Cancer Hope Quotes

He hung up on me. I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled Jerk on the first line. One the line beneath it, I added, Smokes cigars. Will die of lung cancer. Hopefully soon. Excellent physical shape. I immediately scribbled over the last observation until it was illegible.

She had this dark cancer water dripping out of her chest. Eyes closed. Intubated. But her hand was still her hand, still warm and the nails painted this almost black dark blue and I just held her hand and tried to imagine the world without us and for about one second I was a good enough person to hope she died so she would never know that I was going, too. But then I wanted more time so we could fall in love. I got my wish, I suppose. I left my scar.

I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled ' Jerk ' on the first line. On the line beneath it I added, ' Smokes cigars. Will die of lung cancer. Hopefully soon.

I am not afraid to die; I am only afraid of saying goodbye to you forever.

Romance has killed more people than Cancer. Ok…maybe not killed but dulled more lives. Removed more hope, sold more medication, caused more tears

We are focusing on the small details and hiding the misery in the world. Look at the smoker and we miss global warming, war, and the crap we eat--not the bad guys but smoking. I smoke and they talk about cancer, I eat and they talk about cholesterol, I make love, it's AIDS. Before AIDS and cholesterol and cancer there's the pleasure of making love and eating and smoking. I have to die someday, so if the thing that gave me pleasure all of my life kills me instead of me going under a truck, that's fine. Besides, why should I live so that when I die I give fresh meat to the worms? I hope that I am rotted and they don't want to eat me. F@#$ck the worms.

But it's just because the chances are all against you, just because there is so little hope, that life is sweet over here.

A world without hope, but no despair

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

I love to walk. Walking is a spiritual journey and a reflection of living. Each of us must determine which path to take and how far to walk; we must find our own way, what is right for one may not be for another. There is no single right way to deal with late stage cancer, to live life or approach death, or to walk an old mission trail.

Toxic people are like Cancer. If you keep them in your life, they will destroy your dreams, hopes and ambitions.

God didn’t design your life so you would constantly fall down, but he does hope that you will be brought to your knees.

...the monstrous thing is not that men have created roses out of this dung heap, but that, for some reason or other, they should want roses. For some reason or other man looks for the miracle, and to accomplish it he will wade through blood. He will debauch himself with ideas, he will reduce himself to a shadow if for only one second of his life he can close his eyes to the hideousness of reality. Everything is endured- disgrace, humiliation, poverty, war, crime, ennui- in the belief that overnight something will occur, a miracle, which will render life tolerable. And all the while a meter is running inside and there is no hand that can reach in there and shut it off.

I hope he died of intestinal cancer in a part of the world where morphine is as of yet undiscovered.

I have cancer. Cancer doesn't have me.

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 dying of.

love. she liberated me to life, she continued to do that. and when she was in her final sickness i went out to san francisco and the doctor said she had 3 weeks to live, i asked her "would you come to north carolina?" she said yes. she had emphysema and lung cancer, i brought her to my home. she lived for a year and a half ..and when she was finally in extemis, she was on oxygen and fighting cancer for her life and i remembered her liberating me, and i said i hoped i would be able to liberate her, she deserved that from me. she deserved a great daughter and she got one. so in her last days, i said "i understand some people need permission to go… as i understand it you may have done what god put you here to do. you were a great worker, you must've been a great lover cause a lot of men and if I'm not wrong maybe a couple of woman risked their lives to love you. you were a piss poor mother of small children but a you were great mother of young adults, and if you need permission to go, i liberate you". and i went back to my house, and something said go back- i was in my pajamas, i jumped in my car and ran and the nurse said "she just gone". you see love liberates. it doesn't bind, love says i love you. i love you if you're in china, i love you if you're across town, i love you if you're in harlem, i love you. i would like to be near you, i would like to have your arms around me i would like to have your voice in my ear but thats not possible now, i love you so go. love liberates it doesn't hold. thats ego. love liberates.

Hope was a cancer inside him. He didn't want it; he did not want it. He could not bear these shoots of tender green hope springing up within him any longer. (45)

Like so many of life's varieties of experience, the novelty of a diagnosis of malignant cancer has a tendency to wear off. The thing begins to pall, even to become banal. One can become quite used to the specter of the eternal Footman, like some lethal old bore lurking in the hallway at the end of the evening, hoping for the chance to have a word. And I don't so much object to his holding my coat in that marked manner, as if mutely reminding me that it's time to be on my way. No, it's the snickering that gets me down.

Then let's do the interview over the phone. I've got a list of questions right-' He hung up on me. I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled Jerk on the first line. On the line beneath it I added, smokes cigars. Will die of lung cancer. Hopefully soon. Excellent physical shape.

It was how wars really ended, Dieffenbaker supposed -- not at truce tables but in cancer wards and office cafeterias and traffic jams. Wars died one tiny piece at a time, each piece something that fell like a memory, each lost like an echo that fades in winding hills. In the end even war ran up the white flag. Or so he hoped. He hoped that in the end even war surrendered.

Love will cost you dearly. And it will break your heart. But in the end, it will save the world.

Sadness was like a cancer, she thought, a presence that staked it's claim so quietly you might not even notice it until it was too late. She hoped her other daughters didn't see.

And while a bald head and a looped ribbon were seen as badges of courage and hope, her reluctant vocabulary and vanishing memories advertised mental instability and impending insanity. Those with cancer could expect to be supported by their community. Alice expected to be an outcast.

The majority of people dismiss those things that lie beyond the bounds of their own understanding as absurd and not worth thinking about. I myself can only wish that my stories were, indeed, nothing but incredible fabrications. I have stayed alive all these years clinging to the frail hope that these memories of mine were nothing but a dream or a delusion. I have struggled to convince myself that they never happened. But each time I tried to push them into the dark, they came back stronger and more vivid than ever. Like cancer cells, these memories have taken root in my mind and eaten into my flesh.

Relying on his own strength and the support of his family and community, Paul faced each stage of his illness with grace—not with bravado or a misguided faith that he would “overcome” or “beat” cancer but with an authenticity that allowed him to grieve the loss of the future he had planned and forge a new one. He cried on the day he was diagnosed. He cried while looking at a drawing we kept on the bathroom mirror that said, “I want to spend all the rest of my days here with you.” He cried on his last day in the operating room. He let himself be open and vulnerable, let himself be comforted. Even while terminally ill, Paul was fully alive; despite physical collapse, he remained vigorous, open, full of hope not for an unlikely cure but for days that were full of purpose and meaning.

This isn’t about karma. I’m not trying to rack up I’m-a-Good-Person points.” You shouldn’t donate to charity, help the elderly cross the street, or rescue puppies in the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way. Not that I’m saying any of this to Rufus, since all my classmates used to mock me for saying things like that, and no one should feel bad for trying to be good. “I think we made his day by not pretending he’s invisible. Thanks for seeing him with me.

--- What is the victory of a cat on a hot tin roof? --- I wish I knew ... Just staying on it, I guess, as long as she can ... [More croquet sounds] Later tonight I'm going to tell you I love you an' maybe by that time you'll be drunk enough to believe me. Yes, they're playing croquet ... Big Daddy is dying of cancer ... What were you thinking of when I caught you looking at me like that? Were you thinking of Skipper? [Brick crosses to the bar, takes a quick drink, and rubs his head with a towel] Laws of silence don't work ... When something is festering in your memory or your imagination, laws of silence don't work, it's like shutting a door and locking it on a house on fire in hope of forgetting that the house is burning. But not facing a fire doesn't put it out. Silence about a thing just magnifies it. It grows and festers in silence, becomes malignant .... Get dressed, Brick.

We all die. Not all of us live.

I don't want you to be afraid of dying. All those people have survived cancer. You just watched hundreds of reasons to have hope drift off into the sky.

I was alive. But I was alive without a memory, without a name; I was cut off from hope as well as from remorse or regret. I had no past and would probably have no future; I was buried alive in a void which was the wound that had been dealt me. I was like the wound itself.

Hope is a cancer. One of two things happens. Either you never learn the truth, in which case it gnaws down to the bone until there’s nothing left, or worse, you do, and you go through that windshield at ninety because hope told you it was okay to make the drive without a seat belt.

The night before brain surgery, I thought about death. I searched out my larger values, and I asked myself, if I was going to die, did I want to do it fighting and clawing or in peaceful surrender? What sort of character did I hope to show? Was I content with myself and what I had done with my life so far? I decided that I was essentially a good person, although I could have been better--but at the same time I understood that the cancer didn't care. I asked myself what I believed. I had never prayed a lot. I hoped hard, I wished hard, but I didn't pray. I had developed a certain distrust of organized religion growing up, but I felt I had the capacity to be a spiritual person, and to hold some fervent beliefs. Quite simply, I believed I had a responsibility to be a good person, and that meant fair, honest, hardworking, and honorable. If I did that, if I was good to my family, true to my friends, if I gave back to my community or to some cause, if I wasn't a liar, a cheat, or a thief, then I believed that should be enough. At the end of the day, if there was indeed some Body or presence standing there to judge me, I hoped I would be judged on whether I had lived a true life, not on whether I believed in a certain book, or whether I'd been baptized. If there was indeed a God at the end of my days, I hoped he didn't say, 'But you were never a Christian, so you're going the other way from heaven.' If so, I was going to reply, 'You know what? You're right. Fine.' I believed, too, in the doctors and the medicine and the surgeries--I believed in that. I believed in them. A person like Dr. Einhorn [his oncologist], that's someone to believe in, I thought, a person with the mind to develop an experimental treatment 20 years ago that now could save my life. I believed in the hard currency of his intelligence and his research. Beyond that, I had no idea where to draw the line between spiritual belief and science. But I knew this much: I believed in belief, for its own shining sake. To believe in the face of utter hopelessness, every article of evidence to the contrary, to ignore apparent catastrophe--what other choice was there? We do it every day, I realized. We are so much stronger than we imagine, and belief is one of the most valiant and long-lived human characteristics. To believe, when all along we humans know that nothing can cure the briefness of this life, that there is no remedy for our basic mortality, that is a form of bravery. To continue believing in yourself, believing in the doctors, believing in the treatment, believing in whatever I chose to believe in, that was the most important thing, I decided. It had to be. Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you. I didn't fully see, until the cancer, how we fight every day against the creeping negatives of the world, how we struggle daily against the slow lapping of cynicism. Dispiritedness and disappointment, these were the real perils of life, not some sudden illness or cataclysmic millennium doomsday. I knew now why people fear cancer: because it is a slow and inevitable death, it is the very definition of cynicism and loss of spirit. So, I believed.

There is no shame in asking for help; it is one the most courageous things you’ll ever do and will lead to greater connection with those around you.

One might say my life has been tragic. Yet, as I sat in pain in the hospital I raised my tired hands toward the sky, palms facing in, fingers spread, and I gave thanks.

I am crying for more and more disasters, for bigger calamities, for grander failures. I want the whole world to be out of whack, I want everyone to scratch himself to death.

I thank God every day for this life, and I want there to be more, though that’s not known. What is known is that I’m alive today, this minute. And that’s pretty much what we all have – this day, this moment.

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 Nor. One. Single. Cancer. Kid. Nobody biting it from the plague or smallpox or yellow fever or whatever, because there's no gory in illness. there is no meaning to it. There is no honour of dying of

A category of government activity which, today, not only requires the closest scrutiny, but which also poses a grave danger to our continued freedom, is the activity NOT within the proper sphere of government. No one has the authority to grant such powers, as welfare programs, schemes for re-distributing the wealth, and activities which coerce people into acting in accordance with a prescribed code of social planning. There is one simple test. Do I as an individual have a right to use force upon my neighbor to accomplish this goal? If I do have such a right, then I may delegate that power to my government to exercise on my behalf. If I do not have that right as an individual, then I cannot delegate it to government, and I cannot ask my government to perform the act for me…In reply to the argument that a little bit of socialism is good so long as it doesn't go too far, it is tempting to say that, in like fashion, just a little bit of theft or a little bit of cancer is all right, too! History proves that the growth of the welfare state is difficult to check before it comes to its full flower of dictatorship. But let us hope that this time around, the trend can be reversed. If not then we will see the inevitability of complete socialism, probably within our lifetime.

