So, why did you come in to see me?

Just remember. This is supposed to be funny, but with a side of truth.

You know, my life is full and interesting. I get to help people every day and do what I love. That makes me one of the luckiest people I know. I will never forget that. I used to think, before I actually went into medicine, that every patient that would walk in that door wanted to be there and would be ready to be a part of their own healthcare team. Weirdly, that is not the case. This is true for a large portion of my patients, but for some, I am not so sure.

As I reflect over the last 20 plus years, I realize that there are several types of patients in my practice. Let’s review.

There is the patient that you inadvertently become friends with and become attached to. To some extent, this happens to me all the time. I always try to bond with my patients in attempt to care for them better. I try to get insight into their lives to help them through whatever issues they are trying to solve. They always tell you in medical school never to get attached, but sometimes I can’t help it. In my mind, it is a reflection of the depth of my caring. I am always careful to respect doctor patient boundaries though. It’s not like I go party at their houses or anything.

There is the patient that doubts literally everything you say. I mean everything. For every plan you come up with, they have a counter plan or they doubt that it will work. They question your every move. They constantly re ask the same questions to see if they can trap you into giving a different answer. I realize that most of the time, this has nothing to do with me. Often, these are patients that have been bounced from office to office without actually getting the help that they need. Or, worse yet, they have had a bad experience or suffered malpractice and this makes it very difficult for them to trust any doctor. I try to take that into consideration when working with them.

There is the patient who thinks THEY are the doctor. You know the one. They grew up with family members or friends that are physicians and they know just enough to be dangerous….to themselves and your 16 plus years of schooling are not going to change their mind.

There is the entitled patient, who thinks only of themselves and becomes indignant when attention is not focused on them. These are the patients that become irate when their pap smear is interrupted because I have to run to the hospital to save someone who is hemorrhaging. The “big picture” is somewhat lost on them. They want special treatment and have tantrums when things do not go their way, regardless of the reason. I try to set very clear communication and expectations with these folks, but sometimes they get upset nonetheless.

There is the patient that “never goes to the doctor.” This is the patient that hasn’t been to the doctor in years because they haven’t had any symptoms. This is the patient that doesn’t trust doctors and has to make sure you know it by repeating the first two statements multiple times during their visit. However, if this same patient suddenly has an issue that they determine to be urgent, you had better drop everything and address it right away. Never mind that they have neglected their health for years. It is up to you to fix it….and quickly……so they can go back to never coming in for check-ups.

Let’s not forget the self-diagnosing patient. We all know that with the help of Google, our friends, our family and the chiropractor, we can figure anything out on our own, even before reporting to the doctor’s office. Those are the folks that come in convinced they have a rare tropical disease because Doctor Google said so after they typed in their symptoms. It is often very difficult to talk them out of it, but I try. Half the time, they are apologizing for looking stuff up in Google, as they are insisting that it has to be correct!

There is also the patient with overbearing family members. In my case, this most often presents and the teenage patient with the anxious parent. The parent is often on a covert fact-finding mission to discover if the teen is sexually active or not. They talk over the patient, and try to fill in all the details to show how concerned they are, but then don’t really seem to want to hear what the teen has to say. I get that they want to make sure the patient gets what she needs, but this behavior only shuts down any potential successful communication that I was hoping to have the patient.

There is a final category. This is the one we spend our whole careers hoping to encounter: the patient that reminds you why you went into medicine in the first place. This is the patient that appreciates what you do for them and how you care for them. This is the patient that is nice to your hardworking staff. This is the patient that follows through with what you recommend. This is the patient that talks with you not at you at the office.

The bottom line is that my job offers infinite variety. All of these patient types keep me on my toes and my mind fresh and ready for anything. They each have their own advantages and challenges. It’s not exactly how I thought it would be, but I wouldn’t change a thing.

Dr. Katz

Am I seriously chastizing myself right now for not being busy enough?

Covid has really forced me to “slow down” lately. It really doesn’t give you any choice. Until you progress pass the point of feeling out of breath just by moving, you really don’t have any other option but to slow down. I am just not used to it. I am used to being busy. I thrive on being a multitasker. I feel like my mind is always on the next thing. But, now that I have some time to ponder it, is that really healthy or ok? Why do I like being busy so much?

