Island of the blue dolphins

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Island of the Blue Dolphins

1. 1. I felt as if I had been gone a long time as I stood there looking down from the high rock. I was happy to be home.

Everything I saw - the otter playing in the kelp, the rings of foam around the rocks guarding the harbor, the gulls

flying, the tides moving past the sandspit - filled me with happiness.

Help with essay on island of the blue dolphins

[Explanation]

This quotation comes from the beginning of chapter eleven. Karana has awakened from her long sleep on the

shore, where she collapsed exhausted after her failed attempt to cross the sea in a canoe. This point in the novel

marks a turning point for Karana; before she had been able to stay on the island only because she believed that

the white men would come any day to retrieve her. When she realized they would not, she despaired and tried to

leave the island on her own. Looking out on the familiar sights of Ghalas-at, Karana sees it as her home and no

longer feels so lonely (even though she is alone). Her feelings are the complete opposite of those she expressed

only three days before; it is the same island, but her experience alone on the ocean has lead her to see it in a new

light.

. Below me, Rontu was running along the cliff barking at the screaming gulls. Pelicans were chattering as they

fished the blue water. Far off I could hear the bellow of a sea elephant. But suddenly, as I thought of Tutok, the

island seemed very quiet.

[Explanation]

This quotation comes from the beginning of chapter eleven. Karana has awakened from her long sleep on the

shore, where she collapsed exhausted after her failed attempt to cross the sea in a canoe. This point in the novel

marks a turning point for Karana; before she had been able to stay on the island only because she believed that

the white men would come any day to retrieve her. When she realized they would not, she despaired and tried to

leave the island on her own. Looking out on the familiar sights of Ghalas-at, Karana sees it as her home and no

longer feels so lonely (even though she is alone). Her feelings are the complete opposite of those she expressed

only three days before; it is the same island, but her experience alone on the ocean has lead her to see it in a new

light.

. Ulape would have laughed at me, and others would have laughed, too - my father most of all. Yes this is the

way I felt about the animals who had become my friends and those who were not, but in time could be. If Ulape

and my father had come back and laughed, and all the others had come back and laughed, still I wouldhave felt

the same way, for animals and birds are like people, too, though they do not talk the same or do the same things.

Without them the earth would be an unhappy place.

[Explanation]

This quotation comes from the end of chapter 4. The chapter describes a spring and summer during which

many of the animals Karana has become friends with start families. Karanas vow never to kill another animal or

bird marks the development of her own moral code, which is different from that of her people. That Karanas

morals are uniquely hers is expressed by her mention of her people in her declaration of her decision. Karana

knows that her people (especially Chowig, her father and Ulape, her sister) would find her new ethical standard

ridiculous, but Karana nevertheless espouses them, and explains her reasoning for the reader to understand.

4. Until that summer, I had kept count of all the moons since the time my brother and I were alone on the island.

For each one that came and went I cut a mark in a pole beside the door of my house. There were many marks,

from the roof to the floor. But after that summer I did not cut them any more. The passing of the moons now had

come to mean little, and I only made marks to count the four seasons of the year. The last year I did not count

those.

[Explanation]

These lines appear midway through chapter 5. In chapter twenty-five, many things happen to mark the passing

of time on the island of the blue dolphins; Rontu dies, a generation of otters comes and goes. This quotation

shows that time the way the rest of the world sees it has come to mean little for Karana. She has now been on

Ghalas-at many years, and her days have become indistinguishable one from the other.

5. Now that the white men had come back, I could not think of what I would do when I went across the sea, or

make picture in my mind of the white men and what they did there, or see my people who had been gone so long.

Nor, thinking of the past, of the many summers and winters and springs that had gone, could I see each of them.

They were all one, a tight feeling in my breast and nothing more.

[Explanation]

This quotation comes from chapter twenty-nine, is in many ways related to above lines from chapter 5. This

quotation, like the last one, shows that Karanas days on the island have all melded together. However, now that

the white men have come for Karana, she is being thrust back into the time of the rest of the world. This quotation

also shows that Ghalas-at had become Karanas world during the time she stayed there. Now that she is leaving,

she cannot imagine a life outside the one she has know for so long.

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George orwell

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1. William Shakespeare

"The Marriage of True Minds"

Simple love sonnet What one characteristic must true love have? What can cause love to change? What does the final couplet mean?

Answer One characteristic must be true love should have is an impediment. Love can be change when one starts having too much expectation or starts comparing with other things. The last couplet means that love is not for only outer looks of a person it is more than that. Love is something from heart to heart.

"Remembrance of Things Past"

What are thee things the speaker miss/regret about the past?

What makes up for his sorrow over the past?

Answer Three things the speaker miss or regret about the past are friends, afresh love's long and expense of many a vanished sight. While he thinks on them dear friends make up for his sorrow.

"When in Disgrace with Fortune and Men's Eyes"

When is disgrace with Fortune and Men's Eyes" What are four of the things the speaker desires? Why does he think he is better of than a king?

Answer The four things the speaker desires for are to be richer in hope, featured like him, like him with friends possessed, also desiring this man's art, and the man's scope. He thinks he is better of than a king because he has everything that he wants and still he does not have to worry about other people because king is always thinking for his people.

"Black as Hell, Dark as Night"

In what way is this different in tone and content from the other love sonnets?

Answer This is different in tone and content from the other love sonnets because this love is more being negative then loving someone. Also it is more of selfish and being mad with him or herself.

. John Donne

"The Flea"

Who is the speaker and to who is he speaking? How are "tow bloods mingled"? Why would it be a sin to kill the flea? Obviously the flea is a metaphor used for seduction. How is the choice of a flea used to control the tone of the poem?

Answer The speaker is Mark and he is talking to himself. Our tow blood mingled first he was sucked and now sucks thee. I think Flea is the ego to kill and life can be better if a person does not have ego. The Flea is used in this so well like talking about another person.

"Song"

Can you catch a falling star? Can we hear Mermaids? What do all the demands in stanza one has in common? In stanza two we discover that when he talks about an "honest mind" in stanza one, he is talking about whose honest mind? The climax in stanza three when he makes what assertion about women?

Answer All demands in song one have common is thinking of getting something, which is impossible. An honest mind might be meaning saying that person who

does not have any fiction thinking. The climax is about finding a true and fair women and he says if you find her call me I will come to meet her.

