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I had to pick up the real middle age, then I would probably choose the range from twenty five to seventy five years old people. The most of them are truly independent. They have their own responsibilities at twenty five years old, but most of them are dealing with some infirmities at the age of seventy five. The most of people don't get depressed at thirty years old. We can't realistically deal with this kind of depression. I think that they don't have many choices in life. They must accept themselves such as they are. A fitness center can help them a lot," said James.

"I had heard so many opinions about the middle age. I thought I ought to clearly understand them, "said Susan.

"I started to talk to people of all ages, from the youngest person to the oldest one. I asked them if they were happy or not. Slowly, a new definition of middle age began to form in my mind," said James.

"It is a moment in life, when people shift from seeing the future in terms of their potential to the opposite point of view. They see it in terms of their limitations. They fight with their limitations for a while, but they have to accept their resignation," said Susan.

"We must help them," said James, looking at her.

"I like your point of view," said Susan.

"You are a beginner in this branch and this little project will help you," said James.

After ten years of frustration, the doctor told Lisa about her incapability to conceive kids. She was trying everything to get pregnant and she supported a few miscarriages. She became very depressed, frustrated and very jealous. She had those feelings,when she looked at all her friends having children.

"I am really worried about her. She cries all the time," said Laura.

"Lisa definitely has some choices. She can adopt a child, or she can use a gestational carrier. I think it is harsh to say that she can't have children," said Marie.

"She thinks she will never be able to feel a baby growing inside of her," said Amy.

"A miscarriage can be frightening and depressing. It is natural to feel the grief over the loss of a child. Maybe she cannot psychically start again, "said Ella.

"She could start a couple of weeks, after her last bleeding had stopped, but she preferred to wait a longer period. She wanted probably to recover from her emotional trauma. She desperately needs this child, because she wants to save her relationship with Michael," said Nora.

In the kitchen, Lisa and Samantha started to talk, while they were preparing the coffee. In the middle of the discussion, Marie entered to ask about the coffee.

"Do you need help?" Marie asked Samantha.

"Well, of course that I need help." Samantha slowly turned her head and looked at Marie. Her eyes made a silent plea for gratitude. Then, she turned her head to Lisa and said, "What did you say?"

"I remember that I was sixteen years old and one night I met a man. In time, we became lovers. One day, I asked him to come home with me. I told my parents that I want to marry him and they were very surprised. I told them that I was pregnant. I wasn't sure. It was my first pregnancy. I didn't know what to do and my parents told me to go to the clinic. I was scheduled for my first scan and they confirmed my pregnancy. After that, I had a very bad time. My parents didn't accept anything, because I was too young. My man was furious. I ended up taking a tablet to get rid of the baby. Nine hours later, I went to the hospital. I was losing a lot of blood, when the doctor operated me to save my life. After that, seven years I have been trying to be pregnant, but nothing happened. I began to think that I would never be a mother," said Lisa.

"My daughter was born by emergency cesarean section. I was in labor for twenty hours. I felt very disappointed that I hadn't a natural birth. The most important thing was that the baby was healthy. I think that some doctors are a little too dogmatic. Everything they say is based on their experience. When they are not sure about the evolution of the pregnancy, all they can do is to advise their patients to be cautious," said Samantha.

"Usually, the doctors don't tell you the truth. They think that nothing is completely black or white in the medical world. The best they can do is to estimate the evolution of your pregnancy and to let you know about the risks," said Marie.

"The doctors don't know everything and I always say to everyone, who is struggling to conceive a baby - never give up your hope. I don't have children. I had wanted very much to have a child. I have felt useless for a very long time. I thought that maybe God wanted another path for me. I'm a teacher and I love the kids," said Amy.

Lisa brought the cups of coffee and put them on the table.

"By the way, Nora, how do you feel?" Samantha asked her.

"Theodore had some money and I sold the apartment, where I had lived with Michael. We bought a house for our family. We live there with Mary. It's a small house, but I hope to buy another one later. Theodore is the school's program director at a very good school in our town, at present," said Nora.

"Tell me what exactly a school program director is," Lisa wanted to know.

"I don't exactly know, but all he said is that the school program includes the development and the implementation of the master schedule, some staffing assignments, student scheduling and allocation of the resources. Theodore supervises and coordinates all the educational and counseling duties for the students and the staff of the school, "said Nora.

"What about Dan, where is he working now?" Amy asked her.

