Category Archives: decision making

On Aloneness

I looked at the map and tried to find the most remote place on earth that seemed habitable. In my mind, that place was Baffin Island in Canada’s Northwest Territory. Vast and distant, it seemed to be the perfect spot. There I could be separated from the stress of negative interactions. I would pack all of my possessions with me. Books, electronics, scientific equipment, radios.

On Baffin Island, I would build a warm and secure cabin to protect myself from the elements. On Baffin Island, I could be myself.

Baffin Island was the mental place where I would go to as a child when I was feeling stressed or judged by the world and its people. This is where I would mentally travel when I was sick of acting a role so I could be accepted.

The power of a child’s fantasy is derived from the reality that it is not bounded by the constraints of logic. It is free-flowing with its only requirement being that it satisfies the needs of its creator, and Baffin Island was my fantasy. I knew that I was a loner, an introvert, a person who was happiest in his own thoughts. A person who was delighted to be left alone.

________________________

The preparations started months earlier, although I wasn’t sure what I was preparing for. I wrote pages of lists, watched dozens of YouTube videos, and mentally solved thought problem. I dug through my old camping gear, I gleaned gadgets from my electronics collections, I constructed things with the expert assistance of my friend, Tom.

I have come to believe that these actions were part of a greater coping strategy to deal with my internal anxiety. This statement seems strange, as I don’t consider myself to be an anxious person. I always could restructure my cognition, and when I face a stressful situation, I call upon that fundamental skill to calm myself and move forward. Yet, all of my preparation seemed to have a psychological motivation.

I also admit that I felt guilty about my plan to leave, but logically, I knew that I was adding only a few days to an already established trip. My feelings spawned out of causal comments that Julie said to me since I retired. “Did you have fun today?” She would ask when she got home from work.

I felt guilty that I had indeed had fun. A happiness based on no longer being responsible for the lives of others. A delight based on having the ability to do as I wished for once. I felt guilty that I was enjoying my freedom when she had many years of work ahead of her. I fully acknowledge that my interpretation of her comments was filtered by my personal assumption that the sole purpose in life was to produce.

The reason for my trip to Arizona was so I could clean my daughter’s college apartment and haul back the material contents of the last 4 years of her life. This act was productive, contributing, and even laudable. However, taking a few extra days to visit National Parks along the way was not. Logic told me that my actions were completely acceptable. I claim to be driven by logic, but I am actually ruled by my feelings, and those feelings made me feel guilty.

A psychological solution to my guilt appeared in the form of focused thriftiness. I decided that I would do whatever I could to reduce the cost of the trip and that somehow this action would justify those extra self-indulgent days. I would stay at National Park campsites. I would sleep and cook in my camper van. I would resist the temptation to buy unnecessary things. The thrifty strategy subdued my guilt, but that emotion was soon substituted with another even more ridiculous concern.

By coincidence random videos appeared on my YouTube homepage, most centering around bear attacks. There were instructional videos on how to protect yourself from maniacal bears. There were videos describing tales of loss of limb and life by grizzlies. There was even a video showing a bear using its massive claws to rip through a car door as quickly as one would poke a hole into a taut sheet of aluminum foil.

After watching a number of these videos, I told myself that enough was enough. I reminded myself that millions of people visit National Parks in any given year, and actual bear aggressions impacts a tiny percentage of those patrons. However, just to be on the safe side, I bought a canister of bear repellent and vowed to not smell like bacon when I was in bear country.

My trip preparation continued in earnest. I scoured the pantry for suitable camper food, and I made purchases of Knorr Sides and Spam Singles at the local market. I gathered my photography equipment. I filled my packing cubes with clothing. I put new batteries in my flashlight. There was nothing else that I could do, yet I continued to feel unsettled, and I didn’t understand why.

On the day of my departure, I found myself stalling to leave. Eventually, I pulled myself into my campervan’s cabin, buckled my seatbelt, and turned on the ignition. My solo trip was about to begin.

One mile became ten, ten became one hundred. I dug into my car food bag and munch on chips, mixed nuts, and Smart Pop popcorn. I calmed, but I still couldn’t understand what was really troubling me.

I traveled in external silence, thinking. I thought about making a helpful YouTube video for van dwellers. I plotted out the destinations of my trip. I remembered the contents of my cargo bins. And so it went.

My friend, Tom, would call to check on me, and I was happy about that. I would call Julie, and I was grateful that she seemed glad to talk to me, as I know she dislikes taking on the phone.

A conversation with one of my sisters here, a text message from one of my kids there, an encouraging Facebook comment or two. I was clearly looking forward to these interactions, and I was surprised how critical these touchpoints were for a loner like me.

I have never wanted masses of friends. I have never wanted to be popular. Such scenarios seem more exhausting than exhilarating. However, I cherish a small group of people. Those individuals represent my “Priorities,” and I will do whatever I can to make sure that I am there for them. However, traveling alone illustrated a second purpose to these relationships. Traveling alone had shown how imperative it is for me to be cared about by those who I care for. Traveling alone focused me on the reality that I need people in my life, and that it was the thought of separation from them that was the cause of all of my pre-trip anxiety. I find it curious that it is so easy for me to love, yet so difficult to imagine that others love me.

I don’t want to be cared for because of what I can do for someone, I have spent my life doing that. I don’t want to be included in a social circle only because I am entertaining, funny, or a good listener. Instead, I want to be loved and accepted for who I am. I want to be missed when I’m not around, and I want to be the source of excitement when I return on the scene.

During much of my life, I gained the acceptance of others by being whoever that person wanted me to be. Now, I want someone to see my soul and feel that I am good enough.

It brings me joy to comprehend that those people who I love also love me. As I write this, I am astonished by this realization, and eminently thankful for it.

On one phone call during my trip, Julie asked me if I was having a good time, and I told her, “Yes.” There are many positives when traveling solo. I set my own schedule and spend as much or as little time as I wish to do an activity. I can stay up as late as I choose, or go to bed as soon as I desire. These are wonderful things.

However, I did miss the lack of a traveling companion to share the wonders that I saw. Someone to be mutually amazed at the magnitude of the Great Sand Dunes, or to collectively wonder about the lives of the ancient Pueblo. I wanted to share a new sight, or a sunset, or conversation around a morning cup of coffee with someone that I care about. All of those activities seem sweeter when done with someone who you love.