Holy Sonnet #10

This is an apostrophe. Who is the narrator addressing? What is he referring to in line -14? Why will death die?

Answer The narrator is addressing to death. He is referring to the point that some die from poison and some from war, but we all have same ending for life

, which is death.

"For Whom the Bell Tolls"

What does the bell signify? Why is no man an island?

Answer The bell is signifying that he thinks it doth and it is interment again. Also united to God. No man is an island because every man is a piece of the continent and part of the God.

6. Andrew Marvell

"Had We But World"

Compare this to Herrick's poem. Similar themes.

Answer Herrick's poem is about the age and time and how when we are young can handle things better and as we grow we have lost the energy and the glory of

heaven looks better. We all are running around the time of age. Marvell is talking about the world and we don't have enough time to sit and think what we

want from life and the life time clock keeps running. When we realize we are no younger and find things hard.

7. John Milton

"When I Consider How My Light Is Spent"

Why does Milton say his days are in a dark world? Why is he asking for patience and from whom does he expect to get patience? What does the final line indicate about how he feels about his condition?

Answer His days are in a dark world because he is not happy from his life. He asking for patience because he hopes that his time can be better and he is

expecting to get patience from God. The final line indicated about God helping people who wait and stand from things to happen to them rather then trying to

get something.

"Every Dark Cloud"

What gives one the ability to see the silver lining?

Answer The ability to see the silver lining is given by who are supreme good, which are honest and will spend time to help others.

"Pandemonium"

What does the word pandemonium mean today and what does it represent in the poem?

Answer The word Pandemonium means today confusion.

"To Justify the Ways of God"

What does the speaker ask for in the poem and why?

Answer The speaker is asking for pure and big heart to support others and to justify the ways of God to men.

"Better to Reign in Hell"

Why does the speaker want to reign in hell? What's wrong with heaven?

Answer The speaker wants to reign in hell because he is not able to find out the difference in hell and heaven if the life is not better. If we are doing

well from heart and know what is God and where it is then there is no difference between hell and heaven.

8. John Dryden

"Epigram on Milton"

What talents does Dryden ascribe to Milton?

Answer The first loftiness of thought and next in majesty and last force of nature.

. Alexander Pope

"Essay on Man"

What is an "isthmus of a middle state"? Why is pope referring to man as

darkly and rudely? What does he think about man's ability to reason? What gets in the way of man's reason? Why do you think he advises the reader to

study man instead of God?

Answer Isthmus of a middle state means callable of holding things together. I think by saying darkly and rudely he means in negative way man are more wise and rude. In this world man's ability to be selfish is too much. Because it is very easy to know God and worship him but man is so concretive one can never find out what is going on in the mind of man.

10. William Blake

"The Chimney Sweeper"

Compare the page 10 sweeper with the page 11 sweeper? What is the plight of children and what makes their plight bearable? In page 11 sweepers,

who does he blame for the children's condition?

Answer It is bearable because Tom never mind it and the soot cannot spoil someone. Parents are blamed for the children's condition.

"Holy Thursday"

Why does he juxtapose two opposing images in the first stanza? What do the sun and the rain represent in the final stanza?

Answer In the first stanza he is comparing two opposite images to show how they can be similar in end. In the end again he is comparing two different

things to show that they both bring different kind of joy. Even thought they are different they do bring joy.

"London"

Why repeat, "charter'd and "mark"? What is a mind forg'd manacle? What do church, soldier and palace represent? Why end the image of harlots?

Answer. He is trying to explain how people are worried and unhappy. Make means weakness. The mind forg'd means wherever he sees men, infant they are caring and have same reason for tears. When he sees church it is black means full of evil and soldiers are helpless. In last he says God bless the youthful and newborn so next generous can be better.

11. William Wordsworth

"Line"

What has made the second visits different to Wordsworth? How has the first visit

affected his life? What keeps his "genial spirits" from decaying? In lines 85-87 he talks about loss and gain. What did he lose? What gain?

Answer He lost he heart and he gain his state of min on the occasion of his first time he adds thought to sense.

"Michael"

Summarize the plot and explain what corrupted Michael's son? What Wordsworth's didactic message here? What does the unfinished sheepfold

represent?

Answer This poem is about attempted to posture a man agitated by two of the most powerful affections of the human heart. The parental affection and the love of dance. The subtitle shows Wordsworth's shift of term from make believe to the tragic suffering of people in what he called" humble and rustic life."

"The Child Is Father"

What is so special about the rainbow? How is the rainbow like a child who is father of the man? What is natural piety?

Answer The rainbow is so special because it has all the colors of life, which are different, but when they are together they make a special place for them. The

rainbow is a child who is father of the man because it is brings happiness in life. Natural piety means it put together the different colors and makes all of them very import and compete with each other.

"Ode Intimations of Immortality"

Question Review stanza 5 and explain how a birth is but a sleep and a forgetting. Do you think word worth has gone too far with the language of man

with his darling of a pigmy size? What do we do when we con another part? What is the hour of splendor in the grass and what is primal sympathy?

Answer I think author is talking about that the birth of human is not for just to sleep eat and forget about what we are suppose to do when we are on this earth. We should do something with our life so we can be remember ever when we are not exiting on the earth. I think is about the birds singing and joy which grass and flowers are having from it. Also it is about the glory in flower from the good weather. I think he is talking about beauty of nature.

"London, 180"

Why does the narrator think London needs Milton? What do the altar, sward, pen, fireside represent? Look at footnote. Why is Wordsworth depressed?

Answer This poem is about how human is selfish and wants God to take back bad habits and change with better behavior.

"The world is too much with us"

Compare the tone of this with the tone of " London". What does Wordsworth think the world needs? What does Proteus represent?

Answer London has tone of sorrow for human being and Wordsworth is about how one dies leaving behind unfinished things.

1. Samuel Taylor Coleridge

"Kubla Khan"

Describe the nature of the images in the first stanza. How do they differ from the second stanza? Specifically compare the contrasting images of the last line of stanza . What is the Abyssinian maid doing and what is her function in the poem?

Answer This poem is about lacked a moral and the own judgment and chief fault. Maid is doing her function as a servant and following the orders.

"Rime of the Ancient Mariner"

What is an albatross literally? What does he become metaphorically in the excerpt?

