Sabtu, 29 Januari 2011

Risen from the Shadows Death

Risen from the Shadows Death

Executive summary By Darmansjah

Eagerly Bertila (68) rose from the chair. He headed the auditorium podium Dharmais Cancer Hospital, Jakarta, and give greetings to the hundreds of guestsatthe event World Hospice and Palliative Care Day 2010 .

Although the course a little stagger, the spirit radiates from Bertila faces. Breast cancer patients are tersenyumsetiap times doctors and nurses greeted him warmly.

Finished off the podium, he was engrossed in conversation with some people he knew. The words that came out of his mouth mingled with the breath of breath.
"My son was grumpy, I must obey him. That way she encouraged me, "said Bertila. Each time you speak a little long, he must dwell a moment to catch his breath.
Tyas (31), Bertila only child who was by his side, just smiled at her mother's words. He felt very happy because I could see his mother again excited and can live with higher quality.

To care for her mother, Tyas many consult with doctors and nurses in palliative care units Dharmais Hospital for nearly two months. "I was taught how to help you overcome the pain, treat injuries, and how to strengthen mental Mother," said the woman who worked as a private employee here in Jakarta.

Assistance from the palliative unit that greatly reduce the suffering Bertila. He is no longer too often felt pain in his body. He also taught to manage the pain with a variety of ways, including regulating the breath.

Once the pain decreases, Bertila could return activities. He began to help clean up the house or come to a church group events.

Pain

Bertila very different conditions than before to get assistance palliative. Over the past three years, should be curled up in pain because Bertila gnawed cancer cells. He no longer could berkegiatan at home or outside the home.

Almost every day he had to struggle against the pain that pierced his body. When pain comes, Bertila felt her body like a knife pierced big. Because of the pain, sometimes up to berkelojotan Bertila body. "Every day, especially at night, my mother was always crying in pain," recalled Tyas.

Torture does not know the time. Sometimes the pain comes in the morning or evening. However, often the pain was coming all day and not see indistinctly. If you can not stand it, Bertila always talking about death. "Aduuh ... mbok fine. If it was about time it had taken it, "says Tyas imitating her mother's complaints.

The pain is felt nearly every day to change the joy and spirit Bertila. He became a figure of quiet and lazy to talk to. Filled his days just sitting watching television or lying in the room in pain.

Since 1999 the doctor was already detected a lump in her breast. However, Bertila not visit the doctor. The process is long and painful treatment, like chemotherapy, and high cost of treatment burden Bertila mind.

"I'm sorry for the Tyas when I have to bear huge medical expenses," said Bertila. He just want to be taken to the doctor for further detection in 2007. That's when the cancer began to spread to the left side of his body.

Control your mind

Cancer is considered synonymous with death, pain, and bankruptcy. Three things scary it could also haunt the minds of Zuriati (54) who detected breast cancer 14 years ago, when he was 40 years.

Hearing the verdict of doctors, Zuriati depressed. Completion of the doctors he did not go home, but spent the night with swirling a rented taxi. "We followed the road at night, filled my mind about the death. My kids were little. If I die, who would take care of them, "said Zuriati.

However, Zuriati not want to be too long decline. Assisted by her husband she was trying to get up, then prepare a strategy to fight cancer. Besides praying, by her husband Zuriati taught to cultivate the mind.

"I can not imagine frightening things associated with chemotherapy and cancer," said Zuriati. He had heard that after the chemotherapy will cause pain and discomfort extraordinary. However, Zuriati decide "hug" the pain was to always think positive.

For his mind not overshadowed the horror, Zuriati behave as if to a picnic when he set foot in the hospital. Each time the chemotherapy she would bring bring one bag full of passion for delicious food, such as nasi padang, rendang, sweet tea, fruits, and others.
After chemotherapy, she experienced severe nausea. However, he still ate lunch he was carrying because her body conscious high protein need chemotherapy after being poisoned. Once the food to the stomach, he vomited and he should try again to eat all his lunch.

Mind control, said Zuriati, so help him. When severe nausea came, he turned his mind to not focus with her nausea. When being sick, he imagined the beautiful courtship with her husband once or cuteness her children while still a toddler. By controlling the mind, Zuriati feel really helped through the bad times pascakemoterapi.

Now after 14 years of cancer in the body Zuriati never acting up again. Although aware of his body is still there of cancer cells, it no longer be overshadowed about death. "Everyone will die, just a matter of time," he said.

