Cancer Best Quotes

We all have the best laid plans for our children, and they go and ruin it all by growing up any way they want to. What the hell was it all for, then? (Real Life and Liars)

Remember laughing? Laughter enhances the blood flow to the body’s extremities and improves cardiovascular function. Laughter releases endorphins and other natural mood elevating and pain-killing chemicals, improves the transfer of oxygen and nutrients to internal organs. Laughter boosts the immune system and helps the body fight off disease, cancer cells as well as viral, bacterial and other infections. Being happy is the best cure of all diseases!

I have nothing but contempt for the people who despise money. They are hypocrites or fools. Money is like a sixth sense without which you cannot make a complete use of the other five. Without an adequate income half the possibilities of life are shut off. The only thing to be careful about is that you do not pay more than a shilling for the shilling you earn. You will hear people say that poverty is the best spur to the artist. They have never felt the iron of it in their flesh. They do not know how mean it makes you. It exposes you to endless humiliation, it cuts your wings, it eats into your soul like a cancer.

In the fixed mindset, everything is about the outcome. If you fail—or if you’re not the best—it’s all been wasted. The growth mindset allows people to value what they’re doing regardless of the outcome . They’re tackling problems, charting new courses, working on important issues. Maybe they haven’t found the cure for cancer, but the search was deeply meaningful.

I got schooled this year. By everyone. By my little brother... by The Avett Brothers... by my mother, my best friend, my teacher, my father, and by a boy. a boy that I'm seriously, deeply, madly, incredibly, and undeniably in love with... I got so schooled this year. By a nine-year-old. He taught me that it's okay to live life a little backwards. And how to laugh At what you would think is un-laughable. I got schooled this year By a Band! They taught me how to find that feeling of feeling again. They taught me how to decide what to be And go be it. I got schooled this year. By a cancer patient. She taught me so much. She's still teaching me so much. She taught me to question. To never regret. She taught me to push my boundaries, Because that's what they're there for. She told me to find a balance between head and heart And then she taught me how... I got schooled this year By a Foster Kid She taught me to respect the hand that I was dealt. And to be grateful I was even dealt a hand. She taught me that family Doesn't have to be blood. Sometimes your family are your friends. I got schooled this year By my teacher He taught me That the points are not the point, The point is poetry... I got schooled this year By my father. He taught me that hero's aren't always invincible And that the magic is within me.. I got schooled this year by a Boy. a boy that I'm seriously, deeply, madly, incredibly, and undeniably in love with. And he taught me the most important thing of all... To put the emphasis On life.

Principal Brill, those costumes were made by my mother. My mother, who has stage four small-cell lung cancer. My mother, who will never watch her little boy celebrate another Halloween again. My mother, who will more than likely experience a year of 'lasts'. Last Christmas. Last birthday. Last Easter. And if God is willing, her last Mother's Day. My mother, who when asked by her nine-year-old son if he could be her cancer for Halloween, had no choice but to make him the best cancerous tumor-riden lung costume she could. So if you think it's so offensive, I suggest you drive them home yourself and tell my mother to her face. Do you need my address?

We must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one’s predicament into a human achievement. When we are no longer able to change a situation—just think of an incurable disease such as inoperable cancer—we are challenged to change ourselves.

There is nothing worse than fear. Fear is worse than cancer, fear is worse than torture, fear is worse than betrayal and fear is even worse than death.

It's like they say about soldiers coming back from war. People all around you are dying. Really dying, Eric. You go in for a week's chemotherapy and you're in a ward with people who are really, actually dying, there and then and doing their best to come to terms with it. When the week's up, you go home and you see your family and your friends and everything's normal and familiar. It's too much. You think - one world can't possibly hold both these lives and you feel like you're going to go crazy when you realise the world is that big and it can fill with the most terrible things whenever it wants to.

The best way to deal with 'Change' is to lead it!

I didn’t have a boyfriend. I had someone to watch horror movies with while my best friend was too sick with cancer.

But a radical new body of evidence shows that people are at their best—physically harder, mentally tougher, and spiritually sounder—after experiencing the same discomforts our early ancestors were exposed to every day. Scientists are finding that certain discomforts protect us from physical and psychological problems like obesity, heart disease, cancers, diabetes, depression, and anxiety, and even more fundamental issues like feeling a lack of meaning and purpose.

So if I asked you about art, you'd probably give me the skinny on every art book ever written. Michelangelo, you know a lot about him. Life's work, political aspirations, him and the pope, sexual orientations, the whole works, right? But I'll bet you can't tell me what it smells like in the Sistine Chapel. You've never actually stood there and looked up at that beautiful ceiling; seen that. If I ask you about women, you'd probably give me a syllabus about your personal favorites. You may have even been laid a few times. But you can't tell me what it feels like to wake up next to a woman and feel truly happy. You're a tough kid. And I'd ask you about war, you'd probably throw Shakespeare at me, right, "once more unto the breach dear friends." But you've never been near one. You've never held your best friend's head in your lap, watch him gasp his last breath looking to you for help. I'd ask you about love, you'd probably quote me a sonnet. But you've never looked at a woman and been totally vulnerable. Known someone that could level you with her eyes, feeling like God put an angel on earth just for you. Who could rescue you from the depths of hell. And you wouldn't know what it's like to be her angel, to have that love for her, be there forever, through anything, through cancer. And you wouldn't know about sleeping sitting up in the hospital room for two months, holding her hand, because the doctors could see in your eyes, that the terms "visiting hours" don't apply to you. You don't know about real loss, 'cause it only occurs when you've loved something more than you love yourself. And I doubt you've ever dared to love anybody that much. And look at you... I don't see an intelligent, confident man... I see a cocky, scared shitless kid. But you're a genius Will. No one denies that. No one could possibly understand the depths of you. But you presume to know everything about me because you saw a painting of mine, and you ripped my fucking life apart. You're an orphan right? [Will nods] Sean: You think I know the first thing about how hard your life has been, how you feel, who you are, because I read Oliver Twist? Does that encapsulate you? Personally... I don't give a shit about all that, because you know what, I can't learn anything from you, I can't read in some fuckin' book. Unless you want to talk about you, who you are. Then I'm fascinated. I'm in. But you don't want to do that do you sport? You're terrified of what you might say. Your move, chief.

He’s retired, he’s just turned sixty, you know. And on the actual day of his retirement it turned out he wasn’t a radiologist at heart at all, he didn’t want to spend another day of his life on medicine. He’d always wanted to be a beekeeper, and now bees are the only thing he’ll take an interest in. How do these things happen, do you think? If you’re really a beekeeper, how is it that you waste the best years of your life doing something else?

Society has three stages: Savagery, Ascendance, Decadence. The great rise because of Savagery. They rule in Ascendance. They fall because of their own Decadence." He tells how the Persians were felled, how the Romans collapsed because their rulers forgot how their parents gained them an empire. He prattles about Muslim dynasties and European effeminacy and Chinese regionalism and American self-loathing and self-neutering. All the ancient names. "Our Savagery began when our capital, Luna, rebelled against the tyranny of Earth and freed herself from the shackles of Demokracy, from the Noble Lie - the idea that men are brothers and are created equal." Augustus weaves lies of his own with that golden tongue of his. He tells of the Goldens' suffering. The Masses sat on the wagon and expected the great to pull, he reminds. They sat whipping the great until we could no longer take it. I remember a different whipping. "Men are not created equal; we all know this. There are averages. There are outliers. There are the ugly. There are the beautiful. This would not be if we were all equal. A Red can no more command a starship than a Green can serve as a doctor!" There's more laughter across the square as he tells us to look at pathetic Athens, the birthplace of the cancer they call Demokracy. Look how it fell to Sparta. The Noble Lie made Athens weak. It made their citizens turn on their best general, Alcibiades, because of jealousy. "Even the nations of Earth grew jealous of one another. The United States of America exacted this idea of equality through force. And when the nations united, the Americans were surprised to find that they were disliked! The Masses are jealous! How wonderful a dream it would be if all men were created equal! But we are not. It is against the Noble Lie that we fight. But as I said before, as I say to you now, there is another evil against which we war. It is a more pernicious evil. It is a subversive, slow evil. It is not a wildfire. It is a cancer. And that cancer is Decadence. Our society has passed from Savagery to Ascendance. But like our spiritual ancestors, the Romans, we too can fall into Decadence.

I’d figured out by now that death never makes sense, no matter how someone dies: murder, accident, old age, cancer, suicide, you’re never ready to lose someone you love. I decided death will always feel unexplained; we will never be ready for it, and you just have to do the best you can with what you have left.

Honesty is the best approach - and some understanding of how cancer patients see their illness can help. Cliched terms and thoughtless positives don't work, such as, 'You look good, though.' 'At least you got the good cancer.' 'Be strong.' 'You got this.' 'This is just a season.

When I went on my first antidepressant it had the side effect of making me fixated on suicide (which is sort of the opposite of what you want). It’s a rare side effect so I switched to something else that did work. Lots of concerned friends and family felt that the first medication’s failure was a clear sign that drugs were not the answer; if they were I would have been fixed. Clearly I wasn’t as sick as I said I was if the medication didn’t work for me. And that sort of makes sense, because when you have cancer the doctor gives you the best medicine and if it doesn’t shrink the tumor immediately then that’s a pretty clear sign you were just faking it for attention. I mean, cancer is a serious, often fatal disease we’ve spent billions of dollars studying and treating so obviously a patient would never have to try multiple drugs, surgeries, radiation, etc., to find what will work specifically for them. And once the cancer sufferer is in remission they’re set for life because once they’ve learned how to not have cancer they should be good. And if they let themselves get cancer again they can just do whatever they did last time. Once you find the right cancer medication you’re pretty much immune from that disease forever. And if you get it again it’s probably just a reaction to too much gluten or not praying correctly. Righ

Cancer is tangible. People feel compassion for you if you get cancer. Not so much if you're an alcoholic. And a mother who drinks? Forget it. Straight to hell. Big fat scarlet letter branded on our foreheads for life. Me and Hester Prynne? Same letter, different sins.

I think timing is better left up to God to decide then religious leaders. I once met a man that brought his wife flowers in the hospital. They held hands, kissed and were as affectionate as any cute couple could be. They were both in their eighties. I asked them how long they were married. I expected them to tell me fifty years or longer. To my surprise, they said only five years. He then began to explain to me that he was married thirty years to someone that didn’t love him, and then he remarried a second time only to have his second wife die of cancer, two years later. I looked at my patient (his wife) sitting in the wheelchair next to him smiling. She added that she had been widowed two times. Both of her marriages lasted fifteen years. I was curious, so I asked them why they would even bother pursuing love again at their age. He looked at me with astonishment and said, “Do you really think that you stop looking for a soulmate at our age? Do you honestly believe that God would stop caring about how much I needed it still, just because I am nearing the end of my life? No, he left the best for last. I have lived through hell, but if I only get five years of happiness with this woman then it was worth the years of struggle I have been through.

Sometimes you just need to have faith in God and believe that everything will turn out for the best".

Hope for the best,brace yourself for the worst and no matter what you’re faced with, make a plan to KEEP GOING!

This time everyone has the best intentions. You have cancer.