Answer An albatross is literally is a place or street. They thought it is God's soul and they hailed on God's name.

1. Percy Bysshe Shelley

"Ozymandias"

What is and antique land? What is the central irony between the description in the poem and the words on Ozymandias's monument?

Answer An antique land maybe mean a place where the old ways are kept reserved. The meaning of ozymandias in the poem is keeping old heritage live.

"To Wordsworth"

Wordsworth died in 1850; so obviously, Wordsworth has not "cease to be". What is Shelley talking about and why? How does Shelley characterize

Word worth initially?

Answer Shelley is talking about a life of a person from childhood to death and different phrases and ups and downs of life. Shelley characterizes Wordsworth

initially true and labret.

"A Song"

What bothers Shelley about England? Explain the bee metaphor.

Answer The things bother about England that rich

robs to wear a very formal life to live and people

have weapon, chain and stuff to kill others.

14. George Gordon, Lord Byron

This is a pretty famous love song. Does it work? What is Byron celebrating?

Answer Yes, this poem is full of love and pampering of a lady. I think Byron is celebrating the beauty of her heart and features.

15. John Keats

"On Seeing the Elgin Marbles"

In what way is this poem connects to the Homer poem? In what way is Keats' response to the relics mixed? Why so intense?

Answer The both poems are talking about mind and the thinking of has brain. He is responsible for this because he is able to make his confident on himself.

"When I have fears that I may cease to be"

Comment on the connection between the subject of the poem and the subtext of Elgin Marbles poem. What does Keats want to do before he dies?

Answer Keats wants to write down what is in his brain and want have good romance and not to think about past before dieing.

"To Homer"

Homer again- the past again. What does the past mean to Keats? Look at the way he uses Jove, Pan, Neptune. How is this like the last few lines of Wordsworth's "The World Is too Much with Us"?

Answer Jove is like heaven and Neptune is making tent and Pan is sing for forest. In the last he is talking about queen of earth and heaven and hell are

triple things of life.

"Ode to a Nightingale"

What is the overall tone? In section III, Specifically what does he fear/mourn? How will he, in section IV, soar away with the nightingale? What will be his vehicle? What might be the connection between death and poetry?

Answer This is about a poisonous drug taken for heart attach and also about some Roman goddess of flowers. The fountain of the muses on whoever water

brings poetic inspiration.

"Ode on a Grecian Urn"

Keats is looking at a Grecian Urn on display in a British museum and he describes what he sees. Why is the picture frozen better than real

life? What conclusion is suggested by the final two lines?

16. Mathew Arnold

"Dover Beach"

Who is the speaker addressing in the poem? How is sea like life? What can save us from the pain of the world? Why is Sophocles mentioned?

Answer This is about girl whose is from England and he likes and always talked and in his mind and she is said later talking about wine and beds. She likes

perfumes. She is really angry. She is a tough girl but she is pretty.

"Lines Written in Kensington Gardens"

What does Arnold contrast the Gardens with? What does the scene afford Arnold? Are we seeing shades of Wordsworth here?

Answer Arnold is contrasting garden with a child. He can afford the happiness and calm, which comes from garden and child. Yes we are seeing shades of

Wodsworth here.

17. Alfred, Lord Tennyson

"Ulysses"

How old is Ulysses? What is his main complaint? Does he appreciate his son? Does he admire his son? What does Ulysses want to do? What is the arch referred to in the poem? Is he being realistic? How is this poem typically "Victorian"?

Answer He is very old. Yes he loves his son and appreciates him. Yes he does admire his son. He wants to do some noble writing. I think yes he is being

realistic.

"The Eagle"

Don't go into overdrive looking for thematic concerns. Appreciate the poetic image.

Answer I really did not understand what this poem is about. I think the author is lonely an opens a bottle or liquor and sits lonely and watch the world. When he has wrinkled still he is alone and waiting for rain to come.

"The Woman's Cause Is Man's"

Why should men help women? How does Tennyson view the way women were treated in the past? When will the "crowning race of humankind come? What is the woman's response to the man's ideas of equality?

Answer I think because women are not as strong as men so they always need some sport from men. Women in past were treed weaker then man and humankind should help them to get equality.

18. Robert Browning Elizabeth Barrett Browning

"My Last Duchess"

Who is speaking and to whom is he speaking? What happened to the Last Duchess? What bothered the Duke about the way the Duchess thanked others for their gifts? What kind of gifts did she appreciate? How is the final image a metaphor for the Duke and his late Duchess?

Answer In this poem the speaker, the duke of Ferrara, is addressing a second character, an agent of unnamed. Duke was bothered the way the Duchess thanked others for their gifts was full luster. I think she appreciate gifts with thanks.

"How Do I Love Thee"

How is this sonnet similar to Shakespeare's sonnets? How is it different?

Answer This sonnet is similar to Shakespeare's sonnets for love to be not just physical looks, but more than that from soul and heart. It is different where other says the love to be more storage even after death.

0. George Orwell

"Shooting an Elephant"

How does the narrator feel about the Burmese? Why must he initially shoot the elephant? Why does he finally shoot the elephant? What two statements in the final paragraph summarize the thematic concerns of the essay?

Answer The narrator hates large amount of Burmese. Because the people were saying the elephant has gone mad. I think he did not shoot the elephant.

Killing an animal should be only done when it require to save human life other wise it should be avoided.

1. William Butler Yeats

"The Lake Isle of Innisfree"

Why does the narrator want to go to Innisfree? Connect this poem to Wordsworth's major theme.

Answer The narrator wants to go to Innisfree to get some peace, happiness and wants to enjoy the Mother Nature.

"The Second Coming"

Explain the falcon metaphor. Explain what it means if the center cannot hold. What happened 0 centuries ago? What is Yeats' vision of the world?

Answer The falcon metaphor means that all things are falling apart. I think the meaning of center cannot hold is that nothing is able to keep the world together. Twenty centuries ago this nightmare was broken and everything started coming together because Bethlehem was born.

"Leda and the Swan"

What does Zeus represent? What does the swan represent? Why is the beak indifferent? What is the implication of the broken wall and burning roof? Go beyond the Helen of Troy allusion to what it implies about all procreation.

Answer In this particular instance, Zeus takes the form of a swan and then is held by Leda, the queen of Sparta, in her cloak. Helen of Tory leads to unfolding history or events as they take place and have no control over them or not.