Even before the covid slow down, I really started to notice that I was not as busy when I would look at all the social posts from dance mom friends. The constant competitions, rehearsals, and travel used to fill my life too. It has been a hot 3 years since those items have been on my agenda that’s for sure. But, I did put in 10+ years so I guess I paid my dues. I guess I have to say that I don’t necessarily miss the 4 am mornings and trying to figure out all the schedules, but there is a part of me that misses it all the same. I seem to have filled up the gaps nicely with work, writing books, blogging, doing the household finances, running an office, etc.

So again, back to the original question, why do I crave being busy? There are many reasons. I think that one of the most important ones for me is that when I am busy, I feel like I am contributing. I feel useful. I feel like I am “pulling my weight.” I know that is something I need.

Some people say that being busy is like a coping/avoidance mechanism. It is a way to stay focused and push away the worries about something that is bothering you and keeping moving forward. This is both good and bad. It is good in that you are not allowing something that is worrying you to stop you. But, it is not so good if you rely on keeping busy to avoid dealing with anything. Keeping busy is all good until it overtakes you to the point that you forget how to enjoy life or take anything in.

Jamie Bloch, psychologist and clinical director of MindMovers Psychology says that some people are actually addicted to being busy. When these people complete tasks, their brains actually release dopamine, which makes them feel good. I am not sure that I am actually addicted to being busy, but it does make me feel good.

Sometimes people feel the need to be busy because they are seeking approval. The need to please everyone keeps them from saying no to any tasks and therefore they are always up to their ears in activity. In the end, all this does is run them ragged and they probably do not get much in return for their efforts.

I think society expects us to be busy and in motion all the time. It all goes back to the sense of worthiness that I mentioned in the beginning. We all feel like we are worth more if we are accomplishing something.

The desire to be busy sometimes sets us up for failure. We tend to set up these gigantic to do lists that are sometimes impossible to achieve, which leads to anxiety and a sense of letdown. This is not healthy.

I think the key is to strike a balance between our productive lives and our restorative lives. Yes, keep our productive lives to accomplish and achieve and feel worth. But, also keep our restorative lives in which we practice self-care (which isn’t selfish) and take a minute to breathe, reflect, and preserve and let go of the notion that we need to be in motion every minute. I think that the key to doing this is to let go of the nagging worry about what society expects of us in terms of activity level and get to know ourselves more and what we can handle. I think we will all be a little bit healthier in body and mind for it.

Dr. Katz

I finally got Covid

I have held off successfully for 2 and a half years. I have boosted. I have vaccinated. I faithfully wear my mask without complaint, except for the excessive sweating. I have done everything i can think of and still, it finally happened. Yes. It sucks. I am congested. My head is splitting from time to time. I am very congested. Exhaustion is my new middle name. Everything hurts. The cough is like…are you kidding me right now? Is it necessary to literally throw my back out with every hack? Sheesh. Everyone is worried with my heath history as of late. The doctor wants to throw the latest antiviral my way.

I am going to say something that will probably sound quite strange right now, but bear with me. There is a part of me that is kind of like, “Whew, that is finally over” right now. What I mean is, I feel like I have been living in fear for the last two and a half years, waiting on the precipice of this amorphous unknown monster called Covid. There are times when I would almost have a panic attack if I found out that I was exposed. Well, the wait is over. I can stop walking on eggshells. I just have to power through this incredibly shitty cold virus cousin. Now that I have something to relate to, provided that I DO get through this like I intend to, I feel like I can let go of some of the fear. I realize that this illness can be deadly, but so can even a cold for some people. Anything can be potentially deadly in the right( or wrong) patient. When I say that I am ready to let go of the fear, I do not mean let go of common sense. I am still going to mask up in crowds, even if I am overheated and miserable. Yes I will. Because I realize that, even if it looks like it might not kill me, I still don’t want to get it again if I can help it.

“They” say that money isn’t everything…but who’s they? The people with the money?

The Dalai Lama once said that “These days, in our materialistic culture, may people are led to believe that money is the ultimate source of happiness. Consequently, when they don’t have enough of it they feel let down. Therefore, it is important to let people know that they have the source of contentment and happiness within themselves, and that it is related to nurturing our natural inner values.”

On the opposite end of the spectrum, Earl Wilson said, ” Always remember, money isn’t everything-but also remember to make a lot of it before talking such fool nonsense.”

So, who’s right? How important is money in our lives? How important is money to our happiness? I am sitting here browsing through all these wise and quippy quotes about money. The trend that draws my attention is that every quote that belittles the possession of money or summizes that it is insignificant, seems to be made by a very wealthy or famous person. The rest of quotes that address the fact that some financial backing is essential to survival seem to be made by everyone else.

