Tag: The Lancet

Thinking anew.

Humanity’s safe and viable future depends on seeing things very differently.

Next Tuesday is the 62nd anniversary of the death of Albert Einstein, the famous German theoretical physicist who died on the 18th April, 1955. He delivered many innovative ways of seeing our world way beyond his theory of relativity, one of the two pillars of modern physics (alongside quantum mechanics) (Ref: Wikipedia)

Why do I introduce today’s post with that reference to Mr. Einstein?

Because I wanted to share with you a recent essay from George Monbiot and an Einstein quotation seemed so apt an introduction.

We shall require a substantially new manner of thinking if mankind is to survive.

That essay from George Monbiot was published yesterday and is shared with you all with Mr. Monbiot’s full permission.

It is an essay that deserves being read slowly and carefully. Please take time aside to so do because it really does offer a new manner of thinking.

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Circle of Life

By reframing the economy, Kate Raworth’s Doughnut Economics changes our view of who we are and where we stand.

By George Monbiot, published in the Guardian 12th April 2017

So what are we going to do about it? This is the only question worth asking. But the answers appear elusive. Faced with a multifaceted crisis  – the capture of governments by billionaires and their lobbyists, extreme inequality, the rise of demagogues, above all the collapse of the living world – those to whom we look for leadership appear stunned, voiceless, clueless. Even if they had the courage to act, they have no idea what to do.

The most they tend to offer is more economic growth: the fairy dust supposed to make all the bad stuff disappear. Never mind that it drives ecological destruction, that it has failed to relieve structural unemployment or soaring inequality, that, in some recent years, almost all the increment in incomes has been harvested by the top 1%. As values, principles and moral purpose are lost, the promise of growth is all that’s left.

You can see the effects in a leaked memo from the UK’s foreign office: “Trade and growth are now priorities for all posts … work like climate change and illegal wildlife trade will be scaled down.” All that counts is the rate at which we turn natural wealth into cash. If this destroys our prosperity and the wonders that surround us, who cares?

We cannot hope to address our predicament without a new worldview. We cannot use the models that caused our crises to solve them. We need to reframe the problem. This is what the most inspiring book published so far this year has done.

In Doughnut Economics: seven ways to think like a 21st-century economist, Kate Raworth reminds us that economic growth was not, at first, intended as a measurement of well-being. Simon Kuznets, who standardised the measurement of growth, warned: “the welfare of a nation can scarcely be inferred from a measure of national income.” Economic growth, he pointed out, measures only annual flow, rather than stocks of wealth and their distribution.

Raworth points out that economics in the 20th Century “lost the desire to articulate its goals.” It aspired to be a science of human behaviour: a science based on a deeply flawed portrait of humanity. The dominant model – “rational economic man”, self-interested, isolated, calculating – says more about the nature of economists than it does about other humans. The loss of an explicit objective allowed the discipline to be captured by a proxy goal: endless growth.

The aim of economic activity, she argues, should be “meeting the needs of all within the means of the planet.” Instead of economies that need to grow, whether or not they make us thrive, we need economies that “make us thrive, whether or not they grow.” This means changing our picture of what the economy is and how it works.

The central image in mainstream economics is the circular flow diagram. It depicts a closed flow of income cycling between households, businesses, banks, government and trade, operating in a social and ecological vacuum. Energy, materials, the natural world, human society, power, the wealth we hold in common: all are missing from the model. The unpaid work of carers – principally women – is ignored, though no economy could function without them. Like rational economic man, this representation of economic activity bears little relationship to reality.

So Raworth begins by redrawing the economy. She embeds it in the Earth’s systems and in society, showing how it depends on the flow of materials and energy, and reminding us that we are more than just workers, consumers and owners of capital.

The Embedded Economy. Graphic by Kate Raworth and Marcia Mihotich

This recognition of inconvenient realities then leads to her breakthrough: a graphic representation of the world we want to create. Like all the best ideas, her Doughnut model seems so simple and obvious that you wonder why you didn’t think of it yourself. But achieving this clarity and concision requires years of thought: a great decluttering of the myths and misrepresentations in which we have been schooled.

The diagram consists of two rings. The inner ring of the doughnut represents a sufficiency of the resources we need to lead a good life: food, clean water, housing, sanitation, energy, education, healthcare, democracy … . Anyone living below that line, in the hole in the middle of the doughnut, is in a state of deprivation.