Beauty is sometimes born of pain

You shouldn’t donate to charity, help the elderly cross the street, or rescue puppies in the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

It’s a blessing when the person you love shows the kind of instincts you’d hoped they’d have when push comes to shove. Illness is the great equalizer. It doesn’t matter who you are, rich or poor, young or old, fat or thin, sick is sick. And if you’re blessed, those around you will rise to the occasion in your hour of need.

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

Elena's lesson is not one of death and cancer; instead it is one of hope and life. She taught me how to live, how to love, and how to laugh. I will never forget that lesson.

I came to realize we are held in the arms of God and are utterly completely safe - in life and in death; whether walking alone or with others.

I'm never going to give in. I'm never going to give up, and I will fight back with every breath I have." - Dionne Warner, seven-time cancer survivor and subject of Never Leave Your Wingman

Offering care means being a companion, not a superior. It doesn’t matter whether the person we are caring for is experiencing cancer, the flu, dementia, or grief. If you are a doctor or surgeon, your expertise and knowledge comes from a superior position. But when our role is to be providers of care, we should be there as equals.

Dear Mr. Peter Van Houten (c/o Lidewij Vliegenthart), My name is Hazel Grace Lancaster. My friend Augustus Waters, who read An Imperial Affliction at my recommendationtion, just received an email from you at this address. I hope you will not mind that Augustus shared that email with me. Mr. Van Houten, I understand from your email to Augustus that you are not planning to publish any more books. In a way, I am disappointed, but I'm also relieved: I never have to worry whether your next book will live up to the magnificent perfection of the original. As a three-year survivor of Stage IV cancer, I can tell you that you got everything right in An Imperial Affliction. Or at least you got me right. Your book has a way of telling me what I'm feeling before I even feel it, and I've reread it dozens of times. I wonder, though, if you would mind answering a couple questions I have about what happens after the end of the novel. I understand the book ends because Anna dies or becomes too ill to continue writing it, but I would really like to mom-wether she married the Dutch Tulip Man, whether she ever has another child, and whether she stays at 917 W. Temple etc. Also, is the Dutch Tulip Man a fraud or does he really love them? What happens to Anna's friends-particularly Claire and Jake? Do they stay that this is the kind of deep and thoughtful question you always hoped your readers would ask-what becomes of Sisyphus the Hamster? These questions have haunted me for years-and I don't know long I have left to get answers to them. I know these are not important literary questions and that your book is full of important literally questions, but I would just really like to know. And of course, if you ever do decide to write anything else, even if you don't want to publish it. I'd love to read it. Frankly, I'd read your grocery lists. Yours with great admiration, Hazel Grace Lancaster (age 16)

This isn’t about karma. I’m not trying to rack up I’m-a-Good-Person points.” You shouldn’t donate to charity, help the elderly cross the street, or rescue puppies in the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

It may be that we are doomed, that there is no hope for us, any of us, but if that is so then let us set up a last agonizing, bloodcurdling howl, a screech of defiance, a war whoop! Away with lamentation! Away with elegies and dirges! Away with biographies and histories, and libraries and museums! Let the dead eat the dead. Let us living ones dance about the rim of the crater, a last expiring dance. But a dance!" - Tropic of Cancer

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.

When we feel like giving up, like we are beyond help, we must remember that we are never beyond hope. Holding on to hope has always motivated me to keep trying. I have found this hope by connecting with others. I’ve found it not only in individuals who have dealt with eating disorders but also in people who have battled addictions and those who have survived abuse, cancer, and broken hearts. I have found much-needed hope in my passions and dreams for the future. I’ve found it in prayer. Real hope combined with real actions has always pulled me through difficult times. Real hope combined with doing nothing has never pulled me through. In other words, sitting around and simply hoping that things will change won’t pick you up after a fall. Hope only gives you strength when you use it as a tool to move forward. Taking real action with a hopeful mind will pull you off the ground that eighth time and beyond.

He hung up on me. I stared at the phone in disbelief, then ripped a clean sheet of paper from my notebook. I scribbled Jerk on the first line. On the line beneath it I added, Smokes cigars. Will die of lung cancer. Hopefully soon. Excellent physical shape.

The most compassionate and peaceful thing you can do for yourself and others is to let go of the past, let go of the anger, let go of trying to hurt people that wronged you. There are thousands of people dying from cancer that wish they had someone to care about them and be with them during their final days. There are children being sold into sex trafficking and are hoping someone would rescue them. There are homeless people that wish they had something warm to wear or eat. There is an entire species being wiped out because not enough people care about our oceans. Today, remember that there is someone praying for the very things you take for granted. Spend your effort where God needs you to be--on the front lines of the war on earth, not on the battlefields of the past.

You have the power to feel good—or not—just by being conscious of what you choose to think. Choose to focus on hope and healing.

jerk.smokes cigars.will die of lung cancer,hopefully soon.excellent physical shape.

Heaven is freakin' not ready for me!" - seven-time cancer survivor Dionne Warner in Never Leave Your Wingman

Its palliation is a daily task, its cure a fervent hope. —William Castle, describing leukemia in 1950

With certainty, I can predict that there will never be a cure to cancer. The only hope for any of us is to concentrate on cause and prevent the misery.

Is it too much to hope that maybe, just maybe, he could look past the cancer and see me?

Anger and resentment are the cancer of our mind. To be cured, inject love in your heart and be kind.

A long walk is a slow remembering of how profound and wonderful life is; God is everywhere and in everything. Wherever I look I am looking at God.

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.

Scientists and inventors alike, they first guess a new explanation—a hypothesis—as wild and innovative as they can conjure. And then they test it rigorously, their hearts filled with the hope they’ll find a door or a window that reframes their understanding of the universe, of life, of a flower, or a cure for cancer. And it all starts with a guess, a good explanation as unlikely as it is plausible. A story at the knife’s edge of innovation, bleeding truth and pushing the limits of knowledge further afield. That impossibly sharp place where dreams and reality converge. A hard-to-vary idea as powerful as the one that broke Einstein’s General Relativity and his assumption that the laws of nature don’t depend on the motion of an observer.

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.

The cerebral processing of that visceral input as a signal of death was accurate. Without the kinds of therapy that had been developed over the decades, this cancer would have been fatal. Hope, then, is constructed not just from rational deliberation, from the conscious weighing of information; it arises as an amalgam of thought and feeling, the feelings created in part by neural input from the organs and tissues.

I started to walk the day I was told I was dying of cancer. I believe walking has kept me alive. I live with a constant, pressing awareness of death. Once I start to walk, I am not afraid anymore; all is well.

You shouldn't donate to charity, help the elderly cross the street, or rescue puppies in the hopes you'll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

Hopefully, this is a durable remission.” Durable. This isn’t the first time he’s used the word. Boy, do I miss the days of them saying cured. Those were the good, unrealistic times. Am I to be durable now? Cancer will be splashed across me like juice onto tile, only to be wiped away, then again splashed and again wiped away.

As a society, we denounce "delinquents," "hoodlums" and "hooligans," but the truth is that we routinely fail troubled kids before they fail us. More children die each year in the United States from abuse and neglect than from cancer. For every child who dies, thousands are injured, raped or brutally abused. We shrug as millions of children undergo trauma in ways that harm them and unravel our social fabric--and then we blame the kids when things go wrong.

One of the things he had learned in life, and which he hoped he could rely on, was that a greater pain drives out a lesser one. A strained muscle disappears before toothache, toothache disappears before a crushed finger. He hoped - it was his only hope now - that the pain of cancer, the pain of dying , would drive out the pains of love. It did not seem likely.

I’m forever hopeful,” he said. “That’s what friends do. They hope. They have faith in each other.” “Well, I have faith that she’ll forget,” I said, hiking my backpack up onto my shoulders. “You have to be a realist with Caro.” “I’m a hopeful realist,” Drew said. “I’m a healist! Like those guys on TV late at night that cure people of cancer.” He grinned down at me.

The cruciform does not like pain. Nor do I but, like the cruciform, I am willing to use it to serve my purposes. And I will do so consciously, not instinctively like the mindless mass of alien tissue embedded in me. This thing only seeks a mindless avoidance of death by any means. I do not wish to die, but I welcome pain and death rather than an eternity of mindless life. Life is sacred--I still hold to that as a core element of the Church's though and teachings these past twenty-eight hundred years when life has been so cheap--but even more sacred is the soul. I realize now that what I was trying to do with the Armaghast data was offer the Church not a rebirth but only a transition to a false life such as these poor walking corpses inhabit. If the Church is meant to die, it must do so--but do so gloriously, in the full knowledge of its rebirth in Christ. It must go into the darkness not willingly but well--bravely and firm of faith--like the millions who have gone before us, keeping faith with all those generations facing death in the isolated silence of death camps and nuclear fireballs and cancer wards and pogroms, going into the darkness, if not hopefully, then prayerful that there is some reason for it all, something worth the price of all that pain, all those sacrifices., All those before us have gone into the darkness without assurance of logic or fact or persuasive theory, with only a slender thread of hope or the all too shakable conviction of faith. And if they have been able to sustain that slim hope in the face of darkness, then so must I... and so must the Church.

At almost every meeting since then, Big Bob has made me cry. I never went back to the doctor. I never chewed the valerian root. This was freedom. Losing all hope was freedom. If I didn't say anything, people in a group assumed the worst. They cried harder, I cried harder. Look up into the stars and you're gone. Walking home after a support group, I felt more alive than I'd ever felt. I wasn't host to cancer or blood parasites; I was the little warm center that the life of the world crowded around.

As a physician, I was trained to deal with uncertainty as aggressively as I dealt with disease itself. The unknown was the enemy. Within this worldview, having a question feels like an emergency; it means that something is out of control and needs to be made known as rapidly, efficiently, and cost-effectively as possible. But death has taken me to the edge of certainty, to the place of questions. After years of trading mystery for mastery, it was hard and even frightening to stop offering myself reasonable explanations for some of the things that I observed and that others told me, and simply take them as they are. "I don't know" had long been a statement of shame, of personal and professional failing. In all of my training I do not recall hearing it said aloud even once. But as I listened to more and more people with life-threatening illnesses tell their stories, not knowing simply became a matter of integrity. Things happened. And the explanations I offered myself became increasingly hollow, like a child whistling in the dark. The truth was that very often I didn't know and couldn't explain, and finally, weighed down by the many, many instances of the mysterious which are such an integral part of illness and healing, I surrendered. It was a moment of awakening. For the first time, I became curious about the things I had been unwilling to see before, more sensitive to inconsistencies I had glibly explained or successfully ignored, more willing to ask people questions and draw them out about stories I would have otherwise dismissed. What I have found in the end was that the life I had defended as a doctor as precious was also Holy. I no longer feel that life is ordinary. Everyday life is filled with mystery. The things we know are only a small part of the things we cannot know but can only glimpse. Yet even the smallest of glimpses can sustain us. Mystery seems to have the power to comfort, to offer hope, and to lend meaning in times of loss and pain. In surprising ways it is the mysterious that strengthens us at such times. I used to try to offer people certainty in times that were not at all certain and could not be made certain. I now just offer my companionship and share my sense of mystery, of the possible, of wonder. After twenty years of working with people with cancer, I find it possible to neither doubt nor accept the unprovable but simply to remain open and wait. I accept that I may never know where truth lies in such matters. The most important questions don't seem to have ready answers. But the questions themselves have a healing power when they are shared. An answer is an invitation to stop thinking about something, to stop wondering. Life has no such stopping places, life is a process whose every event is connected to the moment that just went by. An unanswered question is a fine traveling companion. It sharpens your eye for the road.

Somehow the realization that nothing was to be hoped for had a salutary effect upon me. For weeks and months, for years, in fact, all my life I had been looking forward to something happening, some extrinsic event that would alter my life, and now suddenly, inspired by the absolute hopelessness of everything, I felt relieved, felt as though a great burden had been lifted from my shoulders.

