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	<title>Through the Land of Smoke and Mirrors: An e-Patient&#8217;s OdysseyComments on: --</title>
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	<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html</link>
	<description>because health professionals can&#039;t do it alone</description>
	<lastBuildDate>Tue, 22 May 2012 03:29:30 +0000</lastBuildDate>
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		<title>By: Mentioned Today in Trisha Torrey’s Patient Empowerment Blog &#171; Diane Engelman &#124; News &#38; Articles</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-97763</link>
		<dc:creator>Mentioned Today in Trisha Torrey’s Patient Empowerment Blog &#171; Diane Engelman &#124; News &#38; Articles</dc:creator>
		<pubDate>Sat, 10 Mar 2012 17:04:19 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-97763</guid>
		<description>[...] recent article “Through the Land of Oz: Self-Advocacy in Today’s Health Care System” was mentioned in Trisha Torrey’s About.com Patient Empowerment blog, in her post [...]</description>
		<content:encoded><![CDATA[<p>[...] recent article “Through the Land of Oz: Self-Advocacy in Today’s Health Care System” was mentioned in Trisha Torrey’s About.com Patient Empowerment blog, in her post [...]</p>
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		<title>By: New Article Published on Health Care Self-Advocacy &#171; Diane Engelman &#124; News &#38; Articles</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-97762</link>
		<dc:creator>New Article Published on Health Care Self-Advocacy &#171; Diane Engelman &#124; News &#38; Articles</dc:creator>
		<pubDate>Sat, 10 Mar 2012 16:54:15 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-97762</guid>
		<description>[...] article “Through the Land of Oz: Self-Advocacy in Today’s Health Care System” was just published in the Society for Participatory Medicine’s e-Patient.net blog. It tells the [...]</description>
		<content:encoded><![CDATA[<p>[...] article “Through the Land of Oz: Self-Advocacy in Today’s Health Care System” was just published in the Society for Participatory Medicine’s e-Patient.net blog. It tells the [...]</p>
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		<title>By: Putting the I (or eye!) in Health IT: ONC&#8217;s regional meetings &#171; e-Patient Dave</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-82349</link>
		<dc:creator>Putting the I (or eye!) in Health IT: ONC&#8217;s regional meetings &#171; e-Patient Dave</dc:creator>
		<pubDate>Fri, 22 Jul 2011 05:54:15 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-82349</guid>
		<description>[...] full story of Diane Engelman and her daughter Hilary, whose access to Hilary&#8217;s chart enabled her to receive the correct surgery. (This story also [...]</description>
		<content:encoded><![CDATA[<p>[...] full story of Diane Engelman and her daughter Hilary, whose access to Hilary&#8217;s chart enabled her to receive the correct surgery. (This story also [...]</p>
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		<title>By: The Unwilling E-Patient: Learning to use my mother-of-a-patient voice &#124; e-Patients.net</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-59207</link>
		<dc:creator>The Unwilling E-Patient: Learning to use my mother-of-a-patient voice &#124; e-Patients.net</dc:creator>
		<pubDate>Fri, 17 Sep 2010 20:57:27 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-59207</guid>
		<description>[...] patient. And note how her &#8220;mother-of-a-patient voice&#8221; echos Diane Engelman&#8217;s mama lion story.&#8211;e-Patient [...]</description>
		<content:encoded><![CDATA[<p>[...] patient. And note how her &#8220;mother-of-a-patient voice&#8221; echos Diane Engelman&#8217;s mama lion story.&#8211;e-Patient [...]</p>
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		<title>By: Roger freed</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53968</link>
		<dc:creator>Roger freed</dc:creator>
		<pubDate>Wed, 09 Jun 2010 21:30:09 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53968</guid>
		<description>Thanks - I printed out a copy to read later!</description>
		<content:encoded><![CDATA[<p>Thanks &#8211; I printed out a copy to read later!</p>
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		<title>By: Sam</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53910</link>
		<dc:creator>Sam</dc:creator>
		<pubDate>Tue, 08 Jun 2010 16:56:34 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53910</guid>
		<description>Kathleen, are you mad?  Health Care reform will institutionalize the Engelman&#039;s experience for all, mama lion or no mama lion.  We&#039;ll all be in one big HMO, only stupider and more arrogant, and with no appeal possible - as are NHS patients in the UK.  
Only the existence of a market, however impaired, makes centers like Mt. Sinai&#039;s possible for those who can afford it, or who have the intrepidty of the Englemans.  Such centers of excellence don&#039;t exist in the UK or Canada - we should cherish them while we can, support them with our dollars and our votes and our business, and most of all, use our heads.  We must understand that we must break down the walls that insulate incompetence and mediocrity like that which the Englemans&#039; HMO embodies, rather than layer them in layers of bureaucracy that are impervious to human feeling.</description>
		<content:encoded><![CDATA[<p>Kathleen, are you mad?  Health Care reform will institutionalize the Engelman&#8217;s experience for all, mama lion or no mama lion.  We&#8217;ll all be in one big HMO, only stupider and more arrogant, and with no appeal possible &#8211; as are NHS patients in the UK.<br />
Only the existence of a market, however impaired, makes centers like Mt. Sinai&#8217;s possible for those who can afford it, or who have the intrepidty of the Englemans.  Such centers of excellence don&#8217;t exist in the UK or Canada &#8211; we should cherish them while we can, support them with our dollars and our votes and our business, and most of all, use our heads.  We must understand that we must break down the walls that insulate incompetence and mediocrity like that which the Englemans&#8217; HMO embodies, rather than layer them in layers of bureaucracy that are impervious to human feeling.</p>
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		<title>By: Great news from &#8220;Mama Lion&#8221; Engelman and daughter &#124; e-Patients.net</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53884</link>
		<dc:creator>Great news from &#8220;Mama Lion&#8221; Engelman and daughter &#124; e-Patients.net</dc:creator>
		<pubDate>Mon, 07 Jun 2010 12:31:07 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53884</guid>
		<description>[...] weeks ago you met mother and daughter Diane Engelman, and learned of their odyssey through the land of smoke and mirrors as Diane fought to get Hilary the correct surgery. Hilary had been told to hurry up and have babies [...]</description>
		<content:encoded><![CDATA[<p>[...] weeks ago you met mother and daughter Diane Engelman, and learned of their odyssey through the land of smoke and mirrors as Diane fought to get Hilary the correct surgery. Hilary had been told to hurry up and have babies [...]</p>
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		<title>By: Michele Saloner</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53603</link>
		<dc:creator>Michele Saloner</dc:creator>
		<pubDate>Tue, 01 Jun 2010 03:47:04 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53603</guid>
		<description>Bravo Diane!