I am in this same river. I can't much help it. I admit it: I'm racist. The other night I saw a group (or maybe a pack?) or white teenagers standing in a vacant lot, clustered around a 4x4, and I crossed the street to avoid them; had they been black, I probably would have taken another street entirely. And I'm misogynistic. I admit that, too. I'm a shitty cook, and a worse house cleaner, probably in great measure because I've internalized the notion that these are woman's work. Of course, I never admit that's why I don't do them: I always say I just don't much enjoy those activities (which is true enough; and it's true enough also that many women don't enjoy them either), and in any case, I've got better things to do, like write books and teach classes where I feel morally superior to pimps. And naturally I value money over life. Why else would I own a computer with a hard drive put together in Thailand by women dying of job-induced cancer? Why else would I own shirts mad in a sweatshop in Bangladesh, and shoes put together in Mexico? The truth is that, although many of my best friends are people of color (as the cliche goes), and other of my best friends are women, I am part of this river: I benefit from the exploitation of others, and I do not much want to sacrifice this privilege. I am, after all, civilized, and have gained a taste for "comforts and elegancies" which can be gained only through the coercion of slavery. The truth is that like most others who benefit from this deep and broad river, I would probably rather die (and maybe even kill, or better, have someone kill for me) than trade places with the men, women, and children who made my computer, my shirt, my shoes.

It’s best to keep America just like that, always in the background, a sort of picture post card which you look at in a weak moment. Like that, you imagine it’s always there waiting for you, unchanged, unspoiled, a big patriotic open space with cows and sheep and tenderhearted men ready to bugger everything in sight, man, woman or beast. It doesn’t exist, America. It’s a name you give to an abstract idea…

There is so much false spirituality around us these days, calling itself goddess-worship or "the way." It is false because too cheaply bought and little understood, but most of all because it does not lend, but rather saps, that energy we need to do our work. So when an example of the real power of healing love comes along such as this one, it is difficult to use the same words to talk about it because so many of our best and most erotic words have been so cheapened. Perhaps I can say this all more simply; I say the love of women healed me.

Even in the wake of Rachel Carson's best-selling Silent Spring, Americans in 1963 spent nearly as much money fighting crabgrass with chemical weed controls as they contributed to the American Cancer Society.

It takes courage, humiliating courage, to step aside from your own sovereignty and imagined control and begin looking for the gift that comes unmerited. Yes, I’m talking about grace. Grace by my definition is the gift that comes unearned. In a world of unbelievably able bodies, where new diets are fashioned every day to keep my brand of story away, it is hard to realize you may be living in the middle of the best story ever told. That the story of breast cancer could possibly be a good story? A great story even? It would be easier to shake my fist at the test results and scream that this isn’t the right story, but to receive—humbly receive—the story no one would ever want, and know there is goodness in the midst of its horror, is not something I could ever do in my own strength. I simply cannot. That receiving comes from the One who received His own suffering for a much greater purpose than my own.

Laughter IS the BEST medicine! It’s FREE! You can overdose on it! It helps you embrace the insanities of life! It reduces stress, heals your body and relieves pain! It fights disease and cancer and strengthens the immune system! It eases your mind, it protects your heart and soothes your soul!

Sean: …………And I'd ask you about war, you'd probably throw Shakespeare at me, right, "once more unto the breach dear friends." But you've never been near one. You've never held your best friend's head in your lap, watch him gasp his last breath looking to you for help. I'd ask you about love, you'd probably quote me a sonnet. But you've never looked at a woman and been totally vulnerable. Known someone that could level you with her eyes, feeling like God put an angel on earth just for you. Who could rescue you from the depths of hell. And you wouldn't know what it's like to be her angel, to have that love for her, be there forever, through anything, through cancer. And you wouldn't know about sleeping sitting up in the hospital room for two months, holding her hand, because the doctors could see in your eyes, that the terms "visiting hours" don't apply to you. You don't know about real loss, 'cause it only occurs when you've loved something more than you love yourself. And I doubt you've ever dared to love anybody that much. And look at you... I don't see an intelligent, confident man... I see a scared shitless kid. But you're a genius Will. No one denies that. No one could possibly understand the depths of you. But you presume to know everything about me because you saw a painting of mine, and you ripped my life apart. You're an orphan right? [Will nods] Sean: You think I know the first thing about how hard your life has been, how you feel, who you are, because I read Oliver Twist? Does that encapsulate you? Personally... I don't give a shit about all that, because you know what, I can't learn anything from you, I can't read in some book. Unless you want to talk about you, who you are. Then I'm fascinated. I'm in. But you don't want to do that do you sport? You're terrified of what you might say. Your move, chief.

Because really, what do you have to lose? Your life? That's no big deal, I promise you. When you find out you might die, you're finally allowed to live like you never have before. If you lose your life while living the shit out of it, then you've done the best you could, and you shouldn't worry about death. When you're dead, you can't screw up. But while you're here, all you have are a few things to call your own. You have your integrity, your family, and your hope for the future. These are important and you should keep them somewhere safe where you'll remember them.

You may not see every single piece of the puzzle that creates your life — you may not see every move the grand chess player makes — but know, He is in complete control of the game board. Sometimes certain pieces are moved or knocked over to make room for new ones. Other times, things happen because of the world we live in. But everything, in the end, will always turn out for good. It’s a nice promise, isn’t it? To know that there’s a reason for it all? A reason for your cancer — maybe by having cancer you’ve saved the lives of three of your best friends. Had you not been sick, would you have met them? Had you not been sick, would you have found the love of your life? Maybe it’s not in the perfection of life that things make sense, but in the chaos.

Maybe the conference was an inversion layer of another kind, bringing me face-to-face with old friends and old places. With cancer and the Gap and the Old Man, railing about newfangled players and spicy food. Bringing me face-to-face early with death and old age and change.

Some residents will scoot back inside their rooms, because they think dementia is contagious. Or maybe it’s not, but you never know. Keeping out of the way can’t hurt in any case, is the basic attitude. And that goes not only for dementia. Cancer patients, homosexuals, Muslims: they’re all best avoided.

When a woman understands the uniqueness of the female brain—how to care for it, how to make the most of its strengths, how to overcome its challenges, how to fall in love with it, and ultimately, how to unleash its full power—there is no stopping her. In her personal development, at work, and in her relationships, she can bring the best of herself to her family, her community, and her planet. By contrast, a woman who is not caring optimally for her brain, who is not giving it the full range of nutrients, exercise, sleep, and emotional support that it needs, is squandering her most valuable resource. If you are not taking good care of your brain, you are at a significantly higher risk of brain fog, memory problems, low energy, distractibility, poor decisions, obesity, heart disease, cancer, and diabetes.

If you tell someone you have depression, they will often say, "Oh, I've been depressed before, too." The difference lies between being depressed and having depression. Everyone's been depressed at one time or another, but these are far from being the same things. One is a passing mood. The other is a chronic illness that does not come and go, ebb and flow, is here one day and gone the next. The difference between being depressed and having depression is that one is a mood and the other is an illness. One is a momentary bout of melancholy. The other is a debilitating condition that requires medical treatment. Would you feel better about having a cancerous lesion if I likened it to the rash I had last week? The difference between being depressed and having depression is the difference between a mood that will soon pass, and a serious illness that disrupts your ability to function and will take years to treat. The difference between being depressed and having depression is the difference between Cleveland and Bangkok, or your frying pan and the surface of the sun. So, no, we (depressives) do not feel better when you tell us about your rash. We'll do our best to be polite about it, but no, it really doesn't help at all.

We make love without a condom. AIDS is there though. We even know its true identity. It’s no longer referred to as the “gay cancer.” It’s there but we think we are safe from it. We know nothing of the grand decimation that will follow, depriving us of our best friends and old lovers, that will bring us together in cemeteries and cause us to scratch out names in our address books, enraging us with so many absences, such profound loss. It is there but we aren’t afraid yet. We believe that we are protected by our youth. We are seventeen years old. You don’t die when you are seventeen years old.

If one takes meaning into consideration, happiness might best be described as “a zest for life in all its complexity,” as Sissela Bok writes in her book. To achieve it means to “attach our lives to something larger than ourselves.” To be happy, one must do. It could be something as simple as teaching Sunday school or as grand as leading nonviolent protests. It could be as cerebral as seeking the cure for cancer or as physical as climbing mountains. It could be creating art. And it could be raising a child—my “best piece of poetrie,” as Ben Jonson said in his elegy for his seven-year-old son.

People say the beach is the great equaliser Who are they kidding? Sit at Bondi and watch the boys flex And the girls walk bolt upright It looks like a nightmare episode of Baywatch. The true equaliser is the mountain cold And stacks of cold flung together Maybe then we’d listen to what each other is saying Instead of checking out the best bods. And as I wrap another layer Around my Size 10 I think of Jack’s favourite saying: “today’s tan is tomorrow’s cancer” I walk outside And whistle at the wind.

The digital communications technology that was once imagined as a universe of transparent and perpetual illumination, in which cancerous falsehoods would perish beneath a saturation bombardment of irradiating data, has instead generated a much murkier and verification-free habitat where a google-generated search will deliver an electronic page on which links to lies and lunacy appear in identical format as those to truths and sanity. But why should we ever have assumed that technology and reason would be mutually self-reinforcing? The quickest visit to say, a site called Stormfront will persuade you that the demonic is in fact the best customer of the electronic.

If you don’t drink coffee, you should think about two to four cups a day. It can make you more alert, happier, and more productive. It might even make you live longer. Coffee can also make you more likely to exercise, and it contains beneficial antioxidants and other substances associated with decreased risk of stroke (especially in women), Parkinson’s disease, and dementia. Coffee is also associated with decreased risk of abnormal heart rhythms, type 2 diabetes, and certain cancers.12, 13 Any one of those benefits of coffee would be persuasive, but cumulatively they’re a no-brainer. An hour ago I considered doing some writing for this book, but I didn’t have the necessary energy or focus to sit down and start working. I did, however, have enough energy to fix myself a cup of coffee. A few sips into it, I was happier to be working than I would have been doing whatever lazy thing was my alternative. Coffee literally makes me enjoy work. No willpower needed. Coffee also allows you to manage your energy levels so you have the most when you need it. My experience is that coffee drinkers have higher highs and lower lows, energywise, than non–coffee drinkers, but that trade-off works. I can guarantee that my best thinking goes into my job, while saving my dull-brain hours for household chores and other simple tasks. The biggest downside of coffee is that once you get addicted to caffeine, you can get a “coffee headache” if you go too long without a cup. Luckily, coffee is one of the most abundant beverages on earth, so you rarely have to worry about being without it. Coffee costs money, takes time, gives you coffee breath, and makes you pee too often. It can also make you jittery and nervous if you have too much. But if success is your dream and operating at peak mental performance is something you want, coffee is a good bet. I highly recommend it. In fact, I recommend it so strongly that I literally feel sorry for anyone who hasn’t developed the habit.