"Well, he is a doctor, my dear, he works at the hospital," said Nora.

"Tell me about Mary," continued Amy.

"She is a dentist. She will work with me. I must talk to Victor to extend our cabinet. We must build another room and we must turn it into a dental office for Mary. I must extend the house, where the dental cabinet is placed," said Nora.

"Mary is so lucky to marry Dan. You must be so happy for her, "said Amy.

"Dan is a wonderful person, my dear," said Nora.

''Of course, they are both like kids," said Amy.

"Take care, Mary can hear you. She has a very mature thinking," said Nora.

"They are still kids for me," said Amy, sighing.

Mentioning specific words about the hospital can automatically determine some people to think of the typical doctors and nurses. Although working as a doctor requires a specialist training and some qualifications, there are a few occasional opportunities to start as an assistant, allowing for a combination of study with practice. This gives many opportunities to develop the skills and to gain new qualifications, or to increase the salary prospects. There are many training and employment prospects within this work. You need to find the best position.

Dan realized that working in a hospital is not like learning in a college. He was socially challenged. He was locked up for twelve years in the college and the medical school. He had been completely cut out from the real world, until he started to believe that he was truly responsible for the life of the human beings. Starting to work in the hospital, Dan found out that some employees could act like babies and they could like some immature gossips.

"People like to talk about you behind your back. It will get back to you. Do not talk about your coworkers in a bad way. It will get back to them," said Brandon, the director of the hospital.

"There are so many ways to avoid this problem," said Dan

"It's not always a pleasant environment. If you enjoy your work in this hospital, stick with it. If you don't enjoy it, keep working at it. I think the new generation will be better than us," said Brandon.

"This hospital is an interesting place. It doesn't matter who we are, the job is just a job," said Dan

"All we can do here is to treat our patients, to cultivate our good will and to go home to our personal life," said Brandon.

"So, everything I have heard about the hospital environment is true," said Dan.

"Sometimes, the people can be on the verge of a mental breakdown. I think that this characteristic is generally inherent to the human nature and it is specifically caused by the particular problems, "said Brandon.

"We spend more time at work than we spend at home, "said Dan

"Our mission is to care for the patients. In our emergency room, many patients are indigent and they do not have their own doctors," said Brandon.

"I think that we must focus our attention on caring for them, for the purpose of treating them at a lower cost," said Dan.

"The lower cost is necessary, but the patient's health is very important. By the way, we can reduce the length of the hospital stay, we can oversee the discharge planning and we can improve the contact between the hospitals and the home care agencies. This way, we can have enough money for good treatment results," said Brandon.

"Moreover, it is a good idea to create a separate group of some hospital based physicians," said Dan.

"This way, we can avoid the reduction of the important costs by cutting back the money we spend to pay some services. Moreover, this decision can eliminate some concerns about the safety of the patients," said Brandon.

"The pharmacists can lease their space in the building," said Dan.

"You're right. A temporary problem is that the hospital has hired a lot of assistant doctors and the new medical building is scheduled to be finished only in June," said Brandon.

"Until the building is finished, it is going to be a little tight, but I see about one hundred patients each week and those second doctors can help me a lot," said Dan.

"I am very glad that I found someone so energetic like you," said Brandon.

"I am so excited to know this," said Dan, seemingly to himself.

"Excellent," said Brandon, smiling.

After that, Dan went to see his patients.

"Good morning, doctor! Can you spare a few minutes for me?" Paul told him.

"Certainly I can do this! What is the matter with you? "Dan asked him jovially.

"I've caught a cold and I'm coughing."

"Are you running a high temperature?"

"I don't think so."

Dan examined Paul' heart and lungs, but he didn't find any pathological modification. He asked Paul to widely open his mouth and to deeply breathe through the nose. He concluded that there wasn't any radical wrong sign of illness at his patient.

"You have run down a little. Take a complete rest. Get these tablets twice a day. You will be all right in three or four days. What is the matter with you, Samuel?" Dan continued to examine another patient.

"The injections you gave me helped me for a while. Now, my back pain is acting up again and my rib pain is back, "said Samuel.

"I will examine you and I will change your medical prescription," said Dan. He turned his head to Christine and asked, "What is the matter with you?"

"A week ago the surgeon had operated me. After that, I realized that I feel better than before the operation. I had made the right decision. I understood that I was given a second chance; even I had
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