How to identify bipolar disorder?

My Friend Tania‘s Boyfriend was a very outgoing, enthusiastic guy until everything changed. He gets feelings like rushing of adrenaline.  Hands would shake a lot. He would be anxious all the time.  Always in isolation avoiding his girlfriend. He would complain of seeing paranoid delusions, Voices in his head which would command him to do several things.  These mood episodes may last for days or sometimes weeks. Then suddenly he would get better. Then sometime later the maniac episodes would appear again. His social life, family, friends everything was falling apart.  He once tried jumping to a river also as a suicide attempt. Upon inquiry he told that the voices in his head commanded him to do so. He was taken to a psychiatrist and was diagnosed with Bipolar Disorder.

 

What is this bipolar disorder?

Also known as maniac depression is a mental disorder that causes unusual shifts in energy, activity levels and concentration. There are 3 types.

• Bipolar I- Maniac episodes which lasts for at least 7 days.  These are so severe and need immediate hospital care.
• Bipolar II- Pattern of depressive episodes and less maniac episodes. Not so severe like Bipolar I
• Cyclothymic disorder- Less maniac and depressive symptoms lasts for years.

Mostly diagnosed in late adolescence and early adulthood.

Symptoms

• Feeling high, elevated or feeling very sad, anxious
• Racing thoughts or difficult concentrating
• Insomnia(having trouble in falling asleep)
• Excessive appetite for food ,drinking or some lose interest in all activities.
• Feeling hopeless or worthless. Thinking about suicide.
• Paronoid Hallucinations.

What causes this?

The exact cause is unknown but it often runs in families due to hereditary. Also a very saddening event might trigger this.

How is this diagnosed?

• A full physical examination
• The psychiatrist might ask the patient to fill a questionnaire to diagnose this.

How to treat it

• Most common medications involve Antipsychotics medicines
• Antidepressants
• Cognitive behavioural therapy ,Psychotherapy
• Regular exercising
• Wellness and healthy lifestyle

With the proper treatment and care Tania’s  boyfriend became better. But bipolar is not something to be cured forever. Its a life long mental illness. But the behavior therapy and the right mix of medications allowed him to live a productive life.  So everyone of you who ever is reading my article if you know someone who displays symptoms like the above ones please refer them to a psychiatrist. That’s the best you can do for them.  I would like to encourage people diagnosed with bipolar to overcome their fears and believe in themselves.

 

Medical MCQ >>

STORY OF KARMA AND TWO LADIES MAKING CAKE

• According to eastern philosophies “Karma” means actions.
• Karma said to have a negative force in deciding destiny.
• Buddhism describes 12 laws of Karma to explain sudden hardships, luck, destiny, or fate.

What does it mean by Karma?

The concept of “Karma” extensively explored in eastern philosophies as “actions” and negative force or energy that your wrong actions generate in the current and previous existence of life.

“In other words, Karma describes as actions exhibit in current and previous existence that can force negative force in deciding the fate, destiny in current and future existences.” 

One can simply describe the concept of Karma as equaling representation for Newton’s Law of Motion “For every action, there is an equal but opposite reaction.” Karma is like negative energy you create through thought, word, and action. Once you create this passive energy it can potentially force your fate to come back to us.

“Karma” extensively explored in eastern philosophies as “actions” and negative force

KARMA IS MISUNDERSTOOD

I recently listened to Buddhist monk Ajan Brahmawanso teaching about Karma based on an interesting story of two women making cake. In fact, seeing the simplest stories describe deeper wisdom wrapped in a humorous example. Yet his brilliant teachings uncover common realities of human perception about Karma. 

Here is the story “Ajan Bramawanso Bikku” shared about two ladies making a cake.

Story of the first lady: Luck 

The first lady got all the essential ingredients in the highest quality. Her ingredients were organic premium quality include flour, baking powder, and/or baking soda. All her equipment was premium aluminum pans with nonstick coating and sophisticated oven and other types of equipment. 

Story of the second lady: No Luck 

The second lady received degraded materials and old equipment. Her ingredients weren’t premium quality include flour, baking powder, and/or baking soda. All her equipment was average aluminum pans without nonstick coating and average oven and other equipment. 

WHO MADE THE BEST CAKE? 

Ajan Brahmawanso thero smile and ask “Who do you think made the best cake?” after a brief silence he smiled and said, “It was the second lady made the best cake”. 

