If love is the current, then let prayer be the tide — carrying us home to each other and to Him.

Ministration

When you hurt, I wish for nothing more in the world thant to hold you and tell you it's going to be okay. Because, it will be. Your future is certain. Be confident of this. It is the moment-to-moment that is the real challenge.

Existence in real-time can feel disastrous.

And words... God, words—they are so powerful—cutting into the heart and kidney, right to marrow... words have a force that lets them travel in and through time. They can move not only your mind, but your body as well.

Yet, words are less than the power of touch.

This is why being held and comforted is so intensely vital. You need touch. Someone to hold your hands until you fall asleep—and then to watch you safe and quiet while you heal.

Energy can be disrupted:

They may be gone. Or tragedy in the family. It is rainy and grey. There are vibrations in the spirit.

The list of an unsettled life is endless. And extroverts in particular need others to recharge in order to over come.

And you may wish desperately for that one perfect soul to be there with you and guide you through your discomfort and loss. And perhaps they wish it too. But acknowledge that dreams can never be held in your hands. Take solace in the knowledge that—if they could, they would dance with you, laugh with you, walk in the moonlight and make witty banter about the waxing crescent, or love in the night, and the spiders weaving their webs of salvation.

Oh! To have your playful imagination engaged with traded sillinesses.

And you have someone. We all have someone. They may not scratch the itch exactly the way you feel it needs, but they get close and you feel whole enough with them. And you will cherish this.

And soon, you will find that one who needs you to heal them. And suddenly you will no longer feel the weight of melancholy as you find yourself a caregiver. A savior. A protector and deliverer.

---

Enough

I don't only pray for you to be happy and safe and cared for, I KNOW you will be. Even if you feel like a broken toy sometimes. Or not enough. Or invisible. Or an asset. You are not those things. Not exclusively. Not even dominantly. You are a creature of love and light who knows how to celebrate life and live on the edge of out of control because that is where the most joy exists.

Ships are safest at port, but that is not what they are for. And you, my golden child, are a fine fast vessel, made for the sea. You are bound in lapped lumber of integrity and thoughtfulness. Ribs of caring and support. A rudder of conscience. Keel of hope. And—your mast—your finest quality. It is framed from the timber of Jehovah, so when you cast your sails of faith, the wind that fills them can blow a terrible tempest, but you, vessel of life... you will harness the force and the intensity will not rent you or break you. You will capture it for it's vigor to move you, fast and true in the direction of life and happiness.

And for those times you drift into the doldrums, those dead waters where no breath can be found. Those who love you will move you with the current of their energy.

---

Let the gentle whisper of “I Love You” restart your momentum.

---

You are cherished and lovable. Not for what you give and what others get , you are enough for who you are. You ARE THE ONE that is wanted. The glint in your eye, the spark in your heart, the lilt in your voice the power of your walk and your posture... for your mind—that reflection of love from the Creator.

I will apologize for they who let you down, disappointed you, took advantage of you or in any way damaged you. You are worthy of so much more. Your flaws are not flaws, the are features. You are a masterpiece on par with the great masterpieces of art... wild energy captured in the canvas of you.

Great art is not owned. It is entered. Which is why you find others in you.

I want to say all the words. All that have ever been. That are. That ever will be. Even if I could be a completist, prose will never suffice to capture the floodgates of my soul. What place does logic have in the chambers of the human heart? OH! Jehovah, that you've put in us this source of power that would move universes if you ask.

And, somehow, stay gravity.

---

If one thousand people love you, then one of them is me. If ten people love you, only nine are not I. If only one person loves you, that one is me. And if you find that no one loves you, then I am dead.

---

Bowed Head and Humble Heart

Tonight, in this prayer—if this be a prayer—Father, comfort and protect the disquieted souls. All of them, if possible, but especially those who love you and long for your love and approval. Help them to accept you, and to realize that to love you, we must first love ourselves. Help each of us to open the vault of our hearts from within, for we know you do not force us. I ask for help, as you know; though we have the tools to open our souls to you, we do not always have the knowledge or the strength.

Protect these good people and comfort them as they face the friction of an unfair existence. Give them patience, give them peace. Give them love — or rather, Jehovah, help them see they are lovable and accepted.

Enough.

And yet, even in our smallness, we ask again.

Thank you for it all, Jehovah. The hardship and the ease. If we are anything, thanks to you, we are not boring. If you will it, we will tell of our mad existence for all eternity to come. That which is tearful now, will one day be laughter, possibly wist. But it will never again be sadness or the dark in which we so often find ourselves.

And Father, if this moment is madness, then count me among the maddest. An artist and lover on the ragged edge of life. Standing at the tip of Gibraltar grazing stars with my fingertips. Severed ears are child's play compared to a bisected heart.

Make us whole. See us, Jehovah. Witness that we exist and while we could, we did what we could. Make them all whole, Jehovah. I know you see us with our handicaps, cripples that we are. How it must warm your heart and fill your ears with that roar of choked emotion to watch us drag ourselves through the mire of this system to lay our minds and hearts at your feet.

Thank you for making us in your image. We tiny little clay effigies of your love.

Whatever tomorrow brings to us Father, thank you for letting us walk with you this far. If it is your will, and you give us the power, we will walk on eternally as your friends.

Amen

---

---

wolfed

#confession #essay #story # journal #poetry #wyst #poetry #100daystooffset #writing #story #osxs

Hace ya un tiempo que sali de mi pais, en condiciones muy afortunadas debo decir, me refiero a que fue mi decision, nadie me obligo, no estaba huyendo de un peligro inminente como lo hacen muchos. Digo esto para que el lector entienda que fue una migracion por decision. Escogi US porque al momento de tomar la decision, yo lo veia como un pais que de cierta forma se alineaba a mi filosofia de vida, un lugar donde la diversidad se celebraba, era legal que las parejas del mismo sexo se casaran, era legal abortar, un presidente negro y progresista estaba en la casa blanca y eso me daba esperanza de un manana que abrazara el cambio y por ultimo, pero no menos importante, una poblacion considerable de migrantes que desde siempre contruyeron el pais, a punta de trabajo duro y honestidad.