If death is finally coming, Zuriati want her life lived with useful things.
[HDG]

Health Information on Internet

Health Information on the Internet

Executive summary By Darmansjah

I am among those who diligently follow the development of health information through the internet. I am interested in new drugs as new drugs are promising better. Many cancer drugs, HIV drugs is likely to give better results in the future.

However, when I asked to a family doctor, most of the information that I received is considered less precise, even he also advised me to be careful because not all health information that is available on the internet it comes from reliable sources and objectively. He reminded that I only use drugs that have recognized the benefits through research conducted by the Food and Drug Supervisory Agency (POM). According to him, developing countries are often used as a market for products (including drugs) that have not been clear benefits. In fact, the product was in the producing countries themselves should not be used.

It's not easy to choose the reliable information and ignore information that is not quite right. However, in my opinion, the doctor also needs to follow the latest drug information in order to provide advice to patients. It seems the medical community in our country and the authorities less quick in adapting to the latest medical developments in developed countries.

I once read about HIV vaccination is done outside the country. However, if asked of doctors in Indonesia, the answer there is no effective vaccine. Are doctors in Indonesia (could) follow the development of therapies that occur overseas so that they can use it to our society. Hopefully the use of new drugs may reduce the willingness of some members of society medical treatment abroad.

M in B

Advances in science and medical technology runs fast. We have enjoyed such progress are utilized for the accurate diagnosis or treatment of disease. In this land we have available quite a lot of tools, such as CT scans. This tool is expensive, but because of high demand, this tool has been available in some large cities in our country.
In Jakarta even available a new tool called PET scans that are used primarily to support the diagnosis of cancer. Prices expensive tools so the cost of inspection is also expensive. However, there are hospitals that are willing to invest to buy the equipment. This shows that our hospitals are actually quite fast in making new tools. The question is whether these tools are actually needed? Does the new device is superior to the old equipment? If the answer is yes, it would certainly be useful tools.
Governments have a team that studied medical devices and how new therapies. The review will be submitted to the Ministry of Health to be a material consideration in the permit procurement of new equipment.

POM

For drugs, drug procurement is under the supervision of the POM. This Agency is responsible for providing permits and supervise the procurement of medicines the drug in our country. Every drug that is used in Indonesia must be registered in the POM. In this registration process POM will examine the benefits and safety, and if you need to do testing. Everything is done to keep the public can be protected from drugs that do not clear the benefits and harmful side effects.

We are grateful that we include POM POM is considered good performance in the ASIA region. Quite a lot of friends from other countries who visit our POM, and WHO has also several times been running training courses in Indonesia, with participants from foreign countries. POM is used as the training ground. So, to use new drugs, we can not simply import the drug and then used like other merchandise. For medicine and food, necessary procedures to ensure safety to the public.


News in the media including the Internet are often attracted attention because it informs the various studies conducted in research centers in the world. However, it takes a long time for a drug can be used in the community. To determine the benefits and security conducted several stages of testing before it can be concluded is completely secure.

We still remember many thalidomid babies, namely babies born with disabilities on thalidomid drug use in pregnant women in the world around the year 1960. These events of course we hope not repeated again. Doctors have to follow the development progress of science and medical technology because the doctor in performing medical services necessary to implement evidence-based medicine. Doctors follow these developments through medical journals either printed or through electronic and medical practice in conducting research and evidence to consider various new findings.


HIV Vaccine

About HIV vaccine is certainly the medical community in Indonesia is also followed. HIV vaccine field study ever conducted in Thailand is actually very we wait, but the new results show that the group using an HIV vaccine protection only get about 32 percent compared with controls. Figures for this protection is still considered to be low so that the vaccine still must be perfected.

At the Institute of Virology and Cancer Biology, University of Indonesia, the Indonesian University School of Medicine researchers are developing influenza vaccine (H5N1), dengue hemorrhagic fever (DHF), and HIV by using a virus that originated from Indonesia. This suggests that doctors and researchers we are not just as spectators and consumers progress of science and medical technology, but also plays an active role in encouraging progress.

It's not easy to sort out reliable information via the Internet. You can try to open sources of information from WHO, the Ministry of Health, the site of the medical profession and the university. Indeed, we also need to be careful of the information submitted the parties to obtain commercial advantage.






