I’ve had a few difficult things to take care of recently. Nothing terrible, but hard for me. I didn’t want to do these things, but they were things that needed doing. I spent a week working my way through a conversation I need to have. Arguing both sides of it and scripting what I would say and … [Read more...]

Climbing Everest is either inspirational beyond all imagination or terrifying. A trip to the moon has the same effect. When you look at the big picture, the big goal it either breathes life into you or knocks the wind out of you, especially if your goals are anything worthwhile. • Bike across the … [Read more...]

You must know the story of the elephant at the circus, right? In case you don’t, here’s what happens.  When elephants are very young, they put a rope around their legs and drive a stake into the ground and tie the other end of the rope to the stake.  The little elephant is not strong enough to pull … [Read more...]

Here are a few questions to chew. * A 66-year-old female presents with bouts of nausea, weight loss, and vague abdominal pain.  What is the most likely diagnosis? * Currant jelly stool should make you think of what diagnosis?  * Describe Barlow’s test. *  Why is the most common cause of … [Read more...]