Gate C22 At gate C22 in the Portland airport a man in a broad-band leather hat kissed a woman arriving from Orange County. They kissed and kissed and kissed. Long after the other passengers clicked the handles of their carry-ons and wheeled briskly toward short-term parking, the couple stood there, arms wrapped around each other like he’d just staggered off the boat at Ellis Island, like she’d been released at last from ICU, snapped out of a coma, survived bone cancer, made it down from Annapurna in only the clothes she was wearing. Neither of them was young. His beard was gray. She carried a few extra pounds you could imagine her saying she had to lose. But they kissed lavish kisses like the ocean in the early morning, the way it gathers and swells, sucking each rock under, swallowing it again and again. We were all watching– passengers waiting for the delayed flight to San Jose, the stewardesses, the pilots, the aproned woman icing Cinnabons, the man selling sunglasses. We couldn’t look away. We could taste the kisses crushed in our mouths. But the best part was his face. When he drew back and looked at her, his smile soft with wonder, almost as though he were a mother still open from giving birth, as your mother must have looked at you, no matter what happened after–if she beat you or left you or you’re lonely now–you once lay there, the vernix not yet wiped off, and someone gazed at you as if you were the first sunrise seen from the Earth. The whole wing of the airport hushed, all of us trying to slip into that woman’s middle-aged body, her plaid Bermuda shorts, sleeveless blouse, glasses, little gold hoop earrings, tilting our heads up.

If it is true that a picture paints a thousand words, then there was a Roman centurion who got a dictionary full. All he did was see Jesus suffer. He never heard him preach or saw him heal or followed him through the crowds. He never witnessed him still the wind; he only witnessed the way he died. But that was all it took to cause this weather-worn soldier to take a giant step in faith. “Surely this was a righteous man.”1 That says a lot, doesn’t it? It says the rubber of faith meets the road of reality under hardship. It says the trueness of one’s belief is revealed in pain. Genuineness and character are unveiled in misfortune. Faith is at its best, not in three-piece suits on Sunday mornings or at V.B.S. on summer days, but at hospital bedsides, cancer wards, and cemeteries. Maybe that’s what moved this old, crusty soldier. Serenity in suffering is a stirring testimony. Anybody can preach a sermon on a mount surrounded by daisies. But only one with a gut full of faith can live a sermon on a mountain of pain.

Hope is one of our central emotions, but we are often at a loss when asked to define it. Many of us confuse hope with optimism, a prevailing attitude that "things turn out for the best." But hope differs from optimism. Hope does not arise from being told to "Think Positively," or from hearing an overly rosy forecast. Hope, unlike optimism, is rooted in unalloyed reality. Although there is no uniform definition of hope, I found on that seemed to capture what my patients had taught me. Hope is the elevating feeling we experience when we see - in the mind's eye- a path to a better future. Hope acknowledges the significant obstacles and deep pitfalls along that path. True hope has no room for delusion.

Don't delegate your survival to the doctors and hope for the best. You have to participate in your own cure. You have to fight.

In living with, rather than relentlessly fighting their cancer, they ultimately live longer.

As much as we complain about other people, there is nothing worse for mental health than a social desert. A study of Swiss cities found that psychotic disorders, including schizophrenia, are most common in neighborhoods with the thinnest social networks. Social isolation just may be the greatest environmental hazard of city living—worse than noise, pollution, or even crowding. The more connected we are with family and community, the less likely we are to experience colds, heart attacks, strokes, cancer, and depression. Simple friendships with other people in one’s neighborhood are some of the best salves for stress during hard economic times—in fact, sociologists have found that when adults keep these friendships, their kids are better insulated from the effects of their parents’ stress. Connected people sleep better at night. They are more able to tackle adversity. They live longer. They consistently report being happier.

THIS book is radioactive. And so are you. Unless you are dead, in which case we can tell how long ago you died by how much of your radioactivity is left. That’s what radiocarbon dating is—the measurement of the reduction of radioactivity of old bones to deduce the time of death. Alcohol is radioactive too—at least the kind we drink. Rubbing alcohol usually isn’t, unless it was made organically—that is, from wood. In fact, the US Bureau of Alcohol, Tobacco, Firearms and Explosives tests wine, gin, whiskey, and vodka for radioactivity. A fifth of whiskey must emit at least 400 beta rays every minute or the drink is considered unfit for human consumption. Biofuels are radioactive. Fossil fuels are not. Of those killed by the Hiroshima atomic bomb, the best estimate is that fewer than 2% died of radiation-induced cancer. These statements are all true. They are not even disputed, at least by experts. Yet they surprise most people.

Isra felt a sense of failure rising in her. She had tried her best to shelter her daughters from her sadness, they way she wished Mama had sheltered her...Sadness was like a cancer, she thought, a presence that staked its claim so quietly you might not even notice it until it was too late. She hoped her...daughters didn't see. Maybe Deya could even forget...Isra could still learn to be a good mother. Maybe she could still save them. Maybe it wasn't too late.

You wouldn’t understand, of course, but the bond between a mother and child, it’s . . . how best to describe it . . . unbreakable. The two of us are linked forever, you see—same blood in my veins that’s running through yours. You grew inside me, your teeth and your tongue and your cervix are all made from my cells, my genes. Who knows what little surprises I left growing inside there for you, which codes I set running? Breast cancer? Alzheimer’s? You’ll just have to wait and see. You were fermenting inside me for all those months, nice and cozy, Eleanor. However hard you try to walk away from that fact, you can’t, darling, you simply can’t. It isn’t possible to destroy a bond that strong.

I have another scan this week," I say lightly, hoping to reassure my loved ones that it is safe to rejoin my orbit. There is always another scan, because this is my reality. But the people I know are often busy contending with mildly painful ambition and the possibility of reward. I try to begrudge them nothing, except I'm not alongside them anymore. In the meantime, I have been hunkering down with old medical supplies and swelling resentment. I tried— haven't I tried? — to avoid fights and remember birthdays. I showed up for dance recitals and listened to weight-loss dreams and kept the granularity of my medical treatments in soft focus. A person like that would be easier to love, I reasoned. I try a small experiment and stop calling my regular rotation of friends and family, hoping that they will call me back on their own. _This is not a test. This is not a test._ The phone goes quiet, except for a handful of calls. I feel heavy with strange new grief. Is it bitter or unkind to want everyone to remember what I can't forget? Who wants to be confronted with the reality that we are all a breath away from a problem that could alter our lives completely? A friend with a very sick child said it best: I'm everyone's inspiration and and no one's friend. I am asked all the time to say that, given what I've gained in perspective, I would never go back. Who would want to know the truth? Before was better.

for what it is worth, when people have been fighting cancer for a long time, as you have, there often comes a point at which they may live longer if they decide to live with their cancer rather than continue to fight against their cancer.

Real good luck would be to abandon life without ever encountering dishonesty, or hypocrisy, or self-indulgence, or pride. But the “next best voyage” is to die when you’ve had enough. Or are you determined to lie down with evil? Hasn’t experience even taught you that—to avoid it like the plague? Because it is a plague—a mental cancer—worse than anything caused by tainted air or an unhealthy climate. Diseases like that can only threaten your life; this one attacks your humanity.

One of the best things about gratitude is that it serves both you and the one to whom you are giving thanks. When you share your feelings of being blessed and grateful, not only do you vibrate at higher level, but your expression contributes to an increase in the energy of those around you, and especially serves the individual to whom you have expressed your thanks. The result is that you raise the level of universal well-being by choosing to focus with gratitude on your blessings.

You will hear people say that poverty is the best spur to the artist. They have never felt the iron of it in their flesh. They do not know how mean it makes you. It exposes you to endless humiliation, it cuts your wings, it eats into your soul like a cancer.

Worse were the disaster tourists: those whom I didn’t know well but who came out of the woodwork, showing up unannounced at my hospital room door with an overzealous desire to help or to bear witness to the medical carnival that my life had become. They would gape at my bald head, all misty-eyed, and I’d find myself having to console them. Or they’d bombard me with unsolicited medical advice, telling me about a great doctor they knew or a friend of a friend who’d cured their own cancer with things like essential oils, apricot kernels, coffee enemas, or a juice cleanse. I knew that most meant well and were doing the best they knew how, so I smiled and nodded, but I was silently fuming. As I got sicker, fewer and fewer came—and when they did, I began pretending to be asleep.

You will hear people say that poverty is the best spur to the artist. They have never felt the iron of it in their flesh. They do not know how mean it makes you. It exposes you to endless humiliation, it cuts your wings, it eats into your soul like a cancer. It is not wealth one asks for, but just enough to preserve one's dignity, to work unhampered, to be generous, frank, and independent. I pity with all my heart the artist, whether he writes or paints, who is entirely dependent for subsistence upon his art." Philip

We are dealing, then, with an absurdity that is not a quirk or an accident, but is fundamental to our character as people. The split between what we think and what we do is profound. It is not just possible, it is altogether to be expected, that our society would produce conservationists who invest in strip-mining companies, just as it must inevitably produce asthmatic executives whose industries pollute the air and vice-presidents of pesticide corporations whose children are dying of cancer. And these people will tell you that this is the way the "real world" works. The will pride themselves on their sacrifices for "our standard of living." They will call themselves "practical men" and "hardheaded realists." And they will have their justifications in abundance from intellectuals, college professors, clergymen, politicians. The viciousness of a mentality that can look complacently upon disease as "part of the cost" would be obvious to any child. But this is the "realism" of millions of modern adults. There is no use pretending that the contradiction between what we think or say and what we do is a limited phenomenon. There is no group of the extra-intelligent or extra-concerned or extra-virtuous that is exempt. I cannot think of any American whom I know or have heard of, who is not contributing in some way to destruction. The reason is simple: to live undestructively in an economy that is overwhelmingly destructive would require of any one of us, or of any small group of us, a great deal more work than we have yet been able to do. How could we divorce ourselves completely and yet responsibly from the technologies and powers that are destroying our planet? The answer is not yet thinkable, and it will not be thinkable for some time -- even though there are now groups and families and persons everywhere in the country who have begun the labor of thinking it. And so we are by no means divided, or readily divisible, into environmental saints and sinners. But there are legitimate distinctions that need to be made. These are distinctions of degree and of consciousness. Some people are less destructive than others, and some are more conscious of their destructiveness than others. For some, their involvement in pollution, soil depletion, strip-mining, deforestation, industrial and commercial waste is simply a "practical" compromise, a necessary "reality," the price of modern comfort and convenience. For others, this list of involvements is an agenda for thought and work that will produce remedies. People who thus set their lives against destruction have necessarily confronted in themselves the absurdity that they have recognized in their society. They have first observed the tendency of modern organizations to perform in opposition to their stated purposes. They have seen governments that exploit and oppress the people they are sworn to serve and protect, medical procedures that produce ill health, schools that preserve ignorance, methods of transportation that, as Ivan Illich says, have 'created more distances than they... bridge.' And they have seen that these public absurdities are, and can be, no more than the aggregate result of private absurdities; the corruption of community has its source in the corruption of character. This realization has become the typical moral crisis of our time. Once our personal connection to what is wrong becomes clear, then we have to choose: we can go on as before, recognizing our dishonesty and living with it the best we can, or we can begin the effort to change the way we think and live.

His cancer was rare, they told him. Even rarer for it to be in both eyes, still rarer to be so aggressive. It felt like a great bitter joke at one point, that out of all the people in the world he had beaten every probability, but instead of a lottery jackpot he’d won cancer.