Kamis, 16 Desember 2010

Medicine

What is CAM? executive summary by Darmansjah

Introduction

There are many terms used to describe approaches to health care that are outside the realm of conventional medicine as practiced by holders of M.D. (medical doctor) or D.O. (doctor of osteopathy) degrees and by their allied health professionals such as physical therapists, psychologists, and registered nurses. as practiced in the United States. This fact sheet explains how the National Center for Complementary and Alternative Medicine (NCCAM), a component of the National Institutes of Health, defines some of the key terms used in the field of complementary and alternative medicine (CAM)A group of diverse medical and health care systems, practices, and products that are not presently considered to be part of conventional medicine. Complementary medicine is used together with conventional medicine, and alternative medicine is used in place of conventional medicine.. Terms that are underlined in the text are defined at the end of this fact sheet.
What is CAM?

CAM is a group of diverse medical and health care systems, practices, and products that are not generally considered to be part of conventional medicine. While scientific evidence exists regarding some CAM therapies, for most there are key questions that are yet to be answered through well-designed scientific studies—questions such as whether these therapies are safe and whether they work for the purposes for which they are used.

Are complementary medicine and alternative medicine different from each other?
Yes, they are different.
•    Complementary medicine is used together with conventional medicine. An example of a complementary therapy is using aroma therapy A therapy in which the scent of essential oils from flowers, herbs, and trees is inhaled to promote health and well-being. to help lessen a patient's discomfort following surgery.
•    Alternative medicine is used in place of conventional medicine. An example of an alternative therapy is using a special diet to treat cancer instead of undergoing surgery, radiation, or chemotherapy that has been recommended by a conventional doctor.

What is integrative medicine?

Integrative medicine combines treatments from conventional medicine and CAM for which there is evidence of safety and effectiveness. It is also called integrated medicine An approach to medicine that combines treatments from conventional medicine and CAM for which there is some high-quality scientific evidence of safety and effectiveness..

What are the major types of complementary and alternative medicine?
NCCAM groups CAM practices into four domains, recognizing there can be some overlap. In addition, NCCAM studies CAM whole medical systems, which cut across all domains.

Whole Medical Systems

Whole medical systems are built upon complete systems of theory and practice. Often, these systems have evolved apart from and earlier than the conventional medical approach used in the United States. Examples of whole medical systems that have developed in Western cultures include homeopathic medicine A whole medical system that originated in Europe. Homeopathy seeks to stimulate the body's ability to heal itself by giving very small doses of highly diluted substances that in larger doses would produce illness or symptoms (an approach called "like cures like"). and naturopathic medicine A whole medical system that originated in Europe. Naturopathy aims to support the body's ability to heal itself through the use of dietary and lifestyle changes together with CAM therapies such as herbs, massage, and joint manipulation.. 

Examples of systems that have developed in non-Western cultures include traditional traditional Chinese medicine A whole medical system that originated in China. It is based on the concept that disease results from disruption in the flow of qi and imbalance in the forces of yin and yang. Practices such as herbs, meditation, massage, and acupuncture seek to aid healing by restoring the yin-yang balance and the flow of qi. and A yurveda A whole medical system that originated in India. It aims to integrate the body, mind, and spirit to prevent and treat disease. Therapies used include herbs, massage, and yoga..

Mind-Body Medicine

Mind-body medicine uses a variety of techniques designed to enhance the mind's capacity to affect bodily function and symptoms. Some techniques that were considered CAM in the past have become mainstream (for example, patient support groups and cognitive-behavioral therapy). Other mind-body techniques are still considered CAM, including meditation A conscious mental process using certain techniques—such as focusing attention or maintaining a specific posture—to suspend the stream of thoughts and relax the body and mind., prayer, mental healing, and therapies that use creative outlets such as art, music, or dance.
Biologically Based Practices

Biologically based practices in CAM use substances found in nature, such as herbs, foods, and vitamins. Some examples include dietary supplements, herbal products, and the use of other so-called natural but as yet scientifically unproven therapies (for example, using shark cartilage to treat cancer).
Manipulative and Body-Based Practices 

Manipulative and body-based practices in CAM are based on manipulation The application of controlled force to a joint, moving it beyond the normal range of motion in an effort to aid in restoring health.

