Modern medicine

Had a procedure done today at the UW Medical Center. Will have another one tomorrow. Nothing critically acute. They both needed to be done for a couple of years.

I overslept due to mis-setting a new alarm clock that I got last week. Even so, I was two hours late and they were able to fit me in promptly. I had called to let them know that I would be late. The UWMC schedulers switched my time with the next patients and things worked out well for both of us and the surgical team.

I am extremely grateful for excellent convenient health care with good parking that is a 20 minute drive in light traffic.

I am grateful for my sobriety

I am grateful for my sobriety--everyday and especially today.

I dropped a friend off at a detox facility today. She is so addicted on alcohol that she gets sick if she does not drink every few hours. At that level of alcohol addiction, it is important to have medical supervision when quitting drinking. Alcohol is the one drug that kills people when they stop cold turkey.

My friend walked out of the detox facility after an hour because an intake staff member said things she did not want to hear aka “he was mean to her”. I wish I could make my friend get sober. Unfortunately, she is the only one that has the power to get her sober. To date, she has been unwilling to follow good orderly directions. She is a great example of self-will run riot. She knows that she will die a premature painful lonely death if she continues to drink.

I don't know what 'it' is that separates those of us that are sober from those that continue to use. All alcoholics have a hard time with directions and authority. Willingness is vital to sobriety. In the 12-step paradigm, it is being willing to go to meetings, get a sponsor, work the steps and help others. Whatever that special 'it' is, I have been blessed to have it for all but a week of the last 11 years and almost six years of continuous sobriety.

I am grateful for my sobriety.

Bug and Jenny are two great cats


As a kid, I had a tom-cat named Sam.  A couple of roommates have had a cat of their own. Bug and Jenny are my first two house cats.  I got them five years ago.  Both are short-haired spayed female cats.

Jenny was one year old when I got her for free off a Craigslist ad. She had been the youngest cat in a house full of cats.  She was a scared-dy cat when I got her calling a plaintive m-e-r-o-w at 4 AM.  She needed a friend. 

After much kitty shopping at the local cat shelters, I got Bug.  Bug is very affectionate—at times—in true aloof cat fashion.  Bug will ride around on my lap and will eat cat snacks out of my hand.  She likes to lay on my hand for five minutes every night purring while I rub her belly.

As far as I can tell, both cats are plain old house-cats.  Jenny is a 'Calico' and Bug is a 'Tortoiseshell'.  In the cat world, color almost qualifies as a breed like how German Shepherd does in the dog world.  Jenny is a thin medium sized cat.  Bug is a small chubby cat.  Jenny tends to dominate Bug when they play. 

They have cat tv when I put birdseed outside the sliding glass door for Chickadees to eat.   Bug is the worst hunter-cat ever.  She chitters at the birds before rushing through to cat door to try and catch them.  I don't think she really wants to catch the birds, she just wants to play mighty cat hunter without the hassle of having caught a bird.

Both cats will come greet guests by letting my visitors pet them.  I like to think that makes me a good cat owner since I have friendly social cats.   I don't know when they were born.  Since my birthday is in March, so are their birthdays.  Bug is 5 and Jenny is 6.  Or maybe it is 4 & 5.  Either way, they are healthy happy friendly cats.

I love my cats and am grateful that I have two well-behaved friendly social cats.

A wonderful dinner with a great friend




Tonight I met a friend for dinner and a meeting.  We started at a meeting in the local 12-step hall.  Not my favorite meeting due to a crowded room and random low levels of living in the solution (or not).  Nonetheless, it counts as a meeting in my book and that is always a good thing.

Our choices were pizza in the U-district or Mona's Bistro.  My friend does not do so well with dairy and so we went for the bistro.  It was about 4 blocks off the freeway.  After driving around the greater Greenlake area, called for directions and bee-lined over for dinner.   At first, we were in the wrong beer-hall/restaurant that was next door.  Once we got in the right place, things picked up.