Interesting. I think all of them are correct actually. Once you have achieved fame and fortune, money becomes less important because you already have it. You already have a foundation. The struggle is over. For the rest of us, we realize that human beings need money to pay for all the things that make your life possible. You need it to pay for your basic needs like healthcare, food, and shelter. That is just a fact. Having more money gives a person more choices and comes with more autonomy in their own lives. Can money buy happiness? Well, I think we have answered that question with a resounding no over the ages. Money cannot buy happiness. I am sure there are miserable millionaires everywhere.

There are some plot twists though. There are studies that show that, while having enough money for basic needs and provide a safety net is essential to well being, having additional income may not actually increase wellbeing and may even have a negative impact. Here are some statistics.

A study was done looking at per capita income in the United States from 1946 to 1990. Per capita income rose 150%, yet the percentage of people who reporting being happy fell significantly and depression rates rose ten fold. People who won large sums of money with lotteries were not actually happier a year later and had more daily dissatisfaction. The University of Minnesota did a nine experiment series that showed that when people are thinking about money, they isolate themselves from others. Money made people want to be free of dependents, be less helpful to others. When people compared themselves economically to others it only caused distress. Well, none of that sounds good.

So, why think about money so much? It does allow for some instant gratification possibilities. It does help provide for our basic needs, but we have shown that it doesn’t buy happiness. In fact, we have shown that sometimes too much of it can make things worse. I think it is not realistic to say that it doesn’t matter at all. That is not really possible. I just think that it can’t be your primary focus all the time. It’s too disruptive mentally and physically. There are other things that matter more like relationships, purpose, and happiness. Within reason, I think over focusing on money should take a back seat to those.

Dr. Katz

Beauty is in the Eye of the Beholder

As you may or may not know, I am an ObGyn who also practices aesthetic medicine. We perform all kinds of procedures that tighten, get rid of fat, get rid of hair, tone, fill, contract muscles, etc. We like to post pictures of results to celebrate a patient’s success. Invariably, it seems that someone has to comment negatively that the procedures are not necessary or that they didn’t work or that the patient did not need them. I am never sure what the intent is of doing this? Is it telling the patient that they were not worth investing in themselves? Is it undermining their confidence? Is it telling them that they should not invest in their own sense of beauty? Or are they just trying to interfere with our business and our services? In any case, none of these reasons are healthy or positive and I really wish that people would refrain. All they are doing is causing potential hurt to the patient. I am just not sure that they understand that.

So, let’s talk a little bit about beauty. What does the word beauty mean? What does it mean to feel beautiful? The Oxford dictionary defines beauty as a combination of qualities, such as shape, color, or form, that pleases the aesthetic senses, especially the sight. It also describes beauty as a combination of qualities that pleases the intellect or moral sense. And finally, it states that beauty denotes something intended to make a woman more attractive.

I think that it is truly difficult to define beauty because it has both subjective and objective counterparts. The concept of beauty as a property of something is the objective part, but it also depends on the emotional response of the observer, whether it is the person themselves or an outside observer. You see, it’s both.

So, who is to say what is beautiful and what isn’t? I suppose that we all think of certain qualities that are essential to all beautiful things like proper proportion, harmony, radiance, pleasure, and value. But, even these qualities can be subjective. There are no absolute measurements for any of them. It’s similar to that one saying that one person’s trash is another person’s treasure . What is beautiful to one person may not be beautiful to someone else. It is ultimately up to the individual to decide. This also applies to someone’s decision to invest in themselves to feel more beautiful. So, the next time you think about making a negative comment, please don’t. All you are doing is hurting the patient’s feelings. Nothing more.

Dr. Katz

Parenting has changed A LOT

Does anyone feel like being a parent has become even more challenging lately? I feel like parenting in the United States has become increasingly more demanding that it used to be for financial reasons, emotional reasons, and the increasing social pressure to make sure that our children are more successful than we were. I read a very interesting article by Claire Cain Miller in the New York Times back in 2018 and it’s really got me thinking now. I want to share some of it and my own thoughts with you.

Did you know that the word parent as a verb did not get widely used until the 1970s? This was around the same time as the explosion of parenting books all over the country. The ‘helicopter parent” was invented in the 1980s to keep kids safe from harm due to a rash of media attention frenzy child abductions. Even though these incidences were rare, the media ( like they do even now) focused us so strongly on them that it’s all we could think about and it changed a whole generation of parenting.

