Archives for posts with tag: Breast Cancer

I have been trying to declutter my house. Yesterday, I noticed that I still had my “big book of cancer” on the shelf in my bedroom. It’s the 3-ring binder of information I received from my cancer center when I was first diagnosed with breast cancer in 2012.

 

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I used to carry this book around with me to every appointment. As you can see, I added tabs to it to organize all of my medical records by date. Since not all of my providers were at the cancer center, this helped me keep my care coordinated. It also helped me follow my treatment and form good questions.

When I saw it on the shelf recently, I thought, “Get rid of that! Why is that in the bedroom of all places?”

Then I remembered that every pathology report, every surgery report, and my onco/dx testing results are in there, as well as my notes, and research articles.

I will move it out of my bedroom. I no longer have to have it handy. But I may still need it.

Sometimes it is easy to get rid of the clutter of my experience with breast cancer. The harder part, however, is knowing what is clutter and what is not.

I did a saliva DNA test for my ancestry through Ancestry.com about a year ago. My husband was a bit surprised, “Now you’re DNA is out there.” I replied, “My DNA is everywhere. It has not been private for a long time.”

In 2012, I was diagnosed with breast cancer. I underwent BRCA 1 and 2 DNA testing. The test results suggested no mutation of either gene. Mutations are associated with increased risk of breast cancer, ovarian cancer, and prostate cancer.

In 2017, I had two heart attacks within 8 days, due to Spontaneous Coronary Artery Dissection (SCAD). I provided a blood sample to the Mayo Clinic, as part of their DNA registry to identify genetic contributions to SCAD. A few months later, I had some more genetic testing done through a local cardiologist. I found that I have a genetic marker for elevated cardiac risk.

In my situation and with my personality, I prefer to gather information, if there’s not physical risk associated with it. But this is not for everyone. This is why there are genetics counselors, to help us make informed decisions about whether testing is the thing to do and to help us understand the results when we do it.

There are two times that I have refused DNA testing and it has been on behalf of other people. The first was when I was pregnant with Zoey. I opted not to have amniocentesis after a blood screen indicated increased risk for Down’s Syndrome. After looking at the testing properties of the screen, talking with a genetics counselor, and meeting with a neonatal specialist, John and I agreed that the risk of Down’s Syndrome was really low (the screen had a really high false positive rate), not high enough to risk miscarriage through the amniocentesis procedure.

When my dad was diagnosed with stage IV prostate cancer in March of this year, there was a referral for genetic testing. Mom and I agreed that this was not top priority at the time.  Then my dad got an emailed referral once again about a month before he died. I handled Dad’s email correspondence.

Dad had so many medical appointments. He had dementia. He was fully physically disabled, needing two staff members at the nursing home, to move him. (He would later only need one person and that’s what allowed him to be discharged and die at home, as he wished.)

Genetic testing? Really? Since when is it surprising for an 85 year-old man to have advanced prostate cancer?

However, I don’t know the answers to all questions. I am not an oncologist. I contacted the genetics clinic and asked whether it was really important that Dad have the testing done, given his advanced age and limited quality of life. I was told that the referral had been made “due to family history of certain cancers.”

It was now clear to me that it was my history of breast cancer that led to the referral. I wrote back to the PA, explained that I’d had BRCA 1 and 2 testing, was negative, but that my testing had been done in 2012. I asked if she could tell me the testing protocol so that I could get the testing done instead of my dad. She very kindly forwarded my question to one of the physicians, who told me that she agreed that testing wasn’t a great idea for Dad and suggested that I ask my oncologist for what testing to get done.

I haven’t gotten around to the testing yet. I just sent my oncologist an email, asking for her opinion.

The Information Age puts us in the position of finding the sweet spot between too much and too little.

 

 

 

 

There are a lot of “what not to say” to a cancer patient lists.  Although I agree with the intent, the lists rub me the wrong way. There’s nothing in them that suggests alternative, supportive behavior, and that’s one of the reasons that many people don’t respond well to people with cancer. Cancer is scary and if saying or doing anything could be on the “don’t list”, responding appropriately although not impossible, is very difficult. There’s also the issue that people are individuals and what may be supportive to one person may not be to another or even to the same person, what might be supportive at one time may not be supportive at another time.

