Become A Doctor Quotes

After you find out all the things that can go wrong, your life becomes less about living and more about waiting.

You know when sometimes you meet someone so beautiful, and then you actually talk to them, and five minutes later they're dull as a brick. But then there's other people, and you meet them and you think 'not bad, they're okay', and then you get to know them, and their face sort of becomes them, like their personality's written all over it, and they just they turn into something so beautiful...

In short, physicians are getting more and more data, which requires more sophisticated interpretation and which takes more time. AI is the solution, enhancing every stage of patient care from research and discovery to diagnosis and therapy selection. As a result, clinical practice will become more efficient, convenient, personalized, and effective.

When did you become a woman?"-Hatori How dare you ask that after you have seen me naked so many times..."-Yuki GASP! No it cant be! Yuki-kun, does that mean..." fan club girls NO! He's my doctor..."Yuki

About dreams. It is usually taken for granted that you dream of something that has made a particularly strong impression on you during the day, but it seems to me it´s just the contrary. Often it´s something you paid no attention to at the time -- a vague thought that you didn´t bother to think out to the end, words spoken without feeling and which passed unnoticed -- these are the things that return at night, clothed in flesh and blood, and they become the subjects of dreams, as if to make up for having been ignored during waking hours.

Education is the great engine of personal development. It is through education that the daughter of a peasant can become a doctor, that the son of a mineworker can become the head of the mine, that a child of farmworkers can become the president of a great nation. It is what we make out of what we have, not what we are given, that separates one person from another.

And now listen carefully. You in others-this is your soul. This is what you are. This is what your consciousness has breathed and lived on and enjoyed throughout your life-your soul, your immortality, your life in others. And what now? You have always been in others and you will remain in others. And what does it matter to you if later on that is called your memory? This will be you-the you that enters the future and becomes a part of it.

We come unbidden into this life, and if we are lucky we find a purpose beyond starvation, misery, and early death which, lest we forget, is the common lot. I grew up and I found my purpose and it was to become a physician. My intent wasn't to save the world as much as to heal myself. Few doctors will admit this, certainly not young ones, but subconsciously, in entering the profession, we must believe that ministering to others will heal our woundedness. And it can. but it can also deepen the wound.

I don’t know if you have ever seem a map of a person’s mind. Doctors sometimes draw maps of other parts of you, and your own map can become intensely interesting, but catch them trying to draw a map of a child’s mind, which is not only confused, but keeps going round all the time. There are zigzag lines on it, just like your temperature on a card, and these are probably roads in the island; for the Neverland is always more or less and island, with astonishing splashes of colour here and there, and coral reefs and rakish-looking craft in the offing, and savages and lonely lairs, and gnomes who are mostly tailors, and caves through which a river runs, and princes with six elder brothers, and a hut fast going to decay, and one very small old lady with a hooked nose.

Maybe it’s not as clear-cut as that. Maybe it’s the very presence of one thing – light or darkness – that necessitates the existence of the other. Think about it, people couldn’t become legendary heroes if they hadn’t first done something to combat darkness. Doctors could do no good if there weren’t diseases for them to treat.

We act insane, because if we didn't, we would most surely become insane. - Hawkeye

I'll become a doctor who can cure any disease! Because... because there's no disease in this world that can't be cured!

Twelve days, eight hours, and nine minutes. I spent every second thinking of you.” Josh’s lips brushed against mine as he spoke. “I thought I knew what I wanted before. Becoming a doctor, chasing the next high. Being the most popular, most liked person in the room. I thought those things would make me happy, and they did. Temporarily. But you…” He rested his forehead against mine. “You’re the only thing that could make me happy forever.

Doctors, it turns out, need hope, too.

The main thing is to WRITE. Some days it might be 2000 words. Some days you might tinker with two sentences until you get them just right. Both days belong in the writing life. Some days you may watch a ‘Doctor Who’ marathon or become immersed in a book that is so good you can’t stop reading. Some days you may be in love or in mourning. Those days belong in the writing life, too. Live them without guilt.

Van Houten, I’m a good person but a shitty writer. You’re a shitty person but a good writer. We’d make a good team. I don’t want to ask you any favors, but if you have time – and from what I saw, you have plenty – I was wondering if you could write a eulogy for Hazel. I’ve got notes and everything, but if you could just make it into a coherent whole or whatever? Or even just tell me what I should say differently. Here’s the thing about Hazel: Almost everyone is obsessed with leaving a mark upon the world. Bequeathing a legacy. Outlasting death. We all want to be remembered. I do, too. That’s what bothers me most, is being another unremembered casualty in the ancient and inglorious war against disease. I want to leave a mark. But Van Houten: The marks humans leave are too often scars. You build a hideous minimall or start a coup or try to become a rock star and you think, “They’ll remember me now,” but (a) they don’t remember you, and (b) all you leave behind are more scars. Your coup becomes a dictatorship. Your minimall becomes a lesion. (Okay, maybe I’m not such a shitty writer. But I can’t pull my ideas together, Van Houten. My thoughts are stars I can’t fathom into constellations.) We are like a bunch of dogs squirting on fire hydrants. We poison the groundwater with our toxic piss, marking everything MINE in a ridiculous attempt to survive our deaths. I can’t stop pissing on fire hydrants. I know it’s silly and useless – epically useless in my current state – but I am an animal like any other. Hazel is different. She walks lightly, old man. She walks lightly upon the earth. Hazel knows the truth: We’re as likely to hurt the universe as we are to help it, and we’re not likely to do either. People will say it’s sad that she leaves a lesser scar, that fewer remember her, that she was loved deeply but not widely. But it’s not sad, Van Houten. It’s triumphant. It’s heroic. Isn’t that the real heroism? Like the doctors say: First, do no harm. The real heroes anyway aren’t the people doing things; the real heroes are the people NOTICING things, paying attention. The guy who invented the smallpox vaccine didn’t actually invented anything. He just noticed that people with cowpox didn’t get smallpox. After my PET scan lit up, I snuck into the ICU and saw her while she was unconscious. I just walked in behind a nurse with a badge and I got to sit next to her for like ten minutes before I got caught. I really thought she was going to die, too. It was brutal: the incessant mechanized haranguing of intensive care. She had this dark cancer water dripping out of her chest. Eyes closed. Intubated. But her hand was still her hand, still warm and the nails painted this almost black dark blue and I just held her hand and tried to imagine the world without us and for about one second I was a good enough person to hope she died so she would never know that I was going, too. But then I wanted more time so we could fall in love. I got my wish, I suppose. I left my scar. A nurse guy came in and told me I had to leave, that visitors weren’t allowed, and I asked if she was doing okay, and the guy said, “She’s still taking on water.” A desert blessing, an ocean curse. What else? She is so beautiful. You don’t get tired of looking at her. You never worry if she is smarter than you: You know she is. She is funny without ever being mean. I love her. I am so lucky to love her, Van Houten. You don’t get to choose if you get hurt in this world, old man, but you do have some say in who hurts you. I like my choices. I hope she likes hers.

I think we need more math majors who don't become mathematicians. More math major doctors, more math major high school teachers, more math major CEOs, more math major senators. But we won't get there unless we dump the stereotype that math is only worthwhile for kid geniuses.

I didn't become a doctor because I wanted to be God. I became a doctor because I wanted to save lives.

My son Asclepius had become the god of medicine by the time he was fifteen, and I couldn’t have been happier for him. It left me time for my other interests. Besides, it’s every god’s dream to have a child who grows up to be a doctor.

The Doctor is all of us, he lives and dies as all of us, and we need him to – because no matter the anvil-imagery of the Doctor as Christ, this is actually a far older and far simpler story than that. Everything changes. We all regenerate. I am not the same woman who first saw Rose ascend. Years go by and I become someone new, with the same memories but a new face, a new self.

After graduation, due to special circumstances and perhaps also to my character, I began to travel throughout America, and I became acquainted with all of it. Except for Haiti and Santo Domingo, I have visited, to some extent, all the other Latin American countries. Because of the circumstances in which I traveled, first as a student and later as a doctor, I came into close contact with poverty, hunger and disease; with the inability to treat a child because of lack of money; with the stupefaction provoked by the continual hunger and punishment, to the point that a father can accept the loss of a son as an unimportant accident, as occurs often in the downtrodden classes of our American homeland. And I began to realize at that time that there were things that were almost as important to me as becoming famous for making a significant contribution to medical science: I wanted to help those people.

There is, I assure you, a medical art for the soul. It is philosophy, whose aid need not be sought, as in bodily diseases, from outside ourselves. We must endeavor with all our resources and all our strength to become capable of doctoring ourselves.

I remembered the old doctor, - "It would be interesting for science to watch the mental changes of individuals, on the spot." I felt I was becoming scientifically interesting.

Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

Give me a dozen healthy infants, well-formed, and my own specified world to bring them up in and I’ll guarantee to take any one at random and train him to become any type of specialist I might select—doctor, lawyer, artist, merchant-chief and, yes, even beggar-man and thief, regardless of his talents, penchants, tendencies, abilities, vocations, and race of his ancestors. (1930)

The notion is called wabi-sabi life, like the cherry blossom, it is beautiful because of its impermanence, not in spite of it, more exquisite for the inevitability of loss.

Pick a leader who will make their citizens proud. One who will stir the hearts of the people, so that the sons and daughters of a given nation strive to emulate their leader's greatness. Only then will a nation be truly great, when a leader inspires and produces citizens worthy of becoming future leaders, honorable decision makers and peacemakers. And in these times, a great leader must be extremely brave. Their leadership must be steered only by their conscience, not a bribe.

Here’s to the security guards who maybe had a degree in another land. Here’s to the manicurist who had to leave her family to come here, painting the nails, scrubbing the feet of strangers. Here’s to the janitors who don’t understand English yet work hard despite it all. Here’s to the fast food workers who work hard to see their family smile. Here’s to the laundry man at the Marriott who told me with the sparkle in his eyes how he was an engineer in Peru. Here’s to the bus driver, the Turkish Sufi who almost danced when I quoted Rumi. Here’s to the harvesters who live in fear of being deported for coming here to open the road for their future generation. Here’s to the taxi drivers from Nigeria, Ghana, Egypt and India who gossip amongst themselves. Here is to them waking up at 4am, calling home to hear the voices of their loved ones. Here is to their children, to the children who despite it all become artists, writers, teachers, doctors, lawyers, activists and rebels. Here’s to international money transfer. For never forgetting home. Here’s to their children who carry the heartbeats of their motherland and even in sleep, speak with pride about their fathers. Keep on.

A NATION'S GREATNESS DEPENDS ON ITS LEADER To vastly improve your country and truly make it great again, start by choosing a better leader. Do not let the media or the establishment make you pick from the people they choose, but instead choose from those they do not pick. Pick a leader from among the people who is heart-driven, one who identifies with the common man on the street and understands what the country needs on every level. Do not pick a leader who is only money-driven and does not understand or identify with the common man, but only what corporations need on every level. Pick a peacemaker. One who unites, not divides. A cultured leader who supports the arts and true freedom of speech, not censorship. Pick a leader who will not only bail out banks and airlines, but also families from losing their homes -- or jobs due to their companies moving to other countries. Pick a leader who will fund schools, not limit spending on education and allow libraries to close. Pick a leader who chooses diplomacy over war. An honest broker in foreign relations. A leader with integrity, one who says what they mean, keeps their word and does not lie to their people. Pick a leader who is strong and confident, yet humble. Intelligent, but not sly. A leader who encourages diversity, not racism. One who understands the needs of the farmer, the teacher, the doctor, and the environmentalist -- not only the banker, the oil tycoon, the weapons developer, or the insurance and pharmaceutical lobbyist. Pick a leader who will keep jobs in your country by offering companies incentives to hire only within their borders, not one who allows corporations to outsource jobs for cheaper labor when there is a national employment crisis. Choose a leader who will invest in building bridges, not walls. Books, not weapons. Morality, not corruption. Intellectualism and wisdom, not ignorance. Stability, not fear and terror. Peace, not chaos. Love, not hate. Convergence, not segregation. Tolerance, not discrimination. Fairness, not hypocrisy. Substance, not superficiality. Character, not immaturity. Transparency, not secrecy. Justice, not lawlessness. Environmental improvement and preservation, not destruction. Truth, not lies. Most importantly, a great leader must serve the best interests of the people first, not those of multinational corporations. Human life should never be sacrificed for monetary profit. There are no exceptions. In addition, a leader should always be open to criticism, not silencing dissent. Any leader who does not tolerate criticism from the public is afraid of their dirty hands to be revealed under heavy light. And such a leader is dangerous, because they only feel secure in the darkness. Only a leader who is free from corruption welcomes scrutiny; for scrutiny allows a good leader to be an even greater leader. And lastly, pick a leader who will make their citizens proud. One who will stir the hearts of the people, so that the sons and daughters of a given nation strive to emulate their leader's greatness. Only then will a nation be truly great, when a leader inspires and produces citizens worthy of becoming future leaders, honorable decision makers and peacemakers. And in these times, a great leader must be extremely brave. Their leadership must be steered only by their conscience, not a bribe.

No. You said so yourself: a bet’s a bet. After the month’s up, you’ll be off with Parker, he’ll become a doctor, you’ll get married and have your two-point-five children and I’ll never see you again.” He grimaced at his own words. “I still have three weeks. I’m not giving that up for lunch room gossip.

Electrolytes are the salts in the blood – mostly sodium, potassium, chloride and calcium. If levels become too high or too low, your body has a way of alerting you, by making your heart stop or putting you in a coma. It’s clever like that.

Haji Ali spoke. ‘If you want to thrive in Baltistan, you must respect our ways. The first time you share tea with a Balti, you are a stranger. The second time you take tea, you are an honored guest. The third time you share a cup of tea, you become family, and for our family, we are prepared to do anything, even die. Doctor Greg, you must take time to share three cups of tea. We may be uneducated but we are not stupid. We have lived and survived here for a long time.’ That day, Haji Ali taught me the most important lesson I’ve ever learned in my life. We Americans think you have to accomplish everything quickly…Haji Ali taught me to share three cups of tea, to slow down and make building relationships as important as building projects. He taught me that I had more to learn from the people I work with than I could ever hope to teach them.

Maybe I wanted children, maybe I didn't, but I wanted the decision to be a choice, not a mandate. Last time I checked, childlessness was only supposed to be a condition of career advancement for nuns.

There are many ways to understand this. One simple way to know this is: today, if you lose your mental peace totally, you will go to a doctor. He will give you a pill. If you take this pill, your system will become peaceful. Maybe this will last just for a few hours, but you become peaceful. This pill is just a little bit of chemicals. These chemicals enter your system and make you peaceful. Or in other words, what you call peace is a certain kind of chemistry within you. Similarly, what you call joy, what you call love, what you call suffering, what you call misery, what you call fear, every human experience that you go through, has a chemical basis within you. Now the spiritual process is just to create the right kind of chemistry, where you are naturally peaceful, naturally joyous. When you are joyous by your own nature, when you don’t have to do anything to be happy, then the very dimension of your life, the very way you perceive and express yourself in the world will change. The very way you experience your life will change.

What patients seek is not scientific knowledge that doctors hide but existential authenticity each person must find on her own. Getting too deeply into statistics is like trying to quench a thirst with salty water. The angst of facing mortality has no remedy in probability.

Here's the thing about Hazel: Almost everyone is obsessed with leaving a mark upon the world. Bequeathing a legacy. Outlasting death. We all want to be remembered. I do, too. That's what bothers me most, is being another unremembered casualty in the ancient and inglorious war against disease. I want to leave a mark. But Van Houten: The marks humans leave are too often scars. You build a hideous minimall or start a coup or try to become a rock star and you think, "They'll remember me now," but (a) they don't remember you, and (b) all you leave behind are more scars. Your coup becomes a dictatorship. Your minimall becomes a lesion. ... We are like a bunch of dogs squirting on fire hydrants. We poison the groundwater with our toxic piss, marking everything MINE in a ridiculous attempt to survive our deaths. I can't stop pissing on fire hydrants. I know it's silly and useless--epically useless in my current state--but I am an animal like any other. Hazel is different. She walks lightly, old man. She walks lightly upon the earth. Hazel knows the truth: We're as likely to hurt the universe as we are to help it, and we're not likely to do either. People will say it's sad that she leaves a lesser scar, that fewer remember her, that she was loved deeply but not widely. But it's not sad, Van Houten. It's triumphant. It's heroic. Isn't that the real heroism? Like the doctors say: First, do no harm. The real heroes anyway aren't the people doing things; the real heroes are the people NOTICING things, paying attention. The guy who invented the smallpox vaccine didn't actually invent anything. He just noticed that people with cowpox didn't get smallpox. ... But then I wanted more time so we could fall in love. I got my wish, I suppose. I left my scar. ... What else? She is so beautiful. You don't get tired of looking at her. You never worry if she is smarter than you: You know she is. She is funny without ever being mean. I love her. I am so lucky to love her, Van Houten. You don't get to choose if you get hurt in this world, old man, but you do have some say in who hurts you. I like my choices. I hope she likes hers.

The students we saw were all bright, attractive, and polite, and the teachers all seemed to be smart and dedicated, and I began to appreciate the benefits of a private school education. If only I'd had the opportunity to attend a place like this, who knows what I might have become? Perhaps instead of a mere blood-spatter analyst who slunk away at night to kill without conscience, I could have become a doctor, or a physicist, or even a senator who slunk away at night to kill without conscience. It was terribly sad to think of all my wasted potential.