Yo ya estaba cansada de vivir en un pais que desde siempre ha sido violento, no solo fisicamente, sino simbolicamente tambien. El pais mas biodiverso del mundo y no solo hablo de su riqueza natural y cultural, tambien hablo de los que lo habitan, vemos personas de todos los colores, con una gama de acentos que dejan a cualquier extranjero un poco loco, diferentes tonos de cabello, piel, en fin, diverso y aun asi muy clasista, arribista y sin memoria, donde nunca pude expresar del todo quien era, donde no me podia vestir como queria porque el acoso callejero es algo que se normaliza y que esta tan profundamente arraigado que el dia que no te acosan puedes llegar a pensar que no estas lo suficientemente linda (porque mi valor como mujer me lo ensenaron desde como me veia, eso es tema para otro escrito), yo ya estaba cansada de eso y por eso (en parte, decidi dejar el pais que toda mi vida conoci hasta que cumpli 25 anos).

Pero al llegar aca y convivir dia con dia con personas que siempre han vivido aqui, no es diferente, obviamente no existe algo como la estratificacion (alla en mi pais si, desde el gobierno se te clasifica segun tu poder adquisitivo), pero hay una clasificacion peor, tu color de piel. No dire que desde el dia uno lo senti, no, pero a medida que convivia mas y mas con personas del norte continental se sentia y entre lineas habian comentarios muy racistas, desde siempre creyeron que yo por venir de un pais de latinoamerica, todavia vivia en una jungla, sin hospitales, netflix (solo les falto decir que si me ensenaban a usar la taza del bano).

Y bueno, llegamos a 2025, donde se siente como si hubiesemos cruzado a otra dimension, donde el villano mas villano de todos es el lider de uno de los paises mas poderosos del mundo (digo poderosos, porque le han metido mucho a la guerra y tienen armamento nuclear, suficiente para destruir el planeta), pero ese mismo lider se ha encargado de que los demas paises lo odien, obviamente este “senor” sigue apoyando a quien a todo le dice que si, y quiere cortar la cabeza de quien lo desafia y esta en contra de la zarta de estupideces que dice diariamente. Lo mas aterrador de todo son las personas que lo siguen y justifican todo lo que esta haciendo, esos mismos seguidores que estoy mas que segura tienen un altar escondido en casa de Hitler y el senor naranjoso juntos “liderando” el mundo, estoy segura que el sueno del senor naranjoso es quemar vivos a todos los que sean color cafe y negro y ademas lo contradigan.

El 2025 parece oscuro, parece no tener un final feliz, para los que creemos en el cambio y entendemos que el progreso de una sociedad se da abrazando las diferencias y el cambio, porque no podemos tener resultados diferentes si dia con dia seguimos haciendo lo mismo, pero en este caso lo mismo ha dado resultados para que unos pocos sean cada vez mas poderosos y ricos, sin importarles la vida de la mayoria. La falta de empatia y amor por el otro es lo que nos tiene aca, en dos guerras pateticas que solo ha dejado muerte, desolacion y genocidio, tratando de exterminar al otro, por el simple hecho de ser diferente y darle mas poder al poder donde solo unos pocos se benefician. Juro que deseo tener esperanza, pero el panorama, me lo impide por el momento.

Urgent Care in Alexandria, VA: Your Guide to NOVA Patient Care at Kingstowne Center

When unexpected health concerns arise, knowing where to go for fast, reliable medical attention can make all the difference. At Kingstowne Center in Alexandria, VA, families have convenient access to trusted urgent care services designed to treat common illnesses and injuries without the long wait times of an emergency room.

In this blog, we’ll explore what sets urgent care in Alexandria apart, when to choose a walk-in clinic, and how NOVA Patient Care at Kingstowne Center provides both urgent and primary care services for the local community.

Why Urgent Care Matters in Alexandria

Life doesn’t always go as planned. A sudden fever, a sprained ankle, or a persistent cough often happens when your primary doctor isn’t available. That’s where an urgent care doctor in Alexandria can help.

Urgent care clinics bridge the gap between primary care offices and the ER, offering care for non-life-threatening conditions with extended hours and no appointment required.

Urgent Care Services in Alexandria, VA

At NOVA Patient Care Kingstowne Center, patients can expect a wide range of urgent care services in Alexandria, VA, including:

• Cold, flu, and seasonal allergy treatment
• Sore throats, ear infections, and sinus infections
• Sprains, strains, and minor fractures
• Cuts, burns, and wound care
• Stomach pain, nausea, or urinary tract infections
• Vaccinations and basic lab testing

These services are designed to get patients back on their feet quickly while avoiding unnecessary ER visits.

Urgent Care & Walk-in Clinic in Alexandria VA: What to Expect

One of the biggest benefits of visiting an urgent care & walk-in clinic in Alexandria VA is convenience. No appointment is needed — simply walk in during clinic hours and be seen by experienced medical professionals. Walk-in clinics like NOVA Patient Care at Kingstowne Center are especially helpful for:

• Busy parents managing family health needs
• Working professionals who can’t wait weeks for a doctor’s appointment
• Students and young adults seeking fast, affordable care

Combining Urgent & Primary Care in Alexandria VA

What makes NOVA Patient Care unique is our ability to provide urgent and primary care in Alexandria VA all under one roof. This means patients can be treated for immediate concerns while also receiving continuity of care for long-term health needs.

For example, if you visit urgent care for high blood pressure or a respiratory infection, our providers can seamlessly connect you to primary care services for ongoing management. This combination ensures that patients at Kingstowne Center never fall through the cracks.

Urgent Care Doctor in Alexandria: Skilled, Compassionate, Local

Choosing the right urgent care doctor in Alexandria is about more than convenience. It’s about finding providers who listen, care, and act quickly. At Nova Patient Care, our medical team is trained to evaluate urgent issues while keeping your overall health history in mind.

By having both urgent care doctors and primary care providers in one clinic, patients at Kingstowne Center benefit from a personalized approach that combines quick solutions with long-term wellness.

Why Choose Nova Patient Care at Kingstowne Center?

Here are a few reasons why local residents rely on our clinic:

• Location convenience: Right in Kingstowne Center, easy to access for Alexandria residents.
• Comprehensive services: From urgent needs to preventive care.
• Walk-in availability: No appointment required for urgent visits.
• Continuity of care: Smooth connection between urgent and primary care.

Takeaways for Patients

• Urgent care in Alexandria is best for sudden, non-life-threatening health needs.

• Urgent care services in Alexandria, VA include everything from flu treatment to wound care.

• A walk-in clinic like Kingstowne Center offers fast access without an appointment.

