Thus, when the police officer went to the urgent-care clinic complaining of an earache, the doctor there assumed the problem was an infection of some sort--which would have been the correct answer in most cases--and didn't worry about the seemingly irrelevant fact that one of the patient's pupils was acting up. Unlike medical students, expert diagnosticians have built sophisticated mental representations that let them consider a number of different facts at once, even facts that at first might not seem germane. This is a major advantage of highly developed mental representations: you can assimilate and consider a great deal more information at once. Research on expert diagnosticians has found that they tend to see symptoms and other relevant data not as isolated bits of information but as pieces of larger patterns--in much the same way that grandmasters see patterns among chess pieces rather than a random assortment of pieces. And just as chess masters' representations allow them to quickly generate a number of possible moves and then zero in on the best one, experienced diagnosticians come up with a number of possible diagnoses and then analyze the various alternatives to select the most likely one. Of course, the doctor may ultimately decide that none of the options work, but the process of reasoning through each of them may well have led to still other possibilities. And so did my resistance, passive aggressive at first and progressively rude and defiant as time went by. I was quiet as a mouse in class, dodging the teachers glare, often lost in my world of fantasy and turmoil. I had started stammering when forced to speak up and my very own friends would tease and chide me in those moments. Life was tough, but what kept me going was a deep belief, despite the failure and humiliation, that I would make it one day. I have often wondered where it came from - perhaps from the early years of absolute love and nurturance, but much more from the unflinching faith that my father had in me and my abilities. Clearly not in academics, but in every other activity of interest, including football, theatre, music, food, travel and adventure, or any other novel experience that excited me. He had this naive curiosity about whatever we (me, my brother and sister) did or brought to him, and would rejoice at every little success or discovery. So I stumbled along through school, with my younger siblings in tow, who were equally inept at academics (it runs in the family as they say! One of the dreaded times of the year was the end of March when the school final results would come out, and all the rest of our friends in the colony were, somehow, always topping their classes. On one such fateful evening, when our mother was ruing her misfortune about having such children, our father wryly quipped, but somebody has to bring up the rear. It feels as if they had been born again, as if this were the very first day of their life. For Stephen Fry, who writes of the freedom, expansiveness, energy and optimism' of mania,We are kings of the world, nothing is beyond us, society is too slow for our racing minds, everything is connected in a web of glorious colour, creativity and meaning. It shows what's within us, what we are capable of. We're all so deadened in our senses.

Whatever else a manic person is, they are alive. Talking becomes easy, words flow with a newfound fluency, there is no more silence. As Terri Cheney puts it, I wanted to talk, I needed to talk, words pressed up so hard against the roof of my mouth I felt like I had to spit to breathe. <a href=''>Ideas</a> and projects abound, nothing seems impossible, and the manic person may embark on any number of creative or entrepreneurial schemes, spending large sums of money, which more often than not are borrowed from family, friends or banks. <a href=''>The</a> future seems to hold so much promise, so many certainties of success, wealth and achievement. <a href=''>The</a> excitement here is volitional, imbued with a burning sense of purpose. <a href=''>You'll</a> find that you just may eat more food than your body needs at first. <a href=''>And</a> yes, you may even gain weight. <a href=''>This</a> is why the FAST Start phase is so important. <a href=''>You</a> have to let your body and hormones adjust first. <a href=''>Trust</a> me, new IFer. <a href=''>It's</a> not that IF won't work for you. <a href=''>It's</a> just that you need more time. <a href=''>Why</a> does my weight go up and down from day to day? <a href=''>Does</a> that mean I'm doing something wrong? <a href=''>Welcome</a> to the reality of weight fluctuations! <a href=''>Red</a> hearts are obvious, but use what you have: a jar of maraschino cherries, a can of tomato soup (it worked for Andy Warhol), a silk scarf, a notearticle, a red-hot chili pepper. <a href=''>Undergarments</a> Does this really need an explanation? <a href=''>Sensual</a> Sounds Since musical taste is in the ear of the beholder, you're on your own a little here. <a href=''>But</a> I would venture to say, head-banging guitar or drum solos don't get Relationship ch'i in the mood. <br /><br /><a href=''>Symbols</a> That Mean Love to You Come on. <a href=''>Get</a> creative. <a href=''>You</a> can do it. <a href=''>Here</a> are some of my personal favorites: <a href=''>Barbie</a> and Ken in formal bridal wear <a href=''>Barbie</a> and G. <a href=''>This</a> ability to generate a number of likely diagnoses and carefully reason through them distinguishes expert diagnosticians from the rest. <a href=''>The</a> solution to the medical mystery described in the New York Times required precisely that sort of approach: first come up with possible explanations for why a patient should have both Horner's syndrome and a knifelike pain in the ear, and then analyze each possibility to find the right answer. <a href=''>Stroke</a> was one possibility, but the patient had nothing in his background that indicated he might have had a stroke. <a href=''>Shingles</a> could also produce the patient's two symptoms, but he had none of the usual signs of shingles such as blisters or a rash. <a href=''>A</a> third possibility was a tear in the wall of the carotid artery, which runs right alongside the nerve affected in Horner's and also passes near the ear. <a href=''>A</a> slight tear in the artery can allow blood to leak through the inner walls of the artery, causing a bulge in its outer wall, which can press on the nerve to the face and, in rare cases, also press on a nerve to the ear. <a href=''>With</a> this in mind, the specialist asked the patient questions about lifting weights and headaches. <a href=''>It</a> is known that weightlifting can sometimes tear the carotid artery, and such a tear would normally be associated with some sort of headache or neck pain. <a href=''>When</a> the patient answered yes, the specialist decided that a tear in the carotid artery was the most likely diagnosis. <a href=''>An</a> MRI scan verified that diagnosis, and the patient was put on blood thinners to prevent the formation of a blood clot and was told to avoid any sort of exertion for the several months that it would take the blood vessel to heal. <a href=''>Such</a> light-heartedness and wit, and indeed playfulness, of which my mother too had dollops of, helped us all through those challenging years. <a href=''>By</a> the time I was in high school, I was gravitating towardsbad company', though, and getting daggers from the parents of so called `good' friends, some of whom were being asked to keep a safe distance from me. My rebellion had reached another level by then and the risk taking behaviours were indeed risky; At school, the demands on my time management and organisational abilities were way beyond my bandwidth, as I could hardly ever complete my assignments on time and was scraping through the exams to somehow stay afloat from one class to another.