“How can she make the best cake out of degraded materials and equipment? “ He asked. Because the cake is not made by Karma. 

It’s a hilarious representation of the deeper wisdom of Karma. 

3 interesting points out of the story.

1. “KARMA” IS A REMINDER THAT YOU CAN CREATE YOUR OWN POSITIVE ENERGY. 

Positive energy is created within your own self-actions. The second lady could make the best cake below average materials is an indication luck alone would not create your fate. Your fate is depended on the skillset that you exhibit in creating positive force inside and outside of your life to bring the best out of the things you have. 

The truth is karma will not make your destiny bad luck in any means. It’s you and your perception about your own disbelief about skills that turn your life into a bad shape both from physical, emotional, and financial well-being. 

The learning is you need to focus on positive force improving and working on yourself, skills than concentrate on your weakness. When you start believing that Karma is inside your mind, this will change your current and future life forever.

2.    YOU CAN CHANGE KARMA

Buddhism describes Karma as an indication to change your lifestyle that you can change your destination if you wish and willing to work towards removing “wrong” actions. Karma further revealed that changing your own future depends on your abilities to open the optimum mindset to the slightest opportunity even amid greatest difficulties.  

Changing your own future depends on your abilities to open the optimum mindset to the slightest opportunity even amid greatest difficulties

Conclusion

There is no absolute indication that Karma can dictate your life and responsible for all your hardships, or act as punishment. It simply presents time to pause down your action and remind that harmful action is wrong and evaluate your own self to lighten luck and destiny.

Read more

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Medical MCQ >>

Powerful Ways to Invest in Yourself during Lockdown

I called Marleen the other day to check everything is alright with his family. I usually do not worry about my co-workers, but this is an unprecedented time of our lives that need unlimited care and attention to our closer circle friends. When I talk to Maleen, I always feel his sparking energy and hope that drives in his veins for the last 30 years. 

Maleen story, that spark drive to survive a difficult time and invest in self-development. 

Powerful ways to Invest in Yourself during Lockdown 

Maleen was walking as a janitor at his high-school days as he needed extra money. His father uses to call him a “loser, and his father gradually addicted to alcohol turn situation even more challenging. He decided to leave school as a dropout and ended up working as an assistant at a real estate firm in Sothern California.

While fixing, and flipping real estate in Southern California and Maleen worked extra hours as a trucker assistant to move furniture. The chance encounter, that fateful weekend of working his tail off, lead to an opening that could change Marleen’s life forever.

While working, he notices old gentlemen relaxing in a far corner. when Maleen had a moment he approached him and asked “how did you turn your life around? ” 

” I did it,” he said, “by going to a seminar by a man named Jim Rohn”. “What’s a seminar,” he asked. He said “it’s a place where a man takes 10 or 20 years of his life and all he is learned and he condenses it into a few hours so that you can compress years of learning into days” He answered. 

That sounded pretty awesome for Marleen. “how much that cost? “Thirty-five dollars,” he told Maleen. What! Maleen was making 40$ a week as part-time. It was a big investment that he needed. Maleen did attend the session and ended up strategizing his life for the next 10 years. Here are the top 3 strategies Maleen adapted. 

Number one Investment of life is your skill

The highway to success is your skill to add value to others. The value can be anything related to personal or professional life. The return of your investment is synergy multiplication of value addition shared with others. 

– Advance Education – This doesn’t mean to invest in an expensive degree, college education only. This means you can still take on the advancement of your skills by attending a class, online session, or even expand knowledge. 

– Utilize available facilities– there are dozens of free online training and videos, education groups, google education portals

– Reading – reading is a great way to expand your knowledge. There is an ample number of books related to any topic. Start reading books, journal articles, blog posts, newspapers, and magazines. 

Number two is your creativity 

Most of us trapped in our graveyard not opening potential creativity skills. This is because personally and professionally we do not seek to view problems and solutions from a different creative perspective. There is a high potential that we can unearth far better and sustainable solutions via uncapping creativity. This doesn’t mean you need to be an expert as a painter or carpenter but trying to open new things. 

– Learn how to play an instrument – Music is a great way to relax and open your creative skills. There is scientific evidence that proves learning to play a musical instrument is good for health as well. 

– Write something –a book, short stories, poetry, anything.