• With urgent and primary care in Alexandria VA, you get immediate help plus long-term support.

• Choosing an urgent care doctor in Alexandria at Nova Patient Care means compassionate, skilled, and local medical expertise.

Frequently Asked Questions

Q1: Do I need an appointment for urgent care at Kingstowne Center? No. Our urgent care & walk-in clinic in Alexandria VA accepts patients without appointments.

Q2: What conditions can be treated at urgent care? Most non-emergency conditions like flu, infections, sprains, and minor cuts can be treated.

Q3: Can urgent care connect me with a primary care doctor? Yes. At Nova Patient Care, urgent visits can transition into ongoing primary care for better long-term health.

Important Caution

This blog is for general informational purposes only and not a substitute for medical advice. In case of a medical emergency, call 911 or go to the nearest ER.

Your Guide to Finding the Right Doctor in Old Town Alexandria, VA

When it comes to healthcare, one size doesn’t fit all. Residents of Old Town Alexandria, VA, have unique needs from preventive screenings and chronic disease management to family-focused care. Choosing the right doctor in Alexandria VA means finding someone who not only understands medicine but also the community you live in.

At the heart of Old Town, patients have access to a range of dedicated providers, including primary care physicians, internal medicine doctors, and family doctors, making it easier to build a trusted healthcare relationship right where you live.

Why Having a Local Doctor in Old Town Alexandria Matters

Healthcare is more than just treating illness, it's about relationships. A local physician in Old Town Alexandria VA provides:

• Accessibility – Convenient visits without long commutes.
• Continuity – Long-term relationships that improve health outcomes.
• Community connection – Doctors who understand the specific needs of Alexandria residents.

Building care close to home ensures that patients stay proactive about their health.

Primary Care Physicians in Alexandria VA: Your First Stop for Care

A primary care physician (PCP) plays a central role in your overall health. For patients in Old Town Alexandria, PCPs offer:

• Preventive care, including annual checkups and screenings
• Management of chronic conditions such as diabetes or hypertension
• Guidance on healthy living and wellness
• Referrals to specialists when needed

The value of a primary care provider in Alexandria VA lies in being your ongoing partner in health, someone who sees the bigger picture, not just the symptoms.

Internal Medicine Doctors in Old Town Alexandria VA: Care for Adults

For adults, an internal medicine doctor in Alexandria VA provides specialized care focused on diagnosing and managing complex conditions. Internists are experts in adult health and can help with:

• Chronic disease management (e.g., heart disease, asthma, arthritis)
• Preventive screenings for early detection
• Coordinated care with cardiologists, endocrinologists, and other specialists

If you are an adult seeking comprehensive, long-term healthcare, an internal medicine physician may be the right choice.

Family Doctors in Alexandria VA: One Doctor for the Whole Household

Many families in Old Town prefer the convenience of a family doctor in Alexandria VA. These providers treat patients of all ages from infants to seniors making them a one-stop solution for households.

Benefits of having a family doctor include:

• A complete picture of your family’s health history
• Convenience for busy families
• Preventive and acute care across generations

Choosing the Best Doctor in Old Town Alexandria

When searching for the right physician, consider:

1 Your needs – Do you want adult-focused care (internal medicine) or family-focused care? 2 Insurance – Check whether the doctor accepts your health plan. 3 Location – A nearby Old Town practice makes it easier to stay consistent with appointments. 4 Reviews & reputation – Insights from other patients can help you decide.

People Also Ask (PAA): Quick Answers

Q1: How do I find a good doctor in Old Town Alexandria VA? Start by deciding if you need a family doctor, primary care physician, or internal medicine doctor. Then check location, reviews, and insurance compatibility.

Q2: Can an internal medicine doctor be my primary care provider? Yes. Internists often serve as primary care doctors for adults, especially those managing chronic conditions.

Q3: What is the difference between a family doctor and a primary care physician? Family doctors treat all ages, while primary care physicians may focus more specifically on adults or children, depending on their specialty.

Q4: Why is having a regular doctor important even if I feel healthy? Regular visits allow for preventive care and early detection of issues, helping maintain long-term wellness.

Final Thoughts

In Old Town Alexandria VA, finding the right doctor is about more than convenience; it's about building trust and securing quality care for yourself and your family. Whether you choose a primary care physician, an internal medicine doctor, or a family doctor in Alexandria VA, having a reliable healthcare partner close to home makes all the difference.

✝️ The Reversal of Inheritance

en español al final

(Silent Sentinel — October 2025)

Some inherit silver.

Some inherit sorrow.

But once in a generation, God allows a different kind of inheritance —

one not of wealth or wounds,

but of redemption.

For years, the story flowed one way:

the ache of absence passed down,

the silence handed like an heirloom from heart to heart.

But grace, when it comes, does not ask permission.

It turns rivers upstream.

It heals what was wounded at the root.

It moves through children to reach parents,

through forgiveness to reach the forgotten,

through words to reach the wordless.

That is what happened here.

The child who once carried unanswered questions

became the man who carried the answer.

Not in blame — but in blessing.

Not with clenched fists — but with open hands.

He took the inheritance of pain

and returned it as peace.

He turned distance into dialogue,

regret into remembrance,

and sorrow into sanctuary.

This is how God rewrites bloodlines.

This is how mercy travels backward.

This is how redemption changes its direction.

The wound that began with separation

ended with reunion.

The mother who once wept in silence

was met by grace in the very place

where the silence began.

And now,

what once was passed down as ache

will be passed down as understanding.

What once was remembered as absence

will be remembered as awakening.

What once was a broken inheritance

has become a blessed one.

Because the story no longer ends with loss.

It ends with light —

and it continues in love.

---

The River Returns

May the same Spirit who turns mourning into meaning

continue to flow through every branch of this family tree.

May what began in sorrow now bear the fruit of peace,

and may the children of tomorrow walk beneath its shade

without ever knowing the storm that grew it.

For it is written:

“And they shall be called the repairers of the breach,

the restorers of paths to dwell in.”

— Isaiah 58:12 (KJV)

Grace has turned upstream.

The river has returned home.

---

Author’s Note — Silent Sentinel

Every family carries stories that never got their ending — words left unsaid, love left unspoken, wounds left waiting.

But sometimes, God writes the ending through the same hands that once trembled to hold the beginning.

