A journal of healing

Positivity Chain on FaceBook

Sometimes everything seems to go along swimmingly. There are people who go through life unscathed and never rattled. I cannot imagine what that type of world would feel like. I was told years ago there are always people worse off and a whole lot of folks better off. Accepting where you are is the best way to survive and live a full life. One of the ways to accept your life is to look gratefully at what you have. ‘Tis the season for giving thanks after all.

Our minds are programmed from our birth to be more receptive to negative input than positive input. Negativity makes a bigger imprint on our brain. This again was part of the reptilian brain that kept our ancient ancestors safe. Not smart to pet a sabre toothed tiger, even if it is a big kitty. It is the reaction that sells newspapers and keeps us watching the news. We love drama and crisis.

There actually is a ratio of amounts of positive and negative information we need to be happy. Seems we need five times the positive input as to the negative. I am not sure many of us are living that ratio. Big positive moments also do not have the lasting effect as much as a series of constant small positive moments. That explains why after a momentous event, like a wedding, there can be such a letdown shortly afterwards.

So where do we get these positive inputs from? We have to make them ourselves. It can be as simple as noticing a pretty sky or flower. I try to look at things around my house and feel how much I love being there. I pay attention to the sense of security and peace I feel so I can draw on it when I am not.

Being nice is a two-fold way to bring positivity into the world. We have a severe lack of being kind. It is as easy as saying to someone that they look wonderful. It triggers happy neurons for the receiver as well as the giver of the compliment. Just like negativity is spread from one to another, so can being nice. But we have lost the practice.

I am going to start a positivity chain on Facebook. Let’s see if challenging each other to send one compliment to friends on Facebook will have a positive reaction that will spread. It would be a nice break from all the slander and mud lately. Post on at least three people’s FB page a compliment and ask them to tag someone else and do the same thing. It worked for the black and white photo challenge that has gone around several times.  Why not positivity?

Remember, compliments have to be sincere, otherwise they are lies and we do not need to spread more of that.

Also make sure you compliment yourself once in a while. The biggest speaker of negativity is that voice in our head. Turn the negative one off and listen to the one who says, “Wow, you are awesome sometimes.” We are all awesome sometimes. Pay attention to that.

It is ok to be different. Embrace your individuality and be grateful that in our country we, especially women, can achieve all that we do. We can dress the way we want, we can look like we want, and we can go after what we want for the most part; at least much more so than other countries. This is coming from a 60 plus year old woman who put pink streaks in her hair. HA! (I have wanted to do this for years, so I have two bright pink steaks in my waist length hair)

I wish everyone a Blessed Thanksgiving filled with warmth and happiness. Don’t forget to try the FB positivity chain. And be the best you that you can be.

 

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What is PsA and P?

Psoriatic Arthritis: PsA is an insidious disease. It is very misunderstood even by the medical community. It is hard to find a specialist who can really guide you. There is no cure and it is progressive. PsA has a partner, Psoriasis or P. They are not mutually exclusive. Each has their own issues and pathology. It is rare to have PsA without P but you can have P without PsA. Both are considered auto-immune diseases and often have other co-morbidities. All this is evidence based information.

And much like other diseases, they are triggered by stress and trauma. If you understand the ACE Study, it all makes sense why diseases like this are becoming more prevalent. It seems lately more and more people are being diagnosed with some form of chronic auto-immune disease. Is it because so many of the baby-boomers are of an age where disease is a common part of life? Or is it because there are more studies done and better research as to causes of crippling diseases in senior citizens.  I think it is both.

I have been involved in two research projects. One was for P and the other for PsA. The one for P was fascinating. They were looking for the correlation of outbreaks on the skin and stress. We were divided into two groups. One was given only exercise and nutritional information and asked to make lifestyle changes. Fortunately, I was chosen to go into the other group. We were going to be trained on Mindfulness Based Stress Reduction techniques. MBSR is now a more common approach for people dealing with issues such as pain. Back then, it was pretty new and out there. Jon Kabat-Zinn developed the program for people with cancer and pain.

The program was several months long. We met once a week. We talked about our week, our disease, anything we wanted. Then we meditated. Sometimes we did yoga. This was a several years ago. The instructor was the Chief MD in charge of the Oncology Department at the Medical Center. He was very progressive for the times. Now, there is a requirement that all med students take MBSR. Everywhere you look they are courses on Mindfulness and stress reduction of some kind. This is progress. But I live and work for a very large medical center that is also a teaching hospital, a university and a research institute.