The Doctor: [hologram, speaking towards the console] This is Emergency Programme One. Rose, now listen, this is important. If this message is activated, then it can only mean one thing: we must be in danger, and I mean fatal. I'm dead, or about to die any second with no chance of escape. Rose Tyler: No! The Doctor: And that's OK, I hope it's a good death. But I promised to look after you, and that's what I'm doin'. The TARDIS is takin' you home. Rose Tyler: I won't let you. The Doctor: And I bet you're fussing and moaning now, typical. But hold on, and just listen a bit more. The TARDIS can never return for me. Emergency Programme One means I'm facing an enemy that should never get their hooves on this machine. So this is what you should do: let the TARDIS die. Just let this old box gather dust. No one can open it, no one will even notice it. Let it become a strange little thing standing on a street corner. And over the years, the world will move on, and the box will be buried. And if you wanna remember me, then you can do one thing. That's all, one thing. The Doctor: [hologram turns to face Rose, and with a full voice] Have a good life. Do that for me, Rose. Have a fantastic life.

I thought I had found my calling, I thought I'd understood that in order to heal, I could heal others, or at least the other "healable" people, the ones who can be saved - instead of moping because I can't save other people. So what does this mean - I'm supposed to become a doctor? Or a writer? It's a bit the same thing, no? (Paloma)

Everything teeters between pathos and bathos: here you are, violating society's most fundamental taboos and yet formaldehyde is a powerful appetite stimulant, so you also crave a burrito.

In the end, it cannot be doubted that each of us can see only a part of the picture. The doctor sees one, the patient another, the engineer a third, the economist a fourth, the pearl diver a fifth, the alcoholic a sixth, the cable guy a seventh, the sheep farmer an eighth, the Indian beggar a ninth, the pastor a tenth. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete. And Truth comes somewhere above all of them, where,

I’m fifteen and I feel like girl my age are under a lot of pressure that boys are not under. I know I am smart, I know I am kind and funny, and I know that everyone around me keeps telling me that I can be whatever I want to be. I know all this but I just don’t feel that way. I always feel like if I don’t look a certain way, if boys don’t think I’m ‘sexy’ or ‘hot’ then I’ve failed and it doesn’t even matter if I am a doctor or writer, I’ll still feel like nothing. I hate that I feel like that because it makes me seem shallow, but I know all of my friends feel like that, and even my little sister. I feel like successful women are only considered a success if they are successful AND hot, and I worry constantly that I won’t be. What if my boobs don’t grow, what if I don’t have the perfect body, what if my hips don’t widen and give me a little waist, if none of that happens I feel like what’s the point of doing anything because I’ll just be the ‘fat ugly girl’ regardless of whether I do become a doctor or not. I wish people would think about what pressure they are putting on everyone, not just teenage girls, but even older people – I watch my mum tear herself apart every day because her boobs are sagging and her skin is wrinkling, she feels like she is ugly even though she is amazing, but then I feel like I can’t judge because I do the same to myself. I wish the people who had real power and control the images and messages we get fed all day actually thought about what they did for once. I know the girls on page 3 are probably starving themselves. I know the girls in adverts are airbrushed. I know beauty is on the inside. But I still feel like I’m not good enough.

How little do doctors understand the hells through which we put patients.

Let me tell you the truth about the world to which you so desperately want to return. It is a place of pain and suffering and grief. When you left it, cities were being attacked. Women and children were being blasted to pieces or burned alive by bombs dropped from planes flown by men with wives and children of their own. People were being dragged from their homes and shot in the street. Your world is tearing itself apart, and the most amusing thing of all is that it was little better before the war started. War merely gives people an excuse to indulge themselves further, to murder with impunity. There were wars before it, and there will be wars after it, and in between people will fight one another and hurt one another and maim one another and betray one another, because that is what they have always done. And even if you avoid warfare and violent death, little boy, what else do you think life has in store for you? You have already seen what it is capable of doing. It took your mother from you, drained her of health and beauty, and then cast her aside like the withered, rotten husk of a fruit. It will take others from you too, mark me. Those whom you care about--lovers, children--will fall by the wayside, and your love will not be enough to save them. Your health will fail you. You will become old and sick. Your limbs will ache, your eyesight will fade, and your skin will grow lined and aged. There will be pains deep within that no doctor will be able to cure. Diseases will find a warm, moist place inside you and there they will breed, spreading through your system, corrupting it cell by cell until you pray for the doctors to let you die, to put you out of your misery, but they will not. Instead you will linger on, with no one to hold your hand or soothe your brow, as Death comes and beckons you into his darkness. The life you left behind you is no life at all. Here, you can be king, and I will allow you to age with dignity and without pain, and when the time comes for you to die, I will send you gently to sleep and you will awaken in the paradise of your choosing, for each man dreams his own heaven.

I've been lucky enough now in my life to meet all sorts of extraordinary and accomplished people - world leaders, inventors, musicians, astronauts, athletes, professors, entrepreneurs, artists and writers, pioneering doctors and researchers. Some (though not enough) of them are women. Some (though not enough) are black or of color. Some were born poor or have lives that to many of us would appear to have been unfairly heaped with adversity, and yet still they seem to operate as if they've had every advantage in the world. What I've learned is this: All of them have had doubters. Some continue to have roaring, stadium-sized collection of critics and naysayers who will shout I told you so at every little misstep or mistake. The noise doesn't go away, but the most successful people I know have figured out how to live with it, to lean on the people who believe in them, and to push onward with their goals.

To become a good dog-doctor it is necessary to love dogs, but it is also necessary to understand them - the same as with us, with the difference that it is easier to understand a dog than a man and easier to love him.

Time and time again, throughout the history of medical practice, what was once considered as "scientific" eventually becomes regarded as "bad practice".

CUSTOMER: Do you have a book with a list of careers? I want to give my daughter some inspiration. BOOKSELLER: Ah, is she applying to university? CUSTOMER: Oh no, not yet. She’s just over there. Sweetheart? (a four year old girl comes over) CUSTOMER: There you are. Now, you talk to the nice lady, and I’m going to find you a book on how to become a doctor or a scientist. What do you think about that? (The girl says nothing) CUSTOMER (to bookseller): Won’t be a sec. (Customer wanders off into non-fiction) BOOKSELLER: So, what’s your name? CHILD: Sarah. BOOKSELLER: Sarah? That’s a beautiful name. CHILD: Thank you. BOOKSELLER: So, Sarah, what do you want to be when you grow up? CHILD: . . . A bumblebee. BOOKSELLER: Excellent.

Don't you see, Doctor?" said Lasher. "The machines are to practically everbody what the white men were to the Indians. People are finding that, because of the way the machines are changing the world, more and more of their old values don't apply any more. People have no choice but to become second-rate machines themselves, or wards of the machines.

While all doctors treat diseases, neurosurgeons work in the crucible of identity: every operation on the brain is, by necessity, a manipulation of the substance of our selves, and every conversation with a patient undergoing brain surgery cannot help but confront this fact. In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability - or your mother's - to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand's function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

There was something else that [Christopher] Reeve told me privately, off camera, and it made me grin. While he was lying in the hospital, just becoming conscious with tubes connected to all parts of his body, a doctor in a white coat came in and with a Russian accent, commanded: "Turn over!" Are you nuts? Reeve thought. I said: 'Turn over!'" the doctor repeated. As Reeve was about to answer "the imbecile", he realized there was something familiar about the man in the white coat. He wasn't a doctor at all. He was Reeve's old buddy from acting school at Julliard, Robin Williams. Reeve waited for a breath, and almost choked with laughter. He realized, he told me, "If I can laugh, I can live.

In actual fact. The manifold sexualities - those which appear with the different ages (sexualities of the infant or the child), those which become fixated on particular tastes or practices (the sexuality of the invert, the gerontophile, the fetishist), those which, in a diffuse manner, invest relationships (the sexuality of doctor and patient, teacher and student, psychiatrist and mental patient), those which haunt spaces (the sexuality of the home, the school, the prison)- all form the correlate of exact procedures of power.

I don’t know whether you have ever seen a map of a person’s mind. Doctors sometimes draw maps of other parts of you, and your own map can become intensely interesting, but catch them trying to draw a map of a child’s mind, which is not only confused, but keeps going round all the time. There are zigzag lines on it, just like your temperature on a card, and these are probably roads on the island, for the Neverland is always more or less an island, with astonishing splashes of colour here and there, and coral reefs and rakish-looking craft in the offing, and savages and lonely lairs, and gnomes who are mostly tailors, and caves through which a river runs, and princes with sex elder brothers, and a hut fast going to decay, and one very small old lady with a hooked nose. It would be an easy map if that were all, but there is also first day at school, religion, fathers, the round pond, needle-work, murders, hangings, verbs that take the dative, chocolate-pudding day, getting into braces, say ninety-nine threepence for pulling out your tooth yourself, and so on, and either these are part of the island or they are another map showing through, and it is all rather confusing, especially as nothing will stand still. Of course the Neverlands vary a good deal. John’s, for instance, had a lagoon with flamingos flying over it at which John was shooting, while Michael, who was very small, had a flamingo with lagoons flying over it. John lived in a boat turned upside down on the sands, Michael in a wigwam, Wendy in a house of leaves deftly sewn together. John had no friends, Michael had friends at night, Wendy had a pet wolf forsaken by its parents...