We had a large salads and 'small plates'.  My Arugula Caesar salad was delicious.  Gigi had the warm spinach salad.  She had the shrimp tacos and I had the bbq steak tartare sliders.   The sliders were small burgers done medium rare with a killer delicious sauce, cheese tomato and onions.  3 of the best (mini) burgers I have ever had the pleasure of dining on.  After that, we had warm brownies with vanilla ice cream.  There were huge portions of warm delicious brownies topped with a nice vanilla ice cream.

The waitress was awesome answering all our questions with a patient, kind and pleasant demeanor (we had a lot of questions).

A great evening with a wonderful friend at a fantastic bistro with delicious food and great service.  I am grateful that Gigi has been my friend for a decade, and that she called me out to dinner and a meeting tonight.

Sunny warm days


Today was unseasonably warm in Seattle—it was a whopping 60 F with clear skies and bright sunshine.   I got to drive around town  with my car window down.  Still a little chilly for windows down while driving on the freeway. 

Driving across the 520 bridge from East to West, the snow-capped Olympics stood prominently against the skyline in all their glory.  Going home from  West to East, the snow-capped Cascade mountains were gorgeous from Mt Baker south to Mt Rainier.  It is a panoramic view of 100 miles of snow-capped peaks buttressed by a forest of  evergreen trees running North-South located 30 miles to the east of Bellevue.

A visit to the UW Arboretum was a study in green from the new grass to shrubs and trees sprouting buds and the first leaves of spring.  The ducks, joggers and dog-walkers were a kaleidoscope of activity in a sea of green after the dull gray of winter.

I am grateful for the natural beauty that surrounds me.

My father, part I

My father was a good provider and a hard worker. He missed work twice in 33 years working as a pilot for Pan Am Airlines from 1945 t0o 1978.

He taught me many valuable skills such as welding, operating heavy equipment and fishing. We had some incredible father-son misadventures together. He certainly spent a lot of time with me when I was a teenager.

In the end, we were estranged when he died 17 years ago. I am grateful to him for all the good things he taught me in life.

Longevity


It was my 52nd birthday on March 5th.  I am a bit surprised and quite pleased by the serenity I have finally achieved in my life.  It was a long time coming.  Blogging about gratitude has been a huge part of this new attitude of gratitude.

There is a sort of schadenfreude along with my increasing age.  I am outliving others near my age.  Having a spinal cord injury 30 years ago statistically implied that I was going to die sooner than later.   A few of my friends and stars such as Michael Jackson have died in the past year or two.

I am especially surprised by the fact that, to the best of my knowledge, I don't have cancer.  As a kid growing up on a farm with a father that was a fervent follower of Dow Chemical, my chances are almost insanely high for having cancer.   For examples:
    When brushing flies off our horses, I would use handfuls of DDT like pastry chef rubbing flour on a rolling pin.
    When weeding the blackberries, I would fill a 300 gallon tank with Banvel 2,4,D, water and a surfactant.  Banvel was also used by the US government in Vietnam in a infamous compound called Agent Orange used to defoliate the jungle.  You could literally watch the weeds melt on a hot day.  Spraying a couple of 300 gallon tanks per day with a 5-horsepower pump invariable resulted a all-over residue by the end of the day.
    We had an indoor pool that was kept quite warm.   There was a problem with mold growing on a painted wall.   Latex paint with a dose of Mercury strongly inhibits mold growth.  The big surprise is that I am not mad as a hatter—but I did not lick the brushes either!
    While adding extra insulation to the attic of our house, I used a semi-trucks worth of Zonolite aka vermiculite aka asbestos that came in paper bags about twice the size of a kitchen garbage bag.  It was a bit like gray lightweight Styrofoam cubes ranging in size from dust particles to ¼ inch cubes.  Since I did not have a mask, I could not help but breathe asbestos in the confined space of a poorly ventilated attic.  It was not until 25 years later that I realized vermiculite was asbestos—but after my childhood, I was not all that surprised.

