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The statistics are staggering.  ..read more

When I published the opener to this subject of change I had no idea about Laura, hurricane Laura that is. She was a category four hurricane making  landfall on August 27th. Just fourteen days after my first post about change.    As I watched the newscasts I thought about all the change that would come to people’s lives. I wondered if they were prepared.    I’m writing this follow-up from my office that is about forty miles to the east of one major Oregon fire and forty miles west of what may become the largest fire ever recorded in Oregon. Two fires on either side of ..read more

David Bowie reached out from the past to capture the mood of 2020 in the first line of his song Changes ..read more

Let's be real - there are over twenty million people out of work right now. They are struggling to pay their rents, mortgages, utilities, and often, basic necessities. Their medical bills are so far down on the list of priorities they can't even imagine when they will be able to pay them.  ..read more

Telemedicine has been on the radar for awhile now. Its benefits and downsides have been hotly debated. Coding has been an issue. Efficacy and loss of personal touch has been a great concern. But, all of these aside, its time may now have come.  ..read more

If you are like me, your priority list gets mangled as soon as you walk in your office door each day. What you want and need to accomplish often gets pushed aside by the ever expanding needs of everyone else in your office. Some very important improvements seem to get permanently banished several lines deep in your 'to do' list, never to see the light of day ..read more

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Have you ever noticed how much personal, painful change a superhero must undergo in order to protect someone else’s everyday normality?  They change so everything can stay the same for others. That’s what makes them heroes. Normal folks typically resist change. Heroes embrace it ..read more