– Learn cooking – Start enjoying cooking differently, follow a new cookbook, or share your cooking with friends. 

– Artwork – paint, sculpt, make pottery, make jewelry, or design your clothes.

Expand the capacity of your mind and body 

Your mind and body are the sources of your energy, success, strength, and power. 

Learn to Expand Your Mind Capacity

Emotionally intelligent people are the most successful people

Conclusion

It’s very important that using downtime to Invest in yourself to makes changes in your life. Invest in your well-being from mind-physical balance to improve your well-being. This can further help you to expand your ability to thrive and perform beyond expectations. Your future depended on your willingness and ability to invest today. 

Medical MCQ >>

How to Treat Depression Naturally | Normal Depression Vs Clinical Depression|Sushant Singh

Priya is an Indian origin girl working with me for a long time. She told me this story of a young actor by the name of Sushant Singh Rajput, 34 subside on Sunday in Mumbai. Per news, Sushant is an amazingly charming, brilliant, promising young individual with a smile and lots of success as an actor.

Sushant is an unfortunate case of untreated depression taking over life of a young actor.

Sushant Singh

Depression is a silent killer

Many patients visit me every day. All cases are unique and not the same. However, there is a common set of feelings, loneliness, hopelessness experienced by almost all patients.

• – All patient’s complaint that they feel numbness beyond the sadness and pain
• – Feelings of “I’m not enough”, “worthless” and continues negative thought cycle
• – Unable to emotionally engage in happy moments
• – Doubting that ever will able to feel happiness again
• – Total “hopelessness” and “pointlessness”
• – Pretend that everything is fine
• – The feeling of a psychological dark zone with no escape

Normal Depression Vs Clinical Depression

There is a significant difference between normal depression and clinical depression.

Normal depression experienced by everyone. Its natural people feel unhappy, down, less energizes, or hopeless after difficult circumstances in life. However, major depression or “clinical depression” can prevent a depressed person from doing normal activities. 

Also, major depression able to impact daily activities potentially lasting for a longer period. Sometimes more than weeks or two or more years. It is extremely important to consult a medical professional before major depression turns into life-threatening.

How to Treat Depression Naturally 

1. Set Daily Routing to get back on track

If you are depressed, it’s natural to miss your daily activities and the structure of your daily routine. One of the core steps of beating depression is to stick to the routine of your daily work. Adapting to routing hobbits can assist you to get your life back on track.

2.Set small Goals

When someone in depression, it is natural to feel that you cannot accomplish anything and feel hopeless. To avoid feeling pushback, it’s important to set achievable tasks to get rid of these hopeless feeling.

3. Get Physical Exercise

Physical activities do help immensely to bring back your optimism into the body. Physical exercise release hormone called endorphins. Releasing endorphins into the blood can bring down your depression feeling. New research confirmed that regular exercise can rewire your mind to take up positively.

4. Sleeping

Having good enough sleep allows your body to balance the hormones that cause depression feelings. A simple technique to get god sleep is playing the sound of rain or meditation music.

5. Meet your doctor

The doctor can assess your depression level and direct you to multidimensional treatment.
These treatments can be focused based on the mild, moderate, severe levels of depression and strategies to address behavioral, cognitive, physical skills to deal with depression.

Medical MCQ >>

Emotionally intelligent people are the most successful people

Tim Bernad is a director of the Professional service division of a large multinational software development company based in silicon valley. Vastly experienced in dealing with multi-cultural teams across APAC, EU recently shared some of his vital experience working with multiple organizations more than 10,000 people.

In his current portfolio directing more than 2500 employees to develop skills required for high-performance. Along with his team, Tim hosted an online webinar to educate the importance of emotional intelligence. This post is created based on the session conducted by Tim.

Emotional Intelligence allow you to manage your daily activities effectively

What makes someone great at their job?

What makes someone great at their job is a question raised by many employees. having the knowledge, smartness, attitude are some of the key components. However the most successful leaders quality now recognized as emotional intelligence.

When is emotional intelligence is important?

According to a new study it was revealed that most companies are looking for emotionally intelligent candidates from the recurring process. This is starting from the point of selecting candidates, conducting interviews, and finalizing potential candidates for the job.

Also, the same report reveals that employers evaluate employee emotional intelligence when promoting, developing, and creating training plans for skill development.