A better version of the list was the “comfort in/dump out” diagram, first published in the LA Times in 2013. The diagram consists of concentric circles in which the person with cancer is in the center, as the person most impacted by the illness. It was a pretty good approach, much better than a “don’t” list though some people took it as license for the person at the center of the diagram to be as nasty as they want to be to everyone in the larger circles while expecting support from all of those people. I don’t blame the author for that because I think it is a misinterpretation of the diagram. An issue I have with it, however, is that for some of us, we are not able to put ourselves in the middle. For example, when I was diagnosed with breast cancer in 2012, I had a 13-year-old daughter. I did very little “dumping out” at her and expected very little “comfort in” from her. I was still the mother of a child, a child who was dealing with her mother having cancer.  The parent-child relationship, at this stage, is not reciprocal. Parents give more, kids give less. To flip it around is not good for a child’s development.

My daughter lives away now at college, which has made self-care easier for me. However, my 85-year-old dad has been quite ill with an increasing list of debilitating ailments. He now has more physicians than me and has been hospitalized twice since November. This is the stage of the parent-child relationship when the child needs to step up on giving. I also have five brothers who live locally so they help, too. And my mom takes excellent care of Dad.

I had two heart attacks less than a year ago. I had breast cancer 6 years ago. Sometimes I can be at the center of the circle, sometimes not. Mostly, my dad is at the center, and to be truthful, he does his fair share of “dump out”. But also has times of incredible sweetness and gratitude, which is a support to all of this caregivers. My mom, who is on the receiving end of 99% of the “dump out”, is sometimes impatient, but mostly bordering on sainthood. The grouchiness and displaced anger do wear on her, as does responding to my dad’s frequent calls for help in the middle of the night. We’ve gotten impatient and frustrated with Dad, on occasion. He gets fixed on money, not wanting to spend it, even on things that would make life a lot easier. And then there were all of those years that he refused to get the earlier signs of illness checked out despite getting referrals from his primary care physician to do so. He was clearly at the center of the circle, but he wasn’t making good decisions. There was perhaps some “dump-in” that occurred during this period, which lasted three years as we watched Dad go from a man in his early 80’s who could still hike several miles to shuffling, to barely being able to walk, to barely being able to walk with a walker.

Life is messy. Sometimes we dump out. Sometimes we dump in. Sometimes we just don’t know what to say or do in sad and scary situations. Everyone is at the center of the circle at one time or another. Sometimes the people who say or do “the wrong things” are in the center of a DIFFERENT circle. This is a fluid process. There is no prescription for being a decent person.

In the process of accepting all of this, perhaps we can learn to do better and to be forgiving for the times we fail.

Several years ago, I was back east. My dear friend, Cheryl’s, mother had died after a long illness, early-onset Alzheimer’s. Cheryl had been her mother, Daisy’s primary caregiver since she was a 25-year-old psychology intern. Fortunately, Cheryl lives in her childhood home in a wonderful neighborhood. When I visit her, neighbor’s come over to greet me because they know that I am one of Cheryl’s people. Nonetheless, it was incredibly difficult for her, a single woman finishing up graduate school and starting her career, to care for her mom. Cheryl has her own health challenges, which are exacerbated by stress, and required multiple surgeries during her mom’s life. After several years, Daisy entered a nursing home.  As her life neared its end, her best friend, Shirley, a retired nurse told Cheryl that her mom’s time was coming to a close. It is so hard to know exactly when someone is going to die and even harder to let someone go. Daisy had been a single parent to Cheryl and they were very close. She died before a priest could come out to perform last rites, Anointing of the Sick. The parish priest did come afterwards and performed the final Roman Catholic sacrament.

I arrived a few days later. A group of neighbors set up a repast of Trinidadian food that had been brought by caterers (Cheryl’s parents were both from Trinidad) while the rest of us attended the funeral. The officiant had been Daisy and Cheryl’s parish priest many years before and was now a cardinal and a family friend. The service was beautiful. One of Cheryl’s friends, a neighbor, sang. The cardinal also sang parts of the mass and he had a very nice voice. After mass was ended, we went to Cheryl and Daisy’s home for the repast and celebrated Daisy’s life.