But Amy Pond. Oh! The Sea had briefly been able to touch her mind — it knew that the Doctor was the most important thing in the world to her, and it had given a copy of him to her. If they spent enough time together, the copy would become every bit as good as the real Doctor. It stood there now, wheeling her down to the beach, one hand resting lightly on her shoulders, drawing all it could from her.

I understand now my father really thought he was doing me good. Education means a lot to Palestinians. We’ve become some of the most educated people in the world through our diaspora. We’ve had to be. When you ain’t got land, your degree may be your only solid ground. May father felt (feels) that being a doctor would give me security. How can I explain that I’m not safe from anything if I don’t write?

Situations produce vibrations. Negative, potentially harmful situations emit slow vibrations. Positive, potentially life-enhancing situations emit quick vibrations. As these vibrations impact on your energy field they produce either resonance or dissonance in your lower and middle tantiens (psychic power stations) depending on your own vibratory rate at the time. When you psychic field force is strong and your vibratory rate is fast, therefore, you will draw only positive situations to you. When you mind is quiet enough and your attention is on the moment, you will literally hear the dissonance in your belly and chest like an alarm bell going off, urging you from deep within your body to move in such and such a direction. Always follow it. At times these urges may come to you in the form of internally spoken dialogue with your higher self, spirit guide, guardian angel, alien intelligence, however you see the owner of the “still, small voice within.” This form of dialogue can be entertaining and reassuring but is best not overindulged in as, in the extreme; it tends to lead to the loony bin. At times you may receive your messages from “Indian signs”, such as slogans on passing trucks or cloud formations in the sky. This is also best kept in moderation, to avoid seeing signs in everything and becoming terribly confused. Just let it happen when it happens and don’t try looking for it.

Despite the doctor’s orders, I bought myself several cartons of cigarettes (…) I think that I preferred to put myself in serious danger rather than confront my shame. My shame at not having become someone, the shame of not having made my parents proud after all the sacrifices they had made for me. The shame of having become a mediocre nihilist.

Three weeks and I hadn't slept. Three weeks without sleep, and everything becomes an out-of-body-experience. My doctor said, "Insomnia is just the symptom of something larger. Find out what's actually wrong. Listen to your body." I just wanted to sleep. I wanted little blue Amytal Sodium capsules, 200-milligram-sized. I wanted red-and-blue Tuinal bullet capsules, lipstick-red Seconal.

Those of us who work in the field of trauma and abuse, whether psychologists, psychoanalysts, social workers, doctors, counselors, or psychotherapists, have been provided with beautiful tools for understanding the impact of trauma. We become adept at understanding the dynamic of why the messenger is always shot and broadcast the Bionic insight of why the visionary is not bearable to the group. However, when it comes to military mind control, abuse within religious belief groups or cults, and deliberately created dissociative identity disorder, we enter the least resourced field of all.

The wilderness once offered men a plausible way of life," the doctor said. "Now it functions as a psychiatric refuge. Soon there will be no wilderness." He sipped at his bourbon and ice. "Soon there will be no place to go. Then the madness becomes universal." Another thought. "And the universe goes mad.

At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability--or your mother's--to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for the small possibility of a fatal brain hemorrhage? Your right hand's function to stop seizures? How much neurological suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient, and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

A few years ago I heard Jerome Kagan, a distinguished emeritus professor of child psychology at Harvard, say to the Dalai Lama that for every act of cruelty in this world there are hundreds of small acts of kindness and connection. His conclusion: "To be benevolent rather than malevolent is probably a true feature of our species." Being able to feel safe with other people is probably the single most important aspect of mental health; safe connections are fundamental to meaningful and satisfying lives. Numerous studies of disaster response around the globe have shown that social support is the most powerful protection against becoming overwhelmed by stress and trauma. Social support is not the same as merely being in the presence of others. The critical issue is reciprocity: being truly heard and seen by the people around us, feeling that we are held in someone else's mind and heart. For our physiology to calm down, heal, and grow we need a visceral feeling of safety. No doctor can write a prescription for friendship and love: These are complex and hard-earned capacities. You don't need a history of trauma to feel self-conscious and even panicked at a party with strangers - but trauma can turn the whole world into a gathering of aliens.

I’d say that the quantity of boredom, if boredom is measurable, is much greater today than it once was. Because the old occupations, at least most of them, were unthinkable without a passionate involvement: the peasants in love with their land; my grandfather, the magician of beautiful tables; the shoemakers who knew every villager’s feet by heart; the woodsmen; the gardeners; probably even the soldiers killed with passion back then. The meaning of life wasn’t an issue, it was there with them, quite naturally in their workshops, in their fields. Each occupation had created its own mentality, its own way of being. A doctor would think differently from a peasant, a soldier would behave differently from a teacher. Today we’re all alike, all of us bound together by our shared apathy toward our work. That very apathy has become a passion. The one great collective passion of our time.

So what will happen to your consciousness [after you die]? *Your* consciousness, yours, not anyone else's. Well, what are *you*? There's the point. Let's try to find out. What is it about you that you have always known as yourself? What are you conscious of in yourself? Your kidneys? Your liver? Your blood vessels? No. However far back you go in your memory, it is always in some external, active manifestation of yourself that you come across your identity--in the work of your hands, in your family, in other people. And now listen carefully. You in others--this is your soul. This is what you are. This is what your consciousness has breathed and lived on and enjoyed throughout your life--your soul, your immortality, your life in others. And what now? You have always been in others and you will remain in others. And what does it matter to you if later on that is called your memory? This will be you--the you that enters the future and becomes part of it.

Yawn... I believe that I love sleep much more than anybody I’ve ever met. I have the ability to sleep for 2 or 3 days and nights. I will go to bed at any given moment. I often confused my girlfriends this way— say it would be about onethirty in the afternoon: “well, I’m going to bed now, I’m going to sleep…” most of them wouldn’t mind, they would go to bed with me thinking I was hinting for sex but I would just turn my back and snore off. this, of course, could explain why so many of my girlfriends left me. as for doctors, they were never any help: “listen, I have this desire to go to bed and sleep, almost all the time. what is wrong with me?” “do you get enough exercise?” “yes…” “are you getting enough nourishment?” “yes…” they always handed me a prescription which I threw away between the office and the parking lot. it’s a curious malady because I can’t sleep between 6 p.m. and midnight. it must occur after midnight and when I arise it can never be before noon. and should the phone ring say at 10:30 a.m. I go into a mad rage don’t even ask who the caller is scream into the phone: “WHAT ARE YOU CALLING ME FOR AT THIS HOUR!” hang up… every person, I suppose, has their eccentricities but in an effort to be normal in the world’s eye they overcome them and therefore destroy their special calling. I’ve kept mine and do believe that they have lent generously to my existence. I think it’s the main reason I decided to become a writer: I can type anytime and sleep when I damn well please.

LOVE THIS QUOTE 131 You know when sometimes you meet someone so beautiful and then you actually talk to them and five minutes later they're as dull as a brick? Then there's other people, when you meet them you think, "Not bad. They're okay." And then you get to know them and... and their face just sort of becomes them. Like their personality's written all over it. And they just turn into something so beautiful. — Amy Pond (Doctor Who Series)

the Vatican is an organization that excommunicates women for attempting to become priests13 but does not excommunicate male priests for raping children.14 It excommunicates doctors who perform abortions to save a mother’s life—even if the mother is a nine-year-old girl raped by her stepfather and pregnant with twins15—but it did not excommunicate a single member of the Third Reich for committing genocide.

The scientific study of suffering inevitably raises questions of causation, and with these, issues of blame and responsibility. Historically, doctors have highlighted predisposing vulnerability factors for developing PTSD, at the expense of recognizing the reality of their patients' experiences… This search for predisposing factors probably had its origins in the need to deny that all people can be stressed beyond endurance, rather than in solid scientific data; until recently such data were simply not available… When the issue of causation becomes a legitimate area of investigation, one is inevitably confronted with issues of man's inhumanity to man, with carelessness and callousness, with abrogation of responsibility, with manipulation and with failures to protect.

It's a book that is set over 160 year ago. A lot has changed. A lot hasn't. We are only just beginning to appreciate exactly how a person's powerlessness may lead to struggles with their mental health. With our understanding, statics showing higher rates of mental illness in women, people of color and other disenfranchised groups become translated into truth. NOT a biological deficiency as doctors first thought. But a cultural creation that, if wanted to, we could do something about.

Struggle toward the capital-T Truth, but recognize that the task is impossible—or that if a correct answer is possible, verification certainly is impossible. In the end, it cannot be doubted that each of us can see only part of the picture. The doctor sees one, the patient another, the engineer a third, the economist a fourth, the pearl diver a fifth, the alcoholic a sixth, the cable guy a seventh, the sheep farmer an eighth, the Indian beggar a ninth, the pastor a tenth. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete. And truth comes somewhere above all of them, where, as at the end of that Sunday’s reading: the sower and reaper can rejoice together. For here the saying is verified that “One sows and another reaps.” I sent you to reap what you have not worked for; others have done the work, and you are sharing the fruits of that work.

