In this narrative medicine essay, a family practitioner tells the story of how her relationship with an old-order Mennonite woman whose newborn son she examined and took to the hospital for cardiac surgery one Christmas day turns to friendship and a relationship with her broader community when the woman stays with her during her newborn daughter’s cardiac surgery.

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Hurley, Kameron, author

Hurley, Kameron, author

Hurley, Kameron

Hurley, Kameron, author

Hurley, Kameron, author

Hurley, Kameron, author

Hurley, Kameron, author

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Levin, Jack, 1941- author

Artin, Emil, 1898-1962, author

Lial, Margaret L

Sullivan, Michael, III, 1967- author

Nagle, R. Kent, author

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Saff, E. B., 1944- author

Borden, Brett, author

Stewart, James, 1941- author

Lial, Margaret L

Nassif, Nabil

DeVos, Matthew Jared, 1974- author

Schecter, Stephen (Professor of mathematics), author

Riazoshams, Hossein, 1971- author

Brannan, James R

Peppers, Don

Tufvesson, Anders, 1963-

Okazaki, Shintarō, 1928-

The same laws of attraction have never governed the social media marketing scene for too long.

Just as one Tweet changes another, so does user preferences when it comes to consuming online content. New social media rise and fall quickly and this year SnapChat and Periscope already shown a great influence on the marketing landscape. With new players entering the field and old companies rushing to introduce new features and innovations, the rules of social media play hardly ever stay the same.

In 2016 we should expect to see new exciting trends and changes in the social scene and here are the top 4.

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Reddit, YouTube, and Twitter have all been the target of passionate groups of users claiming that the sites have embraced censorship.

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Last week, the APA released a study finding that Americans were experiencing the first statistically significant stress increase in the surveys 10-year history. In January, 57 percent of respondents of all political stripes said the U.S. political climate was a very or somewhat significant source of stress, up from 52 percent who said the same thing in August.

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Google may be the internets greatest killer.

Between its numerous acquihires, its aggressive approach to launching (and discarding) moonshots, and its tendency to build impressive products only to kill them months later, Google's ruthless assessment (and reassessment) of ideas is one of its defining traits.

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To excel at social media, you must be a social media expert, right? While this is true in some respects, having narrow social media knowledge can also be limiting. A social media-only focus can actually hold back your social media strategy from reaching its full potential. You are building more than a social media presence -- you are building a brand. Social media is not an end unto itself. Vanity metrics -- followers and likes -- may be early indicators of good content, but the true test of social media is business impact. Management will eventually stop paying for social media activity that does not lead to bottom line action.

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Thousands of years ago, clans gathered around fires to share their days experiences and to tell stories that established group norms and shaped social organization. Today, the fires embers have been replaced by the glow of internet-connected devices, but the communal exchange of stories and perspectives remains a fundamental force in social development.

From a business standpoint, a few important differences emerge from this evolution. Social media users can now publicly discuss their experiences with brands or products, forming large coalitions of interest that exert vast social pressure on brands and other organizations. From the presidential election to the newest cereal, everything is now a matter of public interest.

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In recent years, social media platforms have evolved from simple communication channels to full-blown news and entertainment hubs. From Facebook Watch to this years innovations like IGTV and Snapchat’s Story Ads, social platforms are stepping up the game to keep its users engaged and entertained -- and your company should not be too far behind.

If you want to keep up with the latest social media trends, you will have to reevaluate your strategy with an eye toward the future of this ever-evolving industry. Below, Forbes Agency Council members share 13 ways to step up your social game in 2019.

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