You've got to know what you want. This is central to acting on your intentions. When you know what you want, you realize that all there is left then is time management. You'll manage your time to achieve your goals because you clearly know what you're trying to achieve in your life.
At the age of 18, I made up my mind to never have another bad day in my life. I dove into a endless sea of gratitude from which I've never emerged.
I'm great at a deathbed. I've never given tranquillisers or psychiatric medicine. I've given love and fun and creativity and passion and hope, and these things ease suffering.
I'm a clown, which could be a public health role. I'm really interested in moving our society away from a society needing Xanax and Prozac, and that is really feeling depressed, to one that is celebrating, and so I find just walking around in colorful clothes, people smile.
The role of a clown and a physician are the same - it's to elevate the possible and to relieve suffering.