I stayed on for a few days. I went to mass at Cheryl’s parish. The priest who had performed Daisy’s last rites presided over mass. The theme of his homily was “what are you waiting for?” To my horror, he used the story of being called to perform last rights on Daisy after she’d died. He went on and on. I left church humiliated and livid on behalf of my dear friend who had been nothing but a wonderful daughter not to mention the fact that he knew that she was not only a member of his parish, but one who had just lost her mother to a truly horrible disease. Both Cheryl and this priest had a story about what had transpired. They were very different stories. It is easy to call one of them right and one of them wrong. I know which one I would call wrong!

I have not written any entries in this blog for nearly a month. I have used the month thinking about the stories we tell that provide meaning to us in explaining our life experiences. Breast cancer survivors tell lots of meaningful stories. So do heart attack survivors, by the way. Not surprisingly, they are some of the very same stories about “kicking illnesses ass”, about “being given a second lease on life”, and even the perception of illness as a “gift”.  There are also the stories of “My life will never be the same” and “What’s going on? This is horrible!”. There are also national heart awareness days, including the recent “Wear Red Day” to raise awareness of cardiac disease in women, the number one cause of women.

I have been living in a particular breast cancer blogging community for nearly six years now. I find that I bristle at some of the narratives told by heart attack survivors. I have also not delved deeply into the cyber community for SCAD survivors. There is a lot of raw terror in that community. It makes sense. Most of the women are young, had a heart attack out of the blue, and they have cardiologists who don’t understand their condition. Those are the women who have a narrative of chaos and literal heartbreak. I don’t bristle at their stories. I just feel very sad for their suffering. It’s the catch phrases used by the women who by all appearances seem to be coping well. They are the ones who are more likely to use the phrases that are so controversial in the breast cancer world.

Yesterday, I thought back to perspectives of my friend and the priest around Daisy’s death. The priest’s actions were clearly “wrong” in that they were unskilled and did not demonstrate compassion for others. The stories they told were very different. I do think that Cheryl and the priest shared something very important. They were both dealing with suffering. How was the priest suffering, you ask? Admittedly, I don’t know his mind but I have some guesses, based on his job. Priests are on-call constantly. And they are on-call for decades. Not everyone is up to that every minute. I can see someone getting wrapped up in the stress of this and having a fit about an inconvenience. This does not excuse his behavior but it offers a possible explanation.

The stories we tell may either help or amplify our suffering. The helpful story I tell myself may be one that would cause suffering to someone else in a similar situation. This is why the “cancer is a gift” narrative doesn’t bother me the way it does some others. I can see that it may help some people. As long as people don’t explicitly tell me how I should view my own life experience, I am fine with it. What I have been struggling with is the backlash against these narratives. It is one thing to say, for example, “Cancer was not a gift for me” and quite another thing to say, “Cancer is a gift to no one.”  To me, that causes the same problem as the one that is trying to be solved, that is, prescriptive language that defines experience.

But really, what does it matter to me? And who am I to invalidate anyone’s personal characterization of illness, just based on the ideas? If you want to tell me that “cancer’s a gift”, that’s fine as long as you are not my husband or another close loved one. If you want to tell me “cancer’s never a gift.” That’s also fine. If you don’t like the word, “journey” or any other phrase or word that is currently popular, that’s fine. I define my own experience. And the narrative that I am putting together is dynamic and at times, very messy. I respect myself. I respect you.

As always, I wish you peace, joy, and to be free from suffering.

Five years ago, I was diagnosed with breast cancer and after two lumpectomies, had a right side mastectomy. The right side of my body was plotting against me.

A few months ago, I had two heart attacks, spaced eight days apart. The left side of my body was plotting against me.

We my sides battling? What side was I on?

Both sides of my body are me. Diseases have threatened the integrity, the wholeness of my body. Body systems need to work together reasonably well in order to sustain life.

Integrity is not a battle. Battles don’t produce wholeness, healing does.

I can’t fight against myself, well I could, but I don’t want to. I want to live with the reality of myself. I will not take sides.

Yesterday in Charlottesville, VA, there was a terrorist attack on peaceful protestors, carried out by a young man who had joined the march for white supremacy. There were others who terrorized with hate speech.

This event was not born without historical or cultural context. There are excellent writings about this and one point that is made over and over is that given our history and our current culture, we must be vigilant. There are also many condemning the white supremacists and making statements that put them on another side,  noting that they came from out of town, they are not representative of Americans as a whole, and “this is not us.”

Humans, like other animals, have dominance hierarchies. Aggression is part of our make-up. It is a spark in each of us. For some of us, it is a small fire, and for others still, an inferno.

