Category Archives: Persistence

10 “P-Words” That Will Help Your Career Even in the Presence of Parkinson’s

“Enjoy the journey, enjoy every moment, and quit worrying about Winning and losing.” Matt Biondi

“Enjoy the journey as much as the destination.”  Marshall Sylver

Introduction:  It has been a month since my last blog post.  Trips to Arizona, California, Alabama, and Florida consumed much of the month.  I spent time with relatives, dear old friends, and played many rounds of golf.  The spring semester was most enjoyable but also it was quite consumptive.  Life-changes.  And I just needed a short break.

10 “P-Words” That Will Help Your Career:  I found a piece of paper recently that had a bunch of hand-written words that started with the letter “P”.  These words were all focused in the mindset of how to achieve/sustain success in the world of medical academics/research in a university setting.  Use these P-words while you advance/survive/navigate/succeed through your career.

At various times during your career, some words may take precedence depending on the situation.  However, if you consider the words in the form of a melody, they will all significantly contribute to the symphony of your work-life.  There is no doubt there are many other words we could cite that help you navigate work, that allow you to succeed in your career.  My list is just a start or an attempt to help you focus your energies with the goal of advancement and happiness in your work world. May this list help you focus and achieve further in your professional career.

  1. Passionate (Capable of, having, or dominated by powerful emotions):
    “There is no greater thing you can do with your life and your work than follow your passions – in a way that serves the world and you.” Richard Branson
  2. Patient (Tolerant; understanding):
    “Never cut a tree down in the wintertime. Never make a negative decision in the low time. Never make your most important decisions when you are in your worst moods. Wait. Be patient. The storm will pass. The spring will come.”  Robert H. Schuller
  3. Perseverance (Continued steady belief or efforts, withstanding discouragement or difficulty):
    “Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.”  Thomas A. Edison
  4. Persistent (Continuance of an effect after the cause is removed):
    “You just can’t beat the person who never gives up.” Babe Ruth
  5. Positivity (Characterized by or displaying certainty, acceptance, or affirmation):
    “There is little difference in people, but that little difference makes a big difference. The little difference is attitude. The big difference is whether it is positive or negative.”  W. Clement Stone
  6. Power (The ability or capacity to act or do something effectively):
    “You must try to make the most of all that comes but also don’t forget to learn a lot of all that goes.” William C. Brown
  7. Prepared (To make ready beforehand for a specific purpose):
    “The best preparation for good work tomorrow is to do good work today.” Elbert Hubbard
  8. Principled(s) (Based on, marked by, or manifesting principle):
    “I wish I had been wiser. I wish I had been more effective, I wish I’d been more unifying, I wish I’d been more principled.” Bill Ayers
  9. Productive (Effective in achieving specified results):
    “Start by doing what’s necessary; then do what’s possible; and suddenly you are doing the impossible.”  Francis of Assisi
  10. Purposeful (Determined; resolute):
    “All life is a purposeful struggle, and your only choice is the choice of a goal.”  Ayn Rand

The 10 “P-Words” Could Assist the Journey (definitions from the Free Dictionary): You may have a different definition for these words and you may know of better quotes given for each word. Good!  The balance, guidance and focus of each word as they are applied to work is what matters.

I remember reading in 1989 “The 7 Habits of Highly Effective People” by Stephen R. Covey, and found it useful.  But in hindsight, my mind functions in a simpler more scientific manner, words work better to focus my mind than did chapters and detailed stories.  Covey has sold more than 25 million copies of his book; clearly his description his ability to provide a powerful narrative was most successful – I did learn a lot from his book.  However, this list of words simply spells out a way to help coordinate the complexity of a career.

The 10 “P-Words” Work in the Presence of Parkinson’s:  I have had Parkinson’s for the past 5-6 years, and I am still working full-time.  No doubt Parkinson’s affects each person differently; it allows some to continue to work and others must stop.   Some of the effects of Parkinson’s on my work: I type slower than I used to, stiffness takes over if I sit too long, and at times I lose my focus.  I remain hopeful that even under the influence of Parkinson’s I can stay focused on education and science until its time.  There are many great things influencing my life and work.   I want to be in the driver’s seat to get to that point when I can say “I’ve done enough!”. Simply put, I refuse to surrender to Parkinson’s. If you are still working, I’m happy for you.  Probably for those of us with Parkinson’s, the key P-words are to stay positive, remain patient, always persevere, and never lose your passion.

“When you are a young person, you are like a young creek, and you meet many rocks, many obstacles and difficulties on your way. You hurry to get past these obstacles and get to the ocean. But as the creek moves down through the fields, it becomes larges and calmer and it can enjoy the reflection of the sky. It’s wonderful. You will arrive at the sea anyway so enjoy the journey. Enjoy the sunshine, the sunset, the moon, the birds, the trees, and the many beauties along the way. Taste every moment of your daily life.”  Nhat Hanh

Cover photo credit: https://plus.google.com/108408866746991947808\s

 

“Go the Distance” With MAO-B Inhibitors: Potential Long-term Benefits in Parkinson’s

“Life is 10 percent what you make it, and 90 percent how you take it.” Irving Berlin

“My attitude is that if you push me towards something that you think is a weakness, then I will turn that perceived weakness into a strength.” Michael Jordan

Précis:  (1) A brief review of the major classes of therapeutic compounds for treating Parkinson’s. (2) Defining clinical trials.  (3) Hauser et al.(Journal of Parkinson’s Disease vol. 7, no. 1, pp. 117-127, 2017) report that Parkinson’s patients who received an MAO-B inhibitor for a long period of time had statistically significant slower decline in their symptoms compared to patients not on an MAO-B inhibitor (click here to see paper). (4) Addendum: “New Kid In Town”, The FDA approves another MAO-B inhibitor named Xadago (safinamide). 

Pharmacological treatment of Parkinson’s [Please note that these views and opinions expressed here are my own. Content presented here is not meant as medical advice. Definitely consult with your physician before taking any type of drug.]: The management of Parkinson’s is broadly divided up into motor and non-motor therapy.  A brief description of the therapy for motor dysfunction will be presented here.  Please see the drawing below for an overview.   Within the framework of treating someone with Parkinson’s you must consider managing their symptoms with the hope that some compound might possess either  neuroprotective or neurorestorative actions. To date, we do not have a cure for Parkinson’s but the study described below suggests an existing compound may be neuroprotective when used for a long  time.