I'm saying that storms happen - cancer happens. Accidents happen. We can either run from them, hide from them, or....go through them. God is with us in all of those situations. But yeah, some of his best people are pressed out, shaken, fermented...aged through circumstances or time.

In an ideal world, a young man should not be an ironical person. At that age, irony prevents growth, stunts the imagination. It is best to start life in a cheerful and open state of mind, believing in others, being optimistic, being frank with everyone about everything. And then, as one comes to understand things and people better, to develop a sense of irony. The natural progression of human life is from optimism to pessimism; and a sense of irony helps temper pessimism, helps produce balance, harmony. But this was not an ideal world, and so irony grew in sudden and strange ways. Overnight, like a mushroom; disastrously, like a cancer. Sarcasm was dangerous to its user, identifiable as the language of the wrecker and the saboteur. But irony – perhaps, sometimes, so he hoped – might enable you to preserve what you valued, even as the noise of time became loud enough to knock out window-panes. What

Two decades ago the federal government invited 150,000 men and women to participate in an experiment of screening for cancer in four organs: prostate, lung, colon, and ovary. The volunteers were less likely to smoke, more likely to exercise, had higher socioeconomic status, and fewer medical problems than members of the general population. Those are the kinds of people who seek preventive intervention. Of course, they are going to do better. Had the study not been randomized, the investigators might have concluded that screening was the best thing since sliced bread. Regardless of which group they were randomly assigned to, the participants had substantially lower death rates than the general population—for all cancers (even those other than prostate, lung, colon, and ovary), for heart disease, and for injury. In other words, the volunteers were healthier than average. With randomization, the study showed that only one of the four screenings (for colon cancer) was beneficial. Without it, the study might have concluded that prostate cancer screening not only lowered the risk of death from prostate cancer but also deaths from leukemia, heart attack, and car accidents (although you would hope someone would raise the biological plausibility criterion here).

In theory, I would like to lead a transparent life. I wold like my life to be as clear as a new pane of glass, without anything shameful and no dark shadows. I would like that. But if I am completely honest, I have to acknowledge secrets too painful to even tell myself. There are things I consider in the deep dark of night, secret terrors. Why are they secrets? I could easily tell either of my parents how I feel, but what would they say? Don't worry, darling, we will do our best never to die? We will never ever leave you, never contract cancer or walk in front of a bus or collapse of old age? We will not leave you alone, not ever, to navigate the world and all of its complexities without us?

You're just a boy. You don't have the faintest idea what you're talking about. You've never been out of Boston. So if I asked you about art you could give me the skinny on every art book ever written...Michelangelo? You know a lot about him I bet. Life's work, criticisms, political aspirations. But you couldn't tell me what it smells like in the Sistine Chapel. You've never stood there and looked up at that beautiful ceiling. And if I asked you about women I'm sure you could give me a syllabus of your personal favorites, and maybe you've been laid a few times too. But you couldn't tell me how it feels to wake up next to a woman and be truly happy. If I asked you about war you could refer me to a bevy of fictional and non-fictional material, but you've never been in one. You've never held your best friend's head in your lap and watched him draw his last breath, looking to you for help. And if I asked you about love I'd get a sonnet, but you've never looked at a woman and been truly vulnerable. Known that someone could kill you with a look. That someone could rescue you from grief. That God had put an angel on Earth just for you. And you wouldn't know how it felt to be her angel. To have the love be there for her forever. Through anything, through cancer. You wouldn't know about sleeping sitting up in a hospital room for two months holding her hand and not leaving because the doctors could see in your eyes that the term "visiting hours" didn't apply to you. And you wouldn't know about real loss, because that only occurs when you lose something you love more than yourself, and you've never dared to love anything that much. I look at you and I don't see an intelligent confident man, I don't see a peer, and I don't see my equal. I see a boy.

But you know, the longer you listen to this abortion debate, the more you hear this phrase “sanctity of life”. You’ve heard that. Sanctity of life. You believe in it? Personally, I think it’s a bunch of shit. Well, I mean, life is sacred? Who said so? God? Hey, if you read history, you realize that God is one of the leading causes of death. Has been for thousands of years. Hindus, Muslims, Jews, Christians all taking turns killing each other ‘cause God told them it was a good idea. The sword of God, the blood of the land, vengeance is mine. Millions of dead motherfuckers. Millions of dead motherfuckers all because they gave the wrong answer to the God question. “You believe in God?” “No.” Boom. Dead. “You believe in God?” “Yes.” “You believe in my God? “No.” Boom. Dead. “My God has a bigger dick than your God!” Thousands of years. Thousands of years, and all the best wars, too. The bloodiest, most brutal wars fought, all based on religious hatred. Which is fine with me. Hey, any time a bunch of holy people want to kill each other I’m a happy guy. But don’t be giving me all this shit about the sanctity of life. I mean, even if there were such a thing, I don’t think it’s something you can blame on God. No, you know where the sanctity of life came from? We made it up. You know why? ‘Cause we’re alive. Self-interest. Living people have a strong interest in promoting the idea that somehow life is sacred. You don’t see Abbott and Costello running around, talking about this shit, do you? We’re not hearing a whole lot from Mussolini on the subject. What’s the latest from JFK? Not a goddamn thing. ‘Cause JFK, Mussolini and Abbott and Costello are fucking dead. They’re fucking dead. And dead people give less than a shit about the sanctity of life. Only living people care about it so the whole thing grows out of a completely biased point of view. It’s a self serving, man-made bullshit story. It’s one of these things we tell ourselves so we’ll feel noble. Life is sacred. Makes you feel noble. Well let me ask you this: if everything that ever lived is dead, and everything alive is gonna die, where does the sacred part come in? I’m having trouble with that. ‘Cuz, I mean, even with all this stuff we preach about the sanctity of life, we don’t practice it. We don’t practice it. Look at what we’d kill: Mosquitoes and flies. ‘Cause they’re pests. Lions and tigers. ‘Cause it’s fun! Chickens and pigs. ‘Cause we’re hungry. Pheasants and quails. ‘Cause it’s fun. And we’re hungry. And people. We kill people… ‘Cause they’re pests. And it’s fun! And you might have noticed something else. The sanctity of life doesn’t seem to apply to cancer cells, does it? You rarely see a bumper sticker that says “Save the tumors.”. Or “I brake for advanced melanoma.”. No, viruses, mold, mildew, maggots, fungus, weeds, E. Coli bacteria, the crabs. Nothing sacred about those things. So at best the sanctity of life is kind of a selective thing. We get to choose which forms of life we feel are sacred, and we get to kill the rest. Pretty neat deal, huh? You know how we got it? We made the whole fucking thing up! Made it up!

Whatever you do in life, do it to the best of your ability. That inner voice inside of you, trust it… it’s your intuition. It will guide you in the right direction. Try to be positive, ignore negativity, but if you see somethin’ ain’t right, that somethin’ is goin’ wrong, speak up. Live your life to the fullest! Cherish it… respect it. Live it till the wheels fall off! Write things down! Take pictures, pick roses with the thorns still attached so you can feel pain and see beauty all at one time… Eat chocolate cake ’till you’re sick, travel abroad, get to know folks who are totally different from you. Respect one another, too. Be the change you wanna see in others. Drink Gin Fizz and white wine with strawberries but most of all, the most important of all, ladies and gentlemen… don’t ever be afraid to fall in love…

In May 1992, I went to Ixtapa with my son, Sam, who was then two and a half. At the time, my best friend of twenty years, named Pammy, had been battling breast cancer for two years. I also had a boyfriend with whom I spoke two or three times a day, whom I loved and who loved me. Then, in early November of that year, the big eraser came down and got Pammy, and it also got the boyfriend, from whom I parted by mutual agreement. The grief was huge, monolithic. All those years I fell for the great palace lie that grief should be gotten over as quickly and as privately as possible. But what I’ve discovered since is that the lifelong fear of grief keeps us in a barren, isolated place and that only grieving can heal grief; the passage of time will lessen the acuteness, but time alone, without the direct experience of grief, will not heal it.

I am nine. We are bored and Karen is dying. We drove to Austin that summer so Sarah's dad- who described Karen as /the great and impossible love/ of his life, who taught us the word /lymphoma/ and then, the concept of the prefix, how it explains where the tumor lives- could say goodbye. The house is a rind spooned out by the onset of death, what's left in the medicine cabinet full of razors & we are hungry & alone & sitting on the living room floor where the light from a naked window slices the hardwood like a melon, brandishes each, individualfuzz on my scabbed calf a field of erect, yellow poppies & we have been alive as girls long enough to know to scowl at this reveal & what better time than now to practice removal. Once, I watched my mother skin a potato in six perfect strokes I remember this as Sarah teaches me to prop up my leg on the side of the tub and runs the blade along my thing, /See?/ she says, /Isn't that so much better?/ Before we left Albuquerque her father warned us, /She will have no hair/ a trait we have just begun to admire except, of course for the hair he is talking about we hold against our necks, that which will get us compliments or scouted in a mall, eventually cut off by our envious sisters while we sleep.

In medicine, we have long faced a conflict between the imperative to give patients the best possible care and the need to provide novices with experience. Residencies attempt to mitigate potential harm for supervision and graduated responsibility. And there is reason to think patients actually benefit from teaching. Studies generally find teaching hospitals have better outcomes than non teaching hospitals. Residents may be amateurs, but having them around checking on patients, asking questions, and keeping faculty on their toes seems to help. But there is still no getting around those first few unsteady times a young physician tries to put in a central line, remove a breast cancer, or sew together two segments of colon. No matter how many protections we put in place, on average these cases go less well with a novice then with someone experienced.

is turning all life into a unified flow experience. If a person sets out to achieve a difficult enough goal, from which all other goals logically follow, and if he or she invests all energy in developing skills to reach that goal, then actions and feelings will be in harmony, and the separate parts of life will fit together—and each activity will “make sense” in the present, as well as in view of the past and of the future. In such a way, it is possible to give meaning to one’s entire life. But isn’t it incredibly naive to expect life to have a coherent overall meaning? After all, at least since Nietzsche concluded that God was dead, philosophers and social scientists have been busy demonstrating that existence has no purpose, that chance and impersonal forces rule our fate, and that all values are relative and hence arbitrary. It is true that life has no meaning, if by that we mean a supreme goal built into the fabric of nature and human experience, a goal that is valid for every individual. But it does not follow that life cannot be given meaning. Much of what we call culture and civilization consists in efforts people have made, generally against overwhelming odds, to create a sense of purpose for themselves and their descendants. It is one thing to recognize that life is, by itself, meaningless. It is another thing entirely to accept this with resignation. The first fact does not entail the second any more than the fact that we lack wings prevents us from flying. From the point of view of an individual, it does not matter what the ultimate goal is—provided it is compelling enough to order a lifetime’s worth of psychic energy. The challenge might involve the desire to have the best beer-bottle collection in the neighborhood, the resolution to find a cure for cancer, or simply the biological imperative to have children who will survive and prosper. As long as it provides clear objectives, clear rules for action, and a way to concentrate and become involved, any goal can serve to give meaning to a person’s life. In the past few years I have come to be quite well acquainted with several Muslim professionals—electronics engineers, pilots, businessmen, and teachers, mostly from Saudi Arabia and from the other Gulf states. In talking to them, I was struck with how relaxed most of them seemed to be even under strong pressure. “There is nothing to it,” those I asked about it told me, in different words, but with the same message: “We don’t get upset because we believe that our life is in God’s hands, and whatever He decides will be fine with us.” Such implicit faith used to be widespread in our culture as well, but it is not easy to find it now. Many of us have to discover a goal that will give meaning to life on our own, without the help of a traditional faith.