. T.S. Eliot

"The Love Song of J. Alfred Prufrock"

Who is the narrator talking to and where are they going? What will there be time for? What does the question, how should I presume? Tell you about the narrator? Why is the sentence, which is not what I meant repeated? What do mermaids represent? Why won't the narrator hear them?

Answer the narrator is talking to you; they and I

are going Half- deserted streets. It is evening time. He is also talking about spending night in the hotel, eating out, and more of romantic feelings.

. Virginia Woolf

"Professions for Women"

Why was witting an easy profession to go into for wolf? Why doesn't wolf consider herself a typical working woman? Who is the angel in the house? After

a female writer has killed the angel, what is the second major obstacle that she must face?

Answer she shows how women struggle in society. Women are held back from expressing their true selves. Women only sit home and take care of the home or kids and get noting out of doing this. The cat is the angle of the house.

5. James Joyce

"Araby"

Where is the narrator's home located and how is this significant? What is the symbolic impact of the priest? The school? The garden? The romance novels?

What kind of journey is the young boy going on? Does he succeed? Why or why not?

Answer The narrator's home is located at North Richmond Street being blind and quite except when the boys from the Christian Brothers School are set free.

It is very significantly explained where and what is the atmosphere around the place he lived. I think he did succeed because he was one of the people who like to explore play around and live with things. I think his journey is wonderful because at least he is able to have different experiment and adventure in his life.

Please note that this sample paper on george orwell is for your review only. In order to eliminate any of the plagiarism issues, it is highly recommended that you do not use it for you own writing purposes. In case you experience difficulties with writing a well structured and accurately composed paper on george orwell, we are here to assist you. Your persuasive essayon george orwell will be written from scratch, so you do not have to worry about its originality.

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Healthy Eating for a Lifetime

If you order your essay from our custom writing service you will receive a perfectly written assignment on Healthy Eating for a Lifetime. What we need from you is to provide us with your detailed paper instructions for our experienced writers to follow all of your specific writing requirements. Specify your order details, state the exact number of pages required and our custom writing professionals will deliver the best quality Healthy Eating for a Lifetime paper right on time.

Our staff of freelance writers includes over 120 experts proficient in Healthy Eating for a Lifetime, therefore you can rest assured that your assignment will be handled by only top rated specialists. Order your Healthy Eating for a Lifetime paper at affordable prices with http://livepaperhelp.com!

Healthy Eating for a Lifetime

I will be talking about variety, balance and moderation in maintaining a healthy eating plan. A healthy diet includes all foods. Variety is important because no one food can provide all the nutrients the body needs for optimal health. Try new foods to tantalize your taste buds and vary your nutrient intake.

We can make many possible choices within each food group. Choices may be made to accentuate specific needs like fiber. For example, in the protein-rich meat group, beans are a low fat, high fiber option compared to ground beef. In the fruit group, whole fruit is usually a higher fiber choice than fruit juice.

Buy custom Healthy Eating for a Lifetime term paper

Foods containing important nutrients can help us prevent disease and even restore our health. Striking a balance between foods that promote health and those that may be risky is important for long term well being. Choose foods that are better for your health more often.

Without a doubt, fats and cholesterol are the single most important group of nutrients to limit in your diet if you want to reduce your risk of chronic disease. Heart disease and cancer, two of this nations leading killers, are linked to diets high in fat. Other chronic health problems may be exacerbated by high fat diets. Saturated fat, that is, fat that is solid at room temperature, appears to carry the greatest amount of risk.

Alcohol is not pictured on the food pyramid, but if it were it would be in the tip of the pyramid. Alcohol has only empty calories in the way that sugar and most fats do. Pregnant women should avoid alcohol beverages.

Foods and beverages that are less nutritious do not have to be eliminated but they should be consumed in moderation - saved for special occasions. Making healthy food choices can be the difference between health and disease.

You should know how many serving you need each day. The number of servings needed each day depends on age, gender and activity level. This shows the range of appropriate servings

Grains6-11 servings

Vegetables-5 servings

Fruits-4 servings

Dairy- servings

Protein- servings

And here are some examples of adults serving sizes

Grains1 slice bread, ½ small bagel, about 1 cup ready to eat cereal flakes, ½ cup cooked cereal, rice or pasta

Vegetables1 cup raw leafy greens, ½ cup other vegetables -- raw or cooked, ¾ cup vegetable juice

Fruits1 medium apple, banana, orange, pear; ½ cup chopped, cooked or canned fruit, ¼ dried fruit like raisins, ¾ cup 100% fruit juice

Milk, Yogurt, Cheese1 cup milk or yogurt, 1 ½ ounce natural or ounces processed cheese, 1 cup soy beverage with added calcium

Meat, Poultry, Fish, Dried Beans, Eggs, and Nuts- ounces of cooked lean meat, poultry or fish, 1 cup cooked dry beans or ½ cup tofu counts as ounce of lean meat, ½ ounce soy burger or 1 egg counts as 1 ounce lean meat, tablespoons of peanut butter or 1/ cup nuts counts as 1 ounce of meat

Last thing to say is that what we choose to eat can have a direct affect on our ability to enjoy life to its fullest. This is true for everyone, despite his or her age and current health. Our food choices play a major role in

promoting and maintaining good health;

promoting growth in infants, children and adolescents;

preventing some chronic diseases (like heart disease and diabetes) and treating others; and,

Speeding recovery from injuries and surgery.

If you cant function in the morning without gallons of coffee and you run out of gas every afternoon, then this energy-boosting food plan is for you.

With this diet plan, instead of relying on caffeine or a trip to the vending machine for a fleeting burst of artificial energy, you choose healthy foods to rev up your engine. Heres how the Energy Booster Diet will keep you energized all day long

• the right combination of carbohydrates, protein and fat eaten at regular intervals will help keep energy levels high. This diet includes balanced meals designed to boost your energy throughout the day.

• eating healthy snacks will help keep your blood-sugar levels even so that you dont have energy highs and lows. This meal plan includes tasty food suggestions to eat every three to four hours to keep your energy level from falling.

• not drinking enough liquids can cause you to feel fatigued due to dehydration. Thats why this diet includes fruit juices and skimmed milk with every meal choice, rather than ultra-sugary sodas or sweetened beverages that can cause energy lows.

