures. However, when an entire society places too much emphasis on them, it pays the price of inclining its members toward moral and spiritual bankruptcy. Consumed by perceptions of lack, individuals and society as a whole turn their focus outward to patterns of unfulfilled desires rather than inward to the process of awakening awareness of the transcendental purpose of our lives.

A spiritual perspective on greed assumes belief in something greater than the identification of ourselves as merely bodies with personalities. It necessitates belief in something transcendent with which we ultimately reconcile our thoughts and behaviors. Over 95 percent of Americans claim to believe in God or some higher power. Yet, belief can be anything from a mere intellectual leap of faith to the very foundation upon which one lives life. While a hollow “belief” does little for us, actively living life in relationship to God obliges us to come to terms with our own finite nature and to live our life as an expression of our relationship to this God or sacred purpose.

In Buddhism, there are three concepts of evil: greed which involves pulling things toward the self; anger which is pushing things away from the self; and ignorance which is the result. Similarly, the fundamental principle of Taoism is the existence of “Tao” or “the way” a natural order or oneness in the universe from which nothing can be separated. Taoism teaches that one lives successfully only by surrendering to and cooperating with this implicit order. This does not suggest passivity, but rather an active disengagement from illusions of desire. One learns that to desire anything other than that which is, or to manipulate events or relationships to achieve personally desired outcomes is to violate this natural order.

Spiritually, greed can be seen as an expression of impatience and a judgment against God as having failed or forgotten to adequately provide for us. When we misinterpret a perceived lack as evidence that God has abandoned or failed us, there is a temptation to align ourselves with something more tangible, material, and seemingly controllable. Material greed is one of the fundamental ways through which this desire for self-will expresses itself. Doubting the existence or benevolence of God, we seek to live independently of God’s will as the guiding principle of life. Feeling out of control and afraid of suffering, we fire God, attempt to usurp command and play God. This ultimate rebellion against authority is fundamentally a crisis of faith.

While the Ten Commandments primarily identify forbidden actions, greed and the other Seven Deadly Sins and their counterparts in non-Christian traditions are about wrongful desires that are “off course” — that is, out of alignment with God or goodness or the Tao of life. Becoming ensnared in patterns of wrongful desire creates separation from others and from God.

Religious and spiritual teachings are filled with guidance on practicing generosity and gratitude rather than greed. For example, in Deuteronomy 26:1, people are obligated to bring the first annual fruits of the land to the Temple in thanks and gratitude to God.

Buddha teaches about freedom from addictions and desires. The essential dilemma of human life, as Buddha presents it, is that people get caught in time craving and desiring such transient things as beauty, youth, money, power, and the illusion of independence. When we become fixated upon these, we demand and pursue their fulfillment. This kind of attachment causes suffering because, in essence, we are attempting to make time stand still in order to gain a sense of power and control over our world.

In Christian teachings, greed is one of the four horsemen of the Apocalypse appearing in the second of John’s seven visions where the consciousness is cleared and lifted by overcoming false types of thinking. The establishment of right thinking occurs through a reversal from an outward to an inward pursuit of happiness.

It seems that life is ironically yet exquisitely designed to teach us lessons through polar opposites. For example, we come to know light only through the presence of darkness. And greed’s opportunity is not through its fulfillment, but rather in recognizing its presence as feedback that we are moving further away from the true source of happiness in our lives.

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The fact that most people do not even know what end-of-life planning involves is both sad and the source of an enormous amount of stress and distress for many families. We have all heard horror stories about families fighting over a loved one’s will or struggling over what medical treatment choices to make on their behalf when they are unable to communicate their wishes. These guessing games, power struggles and the heartache involved could all be avoided or drastically reduced if we would only face the reality of human mortality and document our preferences for the end of our lives in advance of need.

Talking about dying and death is a huge social taboo. It is almost as though we collectively put our hands over our eyes like children who innocently think, “if I don’t see it or look at it, it doesn’t exist.” But, it does. So, let’s take a look at the truth of this matter.

The key to effective end-of-life planning is not to race through filling out legal documents, but rather to take our time to thoughtfully clarify our thoughts, attitudes, beliefs and feelings about dying and death first. It is important to understand that our mental and emotional posture serves as the foundation for how we live our lives, which includes how we live our dying.

We need to take the time to understand the full scope of what is involved in putting our affairs in order and seek out solid information on each topical area. Then we can dive in and embrace the process. While perhaps daunting or a bit scary at first, many are surprised to find this a very interesting, self-revealing and liberating process.

The Five Areas of End-of-Life Preparation

  1. Your Values and Beliefs: Clarifying your beliefs about aging, incapacitation, dying and death serve as the foundation for all the decisions you will make regarding your own end-of-life process.
  2. Advance Healthcare Planning: Documenting your healthcare wishes. This involves a Healthcare Proxy (a legal form used to appoint an agent and an alternate to speak on your behalf in the event that you are unable to speak for yourself regarding your medical care) and a Living Will (a clear expression of your healthcare treatment preferences which is what any court would be looking for in the event of a dispute).
  3. Advance Financial Planning: Making decisions about your financial and material wealth that will provide for your own care and comfort through the end of your life as well as the disbursement of your possessions after your death (accomplished through a legal will or trust).
  4. Your Ethical Will: Documenting the story of your life from your point of view as a gift of love and understanding for those you will leave behind.
  5. Preferences for Your Deathday and End-of-Life Rituals: Providing instructions for your loved ones about your beliefs and desires regarding such things as whether you want to be cremated or buried, honored with a funeral and/or a memorial service, and whether you are a body, tissue or organ donor.

End-of-life planning is not about secretly hiding away documents that express your wishes, but rather using these documents as the basis for important conversations with your loved ones, doctor(s) and other advisors and caregivers so that your voice is heard and that any objections or concerns can be addressed in advance. This takes courage, yet it is the most loving thing we can do to prevent the heartache and horror stories that will otherwise be caused by not speaking up on our own behalf.