NUTRIENT DENSITY SCORES OF THE TOP 30 SUPER FOODS To make it easy for you to achieve Super Immunity, I’ve listed my Top 30 Super Foods below. These foods are associated with protection against cancer and promotion of a long, healthy life. Include as many of these foods in your diet as you possibly can. You are what you eat. To be your best, you must eat the best! Collard greens, mustard greens, turnip greens 100 Kale 100 Watercress 100 Brussels sprouts 90 Bok choy 85 Spinach 82 Arugula 77 Cabbage 59 Broccoli 52 Cauliflower 51 Romaine lettuce 45 Green and red peppers 41 Onions 37 Leeks 36 Strawberries 35 Mushrooms 35 Tomatoes and tomato products 33 Pomegranates / pomegranate juice 30 Carrots / carrot juice 30/37 Blackberries 29 Raspberries 27 Blueberries 27 Oranges 27 Seeds: flax, sunflower, sesame, hemp, chia 25 (avg) Red grapes 24 Cherries 21 Plums 11 Beans (all varieties) 11 Walnuts 10 Pistachio nuts 9 If you are a female eating

ultimately, most of us would choose a rich and meaningful life over an empty, happy one, if such a thing is even possible. “Misery serves a purpose,” says psychologist David Myers. He’s right. Misery alerts us to dangers. It’s what spurs our imagination. As Iceland proves, misery has its own tasty appeal. A headline on the BBC’s website caught my eye the other day. It read: “Dirt Exposure Boosts Happiness.” Researchers at Bristol University in Britain treated lung-cancer patients with “friendly” bacteria found in soil, otherwise known as dirt. The patients reported feeling happier and had an improved quality of life. The research, while far from conclusive, points to an essential truth: We thrive on messiness. “The good life . . . cannot be mere indulgence. It must contain a measure of grit and truth,” observed geographer Yi-Fu Tuan. Tuan is the great unheralded geographer of our time and a man whose writing has accompanied me throughout my journeys. He called one chapter of his autobiography “Salvation by Geography.” The title is tongue-in-cheek, but only slightly, for geography can be our salvation. We are shaped by our environment and, if you take this Taoist belief one step further, you might say we are our environment. Out there. In here. No difference. Viewed that way, life seems a lot less lonely. The word “utopia” has two meanings. It means both “good place” and “nowhere.” That’s the way it should be. The happiest places, I think, are the ones that reside just this side of paradise. The perfect person would be insufferable to live with; likewise, we wouldn’t want to live in the perfect place, either. “A lifetime of happiness! No man could bear it: It would be hell on Earth,” wrote George Bernard Shaw, in his play Man and Superman. Ruut Veenhoven, keeper of the database, got it right when he said: “Happiness requires livable conditions, but not paradise.” We humans are imminently adaptable. We survived an Ice Age. We can survive anything. We find happiness in a variety of places and, as the residents of frumpy Slough demonstrated, places can change. Any atlas of bliss must be etched in pencil. My passport is tucked into my desk drawer again. I am relearning the pleasures of home. The simple joys of waking up in the same bed each morning. The pleasant realization that familiarity breeds contentment and not only contempt. Every now and then, though, my travels resurface and in unexpected ways. My iPod crashed the other day. I lost my entire music collection, nearly two thousand songs. In the past, I would have gone through the roof with rage. This time, though, my anger dissipated like a summer thunderstorm and, to my surprise, I found the Thai words mai pen lai on my lips. Never mind. Let it go. I am more aware of the corrosive nature of envy and try my best to squelch it before it grows. I don’t take my failures quite so hard anymore. I see beauty in a dark winter sky. I can recognize a genuine smile from twenty yards. I have a newfound appreciation for fresh fruits and vegetables. Of all the places I visited, of all the people I met, one keeps coming back to me again and again: Karma Ura,

Such are the people who today, with sickly kindness, will tolerate teachers of error in our pulpits because they are such smooth-mannered and amiable gentlemen. They would rather allow error to be preached and souls to be deceived than hurt the preacher’s feelings. Let Baal be worshipped rather than drought come! Let the cancer kill its victim rather than the cruel surgeon use the knife! … The best thing that could happen to some so-called Christian ministers of today is that they should be denounced in God’s name by their hearers.

Lots of concerned friends and family felt that the first medication’s failure was a clear sign that drugs were not the answer; if they were I would have been fixed. Clearly I wasn’t as sick as I said I was if the medication didn’t work for me. And that sort of makes sense, because when you have cancer the doctor gives you the best medicine and if it doesn’t shrink the tumor immediately then that’s a pretty clear sign you were just faking it for attention. I mean, cancer is a serious, often fatal disease we’ve spent billions of dollars studying and treating so obviously a patient would never have to try multiple drugs, surgeries, radiation, etc., to find what will work specifically for them. And once the cancer sufferer is in remission they’re set for life because once they’ve learned how to not have cancer they should be good. And if they let themselves get cancer again they can just do whatever they did last time. Once you find the right cancer medication you’re pretty much immune from that disease forever. And if you get it again it’s probably just a reaction to too much gluten or not praying correctly. Right?

WHEN I DESCRIBED THE TUMOR IN MY ESOPHAGUS as a “blind, emotionless alien,” I suppose that even I couldn’t help awarding it some of the qualities of a living thing. This at least I know to be a mistake: an instance of the pathetic fallacy (angry cloud, proud mountain, presumptuous little Beaujolais) by which we ascribe animate qualities to inanimate phenomena. To exist, a cancer needs a living organism, but it cannot ever become a living organism. Its whole malice—there I go again—lies in the fact that the “best” it can do is to die with its host. Either that or its host will find the measures with which to extirpate and outlive it. But, as I knew before I became ill, there are some people for whom this explanation is unsatisfying. To them, a rodent carcinoma really is a dedicated, conscious agent—a slow–acting suicide–murderer—on a consecrated mission from heaven. You haven’t lived, if I can put it like this, until you have read contributions such as this on the websites of the faithful: Who else feels Christopher Hitchens getting terminal throat cancer [sic] was God’s revenge for him using his voice to blaspheme him? Atheists like to ignore FACTS. They like to act like everything is a “coincidence.” Really? It’s just a “coincidence” [that] out of any part of his body, Christopher Hitchens got cancer in the one part of his body he used for blasphemy? Yeah, keep believing that, Atheists. He’s going to writhe in agony and pain and wither away to nothing and then die a horrible agonizing death, and THEN comes the real fun, when he’s sent to HELLFIRE forever to be tortured and set afire. There are numerous passages in holy scripture and religious tradition that for centuries made this kind of gloating into a mainstream belief. Long before it concerned me particularly I had understood the obvious objections. First, which mere primate is so damn sure that he can know the mind of god? Second, would this anonymous author want his views to be read by my unoffending children, who are also being given a hard time in their way, and by the same god? Third, why not a thunderbolt for yours truly, or something similarly awe–inspiring? The vengeful deity has a sadly depleted arsenal if all he can think of is exactly the cancer that my age and former “lifestyle” would suggest that I got. Fourth, why cancer at all? Almost all men get cancer of the prostate if they live long enough: It’s an undignified thing but quite evenly distributed among saints and sinners, believers and unbelievers. If you maintain that god awards the appropriate cancers, you must also account for the numbers of infants who contract leukemia. Devout persons have died young and in pain. Betrand Russell and Voltaire, by contrast, remained spry until the end, as many psychopathic criminals and tyrants have also done. These visitations, then, seem awfully random. My so far uncancerous throat, let me rush to assure my Christian correspondent above, is not at all the only organ with which I have blasphemed. And even if my voice goes before I do, I shall continue to write polemics against religious delusions, at least until it’s hello darkness my old friend. In which case, why not cancer of the brain? As a terrified, half–aware imbecile, I might even scream for a priest at the close of business, though I hereby state while I am still lucid that the entity thus humiliating itself would not in fact be “me.” (Bear this in mind, in case of any later rumors or fabrications.)

Take Avastin, the world’s best-selling cancer medicine, with sales of $6 billion in 2010. It is used for the treatment of advanced cancers of the colon, breast, lung, and kidney, among others. An analysis of sixteen trials with more than ten thousand people showed that when Avastin was added to chemotherapy, more people died than when receiving chemotherapy alone.35 Thus, not only did the drug fail to prolong lives of hopeful patients for a few weeks or months, it in fact shortened them. Given the huge amount of money at stake for the pharmaceutical industry (Avastin treatment

Few chemicals confer maleness, but many take it away. Which, if any, are responsible for our own troubles is hard to say. The Pill changed men's lives in more ways than one. It caused reproductive hormones to leak into tap water and has been blamed both for the sex changes in freshwater fish and for the drop in our own sperm count. The jury is still out on the issue, but other hormones have had a disastrous effect. A drug called diethylstilbestrol was once thought - in error - to prevent miscarriage. Five million mothers took it and for a time it was even used as a chicken food supplement. A third of the boys exposed to the drug in the womb suffer from small testes or a reduced penis. In rats, the chemical causes prostate and testicular cancer (although there is as yet no sign of those problems in ourselves). To give a powerful steroid to pregnant women was at best unwise, but the effects of other chemicals were harder to foresee. The 1950s saw a wonderful new chemical treatment for banana pests. Soon the substance was much used. Twenty years later the workers noticed something odd: they had almost no children. Their sperm count had dropped by five hundred times.

Harm reduction is often perceived as being inimical to the ultimate purpose of “curing” addiction—that is, of helping addicts transcend their habits and to heal. People regard it as “coddling” addicts, as enabling them to continue their destructive ways. It’s also considered to be the opposite of abstinence, which many regard as the only legitimate goal of addiction treatment. Such a distinction is artificial. The issue in medical practice is always how best to help a patient. If a cure is possible and probable without doing greater harm, then cure is the objective. When it isn’t — and in most chronic medical conditions cure is not the expected outcome — the physician’s role is to help the patient with the symptoms and to reduce the harm done by the disease process. In rheumatoid arthritis, for example, one aims to prevent joint inflammation and bone destruction and, in all events, to reduce pain. In incurable cancers we aim to prolong life, if that can be achieved without a loss of life quality, and also to control symptoms. In other words, harm reduction means making the lives of afflicted human beings more bearable, more worth living. That is also the goal of harm reduction in the context of addiction. Although hardcore drug addiction is much more than a disease, the harm reduction model is essential to its treatment. Given our lack of a systematic, evidencebased approach to addiction, in many cases it’s futile to dream of a cure. So long as society ostracizes the addict and the legal system does everything it can to heighten the drug problem, the welfare and medical systems can aim only to mitigate some of its effects. Sad to say, in our context harm reduction means reducing not only the harm caused by the disease of addiction, but also the harm caused by the social assault on drug addicts.