In my mindfulness practice, which waxes and wanes, by the way, I have found that through self-observation, I have found more acceptance. And in accepting more, I find it easier to change, to get past the guilt, shame, confusion, and denial that make me battle with myself.

We are connected by our humanity. I cannot deny that I do not share something important with people who identify as white supremacists. I believe that all are worthy of respect, respect for the intrinsic value of each person. What people do, that’s different. Respecting or condoning actions is different. It boils down to what I tell kids, “There are no bad kids. I have never met one. But what you do, can be okay or not okay.”

The acceptance of oneself, each of us with all of our flaws, allows us to remain part of humanity rather than running off in shame. It allows us to look closely at ourselves and make steps toward healing.

Our country has never worked perfectly but right now, all of the diseased parts are inflamed. It is time for self-examination and action.

We have a painful road ahead; let’s take the most healing path that we can. There are many things that I am against. I am against hateful ideology. I am against aggression. But I am also on the side of humanity.

Peace friends,

Elizabeth

 

It started when I was born. I was early and not quite baked. I was born with Infant Respiratory Distress Syndrome,  which was known as Hyaline Membrane Disease at the time. My lungs did not work properly. Back then, they didn’t know how to treat it because they didn’t understand the cause. But I made it. Yes, I have residual respiratory issues, but they have been minimal.

In 2012, I was diagnosed with breast cancer. We were back to the thorax, the trouble-maker.  I didn’t really make the connection, at the time, about this coincidence of location.

Five years later, exactly three months ago, I had a heart attack! Eight days later, I had another.

There’s a colloquial rule of thumb in research. Two data points can suggest a trend. Three can reveal a pattern.

Well, I’ve had four thoracic events. “Thorax” is a funny word. However, it is a very important part of the body and when it’s dysfunctional, it’s not cute or funny, at all. Like Dr. Suess’ Lorax, my thorax has a funny name but an important message, “I am the thorax, I speak for disease!”

Horrible word play, I know. I may or may not have, contrived a way to work it into this post. It’s hard to say. What I will say is that my thorax has been an intermittent trouble-maker. I will also say that I started this blog with a word-play filled title, with a serious theme of identity. “My eyes are up here.” My disease is not the sum of my life. My diseases are not the sum of my life.

I’ve been blogging for five years now. I blog about my life. I blogged a lot about breast cancer. As I blogged less about breast cancer, I was fine with that. When SCAD entered into my life, I had a brief concern that my diseases were competing for limelight in my blog. What is this blog?

My heart is pumping. My lungs expand and contract as I breathe. I have surgical scars but no known cancer. Thorax, you don’t speak for disease. You speak for life, my life, with all of its parts.

My eyes are still up here.

Five years ago today I was told, “You have cancer.” I had been looking forward to the possibility of this 5 year mark, holding at “no evidence of disease.” I had a mammogram recently that was normal. So, I am at “no evidence of disease”.  Unsurprisingly, having had two heart attacks in the past four weeks has dampened the party a little bit.

Nonetheless, I am going to give my 5-years as a survivor its well-earned appreciation. There were a lot of highs and lows packed into the last five years. I’ve written about nearly every one of them in this blog, which I started immediately after my diagnosis. My blog turns five years-old today, too.

When I chose the title for my blog, “My Eyes are Up Here”, in part, I was just trying to be clever. But I was also communicating the fullness of my life. When I got breast cancer, the rest of my life didn’t just stop. At times this was a great burden. At other times, it was the best thing about my life.

I have learned in these five years that I am not completely defined by my cancer. I am also not completely defined by my heart problems.

My eyes are still up here.

I have been working half-time this week, following what turned out to be two small heart attacks. As I wrote previously, the current working diagnosis is Spontaneous Coronary Artery Dissection (SCAD). It is infrequently diagnosed and mostly seen in women in their 40’s to 50’s, physically fit, and with few or no heart attack risk factors. The cause is unknown. It is possible for dissections to heal so I am taking a number of medications to improve my heart functioning as well as to prevent the formation of blood clots. I have follow-up tests and lots to learn about heart functioning.

This was a shock, to understate things. Just two months ago, my husband and I were in Southeast Asia. We were walking through ruins in extremely hot conditions, just as we’d done when we were in our 20’s, on our honeymoon in Egypt during the summer. During the vacation, I was really pleased by the health of my body and what I was capable of doing. I thought of trips that John and I could take in the future.

