As far as service goes, it can take the form of a million things. To do service, you don't have to be a doctor working in the slums for free, or become a social worker. Your position in life and what you do doesn't matter as much as how you do what you do.
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For years, I have been stalked by a bad reputation. Actually, I have been pursued by people who have regarded me as the 'Death and Dying' Lady. They believe that having spent more than three decades in research into death and life after death qualifies me as an expert on the subject. I think they miss the point.
Medicine has changed greatly in the last decades. Widespread vaccinations have practically eradicated many illnesses, at least in western Europe and the United States. The use of chemotherapy, especially the antibiotics, has contributed to an ever decreasing number of fatalities in infectious diseases.