Strategies of Wisdom

I personally would recommend a mindfulness practice that includes at least twenty to thirty minutes a day, five days a week. It may be helpful to do even more during those times when you are facing particularly severe stress. But mindfulness practice should not become another source of guilt, shame, or self-blame Do what you can, as you can do it, and let your practice take its own course. Read through this chapter and let your intuition be your guide as to which exercises will be most meaningful or helpful for you. 

When defining mindfulness, I like to rely on the definition I learned from Jon Kabat-Zinn when I first studied with him fifteen years ago  

1 recently read a lovely story about acceptance in the works of Islamic philosopher Idries Shah. Like many ancient teaching stories, this one involves a wise fool, sort of a sacred clown, who manages to fumble his way into wisdom—Mullah Nasrudin, the foil for many Islamic tales. 

Mullah Nasrudin goes home, full of enthusiasm, and follows the royal gardener s instructions to the letter. But still, the dandelions return, just as they always have. 

Really angry now, Nasrudin goes back to the master gardener. You re a fraud he declares. Your remedy was no better than the rest What else can I do about these dandelions  

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This produced a list of strategic options different business models and value chain positions that would match the most attractive areas. These options were then assessed by a set of criteria that included economic value, feasibility, risk, investments, and fit with the overall strategy and portfolio of initiatives. To test the economic viability of individual products, specific business ideas related to single products/markets were written and pressure-tested. The final decision was made after extensive discussions and more than 80 interviews with experts. While such interviews are essential, it is also important to remain skeptical and avoid the common wisdom trap. It is too early to determine the financial success, but the company has already achieved alignment between the overall strategy, the level of investment, and the organizational setup. 

The necessity for urgent cardioversion is less well established in hemodynamically stable patients with AF It may be wise to postpone cardioversion till the procedure is finished, and to limit the antiarrhythmic interventions to rate control, Despite this wisdom, the management of these patients has traditionally been dominated by a drive to restore and maintain sinus rhythm—the so-called rhythm-control strategy (37-39). From a short-term perspective, hemodynamic measurements may be more correct, and some procedures may require this. If cardioversion is performed in this, more or less elective, setting precaution to prevent emboli is warranted. TEE may be helpful to take a better and faster decision there are procedures with a transesophageal probe in place, and the threshold to cardiovert can be low. 

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