The Doughnut. Graphic by Kate Raworth and Christian Guthier/The Lancet Planetary Health

The outer ring of the doughnut consists of the Earth’s environmental limits, beyond which we inflict dangerous levels of climate change, ozone depletion, water pollution, loss of species and other assaults on the living world. The area between the two rings – the doughnut – is the “ecologically safe and socially just space” in which humanity should strive to live. The purpose of economics should be to help us enter that space and stay there.

As well as describing a better world, the doughnut model allows us to see, in immediate and comprehensible terms, the state in which we now find ourselves. At the moment we transgress both lines. Billions of people still live in the hole in the middle. We have breached the outer boundary in several places.

Where we are now. Graphic by Kate Raworth and Christian Guthier/The Lancet Planetary Health

An economics that helps us to live within the doughnut would seek to reduce inequalities in wealth and income. Wealth arising from the gifts of nature would be widely shared. Money, markets, taxation and public investment would be designed to conserve and regenerate resources rather than squander them. State-owned banks would invest in projects that transform our relationship with the living world, such as zero-carbon public transport and community energy schemes. New metrics would measure genuine prosperity, rather than the speed with which we degrade our long-term prospects.

Such proposals are familiar, but without a new framework of thought, piecemeal solutions are unlikely to succeed. By rethinking economics from first principles, Raworth allows us to integrate our specific propositions into a coherent programme, and then to measure the extent to which it is realised. I see her as the John Maynard Keynes of the 21st-Century: by reframing the economy, she allows us to change our view of who we are, where we stand, and what we want to be.

Now we need to turn her ideas into policy. Read her book, then demand that those who wield power start working towards its objectives: human prosperity within a thriving living world.

www.monbiot.com

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 Please, wherever you are and whatever your plans are for this long weekend, do take great care of yourself and all your loved ones!

Habituated to eating

A startling and counter-intuitive essay from George Monbiot.

Hariod Brawn, she of the blog Contentedness.net, left a response to yesterday’s post in this place. Here is what Hariod said:

Yes Paul, I too recognise the value in understanding the neural substrates involved, regardless of what may in any case be reliably inferred and readily apparent in behavioural evidence. The social intelligence of the dog seems remarkably advanced of course, and so naturally provides a rich source for such research. Having said that, I am struck by the amount of academic funding that goes into confirming what is already self-evident, and wonder if the apportioning of funds is done quite as effectively as it could be. Much is determined by commercial interests of course.

“Much is determined by commercial interests …”

I have been a resident of the United States since April 2011. There has been much to take in and embrace at so many levels. However, one of the things that has seemed very foreign to my eyes was the extent of the obesity seen almost everywhere that one is out and about. At first it seemed more of an American issue, but over the last few years watching news items from the UK and seeing other general items on the internet from ‘the old country’ I came to realise that countries both ‘sides of the pond’ are grappling with what could be fairly described as an epidemic.

Yesterday, George Monbiot published an essay called Slim Chance. As with so many of Mr. Monbiot’s essays this one highlights issues that I am sure are not widely appreciated. It is republished here with Mr. Monbiot’s kind permission.

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Slim Chance

11th August 2015

New evidence suggests that obesity might be incurable. So why does the government propose to punish sufferers?

By George Monbiot, published in the Guardian 12th August 2015

Is overeating more addictive than crack cocaine? It’s hard to compare addiction rates, or to produce a clear definition that holds true across all substances and behaviours. But consider this crude contrast. Between 10 and 20% of people who use crack cocaine become addicted to it. Across a 9-year study of 176,000 obese people, 98.3% of the men and 97.8% of the women failed to return to a healthy weight. Once extreme overeating begins, it appears to be almost impossible to stop.

A paper published in the journal Neuroscience and Biobehavioral Reviews proposed that “food addiction” is a less accurate description of this condition than “eating addiction”. There is little evidence that people who are driven to overeat become dependent on a single ingredient; instead they tend to seek out a range of highly palatable, energy-dense foods, of the kind with which we are now surrounded.

The activation of reward systems in the brain and the loss of impulse control are similar to those involved in dependency on drugs. But eating addiction appears to be more powerful. As the same paper notes, in laboratory experiments “a majority of rats will prefer a sweet reward over a cocaine reward.”