For an overweight out-of-shape 52 year-old paraplegic, I am pretty healthy.  For that, I am extremely grateful.

My new dryer (and old washing machine)


I got a new dryer this week courtesy of the apartment complex management replacing the old one that finally died.  It is your basic Whirlpool clothes dryer with one extra feature.  It has a huge barrel and door making it a great dryer for larger items such as sleeping bags and bed comforters.

I washed all 3 of my comforters and 10 pillowcases this week.  The dryer was great at being able to tumble the comforters instead of rolling them up into a ball that was dry on the outside and damp on the inside like all my previous dryers had done.  I love sleeping in freshly washed bedding.

The dryer is a means to an end—clean dry clothes.  I am grateful for being able to easily do my own laundry right here in my apartment whenever I want. 

A low level of drama


I live a quiet life in Bellevue.   I rarely travel far nor go on many romantic dates.  The downside is there could be 'more' in my life.  The upside is that I have peace and serenity in my life. 

If I could magically change my life I would have a healthier and more dynamic life.  Since I can't magically change my life and physical abilities, it is miraculous that I have found a deep sense of peace and serenity living the life I have.   For that, I am extremely grateful.

my Kindle

Love my Kindle. On my 3rd John Ringo book this month.

I am grateful for 21st century toys that being the world (and the stars) to me.

Classier problems

By nature, I am more than willing to stay home and isolate by myself from the world (and my friends) left to my own best thinking. Fortunately for me, my HP has seen fit to stop that by giving my car a small electrical problem. If I don't drive my car every day, the battery goes dead on the 2nd or 3rd day. My mechanic could not find the problem. The throw money at it solution could easily run into thousands of dollars for new alternator, starter, voltage regulator, wiring harnesses, etc. The simple healthy solution is for me to go meet with friends or go to a meeting every day. That is definitely a higher-powered problem in my book!

Another task I have taken on is persuading my 12-step program to put together a series of articles by members on gratitude into a 100ish page compilation handbook. After searching the King County Library System, Amazon and Google, I did not find a lot of books specifically on gratitude. There are lots of self-help books on feeling better, happier, more spiritual, etc, but not so many on gratitude. It turns out my 12-step program has an online digital archive of 27,000 articles with 1790 articles containing the world gratitude. It costs $30/year for unlimited access. That was a total buy. I have already spent over $100 on books with far less material. Definitely a higher-powered project.

My problems are a lot classier today than they used to be. For that, I am grateful.

More about gratitude

Writing this blog about gratitude is one of the best things that I have done for my mental health in my life. Since I started 10 weeks ago all my relationships have gotten and I have a fantastic level of peace & serenity that comes from me being okay with my life.

I have the opportunity to search through 1200 short articles on Gratitude by some incredibly grateful people to pick about 30 of the best ones as a suggestion for a compilation book. How cool is that? Even my homework is to research gratitude!

Words are not flowing off my fingers tonight for this post. Nonetheless, I have tremendous inner peace and a strong sense of security/determination that I am headed in the right direction with my life.

I will sign off now to spend the $30 to get access to the 1200 articles on gratitude. Time to start research of my favorite kind—reading and bookmarking!

More daylight...

At 47 degrees North, daylight hours in Seattle vary between 8 in December to 16 hours in June. Combined with a seemingly perpetual overcast, the limited daylight makes for dark and dreary winters. By the time my birthday rolls around in early March, the days are getting longer by 3 minutes & 20+ seconds for the next 6 weeks. We get nearly 3 hours more daylight from March 1 to April 30.

I love it as the days get longer knowing that spring and summer will last until the Fall. Okay, that was stating the blindingly obvious, but I do relish in my numerology (my favorite word to misuse) of knowing it will be warmer and sunnier for the next six months.

One astronomical oddity is that on March 18th, we will have 12 hours 2 minutes of daylight and yet the Spring equinox is not until March 20th at 7:21 EDT. Seems like the equinox ought to be on the 18th. Further wiki research reveals the reason for that.