Understanding the importance of end-of-life planning doesn’t seem to be enough. So, let’s debunk some of the most common excuses we make for not putting our affairs in order:

Top Seven Excuses for Not Putting Our Affairs in Order

  1. Irrational Fears: “If I do the paperwork, then I will die soon and if I don’t do it, I won’t die because I won’t be ready yet.” — As with all fears, they are only as powerful as the energy we feed into them.
  2. I Don’t Have Time: “I’ll do it later. I’m too busy. Or, I’m young, and therefore I have plenty of time.” — How much time you have is not entirely in your control.
  3. It’s Too Overwhelming: “It’s all too much. I don’t know where to start.” — The risk involved in not having your affairs in order is just too high!
  4. I Don’t Like to Think About Things Like This: “It’s too creepy to deal with this stuff.” — This is not something you do because you like it. You do it as an act of love for yourself and those you will leave behind.
  5. It’s Too Expensive: “I can’t afford the legal expense right now.” — It will be far more expensive financially, legally and emotionally for you and for your loved ones if you don’t get this done, plus you forfeit the right to direct your own affairs.
  6. Confidentially: “I don’t want anyone knowing too much about my personal affairs.” — You don’t want them knowing too little either. Remember, you have complete control over who you choose to provide what information.
  7. Fear of Dying and Death: “I’m afraid.” — Death is not a mistake. It is a normal part of living for all sentient beings on Planet Earth. The better we are able to accept our mortality, the more fully we are able to embrace and enjoy our life.

If you are not convinced yet to put your affairs in order, consider the payoffs.

The Top Five Payoffs for Putting Your Affairs in Order Now!

  1. Protecting Your Right to Make Your Own Decisions: Having decisions made from your point of view — not someone else’s.
  2. Demonstrating Your Love for Those You Hold Dear: The more you do in advance of need, the less your loved ones will have to do. Preparation eliminates the potential for family disputes over what to do.
  3. Minimizing Professional Fees: Good information gathering and organization can save thousands of dollars in professional fees to pay someone to second guess what only we know about our affairs.
  4. Dealing with the Reality That Death is an Unscheduled Event: Each day that goes by without getting your affairs in order increases the probability that you will not have them done when the need arises.
  5. Claiming Your Freedom From Guilt, Fear, Shame, Stress and Avoidance: Imagine how much energy you have expended in avoiding taking care of this and how wonderful it will be to free up this energy, stop its ongoing drainage and have the satisfaction of having your affairs in order.

I rest my case!

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Whenever we view something as permanent, reliable and unchangeable, we eventually find that time or the alteration of the parameters of our perspective reveal an underlying impermanence. For example, many people say that the only things one can count on are death and taxes. However, those who believe in reincarnation refute the finality of death and many escape from the inevitability of taxes through loopholes. Even gravity, which we take as a given on planet Earth, is not universal in outer space. The very cells of our bodies regenerate on a regular basis.

In the physical world, we think of rocks and mountains as immutable. Yet, vast changes happen over time. A beach you went to as a child may have since disappeared, and over millions of years the erosion by the Colorado River created the Grand Canyon.

It is unfortunate that whatever we are inclined to see as constant in the natural world eventually inspires us to exploit it. Conceivably, concern for the precarious nature of our lives motivates us to conquer our environment so that we may experience the thrill of control and triumph. What is it that makes the pervasive impermanence in our lives so frightening? Maybe it is because it is so non-negotiable and therefore seems to undermine our self-importance.

Emotionally, many of us yearn for permanence by seeking to alter the terms and conditions of our lives. We dream of utopias where only good and happy things come our way. We want financial security and happy families, good health, and access to the fountain of youth. When we find a deep and abiding friendship or love, we want it to retain its intensity and deliciousness. Often, we resort to manipulating our loved ones and ourselves to perpetuate the exhilaration. Yet the tighter our grip, the faster its fleet.

What becomes permanent is often only that which has solidified in our minds — our prejudices, habits, beliefs and inclinations. But, like rock, these too can be altered if we use wisdom. However, as long as our myopic vision persists, we tend to live in a fixed, uncompromising relationship with the world around us. Those who disagree with us are likely to be perceived as wrong, their viewpoints discredited as inferior and therefore not meriting consideration. Such a dynamic all too often rules our politics and our most intimate relationships. When we live this way it is as though we dance a rigid box step rather than fluidly and expansively expressing our being.

Thomas Jefferson thought that truth and beauty were immutable. Ironically, this cannot be objectively proven since the non-material is experienced subjectively through our inner awareness and experience. One’s beliefs and point of view may seem validated by similar observations or experiences of others, but such proof is a personal, not a collective matter. So, perhaps it is not truth and beauty themselves that are permanent, but rather our quest for them and our desire to transfix them.

There is, of course, another way of relating to the impermanence of our lives. Although we live in an outer world that is defined by time and space, the air we breathe and the sights we see, we also live in an inner world of reactions to our reality in the form of the mental constructs and emotional patterns we create. For example, when I get a hair permanent, it only lasts three or four months despite its name. Yet, I resent this and feel that it should last longer. Ah, there’s that red flag word “should” — a sure sign that those who use it do not accept the present circumstances of their lives. When we use “should” we disapprove, resist, and resent that we must live as mere mortals and tolerate what we do not like. Ironically, we become attached to those things we resist.

However, when we harness our discomforts differently, we may use them as steppingstones to attain a more mature state of consciousness. Recognizing that within our interior world we have a far greater opportunity to change the quality of our lives. By merely altering our external circumstances, we learn to focus on our reactions rather than on what we are reacting to. Instead of ranting, raving and resisting that which is unpleasant or outside our control, we can surrender into and embrace the experience. This has two primary benefits. First, it allows us to disconnect our sense of well-being from our ability to manipulate and control the outside world. Second, it teaches us how to create a sense of inner well-being by tuning into the fact that each characteristic of the world we live in also teaches us how to live in relationship with it. For example, the duality of permanence and impermanence offers us a lesson in patience, surrender, cooperation and acceptance.