Once you become obese, an article published in the Lancet this year explains, biological changes lock you in. Fat cells proliferate. The brain becomes habituated to dopamine signalling (the reward pathway), driving you to compensate by increasing your consumption. If you try to lose weight, the body perceives that it is being starved, and powerful adaptations (such as an increase in metabolic efficiency) try to bounce you back to your previous state. People who manage, against great odds, to return to a normal weight must consume 300 fewer calories per day than those who have never been obese, if they are not to put the weight back on. “Once obesity is established, … bodyweight seems to become biologically stamped in”. The more weight you lose, the stronger the biological pressure to get back to your former, excessive size.

The researchers find that “these biological adaptations often persist indefinitely”: in other words, if you have once been obese, staying slim means sticking to a strict diet for life. The best you can hope for is not a dietary cure, but “obesity in remission”. The only effective, long-term treatment for obesity currently available, the same paper says, is bariatric surgery. This can cause a number of grim complications.

I know this statement will be unwelcome. I too hate the idea that people cannot change their circumstances. But the terrible truth is that, except through surgery, for the great majority of sufferers, obesity is an incurable disease. In one respect it resembles cancer: the changes in lifestyle that might have prevented it are unlikely to be of use in curing it.

Fat-shaming is worse than useless. Another paper found that the more weight-conscious people are, the more likely they are to overeat: the stress it induces is a trigger for comfort eating. As Sarah Boseley points out in her book The Shape We’re In, “the diet industry … is one of the biggest frauds of our time”. For the obese, temporary reductions in weight will almost inevitably be reversed.

People who are merely overweight, rather than obese (in other words who have a BMI of between 25 and 30) appear not to suffer from the same biochemical adaptations: their size is not “stamped in”. For them, changes of diet and exercise are likely to be effective. But urging obese people to buck up produces nothing but misery.

The crucial task is to reach children before they succumb to this addiction. As well as help and advice for parents, this surely requires a major change in what scientists call “the obesogenic environment” (high energy foods and drinks and the advertising and packaging that reinforces their attraction). Unless children are steered away from overeating from the beginning, they are likely to be trapped for life.

You might have expected this knowledge to lead to acceptance, empathy and an end to stigmatisation. Fat chance. A fortnight ago, just after the figures I mentioned at the top of this article were published, David Cameron announced a review that could lead to obese people being deprived of social security payments if they fail to accept “treatment” for their condition.

This review, conducted by Dame Carol Black, has already pre-empted its conclusions: eight times it describes obesity as “treatable”. Really? How? It will consider the case “for linking benefit entitlements to take up of appropriate treatment”. Are Cameron and Black proposing that benefit claimants will be forced to undergo surgery? Or will they be pressed into a useless and punitive dietary regime? These proposals look to me like a transfer of blame for the disease away from food manufacturers and advertisers and onto those afflicted.

Why do we have an obesity epidemic? Has the composition of the human species changed? Have we suffered a general collapse in willpower? No. The evidence points to high-fat, high-sugar foods that overwhelm the impulse control of children and young adults, packaged and promoted to create the impression that they are fun, cool and life-enhancing. Many are placed in the shops where children are bound to encounter them: around the tills, at grasping height.

The disease will keep ravaging the population (and slowly overwhelm the health service) until these circumstances change. But the government’s sole contribution has been to tear down mandatory controls, replacing them with a voluntary – and therefore useless – “responsibility deal” with manufacturers and retailers. It allows them to choose whether or not to use the traffic light system, which is the most effective way of informing people about the likely impact of what they eat. And many corporations, unsurprisingly, choose not to. As far as nutritional content is concerned, food manufacturing is effectively unregulated.

Industry and government will resist the obvious solutions until they can be resisted no longer. Eventually, the change will have to happen: similar restrictions on advertising, sponsorship, display and accessibility to those imposed on the tobacco pedlars. One day, though not before many thousands have needlessly died, it will become illegal to advertise any food or drink that merits a red traffic light warning. They will be sold only in plain packaging, with health warnings, on high shelves.

Does this seem draconian to you? If so, remember that obesity afflicts a quarter of the adult population, and is rising rapidly. It causes a range of hideous conditions, just one of which – diabetes – accounts for one sixth of NHS admissions and 10% of its budget. If smoking demands fierce intervention, why not overeating?