Yesterday, I had a mammogram. It was normal. My 5 year “no evidence of disease” anniversary is in two weeks. This is big news that has been upstaged by my heart. In the past, I have compared cancer to a natural disaster. It can happen to anyone, no matter how virtuous. I am re-thinking that metaphor, at least in my experience. My breast cancer was more like a failed safety inspection. The treatment was to prevent a disaster. One of the harder aspects of breast cancer treatment is that it made me feel sick when I hadn’t felt sick.  The heart attack was like a natural disaster, a small earthquake followed by an aftershock. They caused damage to my heart. The medications I am taking now actually seem to be making me feel better.

Today, I have no work responsibilities or health care appointments. I am taking care of myself. I am listening to my body. Yesterday, it told me that taking a walk with a friend was a good idea and it was. Today, my body told me to sleep in. It has also told me to spend a lot of time resting on the couch. Finally, it has told me to take pause and check in with my thoughts and feelings.

One thought that passed my mind was, “I’m still healing from the cancer and now I have heart problems.” I felt the urge to cry “foul!” (And it would have been fine if I had.) My next realization is that I have always been healing from multiple wounds.

We are all healing from multiple wounds.

Be kind to yourselves, friends.

Don’t turn away. Keep your gaze on the bandaged place. That’s where the light enters you.
-Jalaluddin Rumi

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As many of you know, I have been taking pottery classes for the last year or so. I typically throw (make forms using a pottery wheel), rather than hand build. Learning to use a pottery wheel is challenging. I am still learning how to center the clay on the wheel head, consistently. There are all of the steps to remember. Even if one carries out the steps, there are lots of variables that impact how fast the wheel should go at each step, the amount of water that should be added during throwing, the amount of pressure applied by each hand, the positioning of hands and fingers, and the speed at which the hands and fingers should move up the clay. On top of that, the type, size, and hardness of the clay is another variable to be considered. Finally, there are shaping tools that can be use. There seem to be about 5 million pottery tools in existence. One type of tool can have so many variations. People who are very experienced know not only how to use the tools, which requires finesse, but how to select the best tool.

When I first started throwing, nothing really turned out. That is normal, I am not being overly self-critical. Then every once in a while something would turn out and I couldn’t figure out what I’d done differently. I like bowls, so I threw a lot of bowls. I decided I wanted to be able to throw a salad bowl. Clay forms shrink about 7% from the time they are thrown to the final firing so the initial throwing is of a larger than desired piece. For me, a salad bowl is a pretty big bowl, and it certainly was when I was a beginner. Nonetheless, I was inspired by the challenge to throw “a big bowl”.

I had enough success with big bowls to keep me going for awhile. I have to say objectively, I have big bowl-making potential. There were a lot of flops, though, not to mention many bowls that cracked in the kiln. None of my bowls were made with an intention to make anything but a bowl. I do not yet have the skills to plan size and shape ahead of time. Okay, more accurately, I do not yet have the skills to implement the size, design, thickness, etc of the bowl I have planned in my head.

One quarter, after thinking I would just keep realizing my “big bowl potential”, I made flop after flop. I made bowls that were of uneven thickness or that were not round, or that were not level on the rim. I made bowls that looked so so promising as I pulled up the sides to make them thinner and thinner, only to collapse in on themselves on the wheel. More than an hour’s work and all I could show for it was a wet mess on the wheel and sore throwing muscles.

All through the process, I read about bowl-making. I watched Youtube videos on “big bowls”. I watched my teacher’s bowl-making demonstrations, which she typically did once per quarter. Each time, I learned something new and tried to apply it to my big bowl-making. Then I gave in to the idea that had been lurking in the back of my head, which was to make little bowls. They are faster and easier to make. I could focus on my technique. I started making little bowls and my bowls started getting more refined.

Last week, I met with my psychologist, Rebecca. It was the first time I’d seen her in a while. As I mentioned last week, I’ve been dealing with some challenges related to stress and my heart health. I brought Rebecca two of my little bowls as a gift. We had a productive session.  I have some work to do in my life. Physically, my healing from my cardiac event is not an linear as I’d like. There are fits and starts. My diagnosis is undergoing refinement as my physicians are gaining more information. The current working diagnosis is Spontaneous Coronary Artery Dissection (SCAD) a rare condition, caused by a tear in an artery wall. Some blood flow is diverted to outside of the artery wall, lowering blood flow. Further, blood that gets outside of the artery wall is more likely to clot, which can press on the artery, narrowing it. SCAD is present in men and women, however, when present in women, they tend to be in their 40’s and 50’s, physically fit, and with low risk of heart disease. What causes these tears is unknown.