Consider, for example, that our society teaches that marriage should last forever. Yet, over half end in divorce and so the parameters of “forever” have changed. At the turn of the 20th century, due to a shorter life expectancy, “forever” might have lasted only 20 to 30 years. Today, “forever” for a first marriage entered in the 20s, might mean as long as 60 or 70 years. Given our changing gender roles and our tendency to resist different points of view, the expectation of permanence of relationships might not be a realistic goal for most couples, despite their religious beliefs. Some find it wiser to accept the precarious nature of relationships and seek longevity not through rigid roles and rules, but by learning to shoot the rapids of life together. By balancing their strengths and weaknesses, cultivating curiosity, accepting each other’s differences, and learning to compromise and cooperate, they are able to build inner flexibility and strength as individuals and the bond of their love grows stronger as it matures. In so doing, whether their marriage lasts a short time or a lifetime, the quality of their experience is greatly enriched and valued more dearly than the duration of the relationship.

Since impermanence is the only permanent feature of our lives on planet Earth, we ought to work with it rather than against it. Embracing change might be the greatest stress reducer we’ll ever find.

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If you would like to know more about me and my work, please explore my website here.

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I am deeply grateful for the outpouring of compassion as well as the wealth of information I received from readers in response to my recent post, “Why Hospitals Are the Worst Place to Be When You Are Sick.” The spread of infections in hospitals has reached epidemic proportions. In this followup, I want to share some of the resources that were shared with me in emails from readers.

The Centers for Disease Control and Prevention (CDC) have identified hospital-acquired infections as the fourth leading cause of death in the United States. The CDC reported that in 2002, nearly 100,000 people died with a hospital-acquired infection (HAI), while an estimated 1.7 million people became infected. All in all, more people die per year in the U.S. with an HAI than from AIDS, breast cancer and car accidents combined.

A report published by the CDC in 2009 estimates that HAIs cost the U.S. healthcare system between $28 and $33 billion per year. Costs are such that Business Week recently identified “stopping infections in hospitals” as one of the top five methods for controlling healthcare costs.

Despite attempts to control the spread of infection, HAIs continue to wreak havoc in U.S. hospitals. The Agency for Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving the quality, safety, efficiency and effectiveness of our healthcare. The 2009 AHRQ National Healthcare Quality Report established that hospital-acquired infections are “the most common complication of hospital care.”

In describing the scope of this problem, one reader wrote:

These infections are what’s known as antibiotic resistant pathogens or superbugs. They include Staph, MRSA, C. Diff, HIV, herpes, VRE, e. Coli, Salmonella, Norovirus, Avian Influenza A, Listeria, Acinetobacter, Rhinovirus and others. These pathogens are becoming more prevalent throughout the entire world than one could imagine. We are on the doorstep of growing a worldwide epidemic with Hospital acquired infections (HAI’s) rising at an alarming rate. A new one called NDM-1 that is believed to have originated in New Delhi was discovered mid-2010 and has now spread into many countries, killing hundreds of people. But the scary thing is that there may not be an antibiotic to kill it. So what do you do, then, when there are no successful antibiotic treatments?

New Technologies

Thankfully, the answer may be found in some of the new technologies that are being developed to combat hospital acquired infections. As one reader explained:

The World Health Organization (WHO) and the Centers for Disease Control (CDC) insist on hand sanitation at bedside in acute care facilities, each and every time healthcare workers are about to be touch the patient or his surroundings, because the hands carry infection-causing pathogens which must be inactivated to assure patient safety. The current approaches — hand washing with soap and use of alcohol rubs — have limited germicidal effectiveness, take too long (minutes for hand washing, 30 seconds for rubs) and irritate the hands due to persistent contact dermatitis, so they cannot be practically used in the WHO defined mode. Moreover, no supplier to date has come up with a means to re-sterilize gloved hands, after donning and during use, which are also vectors for transmission of dangerous germs in both the OR and the ICU. This remains an unbroken infection-causing pathway.

Here are three organizations bringing forward new technologies:

Germgard Lighting, LLC . Germgard’s technology pipeline enables a multi-tiered approach to infection prevention. Included are a UV-C technology; cost-effective bare and gloved hand sanitation process; a gas-based, room temperature medical instrument sterilization process; as well as new surface cleaning and air sterilization technologies.

IV-7 Ultimate Germ Defense. This hard surface disinfectant is currently being tested at John Hopkins Hospital. The technology is based on development of a new molecule claimed to be an effective, safe and non-toxic method of eradicating surface contaminants. The company claims that it:

  • Provides 24-hour residual killing ability
  • Will be awarded a Level 4 Toxicity Rating from the US EPA (no other product has received this rating in over 30 years)
  • Will be validated that all the bacteria, viruses and fungi cannot become resistant to it.

Bio-Intervention Specialists . This company is dedicated to saving lives and reducing the costs associated with hospital infections. They have just received EPA registration for a new disinfecting technology that they claim is less toxic than toothpaste, environmentally friendly, yet powerful enough to kill even the toughest microbes (such as MRSA and C. diff spores) found in hospital environments. Third party efficacy and toxicity testing over the past two years has demonstrated that Electro-BioCide is entirely different from commonly used disinfectants because its kill mechanism is electrical, not chemical. As such, third party testing has demonstrated a complete kill of microbes such as MRSA and Pseudomonas in less than 30 seconds. This greatly reduces the chance for the mutation of organisms.

Patient Advocacy Resources

The Informed Patient Institute . This is an independent nonprofit organization that provides credible online information about healthcare quality and patient safety for consumers. They rate the usefulness of online health care report cards, starting with nursing homes and physicians, and provide tip sheets about what to do if you have a concern about quality in a hospital, nursing home or physician’s office.

Consumer’s Union’s Safe Patient Project. This group seeks to eliminate medical harm in our health care system through public disclosure of health care outcomes (such as hospital-acquired infection rates and incidents of medical errors) and information about health care providers (such as complaints against and license violations of physicians and hospitals). The campaign also works to improve drug safety by ensuring that consumers have full information about prescription drugs (such as in direct-to-consumer ads and access to clinical trial results), by strengthening oversight of the FDA and by ending practices that create conflicts of interest (such as drug company gifts to doctors).