This is the choice we face. To recognise that the only humane and effective means of addressing the obesity epidemic is to prevent more people from being hooked, by restricting the pushers. Or to continue a programme of fat-shaming, bullying and compulsory treatment, whose only likely outcome is unhappiness. Now ask yourself again: which of these two options is draconian?

www.monbiot.com

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Let me close with an image. The image that George Monbiot believes will be seen very widely and representing the same common-sense in eating that we have been used to with regard to No Smoking signs.

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Meditating.

A guest post from Sue Dreamwalker.

Last Monday, the post on Learning from Dogs was called Growing old!!

The essence of that post was to report on the following:

That’s why a recent item on the BBC News website jumped off the page at me.  It was an article called: Health kick ‘reverses cell ageing’ written by Michelle Roberts, Health editor, BBC News online.  Here is how the article opened:

Going on a health kick reverses ageing at the cellular level, researchers say.

The University of California team says it has found the first evidence a strict regime of exercise, diet and meditation can have such an effect.

But experts say although the study in Lancet Oncology is intriguing, it is too early to draw any firm conclusions.

The study looked at just 35 men with prostate cancer. Those who changed their lifestyle had demonstrably younger cells in genetic terms.

The full article should be read, by the way, because it covers much more than this opening paragraph.

Anyway, one of the comments to that post was left by Sue, of Sue Dreamwalker, Here is what she wrote:

Great information and learning to Meditate even for a few minutes helps heal and relax.. Dogs have it right…. No stress!

I wrote a complete exercise I used a lot both for myself and within my circle I used to run… Hope you enjoy as you take your roots down into the earth after bringing in the Light….
you can find it here http://wp.me/p16xW7-37

Namaste! :-)

I then asked Sue if I could republish her guidance on meditation as a guest post.  Sue kindly agreed.  Here it is.

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A Meditation For My Friends

by Sue Dreamwalker

Meditation-1

Meditation.

Some Friends have been asking about Meditation and relaxation techniques, so I have put you a very simple little meditation here for starters.

You can buy books on meditation and read different techniques until your eyes pop out of your head, and you can find plenty about meditation on web sites too.  I always say there is no right or wrong way to Meditate. To meditate means finding that quiet place within your own mind, finding that peace and space to be at one with yourself.

When people say empty your mind, this is near enough impossible, as you will always have a train of thought that will pop in at times. So this is why we use the Breath.

The breath is used to bring your concentration back, so focusing on your breath may be one way in which you can stop the hum-drum of your thoughts that chatter away inside your head.

First you need to ensure you’re not going to be disturbed, so switch of the phone, find a comfortable chair, in a quiet room, and relax.  If you lie down you may find that you drift asleep, that’s ok also for that shows you have relaxed.  But preferably sit upright with your feet slightly apart and have them touching the ground. Take deep breaths breathing in and out through the nose, and close your eyes.

This is one of the meditations I do regularly.  It may seem long to read, but once you have it in your mind it will only take you 10 minutes to do. Read it through a couple of times until you have it clear in your mind, and then have a go.

meditation

Relax and take some nice deep breaths  breathing deeply and evenly, try to breath in to the count of five, hold for a few seconds and then breath out long and slow, Feel your breath rise from your solar plexus your stomach and feel your diaphragm rise and fall.

Do this for a few minutes until you feel comfortable with breathing this way. (Many of us do not breathe deep enough, so this may at first feel uncomfortable, but try not to force it, just try to get your breath into a natural rhythm).

One your breath is comfortable I want you to imagine a beautiful White light coming down in a column from up above  your head.  Almost like a search light in a darkened room.

As you breath in, I want you to breathe in this light. Imagine that it is flowing down inside your head through your crown, and it passes behind your eyes, relaxing your eyes. It then passes down over your throat, relaxing your throat.

You feel this Light which has healing properties cascading across your shoulders, relaxing your shoulders, taking all the burdens of the day with it.  You now see and feel this warm Light travel down your arms into your forearms relaxing your muscles as it goes, now it’s travelling into your finger tips, and your arms now feel heavy and relaxed.

You see the Light now travel through from your throat, down into your heart centre, feel the beat of your heart, and see the light now filling your heart and as it beats see the light dispersing throughout your veins into your whole being,

See the light travelling into your stomach relaxing your stomach muscles, down your thighs relaxing your thighs into your calves, relaxing your calves, and see the light now going into your feet relaxing your toes and feet.

