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The coating of the nonarticulat-ing surfaces was improved, facilitating bony ingrowth and reducing the risk for asepticloosening [21]. Imag-ing and neuropsychological performance in this group isnormal. Quinupristin–dalfopristin administrationrequires central venous access and dextrose infusion. Statinsshould be prescribed with caution in patients with predisposingfactors for myopathy: age >65 years, female gender, undertreatedhypothyroidism, or renal impairment. (1993) Basic gait parameters: referencedata for normal subjects, 10–79 years of age. [50] used a genus-/group-specific rapid PCR assay panel targeting PJI bacteria to test sonicate fluids fromsubjects with infected and uninfected hip and knee arthroplasties undergoing resection orrevision arthroplasty. For example, Percival Pott noted inthe latter part of the eighteenth century a cause-and-effectlinkage between scrotal cancer and an occupation—chimneysweeps.

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Whole_Life_ProductivityHow often do you find you make a commitment to do something, something for yourself or in support of a longer term life goal, only to find the day to day has taken over, and the choices you’ve made in how you spend your time, were made in the short term pressures of the moment, rather than the long term view?

More than once? Frequently over a long term period? Yup – me too…  And the sad thing about this, is that while we might be accomplishing a lot we probably are not making the most of our precious time and in turn, not living our best lives. In fact, you may have noted the nearly two year lapse in my blog posts where the date of the beginning of the two year lapse coincides with my return to work from my first maternity leave. Blog posts weren’t the only thing to suffer – commitments to exercise, spend quality time with hubby, and keep in contact with friends also fell by the wayside. After time was paid out to work, home chores, caring for children, etc, I found very little available to me and when I did have it, I lacked the brain power to be creative and do something meaningful – I needed the time simply to recover and typically in front of some brainless TV show.

Now on maternity leave for the second time, I’m looking to put the systems, frameworks, and principles in place that will allow more whole life productivity and happiness now and when I return to work – and use this blog as a place to capture my learnings.

What’s whole life productivity? My working definition is:

maximizing the return on the investment of your time by knowing what you want from your life overall and then making the day to day choices that align to that. And – at the same time, embracing and appreciating the many wonderful moments life has to offer by being present in the now.
I already have my life vision. Now I need to figure out how to make it happen. Using my training as a coach, I created the process below to identify the areas I need to focus on. The results – lots of insights and a re-energized belief that it is possible to have the life I want, right now. The process is laid out below, with the option to cheap priligy online to guide and record your responses.

(Note: To help figure out a vision of what you want from life priligy generic cheap before the process outlined below)

Step 1: The Components of Your Life

First identify the main categories of your life that make up the “Whole” part of “Whole Life Productivity”. Breaking them down this way recognizes we don’t care about all aspects equally and that we have different levels of skills, resources, tools and decision making power in the different categories ( e.g., work versus personal time). For me, the following were top of mind  (not in priority order) – you may have something different:

1) Work
2) Immediate family (e.g., spouse, kids, pets)
3) Friends/extended family/Social
4) Health (e.g., exercise, doctors appointments, eating healthy – I don’t particularly enjoy exercising so not personal time in my books and therefore the two needed to be separate categories. Also – while health is something I do for myself paying attention to it also invests in the future of my husband and children and employer. Looking at it this way, helps me not to de-prioritize it over the needs of others.
5) Personal (me time!! Hobbies, learning, growth, etc)

6) House/Home (e.g., chores, meals, shopping)

Step 2: Developing Insights

For each category I carried out A, B, and C steps below. I did just one category at a time, in one sitting and completed the full exercise in one week. At the end I had some clear insights and focus areas for moving forward.

Step 2A) What’s being achieved?  

Brainstorm on what is actually being accomplished in each of these categories. Pat yourself on the back! Then, for each item ask:
  • Is this something I should be spending my time on?  More specifically – is this something that needs to be done?
  • Is it something that I personally need to do or is there someone else that could do it? (e.g., your spouse, a willing in-law, a colleague if work related, can it be hired out? )
  • Is it an activity that I enjoy doing? If yes – it may be a reason to continue, even if it’s not essential.  For example: I personally make bread for my family. It’s not something I need to do – I can buy bread that’s as good and as healthy as that I make, but I do it because I enjoy it
  • Is there an opportunity to improve how this is done to optimize enjoyment or productivity?

Step 2B) What’s not being achieved?

For each of these activities again asked yourself:

  • Is this something I should be spending my time on? Is this something that is essential?
  • Is it something that I personally need to do or is there someone else that could do it?
  • Is it an activity that I would enjoy doing?
  • If this is activity is important and/or essential, what do I need to do to ensure it is getting done? (E.g., hire someone to do it, schedule time)
  • Is there an opportunity to improve how this is done to make it more enjoyable or efficient?

Step 2C) Stop, Start, Continue Action Plan

Reviewing the above results, summarize using STOP, START, CONTINUE

  • STOP: What am I currently doing that I need to stop doing?
  • START: What am I currently not going that I need to start doing?
  • CONTINUE: What am I currently doing that I should continue doing?