The Empowered Patient Coalition. This nonprofit organization was created by patient advocates devoted to helping the public improve the quality and the safety of their healthcare, with an emphasis on high quality information and education. For example, the coalition has developed a detailed and comprehensive patient guide to hospital care which will give consumers a blue print for interacting with the health care system in ways that are safe, successful and empowering. The consumer and the patient advocate will learn how to reduce the odds of experiencing medical error and hospital-acquired infection and understand the tremendous impact they can have on patient safety and health care quality.

Books

Elizabeth L. Bewley‘s new book, “Killer Cure: Why Health Care is the Second Leading Cause of Death in America and How to Ensure That It’s Not Yours,” is focused on driving change so that health care’s purpose stops being “to deliver tests and treatments” and starts being “to enable people to lead the lives they want.” According to Publishers Weekly, this book includes useful statistics, references, a guide for further reading and excellent suggestions for patients.

Bart Windrum‘s “Notes from the Waiting Room: Managing a Loved One’s (End-of-Life) Hospitalization” offers an intelligent and heartfelt examination of what interferes with having the kind of peaceful life’s ending that most of us say we want. This is a constructive, engaging and challenging critique of the institutionalized confusion around end-of-life goals, deeply held values and biotechnology.

If you have additional resources you would like to share, please do so in the comment section of this article, so others may learn about them as well.

If you would like to know more about me and my work, please explore my website here.

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Serving as primary caregiver to my mother during the last six months of her life was my first prolonged and intimate encounter with the healthcare system. I was shocked and deeply disturbed to discover the many ways that our healthcare system dishonors, alienates and harms our loved ones entrusted to it. I can only hope that healthcare reform will eliminate the reasons why nurses and other healthcare workers repeatedly giggle dismissively as they say that hospitals are the worst place to be if you are sick, that they are hotbeds for infection.

The truth of this comment rendered me helpless to rescue my mother from an insidious downward spiral as she fell victim to the infections that ran rampant in a local hospital. I do not believe that our hospital was unique in this regard, but rather representative of a growing and deadly problem. Completely unrelated to the diagnosis for which my mother was admitted, she was exposed to one infection after another. Each one was treated with an antibiotic that, in turn, lowered her immune defenses. This rendered her vulnerable to other infections, treated by other antibiotics, and so on, and so on, until she finally died as a result.

Within my mother’s first week in the hospital, she had succumbed to her first two infections: a urinary tract Infection (thanks to the admitting nurse, who did not wear gloves while catheterizing her) and thrush — an infection of the mouth caused by the Candida fungus. The inconsistent adherence to procedures known to minimize the spread of infections appeared to be the combined result of a lack of enforcement and understaffing. It was incomprehensible to me how such a state of affairs could become so commonplace as to be laughed at and dismissed. To me, it was outrageous and completely unacceptable.

I began to wonder how much of the money changing hands in the healthcare and pharmaceutical industries is traceable to the institutional breeding of infections that prolong hospitalizations, debilitate patients and require extensive testing and drug therapies. Looking over the bills for my mother’s last six months of hospitalization and home care, over 90 percent of her medical expenses were attributable to infections that she shouldn’t have gotten in the first place. What is wrong with a healthcare system that makes patients sicker, due to inadequate enforcement of sanitary control measures, while drug companies thrive on the revenues generated by new drugs that are designed to treat these infections?

The only preventive measures I saw were the inconsistent use of the hand washing liquid at the entrance of every patient room and the gowns, gloves and masks used when entering the room of patients known to be contagious. These supplies often ran out without timely replenishment, causing people to enter patient rooms without these precautions.

With overworked nurses and aides, infected patients simply got less care. Rather than running in and out of the rooms of infected patients as needed, nurses and aides would group their patient care tasks into fewer visits. The use of the gowns and gloves were often casual at best. Nurses and aides would hang a gown on the patient’s door and reuse the same gown to save time in serving these patients. It was not uncommon to see medical personnel without gloves leaving an infected patient’s room and going directly into another patient’s room.

Visitors were neither monitored effectively nor properly informed of the importance of infection control precautions. However, it was the doctors who most frequently violated the required protocols; I couldn’t help but wonder if they thought these procedures were beneath them. So, the infections go round and round, compromising the health and recovery of patients, while the pharmaceutical and healthcare companies thrive at their expense.

Infection Specialists were brought in on my mother’s case. She was treated with massive doses of a variety of antibiotics and steroids for her recurring urinary tract infection, frequent bouts with Thrush, three major episodes of parotid gland infections and ongoing battles with a staph infection called MRSA (Methicilllin-resistant Staphylococcus aureus). In older adults and people who are ill, MRSA can weaken the immune system, causing serious skin and soft tissue infections, a serious form of pneumonia and, if not treated properly, can be fatal. She also contracted C. diff (Clostridium difficile), which is spread by the over-growth of C. diff spores — usually due to antibiotic therapy. The antibiotics one might be taking for another kind of infection kill all bacteria in the intestines, allowing this one to over-grow. It can also be spread by hands through direct or indirect contact with contaminated surfaces. Like MRSA, C. diff is a bacterial infection that has become resistant to many antibiotics and is prone to frequent relapses when antibiotics are withdrawn. Infectious disease doctors tend to play hit or miss with their mini-arsenal of antibiotics and steroids in an attempt to keep infections under control. In my mother’s case, these infections never really went away.

My mother had entered the hospital with a head injury from a fall that healed beautifully. She remained in the hospital due to the barrage of infections that bombarded, ravaged and debilitated her. The complacency about hospitals being breeding grounds for infection was painfully evident in the written remarks of my mother’s primary care physician in her discharge papers. He wrote such statements as, “Patient had an uneventful hospital course,” and, “Patient’s stay at the hospital was unremarkable.” What does it take to be eventful and remarkable?

I share my story for two primary reasons. The first is my hope that it will add fuel to the fire of those seeking corrective action. It is simply not OK that hospitals are the worst place to be when you are sick! My second reason is to keep a promise I made to my mother as we walked through the valley of the shadow of death together. When we felt helpless and hopeless, my mother would reach out and grab my arm, look deep into my eyes and, as only a mother can do, elicited a promise from me that I would write articles about what we experienced as “healthcare” in America.