I love my passengers. I remember one woman in particular--a senior who had gotten on my bus. She seemed completely lost. She said she was going to a restaurant on City Island Avenue. I could see she was confused. There was just something about her. She looked so elegant, but with a fur coat on a hot summer day, so I said, 'Are you okay?' and she said, 'I'm fine, but I don't know what restaurant I'm meeting my friends at.' I said, 'Get on. Sit in the front.' I asked a gentleman to get up so she could sit near me, and I said, 'I'll run in and I'll check each restaurant for you.' So I checked the restaurants and no luck, but at the very, very last restaurant on the left, I said, 'It's got to be this one. Let me swing the bus around,' and I swung it around. I said, 'Don't move. Let me make sure this is the place before you get out.'It was a hot day, and she's got fur on. She could pass out. So I said, 'Stay here, sweetie. It's nice and cool in here.' I went in and I said 'There's a lady in the bus and she's not sure of the restaurant,' and I saw a whole bunch of seniors there and they said, 'Oh, that's her!' I ran back to the bus and I said, 'sweetie, your restaurant is right here.' I said, 'Let me kneel the bus.' Kneeling the bus means I bring it closer to the ground so she gets off easier. And I said, 'Don't move.' I remember my right hand grabbed her right hand. I wanted to make her feel special, like it was a limousine. It was a bus, but I wanted to make her feel like it was a limousine. And she said, 'I have been diagnosed with cancer--but today is the best day of my life.' And I've never forgotten that woman (Weeping). She's diagnosed with cancer and just because I helped her off the bus, she said she felt like Cinderella. Can't get better than that. And doing your job and getting paid to do a job where you can do something special like that? It's pretty awesome.

Then, as we grow older and enter middle age, something else begins to change. Our energy level drops. Our identity solidifies. We know who we are and we accept ourselves, including some of the parts we aren’t thrilled about. And, in a strange way, this is liberating. We no longer need to give a fuck about everything. Life is just what it is. We accept it, warts and all. We realize that we’re never going to cure cancer or go to the moon or feel Jennifer Aniston’s tits. And that’s okay. Life goes on. We now reserve our ever-dwindling fucks for the most truly fuck-worthy parts of our lives: our families, our best friends, our golf swing.

study of thirty thousand elderly people in fifty-two countries found that switching to an overall healthy lifestyle—eating a diet rich in fruits and vegetables, not smoking, exercising moderately, and not drinking too much alcohol—lowered heart disease rates by approximately 50 percent.14 Reducing exposure to carcinogens, such as tobacco and sodium nitrite, have been shown to decrease the incidence of lung and stomach cancers, and it is likely (more evidence is needed) that lowering exposures to other known carcinogens, such as benzene and formaldehyde, will reduce the incidence of other cancers. Prevention really is the most powerful medicine, but we as a species consistently lack the political or psychological will to act preventively in our own best interests. It is worthwhile to ask to what extent efforts to treat the symptoms of common mismatch diseases have the effect of promoting dysevolution by taking attention and resources away from prevention. On an individual level, am I more likely to eat unhealthy foods and exercise insufficiently if I know I’ll have access to medical care to treat the symptoms of the diseases these choices cause many years later? More broadly within our society, is the money we allocate to treating diseases coming at the expense of money to prevent them?

Many Christians live their lives as though Jesus finished His work in the first century. They seem to think that being a Christian is simply accepting the finished work of Christ, going to church every Sunday to express their worship, and waiting for His second coming. No, no, no. Jesus is working today, just as He did 2,000 years ago, to accomplish His cosmic mission... Some people can grasp the idea that Jesus goes to work every day, just like we do. Or conversely, and more correctly, we go to work every day, just like Jesus does. He told His disciples, "My father is always at his work to this very day, and I, too, am working" (John 5:17). He still is. The central task of the universe today is extending the kingdom of God into every corner of human life, one follower at a time, one conversation at a time. That's what Jesus is concentrating on, and that's what we should be spending the best part of our time and energy doing. You may have assumed that the most important thing you could be doing with your life is selling carpet... raising kids... governing... discovering a cure for cancer... or pastoring the second-largest church in a small town. Those are all worthwhile endeavors, but each one of those tasks is only significant when it is a subtask of the grand objective: building the kingdom of God.

After the war, in the early fifties, when the great break-throughs in science followed one after the other so rapidly, there wasn't time to take stock, to ask the sensible questions. Suddenly there were all these new possibilities laid before us, all these ways to cure so many previously incurable conditions. This was what the world noticed the most, wanted the most. And for a long time, people preferred to believe these organs appeared from nowhere, or at most that they grew in a kind of vacuum. Yes, there were arguments. But by the time people became concerned about . . . about students, by the time they came to consider just how you were reared, whether you should have been brought into existence at all, well by then it was too late. There was no way to reverse the process. How can you ask a world that has come to regard cancer as curable, how can you ask such a world to put away that cure, to go back to the dark days? There was no going back. However uncomfortable people were about your existence, their overwhelming concern was that their own children, their spouses, their parents, their friends, did not die from cancer, motor neurone disease. So for a long time you were kept in the shadows, and people did their best not to think about you. And if they did, they tried to convince themselves you weren't really like us. That you were less than human, so it didn't matter.

I’m guessing that you donate to charity for exactly two reasons, which are tax breaks and sticking it to your do-gooder friends. I could try to explain to you why dung beetles are a vital part of the country’s ecology, but clearly you don’t care. And that’s okay. So instead I’ll tell you this: any arsehole with a credit card can give money to puppies with cancer or toys for sad children, but nothing says ‘I have thought about my charitable donations better than you have’ like giving your money to an environmentally vital but fundamentally unattractive insect. In the ‘who’s best at philanthropy game,’ the person with the most obscure charity wins. Always. And you do not get more obscure than us.

(IMRT) has an advantage. The newer, high-dose, conformally directed, external-beam techniques for radiation therapy such as IMRT have been in widespread use for less than ten years; IGRT has been around for an even shorter time. However, some reports of long-term success are now emerging. New studies suggest that at ten years, high radiation doses alone can produce PSA control or cure rates in 93 percent of men with low-risk prostate cancer. What about more aggressive prostate cancer? As we discussed in chapter 9, the best treatment regimen for men with intermediate- and high-risk prostate cancer is still a moving target, but it will likely turn out to be a combination of high-dose radiation and short- or long-term hormonal therapy.

How about I tell you what I don’t like? I do not like postmodernism, postapocalyptic settings, postmortem narrators, or magic realism. I rarely respond to supposedly clever formal devices, multiple fonts, pictures where they shouldn’t be—basically, gimmicks of any kind. I find literary fiction about the Holocaust or any other major world tragedy to be distasteful—nonfiction only, please. I do not like genre mash-ups à la the literary detective novel or the literary fantasy. Literary should be literary, and genre should be genre, and crossbreeding rarely results in anything satisfying. I do not like children’s books, especially ones with orphans, and I prefer not to clutter my shelves with young adult. I do not like anything over four hundred pages or under one hundred fifty pages. I am repulsed by ghostwritten novels by reality television stars, celebrity picture books, sports memoirs, movie tie-in editions, novelty items, and—I imagine this goes without saying—vampires. I rarely stock debuts, chick lit, poetry, or translations. I would prefer not to stock series, but the demands of my pocketbook require me to. For your part, you needn’t tell me about the ‘next big series’ until it is ensconced on the New York Times Best Sellers list. Above all, Ms. Loman, I find slim literary memoirs about little old men whose little old wives have died from cancer to be absolutely intolerable. No matter how well written the sales rep claims they are. No matter how many copies you promise I’ll sell on Mother’s Day.

Messiah thought back, his mind floating back in time to the day he’d taken Mo to Stepping Stone Falls to let her high come down. That morning. He’d found out that morning. He had been diagnosed with cancer. It was the biggest reason he had warned Morgan that he would never be able to stay. That he would hurt her. That they would never be. There was no future with him. No wedding. No growing old together. He knew that it would hurt her to only have him for a little while, but that small moment of time that they had carved out was the best days of his life. Those days outweighed every ounce of pain he had ever felt. He looked at his illness as a blessing, because he would have never crossed the line with Morgan if he hadn’t been diagnosed that day. Hearing that he was sick made him want to risk what little time he had left on her. Messiah couldn’t allow himself to die without indulging in an angel. Morgan had been his biggest blessing and he had been her biggest curse. She would never know how sorry he was. He would never be able to tell her. “It’s been awhile. About a year or so,” he said. “You’re 180 pounds. According to your records from your doctors in Michigan, you were 225 at your last visit. You know what that means, right? They should have told you what to look for. The signs. You should have…” “I know,” he said. “I was busy living. I didn’t want to take the time out to die. I found a girl to love me for a little while. It was worth it.” Messiah stepped down and the woman looked at him in stun.

In their book American Grace: How Religion Divides and Unites Us, political scientists Robert Putnam and David Campbell analyzed a variety of data sources to describe how religious and nonreligious Americans differ. Common sense would tell you that the more time and money people give to their religious groups, the less they have left over for everything else. But common sense turns out to be wrong. Putnam and Campbell found that the more frequently people attend religious services, the more generous and charitable they become across the board.58 Of course religious people give a lot to religious charities, but they also give as much as or more than secular folk to secular charities such as the American Cancer Society.59 They spend a lot of time in service to their churches and synagogues, but they also spend more time than secular folk serving in neighborhood and civic associations of all sorts. Putnam and Campbell put their findings bluntly: By many different measures religiously observant Americans are better neighbors and better citizens than secular Americans—they are more generous with their time and money, especially in helping the needy, and they are more active in community life.60 Why are religious people better neighbors and citizens? To find out, Putnam and Campbell included on one of their surveys a long list of questions about religious beliefs (e.g., “Do you believe in hell? Do you agree that we will all be called before God to answer for our sins?”) as well as questions about religious practices (e.g., “How often do you read holy scriptures? How often do you pray?”). These beliefs and practices turned out to matter very little. Whether you believe in hell, whether you pray daily, whether you are a Catholic, Protestant, Jew, or Mormon … none of these things correlated with generosity. The only thing that was reliably and powerfully associated with the moral benefits of religion was how enmeshed people were in relationships with their co-religionists. It’s the friendships and group activities, carried out within a moral matrix that emphasizes selflessness. That’s what brings out the best in people. Putnam and Campbell reject the New Atheist emphasis on belief and reach a conclusion straight out of Durkheim: “It is religious belongingness that matters for neighborliness, not religious believing.”61