Step 3: Priorities/Focus Areas


At this point I had some good insights and was feeling energized about making some changes. But – I also know this is often my downfall, because I bite off more than I can actually achieve. So… I reviewed the STOP, START, CONTINUE to identify:
  • What actions can be taken immediately? For example, if you identified that you would hire someone to cut those hedges, highlight it and block time to do this within the next few days
  • What actions are longer term? For example, to change a habit or integrate a new activity or new way of accomplishing something. Here I picked 1-2 priority areas to focus on for each category. It may be tempting to take on more, but you can always come back to this list as a later date, once you have made progress on the other areas

Step 4: Plan for Action and Follow-Up

Now, identify how you will incorporate and achieve those immediate priorities and set yourself a calendar reminder to come back to this plan and see how you are doing in a couple of weeks.

In my following posts, I’ll share how I’m tackling some of my own priority areas.

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“When Breath Becomes Air” written by Paul Kalanithi is my most recent read. The books centres on Paul’s questioning of what makes a meaningful life and his unique perspective as a neurosurgeon.For Paul, this question becomes much more acute when faced with his own inoperable cancer diagnosis in his mid thirties. The story is moving, and inspiring, and a reminder that one certainty of this life is that death does come for us all, when just do not know when or how. 
Despite this, we typically make plans and goals and hopes and dreams for our lives based on the long term view, with an assumed terrain of what resources we will have available to us, the environment we’ll be in, our health and competing challenges. But we do that alongside the reality and likelihood, that this context can change at any time. If this can happen, and will in fact happen to many of us, how then do we make a path forward and what’s the value in it, knowing the steps we have taken may be rendered obsolete?
“Life is lived one day at a time”
as Paul says. Rather than living solely for the future, we need to find meaning and be present in the here and now. Secondly, we need to build our stores and resilience to embrace the curve balls life will throw at us.
If you aren’t planning on reading the book, do take a few minutes to read Paul’s article from the New York Times “where can i buy priligy in uk“.

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This was my first week back at work after a 10-month maternity leave. As much as I missed my little guy, – wow – it felt grand to put on some corporate attire and spend the day using my brain for non-baby related subjects.

As I sat through a full day of catch up meetings, the realization dawned on me “I am replaceable – utterly and completely replaceable.” With all the new activities in the works and existing projects that had moved forward, it was clear that I, personally, am not an essential cog in the machine. Yes – my particular mix of skill sets and personality and approach to work is unique, but that doesn’t make me irreplaceable.

And in fact, with someone else’s unique bag of attributes, there are pieces that would be achieved even better, than with my skill set.

Did this make me feel threatened? At one point it undoubtedly would have. But right now, it is an exceptionally freeing thought. First, that I am fortunate to be surrounded by a such a strong group of capable and committed people, and secondly, that should I decide that both motherhood and demanding career are not for me, I can let my current job go guilt free. Because, while I am certain that I am replaceable in the role I play for my organization, I am even more certain that I am utterly irreplaceable in the role I play for my son.

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‘What keeps me going is goals.” – Muhammad Ali

What is it that you want to achieve, become or be known for before you die?

About once every few years I go through the process of writing a new life list for myself. I find it helps me to reevaluate what I want from life and where I am in achieving it.

The big question I aim to answer is “When I die, what will I have achieved, become or be known for that will signify I lived my life successfully?”

This year I invited my husband to join me in the exercise. We each needed to come up with our own list of 100 items. The rule was that once we started the list, we had to finish it the same day. The beauty of this is that the first 20 were pretty easy, but once those goals I already knew about were out, I had to go more deeply and broadly. One of my personal rules of doing this is not to evaluate my desire as to whether it’s actually possible to achieve – the point of this step is to recognize that “X” is something I want for my life. It wasn’t easy, but around 10:30 I had my 100 and headed off to bed.

My husband is a scientist – very logical and practical. I had to push him a bit to participate and he only probably agreed to humour me, but the next morning he spoke enthusiastically of his list and suggested that I go through mine and categorize it, as he did his. Once I did this step, I could see a huge shift from a few years ago in what I see as important for my life’s happiness.

For example, previously my career goals were achievement and recognition oriented – getting a certain position, building my credentials, reaching a particular pay grade. This time around my career related goals focus on connections and developing and mentoring others to achieve their goals. Part of this shift is undoubtedly due to reaching many of those earlier goals (see – these lists do work!), but also I think the result of spending time with my father in his last days and seeing that at the end what he valued most was the love he had given to and received from others.

As the first time doing this exercise as a mother, things I want to do with Cohen, or teach him, are front and centre. In fact, I had to go back and add some goals that were purely for my own enjoyment.

My husband and I exchanged lists and found that we shared many of the same goals. Also, we each had some goals that the other really wanted us to achieve and would support us in, and had both named things we wanted to change in ourselves to make us a better spouse. All in all, it was a very rewarding exercise and doing it together made it moreso.

