This week Dr. Jeffrey S. Bland's book The Disease Delusion has come out. I recommend this book to all my patients, family and colleagues. He talks about the interaction between our genes and the environment that we put ourselves in. We may have a genetic predisposition to disease; but we can modify it by lifestyle choices. What we eat, think,believe, feel and do determine what genes are expressed. He says, and I agree that the epidemic of chronic diseases; diabetes, heart disease, arthritis autoimmune diseases need different approaches than acute illnesses where drugs can be curative. Chronic diseases are an interaction of many factors and are different for different people. The type of medicine he describes is truly individualized care.