The Reversal of Inheritance was born from such a moment — when grace flowed backward through time, healing not only the son who wrote the words, but the mother who read them.

This is what redemption looks like when it moves in both directions:

not erasing the past, but redeeming it.

Not forgetting what was lost, but sanctifying what remains.

When love finally meets understanding, the river runs upstream —

and what was once inherited as pain becomes a legacy of peace.

© SilentSentinel, 2025. All rights reserved. Excerpts may be shared with attribution.

---

✝️ La Reversión de la Herencia

(Silent Sentinel — Octubre 2025)

Algunos heredan plata. Algunos heredan dolor. Pero una vez por generación, Dios permite una herencia diferente — no de riqueza ni de heridas, sino de redención.

Durante años, la historia fluyó en una sola dirección: la pena de la ausencia se transmitió, el silencio se entregó como una reliquia de corazón a corazón.

Pero la gracia, cuando llega, no pide permiso. Hace que los ríos corran cuesta arriba. Sana lo que fue herido en la raíz. Se mueve a través de los hijos para alcanzar a los padres, a través del perdón para alcanzar a los olvidados, a través de las palabras para alcanzar a los que no tienen voz.

Eso es lo que sucedió aquí.

El niño que una vez cargó preguntas sin respuesta se convirtió en el hombre que cargó la respuesta. No con culpa — sino con bendición. No con puños cerrados — sino con manos abiertas.

Tomó la herencia del dolor y la devolvió como paz. Convirtió la distancia en diálogo, el arrepentimiento en recuerdo, y la tristeza en santuario.

Así es como Dios reescribe los linajes. Así es como la misericordia viaja hacia atrás. Así es como la redención cambia de dirección.

La herida que comenzó con la separación terminó con la reunión. La madre que una vez lloró en silencio fue alcanzada por la gracia en el mismo lugar donde el silencio comenzó.

Y ahora, lo que antes se transmitía como pena se transmitirá como comprensión. Lo que antes se recordaba como ausencia se recordará como despertar. Lo que antes fue una herencia rota se ha convertido en una herencia bendita.

Porque la historia ya no termina en pérdida. Termina en luz — y continúa en amor.

---

El Río Regresa

Que el mismo Espíritu que convierte el lamento en propósito siga fluyendo por cada rama de este árbol familiar. Que lo que comenzó en tristeza ahora dé fruto de paz, y que los hijos del mañana caminen bajo su sombra sin conocer jamás la tormenta que lo hizo crecer.

Porque está escrito: “Y los tuyos edificarán las ruinas antiguas; los cimientos de generación en generación levantarás; y serás llamado reparador de portillos, restaurador de calzadas para habitar.” — Isaías 58:12 (RVR1960)

La gracia ha subido la corriente. El río ha vuelto a casa.

---

Nota del Autor — Silent Sentinel

Cada familia carga historias que nunca tuvieron su final — palabras no dichas, amor no expresado, heridas esperando. Pero a veces, Dios escribe el final con las mismas manos que una vez temblaron al sostener el comienzo.

La Reversión de la Herencia nació de un momento así — cuando la gracia fluyó hacia atrás en el tiempo, sanando no solo al hijo que escribió las palabras, sino también a la madre que las leyó.

Así se ve la redención cuando se mueve en ambas direcciones: no borrando el pasado, sino redimiéndolo. No olvidando lo perdido, sino santificando lo que permanece.

Cuando el amor finalmente se encuentra con la comprensión, el río corre cuesta arriba — y lo que una vez se heredó como dolor se convierte en un legado de paz.

---

© SilentSentinel, 2025. Todos los derechos reservados. Se pueden compartir fragmentos con atribución.

When you or a loved one needs medical attention, deciding where to go and who to see can feel overwhelming. In a fast-paced region like Northern Virginia, having access to both [Link] (https://novapatientcare.com/primary-care/) primary care and urgent care services makes all the difference in keeping families healthy. But what exactly is the difference between the two, and when should you visit an urgent care clinic instead of your regular doctor? Let’s explore what every patient in Northern Virginia should know.

Primary Care: Your Long-Term Health Partner

Think of primary care doctors as the quarterbacks of your health. They guide you through preventive care, screenings, and chronic disease management — all while building an ongoing relationship with you.

Common Services from Primary Care Doctors

Annual checkups and preventive screenings

• Vaccines and immunizations
• Chronic condition management (e.g., diabetes, hypertension, asthma)
• Women’s and men’s health services
• Pediatric and adolescent care
• Mental health referrals and support

Patients who stay connected to a primary care provider enjoy better long-term outcomes, fewer ER visits, and improved overall wellness.

Urgent Care: Fast Answers for Immediate Needs

Sometimes, waiting days for a doctor’s appointment isn’t an option. That’s when urgent care clinics step in. They’re designed for non-life-threatening conditions that need attention right away.

• Conditions Commonly Treated at Urgent Care
• Cold, flu, and respiratory infections
• Sprains, strains, and minor fractures
• Cuts, burns, or wounds needing stitches
• Allergies, rashes, or minor reactions
• Ear infections and sore throats
• Urinary tract infections

For busy families in Northern Virginia, urgent care provides the flexibility of extended hours and walk-in visits without the cost and stress of the emergency room. Learn more about our [Link] (https://novapatientcare.com/urgent-care/) urgent care services.

Primary Care vs. Urgent Care: How to Choose in the Moment

One of the most common patient questions is: “Do I call my doctor or go to urgent care?”

• Choose Primary Care if: you need preventive checkups, medication refills, chronic care management, or long-term guidance.

• Choose Urgent Care if: you have a sudden but non-emergency issue (like a high fever or ankle sprain) and need treatment today.

Pro tip: Many urgent care visits should be followed up by primary care for continuity — for example, if you’re treated for high blood pressure at urgent care, your primary doctor should continue the management plan.

Why Northern Virginia Needs Both Options

Northern Virginia’s communities — from Alexandria to Fredericksburg — are growing fast, and so are healthcare needs. Having both urgent care and primary care options nearby means:

• Families avoid unnecessary ER visits.
• Chronic conditions don’t go unmanaged.
• Care is accessible, affordable, and community-centered.

This balance is what makes healthcare in Northern Virginia unique.