After the helicopters came the intensive parents. We are still most definitely in the intensive parenting era even now. Let me explain. Intensive parenting first showed up in the 90s and 2000s. We all changed our perspective with regards to our kids. Instead of viewing them as independent, joyful and capable of anything, we started seeing them as moldable, extremely vulnerable beings that needed to be shaped from a very early age. We had a lot of help with this thinking with all the child development research that was flooding our senses at every book store, social circle and media outlet.

So, what was the consequence of this intensive parenting shift? It sounds like it should mean that we spent a lot more time with our kids. In actuality, the real numbers of hours that parents and kids spent together did not change significantly, BUT, what we did during those hours changed a lot. Everything shifted to more hands- on interactions. We started doing more crafts, attending more recitals, going to more sporting events, spending more time helping with homework. Did you know that parents spend an average of five hours or more a week just helping with homework now, as compared to the 1970s? And we still worry that we are not doing enough. Another potentially unhealthy trend was that we started spending all of our leisure time focused solely on our children, instead of leaving anything for ourselves. We greatly increased structured activities, sometimes to the point that every single minute of our child’s lives, and thus our lives, was plotted out to the minute. Then came the overwhelming sense of guilt if you had a few minutes to yourself. We have started spending so much money doing this that we have created a new level of economic anxiety that we have never had before. To me, that is a recipe for disaster and resentment. When you leave nothing for yourself, how can you be the best parent you can be? I am not sure it’s possible. Of course, there is a finesse to the balance. I am not suggesting sitting and eating bonbons all day long while the kids run rampant like “Where the Wild Things Are” or anything.

We have taken this trend to another unhealthy level by tacitly not supporting the working parent. The job flexibility options to facilitate balance between work and home are just not universally available. Then here comes the guilt again about not spending enough time, but you have to work enough to feed them….and afford all their activities…don’t you?

Do you remember you felt free and joyous as a kid? Drinking from the hose? Playing outside until the streetlights came on? Not tied to a screen or having to go to ten activities in one day? Not every kid on the block was headed for an IVY league college? Was it so bad? Did you know that for the first time in history, it is actually about a 50/50 shot whether our kids will end up better off than we were? Studies also show that kids today aren’t any happier or more satisfied than they used to be either. Despite all this extra effort? Whaat?!

I think then that begs the question….what are we doing? Why are we doing it? I think we need to stop and think a minute. Slow down the relentless wave of activities. Allow our kids to think for themselves and be a part of choosing their own path. If what we are doing is not actually working, isn’t time we re-evaluated? I truly think that a child’s own path depends largely on the child. We all have heard stories of inner city children ending up rich and famous and likewise of privileged children ending up aimless with no steady job. No matter how many opportunities are thrown someone’s way or how many hours are invested, it is ultimately up to the individual to make the most of it. Let’s give them a chance to be independent. Let’s keep watching but not always interfering.( Within reason. I know even I can’t let things go all the time. ) If anything, you might have time to sip a glass of wine once in awhile and they might even end up happier. Isn’t that what matters the most? Just think about it.

You need to love your job…or stop doing it

According to statistics from February 2022, 65% of U.S employees are satisfied with their jobs, but only 20% are passionate about them. Notice that these statistics don’t address how many people are actively employed, it just speaks to the percentage that are. This makes it a little tougher to ascertain the true meaning of this. But let’s take them at face value. To be honest, with everyone’s behavior lately, I am surprised that the statistics are even this positive. I sometimes wonder if the majority of people in the United States even want to work anymore. I am extremely thankful that I have found some that do.

So, why is job satisfaction so important? Doesn’t it only matter that the work gets done? The short answer is no. The completion of work is not the only significant factor. Job satisfaction really matters. Let’s look at why.

Job satisfaction affects workers, which in turn affects the company. When workers are happy with their careers, they become better team players. They tend to align themselves in a sincere way with the company mission and goals. This leads to employees being PR ambassadors, spreading the word about how much they love working there and then generating more word of mouth business for the company.

There is way less job turnover when employees are satisfied. This means less HR headaches and less time and money spent on hiring. On top of that, satisfied workers are more productive and more motivated to complete their tasks. They will work harder and company profit will increase. It’s a win win.

So, let’s take a look at what makes jobs satisfying. 60% of U.S employees feel that their co workers are the biggest factor in their work happiness. This does not necessarily refer to their upper level bosses. These are the people that they work with every day. If they all get along, have each other’s backs, and work as a team,, everything goes better and is more enjoyable. Even if they are not a fan of their boss, as long as they get along with their co workers, things usually function ok. Another 74% of U.S employees believe that company culture is the biggest contributing factor. It makes sense. A healthy and positive work environment makes any day go better. I have to agree with this. Having a good team around me has made work more enjoyable than it has been in years.