Equilux:

1. the Sun appears as a disk in the sky with a radius of around 16 arcminutes, and so the top of the Sun appears to rise while the centre of the disk is still below the horizon, and the instant of the equinox is measured with respect to the Sun’s centre, and;

2. the Sun’s light is bent, or refracted, in the Earth’s atmosphere, so that rays from the Sun can light you up even before the Sun rises, and keep you lit after it sets, with the degree of refaction being around 34 arcminutes. These two factors combine to mean that the Sun will appear to have “risen” when the centre of the disk is still 50 arcminutes (16 + 34) below the horizon, making the amount of daylight longer than the expected 12 hours. How much longer depends on where on Earth you are. For example, in the UK the length of the day is approx. 12 hours 10 minutes, rather than exactly 12 hours.

I am grateful for more daylight hours and warmer days!

Serenity or living in the present moment

Before recovery, all of my adult life was spent living in the future as in 'someday I am going to be...happy, wealthy, successful, etc'. My past was too painful to spend much time in. There was never 'enough' while in the present moment.

Over time as my age and addictions progressed, the future could no longer be sugar-coated to be anything other than Hobbesian— solitary, poor, nasty, brutish and short.

It has taken years of recovery, therapy, mediation and other self-improvement methods for me to spend my days living in the present. One statement about the present is that it is a gift. The real blessing of living in the present for me is the gift of serenity. Taken individually, each of my days are good.

When I get sucked into doing some sort of life-evaluation, then my life and days come up short since I should clearly have and be so much more than what I have and am today. The slogan for that kind thinking is don't should've on yourself.

Today, I am grateful for my serenity and living in the present moment.

progress

Had a good day today. Gave my roommate's daughter Leah a ride to the airport. Lisa P took me shooting pistols at Wade's Gun Club in Bellevue. Took Lisa to a great lunch at Ruth's Chris along with a walk around Bellevue Square. Went to a different 12-step organization meeting tonight.

We talked about the 3rd step tonight. I find it to be a bit of a paradox that as I become more spiritual, I think about defining god less and work on doing my part more. That is a result of the progress I have made in becoming more secure (entrenched?) in my belief system of what works for me in my life.
Today I have lots of gratitude and serenity. Life is good.

Meeting commitments

I committed myself to blogging 5x/week about gratitude this year. For the first time this year, I am not going to be complete this week with my 5x posts. That is a lot of progress on how I show up in my life and with my commitments.

I had a great birthday weekend am very pleased with having lived long enough to be 52 years old.

I am grateful for being older, wiser and having serenity & sobriety in my life today.

My birthday

My birthday is on March 5th. It is a great time of year to have a birthday. The days are getting longer, trees have begun budding, early flowers are blooming and the spring equinox is right around the corner on the 20th.

My birthday was on a Saturday this year. I celebrated with friends at a really delicious Vietnamese fusion restaurant, Monsoon East, in Old Bellevue on Friday night. Saturday was a mixed martial arts (MMA) event at the Snoqualmie Casino with a modest amount of gambling—I like gambling, but I hate losing money so I almost never gamble. I had a burger at the Twin Peaks Café (Twedes) in North Bend and brought home a slice of their awesome cherry pie for desert.

Tonight I am going the Space Needle with my roommate Elma and her daughter Leah. They have never been up in the Space Needle. It has been a couple of decades for me. It will be fun.

I stretch my birthday out over weeks as a part of my recovery. Instead of having one perfect moment that I immediately want to last forever, I have a bunch of pleasant events with friends. That works really well for me so that one perfect moment is not a make or break event for whether or not I had a good birthday. Now I always have good times on my birthday.

I am grateful for the increased wisdom and serenity in my life as I get older.

My spirituality

One description of the 12-step programs is that they are a spiritual program of action. The meetings have but one ultimate authority—a loving god as we may understand him. That works for everybody at the meetings whether they be atheists, agnostics, spiritual or religious believers.