Reflecting on his physical therapy reminds me that I’m not a fan of the “fighting” metaphor for cancer. I don’t think you fight it, or beat it. The effort I saw Henry expend, again and again, at the age of one, under such duress, suggests someone who could beat anything that can be beaten. Cancer’s pretty much going to do what it wants. Should it come for me, I hope I’ll just ride the wave.

…of a child dying an agonizing death from diphtheria, of a young mother ravaged by cancer, of tens of thousands of Asians swallowed in an instant by the sea, of millions murdered in death camps and gulags and forced famines…Our faith is in a God who has come to rescue His creation from the absurdity of sin and the emptiness of death, and so we are permitted to hate these things with a perfect hatred…As for comfort, when we seek it, I can imagine none greater than the happy knowledge that when I see the death of a child, I do not see the face of God, but the face of his enemy. It is…a faith that…has set us free from optimism, and taught us hope instead.

as to our hopes, our dreams, our secret desires, we couldn't talk about those. They were to vague, too frightening, too important. And so they stayed inside us, growing like a cancer, a body eating away at itself. In retrospect I'm amazed how long our marriage lasted.

Hope is a cancer. One of two things happens. Either you never learn the truth, in which case it gnaws down to the bone until there's nothing left, or worse, you do, and you go through that windshield at ninety because hope told you it was okay to make the drive without a seat belt.

Jesus didn’t have to extend His love. He didn’t have to think of me when He went up on that cross. He didn’t have to rewrite my story from one of beauty to one of brokenness and create a whole new brand of beauty. He simply didn’t have to do it, but He did. He bought me. He bought me that day He died, and He showed His power when He overcame death and rose from the grave. He overcame my death in that moment. He overcame my fear of death in that unbelievable, beautiful moment, and the fruit of that death, that resurrection, and that stunning grace is peace. It is the hardest peace, because it is brutal. Horribly brutal and ugly, and we want to look away, but it is the greatest, greatest story that ever was. And it was, and it is.

An overweight officer, having delivered a batch of children to the home, started telling one of the guards about his heart problem. “You think you want to be a cop, but you don’t, because it kills you,” said the officer, mopping his brow. Then he told of another officer with a lung problem, and one who had cancer, and of others who were stress-sick, and of how none of them earned enough to afford decent doctors. Abdul hadn’t previously thought of policemen as people with hearts and lungs who worried about money or their health. The world seemed replete with people as bad off as himself, and this made him feel less alone.

In reply to the argument that a little socialism is good so long as it doesn't go too far. It is tempting to say that, in like fashion, just a little bit of theft or a little bit of cancer is alright, too! History proves that the growth of the welfare state is difficult to check before it comes to it's full flower of dictatorship. But let us hope that this time around, the trend can be reversed. If not then we will see the inevitability of complete socialism, probably within our lifetime.

Your health, your experiences, and your life do not have to be at the mercy of your negative emotions. When you consciously choose to focus on a thought or belief that is positive, comforting, or hopeful, you’re clearing out that emotional clutter that’s weighing you down. You’re energetically shifting yourself to a better place.

I saw a star and its light was like something woven of hope and music, and the shimmer of it was a voice crying out to my spirit to keep hold, to take joy, and for a moment the whole of my suffering seemed unmade. The darkness became the false thing and the joy of that light, it was the truest thing I had ever known. How can we believe what beauty speaks to us in the darkness of mental illness and cancer and abuse and death? Because beauty calls to us with the voice of God. We are answered not with argument or angry demands for obedience but with the presence of Immanuel, God here with us in the shadows. What beauty reveals is the intimacy of the divine in our grief. God gives us beauty, not as his argument but as his offering - a gift that immersed us in something that allows us to touch hope, to taste healing, to tangibly encounter something opposite to disintegration and destruction. Where suffering has made God abstract and distant to us, where brokenness leaves us with unanswerable questions, beauty allows us to taste and see God’s presence as he breaks into the circles of our inmost grief to remake the broken world. Beauty offers us a theodicy of encounter.

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.

Just when I think you’ve hit bottom you continue to amaze me,” Kyle said. “Or, does this get worse? Nothing would surprise me after this. Are you sleeping with a married man whose wife is dying of cancer?” Elroy didn’t think he’d done anything wrong. “I know nothing about his wife, or his husband for that matter. I don’t ask and I’m not out to break up his home. Lighten up, man. Everybody does it. It’s not like I’m going to freaking marry this dude. I’m only having a little fun with him. You wanna come with me? We’ll have a three-way. You should see the way this guy moves. It will blow your mind.” With that remark Kyle shoved his hands into his pockets and walked faster. “No, thank you. That’s not something I’m interested in doing. Meeting nice, decent people is the only thing that blows my mind. I just hope you’re using condoms, you goddman asshole.

Hope is as essential to your life as air and water. You need hope to cope. Dr. Bernie Siegel found he could predict which of his cancer patients would go into remission by asking, “Do you want to live to be one hundred?” Those with a deep sense of life purpose answered yes and were the ones most likely to survive. Hope comes from having a purpose.

More children die each year in the United States from abuse and neglect than from cancer.

6Let your conversation be always full of grace, seasoned with salt, so that you may know how to answer everyone.

I LOVE YOU FROM THE WAIST DOWN, I DON'T DEAL IN DAMAGED GOODS.

I've been married forever, and I still don't have it right.

I am fighting to stay alive not because I fear death, but because I love life.

Acceptance of death and cancer did not mean I intended to give up, just the opposite. I was prepared to fight cancer not out of fear of dying, but out of joy of living.

Just because you’re ill today, it doesn’t mean you won’t be fine again soon. The body is a complex and incredible machine, and it can bounce back from all sorts of traumas.

Love does make us feel better, from the inside out.

You're actually each other's wingman. You never leave your partner vulnerable." - Graham Warner, husband of fun-loving seven-time cancer survivor Dionne Warner

Peace, Love, Hope

A book that I would recommend for everyone: The Immortal Life of Henrietta Lacks.

Cancer of whatever flavour triggers a reflective gene: Just let me live and I will learn to be a better person.

Real hope is grounded in reality, and the ultimate truth of reality is that we are loved by a busy God—One who never stops working in us.

Seventy-six for an American male was a number on an actuarial chart that includes men who are obese, smokers and inheritors of deadly family genes.

Is that cancer curable or just treatable.

True hope has no room for delusion.

the hopes you’ll be repaid later. I may not be able to cure cancer or end world hunger, but small kindnesses go a long way.

There is beauty in finding the silver lining, even through the darkness. It is there if you search for it.

There is no such thing as false hope. There is only hope

Hope was a cancer inside him. He didn’t want it; he did not want it. He could not bear these shoots of tender green hope springing up within him any longer.

Hopefully I’ll be dead by the time you get skin cancer,” I say to Jamie, and he says, “Nice, Mom,” but doesn’t actually look up from his phone.

You will understand, I hope, that because of all of this, every pink ribbon looks like the flag of a conqueror stuck in a woman's grave.

American Cancer Society estimates that in 2015 1,658,370 new cancer cases will be diagnosed and that in the same year about 1,600 people will die from cancer-related conditions daily.

The question that lingers is, how much was I a factor in my own survival, and how much was science, and how much miracle? I don't have the answer to that question. Other people look to me for the answer, I know. But if I could answer it, we would have the cure for cancer, and what's more, we would fathom the true meaning of our existences. I can deliver motivation, inspiration, hope, courage, and counsel, but I can't answer the unknowable. Personally, I don't need to try. I 'm content with simply being alive to enjoy the mystery. Good Joke: A man is caught in a flood, and as the water rises he climbs to the roof of his house and waits to be rescued. A guy in a motorboat comes by, and he says, "Hop in, I'll save you." "No thanks," the man on the rooftop says. "My Lord will save me." But the floodwaters keep rising. A few minutes later, a rescue plane flies overhead and the pilot drops a line. "No, thanks," the man on the rooftop says. "My Lord will save me." But the floodwaters rise ever higher, and finally, they overflow the roof and the man drowns. When he gets to heaven, he confronts God. "My Lord, why didn't you save me?" he implores. "You idiot," God says. "I sent a boat, I sent you a plane." I think in a way we are all just like the guy on the rooftop. Things take place, there is a confluence of events and circumstances, and we can't always know their purpose, or even if there is one. But we can take responsibility for ourselves and be brave.

Cleaning up after themselves was a low priority for Margo and my mother. They had both recovered from cancer scares, failed marriages, and lost hope; in their opinion, dirt could wait.

It was how wars really ended, Dieffenbaker supposed—not at truce tables but in cancer wards and office cafeterias and traffic jams. Wars died one tiny piece at a time, each piece something that fell like a memory, each lost like an echo that fades in winding hills. In the end even war ran up the white flag. Or so he hoped. He hoped that in the end even war surrendered.

They all knew this was coming. They all knew war would reach into the pools of kinship between countless people and gut the innards of it like emptying out a pumpkin. So many seeds torn away and crushed into nothing; seeds of friendship, seeds of romance, seeds of family. All of them planted and ruined in various stages, left with nothing but growing pains and, worse than that, the pain of absent growth altogether. War is cruel. It's cancerous. The end of the world is always tied to war, isn't it? Maybe this is why; because war is so much more than just war. It goes beyond bullets and blood and bodies. War comes in like a flood, like a disease, and it claims anyone who comes in contact with it. Even the living can't get free from it; they're as claimed as the dead are. Once war touches them, they're branded to their last breath. In this world, most people have been branded for a lot longer than they stepped on their first battlefield.

Dripping charnel  grounds of light - I examine hope &  fear - blue-black body  monster of enlightenment - call me Youthful Lightning Bolt -  tired I slump - desire's already  here - I don't care - my wrathful rosary coiled      snake   on my cushion -  I close my tired   eyes -  sleep has been  troubled but   my mother's  cancer hasn't  spread -      still I  am the Cemetary King

Only Jesus can hold things like this in tandem. Only Jesus can simultaneously attend to the one with the broken foot and the one with stage IV cancer. Only Jesus can concurrently care about the child withering away from starvation and the child weeping over his parents’ divorce. Only Jesus can cry with the girl sobbing over a high school breakup and the wife who is widowed, left with mouths to feed and an empty bed. He is the only one who can see that all pain is real and valid, regardless of how the world would rank it. He is the only one who can validate our suffering—and he does.

Case in point: Warnings on cigarette packages can increase a smoker’s urge to light up. A 2009 study found that death warnings trigger stress and fear in smokers—exactly what public health officials hope for. Unfortunately, this anxiety then triggers smokers’ default stress-relief strategy: smoking. Oops. It isn’t logical, but it makes sense based on what we know about how stress influences the brain. Stress triggers cravings and makes dopamine neurons even more excited by any temptation in sight. It doesn’t help that the smoker is—of course—staring at a pack of cigarettes as he reads the warning. So even as a smoker’s brain encodes the words “WARNING: Cigarettes cause cancer” and grapples with awareness of his own mortality, another part of his brain starts screaming, “Don’t worry, smoking a cigarette will make you feel better!

The body is designed to repair itself when it gets sick, and we have clear evidence that those who nurture their bodies, minds, and spirits while staying hopeful and believing in their ability to get well are more likely to be cured. It’s important to your body that we all remain optimistic and that your mind and body stay as relaxed as possible, because only in this state of relaxation can your body fight off the cancer

My friend, my editor, still had the cancer. Each day she had to cross a terrible chasm, a bottomless hole of not knowing what to hope or believe. I tried to imagine what she saw, but I did not have her perspective.

*Terminal* is a harsh word when used in the context of death and not one we'd ever uttered aloud. But according to Webster's, it's also a place people pass through on their way to somewhere else. Deborah knew her "somewhere else" was heaven. She was just hoping the rain was delayed. I scooped a tear off her cheek and tried to slip around her question. "We're all terminal," I said, smiling gently. "None of us makes it out of here alive.