• eating fried or fatty foods can make you feel sluggish. This food plan emphasizes natural, unprocessed foods like fruits and vegetables that wont slow you down. For your breakfast you can eat -egg omelet made with low-fat cheese, chopped veggies and low-fat ham or turkey - 1 slice wholegrain toast topped with fruit spread

Small cup grapefruit juice. And your lunch could be Grilled chicken sandwich on wholegrain bread - half cup sliced tomatoes - 1 large orange - 1 glass skimmed milk. And for your dinner 75g fillet of sole - 1 baked potato topped with low-fat sour cream or plain yoghurt - 50g steamed broccoli

Sliced peaches - Glass skimmed milk.

By now I think you had a good idea about how to maintain a

healthy eating plan for a lifetime.

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Social Change in America

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While overlooking this chapter the main focus would be the rise and the fall of community service involvement in the 0th century. As we seen during the earlier part of the century many people where more involved and interactive with politics, religion and community. But over the past few decades we have neglected our community and service in our community. In response to this chapter, the idea that every American is moving away from community and more involved in self is absolutely right. How many people do we see picketing in front of City Hall anymore in the act of standing up for our rights? To many Americans are allowing our country to be run by the upper class of politicians in hope that they do not call upon them, due to the fact that they are to busy involved in themselves.

As we look back to the 160's, voting became more popular and the member ship in church became strong. In my opinion, the coming of age audits have not faced any tragedy in which we as peers have had to stand up for what we believe in. The Civil Rights Movement and much other movement that went on during the sixties are no longer an issues and are looked upon as being in the past. In this chapter it mentioned, "77% said the nation was worse off because of "less involvement in community activities". As we all know that this has a great deal to do with the fact that more wives are entering the workplace now more than ever, along with many other reasons that deal with people and their jobs. Such as the time spent going to and from work, etc.

In dealing with the community that means that we are taking away from involving oneself in individual activities. Like watching television in which most American cannot live without. American have become so accustomed to put themselves in only situations that will better them or allow them to become richer that we fail to realize that we have to live within a community. And our community is a direct reflection of ourselves. People tend to be judged based on the nature in which they live. By getting involved in the community and in the church will help not only ones surroundings but will build the foundation for a more aware and safer environment for the people around you. I have also realized that many college students in society today are becoming less involved with politics and the community due to individual engagements such as studying, work, or either private organizations in which they might be involved. In conclusion, in order to increase social involvement we must first find a common interest. Whether it is church, or other activities that promote civil engagement. As a nation we have to get away from being materialistic and become more spiritualist in the idea of family and community.

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Electronic Commerce

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INTRODUCTION

Kaiser Permanente began humbly with a single good intentioned surgeon who aspired to provide medical care for a population of the working class. The reality of economics quickly augmented the plan of practicing medicine when debts were not covered by the doctor due to lack of insurance by his patients. The creativity of developing a prepaid healthcare plan foreshadowed the future of today's HMO's. Kaiser is the leading service provider in the country for healthcare coverage with nearly nine million subscribers. Political reform and patient outcry of unfair coverage practices have transforming the operations of HMO's today from their origins. Electronic commerce has integrated into the business world and must be embraced to survive competitive external forces. Kaiser was successful in their EC implementation through interfacing with their consumers regarding healthcare coverage information. Technological advances were embraced through strategic planning and integrated into the business model to advocate customer satisfaction and retention. Physician interaction with new EC technology has been successful within the Kaiser group where resistance has surfaced in other organizations.

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HISTORY OF HEALTH MAINTIENCE ORGANIZATIONS AND KAISER PERMANENTE

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Kaiser Permanente's origin was during the great depression when Dr. Sidney Garfield established a prepaid health plan for construction workers assembling the Los Angeles aqueduct in the Mojave dessert. Dr. Garfield built Contractors General Hospital near Desert Center, California where he was oriented to patients without insurance and those with insurance had lengthy reimbursement periods. Since many patients were being treated without payments to the hospital, a program was devised for insurance companies to pay the doctor a fixed amount for each worker per day in advance. This prepayment coverage enrolled many workers and brought salvation to the hospital financial concerns. The project was completed and another construction site was identified as having the same problem by Henry Kaiser at the Grand Coulee Dam. Dr. Garfield recruited a team of physicians and solved this problem with the first prepaid group practice for over 7000 people. This project led into the next challenge which was the influx of shipyard workers into Richmond, California for World War II ship production. The number of people to be covered with this plan would be approximately 0,000. In 145, the end of the war brought the current phase of prepaid healthcare we are familiar with today, the publicly available Permanente Health Plan. Kaiser Permanente is Americas largest not-for-profit health care organization which maintains a membership of 8.1 million members in states. "An integrated health delivery system, Kaiser Permanente organizes and provides or coordinates members care, including preventive care such as well-baby and prenatal

care, immunizations, and screening diagnostics; hospital and medical services; and

pharmacy services. Social benefit activities include assistance to the uninsured and special populations; training new health professionals; introducing new delivery and financing methods into the health care arena at large; and through our clinical research efforts, developing and sharing better ways to care for patients." (www.kaiserpermanente.org).

Patient demands and political pressures on HMO's

Government regulations in the health care industry and the emergence of the HMO (Health Maintenance Organization) were precursors in the Kaiser's decision to implement changes in their organization. In 18, a total of $88 million in lost revenue also fueled the changes to a new platform. Kaiser moved away from the traditional method of business communications via paper, telephones, and faxes. The new web based systems that would be implemented would require a $ billion dollar investment to commit to the EC platform (Turban, 00).

With escalating costs in the Medicaid and Medicare programs, Congress looked to HMO's for assistance in 17 when the HMO Act which offered government subsidies to HMO's and gave nonlicensed HMO executives the power to challenge the medical judgment of licensed physicians. The Act also mandated that all businesses with more than 5 employees offer HMO's as a health care option which employers had previously avoided because of increased operation costs. Congress began allowing states to filter

Medicaid recipients into managed care programs whether they wanted to or not through

Medicaid Section 1115 waivers in the early 180's. The Department of Health and Human Services points out that this violates federal Medicaid law which prohibits limits on treatment or choice of doctor. Congress repealed the employer mandate in 15 but the HMO's had established their positions by that time in the market. Health Resources and Services Administration reports that working Americans enrolled with managed care insurance increased from 188 with % to 17 with 50%. Citizens' Council on Health Care states that "By mandating managed care for some patient groups, and by passing legislation allowing HMOs to deny care, the government has assured maximum profit for HMOs, with little risk. Public officials profit politically by promising free health care. Managed care allows politicians to promise health care without actually guaranteeing access to it." (Intellectual Ammunition, 18).