Years ago I spent time contemplating the nature of god and attributes such an entity might have. I concluded that if I have a god, he is omnipotent. What is true for me is that as long as I act as if there is a god, my life goes a lot better. It does not matter if there is or is not a supreme being. What matters is what I think and do. Basically that boils down to my turning my worries over to my higher power and doing the next indicated thing.

While discussing that with a friend tonight, I realized that I am a spiritual agnostic. That covers all I need to know about god at this time. Many of the smartest men in history spent their lives trying top prove the existence of god (or no-god) to no avail, it is not something that I spend much time on. I simply do my best to act as if there is a god and move on.

I now meditate on gratitude in the morning and at night, along with during the day as needed. That works really well for me and I am grateful that I have found a way to meditate that works for me—feeling grateful to my higher power and others for the gifts I have been given in my life today.

I have always had the basics of food & shelter in my life. I am and was loved by my family but it all too often was expressed in ways that hurt resulting in a lack of emotional security, serenity and intimate relationships. Today I have a full complement of the hierarchy of needs with food, shelter, relationships and such at something approaching the high end of the poverty level in Bellevue. That makes me richer than about 80% of the people in the world. It is nice to have those tools and toys.

The real miracle in my life beyond sobriety is the inside job of having serenity and gratitude in my life. Working with others who are struggling reinforces my gratitude in great measure. It is positive reinforcement to continue on my path in the direction I am heading. It is working for me today.

plentiful supplies of clean soft Water

Public water supplies in the Seattle area are excellent. We have soft water with little mineral content that is delivered right to our tap on a gravity feed system from reservoirs in the Cascade mountains located 20-30 miles east of Seattle.

I drink the local tap water with no hesitations. I know we have an abundant supply of clean filtered water that has been treated to remove kill any bugs that might have been in the water supply. The watersheds that feed into the reservoirs are off-limits to most public access. Logging is strictly regulated to keep dirt and debris out of the tributary streams.

I love having all the clean water I need on demand for drinking, bathing and cleaning. The lush vegetation in Western Washington is a bonus from all that water.

Insulation…


The winter weather took a turn for the colder going from a low of about 40°F down to a low 20°.  The temperature mostly stayed below freezing for the last week.   My apartment stays comfortably warm 24x7 for less than $140/month.   That is due to being well insulated with double-pane windows and being surrounded on the top, left and back walls by other apartments.  My floor is concrete above an open air parking garage.

It is really important to me that it stay warm in my apartment all the time.   One major side-effect of my paralysis is that the circulation in my legs is very poor.  Having a warm bed to get into at night really helps warm up my legs.  If my bed was cold, I would have more health problems during the winter.

The apartment comes with an electric furnace (built-in heater with a noisy fan) that I don't like.  I use the baseboard heater in my bedroom and a small electric portable heater by my computer desk in the living room.  That is a quiet way to heat with a constant temperature instead of a noisy device going on and off throughout the day and night.  It is probably a little more expensive to use the portable heater.  The portable heater is definitely a lot more pleasant than my electric furnace.

I am grateful for my apartment that stays warm on even the coldest of winter days.  A bonus is that it rarely gets hot in the summertime—thanks to the miracle of modern insulation.

Problems that I don't have…


Today's gratitude is for the problems that I don't have. 

There is revolution and/or civil war along most of the African coast of the Mediterranean from Tunisia to Libya to Egypt.  Khaddifi ordered fighter plans to attack demonstrators.  For the first time in 29 years, Iran sent warships through the Suez canal.  Iraq and Afghanistan lack centralized government after years of American occupation.  Malaria is still the leading cause of death around the world.

Russia, China and Australia had large crop failures due to drought.  Prices for wheat, grains and rice have gone up 40% in the last year. 

While there are patches of snow on the ground from a snow last night, the roads & sidewalks are bare and clear.   That is nothing compared to the blizzard(s) that hit the Midwest, South and East coast this year.  The snow we have is eye candy and  not much of a problem. 