I have a tiny little secret hope that, after a decent period of silence and prose, I will find myself in some almost impossible life situation and will respond to this with outcries of rage, rage and love, such as the world has never heard before. Like Yeats's great outburst at the end of his life. This comes out of a feeling that endowment is a very small part of achievement. I would rate it about fifteen or twenty percent, Then you have historical luck, personal luck, health, things like that, then you have hard work, sweat. And you have ambition. The incredible difference between the achievement of A and the achievement of B is that B wanted it, so he made all kinds of sacrifices. A could have had it, but he didn’t give a damn.[...] But what I was going on to say is that I do strongly feel that among the greatest pieces of luck for high achievement is ordeal. Certain great artists can make out without it, Titian and others, but mostly you need ordeal. My idea is this: the artist is extremely lucky who is presented with the worst possible ordeal which will not actually kill him. At that point, he's in business. Beethoven's deafness, Goya's deafness, Milton's blindness, that kind of thing. And I think that what happens in my poetic work in the future will probably largely depend not on my sitting calmly on my ass as I think, "Hmm, hmm, a long poem again? Hmm," but on being knocked in the face, and thrown flat, and given cancer, and all kinds of other things short of senile dementia. At that point, I'm out, but short of that, I don't know. I hope to be nearly crucified,

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 dying of.

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.

I hoped that as time passed I would be able to raise the cancer shade and allow more light into my daily life. Until then it is CANCER EVERY WAKING MOMENT and the realization that it will be with me until the end, by whatever means.

Why?' she whispered. He didn't need her to elaborate; he knew what she was asking. 'I don't want you to be afraid of dying. All those people have survuved cancer. You just watched hundreds of reasons to have hope drift off into the sky.

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.

But I resented her when I was young, resented her for the lessons and the misplaced hope. And later, for still believing in good in a world that cursed her with cancer, that twisted her limp as an old dry rag and left her to disintegrate.

The idea that there could be one solution to breast cancer- screening, early detection, some universal cure- is certainly appealing. All of us, those who fear the disease, those who live with it, our friends and families, the corporations who swath themselves in pink, wish it were true. Wearing a bracelet, sporting a ribbon, running a race, or buying a pink blender expresses our hopes and that feels good - even virtuous. But making a difference is more complicated than that.

The average person walks into their doctor's office ready to accept whatever is said and handed to them. Without taking time to research or gain more insight, they accept pills and treatment without looking into other options. Our nation overeats. We put toxic fake food into our bodies, but wonder why we're sick. We continue a vicious cycle of consuming the wrong foods and drinks along with a stressful lifestyle, yet question why cancer is so rampant. Most of our society live in fear and believe they have no control. My positive message is that we do have control. We need to take back ownership of our bodies and minds. Don't blindly fill prescriptions without first checking into potential side effects, adverse reactions, and long-term damage to your body and mind. Be conscious of what you are consuming. Be informed. Take the initiative to gain more knowledge. Understand your options so you may be in a better position to make an informed choice.

Meanwhile, Mme Mao and her cohorts were renewing their efforts to prevent the country from working. In industry, their slogan was: "To stop production is revolution itself." In agriculture, in which they now began to meddle seriously: "We would rather have socialist weeds than capitalist crops." Acquiring foreign technology became "sniffing after foreigners' farts and calling them sweet." In education: "We want illiterate working people, not educated spiritual aristocrats." They called for schoolchildren to rebel against their teachers again; in January 1974, classroom windows, tables, and chairs in schools in Peking were smashed, as in 1966. Mme Mao claimed this was like "the revolutionary action of English workers destroying machines in the eighteenth century." All this demagoguery' had one purpose: to create trouble for Zhou Enlai and Deng Xiao-ping and generate chaos. It was only in persecuting people and in destruction that Mme Mao and the other luminaries of the Cultural Revolution had a chance to "shine." In construction they had no place. Zhou and Deng had been making tentative efforts to open the country up, so Mme Mao launched a fresh attack on foreign culture. In early 1974 there was a big media campaign denouncing the Italian director Michelangelo Antonioni for a film he had made about China, although no one in China had seen the film, and few had even heard of it or of Antonioni. This xenophobia was extended to Beethoven after a visit by the Philadelphia Orchestra. In the two years since the fall of Lin Biao, my mood had changed from hope to despair and fury. The only source of comfort was that there was a fight going on at all, and that the lunacy was not reigning supreme, as it had in the earlier years of the Cultural Revolution. During this period, Mao was not giving his full backing to either side. He hated the efforts of Zhou and Deng to reverse the Cultural Revolution, but he knew that his wife and her acolytes could not make the country work. Mao let Zhou carry on with the administration of the country, but set his wife upon Zhou, particularly in a new campaign to 'criticize Confucius." The slogans ostensibly denounced Lin Biao, but were really aimed at Zhou, who, it was widely held, epitomized the virtues advocated by the ancient sage. Even though Zhou had been unwaveringly loyal, Mao still could not leave him alone. Not even now, when Zhou was fatally ill with advanced cancer of the bladder.

ALS is, in my opinion, the cruelest disease. At least with cancer, there’s a glimmer of hope. You can come up with a game plan and you can fight. ALS is terminal. In all cases. Nobody has ever beaten ALS. I don’t say this to be callous or melodramatic; indeed, I saw its effects up close. Worst of all, it affects only the body, so as people become progressively and inevitably more paralyzed, they are keenly aware of everything that is happening to them. Think about that: You are 100 percent aware of your own paralysis. The

I argue against purism not because I want a devastated world, the Mordor of industrial capitalism emerging as from a closely aligned alternate universe through our floating islands of plastic gradually breaking down into microbeads consumed by the scant marine life left alive after generations of overfishing, bottom scraping, and coral reef–killing ocean acidification; our human-caused, place-devastating elevated sea levels; our earth-shaking, water poisoning fracking; our toxic lakes made of the externalities of rare-earth mineral production for so-called advanced electronics; our soul-and-life destroying prisons; our oil spills; our children playing with bits of dirty bombs; our white phosphorus; our generations of trauma held in the body; our cancers; and I could go on. I argue against purism because it is one bad but common approach to devastation in all its forms. It is a common approach for anyone who attempts to meet and control a complex situation that is fundamentally outside our control. It is a bad approach because it shuts down precisely the field of possibility that might allow us to take better collective action against the destruction of the world in all its strange, delightful, impure frolic. Purism is a de-collectivizing, de-mobilizing, paradoxical politics of despair. This world deserves better.

Cancer is not the only brain disease being targeted for treatment with living cells. Cell therapy also has the potential to replace aging or injured tissue. In this hope for regenerative medicine, modified stem cells are being studied as a treatment for Alzheimer’s disease.

Hope is a cancer. One of two things happens. Either you never learn the truth, in which case it gnaws down to the bone until there's nothing left, or worst, you do, and you go through that windshield at ninety because hope told you it was okay to make the drive without a seat belt.

Somehow the realization that nothing was to be hoped for had a salutary effect upon me. For weeks and months, for years, in fact, all my life I had been looking forward to something happening, some intrinsic event that would alter my life, and now suddenly, inspired by the absolute hopelessness of everything, I felt relieved, felt as though a great burden had been lifted from my shoulders. At dawn I parted company with the young Hindu, after touching him for a few francs, enough for a room. Walking toward Montparnasse I decided to let myself drift with the tide, to make not the least resistance to fate, no matter in what form it presented itself. Nothing that had happened to me thus far had been sufficient to destroy me; nothing had been destroyed except my illusions. I myself was intact. The world was intact. Tomorrow there might be a revolution, a plague, an earthquake; tomorrow there might not be left a single soul to whom one could turn for sympathy, for aid, for faith. It seemed to me that the great calamity had already manifested itself, that I could be no more truly alone than at this very moment. I made up my mind that I would hold on to nothing, that I would expect nothing, that henceforth I would live as an animal, a beast of prey, a rover, a plunderer. Even if war were declared, and it were my lot to go, I would grab the bayonet and plunge it, plunge it up to the hilt. And if rape were the order of the day then rape I would, and with a vengeance. At this very moment, in the quiet dawn of a new day, was not the earth giddy with crime and distress? Had one single element of man's nature been altered, vitally, fundamentally altered, by the incessant march of history? By what he calls the better part of his nature, man has been betrayed, that is all. At the extreme limits of his spiritual being man finds himself again naked as a savage. When he finds God, as it were, he has been picked clean: he is a skeleton. One must burrow into life again in order to put on flesh. The word must become flesh; the soul thirsts. On whatever crumb my eye fastens, I will pounce and devour. If to live is the paramount thing, then I will live, even if I must become a cannibal. Heretofore I have been trying to save my precious hide, trying to preserve the few pieces of meat that hid my bones. I am done with that. I have reached the limits of endurance. My back is to the wall; I can retreat no further. As far as history goes I am dead. If there is something beyond I shall have to bounce back. I have found God, but he is insufficient. I am only spiritually dead. Physically I am alive. Morally I am free. The world which I have departed is a menagerie. The dawn is breaking on a new world, a jungle world in which the lean spirits roam with sharp claws. If I am a hyena I am a lean and hungry one: I go forth to fatten myself.

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

One of their first decisions was to donate Robin’s body to Memorial Sloan Kettering. The doctors told them that they could learn from studying her disease, and my parents hoped that Robin’s death might lead to some benefit for other suffering children. Childhood cancer research became a lifelong cause for them.

Suffering creates a vivid contrast illuminating joy, happiness, and satisfaction. It is a harsh lesson on the other side of sublime. We all must suffer, whether we choose to or not. There must be value in that which is given in our lives, even though we hope and try to live joyfully and enjoy our brief time on earth.

Who was I, at my core? Was I primarily a schizophrenic? Did that illness define me? Or was it an “accident” of being—and only peripheral to me rather than the “essence” of me? It’s been my observation that mentally ill people struggle with these questions perhaps even more than those with serious physical illnesses, because mental illness involves your mind and your core self as well. A woman with cancer isn’t Cancer Woman; a man with heart disease isn’t Diseased Heart Guy; a teenager with a broken leg isn’t The Broken Leg Kid. But if, as our society seemed to suggest, good health was partly mind over matter, what hope did someone with a broken mind have?

If I’ve learned anything from facing death, it is that life is not meant to be survived. Life is the greatest adventure there is. And why stop your adventuring when someone says the end may be near? The truth is, we never know when the end will actually come. None of us will avoid it forever. What’s the point in trying? Live fearlessly!

Not everyone has experienced divorce, the death of a child, or a cancer diagnosis, but everyone has experienced pain. Sometimes pain is worn on the face, and sometimes it is buried deep within the soul. It may have occurred yesterday or thirty years ago, but things happen that trouble the human psyche, and the hurt does not quickly evaporate.

making no attempt to conceal his hope that he, a son of the Russian people, might also be cured by this simple Russian folk remedy. He spoke with no trace of hostility—he didn’t want to irritate Bone-chewer—yet there was a reminder in his voice. “But is this method officially recognized?” he asked. “Has it been approved by a government department?

I let my head fall, my mouth and nose against the place where the skin of his forehead meets the thick black of his hair, and I inhale deeply, deep enough to embed the smell of him into my lungs like a cancer that I hope kills me, or at least is still with me on the day that I die. Because it's my last chance. I know he will never let me near him again.

We lose hope in an endless cycle of distress. To overcome our problems and find peace, we must realize we need a simple viewpoint shift: Focusing on the present and moving slowly. We should choose positivity, appreciate our blessings, and be satisfied regardless of hope. Once we see results, we can keep going. We believe our influential minds can handle this.

Also, she doesn't want to hear anyone else's inspiring story about a sister-in-law who went through exactly the same thing and is now running ultramarathons. Celeste doesn't mean to be ungenerous in her thoughts, but she has come to the chilling conclusion that we are all alone in our bodies. Irrefutably, immutably alone. And hence, no one's story offers hope.