This great adventure was an exercise in aloneness and was a success, but not the success that I initially imagined. Yes, I am perfectly competent by myself, but this trip illustrated to me how much I need others in my life, not to do for me, but to care for me. I am an introvert, but I’m not a loner.

As a child, I wanted to live on an island in isolation. As an adult, I realize the I am not an island unto myself. I still have much to learn about myself. Life lessons are everywhere. All I need to do is to stop and listen.

Hiking up one of the Great Sand Dunes.
Exploring a Pueblo Cliff Dwelling.
Hiking up a mountain.
Lake Apache.
Violet, my campervan.

September Song

Oh, it’s a long, long while
From May to December
But the days grow short,
When you reach September.
When the autumn weather
Turn leaves to flame
One hasn’t got time
For the waiting game.
September Song
M. Anderson-1938

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We sit around the kitchen table. Julie, my wife. William, my 17-year-old son. Diana, my 3-year-old granddaughter. Sebastion, my 9-year-old grandson. Me.

In front of Sebie is a large stack of conversational cards. He pulls one and reads it. “If you could always live in your favorite season, would you?” We go around the table, and all participants answer, “No.” We agree that each season possesses its own magic. As we tire of one season, we are given the gift of a new one.

——–

I pick up my sister Carol from her apartment and drive to Arrowhead Country Club to celebrate her 80th birthday with a Saturday lunch. We talk, nibble, sip, and talk some more. “I have never been happier. This is the best time of my life,” Carol says in earnest.

——–

I walk to Starbucks in the pre-dawn. I pass by a tree, its leaves turning a golden orange.

——–

The fall of my life is upon me, the days are growing shorter. Time is accelerating.

Would I want to go back to any other time in my life? Childhood? Early adulthood? Middle age? I don’t think so. Each phase of my life had its advantages and its disadvantages. Each stage of my life added to my wisdom and to my appreciation of the gift of life. I don’t want to give up the present to live in the past.

There are disadvantages to being 65. I have more wrinkles on my face than hairs on my head. My stamina is a percentage of what it was when I was 30. My short-term memory is less acute than in the past. I am more inclined to take naps.

There are advantages to being 65. I care less what others think of me. I am less concerned with what I don’t have and more satisfied with what I do have. I realize that most happiness lies in small things: dinner with my family, coffee with a friend, learning new things, giving back.

In January I left my private practice of 30 years and gained perpetual 4 day weekends. As a person who likes to move forward, I had developed a productivity plan in anticipation of this change. That initial plan has been only partially realized. Frankly, I’m OK with my partial compliance.

I am writing, taking pictures, and converting a van into a camper for future adventures. I have made a weak effort to organize a basement storage room. I’m not practicing the guitar, and I have not started the process of learning a foreign language. I think that this latter objective may be on a permanent hold.

I am spending a lot more time socializing with people who I care about. I am stretching my introverted boundaries. I am learning about construction and power tools. I know that this last fact may seem odd for an old retired doctor, but I assure you that it is not. I come from a blue-collar background, but I was never mentored in the art of the Sawzall. One of the reasons that I gravitated to science was that it was an entirely novel discipline in my family, and somehow that fact made it OK for me to teach the subject to myself.

There is a joy in learning those things that I was so curious about as a child. I see the similarities between medicine and construction. Each discipline requires training and practice. Each discipline follows a specific methodology and is protocol driven. However, with building the fruit of your efforts is immediate and tangible.

I have spent much of my life goal-directed; focused on practical knowledge. However, I appreciate learning something that serves no personal purpose in my life. Learning for the sake of learning is my cocaine.

At 65 my world isn’t shrinking, it is expanding. I wake at 4 AM anticipating what that day will bring. What will I see on my walk? What will I write? What new thing will I learn? What projects will I tackle? What adventures will I have with those people that I care about?

The days may grow short in the September my life, but they are still days to be celebrated. Today I know more than I knew yesterday. I have connected with others more. I have done more. Each day is a gift, never to repeat.

Dear reader, celebrate today!

A Coffee Date With Nancy

The date was set, we would meet at Starbucks at 7 PM. Not the Starbucks that I usually go to, but one on the far side of town. We had talked about this for months, and now we were finally doing it. At the very least it would be a fun adventure; I had nothing to lose.

I arrived at 6:59 and found a quiet table. I went up to the counter and ordered a Tall Pike’s, decaf. Moments later my phone rang, it was Nancy. She was outside the store trying to park her car, but the available spots were all blocked by a police prowler. The officer was apparently thinking that his convenience was more important than preserving three open slots for other customers.

Soon Nancy was sitting across from me, and we started to talk. First small talk, then more about what was going on in our lives. However, this chit-chat wasn’t the reason that we were meeting, our conversation was just a common preamble.

We reminisced and evoked memories from past years. Nancy, 7 years my senior, my friend, my older sister. We had decided to meet to explore our creativity. Like me, Nancy is a writer. Like me, she is trying to find her voice. Unlike me, she has studied her writing motivations though workshops and creativity groups.

Nancy tried to focus me. “What do you want to write? Fiction or nonfiction? What is your passion? Who is your audience? What is their age range? What topics have gotten you the most hits?” Questions that I never thought about.

So, dear reader, what is the purpose of this blog?

Drmikekuna.com was created as a writing exercise to see how far I could push myself in a public forum. As an introvert, I’m naturally reserved and private. However, to write effectively, I need to break through these limitations without fear of judgment from others. I also created this blog as a record of who I am. Eventually, I’ll download its contents onto a memory card and place it with other momentoes of me. Cards and letters that were written by patients when I left my private practice, notes from loved ones who wrote memories of me to commemorate my 65th birthday, and other things. I want my children and grandchildren to have a broader understanding of me. I want to be more to them than a few scattered recollections.

Like most things in life, my blog has evolved. It continues as a writing experiment, but there has been a shift. I now let my flow of consciousness take over as I write. It seems that my posts eventually evolve into some sort of life lesson. I find this new process interesting, but I have no idea if anyone else does.

I am trying to find myself, and redefine my purpose. My professional life has been a life or providing service to others, and I feel fortunate that I have had the opportunity to do so. However, I am entering a new season of my life, and my energy has shifted. I still want to contribute to the world, but I want to do so by engaging other talents. Specifically, writing and photography.