17.03.20b.PD_Drugs_Interactions

“Things turn out best for the people who make the best of the way things turn out.” John Wooden

Medical management of the motor-related symptoms of Parkinson’s:

Levodopa, together with carbidopa, is the ‘gold standard’ of treatment of motor signs and symptoms. Carbidopa is  a peripheral decarboxylase inhibitor (PDI), which provides for an increased uptake of levodopa in the central nervous system. As shown above, levodopa (denoted as L-DOPA) is converted to dopamine by the dopaminergic neurons. Levodopa is still the most effective drug for managing Parkinson’s motor signs and symptoms. Over time, levodopa use is associated with issues of “wearing-off” (motor fluctuation) and dyskinesia.  For further information about levodopa and dopamine, please see this previously posted topic (click here).

Catechol-O-methyl transferase (COMT) inhibitors prolong the half-life of levodopa by blocking its metabolism. COMT inhibitors are used primarily to help with the problem of the ‘wearing-off’ phenomenon associated with levodopa.

Dopamine agonists are ‘mimics’ of dopamine that pass through the blood brain barrier to interact with target dopamine receptors. Dopamine agonists provide symptomatic benefit and delay the development of dyskinesia compared to levodopa.  Dopamine agonists are not without their own side-effects, which can occur in some patients, and include sudden-onset sleep, hallucinations, edema, and impulse  behavior disorders.  For more information about dopamine agonists,  please see this previously posted (click here).

Finally, monoamine oxidase (MAO)-B is an enzyme that destroys dopamine; thus, MAO-B inhibitors help prevent the destruction of dopamine in the brain. MAO-B inhibitors have some ability to reduce the symptoms of Parkinson’s. The most common severe side effects of MAO-B inhibitors include constipation, nausea, lightheadedness, confusion, and hallucinations.  There may also be contraindications between MAO-B inhibitors with other prescription medications,  vitamins, and certain foods/drinks (e.g., aged cheese and wine). Definitely talk to your doctor and pharmacist about potential drug interactions if you are considering an MAO-B inhibitor in your therapeutic regimen.

“You should just do the right thing.” Dean Smith

What are clinical trials? The simple description is that a clinical trial determines if a new test or treatment works and is safe. The National Institutes of Health (NIH) defines a clinical trial (paraphrased here) as a research study where human subjects are prospectively assigned1 to one or more interventions2 (which may include placebo or other control) to evaluate the effects of those interventions on health-related biomedical or behavioral outcomes.[1The term “prospectively assigned” refers to a predefined process (e.g., randomization) in an approved protocol that stipulates the assignment of research subjects (individually or in clusters) to one or more arms (e.g., intervention, placebo, or other control) of a clinical trial.2An intervention is defined as a manipulation of the subject or subject’s environment for the purpose of modifying one or more health-related biomedical or behavioral processes and/or endpoints.  3Health-related biomedical or behavioral outcome is defined as the prespecified goal(s) or condition(s) that reflect the effect of one or more interventions on human subjects’ biomedical or behavioral status or quality of life.]  For the complete NIH definition, please click here.

As described by ‘ClinicalTrials.gov’, clinical trials are performed in phases; each phase attempts to answer a separate research question. Phase I: Researchers test a new drug or treatment in a small group of people for the first time to evaluate its safety, determine a safe dosage range, and identify side effects. Phase II: The drug or treatment is given to a larger group of people to see if it is effective and to further evaluate its safety.Phase III:  The drug or treatment is given to large groups of people to confirm its effectiveness, monitor side effects, compare it to commonly used treatments, and collect information that will allow the drug or treatment to be used safely. Phase IV: Studies are done after the drug or treatment has been marketed to gather information on the drug’s effect in various populations and any side effects associated with long-term use. A more complete description is included here (click here).

What is important to remember is that clinical trials are experiments with unknown outcomes that must follow a rigorous approach to safely evaluate and possibly validate potential treatments.

“Nothing has ever been accomplished in any walk of life without enthusiasm, without motivation, and without perseverance.” Jim Valvano

NET-PD-LS1 clinical trial went bust on creatine use in treating Parkinson’s: The NET-PD-LS1 clinical trial went from March 2007 until July 2013. NET-PD-LS1 was a multicenter, double blind, placebo-controlled trial of 1741 people with early Parkinson’s. The goal of NET-PD-LS1 was to determine if creatine could slow long-term clinical progression of Parkinson’s (to learn more about this clinical trial go here or go here) . NET-PD-LS1 was one of the largest and longest clinical trials  on Parkinson’s . This clinical trial was stopped after determining there was no benefit to using creatine to treat Parkinson’s.

“It’s what you learn after you know it all that counts.” John Wooden

NET-PD-LS1 clinical trial gets a ‘gold star’ for MAO-B inhibitors in treating Parkinson’s: NET-PD-LS1 was  a thorough and well organized clinical trial.  New results have been published in a secondary analysis of the clinical trial to determine if MAO-B inhibitors for an extended time affected the symptoms of Parkinson’s. Almost half (784) of the patients in NET-PD-LS1 took an MAO-B inhibitor. The MAO-B inhibitors used in NET-PD-LS1 were Rasagiline (Brand name Azilect) and Selegiline (Brand names Eldepryl, Zelapar, or EMSAM).  More than 1600 of the patient’s completed both baseline and one year evaluation/assessment measuring changes in their symptoms (this was done using a combination of five different measurement scales/systems).  Their results were exciting; the patients that were taking an MAO-B inhibitor for a longer time (1 year) had a slower clinical decline (~20% benefit in the magnitude of the decline compared to the patients not taking an MAO-B inhibitor).  These results indicate that MAO-B inhibitors  somehow are able to slow the progression of the symptoms of Parkinson’s.

“Always look at what you have left. Never look at what you have lost.” Robert H. Schuller

Does this prove that MAO-B inhibitors are neuroprotective in Parkinson’s?   The hopeful person inside of me  wants this answer to be yes; however, the scientist that also resides inside of me says no not quite yet.  The goal of neuroprotection is to slow or block or reverse progression of Parkinson’s; and by measuring changes in dopamine-producing neurons.  Early basic science results with MAO-B inhibitors found some neuroprotection in model systems. This new publication reignites the storyline that MAO-B inhibitors are potentially neuroprotective.