But with all that, they still do not know much about PsA and P. We do not have a lot of doctors who are rheumatologist in the area. I am fortunate to have a good one. But even he will admit it is trial and error. And we have had some egregious errors. The course of action is to put the patient on a drug regiment which often includes steroids and progressively stronger biologics. Even the manufactures say there is high risk associated with their drugs. It is also known that they only work for so long and the body becomes immune to the drug. Then you have to start over.

In North America and Europe, between 18 and 42 percent of people with psoriasis, an inflammatory skin disease, also have psoriatic arthritis. In the United States, psoriasis affects about 2.2 percent of the population (7.5 million people), making it the most prevalent autoimmune disease in the US. (http://blog.arthritis.org/psoriatic-arthritis/psoriatic-arthritis-psoriasis/)

Nothing is more terrifying than knowing there is nothing you can really do to stop the progression of a disease that is ravaging your body. And there is nothing more frustrating as seeing the deterioration of your body and your ability to be independent. The medications all have side effects and some of them include cancer.

I have always had this disease. It got much worse when I went through my divorce. I believe the stress triggered the eruption on my skin. Doctors, including a dermatologist, could not diagnose why I had this rash everywhere because it did not look like “normal” psoriasis. It was though. I had always had issues with my joints, but was told it was because I was fat. But when my hands curled into claws and I could not hold on to anything, I finally was sent for testing.

PsA is possibly genetic. I had psoriasis as a baby but they called it eczema back then. You cannot catch PsA and P is not spreadable. There is no cure but you can put it into remission. I have been blessed to do that several times including right now. I have only a few skin lesions.

But from all the drug switching and the use of such powerful drugs, I have diabetes. My pancreas is whooped. My insulin levels are normal in the afternoon, but in the middle of the night they drastically peak. I am on medication now for it that adds a lot of weight….. Makes no sense because as you gain weight, you insulin resistance goes higher. The shot I am for the PsA also puts on weight and also increases your glucose levels significantly. It also causes high blood pressure, which is also not good.

But the main comorbid with PsA is actually coronary issues and kidney issues. The inflammation that causes the P and PsA also attacks the heart, arteries and other organs, especially the kidneys.  So far, I do not have coronary issues. However, my kidneys are in imminent danger of failing. Diabetes also impacts kidneys and so does high blood pressure. It is a circle of what is worse. Much like most auto-immune diseases, you do not die of the disease, but of the comorbidities.

I wrote this blog this morning because of a couple of reasons. One, people need to fight for better testing and more awareness of the PsA and P. The symptoms can vary as much as the way the rash presents itself. Two, we need better treatment that does not cause more issues than the disease. Three, we need more research as to see if there may ever be a cure for PsA and P and further studies related to trauma like the ACE study.

Living the Ace Study

This past week was terrible. I did not get through it unscathed. I am wounded and in a bad way. Let me explain something about triggers and how simple things can dig so deep that it can immobilize someone. I again point to the ACE Study http://www.acestudy.org/index.html  about Childhood Trauma and the lasting effects of living in and witnessing trauma.

The effects of trauma are pervasive and unique. What triggers me may not trigger you. And how I react and for how long will also be different. The first thing that I learned when I became a Certified Trauma Professional is to allow the feelings. Never tell anyone what they feel is wrong, or over-reactive. What a person feels is their right. Trying to modify behavior by saying they are wrong to feel that way or try to change them can make things a whole lot worse. It is the same principal as working with grief. Time and reaction is unique.

Reaction to trauma is also a chemical and physically wired behavior. Neuropathways are developed as trauma is experienced or witnessed. When triggered, the body reacts out of protection secreting chemicals to produce energy for flight or arousal. Long time exposure will create a programed system reaction which often includes the shutdown of the body, anger and explosive behavior, and often a desire to stop participating in life. These are the three basic reactions of trauma: fight flight or freeze. A triggered person will resort to one or all of those reactions without a sense of doing it.

This prolonged constant flooding of chemicals like cortisol and other potent hormones designed for safety will affect the body and cause illness. It is proven. See Ace Study. And this reaction does not fade, but for many, it exponentially gets worse. And so in time, less creates more of reaction. For some it becomes over whelming and they cannot function. There is no actual cure for PTSD. The only hope is to learn to live with it and tame the Tiger so to speak. By exposure to more positive situations and learning to self-sooth and calm, many people learn to cope.