What are some of the most satisfying jobs in the workforce? According to U.S News and World Report, PayScale and CareerBliss, this is the list of the most satisfying jobs available:

Chiropractor

Chief Executive

Conservation Scientist

Physician

Nurse

Physical Therapist

Teachers

Clergy

Psychologist

Surgeon

What is so special about these jobs? From my estimation, all of these jobs have some characteristics in common. There is variety. New things happen every day. The job is ever changing. They have an opportunity to advance. They involve helping people. They have higher salaries, which decreases bill pay stress. All of these factors contribute to job satisfaction.

What makes a job less satisfying? Less flexibility, lower pay, lack of benefits, poor work environment, no opportunity for advancement and high turnover rate all lead to less job satisfaction. Jobs that fall into this category include parking lot attendants, fast food cooks, dishwashers, cashiers, waiters, and retail salespeople.

Now, having said all of this, I am sure that a lot of employees don’t fit into these categories. Some cooks love their jobs. Some teachers hate theirs. I am not attempting to generalize. These examples are research-based. I realize that there are always exceptions.

We have discussed all the statistics. Now let’s talk about why I think job satisfaction is important. I think it is important because I literally can’t do my job well without it. I am grateful every day that I love what I do. I know this from the bottom of my heart. I have really been tested lately. Many of us have. Times have been really rough these last three years. I have worked without pay, through cancer, through family mental health issues, through my husband’s heart attack, and through the pandemic. I haven’t worked for reimbursement. I have worked because I love it. I still do. As long as I keep that in mind, and as long as that is still true, I will keep on doing it.

Dr. Katz

It’s Easter

To me, first and foremost, Easter is about the resurrection of Jesus. I get it. But, also for me, there is a lot of other things to celebrate on this day too. There has been so much rebirth everywhere. From the minute details of the daffodils blooming to the emergence of myself and my husband from illness to the rejuvenation of old relationships: there is a sense of fresh start everywhere.

Second chances are everywhere, if we take advantage of them. I think this applies not only to religion, but to life in general. I have to admit, there has been so much change to take in that sometimes it’s overwhelming as well as wonderful. I am sometimes not sure how to process it all. I make sure to never let it overwhelm my sense of gratitude, but I am noticing that there is still an underlying sense of anxiety and “waiting for the other shoe to drop” again in my every day life. It seems to be affecting my whole family as well. I think it’s just normal with everything we have been through lately.

I realize that I need to make a conscious effort to keep moving forward, and to help my family move forward with me. We need to make the absolute most of and learn from these second chances. We need to focus on what gives us joy, even if it is something as small as watching my grandchildren hunt for Easter eggs or as monumental as hearing that my latest scans are clear.

So, as you gather with family and friends today to celebrate our Lord, also take time to celebrate each other and life in general. Take nothing for granted. Embrace every opportunity. Learn from each other and your own mistakes. Savor every moment.

Have a happy and blessed Easter.

Dr. Katz

It’s Time To Get Back to the Smoothie

I finally went on a vacation after almost two years. It was amazing. In the weeks preceding it, I became acutely aware of just how much I NEEDED it: emotionally and physically. I felt like every cell in my body was about to burst with the drive to get the hell out of town an away from everything: my environment, my routine, my town, everything. In between the vacation cravings came the vacation fears. What if something terrible happened to one of us? What if we didn’t get to go at all? What if we didn’t survive it? Let’s be honest for a moment. Each and every time we tried to have time off in the last two years, something awful happened. A pandemic started. Someone had a heart attack or, my favorite, someone got cancer. You see what I mean? The vacation fears almost took over the vacation cravings to the point that we felt jinxed just to utter the word vacation. We started saying pause or any other euphemism to avoid saying the word vacation. It’s ridiculous I know, but it’s what happened.

So, the big day finally arrived. We were all packed and ready to go, BEFORE 2 am the night before. This in and of itself is a miracle…lol We celebrated each mile stone with vigor. Hurray we made it to the airport. Hooray we made it through security. Hurray we made it on the plane. And then, the celebrations stopped because flights were delayed…and cancelled. But, we even made the best of that and just kept switching gears as fast as they changed.