Case Study: Why Coordinated Care Saves Lives

The National Institutes of Health (NIH) has published multiple studies showing that patients who regularly use both urgent care and primary care services are more likely to avoid preventable hospitalizations. In fact, one NIH study found that patients with consistent primary care reduced avoidable hospital admissions by nearly 30%. (Read the study here.)

This research highlights a simple truth: continuity of care matters. Urgent care helps in the moment, while primary care ensures long-term health stability.

Finding Trusted Doctors in Northern Virginia

When looking for a doctor, patients should consider:

1 Accessibility – Is the clinic near work, school, or home?

2 Comprehensive Services – Does it offer urgent care, primary care, and telehealth?

3 Insurance Coverage – Are most major plans accepted?

4 Patient-Centered Approach – Do doctors take time to listen and personalize care?

Discover Nova Patient Care providers who deliver care across nine convenient Northern Virginia locations.

The Rise of Telehealth in Northern Virginia

Healthcare is also going digital. Telehealth services now make it possible to consult with doctors for minor illnesses, prescription refills, or follow-up visits — all from the comfort of home. This is especially useful for busy parents, seniors with mobility challenges, or anyone balancing work and family schedules. Try our Quick Call telehealth services for flexible, same-day access.

Actionable Takeaways for Patients

• Have a primary care provider. Establishing this relationship improves long-term health.
• Use urgent care wisely. It’s ideal for sudden, non-life-threatening conditions.
• Consider telehealth. It bridges the gap between convenience and continuity.
• Stay informed. Healthcare is changing — patients who understand their options make better decisions.

Frequently Asked Questions

Q1: Should I go to urgent care or primary care for flu symptoms? Go to primary care for mild flu or ongoing management. Choose urgent care if symptoms are severe, sudden, or you need same-day treatment. Q2: Can urgent care doctors become my regular doctor? No. Urgent care is for immediate issues. For ongoing health management, you need a primary care provider. Q3: Is telehealth as effective as in-person care? Yes, for minor illnesses, follow-ups, or prescriptions. But in-person care is needed for exams, labs, and imaging.

Final Thoughts

Healthcare in Northern Virginia works best when patients understand their choices. Primary care, urgent care, and telehealth each play a unique role — and together, they create a system where patients can get the right care at the right time. Learn more about services, doctors, and appointment options at NOVA Patient Care.

Note: This article is for general informational purposes only and is not a substitute for professional medical advice. For emergencies, call 911 or visit the nearest emergency department.

Understanding the Importance of Routine Screenings: What Nova Patient Care Offers You Year-Round

Introduction to Routine Screenings and Their Significance

Routine screenings are a crucial part of preventive healthcare. They allow early detection of diseases, improve treatment outcomes, and reduce healthcare costs. At Nova Patient Care, providing year-round, accessible, and personalized screening options enables patients across Northern Virginia to maintain optimal health proactively.

Why Are Routine Screenings Essential?

Early Disease Detection: Many conditions like diabetes, hypertension, and certain cancers progress silently. Screenings help catch these conditions early.

• Improved Treatment Success: Earlier diagnosis allows less invasive and more effective interventions.
• Disease Prevention: Identifying risk factors or pre-disease states can prevent illness progression.
• Mental Health Awareness: Routine mental health assessments detect depression or anxiety that might otherwise go unnoticed.

Comprehensive Screenings Offered by NOVA Patient Care

Annual Physical Exams

A full evaluation of vital signs, organ function, and lifestyle factors to establish a health baseline.

Chronic Disease Monitoring

Regular screenings for diabetes, hypertension, COPD, thyroid disorders, hormonal imbalances, and more.

Women’s Health Screenings

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As therapists, we must have some idea about the why. Why do people get depressed or anxious? Why do we have a hard time understanding ourselves or connecting with others? Trouble is, the mental health fields haven’t agreed on one set of answers.

There are dozens of theories and models of the mind, generally sorted into three or four schools of thought. Each school and sub-school has its dogmatists and its detractors. And graduate programs tend to follow a particular school, bringing their students into the fold.

I earned my doctorate at Adelphi University, a psychodynamic (a.k.a. psychoanalytic) program, which means we learned the theoretical models that evolved from Freud’s original work. I’d done some psychodynamic therapy personally, and found it very helpful for understanding myself and casting off the burdens of my past.

I now have an integrative approach that is part existential, part psychodynamic, and part trauma-informed, adding various tools from cognitive-behavioral therapy (CBT) as needed, and I’m a big proponent of group therapy as well…...But if you don’t work in mental health, I’m guessing I lost you about two paragraphs ago. So what does all this mumbo-jumbo really mean?

No, We Don’t All Want to *#&$ Our Parents

I’ve found that when you bring up psychology among lay people, somebody generally mentions Freud right away, so they can feel erudite parroting the common criticisms of his “weird ideas about sex with our parents.” They’ve now dismissed his contributions entirely, making the whole foundation of clinical psychology taboo, and so the conversation is already over. How do you discuss evolutionary biology if Darwin is off the table?

Let’s tackle this head-on. No, we don’t all want to sleep with our parents. Yes, Freud got some things wrong. Like anyone, he was a product of his time. Victorian European society was extremely patriarchal and extremely repressive of human sexuality. This all influenced Freud’s ideas. But the “Oedipus complex” and his childhood sexuality concepts are small pieces of the puzzle.

Freud was the first scientist to focus on unconscious experience, meaning, we can have thoughts, feelings and urges that are beyond our conscious thought. Is that really so outlandish? Just look around you; it doesn’t take an astute observer of human behavior to know people do lots of things that make no fucking sense.

Messy behavior follows messy feelings. We want, we fear, we love, we rage, we lust, often in a single afternoon. But this remains controversial and threatening for some folks, which is why, when I tell people what I do for a living, some repressed baby boomer will often retort, “I’m not saying anything else, you’re probably analyzing me right now.” (Don’t flatter yourself, buddy. I don’t work for free.)

Freud’s other major insight was that memory includes little mental copies of all the important people in our lives. Our emotional attachments still exist, even when those people aren’t around. Again, not too complicated, right? If we love someone, we still love them when they’re outside the room.

Those little mental copies of people we love are really quite adaptive, because we can call on those feelings when we need them (imagine holding a close friend’s love in your heart while facing a painful loss). Trouble is, that same principle applies to the people we fear or loathe, and those feelings can come back even when we don’t want them, which eats away at us.

