An Unforgettable Love Story

Pyramus And Thisbe

"This is a beautiful story,
of a girl and a boy about to marry,
no less than any tale of the fairy,
and results in the creation of a berry."

Once upon a time, there lived a young couple remembered as Pyramus and Thisbe. Both were deeply beautiful and since childhood adored each other. However, the rivalry among the families restricted them from getting closer.

“The small hands turned to big hearts,
clashes also couldn't keep them apart,
though the distance was their life's part,
to exchange affection they were enough smart.”

They were privileged enough to be neighbors and their homes were separated by a single wall. As the saying goes, “love finds its way” the youngsters discovered a crack in the wall and stood there for hours whispering vows of love between themselves.

“He blames the cruel wall,
for their ultimate love fall,
she consoles him to be grateful for the crack small,
without which all their efforts were null.” 

The couple was aware of the fact that their kin would never permit the union and therefore, they planned to run away to marry each other. The arrangements were made to fulfill the rituals, under a large tree beside a monument at the border of the city. 

“Thisbe being first,
saw the lioness drinking water to quench its thirst,
saving herself was a must,
so she runs but her veil leaves behind in gust.”

The feline curiosity of the lioness interests her to play with the veil using its strong claws. After a while, this inquisitiveness ends and it goes from there. Right after this incident, the Pyramus arrives and encounters the veil with imprints of claws and bloodstains. 

“The young man gets consumed by guilt,  
as it was because of him that this idea was built,
in between the mind and heart's conflict,
he stabs himself with a sword and lets his body split.” 

Thisbe returns from her hidden space and discovers Pyramus dead under the same tree where they decided to meet. Under utter grief, she notices that he was holding the very veil torn by the animal and understands the whole sad scene. Therefore, she threw herself on the same sword that had claimed her lover’s life.

“Although they loved each other deeply,
were able to express their emotions freely,  
had faith in one another completely, 
but the  fate was formulated weakly.”

The couple’s blood was absorbed by the roots of the tree under which the couple perished, resulting in them becoming more delicious. Despite their disagreement, the families of both suspended their hostilities and buried a couple of lovers beside the other. At last, to honor their true love it still grows with sweet and reddish fruits. Today it is prominently sold as Mulberries.

The roots of Greek philosophy adds verisimilitude to the story as well as a funny twist of unconditional love. However, it also serves as a warning as love can be tragic if exceeds the limit.

What can give you smile has the power to take it back as well.

Hyperthyroidism Awareness

It is important to remember that hyperthyroidism can occur at any age. While most may present with a rather typical constellation of symptoms, many may present with exacerbation of pre-existing conditions which may make the diagnosis initially elusive. Worsening anxiety, insomnia, fatigue, panic attacks, palpitations, hypertension or diarrhea may not initially signal that the thyroid is involved. Clinicians must have a low threshold to check thyroid function early to rule out a component of hyperthyroidism.

Once a suppressed thyrotropin (TSH) has been detected, further investigation with serum triiodothyronine (T3) and free thyroxine (free T4) can help delineate overt from subclinical disease. A thorough history of past thyroid disease, as well as current medications and supplements, can help detect any pre-existing diagnoses or exogenous sources of thyroid hormone or over supplementation with iodine. More commonly, hyperthyroidism is due to either Graves diseasetoxic multinodular goiter or toxic adenoma. Distinction between these can usually be made with the assistance of a thyroid uptake scan, TSH receptor antibody measurement, and thyroid ultrasound. An additional physical exam finding of exophthalmos can further support the diagnosis of Graves’ disease. Understanding the etiology can help guide patient expectations. A small percentage of patients with Graves’ Disease may undergo spontaneous remission after 1 to 2 years, which may prompt patients to wait before considering a definitive treatment option.

With confirmation of the diagnosis of hyperthyroidism, focus is on hormonal control with an antithyroid medication (ATM, most commonly Methimazole in the United States). This may be augmented with beta-blockade, steroids, cholestyramine or SSKI for those who are difficult to control.