I met a doctor the other night who told me he had always wanted to be a writer. I nodded. People always tell me that...Then I thought to myself, 'You know, I've never met a writer who wanted to be anything else. They might bitch about something they're writing or about their poverty, but they never say they want to quit...and if they do abandon it they become crazy, drunk or suicidal.' Writing is elemental.

Few people outside medicine realize that what tortures doctors most is uncertainty, rather than the fact they often deal with people who are suffering or who are about to die. It is easy enough to let somebody die if one knows beyond doubt that they cannot be saved - if one is a decent doctor one will be sympathetic, but the situation is clear. This is life, and we all have to die sooner or later. It is when I do not know for certain whether I can help or not, or should help or not, that things become so difficult.

Musa Okwonga, the poet, journalist and essayist whose powerful ‘The Ungrateful Country’ closes the book, once said to me that the biggest burden facing people of colour in this country is that society deems us bad immigrants – job-stealers, benefit-scroungers, girlfriend-thieves, refugees – until we cross over in their consciousness, through popular culture, winning races, baking good cakes, being conscientious doctors, to become good immigrants. And we are so tired of that burden." (from "The Good Immigrant" by Nikesh Shukla)

This will not do,' he said to himself. 'If I go on like this I shall become a crazy fool. This must stop! I promised the doctor I would not take tea. Faith, he was pretty right! My nerves must have been getting in a queer state. Funny I did not notice it. I never felt better in my life. However it is all right now, and I shall not be such a fool again.' Then he mixed himself a good stiff glass of brandy and water and resolutely sat down to his work.

[Hot flashes] are the prime cause of sleep disruption in women over age fifty, Suzanne Woodward of Wayne State University School of Medicine reports. Her studies show that hot flashes in sleep occur about once an hour. Most prompt an arousal of three minutes or longer. Independently of their hot flashes, women who have them still awaken briefly every eight minutes on average. The sleep process dramatically blunts memory for awakenings, Woodward said, and in the morning women seldom realize how poorly they slept. Instead, they often focus on the daytime consequences of poor sleep, which include fatigue, lethargy, mood swings, depression, and irritability. Many women and their doctors, Woodward said, dismiss such symptoms as "just menopause." This is a mistake, she suggested, because treatment can reduce or eliminate hot flashes, aid sleep, relieve other symptoms, and improve a woman's quality of life. Treatment also helps keep frequent awakenings from becoming a bad habit that continues after hot flashes subside.

My doctors, who are not cavalier with prescriptions, give me this medication because I have earned their trust. And yet, with mounting government and public pressure, my doctors’ hands are becoming increasingly tied. They apologetically explain to me why they are required to make the medication even harder for me to get, against their own medical judgment. If the day ever comes when they aren’t allowed to prescribe Percocet to me at all, it may well be the end of the minimal quality of life I fight so hard to achieve.

This leaves us with the urgent question: How can we be or become a caring community, a community of people not trying to cover the pain or to avoid it by sophisticated bypasses, but rather share it as the source of healing and new life? It is important to realize that you cannot get a Ph.D. in caring, that caring cannot be delegated by specialists, and that therefore nobody can be excused from caring. Still, in a society like ours, we have a strong tendency to refer to specialists. When someone does not feel well, we quickly think, 'Where can we find a doctor?' When someone is confused, we easily advise him to go to a counselor. And when someone is dying, we quickly call a priest. Even when someone wants to pray we wonder if there is a minister around.

I heard exactly the same thing, a long time ago to be sure, from a doctor," the elder remarked. "He was then an old man, and unquestionably intelligent. He spoke just as frankly as you, humorously, but with a sorrowful humor. 'I love mankind,' he said, 'but I am amazed at myself: the more I love mankind in general, the less I love people in particular, that is, individually, as separate persons. In my dreams,' he said, 'I often went so far as to think passionately of serving mankind, and, it may be, would really have gone to the cross for people if it were somehow suddenly necessary, and yet I am incapable of living in the same room with anyone even for two days, this I know from experience. As soon as someone is there, close to me, his personality oppresses my self-esteem and restricts my freedom. In twenty-four hours I can begin to hate even the best of men: one because he takes too long eating his dinner, another because he has a cold and keeps blowing his nose. I become the enemy of people the moment they touch me,' he said. 'On the other hand, it has always happened that the more I hate people individually, the more ardent becomes my love for humanity as a whole.

The people of the heart—the painters, the poets, the musicians, the dancers, the actors—are all irrational. They create great beauty, they are great lovers, but they are absolutely unfit in a society that is arranged by the head. Your artists are thought by your society to be almost outcast, a little bit crazy, an insane type of people. Nobody wants his or her children to become musicians or painters or dancers. Everybody wants them to be doctors, engineers, scientists, because those professions pay. Painting, poetry, dance, are dangerous, risky—you may end up just a beggar on the street, playing on your flute.

The race of prophets is extinct. Europe is becoming set in its ways, slowly embalming itself beneath the wrappings of its borders, its factories, its law-courts and its universities. The frozen Mind cracks between the mineral staves which close upon it. The fault lies with your mouldy systems, your logic of 2 + 2 = 4. The fault lies with you, Chancellors, caught in the net of syllogisms. You manufacture engineers, magistrates, doctors, who know nothing of the true mysteries of the body or the cosmic laws of existence. False scholars blind outside this world, philosophers who pretend to reconstruct the mind. The least act of spontaneous creation is a more complex and revealing world than any metaphysics.

The disease of the soul is both more common and more deadly than the disease of the body. Just as medicine is the art devoted to healing the body, so philosophy is the art devoted to healing the soul, curing it of improper emotions, false beliefs, and faulty judgments, which are the causes of so much hardship and handicap. To heal the body one turns to the practitioner of the art of healing the body, but to heal the soul there is no doctor to turn to, and each of us is left to become that doctor unto himself. Yet, this need not stop us from exhorting others to imitate us in the godly art, in the forlorn hope that they might transform themselves into better citizens for Athens and better companions for us.

The fatal combination of indulgence without feeling disgusts me. Strange to be both greedy and dead. For myself, I prefer to hold my desires just out of reach of appetite, to keep myself honed and sharp. I want the keen edge of longing. it is so easy to be a brute and yet it has become rather fashionable. Is that the consequence of leaving your body to science? Of assuming that another pill, another drug, another car, another pocket-sized home-movie station, a DNA transfer, or the complete freedom of choice that five hundred TV channels must bring, will make everything all right? Will soothe the nagging pain in the heart that the latest laser scan refuses to diagnose? The doctor's surgery is full of men and women who do not know why they are unhappy. "Take this", says the Doctor, "you'll soon feel better." They do not feel better, because, little by little, they cease to feel at all.

So long as we have wage slavery," answered Schliemann, "it matters not in the least how debasing and repulsive a task may be, it is easy to find people to perform it. But just as soon as labor is set free, then the price of such work will begin to rise. So one by one the old, dingy, and unsanitary factories will come down— it will be cheaper to build new; and so the steamships will be provided with stoking machinery , and so the dangerous trades will be made safe, or substitutes will be found for their products. In exactly the same way, as the citizens of our Industrial Republic become refined, year by year the cost of slaughterhouse products will increase; until eventually those who want to eat meat will have to do their own killing— and how long do you think the custom would survive then?— To go on to another item— one of the necessary accompaniments of capitalism in a democracy is political corruption; and one of the consequences of civic administration by ignorant and vicious politicians, is that preventable diseases kill off half our population. And even if science were allowed to try, it could do little, because the majority of human beings are not yet human beings at all, but simply machines for the creating of wealth for others. They are penned up in filthy houses and left to rot and stew in misery, and the conditions of their life make them ill faster than all the doctors in the world could heal them; and so, of course, they remain as centers of contagion , poisoning the lives of all of us, and making happiness impossible for even the most selfish. For this reason I would seriously maintain that all the medical and surgical discoveries that science can make in the future will be of less importance than the application of the knowledge we already possess, when the disinherited of the earth have established their right to a human existence.

Then it happened. One night as the rain beat on the slanted kitchen roof a great spirit slipped forever into my life. I held his book in my hands and trembled as he spoke to me of man and the world, of love and wisdom, pain and guilt, and I knew I would never be the same. His name was Fyodor Mikhailovich Dostoyevsky. He knew more of fathers and sons than any man in the world, and of brothers and sisters, priests and rogues, guilt and innocence. Dostoyevsky changed me. The Idiot, The Possessed, The Brothers Karamazov, The Gambler. He turned me inside out. I found I could breathe, could see invisible horizons. The hatred for my father melted. I loved my father, poor, suffering, haunted wretch. I loved my mother too, and all my family. It was time to become a man, to leave San Elmo and go out into the world. I wanted to think and feel like Dostoyevsky. I wanted to write. The week before I left town the draft board summoned me to Sacramento for my physical. I was glad to go. Someone other than myself could make my decisions. The army turned me down. I had asthma. Inflammation of the bronchial tubes. “That’s nothing. I’ve always had it.” “See your doctor.” I got the needed information from a medical book at the public library. Was asthma fatal? It could be. And so be it. Dostoyevsky had epilepsy, I had asthma. To write well a man must have a fatal ailment. It was the only way to deal with the presence of death.