Please join me in being outraged by and intolerant of this situation in our hospitals and other “healthcare” facilities. Let your voice be heard on this one. Complain when you observe unsanitary conditions in healthcare facilities, follow the protocols for infection control and report any breaches of protocol you observe. We deserve and are capable of better than this.

***
If you would like to know more about me and my work, please explore my website here.

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Most couples want a wedding ceremony that speaks to their unique values, beliefs and life circumstances, but beyond a few inspired ideas, many are at a loss about how to put it all together. Having designed and officiated at hundreds of wedding ceremonies, here are my 10 top secrets to creating the ceremony of your dreams:

1) Remember that the ceremony is a sacred ritual and the most important part of your wedding day.

The marriage ceremony is rich with traditions that cross cultural boundaries and date back to ancient times. If a contemporary marriage ceremony does not include this sacred dimension, it runs the risk of being little more than the creation of a legal union. Like digging a well to tap into the aquifer, a ceremony that draws upon the sacred dimension connects a couple into the mystery of two becoming.

2) The wedding ceremony is a theatrical production and you are the producers/directors.

A seamless wedding ceremony is a carefully choreographed production. This theatrical dimension requires balancing the creation of a meaningful ceremony with careful attention to the details. Thinking everything through ahead of time and having a thorough rehearsal allows the members of the wedding party to confidently perform their parts, which will make the ceremony appear effortless to your guests.

It’s important that you take charge. If you have advisors, let them guide you through what decisions need to be made and what your alternatives are, but don’t let them make decisions for you. Even when you have a bridal consultant, be sure that all decisions affecting the ceremony are made by you.

3) A great ceremony strikes a balance between personal expression and tradition.

The rules governing the content of a wedding ceremony are those of the church and state. Religious traditions have their own specific way of performing the wedding ceremony and may not be open to the idea of personalizing the ceremony for individual couples. State laws specify such things as the minimum age for brides and grooms, the need for a qualified officiant, and the speaking of vows in front of witnesses.

When a couple is getting married outside the auspices of a particular religious tradition, they are free to customize their ceremony as long as they honor the laws of the state where they are getting married.

Creating a wonderful ceremony is a matter of balancing the opportunity for expressing your uniqueness with the comfort of the common ground of tradition. Going too far in one direction or the other creates a ceremony that is memorable for all the wrong reasons.

Be careful not to throw away all the elements of tradition. For example, when presenting ceremonial elements in my book, “The Wedding Ceremony Planner,” I chose to loosely follow the structure of the wedding ceremony found in the Book of Common Prayer, since eighty percent of Americans are Christian. That is why this common root of Christian wedding ceremonies is so familiar to most people. It also provides a logical sequence of events that allows the ceremony to reach crescendo with the sharing of vows, the ring exchange, the final blessing, pronouncement, and the kiss. I recommend that couples put their signature on their ceremony in the content of the elements they choose to include rather than in their sequencing.

4) Make sure you and your ceremony officiant have a comfortable working relationship.

The role of the officiant in a traditional religious ceremony is governed in large part by the rules of that religion, while interfaith and ecumenical ministers have much more freedom to customize your ceremony with you. Remember that you get to choose who marries you, and it is very important that you have a comfortable working relationship with him or her. Our job as clergy is to guide you and to serve you, and some of us do a better job of that than others.

It is not uncommon for couples to be intimidated by members of the clergy. We have personalities, and strengths and weaknesses in how we perform our jobs, just like everyone else. You are entitled to an officiant who cares about you and wants to help you to create the wedding ceremony that is right for you, even if it means he or she needs to go above and beyond the call of duty.

5) Allow your ceremony to be unique, but not a cliché.

Some couples try too hard to be unique, and end up including elements in their ceremony that are either disappointing, cliché or offensive to some of their guests. For example, one couple planned to have butterflies released during their recessional. Unfortunately, when the cardboard containers were opened, half the butterflies were dead. At another wedding, the groom, accompanied by his rock band, played a song for his bride in the middle of the ceremony. This mini jam session left many traditional guests horrified.

6) Be very clear about the time and location of your ceremony.

Some people believe that weddings never start on time. However, most couples plan the time of their reception based upon the assumption that their ceremony will start on time. Remember, the later your ceremony starts, the more time and money you will lose on your reception. It is a good idea to either be clear that your ceremony will start on time, or build in a time cushion by scheduling the start time fifteen minutes before you actually plan to begin. Just be careful not to put those who arrive on time in the position of having to wait too long.

Similarly, it is important to give your guests clear information about your ceremony location. Some couples choose locations that are aerobically challenging or simply inaccessible to elderly or physically challenged guests — including women in high heels. Be sure to include an excellent map and directions with your invitations. Also, strategically place signs, balloons or ushers to guide your guests to the wedding site. Another good idea is to provide the cell phone number of someone willing to serve as a contact person for guests who get delayed or lost. Give your family and friends the gift of a ceremony that starts on time, at a user-friendly, easy to reach site.

7) Keep it short and simple.

You can create a beautiful and memorable ceremony that takes no more than 15 or 20 minutes. In my experience, a ceremony that goes much longer than that runs the risk of creating fidgety, bored, and impatient guests. For example, you may lose the attention of your guests by including more than two readings.

8) Just breathe. Be present. Be joyful.

Your wedding ceremony is when you will first see all of your guests and they will see you. This may be a bit overwhelming or anxiety producing. I have seen many a couple come before me with terrified smiles on their faces and no air moving through their bodies. That’s when I remind them “Just breathe.” It is so simple, yet sometimes challenging for a couple to let go of all concerns so they can bring their hearts and minds present. Once they get to the altar, all the bride and groom really need to do is to look into the eyes of their beloved and just breathe and feel the joy in their hearts. What a magnificent moment in life and what a shame to miss it because you are worrying about some detail or find yourself overcome with nerves.