Many patients may need further consideration for definitive management with either radioactive iodine ablation (RAI) or thyroidectomy. Your local resources may also influence these options, but it is critical to understand that all three treatments (ATM, RAI and thyroidectomy) are possible options. Certain patient factors and priorities may alter the preferred definitive treatment. Smaller gland size, easy to control hormones, and lack of eye symptoms are factors that may favor continued ATM management. A large goiter with compressive symptoms, difficult to control hormones requiring high dose medications/ multiple modalities, pregnancy, severe eye disease, multiple nodules within the thyroid with or without thyroid cancer, or desire for rapid and reliable hormone control may favor thyroidectomy. RAI is a good option for patients with a smaller gland size, and a desire to pursue definitive management but avoid surgery.

There are also relative contraindications for treatment options. ATMs may have serious side effects, like agranulocytosis or liver failure, which prevent further use, or may cause skin eruptions making long term use intolerable. Additionally, high dose requirements or fluctuating doses may make long term use of ATMs not reliable. Women who are pregnant, wanting to become pregnant in the next 6 months to 1 year, breast feeding or have small children in the home will want to avoid RAI. Patients with severe eye involvement, have a large goiter with compressive symptoms, or are smokers should also avoid RAI. Thyroidectomy will be a poor option for patients with multiple previous neck operations on or around the thyroid due to internal scarring, or who are high risk for general anesthesia. Additionally, if they have a history of previous gastric bypass surgery, they are higher risk for major complications from hypocalcemia/hypoparathyroidism after thyroidectomy.

To help the patient navigate these decisions, it is important to allow them the opportunity to discuss each treatment option with respective physician experts – medical management with endocrinology, RAI with endocrinology and potentially nuclear medicine as well, and thyroidectomy with the thyroid surgeon.

In summary, patients with hyperthyroidism require medical control, as well as a clear understanding of the etiology of their hyperthyroidism. Patients with Graves disease, toxic multinodular goiter and toxic adenoma have more than one treatment option, and it is important for patients to be educated and engaged in treatment decisions.

For Further Reference:
American Thyroid Association Guidelines for Diagnosis and Management of Hyperthyroidism and other causes of Thyrotoxicosis| by the American Thyroid Association

What Kind of Introvert Are You?

Are you an introvert? It depends on which book you read. Here’s a sampling of the various conceptualizations of introversion in pop culture [1]: Preference for quiet, minimally stimulating environments: Quiet by Susan Cain Preference for concentration and solitude: The Introvert’s Way by Sophia Dembling Rechargeable battery: The Introvert Advantage by Marti Olsen Laney Thoughtful-introspective

Are you an introvert? It depends on which book you read.

Here’s a sampling of the various conceptualizations of introversion in pop culture [1]:

Historically, there has been just as much confusion in the psychological literature. Carl Jung originally defined introversion as a focus on one’s “inwardly directed psychic energy”. However, in the 30s, the psychologist J.P. Guilford showed that various attempts to measure Jung’s conceptualization of introversion resulted in multiple, distinct factors. In other words, there didn’t appear to be a single dimension of personality that captured all of introversion.

In the 60s Patricia Carrigan echoed this point, arguing that introversion was not effectively captured by a single scale. She cautioned that if the phrase introversion is to continue to be used, “care must be taken to specify its conceptual and operational referent. What appear to be minor distinctions between the various conceptions may in fact be crucial ones.” In the 70s, the heated debate continued, with a much older Guilford arguing with H.J. Eysenck over whether introversion can possibly, or even should, be captured by a single scale.

All seemed to be settled in the 90s with the emergence of the “Big Five” framework of personality. The five main factors of personality– extraversion, neuroticism, agreeableness, conscientiousness, and intellect/imagination– were empirically derived based on what patterns of behavior tend to go together within individuals. Under this framework, introversion is merely defined as the opposite of extraversion.