“Efforts and courage are not enough without purpose and direction.” John F. Kennedy

A personal reflection about the strategy for treatment of Parkinson’s: MAO-B inhibitors have never been part of my strategy for treating my disorder. I have been using a traditional drug therapy  protocol [Sinemet and Ropinirole] (click here),  supplemented by a  relatively comprehensive CAM approach (click here), bolstered hopefully by a neuroprotective (experimental) agent [Isradipine] (click here), and fortified with as much exercise in my day that my life can handle (click here).  However, there is a constant and dynamic flux/flow of ideas regarding treatment options for Parkinson’s. Thus,  my strategy for treating my disorder needs to be fluid and not fixed in stone. Over the next few weeks, I will be reading more about MAO-B inhibitors, having some serious conversations with my Neurologist and Internist,  with my care partner assessing the risk and benefits of taking an MAO-B inhibitor, and coming up with a consensus team opinion about whether or not I should start taking an MAO-B inhibitor.

Addendum- FDA Approves Xadago for Parkinson’s Disease:
As the Eagles sing in New Kid In Town, “There’s talk on the street; it sounds so familiar / Great expectations, everybody’s watching you”. The first new drug in a decade to treat Parkinson’s is an MAO-B inhibitor named Xadago (Safinamide).  This drug has an interesting past with the FDA before getting approved this week. Is it different? Xadago is for patients using levodopa/carbidopa that are experiencing troublesome “off episodes”, where their symptoms return despite taking their medication. Thus, Xadago is being marketed as an add-on therapy, which is different than existing MAO-B inhibitors because they can be used as stand alone monotherapy. In two separate clinical trials for safety and efficacy of Xadago, compared to patients taking placebo, those taking Xadago showed more “on” time and less “off” time. Interestingly, this is exactly what you’d expect for an MAO-B inhibitor  (sustaining dopamine, see drawing above).  The most common adverse side-effects reported were uncontrolled involuntary movement (side-note: isn’t this what we’re trying to prevent in the first place?), falls, nausea, and insomnia. Clearly, taking Xadago with another MAO-B inhibitor would not be good. Xadago joins a list of other MAO-B inhibitors that are FDA approved for Parkinson’s including Selegiline (Eldepryl, Zelapar, EMSAM) and Rasagiline (Azilect). Whether the efficacy of Xadago is different or improved from existing MAO-B inhibitors remains to be shown; however, having another MAO-B inhibitor may allow Parkinson’s patients the possibility to use the one with the least adverse reactions.  Clearly, close consultation with your Neurologist will be very important before adding any MAO-B inhibitor to your daily arsenal of drugs.  The good news is now you’ve got another option to join the stable of possible MAO-B inhibitors to be used with levodopa/carbidopa.

For the background/rationale behind using “Go the distance” in the title, watch this video clip: Field of Dreams (3/9) Movie CLIP – Go the Distance (1989) HD by Movieclips  (click here to watch Go the Distance).

“Only the mediocre are always at their best. If your standards are low, it is easy to meet those standards every single day, every single year. But if your standard is to be the best, there will be days when you fall short of that goal. It is okay to not win every game. The only problem would be if you allow a loss or a failure to change your standards. Keep your standards intact, keep the bar set high, and continue to try your very best every day to meet those standards. If you do that, you can always be proud of the work that you do.” Mike Krzyzewski

Cover photo image: https://img1.10bestmedia.com/Images/Photos/304499/Pier-orange-sky-compressed_54_990x660.jpg

Dopamine neurons for the drawing wermodified from http://www.utsa.edu/today/images/graphics/dopamine.jpg

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200 Years Ago James Parkinson published “An Essay On The Shaking Palsy”

“I have a form of Parkinson’s disease, which I don’t like. My legs don’t move when my brain tells them to. It’s very frustrating.” George H.W. Bush

“I discovered that I was part of a Parkinson’s community with similar experiences and similar questions that I’d been dealing with alone.” Michael J. Fox

Summary: Two hundred years ago in 1817, Dr. James Parkinson published “An Essay On The Shaking Palsy”, which was the first medical document to fully describe Parkinson’s disease  (please click here to read a full-length version of Parkinson’s essay). A short synopsis of the essay and his life are included here.

James Parkinson and his essay from 1817

Who was James Parkinson?   I’ve read several review articles about Dr. Parkinson,  and it is clear to me he was a very intelligent, passionate and compassionate person: “James Parkinson (1755–1824) worked as a general practitioner in the semi-urban hamlet of Hoxton, north east of the City of London, where he had been born, and where he lived all his life. The historian Roy Porter considered Parkinson a man ‘with impeccably enlightened credentials,’ a doctor with a highly developed empiricist bent, committed to observation and recording of the human and natural worlds, and faithful to social and political ideals including widening of the franchise and improvements in the material conditions of the majority of people. In addition to his daily work in general practice, James Parkinson was a public health reformer, an advocate of infection control in London workhouses, a medical attendant to a Hoxton madhouse, a writer of political pamphlets and children’s stories, a geologist and fossilist, and the author of a textbook of chemistry.” ( click here to read the full citation)

Review about Dr. Parkinson: (click here to read article), Morris, AD (April 1955). “James Parkinson, born April 11, 1755”. Lancet. 268 (6867): 761–3. PMID 14368866.

Title page to the essay: (click here for a nice historical perspective of Parkinson’s disease). Publication: Parkinson J. 1817. An essay on the shaking palsy. Whittingham and Rowland for Sherwood, Needly and Jones, London. .

Parkinson.paper

The Essay: Much has been written about the essay composed by Dr. Parkinson. Simply stated it is remarkably accurate in its depiction of Parkinson’s disease, which he called shaking palsy.   My goal in this post is not to exhaustively review his essay;  however, after reading this overview I hope you decide to read the essay. (Click here to read a full-length version of Parkinson’s essay).

 Definition of a new disease:  Dr. Parkinson described it as a disease that had an “Involuntary tremulous motion, with lessened muscular power, in parts not in action and even when supported; with a propensity to bend the trunk forwards, and to pass from a walking to a running pace: the senses and intellects being uninjured.”   We know today that there are both motor and non-motor issues involved with Parkinson’s.

Knowledge that the patients were suffering:  Dr. Parkinson was most aware of what these patients were going through “the unhappy sufferer has considered it as an evil, from the domination of which he had no prospect of escape.”

