The safest and most suitable form of penance seems to be that which causes pain in the flesh but does not penetrate to the bones, that is, which causes suffering but not sickness.
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My mother, who was professional schoolteacher, was particularly concerned about our formal education and even went so far as to start a private school together with some other parents so that our intellectual needs would be met.
Constant attention by a good nurse may be just as important as a major operation by a surgeon.