I kind of conned you into believing you were falling in love with a healthy person,” he said. I shrugged. “I’d have done the same to you.” “No, you wouldn’t’ve, but we can’t all be as awesome as you.” He kissed me, then grimaced. “Does it hurt?” I asked. “No. Just.” He stared at the ceiling for a long time before saying, “I like this world. I like drinking champagne. I like not smoking. I like the sound of Dutch people speaking Dutch. And now…I don’t even get a battle. I don’t get a fight.” “You get to battle cancer,” I said. “That is your battle. And you’ll keep fighting,” I told him. I hated it when people tried to build me up to prepare for battle, but I did it to him, anyway. “You’ll…you’ll…live your best life today. This is your war now.” I despised myself for the cheesy sentiment, but what else did I have? “Some war,” he said dismissively. “What am I at war with? My cancer. And what is my cancer? My cancer is me. The tumors are made of me. They’re made of me as surely as my brain and my heart are made of me. It is a civil war, Hazel Grace, with a predetermined winner.” “Gus,” I said. I couldn’t say anything else. He was too smart for the kinds of solace I could offer. “Okay,” he said. But it wasn’t. After a moment, he said, “If you go to the Rijksmuseum, which I really wanted to do—but who are we kidding, neither of us can walk through a museum. But anyway, I looked at the collection online before we left. If you were to go, and hopefully someday you will, you would see a lot of paintings of dead people. You’d see Jesus on the cross, and you’d see a dude getting stabbed in the neck, and you’d see people dying at sea and in battle and a parade of martyrs. But Not. One. Single. Cancer. Kid. Nobody biting it from the plague or smallpox or yellow fever or whatever, because there is no glory in illness. There is no meaning to it. There is no honor in

There is nothing so degrading as the constant anxiety about one's means of livelihood. I have nothing but contempt for the people who despise money. They are hypocrites or fools. Money is like a sixth sense without which you cannot make a complete use of the other five. Without an adequate income half the possibilities of life are shut off. The only thing to be careful about is that you do not pay more than a shilling for the shilling you earn. You will hear people say that poverty is the best spur to the artist. They have never felt the iron of it in their flesh. They do not know how mean it makes you. It exposes you to endless humiliation, it cuts your wings, it eats into your soul like a cancer. It is not wealth one asks for, but just enough to preserve one's dignity, to work unhampered, to be generous, frank, and independent. I pity with all my heart the artist, whether he writes or paints, who is entirely dependent for subsistence upon his art. (387)

BILL MURRAY, Cast Member: Gilda got married and went away. None of us saw her anymore. There was one good thing: Laraine had a party one night, a great party at her house. And I ended up being the disk jockey. She just had forty-fives, and not that many, so you really had to work the music end of it. There was a collection of like the funniest people in the world at this party. Somehow Sam Kinison sticks in my brain. The whole Monty Python group was there, most of us from the show, a lot of other funny people, and Gilda. Gilda showed up and she’d already had cancer and gone into remission and then had it again, I guess. Anyway she was slim. We hadn’t seen her in a long time. And she started doing, “I’ve got to go,” and she was just going to leave, and I was like, “Going to leave?” It felt like she was going to really leave forever. So we started carrying her around, in a way that we could only do with her. We carried her up and down the stairs, around the house, repeatedly, for a long time, until I was exhausted. Then Danny did it for a while. Then I did it again. We just kept carrying her; we did it in teams. We kept carrying her around, but like upside down, every which way—over your shoulder and under your arm, carrying her like luggage. And that went on for more than an hour—maybe an hour and a half—just carrying her around and saying, “She’s leaving! This could be it! Now come on, this could be the last time we see her. Gilda’s leaving, and remember that she was very sick—hello?” We worked all aspects of it, but it started with just, “She’s leaving, I don’t know if you’ve said good-bye to her.” And we said good-bye to the same people ten, twenty times, you know. And because these people were really funny, every person we’d drag her up to would just do like five minutes on her, with Gilda upside down in this sort of tortured position, which she absolutely loved. She was laughing so hard we could have lost her right then and there. It was just one of the best parties I’ve ever been to in my life. I’ll always remember it. It was the last time I saw her.

All 250 + episodes to date can be found at tim.blog/ podcast and itunes.com/ timferriss Jamie Foxx on Workout Routines, Success Habits, and Untold Hollywood Stories (# 124)—tim.blog/ jamie The Scariest Navy SEAL I’ve Ever Met . . . and What He Taught Me (# 107)—tim.blog/ jocko Arnold Schwarzenegger on Psychological Warfare (and Much More) (# 60)—tim.blog/ arnold Dom D’Agostino on Fasting, Ketosis, and the End of Cancer (# 117)—tim.blog/ dom2 Tony Robbins on Morning Routines, Peak Performance, and Mastering Money (# 37)—tim.blog/ tony How to Design a Life—Debbie Millman (# 214)—tim.blog/ debbie Tony Robbins—On Achievement Versus Fulfillment (# 178)—tim.blog/ tony2 Kevin Rose (# 1)—tim.blog/ kevinrose [If you want to hear how bad a first episode can be, this delivers. Drunkenness didn’t help matters.] Charles Poliquin on Strength Training, Shredding Body Fat, and Increasing Testosterone and Sex Drive (# 91)—tim.blog/ charles Mr. Money Mustache—Living Beautifully on $ 25–27K Per Year (# 221)—tim.blog/ mustache Lessons from Warren Buffett, Bobby Fischer, and Other Outliers (# 219)—tim.blog/ buffett Exploring Smart Drugs, Fasting, and Fat Loss—Dr. Rhonda Patrick (# 237)—tim.blog/ rhonda 5 Morning Rituals That Help Me Win the Day (# 105)—tim.blog/ rituals David Heinemeier Hansson: The Power of Being Outspoken (# 195)—tim.blog/ dhh Lessons from Geniuses, Billionaires, and Tinkerers (# 173)—tim.blog/ chrisyoung The Secrets of Gymnastic Strength Training (# 158)—tim.blog/ gst Becoming the Best Version of You (# 210)—tim.blog/ best The Science of Strength and Simplicity with Pavel Tsatsouline (# 55)—tim.blog/ pavel Tony Robbins (Part 2) on Morning Routines, Peak Performance, and Mastering Money (# 38)—tim.blog/ tony How Seth Godin Manages His Life—Rules, Principles, and Obsessions (# 138)—tim.blog/ seth The Relationship Episode: Sex, Love, Polyamory, Marriage, and More (with Esther Perel) (# 241)—tim.blog/ esther The Quiet Master of Cryptocurrency—Nick Szabo (# 244)—tim.blog/ crypto Joshua Waitzkin (# 2)—tim.blog/ josh The Benevolent Dictator of the Internet, Matt Mullenweg (# 61)—tim.blog/ matt Ricardo Semler—The Seven-Day Weekend and How to Break the Rules (# 229)—tim.blog/ ricardo

When we are needy Christ does His best work, but be warned. Someone, maybe even some well-meaning soul, is going to tell you, “Don’t worry. God will never give you more than you can handle.” I double-dog-dare you to find that in the scriptures. The closest you can come is found in 1 Corinthians 10:13: “There hath no temptation taken you but such as is common to man: but God is faithful, who will not suffer you to be tempted above that ye are able; but will with the temptation also make a way to escape, that ye may be able to bear it.” This talks about an escape from temptation; it does not say that you will not be faced with more than you can handle. The mother whose baby is born and dies, the father who loses his eyesight in a construction accident and can no longer provide for his family, the child who hurries home from school every day hoping that his mother hasn’t yet succumbed to the cancer that he sees ravish her body day by day . . . all of these souls have more than they can handle—on their own. But with Christ as their companion on the journey through life—and only with Christ—all things are possible. Without Him, we fail no matter how far we manage on our own. We can never cross over without Christ and His all-access Atonement.

After a series of promotions—store manager at twenty-two, regional manager at twenty-four, director at twenty-seven—I was a fast-track career man, a personage of sorts. If I worked really hard, and if everything happened exactly like it was supposed to, then I could be a vice president by thirty-two, a senior vice president by thirty-five or forty, and a C-level executive—CFO, COO, CEO—by forty-five or fifty, followed of course by the golden parachute. I’d have it made then! I’d just have to be miserable for a few more years, to drudge through the corporate politics and bureaucracy I knew so well. Just keep climbing and don't look down. Misery, of course, encourages others to pull up a chair and stay a while. And so, five years ago, I convinced my best friend Ryan to join me on the ladder, even showed him the first rung. The ascent is exhilarating to rookies. They see limitless potential and endless possibilities, allured by the promise of bigger paychecks and sophisticated titles. What’s not to like? He too climbed the ladder, maneuvering each step with lapidary precision, becoming one of the top salespeople—and later, top sales managers—in the entire company.10 And now here we are, submerged in fluorescent light, young and ostensibly successful. A few years ago, a mentor of mine, a successful businessman named Karl, said to me, “You shouldn’t ask a man who earns twenty thousand dollars a year how to make a hundred thousand.” Perhaps this apothegm holds true for discontented men and happiness, as well. All these guys I emulate—the men I most want to be like, the VPs and executives—aren’t happy. In fact, they’re miserable.  Don’t get me wrong, they aren’t bad people, but their careers have changed them, altered them physically and emotionally: they explode with anger over insignificant inconveniences; they are overweight and out of shape; they scowl with furrowed brows and complain constantly as if the world is conspiring against them, or they feign sham optimism which fools no one; they are on their second or third or fourth(!) marriages; and they almost all seem lonely. Utterly alone in a sea of yes-men and women. Don’t even get me started on their health issues.  I’m talking serious health issues: obesity, gout, cancer, heart attacks, high blood pressure, you name it. These guys are plagued with every ailment associated with stress and anxiety. Some even wear it as a morbid badge of honor, as if it’s noble or courageous or something. A coworker, a good friend of mine on a similar trajectory, recently had his first heart attack—at age thirty.  But I’m the exception, right?

I pull into the driveway outside of my father's house and shut off the engine. I sit behind the wheel for a moment, studying the house. He'd called me last night and demanded that I come over for dinner tonight. Didn't request. He demanded. What struck me though, was that he sounded a lot more stressed out and harried than he did when he interrupted my brunch with Gabby to demand my presence at a “family”dinner. Yeah, that had been a fun night filled with my father and Ian badgering me about my job. For whatever reason, they'd felt compelled to make a concerted effort to belittle what I do –more so than they usually do anyway -- try to undermine my confidence in my ability to teach, and all but demand that I quit and come to work for my father's company. That had been annoying, and although they were more insistent than normal, it's pretty par for the course with those two. They always think they know what's best for me and have no qualms about telling me how to live my life. When he'd called me last night though, and told me to come to dinner tonight, there was something in my father's voice that had rattled me. It took me a while to put a finger on what it was I heard in his voice, but when I figured it out, it really shook me. I heard fear. Outright fear. My father isn't a man who fears much or is easily intimidated. In fact, he's usually the one doing the intimidating. But, something has him really spooked and even though we don't always see eye-to-eye or get along, hearing that fear in his voice scared me. In all my years, I've never known him to sound so downright terrified. With a sigh and a deep sense of foreboding, I climb out of my car and head to the door, trying to steel myself more with each step. Call me psychic, but I have a feeling that this is going to be a long, miserable night. “Good evening, Miss Holly,”Gloria says as she opens the door before I even have a chance to knock. “Nice to see you again.”“It's nice to see you too, Gloria,”I say and smile with genuine affection. Gloria has been with our family for as far back as I can remember. Honestly, after my mother passed away from ovarian cancer, Gloria took a large role in raising me. My father had plunged himself into his work –and had taken Ian under his wing to help groom him to take over the empire one day –leaving me to more or less fend for myself. It was like I was a secondary consideration to them. Because I'm a girl and not part of the testosterone-rich world of construction, neither my father nor Ian took much interest in me or my life. Unless they needed something from me, of course. The only time they really paid any attention to me was when they needed me to pose for family pictures for company literature.