In the Big Five framework, extraversion comprises two main aspectsenthusiasm (reflecting sociability, positive emotions, and warmth) and assertiveness (reflecting the tendency to take charge, become a leader, and captivate attention). The common factor seems to be high sensitivity to rewards in the environment— which due to the highly social nature of humans throughout the course of human evolution, most prominently consists of rewards associated with social attention.

Therefore, under the dominant personality framework in modern psychology, if you score low in enthusiasm and assertiveness, you’re an introvert

Here’s the problem: the Big Five framework forces a definition of introversion onto people, many of whom do not conceptualize introversion in the same way. For instance, one study did a comparison of common-sense/everyday notions of introversion and ‘scientific’ conceptions of introversion. They found that the most prototypical characteristic of introversion, as identified by the general public, was the following item:

Clearly, many people equate introversion with introspection. In the Big Five framework, however, this item is classified as part of the intellect/imagination domain of personality, not the introversion domain. So there’s a serious mismatch between folk definitions of introversion and scientific definitions. People who view themselves as introverted because they are highly introspective are being told by scientists: “You aren’t really introverted based on patterns of covariation among the general population.” To which everyday people rightfully respond: “WTF?” [3]

As noted personality psychologist Jonathan Cheek told me, “by invalidating the ordinary language meaning of introversion by defining it solely as the opposite of Big Five Extraversion, the Big Five researchers are guilty of Psychological Imperialism [4].” Influenced by the seminal work of Jung, Guilford, and Carrigan, Cheek and his colleagues have decided to take a different approach, by focusing on the phenomenon of introversion on its own, free from having to be force-fit into one scheme or another.

As Carl Jung said, each individual is ultimately a unique crystal, but type theories can be helpful for navigating social life. Embracing this Jungian philosophy, Cheek and his colleagues argue that when people use the term “introversion”, they should never just use it by itself. Instead, they argue that researchers should put a specific modifier in front of the term. What modifiers could be used?

In her masters thesis (written under the advisement of Cheek), Jennifer Odessa Grimes defined four meanings of introversion: social, thinking, anxious, and restrained (which happens to form the positive acronym STAR). It’s possible to score high or low on either of these flavors of introversion. For instance, you could be low in social introversion by preference but not be particularly anxious in the presence of people. Or you could suffer from crippling social anxiety, but still have the desire to be highly social. Or any other combination of these four meanings of introversion.

By this point you’re probably wondering what kind of introvert you are. Well, you’re in luck. There’s a new test for that.

Hope for the best, but expect less

I’m not in this world to live up to your expectations and you’re not in this world to live up to mine. -Bruce Lee

A friend’s status update on a social media site: ‘Who hurt you? My own expectations.’

Yes, we all have expectations in our lives: what we want out of life and who we want to become. I believe one of the keys to happiness lies within the management of your expectations of people and circumstances. If you do not have expectations, you can never be disappointed. Often we tend to believe that the way we treat others will be the way we are treated in return. But, unfortunately, this does not always happen.

The biggest disappointments in our lives are often the result of misplaced expectations. This is especially true when it comes to our relationships and interactions with others. You need to make sure you enter into relationship with someone who has as big of a heart as you do. If you do not, you may feel as if you are being taken advantage of. You need to find people who appreciate what you do for them and who will reciprocate those actions.

There are two ways to be happy: improve your reality or lower your expectations. Having realistic expectations will allow you to accept the flaws each person has. We need to learn how to take responsibility for our own lives and our own decisions before we can expect others to do the same.

One of the biggest challenges we face in life is learning to accept people for who they truly are. Once you realize that your expectations cannot change people, the better off you will be. Give without expectation, accept without reservation, and love with hesitation. Unrealistic expectations most often do lead to disappointment. Too many people are obsessed with finding the perfect career or the perfect spouse, and as a result become increasingly frustrated when this does not happen in reality.

Expectation is the root of all heartache. Try to remain confident while maintaining positive aspirations; just remember not to make the aspirations so high that they are impractical or unreachable.

Acceptance is an amazing trait that needs to be actively worked toward. When things do not work out the way we had planned, it is much more beneficial to realize that is how life works rather than becoming frustrated at the situation. Have hope rather than expectations and you will tend not to be as disappointed.