So, if a life list is something you want to create for yourself (and I strongly encourage you to do so), here are a few pointers to get you started:

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1)   Set aside a day where you will be rested, have time to focus on yourself and ideally in a setting where you feel inspired and can relax (this time around I was at my parent’s cottage, but other times the locations that have worked for me have been coffee shops, the backyard and the bath).

2)   At the beginning of your day get your blank piece of paper ready. To help you pull out your desires and wishes for your life consider these questions:

  • When I die, what will I have achieved, become or be known for that will signify I lived my life successfully?
  • What are some of the skills I want to build in my life?
  • What am I passionate about?
  • What are the things that got me really excited as a child?

A few don’ts:

  • Don’t shy away from including goals that sounds like a long shot – suspend judgment and evaluation for the time being. The point of this is to note the desire is there, so if flying to the moon is a goal of yours then include it.
  • Don’t shy away from things that seem small or silly. Learning to do latte art appeared on my life list.
  • Don’t be afraid to be selfish. This is YOUR life list – it’s about YOU, so if there is something you want this is the place to name it.
  • Don’t be discouraged if you can only come up with a few initially – ponder it throughout your day and the others will come.

3)   As you go about your day, include activities where you are able to let your mind relax – this might be going for a walk or run, playing an instrument, meditating, gardening, cooking, having a nap… but something that refreshes you and puts you in the frame of mind to connect with yourself.

4)   As you build your list, make sure that it includes items from all the facets of life that are important to you – family, friends, career, health, personal, community…

Sometimes we have been running on autopilot or focusing on others for so long that we’ve lost the ability to identify our own desires and dreams. A fantastic resource is Creating Your Best Life by Caroline Adams Miller and Dr. Michael B. Frisch – it provides a research based approach to creating a life list that is supported by stories and exercises to help you deeply evaluate what is important to you.

5)   Don’t go to sleep until you have your 100.

6)   The next day review your list. A good life list should give you direction, hope and excitement for the future. Because life really is in the journey, not the outcome, make sure you have set goals that you will enjoy the process of achieving. Although completing the Ironman will give you a stamp of athleticism, if the idea of all that training fills you with dread, then maybe that goal needs some tweaking. Ask yourself what is was about that goal that made you write it down, and where else could you get a similar outcome, but a different process to achieve it.

7)   You may want to categorize you goals like my husband and I did. I used career, parenting, marriage, family and friends, personal, health, community and creative but you will come up with your own.

8)   Think about timing for each goal – are there some that you can and want to start working on immediately? Identify some steps you can take towards them right away.

9)   Share your list with someone else. When we share out goals with others it helps to keep us accountable and makes us more likely to achieve them. Post your list somewhere prominent where you will see it regularly and be reminded of your goals. During my mat leave, I set goals for the 10 months I was on leave and posted them on the fridge. Every time someone was invited into our house they saw that list and asked me about it.

Congratulations! You now have a lift list. There are many resources for refining your life lists and working towards your goals. In future blog posts I’ll share a bit around goal achievement.


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In my buy priligy in canada, I talk about how I had mixed emotions upon finding out I was pregnant with my first baby. However, I was one of those moms that was lucky to feel a bond with her baby from the moment I first held him.

His first days were a bit of a nightmare, going from a lung infection to jaundice to what appeared to be a heart defect. There was a day in his first week where we thought we may only have a few hours or days left with the little person who had already captured our hearts. In the private family room of the hospital, my husband and I tearfully tried to comfort each other. Together we realized that we couldn’t control the outcome and we were already so blessed to love this beautiful little boy. We resolved to enjoy each precious moment we had with him and be the best parents possible for however long he stayed with us. Returning to the ICU we focused on admiring his perfect little hands and feet, remarking on the surprising myriad of expressions he could produce at only a few days old, breathing in his new baby scent during the moments that we were able to hold him and cherishing the bond we already felt when he looked into our eyes. Knowing that those moments might be all we would have, we focused on those tiny, sweet details and were able to let go of what possibilities were ahead. Luckily, within a few days we were told his condition wasn’t life threatening and he would eventually grow out of it, but the lessons we learned during those difficult few days have stuck with me.

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Our beautiful boy, just a few days old. The trusting way he looked into my eyes seemed to communicate so much faith in my abilities as a mother – abilities that I had not yet discovered for myself, but knew I would for him.

The practice of looking for the joy in the now requires letting go of focusing on the outcome. Being a goal oriented person myself, this requires discipline and often I work myself into a tizzy striving for some hypothetical future before I’m able to take a step back and focus on what’s happening right at that moment. But with practice I have found myself admiring and savouring the beauty in so many everyday moments. Now I as sit on the patio typing my first post, I am conscious of the birds chirping, the morning shade on what will be a hot August day, the bitter pleasure of my first coffee of the day, the satisfaction in seeing the words in my head appear on the screen in front of me. There is so much joy and happiness to be found in life’s journey if only we take the care to notice it.