I am grateful for living in such a stable part of the world in terms of weather, government, employment, monetary policy, water supply, food supply, energy and crime.  There has never been a case of Malaria in Washington State that I know of.

The food supply here is so good that there are grain silos that store trainloads (not just train cars) of grain to be shipped off in humongous boatloads of grain to other places.  The net increase on a bag of chips will be than 10% when the world grain prices went up 40%.  So far those grain price increases have not even really shown up in US grocery stores.

There are a lot of BIG problems in the world that are not directly impacting my life.  I am grateful that my problems are so simple as needing to stay sober, eat less and get more exercise.   That may not get done, but at least I know I could improve the situation it if I worked at it. I was sober today, ate some raw veggies & salmon, and will work out now.

As Alice would say, "I have a classier set of problems today than I used to have".

Emotional progress


Today I had lunch with a friend.  Tomorrow is his 51st birthday.  He also had 25 years of continuous sobriety this month.  For birthday gifts, I bought lunch and gave him 3 tickets to a semi-pro hockey game this weekend.

Most of my life, I was okay with buying presents for friends and family.  The hard part was giving the gifts to others.  Clearly, somewhere along the way I received horrific rejection or devaluation when giving gifts to others, because it took me years in recovery to be able to give gifts to others.  Now I am much better about being able to give gifts to others.  My happiness does not depend on their response.  My gratitude is now about having our relationship together with another person and being able to celebrate the milestones in their lives.

My friend has a good life with wife, kids and a job.   Last time I saw him, he was having some problems with a sort of existential angst.  Today, he was as happy as I have ever seen him.  He is pretty funny when he is really happy.  We laughed our way through lunch. 

All too soon it was time to go.  That is fantastic progress for me in my relationships with others.  In the past, a conversation could not end soon enough.  Today I have had three conversations with people that were cut short, not by a lack of things to share with each other, but by some external deadline such as a meeting or catching a bus.

I went to a meeting after lunch.  It turned out that the timing was such that I got there right when the meeting started.  It was a small spiritual experience for me to know that my higher power (HP) had ended our lunch right on time so I would go to the meeting.  Being late for a meeting start is a valid  enough rationalization for me to not go to the meeting at all.

Today's meeting turned into a discussion on people's relationship with their hp and being restored to sanity.   There are many paradoxes at those meetings.  Turning our lives over to the care of a mythological entity so we can be restored to sanity is way up there on the paradox charts.

Electronic toys

I am not a very materialistic person with not nearly as many material possessions as most others in my community.  

In the last year I have been on a veritable shopping spree buying a BluRay DVD player, giant LCD TV, and a laptop . This was my first laptop although I have owned computers since  1982 when I bought a VIC 20 for $250.

My birthday is coming up soon.  My sister sent me a Amazon Kindle ebook reader.  It came today.  I already have three books downloaded on it.  The primary reason for getting an ebook reader was to have access to many more large print books and novels.  I loved to read while laying on my side in bed since I was a child.  That does not work so well while wearing reading glasses.  Cranking up the font size on the Kindle solves that problem.

I am grateful that I have lived long to get older and for the modern electronic devices that make my life better.

Living in a great location


I live in Bellevue, Washington.  Bellevue is 5 miles east of Seattle.  Lake Washington separates the two cities.   There are snow capped mountains to the East and to the West.  Mt Rainier, located 60 miles to the SE, towers over the rest of the Cascades mountains at 14,000+ feet.

From the air, Western Washington looks green all year long thanks to being in and surrounded by a conifer forest.  In the summer, there are a thousand shades of green from the grasses, flowering plants, gardens, weeds and leaves.  That is the sort of beauty you can find throughout Western Washington.

What makes where I live so great for me is the convenient access to the amenities I use and need.  I am two blocks from a major freeway exit.  It is a mile to the bank, drug store and grocery store all located in a two-block stretch.