As of the writing of this particular book, I have 43 “close friends,”* 196 “good friends,”** and 2,200 “affable acquaintances.”*** *These are people I would phone immediately if I was diagnosed with lung cancer. ** These are people whose death from lung cancer would make me profoundly sad. *** These are people I would generally hope would recover from lung cancer.

Evil is a parasite that wants to tear creation apart from the inside out. In the same way that a healthy body does not require cancer to exist, God’s creation does not require evil to exist. But the inverse is not true. Cancer does require a living, breathing body to sustain its existence, and evil similarly requires God’s good creation to sustain its own existence.

HOPE FOR THE FUTURE TYPE 2 DIABETES is currently the leading cause of blindness, kidney failure, amputations, heart attacks, strokes, and cancer. But it doesn’t have to be our future. The pages of The Obesity Code and The Diabetes Code contain the knowledge to reverse type 2 diabetes. This is not the end, but only the beginning. A new hope arises. A new dawn breaks.

According to accepted newspaper clichés, we all go down fighting. The other day I even read that an 18-month-old baby had died after a long battle with cancer. That has become the mandatory phrase for all who expire, disease-ridden. They battled valiantly; they lost. When I finally depart I hope somebody will write, instead, that I died after a long battle with life.

The most formidable enemy we face is far more destructive and even more successful than any acts of terrorism—liberalism, which has become a cancer to America and to western civilization at large. Over the past one hundred years, liberalism has done more damage to the American cause of Liberty and our prosperity than any attack by any group in any war ever could have hoped for.

I absolutely love the Bible. I hold it in high esteem and take great joy in connecting with God through Scripture. But I also recognize that it was never intended to be a medical or scientific text. It doesn't tell us how to perform lifesaving open-heart surgery. It doesn't explain how to treat diabetes, cancer, or Alzheimer's disease. It also doesn't tell us how to treat mental illness or trauma.

Future physicians may laugh at our mixing of primitive cocktails of poisons to kill the most elemental and magisterial disease known to our species. But much about this battle will remain the same: the relentlessness, the inventiveness, the resilience, the queasy pivoting between defeatism and hope, the hypnotic drive for universal solutions, the disappointment of defeat, the arrogance and the hubris.

Lincoln sits on the chair and removes his shoes. Then he climbs in bed beside his mother, who does not respond. Jason hopes no one comes in and tells Lincoln to get off the bed. Because he would have to kill that person. He sits in the chair and watches as Lincoln touches his mother's hand, then holds it. "The puppy has a name," he tells her. Nothing. Lincoln moves closer to Abby and closes his eyes.

Hope is when we have a beautiful vision of something and a positive emotion to go along with it. When our world comes crashing down, when we are trapped in a deep, dark, despairing hopelessness, we need a bigger perspective. Hope comes when we reflect on all that we hold dear and true, when we acknowledge a higher power, when we acknowledge God in our lives and begin to see what He has planned for our lives.

You know, the day we had dinner in the cafeteria, I almost bailed. Even now, I don’t know how I ended up in the chemo room with you. Then we got to talking, and I realized that after all you’ve been through, you still smiled. Still hoped. Cancer didn’t take that away from you. That moment I knew how much better you are than me.” I feel the corners of my lips tug upward as the memory envelops me. “And how much I loved seeing you smile.

Mine is not the first voice to suggest that as patients, as families, and even as doctors, we need to find hope in other ways, more realistic ways, than in the pursuit of elusive and danger-filled cures. In the care of advanced disease, whether cancer or some other determined killer, hope should be redefined. Some of my sickest patients have taught me of the varieties of hope that can come when death is certain. I wish I could report that there were many such people, but there have, in fact, been few. Almost everyone seems to want to take a chance with the slim statistics that oncologists give to patients with advanced disease. Usually they suffer for it, and they die anyway, having magnified the burdens they and those who love them must carry to the final moments. Though everyone may yearn for a tranquil death, the basic instinct to stay alive is a far more powerful force.

Long before there were effective treatments, physicians dispensed prognoses, hope, and, above all, meaning. When something terrible happens-and serious disease is always terrible-people want to know why. In a pantheistic world, the explanation was simple-one god had caused the problem, another could cure it. In the time since people have been trying to get along with only one God, explaining disease and evil has become more difficult. Generations of theologians have wrestled with the problem of theodicy-how can a good God allow such bad things to happen to good people? Darwinian medicine can't offer a substitute for such explanations. It can't provide a universe in which events are part of a divine plan, much less one in which individual illness reflects individual sins. It can only show us why we are the way we are, why we are vulnerable to certain diseases. A Darwinian view of medicine simultaneously makes disease less and more meaningful. Diseases do not result from random or malevolent forces, they arise ultimately from past natural selection. Paradoxically, the same capacities that make us vulnerable to disease often confer benefits. The capacity for suffering is a useful defense. Autoimmune disease is a price of our remarkable ability to attack invaders. Cancer is the price of tissues that can repair themselves. Menopause may protect the interests of our genes in existing children. Even senescence and death are not random, but compromises struck by natural selection as it inexorably shaped out bodies to maximize the transmission of our genes. In such paradoxical benefits, some may find a gentle satisfaction, even a bit of meaning-at least the sort of meaning Dobzhansky recognized. After all, nothing in medicine makes sense except in the light of evolution.

We Let the Boat Drift I set out for the pond, crossing the ravine where seedling pines start up like sparks between the disused rails of the Boston and Maine. The grass in the field would make a second crop if early autumn rains hadn't washed the goodness out. After the night's hard frost it makes a brittle rustling as I walk. The water is utterly still. Here and there a black twig sticks up. It's five years today, and even now I can't accept what cancer did to him -- not death so much as the annihilation of the whole man, sense by sense, thought by thought, hope by hope. Once we talked about the life to come. I took the Bible from the nightstand and offered John 14: "I go to prepare a place for you.""Fine. Good," he said. "But what about Matthew? 'You, therefore, must be perfect, as your heavenly Father is perfect.'" And he wept. My neighbor honks and waves driving by. She counsels troubled students; keeps bees; her goats follow her to the mailbox. Last Sunday afternoon we went canoeing on the pond. Something terrible at school had shaken her. We talked quietly far from shore. The paddles rested across our laps; glittering drops fell randomly from their tips. The light around us seemed alive. A loon-itinerant- let us get quite close before it dove, coming up after a long time, and well away from humankind

When we are in the grips of illness, a major focus in our mind is the hope of getting back to where we were before this sickness began. But we are not meant to go back. Like the man above, who resisted hearing what his heart was saying, we must recognize that we have been uprooted by our cancer, our heart attack, or our depression, and we have been set down on some new shore. Like any true ritual process, we are meant to come out of the experience deeply changed.

There were times when Tristan’s natural inclination toward cynicism served some larger, more enduring disorder; a vast, chronic paranoia. Any rare glimpses of optimism were swiftly dealt with, like a virus his mind and body leapt to attack. Feelings of hope? Cancerous. Maybe it was systemic, a matter of lifelong institutional mistrust. There was a constant sensation for Tristan that if things seemed to be going well, he was in the process of being mightily tricked.

Jabez would have continued to lament in sorrow until he died with no hope of amend, if he was unwilling to change that predicaments through prayer. A person is helpless until he prays. Your situation remains when you don’t pray and disappear when you pray aright. Cancers can break off by prayers, HIV and AIDS can be handled in prayers. The horrors of abusive relationship can be dissolved by prayer. Every challenges of your life can be arrested by prayers. No condition is permanent when prayer is invoked.

When caretakers turn their backs on a child’s need for help and support, her inner world becomes an increasingly nightmarish amalgam of fear, shame and depression. The child who is abandoned in this way experiences the world as a terrifying place. Over time the child’s dominant experience of herself is so replete with emotional pain and so unmanageable that that she has to dissociate, self-medicate, act out [aggression against others] or act in [aggression against the self] to distract from it. The situation of the abandoned child further deteriorates as an extended absence of warmth and protection gives rise to the cancerous growth of the inner critic as described above. The child projects his hope for being accepted onto self-perfection. By the time the child is becoming self-reflective, cognitions start to arise that sound like this: “I’m so despicable, worthless, unlovable, and ugly; maybe my parents would love me if I could make myself like those perfect kids I see on TV.” In this way, the child becomes hyperaware of imperfections and strives to become flawless.

The mean-spirited, unpredictable cancer beast had changed all of our lives. There were unspoken details of our life before cancer. Now, only the stark reality of life after cancer remained. I was acutely aware that, regardless of the treatment’s outcome, we were bound in a race against time. A relentless clock, damnably ticking away, measured the fleeting seconds of Xuan’s life. Its insistent rhythm served as a re- minder of our finite journey. Though it may have momentarily paused, the clock would invariably resume its steady wind down toward zero.

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

Just before the Miracle, when I was in the ICU and it looked like I was going to die and Mom was telling me it was okay to let go, and I was trying to let go but my lungs kept searching for air, Mom sobbed something into Dad’s chest that I wish I hadn’t heard, and that I hope she never finds out that I did hear. She said, “I won’t be a mom anymore.” It gutted me pretty badly. I couldn’t stop thinking about that during the whole Cancer Team Meeting. I couldn’t get it out of my head, how she sounded when she said that, like she would never be okay again, which probably she wouldn’t.

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).

I wasn’t crying,” I said. “And I hope you’re not packing any shorts. Nobody wears shorts in Manhattan. And they’ll shoot you in the street if you go around in those disgusting tennis shoes. You’ll look ridiculous. Your father isn’t paying this much for you to go look ridiculous in New York City.” I wanted her to think that I was crying over my father’s cancer, but that wasn’t quite it. “Well, Goddamnit, if you insist on getting weepy,” my mother said, turning to leave. “You know, when you were a baby, I crushed Valium into your bottle? You had colic and cried for hours and hours, inconsolable and for no good reason. And change your shirt. I can see the sweat under your arms. I’m going to bed.

Phrases such as ‘toxic masculinity’ entered into common use. What was the virtue of making relations between the sexes so fraught that the male half of the species could be treated as though it was cancerous? Or the development of the idea that men had no right to talk about the female sex? Why, when women had broken through more glass ceilings than at any time in history, did talk of ‘the patriarchy’ and ‘mansplaining’ seep out of the feminist fringes and into the heart of places like the Australian Senate?12 In a similar fashion the civil rights movement in America, which had started in order to right the most appalling of all historic wrongs, looked like it was moving towards some hoped-for resolution.

I felt a numb shock as I drove home anxious to get my chocolate flowers and wondering how my mother arranged to get them delivered to me at the exact time of her passing as promised. I arrived home to a note on my door to go to the neighbor on the right. I knocked at the door and the grouchy older man answered. Without saying a word, he went to his refrigerator, opened it and said, "I think these are for you." He handed me the large bouquet of fruits all cut out like flowers and dipped in chocolate."It looks like chocolate flowers." he said with a grin, adding "I had a few, and they were great!" I held my delivery. I opened the small envelope and read the card: Dear Jori, We appreciate you showing us homes and although it has been months, we thought of you and wanted to do something nice for you today. I hope you remember us. The Johnsons This was a previous client who was a pastor. He never knew I had a mother who had cancer nor did I ever mention the conversation about the chocolate flowers. It had been several months since I had heard from this couple who were considering purchasing a home. I called the client, whom I haven't spoken to in such a long time. I was confused and wanted to know what made them decide to send me chocolate flowers, and why that day, of all days? He said it was his wife's idea to do something nice for someone and they agreed it on it being me. Mrs. Johnson thought of the chocolate flowers.

When a modern woman is blessed with a body that can move, run, dance, play, and bring her to orgasm; with breasts free of cancer, a healthy uterus, a life twice as long as that of the average Victorian woman, long enough to let her express her character on her face; with enough to eat and a metabolism that protects her by laying down flesh where and when she needs it; now that hers is the gift of health and well-being beyond that which any generation of women could have hoped for before—the Age of Surgery undoes her immense good fortune. It breaks down into defective components the gift of her sentient, vital body and the individuality of her face, teaching her to experience her lifelong blessing as a lifelong curse.