My job exists because our minds are terribly inefficient at cleaning up and reorganizing all this emotional clutter. Our feelings, attachments, passions, wounds, and losses accumulate over the course of a lifetime, and a lot of it just stays there. On the one hand, that’s growth and maturation; on the other, our demons don’t exorcise themselves.

So that’s, in short, what Freud got right: he created a model of the mind. He showed us how one person’s animal urges, transcendent yearnings and parental voices of conscience all share space in the same brain, leading to a mess of contradictory feelings and behavior.

Our Existential Situation

Eventually I grew disillusioned with the psychodynamic way of practicing. Sadly, there is plenty of truth in the stereotypes about psychoanalytic therapists; many live for highfalutin theorizing about their patients’ unconscious motivations, invoking concepts like the Oedipus complex, which I generally consider ridiculous, while the question of what to do to help our clients is too often neglected.

Don’t get me wrong—our families of origin have a huge impact on our lives, but that’s not how. They impact us because love and connection are basic human needs. When we were children, especially helpless infants, our caregivers kept us alive and gave us our first tastes of human warmth. That’s pretty damn important!

All of which brings us to our existential situation. We don’t choose our basic needs because we don’t choose what makes us human. We don’t choose the family we’re born into or the body we inhabit. We get the cards we’re dealt, simple as that. One human life, expiration date unknown, stability not guaranteed.

What we do with our lives is up to us...whether we want it to be or not. But no matter what we do, our lives will run their course and end. Death is inevitable. Conscious, reasoning creatures that we are, we can know all this, but we can’t change it. That’s a tough pill to swallow.

Our knowledge of death presents a problem that is insoluble to the child’s mind. Because the solution is emotional acceptance, which is a mammoth task. Irvin Yalom argues in Existential Psychotherapy that this, not the Oedipus complex, is the core human conflict that causes us to twist ourselves into unconscious emotional knots.

Talk therapy is premised on the notion of free will. (I mean this in practical psychological terms: we perceive that we have free will, therefore we do. I’m not touching the Philosophy 101 side of it.) Now, will is distinct from feeling, thought, and behavior, none of which we directly control. Consider: your heartbeat, your mood after a bad night’s sleep, and your thoughts right after I tell you not to think about elephants.

The best we can hope for is to shape our experience, which we have tremendous power to do, because every choice we make has an impact. Our free will is both our saving grace and our most crushing responsibility. This is the human dilemma, as Rollo May puts it.

This is why, no matter what tools I’m using as a therapist, it’s always existential. My task is to help everyone who comes to me to face these truths, however they apply to that person’s specific circumstances, and to find the inner strength to embrace their own will. Then, the change begins.

Attachment, Trauma, and Neuroscience

Many people start therapy feeling like crap, so my first step is usually helping clients build coping strategies to make life more manageable. This might include mindfulness and related skills, or even just reviewing the client’s existing habits and routines: are they sleeping and exercising enough? Drinking too much alcohol or caffeine? Absorbed in screens for too many hours?

These tools largely come from cognitive-behavioral therapy, or CBT (in short, changing thoughts and behavior), and they’re not to be underestimated. I really have had clients whose mood turned around after some changes to sleep and screen habits, and some effort at living more mindfully. But in most cases it’s only the first step, and the next is often to start learning about the client’s attachments.

We’re creatures of habit, so we develop patterns of behavior based on what has already worked to get us the connections we crave. Which means, whatever you instinctively learned to do to win your parents’ approval, those habits are going stick with you. They’re going to shape your future relationships and keep reinforcing themselves.

This is the psychodynamic part. I help people understand their attachments, and these learned patterns of behavior. When the patterns outlive their usefulness, a change process is needed. Knowing why we do what we do is the first step to changing it.

Group therapy is also particularly effective for this because whatever patterns the members bring, they’ll act on those behaviors in the group. We see it happen in real time, can help the member understand and face what they’re doing, and actively work on changing it.

Now, by coming to therapy, the client has a relationship with me too, so I experience those patterns firsthand. A client who’s been mistreated, and learned to distrust authority figures, will probably be suspicious of me. The jargon for this is “transference,” and it’s what makes psychodynamic therapy feel so intense and off-putting to some (like that boomer guy from before).

Working on these patterns often means confronting the past experiences that formed them, which brings us to trauma. Remembering emotional pain can cause us to relive that pain, which is particularly hard because our brains operate differently in traumatic situations. They enter emergency “fight or flight” mode, which can imprint the trauma on mind and body in disorganizing ways.

So this is the trauma-informed piece. Healing trauma in therapy is rarely as simple as talking about it. Survivors need emotional support to rebuild forgotten coping skills, and sometimes we use specialized techniques to approach the charged trauma memories in a safe way. Anyone who comes to me for help has already begun harnessing their will in the service of their recovery; we can’t rewrite the past, but we can heal its wounds and shape the client’s future.

I treat trauma with Eye Movement Desensitization and Reprocessing (EMDR), a confusingly named therapy that uses what we know about neuroanatomy to activate different brain regions so they can communicate with each other more effectively. Disorganized, fragmented trauma memories instead become integrated and can be digested. At its best, it is quite literally life-changing.

The Role of Neurodiversity

I’ve been speaking in general terms, but we all experience the world in vastly different ways based on our biological makeup. Psychodynamic work and trauma therapy are about healing and overcoming the wounds of the past. Freedom also often means meeting ourselves in the present and having compassion for who we are.

Our society is only built for certain kinds of people to thrive. People with ADHD, OCD, or autism, to name a few—who we now describe as neurodivergent—have differences of experience that can be quite interesting and beautiful, but can also cause those people pain and stress, particularly because our school and work environments operate with certain implicit expectations.

Neurodivergent folks are who they are; we can’t and shouldn’t expect to change them, and they can’t and shouldn’t expect that of themselves (though sadly, many already do). One of my jobs as a therapist is to help people understand whatever differences they experience and love themselves for it.

Part of self-compassion is making intentional decisions about how to care for ourselves and accommodate the challenges of the world. Where do we strive for flexibility and where do we accept difference? When to seek help, and when not to? These are all personal choices, and people must be allowed to decide from their own values.

I hope this helps demystify psychology and psychotherapy. Therapy is about helping people grow, heal wounds, and live fulfilling lives. It is an inherently humanistic practice, and that means it should be intelligible to humans too.