Detailed and exacting description of the patients:  One of the more  interesting features about the essay is the detailed description of the six patients Dr. Parkinson observed: “So slight and nearly imperceptible are the first inroads of this malady, and so extremely slow its progress, that it rarely happens, that the patient can form any recollection of the precise period of its commencement. The first symptoms are a slight sense of weakness, with a proneness to trembling in some particular part; sometimes in the head, but most commonly in one of the hands and arms.” And here as well, “But as the malady proceeds, even this temporary mitigation of suffering from the agitation of the limbs is denied. The propensity to lean forward becomes invincible, and the patient is thereby forced to step on the toes and fore part of the feet, whilst the upper part of the body is thrown so far forward as to render it difficult to avoid falling on the face. In some cases, when this state of the malady is attained, the patient can no longer exercise himself by walking in his usual manner, but is thrown on the toes and forepart of the feet; being, at the same time, irresistibly impelled to take much quicker and shorter steps, and thereby to adopt unwillingly a running pace. In some cases it is found necessary entirely to substitute running for walking; since otherwise the patient, on proceeding only a very few paces, would inevitably fall.”  Dr. Parkinson also noted there was a sleeping disorder component, “In this stage, the sleep becomes much disturbed. The tremulous motion of the limbs occur during sleep, and augment until they awaken the patient, and frequently with much agitation and alarm.”

Hope for a cure: After describing the six patients in his essay, Dr. Parkinson postulated whether or not there was going to be a cure for this new disease? “On the contrary, there appears to be sufficient reason for hoping that some remedial process may ere long be discovered, by which, at least, the progress of the disease may be stopped. It seldom happens that the agitation extends beyond the arms within the first two years; which period, therefore, if we were disposed to divide the disease into stages, might be said to comprise the first stage. In this period, it is very probable, that remedial means might be employed with success: and even, if unfortunately deferred to a later period, they might then arrest the farther progress of the disease, although the removing of the effects already produced, might be hardly to be expected.”   We’ve come a long way in two hundred years in our understanding of this disease; however, we’ve yet to cure Parkinson’s.

A new disease:  Dr. Parkinson was convinced he had described a new disease. As neurology evolved over the next several decades, others read the essay and agreed. Dr. Jean-Martin Charcot  (the acknowledged father of modern neurology) suggested that Dr. Parkinson’s name be linked to the disease he had so accurately described; thus, “maladie de Parkinson” (Parkinson’s disease).  For an additional summary on Parkinson’s disease, and the man behind the discovery please click here

Closing thoughts about Dr. Parkinson: Clearly, Dr. Parkinson was a most talented individual; he was driven to be a good physician and to be an observant scientist.  With  this attention to detail, he was the first to really accurately describe this disease. And  if that wasn’t enough, Dr. Parkinson had a fossil named after him  because  of his interest in geology and paleontology if you’re interested in additional aspects of his life please click and read this paper. I  encourage you to look through any of the papers cited here; you will gain tremendous respect for Dr. James Parkinson.

 To conclude, here are three quotes about Parkinson’s disease:
“realized while I was announcing myself to the group that I was conceding something profound: that the diagnosis marked an irreversible change in my identity, the moment that one version of me ended and another version” Jon Palfreman (Brain Storms: The Race to Unlock the Mysteries of Parkinson’s Disease)
•The next time you are imagining the worst, look up the definition of imagination.” Robert Lyman Baittie (Tremors in the Universe: A Personal Journey of Discovery with Parkinson’s Disease and Spirituality)
•”Without the quest, there can be no epiphany.” Constantine E. Scaros (Reflections on a Simple Twist of Fate: Literature, Art and Parkinson’s Disease)

 

Cover photo credit: https://s-media-cache-ak0.pinimg.com/originals/55/3d/2c/553d2ccd51dd6610cfa91939c4905b96.jpg

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Believe in Life in the Presence of Parkinson’s

“Life is not only merriment, it is desire and determination.” Kahlil Gibran

“Nothing will work unless you do.” Maya Angelou

Dedication: I recently participated in a Parkinson Wellness Recovery (PWR!) Instructor Workshop in Greenville, SC (July 30-31, 2016); now I am certified in PWR!Moves.  This post is dedicated to the workshop instructor Jennifer Bazan-Wigle; and to my classmates, all of the personal trainers interested in working with Parkinson’s disease patients.  Jennifer was simply a great instructor, with a real understanding of Parkinson’s and a true ability to ‘teach’.  The personal trainers who participated were very dedicated in their effort to master PWR!Moves and their willingness to instruct me during the weekend workshop made for a memorable experience.  And not to forget Steve Miller, a PWR!Moves instructor, who also helped teach; you were the inspiration that led me to apply for this workshop. To everyone certified in PWR!Moves and to those involved in my PWR!Moves workshop, thank you, thank you so very much.

PWR! Logo

“There are no shortcuts to any place worth going.” Beverly Sills

Introduction: Coach Lou Holtz said “Ability is what you’re capable of doing. Motivation determines what you do. Attitude determines how well you do it.”  This got me thinking about ability, motivation and attitude but especially how vital both motivation and attitude are for living successfully with Parkinson’s.

Believe in Life in the Presence of Parkinson’s:
I’m a healthy person that happens to have Parkinson’s; this is what I believe:
I believe daily exercise enhances my life in the presence of Parkinson’s.
I believe people-with-Parkinson’s can become healthier with exercise.
I believe sustained exercise can promote neuroplasticity to re-wire my neural network.
I believe I have the ability to do the repetitions to re-train my brain.
I believe staying positive will help control the course of my Parkinson’s.
I believe having courage will provide mettle in the battle against my disorder.
I believe being persistent allows me to restrain my Parkinson’s.
I believe motivation begins from within, and there can be no backing down to this disease.
I believe if I don’t give up I can slow the progression of my disorder.
I believe if you pity me it feeds the hunger of my Parkinson’s.
I believe if you join my team, you can help me stall this slowly evolving disorder.
I believe attitude is the fuel to sustain the effort to combat Parkinson’s.
I believe in science that new therapies/strategies against Parkinson’s are on the horizon.
I believe exercise with ability, motivation and attitude will work to my advantage each day.
I believe that each new day renews my chance of slowing the beast named Parkinson’s.
My daily mantra is to never give up; I refuse to surrender to Parkinson’s.