This is a new development in personal skill development as earlier wasn’t considered an important element.

Emotional Intelligence is a skill for Daily Lives?

Does it a skill? for many years people never considered emotional intelligence as an important skill. A recent development suggests emotional intelligence is a skill for everybody and daily life.

Everyday life consist of various challenges physically and emotionally, therefore, we must be aware of our emotional challenges and different states of emotional feelings like fear anger happiness pleasure

Is emotional intelligence comes naturally?

Unfortunately, most people think emotional intelligence comes naturally. But this isn’t true. It takes more than experience to master emotional intelligence.

Tim explains most people consider themselves as emotional intelligence based on your feeling. Sometimes we tend to feel peer groups like and very kind respectful and nice to be sensitive to see other people’s needs as high emotional intelligence.
However, this is an incorrect measurement.

How to improve emotional intelligence

According to the team, these are some of skills and strategies you can adopt to improve your emotional intelligence skills

1- ways to improve emotional wellness?

Emotions Associated with Family and Childhood
Genetics and Environment
Habits and Responses

https://how2.me/3-ways-affect-adult-emotions-wellness/

Here is a post on how to improve emotional wellness.

2- How Optimism can help you to deal with a difficult time

How optimism help me to deal with difficult time

3. Finding Inner Peace, Empathy and Comfort

Friday of Love: Finding Empathy, Inner Pease and Comfort

Medical MCQ >>

Life-Saving Points You Should Know About Cholesterol| Eating habits | Physical exercise

The patient arrived at about noon. Our Emergency unit received her due to chest pains, Itching spreads along the left arm. It’s clear to us that.  These are the symptoms of a heart attack. The ECG recorded all the symptoms of a severe heart attack.That means this lady has a terrible heart attack …!

Life Saving Points You Should Know about Cholesterol Good HDL and bad LDL cholesterol written on blackboard by doctor with stethoscope

Diagnosis Technique

The pressure is 60/40. We treated her for increased pressure. Pulse speed is 37 minutes. Very low. (Normally this should be between 60-100 minutes.) Our hospital is a specialist heart hospital. It has all the facilities needed to treat such patients. The best treatment to do right now is a pulse speed controller, simply put a speed maker on the temp.So, we quickly took the sick to the operating theater (literally the cath-lab) and set up this pace maker. Forgot to say. To do this, they inserted a small wire from the veins of the leg and sent it to the heart. Just put it in. His pulse rate was back up. That’s right.

We didn’t do anything to her heart attack.

In a heart attack, a blood clot will block a vein in the heart. It is when the heart muscle is dying that the blood flow to one side of the heart stops. The main purpose of administering a prescription for a heart attack is to dissolve the blood clot. The best thing to do is to send a wire and remove the blood clot before the blood clot builds up. This is called a stent.Then the blood flow to the heart is reduced so that the blockage is quickly removed and the blood flow begins. But the disadvantage of this method is that you need to get to the hospital as soon as you get a sick heart attack.And that hospital should have this stent facility. Sorry to say This facility is available only almost all hospitals. So, without further delay, we do an angiogram test to find out where the patient’s block is before stenting.Her heart’s major blood vessels are all blocked.This block is so bad that there is no other solution except to bypass it.

So why is this happening to her …

She never take any medication. No alcohol or cigarettes.

Then what causes many veins to block.

The reason for increased blood cholesterol is LDL cholesterol or bad cholesterol are one of the main causes of blood vessel blockage.

Unfortunately, she never checked blood cholesterol.

Image Credit : Pixalbay

A little bit of physical exercise is another factor that can help to level blood cholesterol levels and decrease the blockage of the veins. Taking a walk instead of driving or taking a stare case instead of the elevator is a great substitute for a simple exercise.

Eating habits can also increase your blood cholesterol, as well as blood sugar and hypertension. This bite is the only thing that has ever eaten fatty foods, and that’s why you often go to junk food, pre-processed food. Food can make you a heart patient without even knowing it. What are the symptoms? If you feel tired and have fatigue, chest pains, you may find a doctor. Because there are so many other causes that … Before it’s too late.