It was that summer, too, that I began the cutting, and was almost as devoted to it as to my newfound loveliness. I adored tending to myself, wiping a shallow red pool of my blood away with a damp washcloth to magically reveal, just above my naval: queasy. Applying alcohol with dabs of a cotton ball, wispy shreds sticking to the bloody lines of: perky. I had a dirty streak my senior year, which I later rectified. A few quick cuts and cunt becomes can't, cock turns into back, clit transforms to a very unlikely cat, the l and i turned into a teetering capital A. The last words I ever carved into myself, sixteen years after I started: vanish. Sometimes I can hear the words squabbling at each other across my body. Up on my shoulder, panty calling down to cherry on the inside of my right ankle. On the underside of a big toe, sew uttering muffled threats to baby, just under my left breast. I can quiet them down by thinking of vanish, always hushed and regal, lording over the other words from the safety of the nape of my neck. Also: At the center of my back, which was too difficult to reach, is a circle of perfect skin the size of a fist. Over the years I've made my own private jokes. You can really read me. Do you want me to spell it out for you? I've certainly given myself a life sentence. Funny, right? I can't stand to look myself without being completely covered. Someday I may visit a surgeon, see what can be done to smooth me, but now I couldn't bear the reaction. Instead I drink so I don't think too much about what I've done to my body and so I don't do any more. Yet most of the time that I'm awake, I want to cut. Not small words either. Equivocate. Inarticulate. Duplicitous. At my hospital back in Illinois they would not approve of this craving. For those who need a name, there's a gift basket of medical terms. All I know is that the cutting made me feel safe. It was proof. Thoughts and words, captured where I could see them and track them. The truth, stinging, on my skin, in a freakish shorthand. Tell me you're going to the doctor, and I'll want to cut worrisome on my arm. Say you've fallen in love and I buzz the outlines of tragic over my breast. I hadn't necessarily wanted to be cured. But I was out of places to write, slicing myself between my toes - bad, cry - like a junkie looking for one last vein. Vanish did it for me. I'd saved the neck, such a nice prime spot, for one final good cutting. Then I turned myself in.

Although it is important to be able to recognise and disclose symptom of physical illnesses or injury, you need to be more careful about revealing psychiatric symptoms. Unless you know that your doctor understands trauma symptoms, including dissociation, you are wise not to reveal too much. Too many medical professionals, including psychiatrists, believe that hearing voices is a sign of schizophrenia, that mood swings mean bipolar disorder which has to be medicated, and that depression requires electro-convulsive therapy if medication does not relieve it sufficiently. The “medical model” simply does not work for dissociation, and many treatments can do more harm than good... You do not have to tell someone everything just because he is she is a doctor. However, if you have a therapist, even a psychiatrist, who does understand, you need to encourage your parts to be honest with that person. Then you can get appropriate help.

As you progress with your sadhana you may find it necessary to change your occupation. Or you may find that it is only necessary to change the way in which you perform your current occupation in order to bring it into line with your new understanding of how it all is. The more conscious that a being becomes, the more he can use any occupation as a vehicle for spreading light. The next true being of Buddha-nature that you meet may appear as a bus driver, a doctor, a weaver, an insurance salesman, a musician, a chef, a teacher, or any of the thousands of roles that are required in a complex society—the many parts of Christ’s body. You will know him because the simple dance that may transpire between you—such as handing him change as you board the bus—will strengthen in you the faith in the divinity of man. It’s as simple as that.

Perhaps I was mad, as I thought at moments; perhaps I was not like other men? But I was able to do the same things the others did; with a little effort and industry I could read Plato, was able to solve problems in trigonometry or follow a chemical analysis. These was only one thing I could not do: wrest the dark secret goal from myself and keep it before me as others did who knew exactly what they wanted to be- professors, lawyers, doctors, artists, however long this would take them and whatever difficulties and advantages this decision would bear in its wake. This I could not do. Perhaps I would become something similar but how was I to know? Perhaps I would have to continue my search for years on end and would not become anything, and would not reach a goal. Perhaps I would reach this goal but it would turn out to be an evil, dangerous, horrible one?

There is a great deal of illusion in a work of art; one could go farther and say that it is illusory in and of itself, as a "work." Its ambition is to make others believe that it was not made but rather simply arose, burst forth from Jupiter's head like Pallas Athena fully adorned in enchased armor. But that is only a pretense. No work has ever come into being that way. It is indeed work, artistic labor for the purpose of illusion-and now the question arises whether, given the current state of our consciousness, our comprehension, and our sense of truth, the game is still permissible, still intellectually possible, can still be taken seriously; whether the work as such, as a self-sufficient and harmonically self-contained structure, still stands in a legitimate relation to our problematical social condition, with its total insecurity and lack of harmony; whether all illusion, even the most beautiful, and especially the most beautiful, has not become a lie today.

Single parenting isn’t just being the only one to take care of your kid. It’s not about being able to “tap out” for a break or tag team bath- and bedtime; those were the least of the difficulties I faced. I had a crushing amount of responsibility. I took out the trash. I brought in the groceries I had gone to the store to select and buy. I cooked. I cleaned. I changed out the toilet paper. I made the bed. I dusted. I checked the oil in the car. I drove Mia to the doctor, to her dad's house. I drove her to ballet class if I could find one that offered scholarships and then drove her back home again. I watched every twirl, every jump, and every trip down the slide. It was me who pushed her on the swing, put her to sleep at night, kissed her when she fell. When I sat down, I worried. With the stress gnawing at my stomach, worrying. I worried that my paycheck might not cover bills that month. I worried about Christmas, still four months away. I worried that Mia's cough might become a sinus infection that would keep her out of day care... . I worried that I would have to reschedule work or miss it altogether.

We walked into my mother's house at 10:30 in the morning at the end of February 1992. I had been gone for three weeks. She had been so desperate about us - she, too, looked thin and haggard. She was stunned to see me walk in, filthy and crawling with lice, with a huge crowd of starving people. We ate and drank clean water; then, before we even washed, I put Marian in a taxi with me and told the driver to go to Nairobi Hospital. We had no money left and I knew Nairobi Hospital was expensive; it was where I had been operated on when the ma'alim broke my skull. But I also knew that there they would help us first and ask to pay later. Saving the baby's life had become the only thing that mattered to me. At the reception desk I announced, "This baby is going to die," and the nurse's eyes went wide with horror. She took him and put a drip in his arm, and very slowly, this tiny shape seemed to uncrumple slightly. After a little while, his eyes opened. The nurse said, "The child will live," and told us to deal with the bill at the cash desk. I asked her who her director was, and found him, and told this middle-aged Indian doctor the whole story. I said I couldn't pay the bill. He took it and tore it up. He said it didn't matter. Then he told me how to look after the baby, and where to get rehydration salts, and we took a taxi home. Ma paid for the taxi and looked at me, her eyes round with respect. "Well done," she said. It was a rare compliment. In the next few days the baby began filling out, growing from a crumpled horror-movie image into a real baby, watchful, alive.

Several years ago, researchers at the University of Minnesota identified 568 men and women over the age of seventy who were living independently but were at high risk of becoming disabled because of chronic health problems, recent illness, or cognitive changes. With their permission, the researchers randomly assigned half of them to see a team of geriatric nurses and doctors—a team dedicated to the art and science of managing old age. The others were asked to see their usual physician, who was notified of their high-risk status. Within eighteen months, 10 percent of the patients in both groups had died. But the patients who had seen a geriatrics team were a quarter less likely to become disabled and half as likely to develop depression. They were 40 percent less likely to require home health services. These were stunning results. If scientists came up with a device—call it an automatic defrailer—that wouldn’t extend your life but would slash the likelihood you’d end up in a nursing home or miserable with depression, we’d be clamoring for it. We wouldn’t care if doctors had to open up your chest and plug the thing into your heart. We’d have pink-ribbon campaigns to get one for every person over seventy-five. Congress would be holding hearings demanding to know why forty-year-olds couldn’t get them installed. Medical students would be jockeying to become defrailulation specialists, and Wall Street would be bidding up company stock prices. Instead, it was just geriatrics. The geriatric teams weren’t doing lung biopsies or back surgery or insertion of automatic defrailers. What they did was to simplify medications. They saw that arthritis was controlled. They made sure toenails were trimmed and meals were square. They looked for worrisome signs of isolation and had a social worker check that the patient’s home was safe. How do we reward this kind of work? Chad Boult, the geriatrician who was the lead investigator of the University of Minnesota study, can tell you. A few months after he published the results, demonstrating how much better people’s lives were with specialized geriatric care, the university closed the division of geriatrics.