People rarely behave exactly the way you want them to. Hope for the best, but expect less. And remember, the magnitude of your happiness will be directly proportional to your thoughts and how you choose to think about things. Even if a situation or relationship doesn’t work out at all, it’s still worth it, if it made you feel something new, taught you something afresh.

7 important tips to manage aggression in children

Manage child aggression: To develop a sound value system, tell them stories. For very small children, stories should be pleasant, free of fighting and violence, about animals and nature, sharing and caring. When they are five or six, it is okay to introduce stories with good people and ‘bad’ people.

child, who wanted to be perceived as the strongest of all, would speak loudly, look angry and hit everyone to prove his strength. When his grandfather came to visit, he behaved in the same way with him. However, his grandpa was never agitated and just smiled at his actions. The child was bewildered as he was only used to getting yelled at for what he did. The more he was yelled at, the stronger he would become, is what he thought!

Grandpa shares the Buddha story

The grandfather asked him if he would like to hear a story and the boy agreed. “Once upon a time, there was an enlightened master called Buddha. He travelled across the country teaching people how to be peaceful. Once while he was going through a forest, a tribesman called Angulimala came to him. He was a frightening man. He wore a garland of fingers of people whom he had sacrificed so he would be the strongest and feared the most. He wanted to have Buddha’s finger as the hundredth and complete his sacrificing ritual. Buddha smiled at him and said, “I am happy to be of use to you”. There was no trace of fear in him. Nobody had ever smiled at Angulimala. No one had ever spoken to him so kindly. The very presence of Buddha did something to him. Angulimala felt very weak for the first time in his life. He felt like a feather in front of a mountain. He realised that real strength is in having unshakable calmness, peace, and in compassion. He fell at Buddha’s feet. He was changed completely.” The child listened to every word from his grandpa with rapt attention.

Look out for the media children are exposed to

When you feel helpless or weak, the need to assert your strength comes out as violence. Where do children get the idea of violence? They see their parents, neighbours, friends, so many programmes on TV or videos on the mobile phone — all this exposure leaves impressions and has a strong impact on the minds of children, more than we know. They are sensitive even to suppressed violence. If you are angry inside but still act as if everything is okay, children will know it.

Handling aggression

Children get angry or show aggression for seemingly very silly reasons. But the real reason is something else, a sense of insecurity that has crept in somehow. That is why in olden days, parents would never show anger in front of a child. They would not even argue or use harsh words. Public display of anger was considered a weakness. Today, anger and aggression comes up at the drop of a hat. Any minor difference of opinion is enough to prompt the arrows to fly. We don’t know how to draw a line between expressing a difference of opinion and displaying aggression. If your child is aggressive, look into your own lifestyle. What are you doing? Are you yelling at your housekeeper or at your pet? Are you yelling at your own spouse? Or any one for that matter in front of the child? Are you sad? What is your reaction? And it does not matter that out of the 365 days, you have acted in aggression may be only a couple of times. Those few days are equally important for the child. This is why we need to meditate and practice pranayama or deep breathing techniques. Heyum Dukham Anagatam — stopping the misery before it comes — that is the benefit of yoga, because in life prevention is better than cure.

Engaging children in meaningful activities

The other important thing is to engage them in meaningful activities, and sports that allow them to channel their energy constructively. Just playing video games or watching TV with no physical activity only increases restlessness and makes them prone to aggression. You will notice that the day your child has more screen time, the more difficult he or she becomes to handle. Encourage them to go out and play, engage with real people, run and fill their lungs with some fresh air. In the olden days, movies were classified as suitable for watching only under parental guidance. Parents would control what a child can see. Today, it is a common occurrence that the elders are all engrossed in watching soaps on TV and are oblivious to the child who is also watching and taking in all the exaggerated emotions that are projected. It is very important to be sensitive about what their tender senses are exposed to. They should not be bombarded with heavy impressions.

What kind of stories are we telling our children?