I need to determine what my goals are. Am I writing for an audience of one? Has my blog become a journaling exercise that would be better accomplished if it was done privately and within the confines of a spiral notebook? Should I abandon the blog and start the daunting task of developing a book? If so, what would my topic be? It is clear that my writing would reach a broader audience if I focused it on popular issues and selected demographics. Do I want to do that? Do I want to become more commercial in my writing? Would such a change remove the pleasure that I derive from my current spontaneous musing?

It is clear that I have just started this journey. I will meet again with Nancy next week as we continue to examine how we can support and help each other in our pursuits.

Dear reader, as I move into retirement, I am aware that I not only need to be flexible but also realistic. Grandiose ideas and plans can fuel the genesis of any new project. However, work, reassessment, and realignment are the real building blocks of growth.

Do you have goals and dreams? How are you approaching them? How are you redefining them? Let’s grow together!

Perseverance, Guilt, Childhood, And My Campervan.

Ninety-degree temperatures, 100% humidity, unforgiving sun; I baked. I had spent the morning with a friend under similar conditions as we destroyed the interior of my campervan with the hope of transforming her into something better.

Before the installing of the campervan insert, I had carefully run wires between post and pillar so there would be two electrical circuits available. One to power the yet to be installed exhaust fan, and another to electrify the proposed LED ceiling lights. These wires now covered by the plastic ceiling panels installed in Colorado just weeks before. It was now time to reveal them from their hiding place, and so the panels came down.

A 14 inch by 14-inch hole was cut out of her roof, an exhaust fan screwed into that gap. Huge solar panels were carefully bolted on. Another hole drilled into her roof’s center to carry the cables from those panels into her cabin. Yet another hole, almost 3 inches, was gutted out of her side to provide a place for an AC power connector. Interior side panels were removed to allow wiring access. Her beautiful kitchen was unbolted and temporarily abandoned in my friend’s garage.

Steps that should have been straightforward were difficult. My friend has all of the right skills, all of the right tools, and enough motivation to get the job done. To the best of my ability, I also did my job. Researching and buying products, watching YouTube videos, pre-testing, and pre-planning whenever I could. Yet, every step was hard.

As you know dear readers, it is difficult for me to ask for help. Asking for help in this situation was even more difficult, as such a request placed me in an especially vulnerable position. I do not have the skills, tools, or understanding to complete the project on my own, and once it was started it had to go to completion, there was no half-way. If my friend decided to walk away at any moment, I would be helpless. I do not like being helpless.

Naturally, I knew my friend would not walk away, but I had not placed myself in such a vulnerable place since childhood, and if you have read my previous post you know why.

The work continued with 10 individual LED lights bolted into the ceiling. To attach them properly each screw had to be individually cut with a grinder. I had previously tested all of the lights, but when I re-tested them in situ, they refused to illuminate. The screws that were so carefully cut were shorting out the LED’s circuits and had to be insulated. And so it went.

Despite my best efforts, I found myself transformed to a past time and prior role. I was no longer Mike, the doctor, I was was Michael the 9 year old. Old unwanted roles, high temperatures, lack of skills, and real problems conspired against me. I took my usual stance and soldiered on. This is a strategy that I have long practiced in challenging situations. I don’t give up. I don’t give in. I command my intellect to overpower my emotion, and I move forward.

The ceiling panels were re-bolted to the roof of the van, but even this task was difficult as some of the screws spun aimlessly, refusing to tighten. Why did everything have to be so difficult when I just wanted to get the project completed and to move on?

Add to this the guilt that I was feeling for imposing so considerably on my friend. He did not complain, but I had already consumed days of his personal time, and the end was not in sight. I thought I would let him know how appreciative I was by publicly announcing my gratitude on Facebook. But in honest retrospect, I think my actions were done in part to relieve my guilty feelings. I find it strange that I can willingly and joyfully help others, yet I cannot ascribe these attributes to those who offer a hand of help to me.

Now alone, I re-enter my van. Once beautiful, presently a mess of disarray. With me is my tester device. Made from a battery pack and fuse box, it stands at the ready. In my pocket is a multimeter.

I connect the wires that should power the LED lights and turn on the power. Only two out of the 10 lights illuminate. I connect the exhaust fan’s power supply and click on the remote control. It sits silent. I pull out my multimeter and set its controls to 50 volts DC. If all goes well, I should get between 10 volts to 20 volts registered on it when I touch the solar panel’s input cables. I press the sharp probe tips into the wires, and the meter records 1 volt.

A wave of desperation covers me. How is this possible? I have experimented with electricity since childhood. I have an advanced class amateur radio license. These circuits are simple, my planning was good, my friend’s work was flawless. Suddenly I’m enveloped by guilt. A pang of guilt from the distant past. A pang of guilt that tells me that all of these problems have to be my fault. That I am to blame. It was now time to approach my friend and admit this to him and accept my consequences. He, of course, tells me that my guilty assumptions are ridiculous.

I am persistent, and I don’t allow illogical thinking to rule me. Despite my guilt, I press forward, and we approached each issue methodically. The LED malfunction is traced to a faulty connector. I remove it, manually spliced the wires together, and 10 lights shine brightly. We test the fan’s electrical supply circuit, and despite being new, it is shorted. I piggyback the power wires from the fan onto the LED feed line, and the fan jumps to life. Each of the solar panel’s MC4 connectors are explored, and it is discovered that the final one in the chain is defective. Being a planner, I have a backup connector at the ready. It is replaced and the multimeter reads a stable 18 volts. From desperation to success, all due to perseverance. All due to not allowing my old and inaccurate emotions consume me.

Dear reader, most of my posts have a theme which is that we are continuously given life lessons, but most of us choose to ignore them. These lessons come in the form of projects, problems, our experiences, and our connections with others.

It would be great to say that the above experience transformed me. It did not. I will need to ask for this type of help many more times before I feel comfortable with that action, and I will likely succumb many more times to falling back into my childhood persona when I do take that risk. However, I now know that I can ask, I can receive, and I can survive. That is important knowledge.

The process also opened up new issues that I need to face, but isn’t that what life is all about? As they say, life is a journey, not a destination. I will never reach perfection, but hopefully, I will improve each time I challenge my false beliefs and inaccurate perceptions. Walk with me, please.

My Crazy Solo 2000 Mile Car Trip

How is it possible to be semi-retired and not have enough time? When I was working 60-70 hours a week, I found time for extra tasks. Apparently, that ability has magically evaporated.