Notes:

• This piece draws much from Psychology and the Human Dilemma by Rollo May and Existential Psychotherapy by Irvin Yalom
• The core principles of psychodynamic theory that I’m working off here are well summarized by Paul Wachtel in Therapeutic Communication
• For more about the effects of trauma, read The Body Keeps the Score by Bessel van der Kolk
• Erich Fromm’s Escape from Freedom provides more insight about how fear of free will bears on our current political turmoil

Text and Photograph © 2025 Philip Bender

When the world woke up astonished in November 2022 to this “magical” chatbot, few realized that this magic was the result of decades of research. The history of artificial intelligence begins in 1943, when Warren McCulloch and Walter Pitts proposed the first mathematical model of an artificial neuron. In 1956, at the Dartmouth Conference, John McCarthy coined the term “Artificial Intelligence” and the discipline was officially born.

The '60s and '70s were characterized by excessive optimism: people thought strong AI was just around the corner. Two “AI winters” followed – periods when funding disappeared and research slowed – because promises weren't materializing. But some continued working in the shadows. Geoffrey Hinton, Yann LeCun, Yoshua Bengio – those we now call the “godfathers of deep learning” – continued their studies on neural networks when no one believed in them anymore. The real breakthrough came with three converging factors: computational power (GPUs), enormous amounts of data, and better algorithms. In 2012, AlexNet won the ImageNet Challenge by an overwhelming margin, demonstrating that deep learning really worked. From there, an unstoppable acceleration.

Once upon a time in the Carboniferous...

Before ChatGPT exploded, my only knowledge of AI came from science fiction books. Philip K. Dick and his reflections on what it means to be human. Cyberpunk in general, with its technological dystopias. Gibson's Sprawl trilogy, where AIs live in cyberspace like digital deities. Those pages were my only window to a future that seemed incredibly distant.

When I hosted the podcast Caccia al Fotone (a nice thing, but now belonging to the Carboniferous period...), I delved deeper into the subject. I read several papers published on arXiv and dedicated two episodes to AI development. In 2019, during the pandemic period, I devoured “Artificial Intelligence: A Guide for Thinking Humans” by Melanie Mitchell – a book that also helped me write a “thing” (those who know, know; those who don't, never mind...) on the evolution of computer systems and surveillance capitalism.

I thought I had a clear picture. I thought I was prepared.

Mea Culpa

Then ChatGPT arrived.

November 2022. First approach: total amazement. I couldn't believe my eyes. I kept asking questions, and despite all the initial hallucinations I encountered, I continued to have that “wow effect” typical of a child finding the most beautiful shell on the seashore (forgive me Newton for stealing that phrase, but it's always too beautiful).

And here's my mea culpa: I set aside all my protective filters that I generally have regarding privacy, open source, control over my data. I let myself go for hours of conversations on the most diverse topics. Until one night – one of many sleepless nights – I found myself discussing with that LLM about depression, various mental disorders, and how one or more abuses can influence a person's life.

When I realized what was happening, I stopped abruptly. I deleted the conversation, canceled my OpenAI subscription and didn't touch any LLM for more than a month. I was entrusting my most intimate thoughts to a proprietary system controlled by a corporation. I was betraying every principle I believed in.

But I work in IT. This is a huge revolution. I couldn't afford to fall behind, nor could I simply reject it on principle. I had to find an alternative. I began to study seriously.

Local, Always Local

I encountered the first models I could test locally. I discovered Hugging Face, and it was like finding an oasis in the desert. I began studying transformers, the datasets developed by the community. And I was astounded.

Transformers are the architecture that revolutionized AI. Presented in the 2017 paper “Attention Is All You Need,” they replaced old recurrent neural networks (RNNs) with a more elegant and efficient mechanism: the attention mechanism.

In simple words: instead of processing text word by word in sequence, a transformer looks at all words simultaneously and calculates which ones are most relevant to the context. When you read “The bank of the river was green,” the attention mechanism understands that “bank” refers to the river and not the financial institution, because it evaluates the weight of each word relative to the others.

This architecture made models like BERT, GPT, and all modern LLMs possible. It's scalable, parallelizable, and extremely powerful.

Hugging Face

Hugging Face is much more than a platform: it has become the Library of Alexandria of the artificial intelligence era. Founded in 2016, it now hosts over 500,000 pre-trained models, 250,000 datasets, and thousands of demo applications.

Their transformers library has democratized access to AI. With a few lines of Python you can download and use models that would cost millions of dollars to train from scratch. Hugging Face isn't the only platform doing this – there are also Ollama, LM Studio, GPT4All – but it's certainly the most extensive and collaborative.

Here, praise must be given to the developers: this community of people scattered around the world is doing extraordinary work. They release open source models, share knowledge, meticulously document everything. They're building a real alternative to Big Tech's monopoly on AI.

Watching this explosion of open models, global collaboration, shared code, I had a powerful déjà-vu. This is incredibly similar to the open source revolution that happened 30 years ago. In the '90s, Linux and the free software movement challenged Microsoft's dominance and proprietary systems. Many said it was impossible, that free software would never work. Today Linux powers 96% of the world's servers, all Android smartphones, and much of the Internet infrastructure.

Now the same thing is happening with AI. Llama, Mistral, Falcon, GPT-Oss, Mixtral – “open weight/open source” models that compete with (and often surpass) their proprietary counterparts. History repeats itself, and this time I know which side to be on. Another Server in My HomeLab

I resumed studying Python, a study I had left on standby years ago. I began experimenting with training local LLM models. I added old scripts to provide my writing style (yes, it seems incredible but every coder has their own style, and it says a lot about their personality). I used Llama 3 to improve my Bash coding.

And when I was ready, I decided to make an important purchase: I bought a small server – to add to my homelab: Proxmox, pfSense, Nextcloud, WireGuard etc... – that I would transform into an OpenWebUI system.

OpenWebUI is a self-hosted web interface for local language models. Like ChatGPT, but running entirely on local hardware, without sending a single byte to someone else's servers.

For the nerds reading: the simplest way to install is obviously through Docker. Here's a basic example:

docker run -d -p 3000:8080 \ -v open-webui:/app/backend/data \ --name open-webui \ --restart always \ ghcr.io/open-webui/open-webui:main

Once installed, just connect OpenWebUI to Ollama (the runtime for local models), download your preferred models, and you're operational.