Meet your doctor for diagnosis If you haven’t checked your cholesterol, check tomorrow … and without further delay … In addition, the blood vessels get blocked

• High blood pressure
• Smoking and drinking
• Diabetes
• Obesity
• As well as getting older
• Family inheritance /DNA

So, let me say again, check your sugar, cholesterol, and pressure at least once a year without telling you you’re sick.If you smoke cigarettes or drink alcohol, stop it.Forgot about Whatever you do, excise and start now. At least half an hour a day, not a day …But don’t try to do these simple tests at least once a year to make sure nothing is too hard. When you are diagnosed with a disease, it is too late. Like our sick …

If you like the post, do not forget to share it and share it with another person.

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Medical MCQ >>

HOW YOGA BEAT WEIGHT AND DEPRESSION - CINDY BARNET STORY

Age: 35 years
Height: 5 feet 7 inches
Highest weight recorded: 85.6 kgs
Weight loss: 21 kgs
The duration it took me to lose weight: 12 months
Additional Benefits:

Feeling Down and Depressed

Cindy Barnet lost her job as a professional hairdresser based in California and unable to find another job for another 3 months. She had to live with her friend and spend all-around savings collected for many years.

Same time, her long-term partner decided to leave her and move to Canada.  Given difficult circumstances, Cindy gradually started to feel severe depression, anxiety and reach out to medical consultants for treatment

Turning Point of Cindy Barnet

Cindy never cared about the diet and weight for a long period. She uses to eat junk food regularly without considering the consequences. She gained weight at a stunning rate.

As she started piling up, her clothes were getting tighter and began to feel uncomfortable for no reason. She continues to eat more food to burn out stress and remain stress throughout the day.

Finally, she was diagnosed with high blood sugar and depression. She was asked to change her lifestyle to beat depression, weight, and improve overall life quality or continue as it is. Cindy decided its time to change.

Yoga: Finding Inner Peace | Weight Loss

Luckily Cindy got help from her girl’s circle. One day Cindy meet a yoga teacher online and after a few virtual meetings, she decided to visit a day workshop to see Yoga can help her situation.    

The First Yoga workshop provides basic guidance on improving physical activity which she finds very helpful to ease the anxiety and feel better. Also, the visit enables her to build a new network of similar friends interested in lifestyle change.

After a few months of practice, Cindy started moving to advance yoga classes to try a mix of yoga practice involved a mixture of movement, breathing exercises, and/or mindfulness. Each of the movement components comprising more than half of each session and sync to her lifestyle well.

After few months of practices , Cindy further improved her practices by following array of Yoga types such as  Hatha, vinyasa, SVYASA, kundalini and Kripalu.

Cindy generally takes Yoga on weekly sessions lasting between 20 and 90 minutes over a period of around 2.5 months.

Benefits

• Manage depression, anxiety,  mood disorders,  stress disorder.
• The overall quality of life improved.
• Able to manage her weight.
• able to sleep and walk-up better.
• Improved her exercise capacity.
• Able to manage her blood sugar.
• New friends and network.
• Improved mindfulness.
• Improved emotional awareness.

Feel Good Story

” Yoga provide me an additional or alternative strategy, which is probably the best technique and result driven exercise alongside conventional forms of exercise benefited to regain myself” Cindy write. 

Image Credit: pixabay

Medical MCQ >>

Social isolation Affects Your Brain?

Pandemic made many of us stay at home. We do not visit friends and family anymore, and no one else visiting you either. This is called social isolation. You seem to hate the new normal and already burn out about the whole situation of the world around you.

This is probably the greatest social isolation on record. There aren’t many situations in our life that impact badly as Covid-19. It’s extremely challenging for many people. And, listing to social isolation instructions probably made you even more frustrated despite social isolation is the best-known alternative to pandemic given the inability to discover proper medication as at now.

There is a lot of news coming around the world indicating that people are struggling. And, whole ‘social isolation’ seems something unreal happening in a sci-fi movie.

What could be the real reason for many people find it challenging to live in Social Isolation?

You Brain Need to Socialize

Scientists suggest the answer is with our brain. As per new studies it was revealed that humans are an incredibly socially engaging species. This fact is arguably humans more social engagement than any other known species out there. Evolution of our brains connection to the socialization spectrum of different ways.  

In general, asking people to remain socially isolated is an incredibly big ask from your brain. Ironically deep inside your brain, it does not support social isolation. This is extraordinarily difficult that your brain does not support in a deeper level to commit isolation despite knowing potential consequences.

social isolation Impacts your brain

Evolution of your brain

Humans evolved around resource-hungry brains. Your brain has an extraordinary capacity of acquiring new information through socialization. This finding is on-per with the smartness and high level of intelligence of your brain.  