As you recall from my other posts, I recently bought a Ram Promaster cargo van with the idea of transforming it into a simple campervan. I studied many conversion options, and I finally decided to go with a kit that could be installed in my Promaster in a couple of hours. The only problem was that the shop that installs these kits was in Colorado Springs, over 1000 miles away.

My busy retired schedule was already filled with chores, events, and tasks, but I still needed to find a block of time to make the long trip. Ideally, the drive could be a fun adventure if I had enough time to drive/sightsee and if I could travel with someone. Julie initially said she would be my companion, but she changed her mind because she felt that she couldn’t be away from home. My friend Tom has family and work responsibilities, and my kids work summer jobs. That summed up all of the people in my life who would want to spend days of their time sitting 3 feet away from me in a cargo van. Based on these realities I bit the bullet and decided to limit my total time away to less than 4 days and to travel solo.

Saturday arrived, and I drove over to Tom’s house at 5 AM to do our usual “solving the problems of the world.” I then came home to say my goodbyes, and to load my bare cargo van. Into its cavity went a gym bag of clothing, an air mattress, a sleeping bag, a throw pillow, a 5-gallon carboy of water, and a large duffel bag filled with food, cooking gear and a butane stove. With Google Maps as my companion, I was off on my adventure.

Mile after mile, hour after hour. I spent much of the first day of driving in silent thought. Tom had visited the Iowa Capitol building earlier with his son, Charlie, and highly recommended the free tour. I took his advice and had a two-hour layover in Des Moines. The capitol building is magnificent, and the tour guide was excellent. He also suggested a $10/night county campground on the western edge of Iowa which is where I spent my first night. For a sawbuck, I got to camp on a grassy site that was right on a river. I didn’t mind sleeping in my bare van, it felt like an adventure ala the boxcar kids.

Unfortunately, I had about 13 hours of driving the next day, which was both windy and raining. My Promaster acted like a sail in the strong wind forcing me to grip the steering wheel for the next 600 miles tightly. Needless to say, I was pretty exhausted by the time I reached Colorado Springs on Sunday night. I had booked a room at the Hyatt, as I wanted to make sure that I would be up and alert for Monday’s big installation. I was so spent that I didn’t want to leave the room and so I heated up a can of Annie’s Quinoa, Kale and Red Lentil soup for dinner. After a hot and soapy shower, I crashed into bed.

The next morning I ate my complimentary hotel breakfast and headed off to Wayfarer Vans. There I met Ian, the company’s owner. He kindly lent me his personal car during the install, which allowed me to go to the Garden of the Gods state park. I hiked there among the wildflowers and red rock formations. By 1:30 PM the job was completed and I hopped into the driver’s seat for the very long drive home. I felt more lonely on the return trip, so I gratefully talked on the phone and listened to podcasts on Spotify.

Into the night I drove, thinking that every hour on the road would be one less hour the next day. I stopped only for gas and necessities while dining on gas station hot dogs and diet Mountain Dew.

At around 11:30 PM I pulled into a Nebraska rest stop. I spied the sign that limited stays to 10 hours or less. “Perfect,” I thought. I would be long gone before that. Instead of having an air mattress on a metal floor I now had a real mattress on a platform bed. I crawled into my sleeping bag wondering if I would fall asleep. Within moments my eyes closed and I drifted off to the diesel drone of the nearby tractor trailers.

The next morning I cooked up oatmeal and coffee in my new campervan, pulled myself into the driver’s seat, and continued my trip. Many hours later I arrived home. Once again exhausted, but very happy as I had reached my goal.

The trip served many purposes beyond my intended one. I tested my ability to drive for hours by myself. I put to use my camp cooking skills by preparing meals in the van. I explored my ability to entertain myself for days on end. I stretched my introverted self by talking to strangers. Overall, it was a successful trip, and one more step in my quest to go on the road to write and to take photographs.

Dear reader, I have a dream, and I am doing my best to achieve that dream. The overall results may be successful, they may be unsuccessful, or they may lie somewhere in the middle. I am OK with failing at my goal. However, I am not OK with never trying to achieve it.

In this world, we have external limits and obligations that prevent us from doing those things that we desire. However, it is the individual who often crushes their own dreams. Sometimes this is because of fear. At other times it is due to lack of ambition. Still other times it is due to being comfortable with the status quo. In this latter example, the person’s life is good enough, and they are willing to settle. I have never wanted to settle. Why should you? Ever forward, one step at a time.

Do you have goals and dreams? What are you doing to achieve them?

Vandwelling As A Metaphor

I reread this post, and it seems to be mostly a self-reflection, which may be uninteresting to read. I’m going to publish it anyway as one of my goals has been to become more open and transparent to others.

————————————–

This morning I sliced up an apple and smeared some peanut butter on it. I carried it, along with my cup of coffee, to my study and sat in my broken desk chair. I powered up my computer, clicked on YouTube, scanned the splash screen, and chose a video from vandweller, Robert Witham. In the video, he talked about why he decided to move into a van when he was 40. His wife had died after a heroic battle with cancer, and he had to face his own mortality. He realized how short life was, and he asked himself if he was living his life, or waiting for some unknown time when he would do so. This is a question that I have been asking myself.

If you read my blog, you know that I’m building a campervan from a cargo van. I will make significant progress in that endeavor this weekend when I drive solo to Colorado and have the bed and kitchen insert installed by Wayfarer Vans. After next week my campervan will be functional, and about 80% completed. The rest of the project will move slower, as it will rely on my limited construction skills and my friend Tom’s limited free time.

If you like to connect dots, you may assume by reading the first two paragraphs that I’m about to abandon my home and family and become a vandweller. That is not the case. In reality, the van serves as a metaphor for my life as it is now evolving. Let me explain further.

It would have been easy for me to have given into my less than perfect childhood and settled for a life of pipe dreams. It is reasonable to assume that I could have gotten a factory job while regretting what, “could have been.” However, I felt that was not my life’s script. Even as a child I believed that I could, and should, do more.

Wishes are only that, and I believe that I am where I am because of many things, including luck, and the grace of God. I feel incredibly fortunate, so why am I continuing to expand my horizon? The answer is simple, like most people I still have unresolved issues and goals. I do not want to be a person pondering a list of regrets when I draw my dying breath.

I’m not into spectator sports, I don’t play golf, I find games and competitions frustrating. These activities are often where men bond and form friendships. My lack of these interests and abilities contributed to my belief that I didn’t have much to offer to a potential male buddy.