I have always admired your smarts, your tenacity, your compassion and your commitment to mothering. These qualities and much more is what it took for you to negotiate your way through the maze of medical Alice in Wonderland and emerge with a reality that worked for Hilary in the best way imaginable. Your story truly inspires others to keep fighting for what they need for themselves and their loved ones. 

Your friend,
Michele</description>
		<content:encoded><![CDATA[<p>Bravo Diane!</p>
<p>I have always admired your smarts, your tenacity, your compassion and your commitment to mothering. These qualities and much more is what it took for you to negotiate your way through the maze of medical Alice in Wonderland and emerge with a reality that worked for Hilary in the best way imaginable. Your story truly inspires others to keep fighting for what they need for themselves and their loved ones. </p>
<p>Your friend,<br />
Michele</p>
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		<title>By: Matthew Holt</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53545</link>
		<dc:creator>Matthew Holt</dc:creator>
		<pubDate>Sat, 29 May 2010 03:55:52 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53545</guid>
		<description>Diane--If you named names, then both the doctors and the organization would have to engage, tell their side of the story, and defend their actions. They may actually have something worthwhile to say.

For example, the larger organization may be unaware of this department&#039;s practice. There may be factions inside the organization that need a case to advance a better way. If not, pressure can be applied if appropriate. Or maybe your side of the story is wrong.

You know who they are--they know who they are. The only reason to not tell the rest of us would be that you have a financial settlement contingent on not talking. And if that&#039;s the case you should reveal it. 

If you don&#039;t rewrite this with real names, this is a great story about how you were a fierce advocate for your daughter. But you haven&#039;t changed the wider process, and what happens to the next daughter whose mother isn&#039;t as tough or smart as you?

Matthew</description>
		<content:encoded><![CDATA[<p>Diane&#8211;If you named names, then both the doctors and the organization would have to engage, tell their side of the story, and defend their actions. They may actually have something worthwhile to say.</p>
<p>For example, the larger organization may be unaware of this department&#8217;s practice. There may be factions inside the organization that need a case to advance a better way. If not, pressure can be applied if appropriate. Or maybe your side of the story is wrong.</p>
<p>You know who they are&#8211;they know who they are. The only reason to not tell the rest of us would be that you have a financial settlement contingent on not talking. And if that&#8217;s the case you should reveal it. </p>
<p>If you don&#8217;t rewrite this with real names, this is a great story about how you were a fierce advocate for your daughter. But you haven&#8217;t changed the wider process, and what happens to the next daughter whose mother isn&#8217;t as tough or smart as you?</p>
<p>Matthew</p>
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		<title>By: Diane Engelman</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53496</link>
		<dc:creator>Diane Engelman</dc:creator>
		<pubDate>Wed, 26 May 2010 18:56:18 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53496</guid>
		<description>Heidi -