I learned that revisiting the trauma is not a good thing. The old method of recreating events and mollifying them does not work and is not healthy. You actually recreate a new trauma by doing that. I found that out too late for me as I spent a lot of time recreating my events in an attempt to grow past them. It did not work. It is enough to say that I spent over forty-five years in an abusive state caused by my alcoholic parents and an abusive husband. Forty-five years is a long time to be treated like shit; emotionally, physically and sexually mistreated. One does not get over that.

So back to this week: things at work are to the point that I am reacting by shutting down. It has progressively getting harder for me to be there. On Monday,  I was “in trouble” because I was being negative in a meeting. Supposedly I was grimacing and my body language was offensive. I swear this is what was reported. In the past I was written up for rolling my eyes. My boss is a terrible boss and the person who reported this is her mini-me. I understand the dynamics and I could spend a whole other post on how horrible it is at work. But let it suffice that my boss’s words to me were cruel and hurtful. She told me no one wants to work with me. In a previous accusation of misdoing, she told me no one likes me. She then said stop reacting like you’re the victim. If she only knew.

My Clinical Educator resigned after 27 years there.. I threw a reception for Margaret on Tuesday right on site. We had a fabulous relationship. She had my back, and I had hers. I would never have survived without her when I first started. Her leaving trigger all sorts of abandonment issues for me. She saw the mistreatment and the poor leadership. She left because she had enough.

One of Margaret’s favorite things is cake…. Well actually frosting. I had a special cake created for her. It was beautiful and fresh. I was sitting enjoying a small piece, minding my own business. The VP of Clinical was standing in front of me eating a large piece of cake as well. Then, totally unsolicited, he turns and says over his shoulder just as I was putting a piece of cake in my mouth, “should YOU be having that?” I was flabbergasted.

What happens to me when something triggers me is I shut down. I go into this place of protection. Unfortunately, I am unable to speak. I remained in the room until the end of the reception. I never touched the piece of cake again. When I left the building, I burst into tears and cried all the way home. (I actually cried again when I wrote this) I had my fill of painful criticism and hurtful remarks. This is continuing to affect me as I have not been able to sleep through the night. I wake up and perseverate on all the nasty comments.  This is physically causing some nasty flares and a lot of pain.

I am hyper aroused and anything sets me off like a loud noise or small issues. On Wednesday, Joe’s car had a huge malfunction with alarms and flashing lights going off when we were going somewhere and I completely flipped out. I was so upset I was hyperventilating and curled up. We got the car home as we were not too far way but I cannot explain how terrifying it was for those four minutes. I was so bad; I took the next day off. I had to lie because they would never have understood.

I know what I have to do and I am working on getting out. But it is not so easy. I am lucky there will be escape. But how many other people are out there who deal with this daily? No one knows the effect rude and nasty comments can make. We all agree a positive remark can make someone’s day. Why is so hard to see what a offensive, uncalled-for comment can do?  We need to learn to be more sensitive to people. Kids are killing themselves or becoming addicted to escape the effects of bullying which is extremely traumatic. Bullying continues in adulthood and some people are true experts at being bullies. I have met many. How many people suffer in silence only to get sicker and sicker because the effect of childhood experiences haunt them as adults?

 

Outrage

I was reading one of my favorite blogs the other day and I became outraged. It talks about how Google was putting information down about walking distance and calories when asked for directions. She felt this was fat shaming.  https://danceswithfat.wordpress.com/2017/10/28/google-cupcakes-and-terrible-ideas/

I do not necessarily agree that this was the best example of fat shaming. I actually think it is kind of nice information if you CAN walk.  The calorie indication is just part of the diet culture we live in. But there are other messages out there that are not only fat shaming, but blatant discrimination.

She mentions that in some places they have turned off the escalators so that people will use stairs. Swell. That is discrimination of people with disabilities whether they are small or large. I know plenty of people who cannot climb stairs or even worse, like in my situation, go down them. I can go up with a hand rail for support but coming down is not happening. My one ankle now goes completely out at any situation and makes me fall if I do not have something to grab. Imagine my luck on stairs.

What about wheelchair access? She was saying that they are putting up signs next to elevators to remind people to use the stairs because you burn more calories. Talk about rubbing it in the face of people who cannot make a choice. That is not fat shaming; it is just harassment of everyone who is disabled.