Manipulation may be performed as a part of other therapies or whole medical systems, including chiropractic medicine, massage, and naturopathy. and/or movement of one or more parts of the body. Some examples include chiropractic or osteopathic manipulation A type of manipulation practiced by osteopathic physicians. It is combined with physical therapy and instruction in proper posture., and massage Pressing, rubbing, and moving muscles and other soft tissues of the body, primarily by using the hands and fingers. The aim is to increase the flow of blood and oxygen to the massaged area..

Energy Medicine

Energy therapies involve the use of energy fields. They are of two types:

•    Biofield therapies are intended to affect energy fields that purportedly surround and penetrate the human body. The existence of such fields has not yet been scientifically proven. Some forms of energy therapy manipulate biofields by applying pressure and/or manipulating the body by placing the hands in, or through, these fields. Examples include qi gong A component of traditional Chinese medicine that combines movement, meditation, and controlled breathing. The intent is to improve blood flow and the flow of qi., Reiki A therapy in which practitioners seek to transmit a universal energy to a person, either from a distance or by placing their hands on or near that person. The intent is to heal the spirit and thus the body., and Therapeutic Touch A therapy in which practitioners pass their hands over another person's body with the intent to use their own perceived healing energy to identify energy imbalances and promote health..

•    Bio electromagnetic-based therapies involve the unconventional use of electromagnetic fields, such as pulsed fields, magnetic fields, or alternating-current or direct-current fields.

What is NCCAM's role in the field of CAM?
NCCAM is the Federal Government's lead agency for scientific research on CAM. . NCCAM's mission is to explore complementary and alternative healing practices in the context of rigorous science, train CAM researchers, and disseminate authoritative information to the public and professionals.

Kamis, 24 Juni 2010

Healthy

In order to maintain health and fitness




Although not easy to do, each person can maintain his health condition and although busy with work and the shackles of routine. One way is by exercising and maintain healthy lifestyles.

To achieve this, some people took time to go to the fitness center at leisure. But sometimes these activities can not be guaranteed a regular basis.

Keep in mind that exercise not only be done in the fitness center, there are several other ways that are relatively easy to do without disturbing the activity. Call it a sport stomach or sit up.

The first time, start from the count of ten and multiples every day. This stomach exercise is very useful to tighten the abdominal muscles and maintain fitness for a solid support activities.

Not only that, walking distance should also be done. Spend about ten minutes every day to do this activity. On foot makes you healthier, it's the beginning you will feel tired, but if you are accustomed to feel the benefits of frequent walking, for example, prevent osteoporosis or bone loss.

Besides exercising, maintaining a nutritious food intake for the body to be something else worth doing, the program is not easy because many people tend to choose fast food for consumption. reason, there is no time to prepare nutritious food. Therefore, it is good to get used to exercising regularly and eating healthy foods.

Expand also consumption of fruits and vegetables so that the fiber in your body needs remain met. Most importantly, do not forget to consume water. white water can be launched alrian blood in the body, so that your stamina to stay awake.



Features Klasika
adapted by kesehatan in Darmansjah from Kompas 01 * 09 * 2010
1st-online drugstore
Edited by Darmansjah

1st online Drugstore is a byproduct of technology boom. These are virtual stores on the Internet. With latest technical inventions online shopping is more secured and easy-to-use now. As a result people have accepted online drugstores heartily. Drug stores online has got so many things to offer and buyers get a slew of benefits while shopping online. Let's review five most profitable advantages of online drugstores.
You need not go out for shopping: Seniors and people who are confined at home due to age or any other reason can purchase their prescription medication, skincare or hair care products from online drugstores; no need to walk in to your community drugstore to buy what you need. Visit your drugstore online at your convenient time; the clock is not a constraint any more.
Universally accessible: You can visit your online drug store from anywhere in the world. No commute time, you can visit your drug store online from your home and save the time that you otherwise had to spend for walking in to the local store.
If you are purchasing a health care product that you do not want to share with others, online drugstore is good for you. Purchase whatever you need without any hesitation.
Monetary benefits: You can get concession on purchase; online drugstore offers discount on all the products it sells. Online drug stores have made drugs easily available. Though a lot of information about health care products, medicines and drugs is available online and consumers can always use this information to decide whether or not a particular product is suitable for them, it is advised to consult physician or specialists before taking any health care product.
Online drugstore also offers live help where buyers are supposed to get answer to all their queries. Drugstore.com carries an impressive 20,000+ over-the-counter health, beauty and household products. Drugstore.com has vast array of medicine cabinet products including all the well-known name brands for allergies, coughs, diabetes management, diet and fitness, and foot care. This is also the place for oral care, hair care, skin care, vitamins, beauty, and even gourmet food. Drugstore.com offers free shipping when you order over $25 in products. A quick click can also get you promotional discount codes for this mega online pharmacy and deliver a substantial discount on selected, high-value merchandise. First, find Drugstore.com coupon codes at a site like jackscouponcodes.com. Once you have these sales tips identified, click through to DrugStore.com and fill-up you shopping cart.

