Every man has his own destiny; the only imperative is to follow it, to accept it, no matter where it leads him
~ Henry Miller~

A lot of times, when patients present in the ER, the problem they present with didn’t start that day.
One therefore wonders, if they are given the chance to go back in time, will they make different choices? If they do, would it make a difference now? Will they be somewhere else and not the ER?


Are somethings just destined to be, however we may try we can’t run away from destiny? I faintly recall watching a movie (would love to remember title) in which the protagonist died but was able to go back to the past to prevent herself from dying; as many times as she changed the circumstance that led to her death, she kept being killed through other methods.

The obese woman presenting with a stroke;

could she have somehow prevented her weight from getting out of proportion? Or was it out of her hands? Who do we blame when she finally gets a stroke at 60?

1. Her parents who let her indulge in whatever she fancied and took no heed when she was bigger than her peers?

2. Her School whose business it wasn’t to veer her towards a more active lifestyle?

3. Her friends who loved her however she was?

4. Her job which required her to be chauffered to any distance however near?

5. Her doctor who was satisfied with only prescribing a new set of drugs whenever she came around?

At what point in her life can she go back to make things right?
Who’s to blame?

Whose fault is it when cases of drug abuse, alcoholism, depression, AIDS occur years after the first signal?

The experience of others adds to our knowledge, but not to our wisdom; that is dearer bought.
~Hosea Ballou~

Addenda: The recent death of Whitney Houston made me take another look at this posting and it rings more true.

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  1. “There are people who strictly deprive themselves of each and every eatable, drinkable and smokeable which has in any way acquired a shady reputation. They pay this price for health. And health is all they get out of it. How strange it is. It is like paying out your whole fortune for a cow that has gone dry.” (Mark Twain)

    Mark Twain was right but also wrong. There are those who do not drink or smoke, eat sensibly, have a healthy body weight and take regular exercise, yet still succumb to stroke as with the obese lady you illustrated.

    There are no guarantees associated with a ‘healthy’ existence.

    I take so called ‘risks’ with regards to my health and I am indeed healthy – no meds. Life is for living and I will live it with zeal!

    Anna :o]

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