In other blogs she talks about the discrimination or fat shaming that occurs with large people getting medical treatment. She states one person she knew was denied health insurance because she was morbidly obese. (I hate that phrase with a passion) How is that not discrimination? How is telling employees that if you are over a certain body weight, you will have to pay more for your health coverage not discrimination and for that fact, legal? But places are doing it all over the country. My company almost went there.

We lump every large person into one category. FAT, LAZY, and UNRELIABLE. We are treated like liars all the time. (Yes, secretly I go home after work and stuff my face with ice cream and cake… and even if I did, what business is that of yours?) Doctors accuse of lying all the time. In my own experience, I was accused of gorging myself by my two doctors when I put on 17 pounds in 6 weeks. They were sure it was what I was eating. On my own, I stopped a medication I was put on and almost overnight, the weight disappeared. But neither would listen to me and I sat sobbing in their offices telling them how awful I felt since going on the medication. The medication also caused dyspnea, but they didn’t seem concerned and again said it was because I was fat. I did not have shortness of breath before or after. It was humiliating and hurtful and neither of them said anything afterwards when I proved it was the medication.

In this culture, large people are the remaining targets of the worse discrimination out there. We are outrage if someone is discriminated for color or race. They just sanctioned a baseball player for making slant eyes at an Asian pitcher. Bet if he called someone fat nothing would happen.

I can only speak for how this makes me feel. I see people’s expressions. I hear their words of disapproval, and I feel the ostracization all the time. I hear all the girls at work constantly talking about their suffering when it comes to dieting and they wear it like a badge of honor. “OH, I can’t eat that” or “I would love a cookie, but no…”

But this pisses me off more than anything: I eat my lunch at my desk while I am working. And I do this because I do not want to stop working, but more because I do not want to be judged. I eat the same thing every day. I have a bag of chopped veggies, an English muffin with mayo and 2 slices of “just turkey” (has no chemicals in it). I leave the veggies out to munch on. Just last week, someone came to my desk and had the gall to say, “OH my, what a healthy lunch.”  I said, “Yes, surprise! Fat people eat better than most. Why are you shocked?”  Oh did she do a back pedal. This is not the first time either. I actually have had people just come into my old office cubby when I was eating a salad and start lecturing me on diets.

The image I used for this post is what as me all riled up. “Fat ballerina.” This is inexcusable. Dress up like a fat person and make fun of them all night. Yes indeedy. Be the star of your party by humiliating people who often have no choice of their situation or health. Next we should make a costume to mock developmentally disabled folks and call it “Retard.” Or how about a costume that makes you look like you have a prosthesis and we can call that one “Gimp”?  Think I am going over board? Try walking around in a real fat suit and see how it feels.

 

Insurance Assurance

When you get to a certain age, you have to think insurance in a whole new light. Insurance can mean your health insurance, it can mean life insurance but mostly it means being assured that the next part of your life being what it should. My biggest fear is to die before I can reap the bounty of my years of work.

I started when I was 11 years old working summers, every weekend and even some school nights taking care of other people’s children. I was in high demand and was told by my parents that I will work. By the time I was 15, I worked in a department store on a work permit. I was still in school but weekends and summers were not mine. Then like people of my generation, you worked, went to college or went into the military. I went to college and worked. I continued that pattern for most of my adult life.

Now I am reaching a time that I will not have to work. I planned, scrimped and saved, and bought insurance in the form of an annuity and pensions. It feels like climbing a mountain and getting to the top and saying “Now what?”

If you do not know, the slope is very slippery. When you turn 65, you have to apply for Medicare. You don’t have to take it if you have some other form of insurance, but you paid for it all your working years. Why not take it?  My biggest advice is to find an insurance broker and work with them. It is the most confusing mess I have ever seen. One part D covers this but not that. You need a supplemental if you have these kinds of problems. And eye care and dental coverage varies greatly. Working with an independent broker is great because they will take all your information and calculate what is best for you for free. Then once you decide based on their information, they will sign you up. Our broker will call us  to come in and redo this so annually we will have the best coverage for the price. For my husband, she eliminated a premium and lowered co pays but found better drug coverage.