Thanks for taking the time to read the article and comment. I wish I knew more about the good health insurance stories e-patient Dave mentioned.</description>
		<content:encoded><![CDATA[<p>Heidi -</p>
<p>Thanks for taking the time to read the article and comment. I wish I knew more about the good health insurance stories e-patient Dave mentioned.</p>
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		<title>By: Diane Engelman</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53493</link>
		<dc:creator>Diane Engelman</dc:creator>
		<pubDate>Wed, 26 May 2010 17:35:41 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53493</guid>
		<description>Hi, Disty -

And you were an important member of the support team! Thanks!</description>
		<content:encoded><![CDATA[<p>Hi, Disty -</p>
<p>And you were an important member of the support team! Thanks!</p>
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		<title>By: Diane Engelman</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53492</link>
		<dc:creator>Diane Engelman</dc:creator>
		<pubDate>Wed, 26 May 2010 17:34:17 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53492</guid>
		<description>Dear Kathleen -

I&#039;m glad you are sending the article on to Utah Health Policy Project. Thanks. In this case, business profits did not triumph over health care. It took too much effort to make that happen... but I am grateful it did. The State Board of Managed Health Care saved the day.</description>
		<content:encoded><![CDATA[<p>Dear Kathleen -</p>
<p>I&#8217;m glad you are sending the article on to Utah Health Policy Project. Thanks. In this case, business profits did not triumph over health care. It took too much effort to make that happen&#8230; but I am grateful it did. The State Board of Managed Health Care saved the day.</p>
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		<title>By: Diane Engelman</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53484</link>
		<dc:creator>Diane Engelman</dc:creator>
		<pubDate>Wed, 26 May 2010 14:42:49 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53484</guid>
		<description>Hi, Dave -
Tell us more about your insurance carrier Harvard Pilgrim.</description>
		<content:encoded><![CDATA[<p>Hi, Dave -<br />
Tell us more about your insurance carrier Harvard Pilgrim.</p>
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		<title>By: What kind of heart diseases can an echo cardiogram detect?</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53476</link>
		<dc:creator>What kind of heart diseases can an echo cardiogram detect?</dc:creator>
		<pubDate>Wed, 26 May 2010 05:19:12 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53476</guid>
		<description>[...] Through the Land of Smoke and Mirrors: An e-Patient&#039;s Odyssey [...]</description>
		<content:encoded><![CDATA[<p>[...] Through the Land of Smoke and Mirrors: An e-Patient&#39;s Odyssey [...]</p>
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		<title>By: Kathleen Hardy</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53475</link>
		<dc:creator>Kathleen Hardy</dc:creator>
		<pubDate>Wed, 26 May 2010 05:03:50 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53475</guid>
		<description>My friend, Joyce Anis, sent this to me and I plan to forward it to the Utah Health Policy Project.   They are always looking for stories like this.  

This is why we need Health Care Insurance Reform.  The current law is only a baby step in the right direction. Unfortunately, as long as the USA is wedded to the market as the provider of health care insurance these type of problems will continue to happen.  When business profits come up against the best health care option for the patient all too often business profits trump health care.  This is more true for the for-profit health insurance companies that for the non-profit health insurance companies.  Back in the 70&#039;s I had hope for HMOs as a solution to this problem, but the bean counters took over the HMOs and perverted the idea that the medical professionals would direct patient care.  I guess I will just have to keep praying for a &quot;single payer health insurance&quot; that  contracts with any qualified health care professional and allows the patient to choose the one that meets their needs.</description>
		<content:encoded><![CDATA[<p>My friend, Joyce Anis, sent this to me and I plan to forward it to the Utah Health Policy Project.   They are always looking for stories like this.  </p>
<p>This is why we need Health Care Insurance Reform.  The current law is only a baby step in the right direction. Unfortunately, as long as the USA is wedded to the market as the provider of health care insurance these type of problems will continue to happen.  When business profits come up against the best health care option for the patient all too often business profits trump health care.  This is more true for the for-profit health insurance companies that for the non-profit health insurance companies.  Back in the 70&#8242;s I had hope for HMOs as a solution to this problem, but the bean counters took over the HMOs and perverted the idea that the medical professionals would direct patient care.  I guess I will just have to keep praying for a &#8220;single payer health insurance&#8221; that  contracts with any qualified health care professional and allows the patient to choose the one that meets their needs.</p>
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		<title>By: Diane Engelman</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53472</link>
		<dc:creator>Diane Engelman</dc:creator>
		<pubDate>Wed, 26 May 2010 01:30:02 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53472</guid>
		<description>It&#039;s great to hear such a positive story about health insurance, Dave. Thanks.</description>
		<content:encoded><![CDATA[<p>It&#8217;s great to hear such a positive story about health insurance, Dave. Thanks.</p>
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		<title>By: e-Patient Dave</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53463</link>
		<dc:creator>e-Patient Dave</dc:creator>
		<pubDate>Tue, 25 May 2010 21:38:57 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53463</guid>
		<description>Heidi, nice to meet you.  