Conversely, as a psychotherapist, I have worked with men from every economic and educational level. Time and time again I have been able to make solid connections with my male patients, who are more than willing to talk about topics ranging from their spiritual beliefs to their feelings and fears. The fact that I don’t know the latest sports score has no bearing on our connection.

My childhood self felt that I had little to offer a male friend because I wasn’t sporty, but my adult self had proof that I could connect in a significant and meaningful way. Childhood beliefs can be compelling, even when confronted with contrary data. However, I refuse to be defined by my irrational self, and in the last few years I have attacked this erroneous belief and pushed forward.

Most of the significant relationships that I have had in my life have been with women, who generally sought me out, and seem to value me for who I am. However, I really missed not having a best male friend. Someone to do guy things with. Over three years ago I asked Tom if he would be my friend, and we have become best friends. His friendship has been a tremendous blessing. I can honestly say that it has been life changing for me.

Lately, I have been trying to expand my friendship circle. With that said, it is hard for me to be vulnerable. When I reach out to someone, my old tapes say “Don’t bother them, they really don’t want to spend any time with you.” This makes it difficult to put myself out there. But when have I ever stopped doing something because it was difficult? My experience tells me that practice makes difficult things easy. I’m still waiting for the easy part, so I guess I need to practice more.

Though much of my adult life I was obese. Stress, lack of exercise, poor diet, terrible sleeping patterns, they all conspired to cause me to believe that I could never lose weight. Through many different avenues, I have lost a considerable amount of weight and have become more fit in the process. Another goal.

I am very grateful that I had the ability and opportunity to pursue a career in medicine. If I had to do it again, I would. The benefits of my profession are numerous, but there are also some drawbacks. A doctor’s professional life is all-consuming. You are always on, you always have to place the needs of others before your needs. Being a physician is not a 9 to 5 job, it is a 24/7 dedication.

This dedicated style has seeped into my marriage and family life. I have a wonderful family, and I feel a strong compulsion to take care of their needs. I have tried to be a good provider, parent, and husband. However, I have not always been very good at taking care of myself. In fact, I placed my physical and emotional self-care somewhere below the needs of our cat. For instance, I continued to add work hours to my schedule, although my health was in decline. My life was a repetitive cycle: work, home, eat, sleep.

I love to learn and to compensate for my lack of self-time; I would become an expert on things that held my interest. This usually involved obtaining items to study and understand. These pursuits would temporarily appease me. However, they didn’t have an impact on the root cause of my problem. Things cannot take the place of emotional needs.

I continue to learn, teach and create. However, I’m now trying to pursue these interest in the context of healthy growth. You see some of that effort in this blog where I attempt to be honest about what is going on with me in a public forum. Why is that important? Because it is another way of me announcing to the world who I am. Take me as I am, I will no longer be a chameleon who changes colors to please those around me.

Some of my new life goals have been to find greater personal balance. This balance includes developing significant connections with others, regaining my health, recognizing and respecting my own needs, redefining my creative side, and the list goes on.

Will I accomplish all of my life goals? Other goals are more difficult, and I don’t feel that I have the ability to solve them on my own. These goals reference the most profound aspects of who I am. Because of their complexity, the only way that they could be achieved would be by direct intervention from someone other than myself, or by God himself. Either solution would be a miracle. I have already witnessed miracles in my life, but I need to accept that fact that these goals may never be met.

The van conversion symbolizes my ability to do something for myself. The process involves spending money on myself. It involves giving myself time. When completed the campervan will serve as a physical portal that will allow me to learn more, teach more, expand my writing and photography, meet new friends, and challenge other false beliefs.

My first adventure will occur when I drive to Colorado this Saturday morning. During that trip, I will try out some of my recently acquired vandwelling skills. I am anxious for Saturday to come.

Robert Witham’s video rang true to me when I viewed it this morning. I’m 65 years old. If I don’t attack my goals now, when will I? There is no time better than the present.

Dear readers, what are your life goals, and what are you doing to achieve them?

Addendum: I started writing this post on Tuesday morning, and it is now Wednesday morning. In the interim, a new friend that I met at Crater Lake National Park emailed me noting that he would like to keep up our correspondences. I then went to Starbucks and ran into Ed, a nice guy who stops for coffee now and again. He mentioned that he wanted to catch up with me before he heads out to his vacation home and that he would stop by again on Thursday to do so. All these years I was afraid to reach out my hand of friendship because I thought it would be rejected. Perhaps I was the one rejecting.

Robert Witham’s Vlog Post

Facing Mr. Kustom-The Secret To Success

Facing Mr. Kustom

Seven AM and I’m back from my morning walk. One-third cup quick cook oatmeal, two-thirds cup water, microwave for two minutes. Some mixed nuts, a few dried cranberries stirred in; I’m eating breakfast, and I’m feeling anxious.

I’m not usually an anxious person, but I do have a distaste for the unknown. I also have a dislike for the over-stimulation that driving to Chicago during a Monday rush hour brings.

Seven thirty and it is time to get into my Promaster. Gigantic and white, my wife refers to him as the “White Whale.” I have named him Albus, as a nod to the imaginary headmaster of Hogwarts who transformed the lives of others through magic.

I’m not suggesting that my work van is magical, but with some effort, it will be transformed from a bare truck into a camper-van that is capable of taking me to magical places. However, for this magic to happen, I will first need to stretch my personal comfort level.

To be honest, I still not used to driving Albus. He is enormous, and a master of blind spots. His two large mirrors help, but I’m still getting used to them. The thought of facing road construction traffic as I steer him is the source of my anxiety.

I pull myself up into his cabin, and I strap on my seatbelt. I dial in Google maps, paste in Mr. Kustom’s address, hit “start.” Soon I’m on I-88, then I-294, then I-90. I cling to the right lane as I drive. My sweet Google Assistant’s voice guides me but doesn’t lower my anxiety. I glance at the clock on the dashboard, and it is now 8:25. My appointment is at 9 AM. Despite padding my travel time with an extra 30 minutes, it looks like I may be late. “You can’t change traffic Mike, you need to accept where you are and let go,” I tell myself. Traffic chugs along, and soon I’m on Irving Park Road. I find a spot on the street, and wait for the store to open. I have 5 minutes to spare.

Now inside the store, my anxiety lessened, I find a spot among the three waiting chairs which seem out-of-place as they are awkwardly planted in the main showroom; I sit, knowing that the job will take 9 or more hours.