Patient's voices regarding HMO's were heard by the government in the late 10's. Patients were often being denied coverage after their HMO has approved the costly medical procedure. New regulations designed to prevent HMOs from backing out at the last minute and leave consumers to pay the bill were enacted. If a case arose where a HMO would refuse to offer medical coverage, the new rules give the insurance department the power to order the HMO to provide the care, after reviewing the patients case (Patel, 17).

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On February 8, 000, HMO executives met in Dallas, Texas to discuss possible methods of improving their image with the public. "United Health Group, Kaiser Foundation Health Plan, and Humana, pushed for industry wide structural changes that would restore to physicians the power to make treatment decisions without being second-guessed by managed-care administrators. Such a move would require a radical shift in the business practice of most HMO's. It would also confer industry leadership to United Health and Kaiser, which already give doctors exclusive authority to make treatment decisions for patients covered by their plans. The HMO industry has been assaulted on all fronts by lawsuits over treatment decisions, criticism of their business practices, and investor discontent. An HMO reform bill with a limited right to sue that was stalled in Congress for three years had passed both the House and Senate and was in a conference committee awaiting final congressional approval. But the sharpest spur to action for the HMO's is their languishing stock values, which continue to droop despite double-digit increases in the insurance premiums many HMO's charge their customers." (Eliopoulos, 000). Numerous companies invested countless dollars into campaigning for the public's approval. This would not become a reality for the HMO's as they were under fire from consumers, healthcare workers and the government.

According to a news report in September of 000, the 104,000 workers of the Marriott hotel chain have paid 1% premium rate increases for the last two years without any change in the services provided. Brendan Keegan, Marriots vice president of Human Resources stated In the last couple of years they (HMO premiums) have risen quite

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dramatically compared to the previous years." Marriott's employees are currently

switching their coverage from a HMO to a PPO (Preferred Provider Organization) which is also a network of physicians who offer discounted rates without second-guessing of the physician by the insurance clerks. Keegan also states that Right now we believe that the PPO provides a better, greater cost effectiveness and higher quality." (Andrews, 000). This was the emergence of the PPO's which would compete with the established HMO's.

Kaiser Permanente implements EC

Kaiser utilized an electronic commerce platform to set up a comprehensive web site designed to facilitate information between consumers and their organization. Information included on the site is related to individual and group healthcare coverage quotes, benefits, co-pays, enrollment, qualification, locating facilities and physicians, and contact numbers. Kaiser was recognized for achieving the top producing broker status of small business group plans in California in 000, 001, and 00. The shift from utilizing staff to answer phone call banks concerning coverage to the web based quote and service format has increased productivity and revenue for the organization (www.kaiserpermanente.org, 00).

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CHALLENGES WORKING WITH PHYSICIANS

Kaiser Permanente actively recruits and caters to physician needs and professional standards. There are over 11,000 members on staff which operate in multi-specialty teams to deliver quality care (http//physiciancareers.kp.org/aboutpf.htm, 00). This tailoring to the physicians yields higher job satisfaction rates and cooperation with industry trends and organizational goals.

Physicians, as with most people, are not receptive to being dictated or coerced. The favored method of having someone conform to a change within an organization is to have them "buy into" the changes. An example of this could be demonstrating the benefits or reduced work load by utilizing the proposed operational changes. One form of streamlining business is computerized applications such as accessing medical related data through handheld computers. The Handspring Visor has the capability to run software from Franklin Electronic Publishers, Inc. such as The Physicians Desk Reference, The Medical Letters Handbook of Adverse Drug Interactions, McGraw-Hills Harrisons Principles of Internal Medicine Companion Handbook, and The Washington Manual of Medical Therapeutics (Winsky, 001). In addition to referencing text style information, the physicians could also participate in development of a computer based medical record retrieval system such as the Meditech Physician Website which is maintained specifically for physicians using their Health Care Information System. The site was designed to disperse knowledge of clinical systems, facilitate dialogue regarding clinical systems use and development, and promote physician involvement with clinical systems application

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within an institution. (www.meditech.com, 00). Another computerized medical record system has been designed by Clinicare. Their computerized medical record application allows a physician to quickly access a patient's record and view data related to each encounter. The record can be simultaneously accessed from any number of terminals which is more fluid than the previous SQL data base software that locked out the record when it was accessed at a single point. This feature allows multiple healthcare staff members to view information in real time. The software has several valuable functions such as user definable encounter forms, search & select capabilities, editing of records, audit controls, patient profiling, detailed or summary listings, scheduling capabilities, report generators, and tracking for lab results (www.clinicare.com, 00). These capabilities are not merely a matter of convenience for physicians; these functions can increase productivity and save revenue and valuable time.

Establishing physician patient relationships are critical to ensuring an ongoing quality healthcare continuum for the patient's well being. Studies by Beth Israel Hospital in Boston have shown that patient's desire an understanding of their condition, ongoing personal relationships with their physician, and knowledge of the effects of the disease on their lives (Mgebroff, 18). This fiduciary relationship evolved from the patient's dependence on the physician and his or her medical knowledge. There is currently a shift from this model towards a sharing of responsibility for decision making with the patient (www.medceu.com, 00). Patients are increasingly becoming involved with weighing the risks of treatments and alternative modalities through internet education and informed

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consent. Some patients are even meeting with their physicians in cyberspace for their

appointments where they can discuss treatments, review test results, and receive commentary from their personal physicians (Monnich, 001). It is estimated that 70 million Americans have used the internet to acquire health-related information (Anderson, 00). With the face of patient physician interaction constantly changing due to the adaptation of internet information technology; there are problems associated with professional resistance to the potential of the internet. Having a computer screen in an examination room may increase a physician's productivity and improve patient interaction in two methods. The first benefit is the demonstration of the physician's ongoing knowledge of current technology through the presence of the computer screen. The second benefit realized by the physician is the utilization of computerized technology for patient information and teaching. This technology yields increased confidence by the patient in their physician and a better grasp of concepts concerning their disease process and prognosis.