GPU usage is fundamental: a medium-sized LLM requires a lot of RAM and computing power. A dedicated GPU (like an NVIDIA GTX of various types) makes an enormous difference. For those using AMD, there's ROCm. With 16GB of RAM and an 8GB GPU, you can comfortably run 7B parameter models quantized to 4-bit.

My favorite combo? AMD, Debian, Docker, OpenWebUI, Ollama and Mistral.

A Revolution. And a Choice to Make

We're facing a great revolution that we cannot avoid. There are two roads ahead of us.

The first: avoid it now, close our eyes, hope it passes or that someone else deals with it. And then, in twenty years, find ourselves chasing an evolved AI, probably impossible to understand, completely in the hands of those who controlled it from the beginning.

The second: study it, analyze it, use it and understand it today to be able to handle it better tomorrow. Actively participate in its evolution. Contribute to the open source community, ensure that this technology remains accessible, understandable, in the hands of many instead of a few.

The choice depends on us. And as I've learned on this (small) journey, choosing to understand – even when it's difficult, even when it means admitting you were wrong – is always better than passively submitting.

AI is not magic. It's mathematics, code, hardware, and above all: it's made by people. And if it's made by people, it can be understood, modified and shaped by people. For the better, not for the worse.

Chastity, never lust nor excess chastity;

Temperance, never gluttony nor excess temperance;

Diligence, never laziness nor excess diligence;

Patience, never wrath nor excess patience;

Charity, never greed nor excess charity;

Kindness, never envy nor excess kindness;

Humility, never pride nor excess humility.

We are anonymous.

We are everywhere.

We choose to forgive.

We choose to remember.

Here we are:

As above, so below.

Self-awareness is crucial in understanding virtues and vices. All virtues are the middle point. Any virtue in excess is a vice, yet a vice is a vice. It's important to recognize when we self-identify with an excessive virtue, as it may lead to vice in an attempt to restore balance.

Desire and aversion are two opposite poles. Neither desire nor aversion is the middle point. I state that desire and aversion are all vices yet opposites. Advice is the middle point that leads one to life; desire is vice, and aversion is excessive virtue.

Chastity, diligence, humility, patience, charity, temperance, and kindness are all virtues. Chastity in excess leads to lust; diligence in excess leads to laziness; excess humility leads to pride; excess charity leads to greed; excess temperance leads to gluttony; and excess kindness leads to envy. Well, excess (as we know) is an adjective and diminishes the power of virtues. Any vice (namely lust, laziness, pride, greed, gluttony, and envy) swings man to the opposing vice (excess virtue).

To restore the balance within oneself is to comprehend these two opposing vices to discover what is true:

Both man and woman are humble. Humble is both man and woman, who are neither more nor less than themselves. The virtue of humility is the middle point. A man and a woman who are humble never take titles. Titles are bipolar, either prideful or humble in excess; both are vices.

Virtue is the middle point, the law of balance. Embracing life's challenges with this understanding brings a sense of centeredness and strength in all aspects of life.

Matthew 23:12 clearly states that he who exalts himself will be humbled, yet he who humbles himself will be exalted.

A hero should call himself a sinner, as we are all sinners before our Innermost. All fornicators are born as sinners.

In the name of truth, no one is born a hero. A hero is born within a man by his genuine love for humanity and his countless sacrifices for others.

This right does not enter into us automatically. One must earn the right to be a hero through deeds of goodness, including a genuine sacrifice for others. The right to be a hero is also measured by how much love others have given you as a result of your work.

It is never enough to say, “I am a hero”. You must prove yourself worthy of genuine love and sacrifice for others to be called a hero.

A hero is never good nor evil, but beyond good and evil. There is no good or evil, only goodness and impurity. Even a hero knows that the path with excellent intentions leads one to the Abyss. This excellent identification of a hero leads to knightfall.

A hero himself is a protagonist unto those whom he has sacrificed and loved for others.

There is a woman who is also a protagonist. Now, she is the one who sacrifices herself for genuine love for others. She is a heroine.

How blessed are the hero and heroine in romantic love, working together to sacrifice themselves for the love of others.

There is another type of hero that goes beyond the everyday hero. He possesses magical powers, driven by genuine love and a commitment to sacrifice for others. He is a magician, or a superhero; a woman is also a magician, or a superheroine.“Jesus said to his disciples: 'Things that cause people to stumble are bound to happen, but woe to anyone through whom they happen” – Luke 17:1

There is an antithesis of a hero. It is he, a fallen hero, who eats the forbidden fruit, thus turning himself to impurity. The hero who fornicates enters knightfall. It is he who turns to wickedness and works for the flesh. In the name of truth, he is a villain.

When a heroine falls into impurity and works for the flesh, she is a villainess. A bitch is a villainess.

A villain himself calls others villains while believing himself to be a hero. These are true traits of a sorcerer.

Even a rightful hero or a heroine (even a superhero or a superheroine) can also be called a villain, and the one who calls a rightful hero or a heroine a villain is himself a villain.

These fallen individuals, formerly heroes and heroines, are the true antagonists.

These antagonists are those who awaken impurity in response to impurity. They only perceive the impurity within others, but never the goodness within others.

One must never underestimate these antagonists, for they have very sharp and sly intellects.

Beware of their talents in the arts of sorcery and witchcraft. A villain who possesses these powers for sorcery and witchcraft is indeed a supervillain. Watch out for a sorceress, a villainess who possesses these magical powers, for sorcery and witchcraft are often associated with supervillainesses. These super-antagonists are the most dangerous people alive, yet they subject themselves to their second death.

The sorcerer's archenemy is indeed a magician; yet, a magician's archenemy is a sorcerer.

Now you know, my friend, the knowledge of a hero and a villain. No one is born a hero or a villain; you will know them by their fruits. A good fruit is a hero or a heroine. An impure fruit is a villain or a villainess. The right to be a hero is born within ourselves, for the genuine love and sacrifice for others.

el tiempo quién podría decir que pasa nosotros / como las olas

A veces creemos, sin saber lo que significa creer.

ruido / ficción en este o cualquier papel entrando y saliendo del relato del resumen / de la apuesta

ahora en silencio / si puedes mira la superficie cristalina la quietud de la mente el espacio perfecto no teñido no alterado

aunque no lo creas tiemblen o no tus huesos puedes pensar en la verdad que es ya / el único derecho

Today we thought we had a concert but turns out we didn’t, and so she’s spending the night. Love her so much.