According to scientific theories like ecological dominance-social competition model. This model describes that our ancestors were associated with communal and corporative nature as group that ultimately drive the evolution.

This skill set was dominant in survival from ancient times. Humans have to watch out for predators and win the food competition or mates. The brain of humans born into traditional support to each other and brain hardwired for that survival skills.  Losing social isolation is probably asking your brain to stop evolution from a deeper level.

Losing Social Contact is a punishment to your brain.

In the classic movie, The Shawshank Redemption revealed how the prisoners were kept in isolation as a punishment without any meaningful contact with outside parties. This is one of the most classical representations of‘ solitary confinement’ where isolation considered punishment.

Despite isolation isnt traditional punishment technique , it sound like much of a punishment. According to  psychologists isolation deemed to be a punishment as  brain activity that’s very similar to literal hunger.

According to the study it was revealed that your brain experiences low-level pleasure even after a mere 10 hours of no social contact. And, while most social bonding associated with friendship, grooming. One of the prolific anthropologists claims that your brain needs a bit of gossiping to evolve.

It’s very clear people hate social isolation. Your brain is the reason behind that hate and all you want is go out and talking to people or go out traveling. Social engagement is a fine way to de-stress and dealing with other people to assist your brain to feel normal and keep rolling your system smoothly.

Medical MCQ >>

How optimism help me to deal with difficult time

I have been struggling since lockdown block social outings from the 15th of March. After enduring a long, difficult day at home, I finally sit down to turn on the television just to relax. All I see is news about the pandemic situation around the globe. This is truly depressing and difficult to cope with, given my emotional condition. My cat at sleep makes no sound, seems entire to relax, and when I finally decide to do something to make me calm.

I read when things turn unpleasant. This is such a moment to go back to my habits. I found something fascinating and exciting. Simply stunning books enjoyed long ago.
Its called “art of optimism.”

Why do I think optimism helps you?

I experience optimism, which has been proven to be a powerful tool for my success. Again, there is a lot of young woman in my closer circle told me that optimism proves to be them dividends in their personal life and edge competitive advantage in their professional work life.

Here are three possible compelling tips to recharge your life amid crisis:

“Good Health is a gift “

I have had back pain in my last two years. Doctors often told me there is nothing wrong with my physical body, and I start to bring more optimism into daily habits. Results better conditions in my body. Book also provides evidence that most optimistic people are twice as likely to have good heart health compared to their pessimistic counterparts. According to a new study in the journal Health Behavior & Policy Review, the study looked at 5,000 adults and found that optimists were more likely to eat a healthy diet, have a healthy body mass index, not smoke, and exercise regularly than their pessimistic counterparts.

“Cultivate a Happier Outlook with Pet”

Having adopted a cat is optimism in practice, practically to my life. I lived on my own, and the cat gave me so much joy and comfort. I wasn’t fond of animals before. Researchers say about 40 percent of our wellbeing comes from behaviors we engage in-and can therefore control. I experience simple strategies can help your life to foster a happier and healthier outlook

“Always Best Things Will Happen “

Book teaches me the fundamental concept of an optimistic perspective. An optimistic person thinks the best possible thing will happen and hopes for it even if it’s not likely. Someone confident this way is also sometimes called optimistic.

I also believe that optimism is the faith that leads to achievement. And, haven’t seen pessimist ever discovered the secret of the stars.

My simple how-to strategies to improve your optimism

1. Celebrate your strengths. The key to high achievement and happiness is to play out your strengths, not correct your weaknesses. Focus on what you do well.

2. Take care of your emotional well being by reading inspirational material on a daily basis. This may be different for each person. Some may be inspired by daily quotations, others by reading biographies of successful people in their field and yet others may derive inspiration from reading about all the innovations that we are graced with.

3. let go what cannot change.When faced with setbacks, identify what you can change and proactively try to find ways to do something about it. We have often heard this advice – it bears repeating. Be inspired by Benjamin Franklin’s words: “While we may not be able to control all that happens to us, we can control what happens inside us.”

I often amazed looking at my cat. Probably the best optimistic buddle of happiness to lean onto any situation.

Medical MCQ >>