“Keep your thoughts positive because your thoughts become your words. Keep your words positive because your words become your behavior. Keep your behavior positive because your behavior becomes your habits. Keep your habits positive because your habits become your values. Keep your values positive because your values become your destiny.” Mahatma Gandhi

Cover photo credit: https://c7.staticflickr.com/9/8615/16157237102_f15e505c19_b.jpg

 

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9 Life Lessons from 2016 Commencement Speeches

“There is no script. Live your life. Soak it all in.” Dick Costolo, University of Michigan in 2013

“I encourage you to live with life. Be courageous, adventurous. Give us a tomorrow, more than we deserve.” Maya Angelou, University of California Riverside in 1977

Introduction: Each spring  semester, University systems have  graduation ceremonies along with commencement speakers to give advice about life ahead for our graduating students. We can all use such life lessons as a guidepost for what to do or what to expect with our lives. For some of you, these ‘pearls of wisdom’ may serve as as a reminder to what you’ve already (possibly/probably) experienced. There are three parts to this post: Part 1 gives some notable advice from various 2016 Commencement speeches; Part 2 is using this advice living in the presence of Parkinson’s; and Part 3 is a reflection on two graduation ceremonies I attended.

Part 1: 9 Life Lessons from 2016 Commencement Speeches Presented as a Chart (please click here to view/download a full-size version: 16.06.01.Graduation Life Lessons).
16.06.01.Graduation Life Lessons

Part 2: Using the 9 Life Lessons Living with Parkinson’s.

  1. Resilience and Persistence. “When the challenges come, I hope you remember that anchored deep within you is the ability to learn and grow. You are not born with a fixed amount of resilience. Like a muscle, you can build it up, draw on it when you need it. In that process you will figure out who you really are — and you just might become the very best version of yourself.Sheryl Sandberg (COO Facebook), University of California at Berkeley
    A thriving daily life with Parkinson’s requires both resilience and persistence to resist its constant negative forces. Life (at times) can be a challenge, but challenges can be met with steadfastness/determination from a resilient and persistent attitude.

  2. Mindfulness. “In those moments when you’re doing something that could be life-changing, whether it’s in space, or in your career, you need to constantly remind yourselves that there is nothing more important than what you’re doing right now.Scott Kelly  (retired NASA astronaut), University of Houston
    Losing sleep over what happened with your disorder yesterday is no doubt difficult; but it’s better to dwell in the present moment and neither fret over yesterday nor dread about what may come tomorrow. You control the current moment, please practice mindfulness.
  3. Embrace The Unexpected. Don’t be so focused in your plans that you are unwilling to consider the unexpected.Senator Elizabeth Warren, Bridgewater State University
    Consider your disorder, you must be able to embrace this unexpected turn in your life and manage the best you can. Personalize your disorder and understand its nuances on you; then you will be able to successfully navigate life in its daily presence.

  4. Care Is Investing In Others. Care is as important as career. … Career is investing in yourself. Learning, growing, and building on the education you received here. Care is investing in others. It is learning like a gardener, or a teacher, or a coach, what to do and what not to do to enable others to grow and flourish.” Anne Marie Slaughter (President and CEO of New America), University of North Carolina at Chapel Hill
    Yes, a career is important; however, caring and investing in others will be equally valuable over the course of your life. The caring for others allows you to approach life with open arms and not be afraid to ask for help when the time is needed.
  5. Mistakes Will Happen. “Every stumble is not a fall, and every fall does not mean failure. Know the next right move when the mistake happens. Because being human means you will make mistakes. And you will make mistakes, because failure is God’s way of moving you in another direction.” Oprah Winfrey (American media proprietor and philanthropist), Johnson C. State University
    Clearly, we’ve all made mistakes and likely even failed at something before. Within the framework of having Parkinson’s, just keep trying to do the things you were doing before the diagnosis. You may falter more frequently now with the disorder but it really is the effort that counts.

  6. Kindness. “We like to feel we are civilized. How do you measure that? The usual versions look at science, technology, wealth, education, happiness. Every measure fails, except one. There is one measure of civilization and it comes down to how people treat each other. Kindness is the basic ingredient.” William Foege (American epidemiologist who devised the global strategy that led to the eradication of smallpox), Emory University
    This reminds me of the Golden rule, which says, “Do unto others as you would have them do unto you.”  The cornerstone of kindness is simple but true; be kind and honorable to others, the rest will take care of itself.

  7. Turn No Into Yes. When life tells you no, find a way to keep things in perspective. That doesn’t make the painful moments any less painful… You don’t have to live forever in that no. Because if you know what you’re capable of, if you’re always prepared, and you keep things in perspective, then life has a way of turning a no into yes.” Russell Wilson  (NFL starting quarterback), University of Wisconsin
    Within you lies the same person you were before Parkinson’s; thus, you should remember what you are clearly capable of doing. Go ahead and see for yourself,  yes  is still occurring with the disorder and likely outweighs the no in terms of frequency.

  8. Life-long Learner. “The secret to success is not rocket science. It just requires true dedication and a willingness to go the extra mile…. Let’s put it this way: I know of no Nobel Prize winner who has stopped studying.” Michael Bloomberg (former Mayor of New York City), University of Michigan
    Your lessons of life continue to accumulate. Get to know your disorder and stay educated about it. The more up-to-date you become about Parkinson’s the better you will be prepared in terms of living years in the future.

  9. Live Every Day. “Live with the understanding of how precious every single day would be. How precious every day actually is” Sheryl Sandberg (COO Facebook), University of California at Berkeley
    Your life-contract begins when you wake up each morning, and it’s reassessed fully as you fall asleep each evening. Please stay hopeful, positive, courageous and cherish each day even with your disorder, appreciate each day as it occurs.

Part 3: Two UNC-CH Graduation Ceremonies, May 2016.  We have our graduation ceremonies on Mother’s Day weekend. Besides the graduates themselves, equally involved are immediate/extended families, loved ones and friends.  Receiving a degree of any distinction (e.g., BA/BS, MA/MS, MD, or PhD) is an achievement. Everyone deserves congratulations.  For me, participating in the School of Medicine ceremony [where I get to sit on the stage and wear my regalia  (please note the medical school pictures below are from last year because I forgot my cell phone this year) and watching the Department of Biology ceremony are very proud and joyful times seeing everyone graduate (and moving on to the next life-phase).

My Graduation Advice: On the last day of my undergraduate Biology class, I give advice to the graduating seniors (and it’s based on these four points):

  1. Dreams and hard work will make a difference, over time.
  2. Think about now and in the future, what makes you happy?
  3. Listen to others, seek their advice, keep listening, keep thinking.
  4. Family and real friends will always be there for you, always.

