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To first address your last paragraph, I hope you will frequently find the time and effort to pleasure Jackie and me with your presence. I hesitate, . . . , Nessa come live with us! I need your exotic beauty every day. You are the most remarkable friend I've ever had. Thoughtful, sensitive, deeply spiritual, loving, with a world shattering mind! I am so grateful that you are my wonderful intergenerational friend. May the Lord bless you every day of your life (and afterwards too!)!

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I adore you. I am proud to know you.

I do want to see you and Jackie soon. Let's plan something. I am grateful to feel connected to you through the airwaves and this digital site! The beneficial power of technology!

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Thank you for the FIVE Remembrances of Buddhist practice. I did recite them out loud. Leslie-Lynn Pawson

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A wonderful post full of important musings. As before, your photography moves me. I will likely lift an image or two to try watercolor painting them. Your images, after all is said and done, are a conveyance of feeling and sentiment. You touched on a paradoxical thought that had eluded me. Social media “opens up the world to us” and “closes us off to nature and each other”. Is balance achievable? Can risk vs. benefit be optimized?

Is there a possibility that an STD could become an acute illness with a high mortality rate. What a disaster that would be. Covid killed the old and infirm for the most part. People can accept that more easily and even look at it as culling the herd.

I prefer to look at the practice of medicine as a pure and beautiful trade with great responsibility. It has been perverted by a for-profit system with a compensation system overwhelmed with regulatory oversight hammered out by political compromise.

The beauty of medicine lives on in you and each of us that were given the gift. We need the right setting for it to blossom and not be suffocated. Sorry to sound negative. My heart is more hopeful not so much for the medical system but for each individual practitioner to retain the right and have the courage to find the right circumstances to ply their trade. What we do is important.

I guess I got agitated and I believe that may be a wonderful facet of your writing. Get the feelings out in the open. Share thoughts and learn from each other.

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Thank you for your willingness in joining me to broadcast our thoughts. Maybe some readers could find solace in solidarity. I would be honored if you watercolor one of my photos! Only if you share the masterpiece ;) I have been flexing the photography part of my brain for decades. I love photography as an expressive art from. Re: social media and harms/benefits- we did not do a good job on the last roll out. Will we demand containment as it pertains to the AI tsunami. I'm afraid we need to be more awake to have more agency in what happens to us and around us. STDS and mortality future: hopefully not that dystopian anytime soon but only time will tell. Hopefully some of us docs can carve our own way. It seems some are but we are kept nicely ball and chained with all the "regulations." I appreciate our supportive intergenerational friendship. Thank you.

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Two things resonated with me this time:

- That all things are of the nature to change. It reminded me of Octavia Butler's (astoundingly prescient) Parable series, and Oya Olamina's assertion that "God is Change." It also reminded me of William Blake's wonderful poem (which I used to have taped up on my wall): "The one who binds oneself to a joy / Does the wing'd life destroy. // The one who kisses joy as it flies / Lives in eternity's sunrise!"

- The power -- healing and otherwise -- of intergenerational relationships. Yes!!

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The moment I came to terms with the nature to change knowing- my entire life changed. irony? No, just a way of being. It helps anchor me in the moment. I make different life choices when I am living for each moment knowing that each one is an actual gift. And Re intergenerational power- I learn so much!

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Have you already written why you will leave hospital work? You don’t mean leaving medicine, do you?

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I think there are hints of it in every post I write. I think I just had an idea that was medicine and that idea of medicine left me when it replaced with the reality of medicine. The moral injury and the absolute sham that it is: owned by big pharma and big insurance. Do you call what we have now medicine? Because I call it absolute disregard of the hippocratic oath of do no harm and a corporate system entrenched in greed and profit. I guess I did not read the fine print. This is not what I signed up for. So yes, Im leaving this circus that some people call "medicine" in the U.S. What a sham! I wish it luck on its collapse.

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Hey Nessa, I am still reading your substack posts; eery how much resonates with me, I just would not know how to find the words. You speak of intergenerational connections. They are life-lines. The woman who is my yoga mentor is nearly 85, teaches live classes 4x/week in another state, is a real human being, and does not see herself as better or superior. I want to be like her when I grow up!! Looks like 2024 is shaping up to be a special year for you, and I wish you lots of heart space to embrace it all.

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Thank you for sharing this and for the support, Inge! Agree the intergenerational connections are lost life-lines. And yes, only time will tell where 2024 chips will fall. I will follow my heart, that's all I know!

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I'm so glad we got to "meet" on Zoom. What a pleasure it was!

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It was fabulous! I loved your podcast share. It would be nice to post it on our Sangha page. Thanks for sharing your story.

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