My next step is to find an honest financial planner. This has been a quest for me for four years. It is not like we have a ton of money, but what I have I want safe. I had originally invested some money in the stock market. We found this person who at first seemed great. He charged a flat fee and was going to help us plan our retirement. He took the money, invested it and it lost a ton. I was devastated. He offered no help, did not come true to our planning process and we basically were screwed. I waited it out until the money we lost came back and we were at our original amount and pulled it out. Of course now, the market is through the roof. But I could not take the fear of losing everything.

Financial planning is important because too much money and you are screwed, not enough and it’s even worse. Our biggest issues is we both have high drug costs. Currently we cannot subscribe to any of the help out there because we make too much. If we were only $1.00 over, we would still be out of luck. Epic is a drug plan for people with high drugs costs but only for New York State. So we have to wait until I have a lower income to be able to get that help. We have to plan what pensions and other income we take in so we can get this support. Seems counter intuitive but that’s the game.

Here is another guessing game: when to retire. It is all a gamble. Say you wait until you are 66 to retire to get your full benefit. But you die when you are 76. So you only collect your Social Security for ten years and all of those dollars go back to the state. But if you look at the fact that if you take the lesser monthly benefit at an early age, you will get it for a longer period of time and it evens out. Losing $200.00 a month may seem drastic right now, and that is what they want you to think. But if you wait and die sooner, you lose that money.

Here is something else people do not realize. This is real life experience. My mother-in-law was placed in a nursing home. She was private pay. You would think she would have had the best of everything. That was not at all true. She was side by side with all the people who were on Medicaid. They got exactly the same care or lack of care that she got. Difference was that the State was paying their way and we were paying for my MIL. All that money they saved went to the nursing home. This really pisses me off because my step daughter also plays this game. She works just enough and no more so she can stay on Medicaid. She has better health coverage than we do. What a scam. But that is a whole other topic.

When we saw an Estate planner, he told us that nursing homes were the biggest rip off. He told us that all funds at a certain point in your life should be protected by trusts and other forms of protection. He said that money can be put aside and protected if you wanted to pass it on and not give it to a nursing home. An Estate planner is essential to protect any assets you may have from being taken by the government. It is also necessary so that what you want in your death is carried on. It gives great peace of mind to have that all in place.

I know that in a year and a half I will stop working full time. There is no doubt about it. I will probably find a part time at home job just to keep busy. It will be a test of time to see if we planned well enough to enjoy what years we have without all the bull and still have a comfortable life. I know too many people who thought they could make it on what they had and had a rude awakening. Trying to find a job at 65 is not easy at all. I hope this information is helpful.

Harassment

This idea for this post came from my Doc friend’s blog. She was talking about harassment and where does the line get drawn. She had a patient who was making passes at her staff in jest, but it was still annoying. Of course it was annoying. It was harassment. And as I wrote back to her, harassment is determined by the person who is receiving it, not the person who is inflicting it. It has nothing to do with the intent. It is all about how something is received.

I also went on to say that for someone who has a traumatic childhood, or was a victim of sexual abuse or other violent acts, the response to someone’s intent to be funny has just the opposite effect. It can cause a major trigger that can put someone into a tailspin for days and weeks. They may not even know what they are reacting to. It could be a word or even the tone of the harasser.

Harassment can come in many forms. Often people think they are doing a good thing. But someone who constantly harasses someone from the concept of improving the person is totally misguided. What makes that person think they have that right? What makes them so superior to be able to comment?

As I thought about this all week, it hit me that parents come from a point of improving their child but when does it become harassment? Isn’t improving a child the role of a parent? Is there a point when the parent should stop trying to improve their child?

What about a spouse or your partner? Is it ok to harass them into doing something, especially when it affects your family or home? It probably is not ok, but it is hard not to do. I speak from experience.

My husband’s 28 year old daughter will not learn to drive. This makes me crazy. She is terrified, she says. She finally got her permit and then took one lesson. This took three years to accomplish. She said the lesson went ok. But she has made no attempt to continue.  Instead, she relies on her father to tote her around like Miss Daisy. I think he enjoys her dependency on him. Did I say this drives me nuts?

I am skilled in motivation interviewing. I teach it matter of fact. I know in my heart that I am not going to move either one of them on this topic, so I resort to harassment- truth be told. My intent to get his daughter to drive is based on the best interests for her. I want her to be independent and not have to rely on US for the rest of her life. We won’t be there. She has no other family and she has no friends. Her mother passed away at the age of 52. She instilled this irrational fear to drive in her daughter as the mother never drove.