The greatest gift you can give yourself and each other on your wedding day is to be fully present in the loving that brought you both to this moment. You can only focus your attention on one thing at a time. So, let it be the joy, loving, and gratitude you feel to be joining together in marriage, rather than worrying about whether or not the caterer got your message about the olives. Just be fully present in your loving.

9) Remember that your wedding day has only 24 hours.

While this is one of the most important days of your life, it only has 24 hours like any other day and will come and go before you know it. The more you obsess about your wedding, the less you are likely to enjoy it. Have fun planning your special day, but don’t fall into the trap of trying to make it the most perfect and spectacular wedding that has ever existed on planet earth.

Enjoy discovering and expressing what aspects of your wedding day are truly important to the two of you as individuals and as a couple. Just remember, this is not an Olympic event. It is the celebration of your commitment to each other and the beginning of your journey together as husband and wife. Have a heartfelt and delightful day.

Don’t set yourselves up for disappointment by buying into unrealistic expectations and then falling into post-wedding depression because the day has passed and you are no longer the king and queen for the day. Your wedding day is meant to be a gathering of loved ones to witness and celebrate your union and to launch you into your life together as husband and wife. That brief 15 or 20 minutes called your wedding ceremony is what the day is all about — your entrance into the sacred and joyous covenant of marriage. Then you party, and then you have the rest of your lives together to fulfill your vows by loving, honoring, and cherishing each other.

10) Delegate, have fun, and keep your sense of humor.

Do plan ahead, paying careful attention to the details, and delegate implementation of your wishes to friends, family, and professionals. Once you have set your plans in motion, let them go. Do not carry them with you throughout your wedding day, comparing what actually happens to what was on your list. What you planned for was your image of perfection, which never actually happens. Remember to keep your sense of humor handy and to enjoy the serendipity as it unfolds. Be open to the unexpected blessings and surprises that are sure to come your way. May you and your marriage be blessed in all ways, always.

***

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How much time do you spend dwelling on the past or worrying about the future? These mental and emotional creations are all figments of your imagination — mockups of how reality might be different. Meanwhile, reality is staring you right in the face, and your attention is not present to deal with it. When you spend too much of your time and attention creating more shoulda-woulda-couldas, your disappointments and anticipations just keep piling up while your life passes you by. Let’s take a look at why we do this and how we can get far more satisfaction out of life by staying present in the here and now.

Plain and simple: if your consciousness isn’t in the present moment, then you lose the opportunity to participate in the experiences and choices that are present right. Since you can only take action in the present moment, when you focus on the past or future, you are not available to participate in the present. Then your life happens based on whatever autopilot settings you have in place because you are not there to direct your actions and experiences.

When we focus on the past or the future, it is usually because we are not at peace with them. Instead, we are looking at them through a veil of frustration, worry, judgment, fear and illusions. Unable to accept the past or lacking confidence in our own ability to handle the future, we end up mistaking our negative mental and emotional creations for reality. Burdened by our own negativity, we often wreak havoc in our relationships. For example, when we can’t handle what is going on in our life, some of us project our accumulated fears and anxiety onto someone else, and that’s what we see when we look at that person. I had someone do this to me to the point that the “me” she called by my name was a complete figment of her imagination and there was no sense trying to set her straight, because she refused to be confused by facts. The “me” she envisioned bore no resemblance to the person I know myself to be. It caused so many problems that I had to eventually stop all contact with her. Did you ever have someone do that to you? Did you ever do this to someone else? In a way, we all do this to some extent as we interpret each other through our own perceptual filters. In the extreme, it becomes farther and farther removed from reality and is unhealthy and dangerous.

If you are spending your precious time and energy worrying about the past and/or the future, it is probably creating problems in your relationships with others as well as your relationship with yourself. Here are some ideas to get free so you can fully participate in the present without your pleasant personality taking a hiatus.

Worrying About the Past:

Without a doubt, the past is gone. Unfortunately, when we carry it with us every day, our hurt feelings, judgments and anger keep recycling within us. We try to put a stop to it through pronouncements about the future, declaring, “I will never let _____ happen again!” These efforts at controlling our life are largely wishful thinking. So, unless you feel totally at peace with yourself, make it a daily or weekly routine to ask yourself these questions:

  • What unresolved pieces of my past am I carrying with me today?
  • Why am I still carrying that?
  • What do I need to do to let it go?

Make it a priority in your life to lighten the load you carry by letting go of what has happened in the past.

Worrying About the Future:

The more time we spend worrying about what might happen in the future, the less time, focus and energy we have to contribute to creating what we want now. Worrying is a way of investing in not getting what we want. It produces the opposite of what we wish would happen. When we hold images and thoughts in our mind of things going “wrong” (i.e., not the way we imagine would be the best outcome), we are literally feeding our energy into the undesirable outcome. When you find yourself worrying about something, here are two constructive actions to take:

  1. Bring to mind the image of what you would like to have happen. See it in great detail. See yourself in the picture feeling the way you would like to be feeling. If you are someone who prays, then simply pray that this or something better come forward for you and for the highest good of all concerned. Alternatively, simply let the image go once you have fully embraced what you want to create, promote and allow to come forward in your life.
  2. Having created a mock-up of what you would like to bring forward in your life, ask yourself, “What can I do right now to contribute to bringing this forward?’ and do that. Connect the dots of your present and future by walking the talk of what you want to bring forward in your life.

The only opportunity we have to take action in our lives is in the present moment. The more we free ourselves from our thoughts and feelings about the past and future, the more of our time and focus we will have available to invest in what we want to create, promote and allow into our lives and the healthier we will be in our relationships with others. Mental and emotional freedom yield great happiness.

If you would like to know more about me and my work, please explore my website here.

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One of the most fascinating things about life is that each person lives and experiences life through a unique set of filters which create a one-of-a-kind “reality.” One’s personal world view may or may not bear much resemblance to what is actually going on. For example, a person who is colorblind “sees” different colors than the majority would identify. One who is prejudiced against a particular group of people ascribes attributes to an individual of that group that may or may not be true reflections of that person. We rely heavily (perhaps too heavily) on what we “see” while seldom checking whether our perceptions are accurate. Perhaps this is why one of the first rules of effective communication is to get verification from the other person that what you heard is what they said. Sometimes we read so much between the lines that we can’t really hear what is being said.