———————-

I have already finished a graphic novel on Joel Kupperman, of Quiz Kid’s fame, lent to me by Julie, I found it both a fun and interesting read. I now write, more to fill time than anything else. Albus is getting windows put in, two on his rear doors, and one on his sliding door. The salesman suggested adding an additional window on the driver’s side panel, but I’m already at my financial limit. The windows will make Albus more drivable, and add light to his interior when he becomes a camper. The windows are necessary, which is why I drove to Chicago, and why I’m patiently sitting as I listen to reggae music blaring over the store’s music system. Today is the beginning of his transformation. Tomorrow, he will have a hitch installed. In about two weeks I’ll drive to Colorado by myself to have Wayfarer vans install a modular camper interior that will include a floor, walls, ceiling, bed, and a kitchen. I’m looking at the Colorado trip as an adventure, but I’m only allowing myself a few days to get there and back, which adds time-stress to the mix.

After the Colorado trip, he will become a useable camper, but there is still more to do. A roof fan, though the wall power port, swivel seats, the list goes on. I’ll tackle these jobs with the help of my friend, Tom. Having a knowledgeable person to brainstorm with definitely helps me feel more comfortable and less anxious.

The goal is to make Albus a good camper by the end of August, but he won’t be completed until fall. There are many steps ahead.

Anything and everything can be a learning lesson. Today’s lesson is that sometimes you have to go through unpleasant steps to achieve the desired goal. I know that the windows will be put in and by tomorrow I’ll be on to my next project. The discomfort that I am experiencing today will soon be forgotten.

In my life, I have had many “no pain, no gain” experience. One of the reasons that I believe that I have been successful is that I have an excellent ability to do a cost analysis when it comes to the task at hand. I’m willing to expend substantial effort and to experience significant discomfort if I feel that the outcome is worth it. Conversely, I am unwilling to put out small effort and slight discomfort if I think that the desired result is unlikely. I’m also persistent, and very consistent. I used to think that everyone felt and functioned as I do, but I know now that this is not the case.

Most people want a good life, but they don’t want to expend the effort or experience the discomfort necessary to achieve that outcome. Do you want financial security? Spend less, and put more money in the bank. Feel that you are working beneath your intelligence level? Go back to school, retrain, or look for a better opportunity. Miserable because you are dealing with something that is out of your control? Accept it, or leave the person/situation.

I understand that some of you may be muttering, “Easy for him to talk, he’s a doctor.” Yes, that is true, but the way that I became a physician was by following the above principles. I come from a blue-collar background and didn’t have the opportunities that others had. However, I can be as tenacious as a bulldog when I need to be. We can’t always have everything that we want. In fact, sometimes we have to give up things that we do want to obtain something that we want more. That is life.

As an aside, I believe that you can accomplish goals while still being kind and generous to others. I find no joy in hurting or putting down someone.

Dear reader, It is easy to blame life, others, or God for not having what you think you deserve. The “Secret to Success” is that there is no secret. The sourness of a distasteful task is quickly remedied by the sweetness of a goal achieved.

Before Before New side window New windows.

On Vandwelling, Part II

In my life, I have dreams, accomplishments, and disappointments.

I try to minimize disappointment by adopting three simple strategies. I can neutralize it. I can transform it from a disappointment into an accomplishment. I can merely accept it and move on. These are reasonable approaches that often, but not always, work.

There are problems that I need to act on immediately if I hope to have any chance of resolving them. However, sometimes a disappointment can convert itself on its own. In other words, it really wasn’t a disappointment; instead I was just misinterpreting the situation. Such a case is the case of my retirement fund.

Thirty years ago I established my retirement fund. No, I’m not talking about an IRA, I’m talking about an adventure fund. I put a chunk of money into an account as a seed, and I planned to add money to it on a regular basis until I had a sizeable nest egg. The fund was envisioned to establish some sort of retirement adventure plan. Perhaps I would purchase a second home in a beautiful location, maybe I would buy an ultra luxurious Class A RV. The designation for the fund was pretty open.

My savings plan never developed in the way that I wanted it to. Its value went up and down over the years, but the overall amount has remained mostly the same.

Over time the thought of a second home became more of a burden than a blessing, and after spending decades camping, I came to realize that I was happiest surrounded by nature.

My camping trips made me understand that I needed certain things to be comfortable. I wanted my bed to be off the ground. I wanted to have the ability to quickly access my gear so it would be at the ready for a spontaneous weekend trip. I wanted enough shelter to have a place to comfortably hang out in inclement weather.

I never used the onboard bathroom in my old camper, as it was a hassle to dump and clean the system. I never hooked up my camper’s kitchen, as I found it more enjoyable to cook on a picnic table. I never took advantage of some of my camper’s electronic features, like the cable TV connection, as I preferred the crackle of a campfire to the canned laughter of a sitcom.

When I started my search for the perfect camper, I was thinking in terms of 5 people traveling together. But that number quickly changed to 4 when I realized that it would be unlikely that my 21-year-old daughter would want to continue to take family camping trips with us.

Two years ago I bought a Ford Flex, which could tow 5000 pounds. I started to look at small campers/trailers that could sleep 4 and fell in love with a little Winnebago trailer called a Minnie Winnie. It was a marvel of compact design, and also light enough to be pulled by the Flex. However, something held me back, and I never bought it. My wife Julie is still working, which meant that I might be taking some solo trips, and the thought of backing up a trailer by myself created some anxiety in me. More recently, I have gained additional awareness. We have not gone on a family camping vacation for over 3 years, as we have traveled on other types of trips instead. It made little sense to build my plans of camping adventures based on accommodating a family. It made more sense to think in terms of one or two campers. I continued to look, but no option seemed right.

Time ticked on, and I tried to use the tool of acceptance. “I will accept the fact that I may never have another camper.”

My friend Tom also has a Ford Flex, in fact, his car was the inspiration for purchasing mine. Tom often travels with his son Charlie in his Flex, and he has developed a system to use it as a car camper.

His example got me experimenting with turning my Flex into a similar rolling home. With the back two rows of seats turned down I could fit nicely. An REI self-inflating mattress made a comfy bed, and the nooks and crannies of the vehicle served as places for gear storage. This system worked pretty well on several mini-trips, but it had its limitations. First was the hassle of converting and loading the car every time I wanted to use it. Second was the space factor. Yes, I had a comfy bed, but that was about it. If the weather was inclement, I was stuck outside. Third was the fact that this was strictly a solution for one person, no more. I’m well over 6 feet tall, and I take up a lot of space.