Graduation weekend signifies both an ending and a beginning. It is a completion of a cycle for many students graduating; and it states that soon we begin again with a brand-new set of students. Ultimately, to me graduation signifies a feeling of hope, determination, and renewal.  These graduation ceremonies bolster my resistance against my Parkinson’s.  I am already looking forward to next year’s events.

“There is nothing more beautiful than finding your course as you believe you bob aimlessly in the current. And wouldn’t you know that your path was there all along, waiting for you to knock, waiting for you to become. This path does not belong to your parents, your teachers, your leaders, or your lovers. Your path is your character defining itself more and more every day.” Jodie Foster, University of Pennsylvania in 2006

References:
http://www.bloomberg.com/news/videos/2016-05-27/the-best-commencement-speech-of-2016
http://www.people.com/article/commencement-addresses-2016
http://www.pbs.org/newshour/making-sense/column-the-5-best-pieces-of-advice-from-2016-commencement-speeches/
https://www.washingtonpost.com/news/on-leadership/wp/2016/05/27/the-best-commencement-speeches-you-may-have-missed/
http://www.thefiscaltimes.com/2016/05/20/Best-Advice-Commencement-Speeches-2016
http://www.inc.com/laura-garnett/the-most-inspirational-commencement-speeches-of-2016.html
https://www.entrepreneur.com/slideshow/275897#1
http://onpoint.wbur.org/2016/05/16/best-of-2016-commencement-speeches
https://www.themuse.com/advice/35-inspirational-graduation-quotes-everyone-should-hear

Cover photo credit: https://s3.amazonaws.com/media.dth/17887_0512_graduation2_zhango.jpg

Chapter 8: A Parkinson’s Reading Companion on Mindfulness

“The moment one gives close attention to anything, even a blade of grass, it becomes a mysterious, awesome, indescribably magnificent world in itself.” Henry Miller

“Of course it is happening inside your head, Harry, but why on earth should that mean that it is not real?” Dumbledore in J.K. Rowling’s Harry Potter and the Deathly Hallows

Précis: The students from my undergraduate course, “Biology of Blood Diseases”, submitted quotes about these words: hope, courage, journey, persistence, positivity, strength, adversity, mindfulness, and life (for further details click here). This blog post is Chapter 8 including all of their quotes about ‘mindfulness’ [click here to read Chapter 1 (hope); click here to read Chapter 2 (life); click here to read Chapter 3 (strength); click here to read Chapter 4 (adversity); click here to read Chapter 5 (positivity); click here to read Chapter 6 (courage); click here to read Chapter 7 (persistence)].

Mindfulness and Parkinson’s: Recently, I described mindfulness (click here to read post):  “The simplest view of mindfulness is to be aware of what is happening right now, unable to change this time but to embrace the current moment. Much of our lives are led at a pace where we fret for the future, remorseful of the past, and frequently, we are oblivious to the current moment.” Life with Parkinson’s is best lived in the current moment without dwelling on the past and dreading the future.  To my thinking, this comment by Michael J. Fox is a nice description of mindfulness in the presence of Parkinson’s where he embraces (accepts) the current moment, “There’s an idea I came across a few years ago that I love. My happiness grows in direct proportion [to] my acceptance and in inverse proportion to my expectations. That’s the key for me. If I can accept the truth of ‘This is what I’m facing — not what can I expect but what I am experiencing now’ — then I have all this freedom to do other things.” May these quotes on mindfulness allow you to focus on what’s happening right now, and they remind you to be mindful and thankful for what you have today.

mindfulness

Mindfulness:  I am pleased to present Chapter 8 about mindfulness with my co-authors: Angle, Hannah; Arthur, Kallie; Artov, Michael; Bagley, Kendall; Batista, Kayla; Blaylock, Allison; Byrd, Emory; Cabell, Grant; Catalano, Michael; Clark, Kendall; Cossaart, Kristen; Culpepper, Houston; Das, Snigdha; Davis, Eric; Defazio, Stephanie; Doudnikoff, Alex; Dua, Shawn; Evans, Jessica; Evick, Andrew; Farooque, Tazeen; Ford, Kelsey; German, Zachary; Gouveia, Katie; Hall, Nikita; Isler, Victoria; Kirkley, Joel; Koutleva, Elitza; Laudun, Katie; Le, Kevin; Little, Sarah; Mackey, Josselyn; Macon, Briana; Maddox, Kaity; Marquino, Grace; Mattox, Daniel; Mcknight, Kyle; Mcmanus, Brenna; Mcshane, Sarah; Monkiewicz, Caroline; Nguyen, Michelle; Nguyen, Teresa; Olinger, Emily; Patel, Darshan; Patel, Dilesh; Patel, Jenny; Perez, Abby; Peters, Daniel; Quirin, Julia; Rawlins, Shelby; Raynor, Nathan; Renn, Matt; Scott, Alicia; Sherry, Alex; Shin, Christine; Stanton, Kate; Story, Charlotte; Swango, Summer; Szyperski, Caroline; Windley, Taylor; Wooley, Caleb; Xu, Alice; Yang, Michelle.

“There are only two ways to live your life. One is as though nothing is a miracle. The other is as though everything is a miracle.” Albert Einstein

“A little consideration, a little thought for others, makes all the difference.” Eeyore (Winnie the Pooh)

“To see a world in a grain of sand and heaven in a wild flower. Hold infinity in the palm of your hand and eternity in an hour.” William Blake

“Mind is a flexible mirror, adjust it, to see a better world.”Amit Ray

“You are confined only by the walls you build yourself.” Andrew Murphy

“Life is a dance. Mindfulness is witnessing that dance.” Amit Ray

“Stop, breathe, look around
and embrace the miracle of each day,
the miracle of life.”
Jeffrey A. White

“So often, we become focused on the finish line that we fail to enjoy the journey.” Dieter F. Uchtdorf

“How to stop time: kiss. How to travel in time: read. How to escape time: music. How to feel time: write. How to release time: breathe.” Matt Haig

“Science and mindfulness complement each other in helping people to eat well and maintain their health and well-being.” Nhat Hanh

“Trust in the Lord with all your heart and lean not on your own understanding.” Proverbs 3:5

“If we find ourselves with a desire that nothing in this world can satisfy, the most probable explanation is that we were made for another world.” C.S. Lewis

“Nothing is more important than empathy for another human being’s suffering. Not a career. Not wealth. Not intelligence. Certainly not status. We have to feel for one another if we’re going to survive with dignity.” Audrey Hepburn