In addition to our personal perceptual twists and turns, there are multiple layers of external influences that color our view of reality. Parents typically teach their children to view the world as they do — spiritually, mentally, emotionally, physically, politically, financially, etc. What is familiar seems right or normal — sometimes even when being manipulated or abused by others. One’s gender, social status, place in history, religion, culture, ethnicity, social norms etc. all color our sense of reality and tend to present us with a “we are right and others who don’t agree with us are wrong” point of view.

Human consciousness can be either a myopic and stagnant point of view or a living and potentially evolving state of awareness and wisdom. What we see and experience in this world is an accurate reflection of our state of consciousness.

As a philosophy major in college, I was first introduced to the thought that there are multiple levels of human consciousness and the possibility of ascending to a higher perspective — like climbing a mountain and seeing new vistas unavailable at lower altitudes. This mind altering awareness came to me when studying Plato’s allegory of the cave found in The Republic, which explores the nature of justice. Plato describes prisoners, representative of the mass of humanity, sitting in chains that limited their focus to the wall in front of them. Between the prisoners and a fire that burned behind them, puppeteers walked with puppets and objects that cast shadows on the wall in front of the prisoners. Seeing and hearing shadows and echoes cast by objects that they do not see was their only reality. They knew nothing of the real causes of the shadows and echoes that formed their reality. One of them was released and was then able to see the puppets and the fire and to recognize the world of the prisoners as merely shadows — reflections of a larger reality. As he further ascended out of the cave, he was blinded by the sun until acclimated to the light. When he returned to share his discovery with the remaining prisoners, he was blinded by the darkness and was therefore perceived as inferior by the others due to his lesser eyesight in their world and his strange tales that did not match their reality.

How often do we shun and vilify someone with an enlightened point of view that challenges our sense of reality? How often do we shoot the messenger in an attempt to silence the very thoughts that could set us free?

Being introduced to Plato’s allegory of the cave was the first time I had ever questioned my own sense of reality. During our discussions, my brain sometimes hurt from being stretched so much as we speculated about reality and reflection. Was I, like the prisoners in Plato’s cave, accepting without question or discernment what I perceived in life and what I was taught by my parents and teachers? Did I have myopic vision, as Plato’s prisoners did, that blinded me from entertaining other points of view? Did I even know how to think for myself? I wondered if we were all just brainwashed by what was familiar to us and whether or not our reality was simply being manipulated by others for their advantage, rather than for our mutual highest good. How were we to know what to challenge and what to accept as true? I had lots of questions and each question seemed to birth others in its wake. I had never really thought about any of this before.

Do you ever question your sense of reality? Or, do you assume that “your reality” is reality? As Plato suggests, the world we perceive through our senses is an inferior mock-up of what is really going on. He further proposes that reality can only be comprehended through the mind and that true teachers do not transfer knowledge to their students, but rather serve as wayshowers pointing students in the direction of apprehending for themselves what is real and important. Plato believed that those who are enlightened in a society bear a moral responsibility to serve the rest of society by showing them the way to ascend to a higher perspective. Who are your teachers? Where are they leading you? Are they empowering you or blinding you?

Plato’s commentary on the human condition cautions us that reality is not always what it seems to be on the surface. He urges us to keep our minds open to possibilities beyond what our senses can experience. Is your thinking boxed in or are you curious and learning all the time? Do you pay most of your attention to the minutia of daily life and the current political and social scene, or do you contemplate the really big questions of life like:

  • What does it mean to live life successfully and how well am I living my life?
  • What kind of relationships am I creating, promoting and allowing in my life?
  • What is the purpose of human life?
  • What is the purpose of my life?
  • Where does our breath come from?
  • Does God exist? And, if so, how does that inform my life and how I live it?
  • Is there a whole lot more going on here than meets my eyes?

If you would like to know more about me and my work, please explore my website here.

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“Good and quickly seldom meet.”
— Anonymous

Do you move through space and time too fast, too slow or just right? Do you find yourself rushing about or dragging yourself around? Why is it so important to pay attention to this? When we step out of that pace and find ourselves either rushing about like a chicken with its head cut off, or dragging ourselves around like dead weight, life can be very challenging. Paying attention to your inner feedback and the responses from your universe can assist you in finding your optimum pace.

When we rush, it is usually because we have either been procrastinating, or are setting unrealistic expectations. Here are several things that happen when we rush around and try to do too much at once:

  • We behave clumsily, dropping things and having mini-accidents like stubbing a toe, or in some cases major accidents.
  • We tend to commit more mistakes and as a result become less efficient rather than more (which is often our goal when in a rush).
  • We become more forgetful.
  • We drive much too fast, to “save time.”
  • We find ourselves frustrated and agitated by things that would normally be within our tolerance level. As a result we can become short-tempered and make “mountains out of molehills.”
  • We tend to feel burdened and overwhelmed, rather than enjoy our lives.

Sound familiar? But what happens when you rush around faster than what is comfortable for you? Are the few extra minutes you might gain worth the price you pay?

Rushing around really doesn’t get us where we want to be any faster. In fact, it just makes us feel out of sorts, unpleasant to be around, feeding into the increased probability that we will have some sort of accident.

The good news is that it is very easy to re-enter your comfort zone once you see what you are doing. Here are my favorite ways to recapture my sense of well-being:

  • The mere act of observation, gives you the opportunity to make another choice.
  • Once you see what you are doing, you can take a mental picture of yourself and have a good laugh.
  • Try coming to a complete stop, taking a few deep breaths and reprioritizing what needs to be done.
  • Remind yourself that life is precious and when you are rushing around you are not enjoying the journey of your life. Make it a point to smell some roses and lilacs, or delight in the smile of a child or passerby.