Amy found out she had cancer not long after finishing Textbook, and she called me. She knew that in the years after my book The Fault in Our Stars was published, I’d come to know many young people who were gravely ill, and she wanted to know if I had advice for her. I told her what I think is true—that love survives death. But she wanted to know how young people react to death. How her kids would. She wanted to know if her kids and her husband would be okay, and that ripped me up. Although I’m usually quite comfortable talking with sick people, with my friend I found myself stumbling over words, overwhelmed by my own sadness and worry. They won’t be okay, of course, but they will go on, and the love you poured into them will go on. That’s what I should’ve said. But what I actually said, while crying, was, “How can this be happening? You do so much yoga.” In my experience, dying people often have wonderful stories of the horrible things healthy people say to them, but I’ve never heard of anybody saying something as stupid as, “You do so much yoga.” I hope that Amy at least got some narrative mileage out of it. But I also know I failed her, after she was there for me so many times. I know she forgives me—present tense—but still, I desperately wish I could’ve said something useful. Or perhaps not said anything at all. When people we love are suffering, we want to make it better. But sometimes—often, in fact—you can’t make it better. I’m reminded of something my supervisor said to me when I was a student chaplain: “Don’t just do something. Stand there.

the mountains are so beautiful." She had said that last night looking out of the window with tears in her eyes. "The mountains are so beautiful." Her father was dying there, Mrs. Ramsay knew. He was leaving them fatherless. Scolding and demonstrating (how to make a bed, how to open a window, with hands that shut and spread like a Frenchwoman's) all had folded itself quietly about her, when the girl spoke, as, after a flight through the sunshine the wings of a bird fold themselves quietly and the blue of its plumage changes from bright steel to soft purple. She had stood there silent for there was nothing to be said. He had cancer of the throat. At the recollection--how she had stood there, how the girl had said, "At home the mountains are so beautiful," and there was no hope, no hope whatever,

But dire as the situation may be, there is some hope.  Genuine hope, not the hope that is found in presidential speeches and pablum.  Hope that is practical, real, and will yield results.  However, this hope comes from the only place real hope can come from – within – which means we have to focus on ourselves and what is within our control to realize this hope and capitalize on it.  This isn’t to say that the world will turn out all roses and dachshunds, nor is it going to be the “faux depressing type of hope” akin to when your mother would say,   “Well at least you aren’t a cancerous, Ebola-infected, starving, blind quadriplegic, leper living in war-torn Ethiopia with lice!”   But at minimum this book will show you there is a future, you can live a happy life, the left will get their comeuppance, and no matter how bad it gets, there is always a way to “Enjoy the Decline.

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

Hello,” he said. “Who is this? . . . Who? You’re breaking up a bit there, pal. I can barely hear you . . . You’re the president of what? . . . Of the Citizen Kane fan club? Well, how about that? . . . You want to what? Sorry, the connection is still bad. You’re breaking up . . . You wish I’d just drop by already? Is that what you said? Well, thank you! That’s awfully nice of you. I will certainly do so as soon as my schedule permits. Unfortunately, I’m kinda busy at the moment, hoss . . . Ah, I can hear you much better now! . . . Eh, you’re not the president of the Citizen Kane fan club? You’re the president of the Citizen Kane is the Worst Movie of All Time fan club? . . . And you don’t wish I’d just drop by already, you wish I’d just die already? . . . Well, fuck you too, mang! I hope you and your whole fucking family get cancer and AIDS and leprosy and anthrax and catch on fire and die! Call this number again, asshole, and I’ll come whoop your ass myself!

The power of format creates opportunities for manipulation, which people with an axe to grind know how to exploit. Slovic and his colleagues cite an article that states that “approximately 1,000 homicides a year are committed nationwide by seriously mentally ill individuals who are not taking their medication.” Another way of expressing the same fact is that “1,000 out of 273,000,000 Americans will die in this manner each year.” Another is that “the annual likelihood of being killed by such an individual is approximately 0.00036%.” Still another: “1,000 Americans will die in this manner each year, or less than one-thirtieth the number who will die of suicide and about one-fourth the number who will die of laryngeal cancer.” Slovic points out that “these advocates are quite open about their motivation: they want to frighten the general public about violence by people with mental disorder, in the hope that this fear will translate into increased funding for mental health services.

She would go into the maids' bedrooms at night and find them sealed like ovens, except for Marie's, the Swiss girl, who would rather go without a bath than without fresh air, but then at home, she had said, "the mountains are so beautiful." She had said that last night looking out of the window with tears in her eyes. The mountains are so beautiful. Her father was dying there, Mrs Ramsay knew. He was leaving them fatherless. Scolding and demonstrating (how to make a bed, how to open a window, with hands that shut and spread like a Frenchwoman's) all had folded itself quietly about her, when the girl spoke, as, after a flight through the sunshine the wings of a bird fold themselves quietly and the blue of its plumage changes from bright steel to soft purple. She had stood there silent for there was nothing to be said. He had cancer of the throat. At the recolection—how she had stood there, how the girl had said, "At home the mountains are so beautiful," and there was no hope, no hope whatever...

Two weeks ago, Aaron and Isaac, I learned your mother Laura has breast cancer. My heart feels impaled. These words, so useless and feeble. Laura is only thirty-five years old. Her next birthday will be in only three days. I write this letter to you, my sons, with the hope that one day in the future you will read it and understand what happened to our family. Together, your mother and I have created and nurtured an unbreakable bond that has transformed us into an unlikely team. A Chicano from El Paso, Texas. A Jew from Concord, Massachusetts. I want you to know your mother. She has given me hope when I have felt none; she has offered me kindness when I have been consumed by bitterness. I believe I have taught her how to be tough and savvy and how to achieve what you want around obstacles and naysayers. Our hope is that the therapies we are discussing with her doctors will defeat her cancer. But a great and ominous void has suddenly engulfed us at the beginning of our life as a family. This void suffocates me.

The monstrous thing is not that men have created roses out of this dung heap, but that, for some reason or other, they should want roses. For some reason or other man looks for the miracle, and to accomplish it he will wade through blood. He will debauch himself with ideas, he will reduce himself to a shadow if for only one second of his life he can close his eyes to the hideousness of reality. Everything is endured – disgrace, humiliation, poverty, war, crime, ennui – in the belief that overnight something will occur, a miracle, which will render life tolerable. And all the while a meter is running inside and there is no hand that can reach in there and shut it off. All the while someone is eating the bread of life and drinking the wine, some dirty fat cockroach of a priest who hides away in the cellar guzzling it, while up above in the light of the street a phantom host touches the lips and the blood is pale as water. And out of the endless torment and misery no miracle comes forth, no microscopic vestige of relief. Only ideas, pale, attenuated ideas which have to be fattened by slaughter; ideas which come forth like bile, like the guts of a pig when the carcass is ripped open. And so I think what a miracle it would be if this miracle which man attends eternally should turn out to be nothing more than these two enormous turds which the faithful disciple dropped in the bidet. What if at the last moment, when the banquet table is set and the cymbals clash, there should appear suddenly, and wholly without warning, a silver platter on which even the blind could see that there is nothing more, and nothing less, than two enormous lumps of shit. That, I believe would be more miraculous than anything which man has looked forward to. It would be miraculous because it would be undreamed of. It would be more miraculous than even the wildest dream because anybody could imagine the possibility but nobody ever has, and probably nobody ever again will. Somehow the realization that nothing was to be hoped for had a salutary effect upon me. For weeks and months, for years, in fact, all my life I had been looking forward to something happening, some intrinsic event that would alter my life, and now suddenly, inspired by the absolute hopelessness of everything, I felt relieved, felt as though a great burden had been lifted from my shoulders. At dawn I parted company with the young Hindu, after touching him for a few francs, enough for a room. Walking toward Montparnasse I decided to let myself drift with the tide, to make not the least resistance to fate, no matter in what form it presented itself. Nothing that had happened to me thus far had been sufficient to destroy me; nothing had been destroyed except my illusions. I myself was intact. The world was intact. Tomorrow there might be a revolution, a plague, an earthquake; tomorrow there might not be left a single soul to whom one could turn for sympathy, for aid, for faith. It seemed to me that the great calamity had already manifested itself, that I could be no more truly alone than at this very moment.

A metabolic, deep nutrition, and nontoxic approach is the answer to cancer prevention and management. This book is our call to arms—we must focus on the 90–95 percent of cancers that are caused by the standard American diet and exposure to environmental toxins. We simply cannot keep shrugging our shoulders when we, or our loved ones, are diagnosed. If a new virus began to kill one of every four people in the United States, you can bet your pink ribbon a cure would be found, and fast. While Western medicine continues to drive along the dusty, dead-end road seeking the genetic and targeted answer to cancer, it is time for us to start taking control of our own health and health care choices. We’ll say it again: Cancer is a metabolic, environmental, and emotional disease. It’s not just a tumor; it signifies correctable imbalances that occur inside and outside our body. Now is the time for lifelong remission. It is time for some real hope and to disarm the most deadly disease of modern times. How? With the metabolic approach to cancer.

Race and racism are power constructs of the modern world. For roughly two hundred thousand years, before race and racism were constructed in the fifteenth century, humans saw color but did not group the colors into continental races, did not commonly attach negative and positive characteristics to those colors and rank the races to justify racial inequity, to reinforce racist power and policy. Racism is not even six hundred years old. It’s a cancer that we’ve caught early. But racism is one of the fastest-spreading and most fatal cancers humanity has ever known. It is hard to find a place where its cancer cells are not dividing and multiplying. There is nothing I see in our world today, in our history, giving me hope that one day antiracists will win the fight, that one day the flag of antiracism will fly over a world of equity. What gives me hope is a simple truism. Once we lose hope, we are guaranteed to lose. But if we ignore the odds and fight to create an antiracist world, then we give humanity a chance to one day survive, a chance to live in communion, a chance to be forever free.

Before the late modern era, most religions and ideologies took it for granted that death was our inevitable fate. Moreover, most faiths turned death into the main source of meaning in life. These creeds taught people that they must come to terms with death and pin their hopes on the afterlife, rather than seek to overcome death and live for ever here on earth. The best minds were busy giving meaning to death, not trying to escape it. Disciples of progress do not share this defeatist attitude. For men of science, death is not an inevitable destiny, but merely a technical problem. People die not because the gods decreed it, but due to various technical failures – a heart attack, cancer, an infection. And every technical problem has a technical solution. If the heart flutters, it can be stimulated by a pacemaker or replaced by a new heart. If cancer rampages, it can be killed with drugs or radiation. If bacteria proliferate, they can be subdued with antibiotics. True, at present we cannot solve all technical problems. But we are working on them. Our best minds are not wasting their time trying to give meaning to death.