Finally, we made it to our destination: sunny Key West Florida. I had never been. It was gorgeous and hot and sweaty. I was in love. I thought for sure that it would be smooth sailing from there. It was, sort of. I realized quickly that we both had forgotten how to really take a vacation. We were kind of anxious at first, waiting for the other shoe to drop and wondering how we would handle it so far from home. I think we each took our own day to fall apart a little and lift each other back up again. It sounds like a waste of time, but it wasn’t. We needed that time to absorb that it would be ok and that we would be ok and that we were allowed to just have fun and relax. We did get the hang of it eventually.

It ended up being a marvelous vacation, plane snafus at the end not withstanding. We did relax. We did have fun. We ate stuff. We did stuff. We saw old friends. We tried new things. But, after a week, it was time to get back to the real world. I realized the routine I had been so vigorously campaigning against before we left was not actually a bad thing. There is safety and comfort in the routine. For chrissakes, for the past two years life has been anything BUT routine until lately. If I am being honest, things were finally getting normal enough to even be able to notice a routine. I told myself that the routine was dragging me down, but it wasn’t really true. The routine just let’s me know that I am okay and that things are ok. That’s a good thing.

According to Diane Lang, 40 % of our lives involve routines. Routines give us a sense of structure. They give us a sense of accomplishment. They let us know that we are doing ok. They give us a pattern to follow. They are even important for our mental health. They allow us a sense of what we can control. I think this has been especially important during the pandemic. I know that for me, being able to establish a routine has been essential in my continued healthy survivorship after cancer. The bottom line is, routine are not so bad. On that note, now that I am home, I think it is time to get back to the smoothie. I missed it while I was on vacation.

Dr. Katz

There is so much to say

Buddha Quotes positive attitude

Hello there! Long time no write. It has been an interesting month to say the least. My head has been spinning with a little bit of everything lately, to the point that I didn’t really know how to put into words that would make any sense. I am going to give it a shot now.

First and foremost, I feel so grateful just to be alive. I remind myself to take note of this every day. It was not guaranteed by any means. 2021 was just a shit show of one inevitable thing after another, not to mention trying to be vanquished by lymphoma. Well! I showed that stupid cancer who’s boss! But, almost a year later, I am still not quite me yet. There have been so many side effects and setbacks and I just had to sign a different consent form that added about 6 new pages of warnings and potential complications for chemo that I already had. But, I just keep on taking the hits like a prize fighter and keep on plugging.

Second, I am so grateful that my husband is alive. I was barely a couple feet in the rearview from chemo when he tried to croak and had multi vessel open heart surgery, without having any high cholesterol or anything! Talk about terrifying and out of the blue! Helping him rebuild both mentally and physically has been one of the greatest challenges of our lives. If we allow it, the what ifs could easily overwhelm us. I just keep saying no!

Third, I am grateful that my kids are healthy, at least physically. Let’s face it. Almost losing both parents in one calendar year hit them like a ton of bricks, even though they tried not to show it. They wanted to spare our feelings and not have us worry or feel guilty. Too late for that. I watched their struggle to process and still give themselves permission to carry on with their lives. There is no more hopeless feeling than knowing your kids are fighting a battle that you just can’t help with or fight for them, but that is partially caused by you. I get it. Feeling guilty does not solve or remedy anything. I just can’t help it.

Fourth, the ongoing business struggles between the pandemic and the after effects of me working less during my cancer treatment and trying to help when my husband was ill are still catching up with me. Not a whole lot I can do about that besides keep working my ass off. On the other hand, I feel very fortunate to still have and own my business after everything that has happened. I’ve always said that I am not in it for the money anyway…lol

Last but not least, there IS something that really keeps me going lately in a good way. Want to know what it is? It is my positivity. What do I mean by that? Well, I DON’T mean that I wear rose-colored glasses and have unrealistic expectations that set me up for failure. I DON’T mean that I skip around singing like Snow White all day. I mean that I am still able to help people every day, no matter what has happened. I truly believe that my positivity has impacted people all over, even in some of the toughest, most defeatist cases. I feel like it is really working and spreading to everyone around me. I truly believe that I have been able to be the metaphorical flashlight that I was aiming for to lead other people through dark times. I realize that I haven’t been able to get to everybody, but I will never stop trying. I think the key thing for me to remember is that I am keeping positive and advocating and pushing because I want to, not from some sense of duty or obligation.

So, let me bottom line it for you. There is a lot of crap still going on, but I am staying positive! Join me will ya?

Dr. Katz