On the flip side, you have probably noticed that you are not typically very happy when you are going more slowly than your comfortable pace. It is very easy to fall into the habit of vegging out, playing computer games, watching TV or falling prey to some other mindless distraction while ignoring all the things you need to be doing. We all need to tune out from time to time, but when it becomes our way of life, it’s worth taking a closer look and considering the alternatives. Here’s what I have noticed happens when we drag ourselves around:

  • Usually there is some mental or emotional challenge present that we are having difficulty dealing with and so we avoid it with these behaviors.
  • Low energy tends to result in isolating ourselves and feeling disconnected from others.
  • Lethargy has a cumulative impact that results in making excuses for not going to the gym or choosing less healthy foods because we can’t be bothered cooking a healthier meal for ourselves.
  • We become self-judgmental when we are not keeping up with the pace of our life for more than a few hours or a day here and there.

What else happens to you when you fall into the blahs?

Here are my favorite remedies for moving out of lethargy and back into the swing of things:

  • Talk to yourself and be ruthlessly honest about what you are avoiding. See if you can figure out one or two baby steps you could take that would move you in the direction of resolving the issue and talk yourself into doing those things.
  • Negotiate with yourself. Make a to do list and choose three to five things that you really need to do, striking deals like, “If I get up and do the dishes right now, I can play another five games of solitaire without feeling guilty.”
  • Pull in the reins on yourself and hold yourself accountable by monitoring the amount of sleep you get, the foods you are eating and your physical activity. Once those are back in balance, your energy will bounce right back.

Life appears easier when we are in the groove of our own pace and so very stressful when we are out of it. Being out of sync may not be the biggest problem in our life, but the discomfort it generates can often be avoided by checking in and taking corrective action when we get out of our groove.

Finally, when you notice that you are in your groove, going with the flow of life and enjoying your journey, pay attention to how you created that and do more and more of that. Turn on your cruise control and enjoy the ride.

If you would like to know more about me and my work, please explore my website here.

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I don’t choose to experience “writer’s block” which I see as simply a matter of faulty perception. It is a mislabeling of a very natural part of the ebb and flow of the writing process. To say “I have writer’s block” is to judge a temporary or permanent absence of writing momentum and productivity as wrong and therefore to see oneself as a failure in some way. The process of writing is an intricate interplay of conscious and unconscious dynamics and what actually lands on the page is a small part of it all. When we label and judge that process, we interfere with its natural flow and take a position of againstness with ourselves. It’s all in how you look at it.

When a writer declares that he or she is experiencing writer’s block, it is like grabbing hold of a fear (Fantasy Expectation Appearing Real) and fueling it with emotional distress. A way to reframe this is to simply trust that what appears to be a dry spell is a normal part of the process of being a writer and that either you need time to be away from the writing focus or that the process is largely unconscious at that time. Each writer has to make peace with this by finding their own particular rhythm and honoring that. For example, what works for me is not to have any rigid writing schedule, but rather to let the words come to me — and they always do — sooner or later. When working on a deadline, whether self-imposed or not, I never lose sight of the deadline, it is always there, but I don’t beat myself up with it if time keeps passing and nothing is getting on paper. I’ll notice that the topic is alive in me — turning this way and that finding its way to the paper. It takes a lot of trust to let this be. So far, it has never failed me.

I have lots of books and articles and projects on the back burner and no fear of running out of things to write about. I know that each piece of writing has a life of its own. For example, I have a poem that I started at the age of 16 that rumbles around in my head from time to time looking for its ending. I know it will end someday, but hasn’t so far. That’s not a problem to me — just a reality. I also keep what I call a “dump” file for each project and whether I am actively working on it or not, I capture ideas and information there.

In addition to building a strong bond of trust with yourself, here are some other keys to maintaining a good relationship with yourself as a writer:

  • Just Do It: There is a point at which every writer just has to sit down and write. Whether you write for five minutes or five hours straight doesn’t matter, but if you are going to be a writer, you have to sit down and write.
  • Write With Freedom and Abandon, Then Edit Ruthlessly: It is important to give yourself permission to write whatever comes up without any judgment. Just focus on capturing your thoughts and ideas — forget about grammar, structure and eloquence. Just get a hold of whatever comes up. Then, just as Michelangelo described the sculpting process as discovering a statue inside every block of stone, each writer must ruthlessly revise and refine a piece of work until pleased with it.
  • Get Out of Your Own Way: If you get into a pattern of negativity and beating up on yourself when writing, find a way to be more loving with yourself and do not feed the negativity.
  • Patience: Writing takes enormous patience. As with any other art form, you are constantly revising and refining your work. For an artist the equation is never time is money, but rather “do I feel complete with this piece? Is it my best effort given the time I have available?”
  • Flexibility, Cooperation and Balance: There is always some level of agitation just under the surface that propels a writer forward giving momentum to the working process. But there are always other forces at work and writing is only one of many activities in an individual’s life. Finding your own rhythm and being willing to cooperate with the other elements of life that often seem to intrude on the writer’s solitary endeavor are like moving between shooting the rapids and gliding along on calm waters, never quite knowing which is going to present itself and when. Experience teaches us all to go with the flow and somehow that seems to yield maximum inner peace and outward productivity.
  • Keeping a Sense of Humor and Humility: I’ve learned never to take myself too seriously as a writer. I do my best and need to laugh at myself from time to time when I give too much importance to what I write. If people get value from what I write, that’s great and positive feedback is extremely gratifying. However, while writing is ultimately about communication, I find it very funny that I don’t write to communicate, but rather because I simply need to write — I am compelled to do so. If the end product of my endeavors is of value to others, that’s great, but the solitary process of engaging in the art form itself is entirely for me and I think that is pretty funny.
  • Letting Go of the Illusion of Control: A really good writer is never in control of the writing process. You may find that having a rigid schedule works well for you or you might be someone who writes when the spirit moves you to do so. Either way, a good writer taps into the wellspring of human consciousness and like love, you can’t make that happen on demand.

Is writing challenging? Absolutely! However, it is a great way to learn some profound lessons in life and to be of service to others.

If you would like to know more about me and my work, please explore my website here.

Also, if you know anyone who might get value from this article please email or retweet it or share it on Facebook.