Victor Sierpina looks at guidance from the Naikan book mentioned in last week’s column that medical students are using in UTMB’s physician healer track. When a person feels overwhelmed with life try this simple gratitude exercise and create a list of routine daily activities and apply the following to them: I have to…I choose to… and I get to. According to Sierpina once we realize we choose or even get to do the things we do, our whole attitude shifts.