Have you ever thought about it? If somebody asks, “Who are you?” what do you answer? You say your name. The name is not yours, because you came into the world without a name. You came nameless; it is not your property, it has been given to you. And any name, A-B-C-D, would have been useful. It is arbitrary. It is not essential in any way. If you are called “Susan” good; if you are called “Harry” good, it makes no difference. Any name would have been as applicable to you as any other. It is just a label. A name is needed to call you by, but it has nothing to do with your being. Or you say, “I am a doctor” or you say, “I am an engineer”—or a businessman, or a painter, or this and that—but nothing says anything about you. When you say, “I am a doctor,” you say something about your profession, not about you. You say how you earn your living. You don’t say anything about life, you say something about your living. You may be earning your living as an engineer, or as a doctor, or as a businessman—it is irrelevant. It does not say anything about you. Or you say your father’s name, your mother’s name, you give your family tree—that too is irrelevant because that doesn’t define you. Your being born in a particular family is accidental; you could as well have been born in another family and you would not even have noticed the difference. These are just utilitarian tricks—and man becomes a “self.” This self is a pseudoself, a created, manufactured self, homemade. And your own real self remains deep down hidden in mist and mystery. I was reading:

New Rule: Not everything in America has to make a profit. If conservatives get to call universal health care "socialized medicine," I get to call private, for-profit health care "soulless vampire bastards making money off human pain." Now, I know what you're thinking: "But, Bill, the profit motive is what sustains capitalism." Yes, and our sex drive is what sustains the human species, but we don't try to fuck everything. It wasn't that long ago when a kid in America broke his leg, his parents took him to the local Catholic hospital, the nun stuck a thermometer in his ass, the doctor slapped some plaster on his ankle, and you were done. The bill was $1.50; plus, you got to keep the thermometer. But like everything else that's good and noble in life, some bean counter decided that hospitals could be big business, so now they're not hospitals anymore; they're Jiffy Lubes with bedpans. The more people who get sick, and stay sick, the higher their profit margins, which is why they're always pushing the Jell-O. Did you know that the United States is ranked fiftieth in the world in life expectancy? And the forty-nine loser countries were they live longer than us? Oh, it's hardly worth it, they may live longer, but they live shackled to the tyranny of nonprofit health care. Here in America, you're not coughing up blood, little Bobby, you're coughing up freedom. The problem with President Obama's health-care plan isn't socialism. It's capitalism. When did the profit motive become the only reason to do anything? When did that become the new patriotism? Ask not what you could do for your country, ask what's in it for Blue Cross Blue Shield. And it's not just medicine--prisons also used to be a nonprofit business, and for good reason--who the hell wants to own a prison? By definition, you're going to have trouble with the tenants. It's not a coincidence that we outsourced running prisons to private corporations and then the number of prisoners in America skyrocketed. There used to be some things we just didn't do for money. Did you know, for example, there was a time when being called a "war profiteer" was a bad thing? FDR said he didn't want World War II to create one millionaire, but I'm guessing Iraq has made more than a few executives at Halliburton into millionaires. Halliburton sold soldiers soda for $7.50 a can. They were honoring 9/11 by charging like 7-Eleven. Which is wrong. We're Americans; we don't fight wars for money. We fight them for oil. And my final example of the profit motive screwing something up that used to be good when it was nonprofit: TV news. I heard all the news anchors this week talk about how much better the news coverage was back in Cronkite's day. And I thought, "Gee, if only you were in a position to do something about it.

Filth, filth, filth, from morning to night. I know they're poor but they could wash. Water is free and soap is cheap. Just look at that arm, nurse.' The nurse looked and clucked in horror. Francie stood there with the hot flamepoints of shame burning her face. The doctor was a Harvard man, interning at the neighborhood hospital. Once a week, he was obliged to put in a few hours at one of the free clinics. He was going into a smart practice in Boston when his internship was over. Adopting the phraseology of the neighborhood, he referred to his Brooklyn internship as going through Purgatory, when he wrote to his socially prominent fiancee in Boston. The nurse was as Williamsburg girl... The child of poor Polish immigrants, she had been ambitious, worked days in a sweatshop and gone to school at night. Somehow she had gotten her training... She didn't want anyone to know she had come from the slums. After the doctor's outburst, Francie stood hanging her head. She was a dirty girl. That's what the doctor meant. He was talking more quietly now asking the nurse how that kind of people could survive; that it would be a better world if they were all sterilized and couldn't breed anymore. Did that mean he wanted her to die? Would he do something to make her die because her hands and arms were dirty from the mud pies? She looked at the nurse... She thought the nurse might say something like: Maybe this little girl's mother works and didn't have time to wash her good this morning,' or, 'You know how it is, Doctor, children will play in the dirt.' But what the nurse actuallly said was, 'I know, Isn't it terrible? I sympathize with you, Doctor. There is no excuse for these people living in filth.' A person who pulls himself up from a low environment via the bootstrap route has two choices. Having risen above his environment, he can forget it; or, he can rise above it and never forget it and keep compassion and understanding in his heart for those he has left behind him in the cruel upclimb. The nurse had chosen the forgetting way. Yet, as she stood there, she knew that years later she would be haunted by the sorrow in the face of that starveling child and that she would wish bitterly that she had said a comforting word then and done something towards the saving of her immortal soul. She had the knowledge that she was small but she lacked the courage to be otherwise. When the needle jabbed, Francie never felt it. The waves of hurt started by the doctor's words were racking her body and drove out all other feeling. While the nurse was expertly tying a strip of gauze around her arm and the doctor was putting his instrument in the sterilizer and taking out a fresh needle, Francie spoke up. My brother is next. His arm is just as dirty as mine so don't be suprised. And you don't have to tell him. You told me.' They stared at this bit of humanity who had become so strangely articulate. Francie's voice went ragged with a sob. 'You don't have to tell him. Besides it won't do no godd. He's a boy and he don't care if he is dirty.'... As the door closed, she heard the doctor's suprised voice. I had no idea she'd understand what I was saying.' She heard the nurse say, 'Oh, well,' on a sighing note.

It’s normally agreed that the question “How are you?” doesn’t put you on your oath to give a full or honest answer. So when asked these days, I tend to say something cryptic like, “A bit early to say.” (If it’s the wonderful staff at my oncology clinic who inquire, I sometimes go so far as to respond, “I seem to have cancer today.”) Nobody wants to be told about the countless minor horrors and humiliations that become facts of “life” when your body turns from being a friend to being a foe: the boring switch from chronic constipation to its sudden dramatic opposite; the equally nasty double cross of feeling acute hunger while fearing even the scent of food; the absolute misery of gut–wringing nausea on an utterly empty stomach; or the pathetic discovery that hair loss extends to the disappearance of the follicles in your nostrils, and thus to the childish and irritating phenomenon of a permanently runny nose. Sorry, but you did ask... It’s no fun to appreciate to the full the truth of the materialist proposition that I don’t have a body, I am a body. But it’s not really possible to adopt a stance of “Don’t ask, don’t tell,” either. Like its original, this is a prescription for hypocrisy and double standards. Friends and relatives, obviously, don’t really have the option of not making kind inquiries. One way of trying to put them at their ease is to be as candid as possible and not to adopt any sort of euphemism or denial. The swiftest way of doing this is to note that the thing about Stage Four is that there is no such thing as Stage Five. Quite rightly, some take me up on it. I recently had to accept that I wasn’t going to be able to attend my niece’s wedding, in my old hometown and former university in Oxford. This depressed me for more than one reason, and an especially close friend inquired, “Is it that you’re afraid you’ll never see England again?” As it happens he was exactly right to ask, and it had been precisely that which had been bothering me, but I was unreasonably shocked by his bluntness. I’ll do the facing of hard facts, thanks. Don’t you be doing it too. And yet I had absolutely invited the question. Telling someone else, with deliberate realism, that once I’d had a few more scans and treatments I might be told by the doctors that things from now on could be mainly a matter of “management,” I again had the wind knocked out of me when she said, “Yes, I suppose a time comes when you have to consider letting go.” How true, and how crisp a summary of what I had just said myself. But again there was the unreasonable urge to have a kind of monopoly on, or a sort of veto over, what was actually sayable. Cancer victimhood contains a permanent temptation to be self–centered and even solipsistic.