As a person in recovery attending 12-step meetings, it is hard to imagine a place with more meetings within a mile that have free parking anywhere in the world.  There are over 100 meetings each week from six AM to eleven PM weekdays with midnight meetings on Friday, Saturday and Sunday.

I am not much of a shopper, but the three local malls are great places to meet, walk and talk with friends.  Bellevue Place is upscale with 150ish stores, a 15-screen movie theater, Westin and Hyatt hotels, a plethora of restaurants with all kinds of food, and an art museum.  Factoria Mall is a bit like a score of stores that got glued together between a grocery store and a department store with a large indoor hallway serving as the glue.   Crossroads Mall has a wonderful food court with a dozen restaurants that make good food fast at budget prices.

What also makes my location so great is the parking spot right outside my door.  It is flat, level and close.  That is a big deal when it comes to bringing in the groceries when you use a wheelchair to get around.

There are two hospitals a mile away to the north, Overlake and Group Health.  Overlake has greatly expanded to become a big giant hospital campus.  Unfortunately, the last two times I went to Overlake for medical problems, I ended up leaving in worse shape than when I got there.  Both times I got a pseudomonas infection  requiring IV antibiotics delivered through a PICC line leading to my heart to cure.

Fortunately for me, the number two-rated rehab hospital in the US is the UW Medical Center in Seattle across Lake Washington from Bellevue.  Literally, the UWMC is on Lake Washington.  One of the most important factors in where I live is good health care.  Seattle has so many hospitals in one neighborhood, it is called 'Pill Hill'.

Seattle winters usually have four to ten days of snow on the ground in the lowlands.  Worse than that is 'Seattle mist' which is like a wet clear fog.  It does not put much rain on the ground, but it does make everything wet and the clouds can block out the sun for weeks at a time.  This year was supposed to be a terrible year for bad weather thanks to a La Nina  weather condition.  It was a terrible year for bad weather—in the Midwest and East Coast.  Seattle weather was great.  The worst thing so far was a scary start with several days of snow in late November.

I am grateful for all the goodness where I live.

Four Ways to Give Thank (and increase Gratitude)

From http://greatergood.berkeley.edu/article/item/four_ways_to_give_thanks/

Research in positive psychology has identified several ways that practicing gratitude can boost people’s health and happiness. Here are four of these research-tested “gratitude interventions.”

1. Write a gratitude letter. Research by Martin Seligman, Christopher Peterson, and others has shown this one to be particularly effective. Write a letter to a mentor, family member, or some other important person in your life whom you’ve never properly thanked. Deliver it in person. Read it out loud. Bring tissues.

2. Keep a gratitude journal. Studies by psychologists Michael McCullough, Robert Emmons, Sonja Lyubomirsky, and others have backed up this exercise, which involves keeping a list of things for which you’re grateful—anything from your children or spouse to the beauty of the tree outside your window. Doing so helps you focus on the positive things in your life—a practice that’s been shown to increase happiness.

3. Savor. Take the time to notice beauty and pleasures in your daily life. Loyola University psychologist Fred Bryant has shown that savoring positive experiences can heighten your positive responses to them. A key to savoring is what Bryant calls “thanksgiving,” or expressing gratitude for the blessings that come your way, large and small.

4. Think outside the box. It’s fairly obvious why we might feel grateful for grandmothers, lovely sunsets, and anything else that has provided comfort or beauty in our lives. But what about thanking the homeless people who come to the shelter where you volunteer? “Individuals who do volunteer work sometimes speak of the benefits they receive from service,” writes Robert Emmons in his forthcoming book, Thanks! “Since service to others helped them to find their own inner spirituality, they were grateful for the opportunity to serve.” If we look hard enough, he argues, we can find a reason to feel grateful for any relationship—even when someone does us harm, as that person helps us appreciate our own vulnerability. Emmons claims that such highly advanced forms of gratitude may actually increase the level of goodness in the world by inspiring positive acts in ourselves and others.