The real reason the daughter won’t drive is because then she will be expected to do something with her life. That ain’t happening either. I know this probably irks me more than anything. What a waste.

Does harassing them help? Absolutely not. It only escalates my anger and frustration more. Can I walk away from it? NO. It slaps me in the face every time she calls her father for a favor. There was over twelve years when his daughter was out in California with her mother that she never called or spoke to her father. It hurt him to the core. But when the mother died, it was; “Oh, Daddy.” He can’t see it or chooses not to.

The bottom line is it still harassment, even with the good intent. I know in my heart I want her to have a life and not rot away like her mother did. I am sad that she is wasting her life. She has all the capabilities to do whatever she wants, but she chooses the easy way out. I have no right to her life. But boy, it is hard to keep my mouth shut. I am so helpless on this because she is not even my kid.

The bottom line is harassment is a person attempt to control. It is coming at someone from the viewpoint of superiority, or desiring some effect of change. I lived with harassment my whole life. Although it was sometimes masked in humor, it was my family’s way to control and inflict. Years of harassment left me sensitive to being criticized in any manner.

We cannot change people. We can influence them, we can teach, we can support. But it is impossible to change someone who does not want to. But damn, its hard not to do.

 

“You’re too sensitive.” “I meant this is a good way.” And my favorite: Don’t take this personally.” Everyone time someone says those things; I know it is going to be a dagger in my soul. I am too sensitive. I will take it badly. And I most definitely will take it personally. Because that is the honest intent. Prefacing statements with “honestly” or to “tell the truth” does not excuse the fact that you are about to be mean. “It’s for your own good” never really is. It’s about you feeling superior to me.

Being an empath is not a pleasure. I see right through most people’s crap in a heartbeat. It does not mean that I can shield myself from the hurt. I never learned that part of survival. Because of that, I am very vulnerable to insults, even if they are shrouded in good intentions. They never really are good intentions.

When you are a large woman, you are a walking target for these kinds of insults. People feel so justified to say, “You would be so pretty if…..” “or you have a beautiful face….” People tell you how much better your life would be if only you could be more like them with statements like: “you should run with me some morning.” Oh Honey, if you really knew me, you would know I can hardly walk some mornings due to psoriatic arthritis. But you don’t really see me, so thanks but no thanks.

These comments do more than just hurt me. They trigger me. My family never lacked in cruel comments. It was a sport to see how clever someone could insult another. I was an enigma in the sense I was the only woman in my family who was large. I mean I am the tallest by 5 to 7 inches, I wore a much larger size (my Mom was a zero to 3) and I had boobs. I spent my childhood listening to “how much better I would be if I only…” This is emotional abuse by the way. I was deprived of treats, often subjected to ridiculous diets like green beans and Jello and constantly harangued about my shape.

[And this is how just writing about my childhood trigger me to justify it. I realized this when I went back to reread what I wrote:] My mom was in charge of the food in the house and meals were excessively high in carbs and fat. There was always soda and cookies available because the other siblings could gorge on them. They were thin. I was an extremely active child and teen often spending the day swimming or riding a bike for miles. I was not allowed to sit around and watch TV or even read. As a younger woman, I was very active. I only slowed down because of the PsA and if I did not have it, I would still be playing tennis and other activities as much as I could.

My family’s constant barrage of self-improvement comments were actually telling me how I failed. There was little said to counter the demeaning of the words. It successfully made me feel like a failure and that was the intent. I know this now, but it scarred me. So now when people make their veiled comments, I hear the disappointment in my mother and father and it brings me back to that time. When you have PTSD, it does not take much to trigger you.

When you grow up with a sense of failure, you have two choices: over achieve or lie down and whither. I overachieved. My success had not dampened the hurt I feel when someone is critical. I am so sensitive, that a look can set me off. I feel people’s disdain of me even if they think they are hiding it. I read people very clearly. It does not matter who or what the relationship. It does not matter if I love or hate the person. Their intent comes beaming through.

Next time you go to make a comment, try to remember that a large person already knows they are large. Chances are they have spent a lifetime trying to meet other’s expectations and have failed. They may not be strong, and your words will haunt them for days. You have no right to demean someone ever. If you think you are helping them, you are not. Get off your white horse and stop being so pompous. Learn that “right reflexing” (the attempt to take charge of someone else’s change process) does not motivate anyone to change. Understand your motive before you speak. Send love, not hurt.