ELECTRONIC COMMERCE APPLICATIONS

Kaiser implemented Business to Business (BB), Business to Consumer (BC), and Consumer to Business (CB) applications within their electronic commerce platform. BB was utilized in setting up web sites for each organization that Kaiser held a contract with and the origination of an expedited shipping service to reduce inventory and storage costs. BC functions were formatted to allow consumers to receive real time pricing quotes and scheduling of their physician appointments. The intranet functions serviced the internal employees efficiently by allowing them to expedite their workload. Examples of this are ordering supplies, equipment and services and accessing pricing options for customers seeking healthcare coverage. Digitized versions of patient medical records and lab reports are accessible easily and accurately to practitioners and clinicians. One of the most important applications within the intranet is the ability to check for possible drug interactions and to suggest cost sensitive alternative medications is applicable. An example of CB could be considered within the nature of physician-hospital relationships. Since physicians are customers to hospitals they practice for, their utilization of hospital based computerized systems for medical records or pharmacy related issues would fall under the CB category.

Supply chain management integrates the business processes from the suppliers to the end users of a system. Kaiser implemented a platform of allowing the customers, or end users, to access and manipulate data concerning their healthcare policies through EC venues. By placing an interface between the customer and Kaiser, a streamlined effect of

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delivering services and information occurred. Actual manning of the phones could be decreased by Kaiser due to the efficiency of the EC system for handling customer interaction.

Other EC applications that reduce costs and unnecessary steps are in the pharmacy and medical records departments. Meditech is a forerunner in Health Care Information Systems (HCIS). Their systems operate on a Windows based client server platform and also have the option of running on their own developed MAGIC Operating System. These software applications offer numerous services such as patient registration and appointment scheduling, authorization and referral management, billing and accounts receivable, revenue management, patient care management, computerized medical records, order entry systems, medication verification for pharmacy services, patient education, imaging, laboratory, data archiving, and staff intranet communication systems (www.meditech.com, 00). The ability to rapidly access patient medical records and identify potential harmful drug interactions is two areas that can increase consumer satisfaction for the healthcare industry. Utilizing EC tools which allow the medical record and pharmacy departments to interact with the staff will not only expedite customer services but also relieve staff of a portion of their workload.

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CONCLUSION

Kaiser utilized an electronic commerce platform to set up a comprehensive web site designed to facilitate information between consumers and their organization. Information included on the site is related to individual and group healthcare coverage quotes, benefits, co-pays, enrollment, qualification, locating facilities and physicians, and contact numbers. The shift from utilizing staff to answer phone call banks concerning coverage to the web based quote and service format has increased productivity and revenue for the organization creating a competitive edge over competing industry participants. Kaiser also implemented Business to Business (BB), Business to Consumer (BC), and Consumer to Business (CB) applications within their electronic commerce platform. Creation of BB web sites for each organization that Kaiser held a contract with and the origination of an expedited shipping service reduced inventory and storage costs. BC functions were formatted to allow consumers to receive real time pricing quotes and scheduling of their physician appointments. This supply chain management platform allowed the customers, or end users, to access and manipulate data concerning their healthcare policies through EC venues. By placing an interface between the customer and Kaiser, a streamlined effect of delivering services and information occurred. Actual manning of the phones could be decreased by Kaiser due to the efficiency of the EC system for handling customer interaction. The intranet functions serviced the internal employees, including physicians, efficiently by allowing them to expedite their workload. These EC implementations by Kaiser aids in maintaining their leadership position within the healthcare industry as the number one HMO provider in America.

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REFERNECES

Anderson, J. (00). The Impact of CyberHealthcare on the Physician-Patient

Relationship. Retrieved July , 00 from http//www.yi.com/home/EysenbachGunther/publications/00/andersoneysenbach00-jmedsyst-cyberhealthcare.pdf

Andrews, W. (000). HMO Costs Burgeoning. Retrieved July 18, 00 from

http//www.cbsnews.com/stories/00/01/1/health/main6656

Clinicare. (00). Retrieved July 4, 00 from www.clinicare.com

Eliopoulos, P. (000). HMO Execs Debate How to Heal Their Image -- and Industry.

Retrieved July 5, 00 from http//www.businessweek.com/bwdaily/dnflash/feb000/nf0008d.htm

Intellectual Ammunition. (18). HMOs Rise Driven by Government, Not Market.

Retrieved July , 00 from http//www.cchc-mn.org/issues/hmorise.php

Kaiser Permanente. (00). Retrieved July 0, 00 from www.kaiserpermanente.org

Kaiser Permanente. (00). Retrieved July 0, 00 from

http//www.kaiserpermanente.org/newsroom/history.html

Meditech. (00). Retrieved July 4, 00 from

http//www.meditech.com/PublicRelations/product.htm

Medceu. (00). Physician-Patient Relationship. Retrieved July 6, 00 from

http//www.medceu.com/tests/physicianpatient.htm

Mgebroff, A. (18). The Physician-Patient Relationship -- Perspectives After 40 Years

of Family Practice. Retrieved July 6, 00 from

http//www.familypractice.com/journal/abfpjournal_frame.htm?main=/journal/18/v11.n05/1105.1/art-1105.1.htm

Monnich, B. (001). Bringing order to cybermedicine Applying the corporate practice of

medicine doctrine to tame the wild wild web. Retrieved July 5, 00 from

http//www.bc.edu/bc_org/avp/law/lwsch/journals/bclawr/4_/06_FMS.htm

Patel, B. (17). New HMO regulations give more protection to patients. July 6, 00

from http//www.mdn.org/17/STORIES/MC.HTM

Physician Careers. (00). Retrieved July 7, 00 from

http//physiciancareers.kp.org/aboutpf.htm

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Turban, E. (00). Electronic Commerce 00 (nd ed.). New Jersey Pearson Education

Winsky, G. (001). Franklin Adds Three Leading Medical Reference Works for the

Handspring Visor. Retrieved July , 00 from http//www.handspring.com/company/pr/pr_franklin.jhtml

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Globalization

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To what extent can the effects of globalisation be seen in Shelcome Street?