“The present moment is filled with joy and happiness. If you are attentive, you will see it.” Thich Nhat Hanh

 “The most important thing is to try and inspire people so that they can be great in whatever they want to do.” Kobe Bryant

“Make sure your worst enemy isn’t living between your own two ears.” Laird Hamilton

“Be gentle with yourself; you’re doing the best you can.” Unknown

“We’re all a little crazy. Some just hide it better than others.” Kermit the Frog

“We have no right to ask when a sorrow comes, ‘why did this happen to me?’ unless we ask the same question for every joy that comes our way.” Anonymous

“Do not ruin today with mourning tomorrow.” Catherynne M. Valente

“Some people feel the rain. Others just get wet.” Bob Dylan

“Let us not look back in anger, nor forward in fear, but around in awareness.” James Thurber

“Quiet people have the loudest minds.” Stephen King

“The key to creating the mental space before responding is mindfulness. Mindfulness is a way of being present: paying attention to and accepting what is happening in our lives. It helps us to be aware of and step away from our automatic and habitual reactions to our everyday experiences.” Elizabeth Thornton

“Be happy in the moment, that’s enough. Each moment is all we need, not more.” Mother Teresa

 “A mind is like a parachute. It doesn’t work if it is not open.” Frank Zappa

“Mindfulness is the aware, balanced acceptance of the present experience. It isn’t more complicated than that. It is opening to or receiving the present moment, pleasant or unpleasant, just as it is, without either clinging to it or rejecting it.” Sylvia Boorstein

“There is plenty of time, but each moment counts.”  Billy Graham

 “For every minute you remain angry, you give up sixty seconds of peace of mind.”  Ralph Waldo Emerson

“When things are going well, be mindful of adversity.
When prosperous, be mindful of poverty.
When loved, be mindful of thoughtfulness.
When respected, be mindful of humility.”
Buddha

“Unless someone like you cares a whole awful lot, nothing is going to get better, it’s not.” Dr. Seuss, The Lorax

“The single story creates stereotypes, and the problem with stereotypes is not that they are untrue, but that they are incomplete. They make one story become the only story.” Chimamanda Ngozi Adichie

“Mindfulness is simply being aware of what is happening right now without wishing it were different; enjoying the pleasant without holding on when it changes (which it will); being with the unpleasant without fearing it will always be this way (which it won’t).” James Baraz 

Cover photo credit: http://www.wallpapers13.com/wp-content/uploads/2016/01/Coast-beach-spring-flowers-HD-wallpaper.jpg

Mindfulness images: http://ritaharvey.counselling.co.uk/_sitedata/1398682330%206ZngCeReO/today.png; http://rootedreveries.com/wp-content/uploads/2014/08/Mindfulness-quote.jpg; http://www.verybestquotes.com/wp-content/uploads/2013/01/Mindfulness-quotes-acceptance-joy-peace-and-love.-Thich-Nhat-Hanh-Quotes.jpg; http://static.oprah.com/images/201204/orig/quotes-thich-nhat-hanh-06-600×411.jpg.

 

 

Chapter 7: A Parkinson’s Reading Companion on Persistence

“It is better to take many small steps in the right direction than to make a great leap forward only to stumble backward.” Louis Sachar

“We are human. We are not perfect. We are alive. We try things. We make mistakes. We stumble. We fall. We get hurt. We rise again. We try again. We keep learning. We keep growing. And we are thankful for this priceless opportunity called life.” Ritu Ghatourey

Introduction: The 62 students in my undergraduate course, “Biology of Blood Diseases”, submitted quotes on five of the following: hope, courage, journey, persistence, positivity, strength, adversity, mindfulness, and life (for further details click here). This blog post is Chapter 7 including all of their quotes about ‘persistence’ [click here to read Chapter 1 (hope); click here to read Chapter 2 (life); click here to read Chapter 3 (strength); click here to read Chapter 4 (adversity); click here to read Chapter 5 (positivity); click here to read Chapter 6 (courage)].

Persistence and Parkinson’s: Persistence is continuing to try, an effect that continues even after the cause has been removed or something that sticks around for a long time (http://www.yourdictionary.com/persistence). To me another way of saying this is that persistence is steadfastness.  I spend a lot of time staying hopeful and being positive in dealing with this disorder. Yet perhaps the best trait to have is to remain persistent. When you have an incurable progressive neurodegenerative disorder, your effort needs to be constant and unwavering. Your persistence in dealing with this minute-by-minute really will make a difference. May these quotes about persistence reinforce your will and effort to deal daily with this unrepentant disorder named Parkinson’s.

Persistence: I am pleased to present Chapter 7 about persistence with my co-authors: Angle, Hannah; Arthur, Kallie; Artov, Michael; Bagley, Kendall; Batista, Kayla; Blaylock, Allison; Byrd, Emory; Cabell, Grant; Catalano, Michael; Clark, Kendall; Cossaart, Kristen; Culpepper, Houston; Das, Snigdha; Davis, Eric; Defazio, Stephanie; Doudnikoff, Alex; Dua, Shawn; Evans, Jessica; Evick, Andrew; Farooque, Tazeen; Ford, Kelsey; German, Zachary; Gouveia, Katie; Hall, Nikita; Isler, Victoria; Kirkley, Joel; Koutleva, Elitza; Laudun, Katie; Le, Kevin; Little, Sarah; Mackey, Josselyn; Macon, Briana; Maddox, Kaity; Marquino, Grace; Mattox, Daniel; Mcknight, Kyle; Mcmanus, Brenna; Mcshane, Sarah; Monkiewicz, Caroline; Nguyen, Michelle; Nguyen, Teresa; Olinger, Emily; Patel, Darshan; Patel, Dilesh; Patel, Jenny; Perez, Abby; Peters, Daniel; Quirin, Julia; Rawlins, Shelby; Raynor, Nathan; Renn, Matt; Scott, Alicia; Sherry, Alex; Shin, Christine; Stanton, Kate; Story, Charlotte; Swango, Summer; Szyperski, Caroline; Windley, Taylor; Wooley, Caleb; Xu, Alice; Yang, Michelle.