My frisky mind and motivation was mostly busy finding innovative ways to avoid being noticed by the teachers and prevent any contact between them and my oblivious parents, at least till the time the exam results came out. I remember clearly, with mixed feelings, the time just before school-leaving Board exams, our maths teacher demanding that I drop maths, lest I failed in it and brought the school a bad name. I stood my ground and kept shaking my head, much to her chagrin; Over the years, despite the mounting pressures and gut-wrenching anxiety, I had learnt the art of scrambling to the end in the last lap of a long race (not that I recommend this strategy to anyone). A similar approach got me into medical college. It was providence that I got into Armed Forces Medical College, an institute that was one of its kind. The usual barriers that hold people back from risk-taking have vanished. No opponent or obstacle seems unbeatable or insurmountable. Things are going so well, a new lifestyle can in some cases crystallize almost overnight, often to the consternation and puzzlement of family and friends. From a modest bedsit the manic subject might move to a lavish West End apartment, dressing and dining like a millionaire. Bills are paid in cash, huge tips left in cafes and restaurants, conversations struck up almost anywhere, as if everyone were a potential best friend or lover. Sexual encounters and propositions may multiply, yet usually with little wish for longevity. As these radical changes to pre-manic life burgeon, other people can become too present: frictions with sexual partners, or business associates or banks who want their money back, friends who get fed up with what appears to be narcissistic and self-indulgent behaviour, interlocutors who tire of acting as sounding boards for grand schemes and projects. The manic high becomes tinged with anxiety. Small impediments become magnified, triggering rages and violent outbursts. Paranoid thoughts increase. This is why it is so important to weigh yourself daily and calculate your weekly average for comparison purposes (or use an app that does the trending for you). Daily fluctuations are rather meaningless, and you have to get comfortable with them or else you have to throw your scale in the trash, as I did, or at the very least let someone you love hide it. Our weight can fluctuate by several pounds from day to day (and even throughout the course of one day). When you get on the scale and it is up four pounds overnight, you did NOT gain four pounds of fat in that short time.

Conversely, when you get on the scale and it is down four pounds overnight, you also didn't lose four pounds of fat in that short time. The two main culprits for quick scale increases/decreases are food/waste volume and water balance. If you eat more food than normal (or eat out at a restaurant), your body will be full of the excess food you ate. That food adds weight to your body as it passes through your digestive system. It also causes your body to retain water, because extra water is needed to process the larger amount of food. One time, I went out of town for a girls' weekend. Tacky to me, but it worked for him. Equality Make sure there is equality on both sides of the bed (whatever gua it falls into in the home). Two matching nightstands are best, even--and especially--if you are single. Don't take one of the matching tables and use it in another part of the house. This will cause imbalance in a relationship. Hazardous Materials for Relationships and Love Negative Images Don't cloud your corner with unhappy thoughts. Pictures of ex-lovers, icebergs, limp noodles, riots, or the Hindenburg explosion won't foster loving thoughts. Thoughts are energy too, very much related to the energy of love. Unfriendly Stuff Cactus, Venus flytraps, and stinkweed plants do not a loving statement make. The key to the successful diagnosis wasn't merely having the necessary medical knowledge, but having that knowledge organized and accessible in a way that allowed the doctor to come up with possible diagnoses and to zero in on the most likely. The superior organization of information is a theme that appears over and over again in the study of expert performers. This is true even for something as mundane as insurance sales. A recent study examined knowledge about multiline insurance (life, home, auto, and commercial) in 150 agents.