To develop a sound value system, tell them stories. For very small children, perhaps around three or four, stories should be pleasant, free of fighting and violence, about animals and nature, sharing and caring. When they are five or six it is okay to introduce stories with good people and ‘bad’ people. Every culture has its stories of heroes who protected the innocent and fought villains who were up to no good. Through these stories they understand that the purpose of strength is to protect and not to hurt. They learn that the hero, the stronger one, is calm and collected.

While it is important to reprimand anger, it is equally important to recognise when they are gentle and appreciate them. When I was a child and would sometimes get angry, my grandmother would ask me to go to a certain corner of the house and leave my anger there. She would say that the angel in that corner would take the anger from me and go far, far away. I would believe her, go stand there and in a minute, come back smiling! Schools today don’t teach children how to deal with negative emotions. This is an important aspect of moulding the character of the child. Teachers should be strict about encouraging the right attitude in children. They should recognise the strength of a child who is able to walk away from a fight and not just react and hit back. They should reward and give attention to calmness in a child. Many times, an aggressive attitude in a child comes out from simply wanting attention. So, you can teach them by ignoring their sulking or shouting, and praising them and giving extra attention when they are well-mannered. And parents should give teachers the space to discipline the child if necessary. It is okay if your child has been naughty and the teacher has disciplined him or her. Parents must encourage reverence towards the teacher. If they say, “Who is he or she to tell my child what to do!” the child will not listen or respect the teacher anymore. When this happens, learning stops.

Food is important

The food that we give to our children also has a role to play. Too many sweets, fried food (like chips) and oily food increase restlessness in a child. Also, their food must be freshly cooked as far as possible and not packaged items kept in cold storage. Encourage them to enjoy fruits as much as chips; perhaps one chip-one fruit can be the deal! Where possible, it is advisable to avoid food products made from genetically modified grains and vegetables. The food has a direct impact on the mind and when consumed over a period of time, has a definite impact on the nature or attitude of the child.

Above all this, as parents, it is important to spend quality time doing ‘nothing’ with your child. Just sitting with them without looking at our mobile phones, giving complete attention to what they have to say, just being with them 100 per cent gives a great sense of security to the child. An insecure child is more likely to succumb to aggression than one who feels secure and attended to.

Teach children that the one who smiles come-what-may is stronger.

Show them when to stand up for what is right, and when to walk away from a fight.

As much as you can, protect their innocence.

As much as you can, give them pride in non-violence.

Hugging helps lower our stress throughout the day.

As you know how drinking too much coffee can kind of put us on edge for the next dew hours? Wll hugging can actually have the opposite effect like so many other unseen benefits this all goes back to good hormones some research believe that hugging and other Interpersonal touch can boot a hormones called oxytocin and also effects our endogenous opioid system

Big words right but basically it’s boils down to this simply through the act of hugging our brains can produce soothing chemicals that helps us feel more safe and less threatening throughout the day so when something stressful does come up we don’t have such an aggressive fight or flights response to it .

Words


Words are the most powerful weapons used to stab and to heal. Words are like double edged sword. People say think before you speak because words once spit out can never be taken back. It takes a fraction of second to hurt someone by words, but its takes a longer period to heal. The phrase of Longfellow goes like this, “A torn jacket is soon mended; but hard words bruise the heart of a child”. There are people who longs for some kind words and there are people who waits for a chance to hurt others. It’s easy to treat a wound in body but a wound in heart takes its own time to heal. Words are our strength and our weakness. Your words can inspire and influence people, and it can also entertain others. Words can evoke people’s emotions either it is good or bad. Words are the means of communication and it differs from people based on their understanding level of what you speak. We live in a world where with people from different situations. Neither a child nor old man can get hurt when one hears harsh words. Irrespective of age people get hurt. Think twice before you speak. Let’s stay united and heal this world. The greatest feeling one can receive is the power of being loved and this can be done only with kind words. Spread love wherever you go, be kind with your words. Let’s be the change that we need in this world. Let us not kill with words let’s heal.