I had toyed with the idea of buying an old conversion van and modifying it. Tom had said that he would help me with the job, and as a general contractor, he has all of the skills and tools necessary for the task. However, I felt that such an extensive project would place an unreasonable burden on him.

The next part of the puzzle was solved by a random YouTube video that appeared in my “To Watch” feed. The video was from a lady who used a company called Wayfarer in Colorado Springs to install a simple modular conversion system in her Promaster City. Further searches led me to a video of the company’s conversion offering for a full-sized Promaster van. This modular kit could be installed in 2 hours and included all of the things that I would need in a home away from home. Just as importantly, it didn’t include things that I would never use, like an onboard bathroom. Of course, I was fearful, but I also felt excited.

Tom had found me a good deal on my Flex, and now he found me a good deal on a high-top Promaster. Two weeks ago I broke into my retirement nest egg and bought it. Today I’ll get a hitch installed for a bike carrier, in a few weeks I’ll have a couple of windows installed, and by the end of the month, I’ll have Wayfarer install their conversion systems. Tom and I will do the finishing touches (vent fan, shore electric, etc.). My dream is about to be realized!

If I had acted rashly, I would have made a mistake. By waiting, the disappointment that I felt transformed into the realization that an earlier decision would have been a wrong decision. I can park the new van in my driveway packed and ready to go. I can travel in it by myself with all of the necessary creature comforts. I can go on trips with Julie. I can caravan with Tom. The van is big enough for me to stand up in it. It has a comfy bed, lots of storage, and a simple, practical design. It is everything that I wanted, except I won’t have to spend several months building it out.

Time turned my disappointment into an accomplishment. I’ll post the conversion process as it proceeds. Life doesn’t have to be a struggle. Sometimes you just need to let life happen without trying to control every second of it. Dear reader, kick back and relax today and see what life gives you.

My new cargo van.

My future home?

I Screwed Up

It is easy to screw up, but it is more difficult to admit it. How can I grow as an authentic person if I don’t acknowledge my mistakes? It is not my life’s goal to be perfect, but I believe that I should learn from my errors. Unfortunately, I have found that it is easy to learn a lesson, and still repeat the same mistake. I think this is the nature of being a human being.

I woke up foggy and forced myself to place my feet on the ground. After a few moments, I stumbled into the bathroom. Once inside I issued a command to my Google Assistant. “Hey Google, good morning!” After a few seconds, she said, “Good morning, Mike!” then she recited the weather, told me my calendar appointments, and finally read me the news. On this particular morning, she announced, “Scattered thunderstorms today.” I took note and proceeded to get dressed.

At 4 AM in the morning, I am routine driven, as my ability to problem solve is compromised. The last thing that I do before my morning walk is to check the computer. A story caught my eye, and I became distracted. I glanced up at the time and realized that I was running late. On shoes, on ball cap, on jacket, and out the door, I bounded.

I was a few doors down the block when I realized that it was drizzling. I could have returned home for an umbrella, but I decided to continue forward. In my gut, I knew that this was the wrong decision. Because I was feeling lazy, I convinced myself that the rain was light and my cotton jacket would protect me.

If you have been reading my blog, you know that I am a planner and preparer. I’m obsessive, and solving problems gives me a degree of pleasure. When I committed to walk/exercise on a daily basis, I worked out many scenarios so I could accomplish my objective in most any situation. For rainy weather, I have a raincoat, waterproof shoes, an umbrella, and even rain pants. It is simple for me to don my rain gear, I was only a few houses down the block. Logic said “Turn back,” laziness said, “Move forward.”

I made it to the Starbucks and was only a little damp. Triumph! I thought. My friend, Tom, stopped by for coffee and we started to chat. He was also running late and was in a hurry to get to his job site.

We parted ways, and I started the 35-minute walk back home. The rain began in earnest, and with each block, it picked up in ferocity. I was becoming more soaked and uncomfortable. The cool breeze now felt damp and icy; I was starting to tremble. The only option was to continue to walk, so I moved forward.

By the time that I reached my front door, I was so wet that even my underwear was soaked. I was shaking and my jaw was chattering. Once inside I headed straight for the bathroom and washed off the cold with a long and steamy hot shower. Somewhat rejuvenated, I put on dry clothes and went to work.

Behaviors repeat themselves in both significant and insignificant ways. If I can learn from my minor mistakes, I can avoid more significant ones. There were many lessons that my screw up taught me. With a little thought, I could have left the house properly attired. With a bit of effort, I could have returned to my home to re-outfit myself. I could have challenged my problem of asking people for help and pressed my friend, Tom, for a ride. I could have called Julie when I was at Starbucks to request a pickup. Any of the above and I would have avoided getting soaked. However, once I started to walk back home I was compelled to complete my hike, as waiting around for a ride would have just made things worse. I could no longer solve the problem, and now I had to correct the outcome.

Here are some things that I learned from my rainy day screw up.
-I need to pay attention and stay on task.
-I should correct small problems before they become bigger ones.
-I should ask for help when needed. People who care about me won’t mind a little inconvenience if they know that I’m genuinely in need.
-If I ignore the first three rules and wind up with a problem, it is my responsibility to come up with a reasonable solution to that problem.

These rules are not only applicable to stormy days but also other life problems, both big and small. I need to be more mindful and aware. Fixing unnecessary problems is a waste of time and energy. At the same time, I need to accept that fact that I am human and I will screw up. Finding the balanced between these two poles can be difficult, but finding this balance is necessary to have a happy life. I want to avoid problems, but I don’t want to plan every scenario so wholly that I lose the joy of spontaneity.

Dear reader, are you a planner, or a fixer? Have you found the right balance in your life? What lessons did life teach you today?

The rain increased with every block that I walked.

So much rain that the river flooded my walking path.

Shari’s Story: Living With Autoimmune Disease

It is 7 PM on a Thursday, and I am seated across Shari, a 46 years old woman with shockingly red curly hair. This is her story.

Shari grew up in the middle-class Chicago suburb of Downers Grove. She showed exceptional creative talents at an early age and would entertain her parents with her complex stories about bunnies. There was something different about Shari, an old soul with an inquisitive mind.