I just want to add that it&#039;s a bit of an overgeneralization to say &quot;they&#039;re all the same.&quot; When I was in the pits with my cancer (very bad odds and expensive to treat), my insurance company (Harvard Pilgrim at the time) was excellent. 

Now that I think of it, the 5th blog post I ever wrote (December 9, 2007) was titled &lt;a href=&quot;http://patientdave.blogspot.com/2007/12/thank-you-harvard-pilgrim.html&quot; rel=&quot;nofollow&quot;&gt;Thank You, Harvard Pilgrim&lt;/a&gt;.</description>
		<content:encoded><![CDATA[<p>Heidi, nice to meet you.  </p>
<p>I just want to add that it&#8217;s a bit of an overgeneralization to say &#8220;they&#8217;re all the same.&#8221; When I was in the pits with my cancer (very bad odds and expensive to treat), my insurance company (Harvard Pilgrim at the time) was excellent. </p>
<p>Now that I think of it, the 5th blog post I ever wrote (December 9, 2007) was titled <a href="http://patientdave.blogspot.com/2007/12/thank-you-harvard-pilgrim.html" rel="nofollow">Thank You, Harvard Pilgrim</a>.</p>
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		<title>By: Disty</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53460</link>
		<dc:creator>Disty</dc:creator>
		<pubDate>Tue, 25 May 2010 19:56:28 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53460</guid>
		<description>I thought I knew your story Diane, but obviously not well enough. This will inspire many of us to start thinking more ceatively about our medical care.  The tenacity it takes to do this in the context of everyday committments is extraordinary.  Hilary has an amazing mom, and has clearly benefited from your perseverence. Thank you for leading the way.</description>
		<content:encoded><![CDATA[<p>I thought I knew your story Diane, but obviously not well enough. This will inspire many of us to start thinking more ceatively about our medical care.  The tenacity it takes to do this in the context of everyday committments is extraordinary.  Hilary has an amazing mom, and has clearly benefited from your perseverence. Thank you for leading the way.</p>
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		<title>By: Heidi</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53410</link>
		<dc:creator>Heidi</dc:creator>
		<pubDate>Mon, 24 May 2010 14:25:06 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53410</guid>
		<description>Hey Diane,
What a journey! Hilary will have a great story to tell your grandchildren thanks to you. 

Who knew there was a real Dr. House, and you found him. 

It doesn&#039;t matter which HMO you went to, they&#039;re all the same. Your story is a great example of our broken health care system. I hope it woke some poeple up. 

HKBR</description>
		<content:encoded><![CDATA[<p>Hey Diane,<br />
What a journey! Hilary will have a great story to tell your grandchildren thanks to you. </p>
<p>Who knew there was a real Dr. House, and you found him. </p>
<p>It doesn&#8217;t matter which HMO you went to, they&#8217;re all the same. Your story is a great example of our broken health care system. I hope it woke some poeple up. </p>
<p>HKBR</p>
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		<title>By: Diane Engelman</title>
		<link>http://e-patients.net/archives/2010/05/through-the-land-of-smoke-and-mirrors-an-e-patients-odyssey.html/comment-page-1#comment-53378</link>
		<dc:creator>Diane Engelman</dc:creator>
		<pubDate>Sun, 23 May 2010 17:17:53 +0000</pubDate>
		<guid isPermaLink="false">http://e-patients.net/?p=5736#comment-53378</guid>
		<description>Hey, Deborah -

From one Mama Lion to another ... I say thank you for your comments and for reading this long journal account of our odyssey. While gentleness is at times a virtue, it also is a liability. Finding a balance in this particular experience was a challenge for me. I found my way by orienting and re-orienting myself along the path so Hilary was assured of getting necessary and appropriate surgical care.</description>
		<content:encoded><![CDATA[<p>Hey, Deborah -</p>
<p>From one Mama Lion to another &#8230; I say thank you for your comments and for reading this long journal account of our odyssey. While gentleness is at times a virtue, it also is a liability. Finding a balance in this particular experience was a challenge for me. I found my way by orienting and re-orienting myself along the path so Hilary was assured of getting necessary and appropriate surgical care.</p>
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