Sabtu, 17 April 2010

Human beings

Human beings by Budianto Shambazy

"I'm sorry too busy going to solve all the problems and deal with each crisis that did not get to speak directly with the people" (President Obama).
Just a year ago, 20 January, I set off around 06.00 from the home office the Ambassador of Indonesia to Ameria States Mr. Sudjadnan Parnohadiningrat to Congress by subway. Traffic on The Mall, covering an area of about 3x1.8 kilometer, closed the Congress was held in the courtyard.
crowded subway because it is the only transport that can be used to reach some stations in the Mall. The temperature that day reached minus 17 degrees Celsius. From the station to the Congress, took about an hour walk. Total of about 1.4 million people on The Mall menyemut witnessed the inauguration. Queue induction into the gates of the heavily guarded security forces reach tens of meters. Meeting the human sequence was unable to keep warm against the chill that pierced the bone.
Unlike Obama victory party in Chichago, 4 November 2008, which went wild and attended by about 700,000 people, walked solemnly inauguration. I was so cold, Yo Yo Ma concert and his friends had presented via tape because the string cello, violin, and piano-key due to the weather. Unlike the Chichago, Obama undergoing a transformation from a Democrat becomes president of the largest democracies in the world. If he was armed during the campaign slogan "Change We can Believe In", in the inauguration he believed the slogan "Yes We Can", reached in 100 days. Obama's "The Phenomenon". Not tired of watching the joy 1.4 million people in The Mall from morning till night, since the swearing-in speech to the parade. With Michelle Obama out of the car even when the parade at the White House. All hope Obama improve the U.S. faces in the eyes of the world to be more humane, pluralistic, and peaceful. For a year reign, Obama's presence felt everywhere. The people and the world media could not get fondle Obama, his wife, two daughters, and even their pet dog. However, during the last two months of 2009, honeymoon began boring. The slogan "Yes We Can" mocked the "No You Can not". Obama Aproval rate slipped from above 70 percent to 50 percent range. Blow happened this weekend. The image of Obama and Democrats won a landslide victory in presidential elections, senators, members of the House of Representatives, and governor, in November 2008, marred only by a "special election". One result, the 60-40 Democratic majority in the Senate, upper house whose role was crucial in legislation, was in danger in the mid-term elections, November 2010. Special election occurs, in Massachusetts. After the death of Senator Ted Kennedy, chair of the state senate was empty so the need to be filled immediately. It turned out that the Democratic candidate, Martha Coakley, defeated Scott Brown (Republican). This is not ordinary defeat. Ted Kennedy has more than 40 years as a senator in sana.Kedua, Massachusetts is a local election "the most blue" (blue color of the Democrats) that would be seized unimaginable Republic. Especially from the state of birth "Blue Blood" Democrats are famous, such as the Kennedy clan, or Senator John Kerry. Naturally, Democrats sued yourself how can this be? Of course not all happen because of Obama's mistake. After all, he was elected president precisely because the majority support of the people. He knows the people tired of the culture wars of President George W Bush, and therefore add troops to Afghanistan to Osama bin Laden membekuk. He was determined to close Guantanamo to restore human rights as one of the core Democratic values. Do not forget, Obama was chosen also because of the long day was going to predict the monetary crisis that was triggered by mistake subrpime mortagge. Of course Obama made some mistakes beginners. First, he hurried to sell health insurance program that truly noble aims. He did not learn from the failure of similar experimentation by President Bill Clinton and First Lady Hilary Clinton. In short, the health insurance program that only burden the people with new taxes and expand government invites (big government). Second, he stuck to the stimulus package flushing gambling and indulging bail out executives, bankers, and industrialists. At times increase in the number of unemployed 100000-200000 per month since 2008 to reach a total of about seven million to date, it must be difficult gambling dimengangi Obama. Therefore, Obama's speech two days ago began to reposition bankers, indutrialis, and executives as the enemy and more focus to jobcreation. This solution worked, lived how he plans to translate into real programs that diamini ordinary people. Obama politics from an early age that a strong capital against attack or criticism of Republican 30-40 percent of independents. He was a leader who has credibility, do not talk nonsense, and look what it is like a human being.