“The brick walls are there for a reason. The brick walls are not there to keep us out. The brick walls are there to give us a chance to show how badly we want something. ” Randy Pausch, The Last Lecture 

“The reasonable man adapts himself to the world: the unreasonable one persists in trying to adapt the world to himself. Therefore all progress depends on the unreasonable man.” George Bernard Shaw’s Man and Superman

“Pain is temporary. It may last a minute, or an hour, or a day, or a year, but eventually it will subside and something else will take its place. If I quit, however, it lasts for a lifetime.” From Lance Armstrong on his fight against cancer

”It always seems impossible until it’s done. ” Nelson Mandela

”A smooth sea never made a skillful sailor. ”  Franklin D. Roosevelt

“Success is never final. Failure is never fatal. It’s courage that counts.”  John Wooden

“Our greatest weakness lies in giving up. The most certain way to succeed is always to try just one more time.” Thomas Edison

 “Nothing in this world can take the place of persistence. Talent will not: nothing is more common than unsuccessful men with talent. Genius will not; unrewarded genius is almost a proverb. Education will not: the world is full of educated derelicts. Persistence and determination alone are omnipotent.” Calvin Coolidge

“A failure is not always a mistake. It may simply be the best one can do under the circumstances. The real mistake is to stop trying.” B. F. Skinner

“Failure is only postponed success as long as courage ‘coaches’ ambition. The habit of persistence is the habit of victory.” Herbert Kaufman

” The master has failed more times than the beginner has even tried.” Stephen McCranie

“Obstacles don’t have to stop you. If you run into a wall, don’t turn around and give up. Figure out how to climb it, go through it, or work around it.” Michael Jordan

“The best way out is always through.” Robert Frost

“Success is stumbling from failure to failure with no loss of enthusiasm.” Winston Churchill

“Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.” Atul Gawande Better: A Surgeon’s Notes on Performance

“Promise me you will not spend so much time treading water and trying to keep your head above the waves that you forget, truly forget, how much you have always loved to swim.” Tyler Knott Gregson

“I’ve missed more than 9,000 shots in my career. I’ve lost almost 300 games. 26 times, I’ve been trusted to take the game winning shot and missed. I’ve failed over and over and over again in my life. And that is why I succeed.” Michael Jordan

“Patience and perseverance have a magical effect before which difficulties disappear and obstacles vanish.” John Quincy Adams

“At first they’ll ask you why you’re doing it. Later they’ll ask you how you did it.” Anonymous

“A little more persistence, a little more effort, and what seemed hopeless failure may turn to glorious success.” Elbert Hubbard

“The phoenix must burn to emerge.”  Janet Fitch

“The quality of a persons life is in direct proportion to their commitment to excellence regardless of their chosen field of endeavor”  Vince Lombardi

“It gets easier, everyday gets a little easier. But you got to do it everyday, that’s the hard part, but it does get easier” BoJack Horseman (Season 2)

“Patience, persistence, and perspiration make an unbeatable combination for success.”  Napoleon Hill

“You may encounter many defeats, but you must not be defeated. In fact, it may be necessary to encounter the defeats, so you can know who you are, what you can rise from, how you can still come out of it.” Maya Angelou

“Perfer et obdura, dolor hic tibi proderit olim.” (Be patient and tough; someday this pain will be useful to you.) Ovid (I saw this on The Walking Dead)

“The real glory is being knocked to your knees and then coming back. That’s real glory. That’s the essence of it.” Vince Lombardi

“The will to win, the desire to succeed, the urge to reach your full potential… these are the keys that will unlock the door to personal excellence.” Confucius

“Better is possible. It does not take genius. It takes diligence. It takes moral clarity. It takes ingenuity. And above all, it takes a willingness to try.” Atul Gawande

“Every man at some point in his life is going to lose a battle. He’s going to fight and he is going to lose. But what makes him a man is, at the midst of that battle, he does not lose himself” Friday Night Lights

“Nothing in this world can take the place of persistence. Talent will not: nothing is more common than unsuccessful men with talent. Genius will not: unrewarded genius is almost a proverb. Education will not: the world is full of educated derelicts. Persistence and determination alone are omnipotent.” Calvin Coolidge

“The best view comes after the hardest climb.” Unknown

Agent Smith: “Why, Mr. Anderson? Why, why? Why do you do it? Why, why get up? Why keep fighting? Do you believe you’re fighting… for something? For more than your survival? Can you tell me what it is? Do you even know? Is it freedom? Or truth? Perhaps peace? Could it be for love? Illusions, Mr. Anderson. Vagaries of perception. Temporary constructs of a feeble human intellect trying desperately to justify an existence that is without meaning or purpose. And all of them as artificial as the Matrix itself, although… only a human mind could invent something as insipid as love. You must be able to see it, Mr. Anderson. You must know it by now. You can’t win. It’s pointless to keep fighting. Why, Mr. Anderson? Why? Why do you persist?”

Neo: “Because I choose to.”
From the movie Matrix Revolutions

“When you find yourself feeling down, just think about how far you’ve come, all the obstacles you’ve managed to get over. You didn’t make it this far to quit now.” (from a dear friend, John Lian)

“If you can’t fly then run, if you can’t run then walk, if you can’t walk then crawl, but whatever you do you have to keep moving forward.” Martin Luther King Jr.

It’s not that I’m so smart, it’s just that I stay with problems longer.” Albert Einstein

“The most essential factor is persistence- the determination never to allow your energy or enthusiasm to be dampened by the discouragement that must inevitably come.” James Whitcomb Riley

“If plan A doesn’t work, the alphabet has 25 more letters – 204 if you’re in Japan.”  Claire Cook

“A river cuts through rock, not because of its power, but because of its persistence.” Jim Watkins

 “That which we persist in doing becomes easier to do, not that the nature of the thing has changed but that our power to do has increased.” Ralph Waldo Emerson

“It does not matter how slowly you go as long as you do not stop.”  Confucius

This one is one of my favorites. I accidentally messed up a Michael Jordan quote in attempts to rally my softball team to fight back and win a crucial game, but I think this one is really cool…

So after Michael Jordan and the Bulls had gone 7 games with the Pacers to head to the NBA finals to face a well rested Utah Jazz. After they just won the game MJ was interviewed. The reporter basically said something to the effect of people are saying that you are all fatigued. MJ’s reply was great. He said “Our hearts are not fatigued. That’s the most important thing.”

My take on the quote was more like this… Our bodies are tired, but our hearts are not…so I was kind of close, and it worked for the Bulls to persist and win the finals, and it did the same for my team. I think it’s a pretty awesome quote.

Cover photo credit: https://marisageraghty.files.wordpress.com/2013/07/race-point-beach-entrance-path.jpg