Early intelligence testing gave a partial answer. Shari was a genius. Coming from a family of achievers, she was right at home. Shari was in the top two percent of her high school class, a fact even more amazing as she was involved in over 20 clubs/activities while she worked a part-time job. Despite her accomplishments, Shari always found the most peace in simple things. She deliberately choose the smallest bedroom at her parent’s home and shunned excessive possessions.

College was expected, and she applied and was accepted to the University of Illinois, a premier university. Always a storyteller, she decided on a rhetoric major. As a concession to her father’s fears of unemployability she also took courses in accounting. As in high school, Shari excelled at the U of I. She overloaded herself with classes, worked different jobs, and even became a resident advisor for her dorm. “I took six years of classes in 4 years,” she told me. Her academic achievements at the U of I were significant enough for her to be named a Bronze Scholar, one of the university’s highest undergraduate honors.

Despite her success, something was not quite right. Late in her college career, she became ill to the point of requiring hospitalization. Despite her academic success she felt stressed, instead of accomplished. “I raced to the top of the mountain, and there was nothing there.”

More studies followed at the University College of Cork in Ireland where she obtained a certificate in Irish Studies. Then it was time to get a real job.

What jobs are available for rhetoric majors? Not many, and so she accepted a two-day temporary position at Ace Hardware corporate doing routine data entry. When you are smart, you can generalize what you know and see the bigger picture. In Shari’s case, she was able to use her accounting knowledge to see errors in the data that she was inputting into the computer. She told her supervisor what she observed and went from a two-day temp worker to a full-time position on her first day. Shari was entering the corporate world.

One task led to another, and soon she was designing complex databases and doing statistical analyses for Ace. At the same time, a romance was forming in her life. She met her first husband when she lived in Ireland. He traveled to the US so they could check out the viability of their connection. When his visa ran out, she quickly decided to marry him.

Unfortunately, the relationship was doomed. Her husband couldn’t hold down a job, and would impulsively spend money. She would react by working harder to pay down their debt. Shari learned more programming languages, and soon was working on mainframe computers. A lucrative but time demanding job in pre Y2K.

Wanting to do the right thing it wasn’t uncommon for her to work late in the night and then bring home additional work. The stress of unnecessary debt, extraordinarily long working hours and a difference in values eventually took its toll, and her marriage ended. Raised in a strict Roman Catholic household, the divorce was devastating to her.

More jobs, more responsibility, more challenges. Shari was being pulled by two forces that were equal, but opposite in direction. A desire to have a simple life, and a wish to do an outstanding job in the corporate world.

Along the way, she met her second husband. He was resentful that Shari had a circle of friends and convinced her to move so they could start anew and be on an equal playing field. Where did they move? They moved from Chicago to Australia. In Australia Shari did what she does best, learn. She finished a Master’s degree in creative writing at the prestigious University of Sydney and then went to work at the university. Shari told me that she loved living in Australia, as everything she needed was within an easy walk. A simple life was what made her happy.

She traveled to India on holiday and became ill. She returned to Australia sick and very weak. She found herself working from home, as she did not have the energy to get dressed and travel to work. This went on for many weeks. Slowly, and with the help of medical professionals, she recovered. However, something had changed, something was wrong. Also, her second marriage was now failing, and another divorce was on the horizon. The prospect of a second divorce was sobering.

Shari continued to work at the University of Sidney, and her brilliance promoted her. She was given important projects and a team to work under her. One of her hires was a man named Jason. A person who barely said two words to her while they worked together. But more on Jason later.

With a broken second marriage, she decided to leave her life in Australia and return to the United States. She left behind true friends and the basic life that she loved.

Now back in the US she once again got jobs in business and IT. Learning new systems quickly, always seeing the bigger picture, always overworking. After 18 months she returned to Australia to visit friends and co-workers. Her former employee Jason was at one of her welcoming dinners. “He seemed different, more talkative and engaged.” By the end of the evening, they were holding hands. Four years later they married.

Finally, it seemed like things were going her way. She was married to the love of her life, she had a small and manageable home in Downers Grove, and she had a good job.

Stress was working overtime in the background as she continued to overwork. In the first year of her marriage, she was hospitalized with a bout of Ulcerative Colitis. She developed chronic anemia. In 2012 she was hit by a severe, unknown malady that left her twitching, and uncoordinated. She couldn’t think straight and had no short-term memory. She was in constant pain, and she was continually sleeping. She went from being able to see the bigger picture to not knowing if she let her dog out. It was a horrible time for Shari.

She sought medical attention and diagnoses were made. Autoimmune thyroid disease, autoimmune neuropathy. She started to do her own research and determined that one of her problems was Hashimoto’s Encephalopathy (HE), a diagnosis later confirmed by her physicians. HE is an autoimmune disorder that causes an inflammation of the brain and produces neurological symptoms because of that inflammation. Other related problems emerged, Lyme Disease, Possibly PANDAS (another autoimmune disease caused by a Streptococcus infection). The combination of stress and infectious agents were creating a one, two punch that was making her life unmanageable. Her body was literally destroying itself.

Shari fought back. Using her own research, novel treatments, and an expert medical team, a multi-modal treatment emerged. Thyroid replacement hormone, steroids, neuro-cognitive training. These have all helped improve Shari’s functioning. However, her health is still fragile. She takes one step forward, only to slide backward with the slightest stress.

Shari is a giving person, but she can become over-involved helping others. She willingly helps friends and family, but her actions can result in an exacerbation of her autoimmune illnesses making her non-functional for days. She would like to be a financial contributor in her marriage, but even part-time work can be too stressful. She struggles with her current lack of functioning, her poor memory, her fatigue.

She says that many doctors missed her diagnoses; they only reviewed simple lab panels and didn’t delve further. She wants to advocate for others who are dealing with undiagnosed maladies. At this time she is a health coach for a young woman who suffers from another chronic disease, but Shari wonders what her next step should be. She knows that it can’t be fueled by the obsessive drive that gave her success but contributed to her sickness. Her illness has forced her to re-explore what has consistently made her happy in the past, a simple, basic life.

Despite her illness, she is grateful. Grateful for the beauty and majesty of nature, grateful for her caring friends, grateful for her loving family, and most of all grateful for her soulmate, Jason.

Life is what you make of it. Sometimes it is more important to celebrate what you have than to constantly grieve over what you have lost. Rejoice in today as will never be repeated.

Do you have a story that you would like me to tell?  If so, click here for more information on this project.

 

Shari