To the infra-human specimens of this benighted scientific age the ritual and worship connected with the art of healing as practiced at Epidaurus seems like sheer buncombe. In our world the blind lead the blind and the sick go to the sick to be cured. We are making constant progress, but it is a progress which leads to the operating table, to the poor house, to the insane asylum, to the trenches. We have no healers – we have only butchers whose knowledge of anatomy entitles them to a diploma, which in turn entitles them to carve out or amputate our illnesses so that we may carry on in cripple fashion until such time as we are fit for the slaughterhouse. We announce the discovery of this cure and that but make no mention of the new diseases which we have created en route. The medical cult operates very much like the war office – the triumphs which they broadcast are sops thrown out to conceal death and disaster. The medicos, like the military authorities, are helpless; they are waging a hopeless fight from the start. What man wants is peace in order that he may live. Defeating our neighbor doesn’t give peace any more than curing cancer brings health. Man doesn’t begin to live through triumphing over his enemy nor does he begin to acquire health through endless cures. The joy of life comes through peace, which is not static but dynamic. No man can really say that he knows what joy is until he has experienced peace. And without joy there is no life, even if you have a dozen cars, six butlers, a castle, a private chapel and a bomb-proof vault. Our diseases are our attachments, be they habits, ideologies, ideals, principles, possessions, phobias, gods, cults, religions, what you please. Good wages can be a disease just as much as bad wages. Leisure can be just as great a disease as work. Whatever we cling to, even if it be hope or faith, can be the disease which carries us off. Surrender is absolute: if you cling to even the tiniest crumb you nourish the germ which will devour you. As for clinging to God, God long ago abandoned us in order that we might realize the joy of attaining godhood through our own efforts. All this whimpering that is going on in the dark, this insistent, piteous plea for peace which will grow bigger as the pain and the misery increase, where is it to be found? Peace, do people imagine that it is something to cornered, like corn or wheat? Is it something which can be pounded upon and devoured, as with wolves fighting over a carcass? I hear people talking about peace and their faces are clouded with anger or with hatred or with scorn and disdain, with pride and arrogance. There are people who want to fight to bring about peace- the most deluded souls of all. There will be no peace until murder is eliminated from the heart and mind. Murder is the apex of the broad pyramid whose base is the self. That which stands will have to fall. Everything which man has fought for will have to be relinquished before he can begin to live as man. Up till now he has been a sick beast and even his divinity stinks. He is master of many worlds and in his own he is a slave. What rules the world is the heart, not the brain, in every realm our conquests bring only death. We have turned our backs on the one realm wherein freedom lies. At Epidaurus, in the stillness, in the great peace that came over me, I heard the heart of the world beat. I know what the cure is: it is to give up, to relinquish, to surrender, so that our little hearts may beat in unison with the great heart of the world.

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.

Bob Dylan The only time Jobs can ever recall being tongue-tied was in the presence of Bob Dylan. He was playing near Palo Alto in October 2004, and Jobs was recovering from his first cancer surgery. Dylan was not a gregarious man, not a Bono or a Bowie. He was never Jobs’s friend, nor did he care to be. He did, however, invite Jobs to visit him at his hotel before the concert. Jobs recalled: We sat on the patio outside his room and talked for two hours. I was really nervous, because he was one of my heroes. And I was also afraid that he wouldn’t be really smart anymore, that he’d be a caricature of himself, like happens to a lot of people. But I was delighted. He was as sharp as a tack. He was everything I’d hoped. He was really open and honest. He was just telling me about his life and about writing his songs. He said, “They just came through me, it wasn’t like I was having to compose them. That doesn’t happen anymore, I just can’t write them that way anymore.” Then he paused and said to me with his raspy voice and little smile, “But I still can sing them.” The next time Dylan played nearby, he invited Jobs to drop by his tricked-up tour bus just before the concert. When Dylan asked what his favorite song was, Jobs said “One Too Many Mornings.” So Dylan sang it that night. After the concert, as Jobs was walking out the back, the tour bus came by and screeched to a stop. The door flipped open. “So, did you hear my song

What does a mind that is focused on hope look like? I read recently about a woman who had been diagnosed with cancer and was given three months to live. Her doctor told her to make preparations to die, so she contacted her pastor and told him how she wanted things arranged for her funeral service—which songs she wanted to have sung, what Scriptures should be read, what words should be spoken—and that she wanted to be buried with her favorite Bible. But before he left, she called out to him, “One more thing.” “What?” “This is important. I want to be buried with a fork in my right hand.” The pastor did not know what to say. No one had ever made such a request before. So she explained. “In all my years going to church functions, whenever food was involved, my favorite part was when whoever was cleaning dishes of the main course would lean over and say, You can keep your fork. “It was my favorite part because I knew that it meant something great was coming. It wasn’t Jell-O. It was something with substance—cake or pie—biblical food. “So I just want people to see me there in my casket with a fork in my hand, and I want them to wonder, What’s with the fork? Then I want you to tell them, Something better is coming. Keep your fork.” The pastor hugged the woman good-bye. And soon after, she died. At the funeral service people saw the dress she had chosen, saw the Bible she loved, and heard the songs she loved, but they all asked the same question: “What’s with the fork?” The pastor explained that this woman, their friend, wanted them to know that for her—or for anyone who dies in Christ—this is not a day of defeat. It is a day of celebration. The real party is just starting. Something better is coming.

So what you've actually got is traumatized children. When children are traumatized that affects how they feel about themselves, which is deeply ashamed because a child always believe that it is about himself. So if I am being hurt like this, I got to be a terrible person. Or.. if I was sexually abused, why didn't I fight back, I must be a very weak person. So there's a deep sense of shame. Then there's tremendous emotional pain that accrues from abuse and neglect. Tremendous emotional pain that is hardly possible for people to bear. Now they have to soothe their pain with substances or other compulsive behaviors. Then the trauma itself, given that the human brain develops in interaction with the environment, shapes the brain circuitry in such a way that the person will be more likely to find relief from the drugs. So the very phisiology of the brain is affected by early trauma. So then you take these traumatized people and you make their habit illegal... It is not illegal to drink yourself to death. It is not illegal to make yourself sick with emphyzema or lung cancer by means of cigarettes. But it is illegal to use other substances. So now you take these abused, traumatized people you place them outside the law, you put them in jails and you hound them all their lives, treating them like criminals and bad people and failures and rejects and less-than-human. And then we wonder how come they don't get better. So.. it is a self-perpetuating cycle of taking traumatized people and then re-traumatizing them. And then hoping at the same time: "why don't they listen? Why don't they get better? Why don't they give it up?". Well, they don't give it up because the more hurt they are, the more they need to escape.

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

Because I have already had a long leave I get none on Sundays. So the last Sunday before I go back to the front my father and eldest sister come over to see me. All day we sit in the Soldiers’ Home. Where else could we go? We don’t want to stay in the camp. About midday we go for a stroll on the moors. The hours are a torture; we do not know what to talk about, so we speak of my mother’s illness. It is now definitely cancer, she is already in the hospital and will be operated on shortly. The doctors hope she will recover, but we have never heard of cancer being cured. ”Where is she then?” I ask. ”In the Luisa Hospital,” says my father. ”In which class?” ”Third. We must wait till we know what the operation costs. She wanted to be in the third herself. She said that then she would have some company. And besides it is cheaper.” ”So she is lying there with all those people. If only she could sleep properly.” My father nods. His face is broken and full of furrows. My mother has always been sickly; and though she has only gone to the hospital when she has been compelled to, it has cost a great deal of money, and my father’s life has been practically given up to it. ”If only I knew how much the operation costs,” says he. ”Have you not asked?” ”Not directly, I cannot do that–the surgeon might take it amiss and that would not do; he must operate on mother.” Yes, I think bitterly, that’s how it is with us, and with all poor people. They don’t dare ask the price, but worry themselves dreadfully beforehand about it; but the others, for whom it is not important, they settle the price first as a matter of course. And the doctor does not take it amiss from them. ”The dressings afterwards are so expensive,” says my father. ”Doesn’t the Invalid’s Fund pay anything toward it, then?” I ask. ”Mother has been ill too long.” ”Have you any money at all?” He shakes his head: ”No, but I can do some overtime.” I know. He will stand at his desk folding and pasting and cutting until twelve o’clock at night. At eight o’clock in the evening he will eat some miserable rubbish they get in exchange for their food tickets, then he will take a powder for his headache and work on.

The personal case histories were the most encouraging. A prominent Los Angeles public relations executive has been living with MM for fourteen years, rides horses, and has an altogether active life on drug maintenance. An Arizona man survived MM and with his wife set up a foundation and website for other families bewildered by the diagnosis. I learned, for the first time, that Frank McGee, host of the Today show from 1971 to 1974, suffered from MM and kept it from everyone despite his ever more gaunt appearance. When he died after putting in another full week on the air his producers and friends were stunned. Sam Walton, founder of Walmart, was another MM casualty, which led many to believe that he had established the high-profile multiple myeloma treatment center in Little Rock, Arkansas. This is a full-immersion process in which MM is the singular target under the commanding title of Myeloma Institute for Research and Therapy. There is a Walton auditorium on the institute’s University of Arkansas medical school campus, but the institute itself was founded by Bart Barlogie, a renowned MM specialist from the MD Anderson Cancer Center in Houston. The institute has an impressive record, running well ahead of the national average for survival for those who are dealing with MM. One number is especially notable. The institute has followed 1,070 patients for more than ten years, and 783 have never had a relapse of the disease. Sam Walton was treated by Dr. Barlogie at MD Anderson before the Little Rock institute was founded, but the connection ended there. Walton, who’d had an earlier struggle with leukemia, didn’t survive his encounter with multiple myeloma, dying in April 1992, a time when life expectancy for a man his age with this cancer was short. I was unaware of all of this when I was diagnosed. I took comfort in the repeated reassurances of specialists that great progress in treating MM with a new class of drugs, your own body’s reengineered immunology system, was rapidly improving chances of a longer survival than the published five to ten years. As I began to respond to treatment the favored and welcome line was, “You’re gonna die but from something else.

To appreciate the asymmetry between the possibility effect and the certainty effect, imagine first that you have a 1% chance to win $1 million. You will know the outcome tomorrow. Now, imagine that you are almost certain to win $1 million, but there is a 1% chance that you will not. Again, you will learn the outcome tomorrow. The anxiety of the second situation appears to be more salient than the hope in the first. The certainty effect is also more striking than the possibility effect if the outcome is a surgical disaster rather than a financial gain. Compare the intensity with which you focus on the faint sliver of hope in an operation that is almost certain to be fatal, compared to the fear of a 1% risk. The combination of the certainty effect and possibility effects at the two ends of the probability scale is inevitably accompanied by inadequate sensitivity to intermediate probabilities. You can see that the range of probabilities between 5% and 95% is associated with a much smaller range of decision weights (from 13.2 to 79.3), about two-thirds as much as rationally expected. Neuroscientists have confirmed these observations, finding regions of the brain that respond to changes in the probability of winning a prize. The brain’s response to variations of probabilities is strikingly similar to the decision weights estimated from choices. Probabilities that are extremely low or high (below 1% or above 99%) are a special case. It is difficult to assign a unique decision weight to very rare events, because they are sometimes ignored altogether, effectively assigned a decision weight of zero. On the other hand, when you do not ignore the very rare events, you will certainly overweight them. Most of us spend very little time worrying about nuclear meltdowns or fantasizing about large inheritances from unknown relatives. However, when an unlikely event becomes the focus of attention, we will assign it much more weight than its probability deserves. Furthermore, people are almost completely insensitive to variations of risk among small probabilities. A cancer risk of 0.001% is not easily distinguished from a risk of 0.00001%, although the former would translate to 3,000 cancers for the population of the United States, and the latter to 30.

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 windowpanes. What did he value? Music, his family, love. Love, his family, music. The order of importance was liable to change. Could irony protect his music? In so far as music remained a secret language which allowed you to smuggle things past the wrong ears. But it could not exist only as a code: sometimes you ached to say things straightforwardly. Could irony protect his children? Maxim, at school, aged ten, had been obliged publicly to vilify his father in the course of a music exam. In such circumstances, what use was irony to Galya and Maxim? As for love—not his own awkward, stumbling, blurting, annoying expressions of it, but love in general: he had always believed that love, as a force of nature, was indestructible; and that, when threatened, it could be protected, blanketed, swaddled in irony. Now he was less convinced. Tyranny had become so expert at destroying that why should it not destroy love as well, intentionally or not? Tyranny demanded that you love the Party, the State, the Great Leader and Helmsman, the People. But individual love—bourgeois and particularist—distracted from such grand, noble, meaningless, unthinking “loves.” And in these times, people were always in danger of becoming less than fully themselves. If you terrorised them enough, they became something else, something diminished and reduced: mere techniques for survival. And so, it was not just an anxiety, but often a brute fear that he experienced: the fear that love’s last days had come.