One of my greatest fears is family decline.There’s an old Chinese saying that “prosperity can never last for three generations.” I’ll bet that if someone with empirical skills conducted a longitudinal survey about intergenerational performance, they’d find a remarkably common pattern among Chinese immigrants fortunate enough to have come to the United States as graduate students or skilled workers over the last fifty years. The pattern would go something like this: • The immigrant generation (like my parents) is the hardest-working. Many will have started off in the United States almost penniless, but they will work nonstop until they become successful engineers, scientists, doctors, academics, or businesspeople. As parents, they will be extremely strict and rabidly thrifty. (“Don’t throw out those leftovers! Why are you using so much dishwasher liquid?You don’t need a beauty salon—I can cut your hair even nicer.”) They will invest in real estate. They will not drink much. Everything they do and earn will go toward their children’s education and future. • The next generation (mine), the first to be born in America, will typically be high-achieving. They will usually play the piano and/or violin.They will attend an Ivy League or Top Ten university. They will tend to be professionals—lawyers, doctors, bankers, television anchors—and surpass their parents in income, but that’s partly because they started off with more money and because their parents invested so much in them. They will be less frugal than their parents. They will enjoy cocktails. If they are female, they will often marry a white person. Whether male or female, they will not be as strict with their children as their parents were with them. • The next generation (Sophia and Lulu’s) is the one I spend nights lying awake worrying about. Because of the hard work of their parents and grandparents, this generation will be born into the great comforts of the upper middle class. Even as children they will own many hardcover books (an almost criminal luxury from the point of view of immigrant parents). They will have wealthy friends who get paid for B-pluses.They may or may not attend private schools, but in either case they will expect expensive, brand-name clothes. Finally and most problematically, they will feel that they have individual rights guaranteed by the U.S. Constitution and therefore be much more likely to disobey their parents and ignore career advice. In short, all factors point to this generation

There was once a town in the heart of America where all life seemed to live in harmony with its surroundings. The town lay in the midst of a checkerboard of prosperous farms, with fields of grain and hillsides of orchards where, in spring, white clouds of bloom drifted above the green fields. In autumn, oak and maple and birch set up a blaze of color that flamed and flickered across a backdrop of pines. Then foxes barked in the hills and deer silently crossed the fields, half hidden in the mists of the fall mornings. Along the roads, laurel, viburnum, and alder, great ferns and wildflowers delighted the traveler's eye through much of the year. Even in winter the roadsides were places of beauty, where countless birds came to feed on the berries and on the seed heads of the dried weeds rising above the snow. The countryside was, in fact, famous for the abundance and variety of its bird life, and when the flood of migrants was pouring through in spring and fall people traveled from great distances to observe them. Others came to fish the streams, which flowed clear and cold out of the hills and contained shady pools where trout lay. So it had been from the days many years ago when the first settlers raised their homes, sank their wells, and built their barns. Then a strange blight crept over the area and everything began to change. Some evil spell had settled on the community: mysterious maladies swept the flocks of chickens, the cattle, and sheep sickened and died. Everywhere was a shadow of death. The farmers spoke of much illness among their families. In the town the doctors had become more and more puzzled by new kinds of sickness appearing among their patients. There had been sudden and unexplained deaths, not only among adults but even among children whoe would be stricken suddently while at play and die within a few hours. There was a strange stillness. The birds, for example--where had they gone? Many people spoke of them, puzzled and disturbed. The feeding stations in the backyards were deserted. The few birds seen anywhere were moribund; they trembled violently and could not fly. It was a spring without voices. On the mornings that had once throbbed with the dawn chorus of robins, catbirds, doves, jays, wrens, and scores of other bird voices there was no sound; only silence lay over the fields and woods and marsh. On the farms the hens brooded, but no chicks hatched. The farmers complained that they were unable to raise any pigs--the litters were small and the young survived only a few days. The apple trees were coming into bloom but no bees droned among the blossoms, so there was no pollination and there would be no fruit. The roadsides, once so attractive, were now lined with browned and withered vegetation as though swept by fire. These, too, were silent, deserted by all living things. Even the streams were not lifeless. Anglers no longer visited them, for all the fish had died. In the gutters under the eaves and between the shingles of the roofs, a white granular powder still showed a few patches; some weeks before it had fallen like snow upon the roofs and the lawns, the fields and streams. No witchcraft, no enemy action had silenced the rebirth of life in this stricken world. The people had done it to themselves.

DEAR MAMA, I’m sorry it’s taken me so long to write. Every time I try to write to you and Papa I realize I’m not saying the things that are in my heart. That would be O.K., if I loved you any less than I do, but you are still my parents and I am still your child. I have friends who think I’m foolish to write this letter. I hope they’re wrong. I hope their doubts are based on parents who loved and trusted them less than mine do. I hope especially that you’ll see this as an act of love on my part, a sign of my continuing need to share my life with you. I wouldn’t have written, I guess, if you hadn’t told me about your involvement in the Save Our Children campaign. That, more than anything, made it clear that my responsibility was to tell you the truth, that your own child is homosexual, and that I never needed saving from anything except the cruel and ignorant piety of people like Anita Bryant. I’m sorry, Mama. Not for what I am, but for how you must feel at this moment. I know what that feeling is, for I felt it for most of my life. Revulsion, shame, disbelief—rejection through fear of something I knew, even as a child, was as basic to my nature as the color of my eyes. No, Mama, I wasn’t “recruited.” No seasoned homosexual ever served as my mentor. But you know what? I wish someone had. I wish someone older than me and wiser than the people in Orlando had taken me aside and said, “You’re all right, kid. You can grow up to be a doctor or a teacher just like anyone else. You’re not crazy or sick or evil. You can succeed and be happy and find peace with friends—all kinds of friends—who don’t give a damn who you go to bed with. Most of all, though, you can love and be loved, without hating yourself for it.” But no one ever said that to me, Mama. I had to find it out on my own, with the help of the city that has become my home. I know this may be hard for you to believe, but San Francisco is full of men and women, both straight and gay, who don’t consider sexuality in measuring the worth of another human being. These aren’t radicals or weirdos, Mama. They are shop clerks and bankers and little old ladies and people who nod and smile to you when you meet them on the bus. Their attitude is neither patronizing nor pitying. And their message is so simple: Yes, you are a person. Yes, I like you. Yes, it’s all right for you to like me too. I know what you must be thinking now. You’re asking yourself: What did we do wrong? How did we let this happen? Which one of us made him that way? I can’t answer that, Mama. In the long run, I guess I really don’t care. All I know is this: If you and Papa are responsible for the way I am, then I thank you with all my heart, for it’s the light and the joy of my life. I know I can’t tell you what it is to be gay. But I can tell you what it’s not. It’s not hiding behind words, Mama. Like family and decency and Christianity. It’s not fearing your body, or the pleasures that God made for it. It’s not judging your neighbor, except when he’s crass or unkind. Being gay has taught me tolerance, compassion and humility. It has shown me the limitless possibilities of living. It has given me people whose passion and kindness and sensitivity have provided a constant source of strength. It has brought me into the family of man, Mama, and I like it here. I like it. There’s not much else I can say, except that I’m the same Michael you’ve always known. You just know me better now. I have never consciously done anything to hurt you. I never will. Please don’t feel you have to answer this right away. It’s enough for me to know that I no longer have to lie to the people who taught me to value the truth. Mary Ann sends her love. Everything is fine at 28 Barbary Lane. Your loving son, MICHAEL

No, he would never know his father, who would continue to sleep over there, his face for ever lost in the ashes. There was a mystery about that man, a mystery he had wanted to penetrate. But after all there was only the mystery of poverty that creates beings without names and without a past, that sends them into the vast throng of the nameless dead who made the world while they themselves were destroyed for ever. For it was just that that his father had in common with the men of the Labrador. The Mahon people of the Sahel, the Alsatians on the high plateaus, with this immense island between sand and sea, which the enormous silence was now beginning to envelop: the silence of anonymity; it enveloped blood and courage and work and instinct, it was at once cruel and compassionate. And he who had wanted to escape from the country without name, from the crowd and from a family without a name, but in whom something had gone on craving darkness and anonymity - he too was a member of the tribe, marching blindly into the night near the old doctor who was panting at his right, listening to the gusts of music coming from the square, seeing once more the hard inscrutable faces of the Arabs around the bandstands, Veillard's laughter and his stubborn face - also seeing with a sweetness and a sorrow that wrung his heart the deathly look on his mother's face at the time of the bombing - wandering though the night of the years in the land of oblivion where each one is the first man, where he had to bring himself up, without a father, having never known those moments when a father would call his son, after waiting for him to reach the age of listening, to tell him the family's secret, or a sorrow of long ago, or the experience of his life, those moments when even the ridiculous and hateful Polonius all of a sudden becomes great when he is speaking to Laertes; and he was sixteen, then he was twenty, and no one had spoken to him, and he had to learn by himself, to grow alone, in fortitude, in strength, find his own morality and truth, at last to be born as a man and then to be born in a harder childbirth, which consists of being born in relation to others, to women, like all the men born in this country who, one by one, try to learn without roots and without faith, and today all of them are threatened with eternal anonymity and the loss of the only consecrated traces of their passage on this earth, the illegible slabs in the cemetery that the night has now covered over; they had to learn how to live in relation to others, to the immense host of the conquerors, now dispossessed, who had preceded them on this land and in whom they now had to recognise the brotherhood of race and destiny.