My prognosis is still good but there is uncertainty as to the length and course of my recovery in the upcoming weeks. I have resumed a practice I started right after my breast cancer diagnosis, five years ago, which is to meditate about 10-15 minutes per day. I’ve had to temporarily cut back on my walking until my heart heals so each day I do the little bit that I can do.

Between 2012 and 2014, I had 9 surgeries; three of them were to remove cancer and the other six were to patch up the damage. Not all of my surgeries were major, but nonetheless, I spent a lot of time in a hospital gown, with my ass hanging out. I am outgoing in many ways and have been for the most of my life. However, I also spent the first 46 years of my life being fairly modest when it came to revealing my body. For example, I did not wear a swimsuit for years, because I was very self-conscious. Medical visits were another thing. I didn’t mind that so much. But when it comes to surgery, it’s different. My body was on display to a parade of people whom I did not know. Even worse, you know how I am a child psychologist and see patients and their parents for a living? Some parents work at hospitals. My hospital. To see people I knew from the community, in my role as an expert and a leader, with my ass hanging out, could have been mortifying.

Guess what? It was not mortifying. It was merely embarrassing and not gravely so. This is because, I used my mindfulness practices to stay in the present and to try to keep those thoughts that make a stressful circumstance into a mortifying one, at bay. For example, instead of focusing on how embarrassed I was and what must a person from the community think of me, I focused on her kind treatment of me. Further, the more times I was “exposed” both literally and figuratively, the less difficult it became. It was less and less embarrassing.

I feel grateful for the way I was able to cope with this. It may have been quite different earlier in my life. One of the things this coping taught me is an appreciation for my body and far less embarrassment about it. Any embarrassment I have now about wearing a swimsuit in public is really manageable. It doesn’t keep me from enjoying myself. I don’t worry about my appearance when I encounter people in the community on the days I am not in the office. I am comfortable going around town with no make-up and wearing work-out clothes. If it is raining, you will see me in a rain hat with ear flaps. It’s not cute. It’s functional. It keeps me doing the things I love to do, like taking long walks during every season of the year, which also benefit my physical and mental health. Those things are more important than being cute. I am free to be who I am, even the facets that are not cute, without embarrassment.

I have also noticed a significant decrease in my embarrassment, more generally. I used to get so embarrassed when people sang “Happy Birthday” to me. I felt very self-conscious even though on some level, I enjoyed it. Last Thursday was my 51st birthday. It was also Thanksgiving. Seventeen of my loved ones sang, “Happy Birthday” to me. For the first time in my life, the only feelings I had were purely positive. I felt happy and joyful. I thoroughly enjoyed it, smiling the whole time and being able to make eye contact with my well wishers. What a marvelous power to be able to absorb and appreciate love from my friends and family!

I have been thinking a lot lately about the power of acting in spite of embarrassment or fear. We are in times when this power is of utmost importance. Our country and culture are divided. Oppression and hatred were a problem before and now are more so. I was reading an excellent article, Eight Ways to Stand Up to Hate, published by the University of California-Berkeley’s Greater Good Action. One of the recommended strategies is “practice being conspicuous”. For example, walk around the neighborhood in a funny hat. The goal is to learn to tolerate the discomfort of being conspicuous so when we are in the presence of a stranger in need of help due to hateful acts by others, it will be easier to act and not freeze, the latter of which is a natural response for many.

These are times when it is natural for many of us to try to be careful about everything. To worry. To look for problems in everything. To accept only the perfect solution when none exists. “I don’t want to support x cause because it does not solve every problem.” We need lots of efforts and strategies to make this world a better place. Some of our efforts will only help the tiniest bits. Others will fail.

To fail by not trying is not a way I choose to be.

As always, peace to you friends.

Heart Sisters

For women living with heart disease

George Lakoff

George Lakoff has retired as Distinguished Professor of Cognitive Science and Linguistics at the University of California at Berkeley. He is now Director of the Center for the Neural Mind & Society (cnms.berkeley.edu).

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