And all the while you are breathing deeply and evenly, relaxing more and more.

meditation-2

Now you are relaxed and are full of healing light, I want you to now see that light coming out of the soles of your feet, as if they were roots from a tree. See these roots going down from your feet into Mother Earth, going down through the rocks, twisting and turning as they go deeper and deeper, and as they travel deeper so too you are feeling more and more relaxed.

You now see an underground cavern, with an underground pool, your roots of light emerge in the ceiling of this cavern, and illuminate it like the lights of a chandelier.

And as the light illuminates the Cavern you now see you are stood in a beautiful Crystal Cavern, The Light reflects the many luminous rainbow colours from the hundreds of giant crystals.. See the rainbow of pastel colours dance around the cavern reflection on the underground pool.

Now you can choose any colour you see, for whatever colour you choose this colour will intuitively be the right healing colour for your needs at this moment in time.

So once you see the colour you are attracted to, allow your roots to wrap themselves around that crystal, and as you breathe deeply in, see now that your roots have now turned into hollow straws, for you will now be able to breathe up that colour through your roots and as you do so, retract your roots back up through Mother Earth, breathe that  colour into your feet, feel the warmth of the healing.

Now draw it back up through your calves, up through your thighs, into your solar plexus. Breathing deeply and evenly. Feel the warmth of healing relax and heal all your worries and anxieties, breath it up into your lungs, into your heart, down your arms and into your fingers, see how relaxed and refreshed you now feel, see this colour cleansing your entire being taking with it all the debris that you have collected, all the negative thoughts, flushing you clean.

See this colour now rise and come up through your throat, see it helping you release all the words you have spoken in haste, and all the words you hold back, see them all now flow up past your eyes, helping you see that you are a Being of Light and whole and free, see that colour now rise out through the top of your head, see it cascading out into the Universe Like a fountain, and as it does so see it explode into a thousand stars, taking all your problems and negative debris with it, and know that God and the Universe will disperse this energy as it sees fit,

Give thanks to Mother Earth for her healing energy, and see the top of your head close and seal in your new vibration, and feel yourself glowing from within,

Slowly bring your awareness back to yourself sat in the chair, and open your eyes.

Sit for a moment or two and take a sip of water.

Know that you can go to your crystal cavern at any time for healing.


Soulfly

Hope you relax and Enjoy.

Dreamwalker x

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And if you want any encouragement to find that deep, peaceful place, then just breath in this picture of young Cleo letting the world go by!

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Growing old!!

Are there options?  Are there decisions to be made?

Of the two certainties in life, one of them is pretty stark: death!  (The other certainty is taxes, by the way!)

So one could legitimately argue that if death is ‘non-negotiable’ then it’s not even worth spending a moment dwelling on it.  And certainly not worth the time and effort in writing about it!

But, of course, this misses a very big point.  That is that doing all we can to improve our quality of life, especially in the Autumn of our lives, is very important.

That’s why a recent item on the BBC News website jumped off the page at me.  It was an article called: Health kick ‘reverses cell ageing’ written by Michelle Roberts, Health editor, BBC News online.  Here is how the article opened:

Going on a health kick reverses ageing at the cellular level, researchers say.

The University of California team says it has found the first evidence a strict regime of exercise, diet and meditation can have such an effect.

But experts say although the study in Lancet Oncology is intriguing, it is too early to draw any firm conclusions.

The study looked at just 35 men with prostate cancer. Those who changed their lifestyle had demonstrably younger cells in genetic terms.

“Reverses ageing”!  How on earth can that work?

The researchers saw visible cellular changes in the group of 10 men who switched to a vegetarian diet and stuck to a recommended timetable of exercise and stress-busting meditation and yoga.

The changes related to protective caps at the end of our chromosomes, called telomeres.

Their role is to safeguard the end of the chromosome and to prevent the loss of genetic information during cell division.

As we age and our cells divide, our telomeres get shorter – their structural integrity weakens, which can tell cells to stop dividing and die.

Researchers have been questioning whether this process might be inevitable or something that could be halted or even reversed.

The latest work by Prof Dean Ornish and colleagues suggests telomeres can be lengthened, given the right encouragement.