Push The Strength

Push The Strength

At the present, where the crisis came and went and challenges present in the 24 hours before the eyes, each of us would need to maintain and increase the power of self, teams and organizations. Nevertheless, we see that many people do not realize the potential and power of himself, even not feel it is important to seriously explore and find strengthWe even sometimes get caught digging our weaknesses, our shortcomings discussed, teams and even our own people, until finally believe that we are inferior, weak and helpless. Is not it very dangerous?
. In a reflection session, my friend who is very smart and talented had faltered when asked to describe what is often cited her mother as her strength. Apparently, many of us who have looked for first in his mind, whatever, or if " lucky 'parents say they are about power.. I was reminded of my late mother, a very "strength based" orientation emphasized the strength of each child. My brother saw not too strong in the analysis, once trained skilled and agile, schooled in vocational, in magangkan the company of a friend, so he could survive and even become advocates brother and sister in college. In the meantime, because my brothers often discourage me mentally, otherwise my mother always said that I was a brave.. When I brought the memory of the words that my mother, I immediately could feel the muscles stretch, face glowing, energy broke, so I feel a life force.. I realized then that this was the "life giving forces that underlie all efforts in my career life.
Realize the power
When asked the question "what is your strength", a lot of friends with a laugh said, "I am strong at all ..." Or, "My Strength equally ..." or even "no things stand out, all the mediocre ... "Not aware of the uniqueness of oneself can be shown how many people see this life was so" taken for granted "him. Life as if viewed as a game, call it football, where the ball and field size was standard, the rules are fixed, and anyone can kick a ball and practice with the same reference. If this happens, the individual's unconscious was not appreciate his ability as a capital to create the best moments or "peak experience" in his personal life, work, community, too. Imagine how much harm if we are not up to explore "life-giving forces throughout our lives. By feeling, watching and living every moment in life, we were able to maintain the vitality of our lives and have the opportunity to provide "color", to create "animated" sophisticated in our lives. Is not as modern humans we need to look far into the future, create and describe the vision and design of our actions? A beautiful girl with talent, modeling exam and passed. He aspires to be top model photos and modeling of time to enjoy his profession for a while. Some time ago, a friend met him and found that he had worked as an SPG showroom. He argued with the SPG at least more regular income. Are not we can prove that a person can easily miss his strength, just the chance of passing before his eyes, without striving to make "dreams come true" for him?
Avoid language deficit
Representative people watching a marathon interview a little more would make us feel down. Imagine, for months we are invited to participate in scene after scene in which board members to each other trying to drop each other. Every question asked to dig "what's wrong" it so we are constantly presented shortcomings, failures, to the extent We also feel pessimistic and make sense inferior to settle in our lives every day. In fact, in moments of crisis like this, we are strongly encouraged to be constructive.. Inevitably, the discussion is a prolonged and exhausting a great effect on how we see the world, how we respond to and accept the reality. A researcher to record the results of the survey that in the last 30 years there is a significant increase in the number of the words 'depression', 'anxiety', 'failure' in various articlesIn contrast, recorded a significant reduction in the writings that make the word 'happy' "maybe what looks like a symptom of depression, negative thinking, the disease itself," he commented.
Dare Positive
had to convince and prove that only by using the questions and the questions and the positive statements we can change a person's decision. rather than "what is needed?", We immediately asked "what is the best?" Instead of dwelling on the cause, we ask "what improvements we want to create?" As such we are not oriented to the problem but rather focus to create the future and increase strength. And in fact this phenomenon is very magical. It seems we need to always remember that a question or statement which would sharply change a person's life circumstances both positive and negative blood. We must realize that we have a choice to raise our kids, work teams, companies, even people with the choice of words more positive so that we all can cultivate a positive attitude and constructively deal with existing challenges, not the other dragged himself into the 'darkness'. “Ultimately, we create the future we imagine.” "Ultimately, we create the future we imagine."