Years ago I had mono in college, later Epstein Barre virus, last year Bell's Palsy. A weakened immune system ultimately led to PMR. A doctorate at 27, marriage, children, grandchildren, divorce, dating, 6 year teaching career, successful financial services career, founder of a charity that helps urban teens and their families, joys, disappointments, breathing polluted air in the city. So many factors contribute to PMR it's hard to isolate specifics. I believe we are unaware of the stress that impinges on our lives until PMR smacks us into a different reality. It becomes a wake up call to entirely readjust. I realize I can not do this alone. Independence becomes dependence. Strength becomes weakness. Humility wins. The new normal requires flexibility and gentleness. Trades are important. No more frenzy.