Now if you, like me, are noticing some of the rather frustrating aspects of ageing, then this one piece of science research could turn out to be invaluable.  But best not to get too carried away just now, as the BBC article underlines:

Prof Ornish said: “The implications of this relatively small pilot study may go beyond men with prostate cancer. If validated by large-scale randomised controlled trials, these comprehensive lifestyle changes may significantly reduce the risk of a wide variety of diseases and premature mortality.

“Our genes, and our telomeres, are a predisposition, but they are not necessarily our fate.”

Dr Lyn Cox, a biochemistry expert at Oxford University in the UK, said it was not possible to draw any conclusions from the research, but added: “Overall, though, the findings of this paper that changes in lifestyle can have a positive effect on markers of ageing support the calls for adoption of and adherence to healthier lifestyles.”

Dr Tom Vulliamy, senior lecturer in Molecular Biology at Queen Mary University of London, said: “It is really important to highlight that this is a small pilot study.

Nevertheless, here’s how the article ends:

But past work has shown that people who lead a sedentary lifestyle can experience accelerated cellular ageing in the form of more rapid shortening of their telomeres.

All of which rather embarrassingly reminds me that back on the 6th August, in a post called The habit of doing nothing, I set out Leo Babauta’s  ‘How To Meditate‘ guide.  Then, frankly, ignored it!  So to me and all you other readers who would like to chill out like your dog, here’s that guide again.

How to Do It Daily

There are lots and lots of ways to meditate. But our concern is not to find a perfect form of meditation — it’s to form the daily habit of meditation. And so our method will be as simple as possible.

1. Commit to just 2 minutes a day. Start simply if you want the habit to stick. You can do it for 5 minutes if you feel good about it, but all you’re committing to is 2 minutes each day.

2. Pick a time and trigger. Not an exact time of day, but a general time, like morning when you wake up, or during your lunch hour. The trigger should be something you already do regularly, like drink your first cup of coffee, brush your teeth, have lunch, or arrive home from work.

3. Find a quiet spot. Sometimes early morning is best, before others in your house might be awake and making lots of noise. Others might find a spot in a park or on the beach or some other soothing setting. It really doesn’t matter where — as long as you can sit without being bothered for a few minutes. A few people walking by your park bench is fine.

4. Sit comfortably. Don’t fuss too much about how you sit, what you wear, what you sit on, etc. I personally like to sit on a pillow on the floor, with my back leaning against a wall, because I’m very inflexible. Others who can sit cross-legged comfortably might do that instead. Still others can sit on a chair or couch if sitting on the floor is uncomfortable. Zen practitioners often use a zafu, a round cushion filled with kapok or buckwheat. Don’t go out and buy one if you don’t already have one. Any cushion or pillow will do, and some people can sit on a bare floor comfortably.

5. Start with just 2 minutes. This is really important. Most people will think they can meditate for 15-30 minutes, and they can. But this is not a test of how strong you are at staying in meditation — we are trying to form a longer-lasting habit. And to do that, we want to start with just a two minutes. You’ll find it much easier to start this way, and forming a habit with a small start like this is a method much more likely to succeed. You can expand to 5-7 minutes if you can do it for 7 straight days, then 10 minutes if you can do it for 14 straight days, then 15 minutes if you can stick to it for 21 straight days, and 20 if you can do a full month.

6. Focus on your breath. As you breathe in, follow your breath in through your nostrils, then into your throat, then into your lungs and belly. Sit straight, keep your eyes open but looking at the ground and with a soft focus. If you want to close your eyes, that’s fine. As you breathe out, follow your breath out back into the world. If it helps, count … one breath in, two breath out, three breath in, four breath out … when you get to 10, start over. If you lose track, start over. If you find your mind wandering (and you will), just pay attention to your mind wandering, then bring it gently back to your breath. Repeat this process for the few minutes you meditate. You won’t be very good at it at first, most likely, but you’ll get better with practice.

And that’s it. It’s a very simple practice, but you want to do it for 2 minutes, every day, after the same trigger each day. Do this for a month and you’ll have a daily meditation habit.

Yet again, dogs offer us a great example.

For here’s a photograph of Pharaoh that I took just a few moments ago showing him deep in meditation behind my chair!

Demonstrating the art of doing nothing!
Demonstrating the art of doing nothing!