We must never forget that we may also find meaning in life even when confronted with a hopeless situation, when facing a fate that cannot be changed. For what then matters is to bear witness to the uniquely human potential at its best, which is to transform a personal tragedy into a triumph, to turn one’s predicament into a human achievement. When we are no longer able to change a situation—just think of an incurable disease such as inoperable cancer—we are challenged to change ourselves. Let me cite a clear-cut example: Once, an elderly general practitioner consulted me because of his severe depression. He could not overcome the loss of his wife who had died two years before and whom he had loved above all else. Now, how could I help him? What should I tell him? Well, I refrained from telling him anything but instead confronted him with the question, “What would have happened, Doctor, if you had died first, and your wife would have had to survive you?” “Oh,” he said, “for her this would have been terrible; how she would have suffered!” Whereupon I replied, “You see, Doctor, such a suffering has been spared her, and it was you who have spared her this suffering—to be sure, at the price that now you have to survive and mourn her.” He said no word but shook my hand and calmly left my office. In some way, suffering ceases to be suffering at the moment it finds a meaning, such as the meaning of a sacrifice.

Like,” he repeats with distaste. “How about I tell you what I don’t like? I do not like postmodernism, postapocalyptic settings, postmortem narrators, or magic realism. I rarely respond to supposedly clever formal devices, multiple fonts, pictures where they shouldn’t be—basically, gimmicks of any kind. I find literary fiction about the Holocaust or any other major world tragedy to be distasteful—nonfiction only, please. I do not like genre mash-ups à la the literary detective novel or the literary fantasy. Literary should be literary, and genre should be genre, and crossbreeding rarely results in anything satisfying. I do not like children’s books, especially ones with orphans, and I prefer not to clutter my shelves with young adult. I do not like anything over four hundred pages or under one hundred fifty pages. I am repulsed by ghostwritten novels by reality television stars, celebrity picture books, sports memoirs, movie tie-in editions, novelty items, and—I imagine this goes without saying—vampires. I rarely stock debuts, chick lit, poetry, or translations. I would prefer not to stock series, but the demands of my pocketbook require me to. For your part, you needn’t tell me about the ‘next big series’ until it is ensconced on the New York Times Best Sellers list. Above all, Ms. Loman, I find slim literary memoirs about little old men whose little old wives have died from cancer to be absolutely intolerable. No matter how well written the sales rep claims they are. No matter how many copies you promise I’ll sell on Mother’s Day.

When the time comes, & I hope it comes soon, to bury this era of moral rot & the defiling of our communal, social, & democratic norms, the perfect epitaph for the gravestone of this age of unreason should be Iowa Senator Chuck Grassley's already infamous quote: "I think not having the estate tax recognizes the people that are investing... as opposed to those that are just spending every darn penny they have, whether it’s on booze or women or movies.” Grassley's vision of America, quite frankly, is one I do not recognize. I thought the heart of this great nation was not limited to the ranks of the plutocrats who are whisked through life in chauffeured cars & private jets, whose often inherited riches are passed along to children, many of whom no sacrifice or service is asked. I do not begrudge wealth, but it must come with a humility that money never is completely free of luck. And more importantly, wealth can never be a measure of worth. I have seen the waitress working the overnight shift at a diner to give her children a better life, & yes maybe even take them to a movie once in awhile - and in her, I see America. I have seen the public school teachers spending extra time with students who need help & who get no extra pay for their efforts, & in them I see America. I have seen parents sitting around kitchen tables with stacks of pressing bills & wondering if they can afford a Christmas gift for their children, & in them I see America. I have seen the young diplomat in a distant foreign capital & the young soldier in a battlefield foxhole, & in them I see America. I have seen the brilliant graduates of the best law schools who forgo the riches of a corporate firm for the often thankless slog of a district attorney or public defender's office, & in them I see America. I have seen the librarian reshelving books, the firefighter, police officer, & paramedic in service in trying times, the social worker helping the elderly & infirm, the youth sports coaches, the PTA presidents, & in them I see America. I have seen the immigrants working a cash register at a gas station or trimming hedges in the frost of an early fall morning, or driving a cab through rush hour traffic to make better lives for their families, & in them I see America. I have seen the science students unlocking the mysteries of life late at night in university laboratories for little or no pay, & in them I see America. I have seen the families struggling with a cancer diagnosis, or dementia in a parent or spouse. Amid the struggles of mortality & dignity, in them I see America. These, & so many other Americans, have every bit as much claim to a government working for them as the lobbyists & moneyed classes. And yet, the power brokers in Washington today seem deaf to these voices. It is a national disgrace of historic proportions. And finally, what is so wrong about those who must worry about the cost of a drink with friends, or a date, or a little entertainment, to rephrase Senator Grassley's demeaning phrasings? Those who can't afford not to worry about food, shelter, healthcare, education for their children, & all the other costs of modern life, surely they too deserve to be able to spend some of their “darn pennies” on the simple joys of life. Never mind that almost every reputable economist has called this tax bill a sham of handouts for the rich at the expense of the vast majority of Americans & the future economic health of this nation. Never mind that it is filled with loopholes written by lobbyists. Never mind that the wealthiest already speak with the loudest voices in Washington, & always have. Grassley’s comments open a window to the soul of the current national Republican Party & it it is not pretty. This is not a view of America that I think President Ronald Reagan let alone President Dwight Eisenhower or Teddy Roosevelt would have recognized. This is unadulterated cynicism & a version of top-down class warfare run amok. ~Facebook 12/4/17

And then it sends a signal to turn off the system.” “So the universe with the wallet in the chamber waiting to be sent still exists,” added Allen. “But the universe from which it is actually sent never does.”  “That is just so messed up,” said Blake in exasperation, and Jenna, Walsh, and Soyer nodded their agreement. “Here is my advice to all of you,” said Cargill. “The best thing to do is ignore time travel, and don’t think about the paradoxes too hard. If you do, your head really will explode,” he added with a wry smile. “Just think of it as duplication and teleportation. But always keep in mind that the universe seems to go out of its way to ensure that infinite alternate timelines aren’t allowed. So no matter what, we only ever get this one universe.” He sighed. “So we’d better make sure we don’t screw it up.”     48   Brian Hamilton hated Cheyenne Mountain. Sure, it was one of the most interesting places in the world to visit, but living there only worked if you were a bat. The Palomar facility had also been underground, but nothing like this. It had a much larger security perimeter, so trips to the surface were easier to make happen. Not that it really mattered. Soon enough he would be traveling on another assignment anyway, living in a hotel room somewhere. But what he really wanted was to work side by side with Edgar Knight, toward their common goal. He was tired of being Knight’s designated spy, having to watch Lee Cargill squander Q5’s vast resources and capabilities. Watching him crawl like a wounded baby when he could be soaring. Cargill was an idiot. He could transform the world, but he was too weak to do it. He could wipe out the asshole terrorists who wanted nothing more than to butcher the helpless. If you have the ultimate cure for cancer, you use it to wipe out the disease once and for all. You don’t wield your cure only as a last resort, when the cancer has all but choked the life out of you. Edgar Knight, on the other hand, was a man with vision. He was able to make the tough decisions. If you were captain of a life raft with a maximum capacity of ten people, choosing to take five passengers of a sinking ship on board was an easy decision, not a heroic one. But what about when there were fifty passengers? Was it heroic to take them all, dooming everyone to death? Or was the heroic move using force, if necessary, to limit this number, to ensure some would survive? Sure, from the outside this looked coldhearted, while the converse seemed compassionate. But watching the world circle the drain because you were too much of a pussy to make the hard decisions was the real crime. Survival of the fittest was harsh reality. In the animal kingdom it was eat or be eaten. If you saw a group of fuck-nuts just itching to nuke the world back into the Dark Ages—who believed the Messiah equivalent, the twelfth Imam, would only come out to play when Israel was destroyed, and worldwide Armageddon unleashed—you wiped them out. To a man. Or else they’d do the same to you. It had been three days since Cargill had reported that he was on the verge of acquiring Jenna Morrison and Aaron Blake.

Like,” he repeats with distaste. “How about I tell you what I don’t like? I do not like postmodernism, postapocalyptic settings, postmortem narrators, or magic realism. I rarely respond to supposedly clever formal devices, multiple fonts, pictures where they shouldn’t be—basically, gimmicks of any kind. I find literary fiction about the Holocaust or any other major world tragedy to be distasteful—nonfiction only, please. I do not like genre mash-ups à la the literary detective novel or the literary fantasy. Literary should be literary, and genre should be genre, and crossbreeding rarely results in anything satisfying. I do not like children’s books, especially ones with orphans, and I prefer not to clutter my shelves with young adult. I do not like anything over four hundred pages or under one hundred fifty pages. I am repulsed by ghostwritten novels by reality television stars, celebrity picture books, sports memoirs, movie tie-in editions, novelty items, and—I imagine this goes without saying—vampires. I rarely stock debuts, chick lit, poetry, or translations. I would prefer not to stock series, but the demands of my pocketbook require me to. For your part, you needn’t tell me about the ‘next big series’ until it is ensconced on the New York Times Best Sellers list. Above all, Ms. Loman, I find slim literary memoirs about little old men whose little old wives have died from cancer to be absolutely intolerable. No matter how well written the sales rep claims they are. No matter how many copies you promise I’ll sell on Mother’s Day.” Amelia blushes, though she is angry more than embarrassed. She agrees with some of what A.J. has said, but his manner is unnecessarily insulting. Knightley Press doesn’t even sell half of that stuff anyway. She studies him. He is older than Amelia but not by much, not by more than ten years. He is too young to like so little. “What do you like?” she asks. “Everything else,” he says. “I will also admit to an occasional weakness for short-story collections. Customers never want to buy them though.” There is only one short-story collection on Amelia’s list, a debut. Amelia hasn’t read the whole thing, and time dictates that she probably won’t, but she liked the first story. An American sixth-grade class and an Indian sixth-grade class participate in an international pen pal program. The narrator is an Indian kid in the American class who keeps feeding comical misinformation about Indian culture to the Americans. She clears her throat, which is still terribly dry. “The Year Bombay Became Mumbai. I think it will have special int—” “No,” he says. “I haven’t even told you what it’s about yet.” “Just no.” “But why?” “If you’re honest with yourself, you’ll admit that you’re only telling me about it because I’m partially Indian and you think this will be my special interest. Am I right?” Amelia imagines smashing the ancient computer over his head. “I’m telling you about this because you said you liked short stories! And it’s the only one on my list. And for the record”—here, she lies—“it’s completely wonderful from start to finish. Even if it is a debut. “And do you know what else? I love debuts. I love discovering something new. It’s part of the whole reason I do this job.” Amelia rises. Her head is pounding. Maybe she does drink too much? Her head is pounding and her heart is, too. “Do you want my opinion?” “Not particularly,” he says. “What are you, twenty-five?” “Mr. Fikry, this is a lovely store, but if you continue in this this this”—as a child, she stuttered and it occasionally returns when she is upset; she clears her throat—“this backward way of thinking, there won’t be an Island Books before too long.