"People around the globe are more connected to each other than ever before, information and money flow more quickly than ever. Goods and services produced in one part of the world are increasingly available in all parts of the world. International travel is commonplace" . This phenomenon has been titled globalisation. Globalisation in simple terms is the rise of market capitalism around the world. The effect that globalisation has had on life today is immeasurable. It shapes the way we live and is debated all around the world so much that it is the world's biggest argument to date.

I would define globalisation as "the integration of many different cultures from around the world into a single market through the growth of industries on an international scale". The effects of globalisation can be measured on local, regional, national and international levels. Shelcome Street displays the effect of globalisation on a local level through the substantial number of multi-national companies that operate in the area. In this report I will try to determine the extent to which the effects of globalisation can be seen on Shelcome Street, by assessing the socio-cultural and economic impact.

Shelcome Street exemplifies a modern city centre in the 1st century. The abundance of multi-national companies operating on the street is quite amazing. Companies from across the globe function alongside each other, from world-renowned American fast food franchises like KFC & McDonalds to very traditional English retailers such as BHS or Marks & Spencer. Globalisation can be seen to have affected Shelcome street, from fashion and entertainment to architecture and the arts.

A major change in the architecture on Shelcome Street can be seen in Marble arch shopping centre, an American style shopping mall with many different companies operating under one roof. Where as in the past people shopped in town centres and limited their shopping trips to fair weather days, now people can go shopping whatever the weather and all the shops are close together. This incorporation of many different types of shops to cater for a wide variety of customers is a clear example of how the American 'customer friendly' culture has been implemented in Shelby with huge success. New, modern companies are opening up all the time in Shelcome when space is available, illustrating the demand for such a location. Shelcome street has become very Americanised regarding the large number of fast food restaurants found on the street. As you walk down Shelcome street you pass a KFC, MacDonalds, Burger King and Pizza Hut. This shows the popularity of this once american, now international culture of fast food, which continues to grow from year to year.

It is not just American culture that has influenced the street

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Black Hole

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Streaming through the windows, headlights flash as they pull into the driveway. I become suddenly alert, glancing at the clock. It's 145. She told me she would be home by 115. We had both agreed there would be no exceptions. Why was she home so late? Nervousness passes through my body as I contemplate getting off the couch. Trying not to act paranoid, which I am, I stay seated and change the channel with the clicker. A door slams shut outside. Finding an action movie, I act engrossed in whatever I'm watching. The colors all seem to blend together because my mind is on my daughter. The side-gate clangs shut, she's coming in through the back. She isn't trying to sneak; she always comes this way, right? The back door slowly slides open and shut as she enters the house.

She makes a straight line for the bathroom, where she spends the next five minutes fiddling about. I admit it; I'm a paranoid mom. But, she's not doing well in school. She has her same attention thing, where she only does things she enjoys. I'm just glad she's taking two English classes; she's always been good at those. She does her work; it just doesn't get turned in. She's not lazy, but un-motivated by the pay-off the school system has to offer her. So, she finds her rewards elsewhere, where she can see the result. That's what bowling and lacrosse are for. She's on varsity teams for both, of course she's fine. She has to be. The bathroom door opens.

"Hi mom" she murmurs, trying to get by quickly.

"Wait," I say, calling her back.

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"What?" she returns resentfully.

"How was your evening?" I inquire, trying to gather something from her.

"Fine. I'm going to bed, I'm tired." She looks at me. A rush of guilt falls over my body as I catch myself looking at her eyes from redness.

"Goodnight," I say, hoping she won't realize what my plan had been. "Come give me a kiss." As she comes over I find myself smelling strongly, as if I was searching for something. She turns and heads off to bed after kissing my cheek. Did I just smell drugs? Did her hair have a faint reflection of marijuana? Were her pupils big? I lost myself in the whirlpool of questions, which kept spinning, in my mind. I knew the answers.

Soon after she's retired to her room a flavor of India comes through the vents. She has her incense going again, like she does every night she writes. She usually fiddles on her computer or my laptop for 0 minutes before going to bed. I question the incense. She's probably back there smoking pot under my very nose. I get up quickly and pace to the back of the house. I open her door quickly, but the room is dark. A haze has gathered on the ceiling as the smell rolls into the hallway. A lump in the bed rolls over and manages a quite rumble.

"What?" the lump grumbles as I flick on the light.

"What are you doing?" I ask, but realize the stupidity only after the question is posed.

"Trying to sleep," it responds, agitated. I turn the light off and creep backwards, not saying a word. What would I say? Sorry, I thought you were smoking pot? None of that would work! Returning to the television, I lose sight of what I'm watching once again. It's hard to trust her. She's lied so much in the past. About grades, where she's going, what time she'll be home. She never seems to be on the same level as us. We never know what's going on.

There's a line between being too inquisitive and over-protective. I honestly believe that my problems are wrapped around the thought of losing her. I don't want her to go anywhere. I want her to stay at home and study at the community college. I want her to begin riding again, to get her "A" rating. But, I'm chasing a dream created by a twelve-year old girl. She drove the ideas of making it big into my skull. Her heart was in it then. She actually cared. Sometime between then and now she's lost her spirit. It was before the accident so I know that wasn't the cause. Honestly, I think she lost it the day Pokey died. Most people don't know everything that happened that day. She lost two horses Pokey, who died and Allan, whom we had to return due to a structure problem. He later became a very expensive pasture ornament for Cassie, who we had bought him from. The cold that night was much stronger than the thermometer read. The wind and rain, as if from a horror movie, stood no chance against the freeze that would follow. Something chilled through her body and froze a part of her heart. It's never thawed.

She doesn't care; it's that simple; there's nothing I can do about it, either. Maybe someday, through her writing, the emotions of that girl will shine through. But for now, the only thing keeping her heart from stopping is the anti-freeze that shoots through her veins. She's tattered and worn; sick of the bull everyone around seems to feed her. It hurts, because no matter what I do, I'm not making anything better. Everything I say sends her farther and farther away. The distance between our points is growing immensely with every encounter. I guess I need to depend on the fact that others tell me that she's an overall good kid. When company is around she, smiles and jokes accordingly. But looking into her soul, you can always see that her spirit is broken. She has no twinkle of youth that shows the dreams of all children, just a deep, dark pit that she will soon fall into. My body aches at the images of how this will end for her. I'm lost in the chaos it overwhelms us all. But maybe, someday, I'll be able to understand and help her. But whatever I do, I cannot lose her.

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