The tyranny of caste is that we are judged on the very things we cannot change: a chemical in the epidermis, the shape of one’s facial features, the signposts on our bodies of gender and ancestry—superficial differences that have nothing to do with who we are inside. The caste system in America is four hundred years old and will not be dismantled by a single law or any one person, no matter how powerful. We have seen in the years since the civil rights era that laws, like the Voting Rights Act of 1965, can be weakened if there is not the collective will to maintain them. A caste system persists in part because we, each and every one of us, allow it to exist—in large and small ways, in our everyday actions, in how we elevate or demean, embrace or exclude, on the basis of the meaning attached to people’s physical traits. If enough people buy into the lie of natural hierarchy, then it becomes the truth or is assumed to be. Once awakened, we then have a choice. We can be born to the dominant caste but choose not to dominate. We can be born to a subordinated caste but resist the box others force upon us. And all of us can sharpen our powers of discernment to see past the external and to value the character of a person rather than demean those who are already marginalized or worship those born to false pedestals. We need not bristle when those deemed subordinate break free, but rejoice that here may be one more human being who can add their true strengths to humanity. The goal of this work has not been to resolve all of the problems of a millennia-old phenomenon, but to cast a light onto its history, its consequences, and its presence in our everyday lives and to express hopes for its resolution. A housing inspector does not make the repairs on the building he has examined. It is for the owners, meaning each of us, to correct the ruptures we have inherited. The fact is that the bottom caste, though it bears much of the burden of the hierarchy, did not create the caste system, and the bottom caste alone cannot fix it. The challenge has long been that many in the dominant caste, who are in a better position to fix caste inequity, have often been least likely to want to. Caste is a disease, and none of us is immune. It is as if alcoholism is encoded into the country’s DNA, and can never be declared fully cured. It is like a cancer that goes into remission only to return when the immune system of the body politic is weakened.

When I launched my AI career in 1983, I did so by waxing philosophic in my application to the Ph.D. program at Carnegie Mellon. I described AI as “the quantification of the human thinking process, the explication of human behavior,” and our “final step” to understanding ourselves. It was a succinct distillation of the romantic notions in the field at that time and one that inspired me as I pushed the bounds of AI capabilities and human knowledge. Today, thirty-five years older and hopefully a bit wiser, I see things differently. The AI programs that we’ve created have proven capable of mimicking and surpassing human brains at many tasks. As a researcher and scientist, I’m proud of these accomplishments. But if the original goal was to truly understand myself and other human beings, then these decades of “progress” got me nowhere. In effect, I got my sense of anatomy mixed up. Instead of seeking to outperform the human brain, I should have sought to understand the human heart. It’s a lesson that it took me far too long to learn. I have spent much of my adult life obsessively working to optimize my impact, to turn my brain into a finely tuned algorithm for maximizing my own influence. I bounced between countries and worked across time zones for that purpose, never realizing that something far more meaningful and far more human lay in the hearts of the family members, friends, and loved ones who surrounded me. It took a cancer diagnosis and the unselfish love of my family for me to finally connect all these dots into a clearer picture of what separates us from the machines we build. That process changed my life, and in a roundabout way has led me back to my original goal of using AI to reveal our nature as human beings. If AI ever allows us to truly understand ourselves, it will not be because these algorithms captured the mechanical essence of the human mind. It will be because they liberated us to forget about optimizations and to instead focus on what truly makes us human: loving and being loved. Reaching that point will require hard work and conscious choices by all of us. Luckily, as human beings, we possess the free will to choose our own goals that AI still lacks. We can choose to come together, working across class boundaries and national borders to write our own ending to the AI story. Let us choose to let machines be machines, and let humans be humans. Let us choose to simply use our machines, and more importantly, to love one another.

And, even more important for our purposes, these facts are sturdy enough that we can build a sensible diet upon them. Here they are: FACT 1. Populations that eat a so-called Western diet—generally defined as a diet consisting of lots of processed foods and meat, lots of added fat and sugar, lots of refined grains, lots of everything except vegetables, fruits, and whole grains—invariably suffer from high rates of the so-called Western diseases: obesity, type 2 diabetes, cardiovascular disease, and cancer. Virtually all of the obesity and type 2 diabetes, 80 percent of the cardiovascular disease, and more than a third of all cancers can be linked to this diet. Four of the top ten killers in America are chronic diseases linked to this diet. The arguments in nutritional science are not about this well-established link; rather, they are all about identifying the culprit nutrient in the Western diet that might be responsible for chronic diseases. Is it the saturated fat or the refined carbohydrates or the lack of fiber or the transfats or omega-6 fatty acids—or what? The point is that, as eaters (if not as scientists), we know all we need to know to act: This diet, for whatever reason, is the problem. FACT 2. Populations eating a remarkably wide range of traditional diets generally don’t suffer from these chronic diseases. These diets run the gamut from ones very high in fat (the Inuit in Greenland subsist largely on seal blubber) to ones high in carbohydrate (Central American Indians subsist largely on maize and beans) to ones very high in protein (Masai tribesmen in Africa subsist chiefly on cattle blood, meat, and milk), to cite three rather extreme examples. But much the same holds true for more mixed traditional diets. What this suggests is that there is no single ideal human diet but that the human omnivore is exquisitely adapted to a wide range of different foods and a variety of different diets. Except, that is, for one: the relatively new (in evolutionary terms) Western diet that most of us now are eating. What an extraordinary achievement for a civilization: to have developed the one diet that reliably makes its people sick! (While it is true that we generally live longer than people used to, or than people in some traditional cultures do, most of our added years owe to gains in infant mortality and child health, not diet.) There is actually a third, very hopeful fact that flows from these two: People who get off the Western diet see dramatic improvements in their health. We have good research to suggest that the effects of the Western diet can be rolled back, and relatively quickly.

You see, I suffer from a disease that you cannot see; a disease that there is no cure for and that keeps the medical community baffled at how to treat and battle this demon, who’s[sic] attacks are relentless. My pain works silently, stealing my joy and replacing it with tears. On the outside we look alike you and I; you won’t see my scars as you would a person who, say, had suffered a car accident. You won’t see my pain in the way you would a person undergoing chemo for cancer; however, my pain is just as real and just as debilitating. And in many ways my pain may be more destructive because people can’t see it and do not understand....” “Please don’t get angry at my seemingly [sic] lack of interest in doing things; I punish myself enough, I assure you. My tears are shed many times when no one is around. My embarrassment is covered by a joke or laughter…” “I have been called unreliable because I am forced to cancel plans I made at the last minute because the burning and pain in my legs or arms is so intense I cannot put my clothes on and I am left in my tears as I miss out on yet another activity I used to love and once participated in with enthusiasm.” “And just because I can do a thing one day, that doesn’t mean I will be able to do the same thing the next day or next week. I may be able to take that walk after dinner on a warm July evening; the next day or even in the next hour I may not be able to walk to the fridge to get a cold drink because my muscles have begun to cramp and lock up or spasm uncontrollably. And there are those who say “But you did that yesterday!” “What is your problem today?” The hurt I experience at those words scars me so deeply that I have let my family down again; and still they don’t understand….” “On a brighter side I want you to know that I still have my sense of humor….I love you and want nothing more than to be a part of your life. And I have found that I can be a strong friend in many ways. Do you have a dream? I am your friend, your supporter and many times I will be the one to do the research for your latest project; many times I will be your biggest fan and the world will know how proud I am at your accomplishments and how honored I am to have you in my life.” “So you see, you and I are not that much different. I too have hopes, dreams, goals… and this demon…. Do you have an unseen demon that assaults you and no one else can see? Have you had to fight a fight that crushes you and brings you to your knees? I will be by your side, win or lose, I promise you that; I will be there in ways that I can. I will give all I can as I can, I promise you that. But I have to do this thing my way. Please understand that I am in such a fight myself and I know that I have little hope of a cure or effective treatments, at least right now. Please understand….

Today, such studies are illegal. Medical scientists cannot offer inducements like pardons to persuade prisoners to take part in their studies. Although they can award small cash payments to research subjects, they are forbidden from giving anyone so much money or such tempting favors that their compensations might constitute what ethicists term an inappropriate inducement, an irresistible temptation to join the study. Now, more than eighty years after the 1918 flu, people enter studies for several reasons—to get free medical care, to get an experimental drug that, they hope, might cure them of a disease like cancer or AIDS, or to help further scientific knowledge. In theory at least, study participants are supposed to be true volunteers, taking part in research of their own free will. But in 1918, such ethical arguments were rarely considered. Instead, the justification for a risky study with human beings was that it was better to subject a few to a great danger in order to save the many. Prisoners were thought to be the ideal study subjects. They could offer up their bodies for science and, if they survived, their pardons could be justified because they gave something back to society. The Navy inmates were perfect for another reason. Thirty-nine of them had never had influenza, as far as anyone knew. So they might be uniquely susceptible to the disease. If the doctors wanted to deliberately transmit the 1918 flu, what better subjects? Was influenza really so easily transmitted? the doctors asked. Why did some people get it and others not? Why did it kill the young and healthy? Could the wartime disruptions and movements of troops explain the spread of the flu? If it was as contagious as it seemed, how was it being spread? What kind of microorganism was causing the illness? The normal way to try to answer such questions would be to study the spread of the disease in animals. Give the disease to a few cages of laboratory rats, or perhaps to some white rabbits. Isolate whatever was causing the illness. Show how it spread and test ways to protect animals—and people—against the disease. But influenza, it seemed, was a uniquely human disease. No animal was known to be susceptible to it. Medical researchers felt they had no choice but to study influenza in people. Either the Navy doctors were uncommonly persuasive or the enticement of a pardon was overwhelmingly compelling. For whatever reason, the sixty-two men agreed to be subjects in the medical experiment. And so the study began. First the sailors were transferred to a quarantine station on Gallops Island in Boston Harbor. Then the Navy doctors did their best to give the men the flu. Influenza is a respiratory disease—it is spread from person to person, presumably carried on droplets of mucus sprayed in the air when sick people cough or sneeze, or carried on their hands and spread when the sick touch the healthy. Whatever was causing the flu should be present in mucus taken from the ill. The experiments, then, were straightforward. The Navy doctors collected mucus from men who were desperately ill with the flu, gathering thick viscous secretions from their noses and throats. They sprayed mucus from flu patients into the noses and throats of some men, and dropped it into other men’s eyes. In one attempt, they swabbed mucus from the back of the nose of a man with the flu and then directly swabbed that mucus into the back of a volunteer’s nose.

Hyphen This word comes from two Greek words together meaning ‘under one’, which gets nobody anywhere and merely prompts the reflection that argument by etymology only serves the purpose of intimidating ignorant antagonists. On, then. This is one more case in which matters have not improved since Fowler’s day, since he wrote in 1926: The chaos prevailing among writers or printers or both regarding the use of hyphens is discreditable to English education … The wrong use or wrong non-use of hyphens makes the words, if strictly interpreted, mean something different from what the writers intended. It is no adequate answer to such criticisms to say that actual misunderstanding is unlikely; to have to depend on one’s employer’s readiness to take the will for the deed is surely a humiliation that no decent craftsman should be willing to put up with. And so say all of us who may be reading this book. The references there to ‘printers’ needs updating to something like ‘editors’, meaning those who declare copy fit to print. Such people now often get it wrong by preserving in midcolumn a hyphen originally put at the end of a line to signal a word-break: inter-fere, say, is acceptable split between lines but not as part of a single line. This mistake is comparatively rare and seldom causes confusion; even so, time spent wondering whether an exactor may not be an ex-actor is time avoidably wasted. The hyphen is properly and necessarily used to join the halves of a two-word adjectival phrase, as in fair-haired children, last-ditch resistance, falling-down drunk, over-familiar reference. Breaches of this rule are rare and not troublesome. Hyphens are also required when a phrase of more than two words is used adjectivally, as in middle-of-the-road policy, too-good-to-be-true story, no-holds-barred contest. No hard-and-fast rule can be devised that lays down when a two-word phrase is to be hyphenated and when the two words are to be run into one, though there will be a rough consensus that, for example, book-plate and bookseller are each properly set out and that bookplate and book-seller might seem respectively new-fangled and fussy. A hyphen is not required when a normal adverb (i.e. one ending in -ly) plus an adjective or other modifier are used in an adjectival role, as in Jack’s equally detestable brother, a beautifully kept garden, her abnormally sensitive hearing. A hyphen is required, however, when the adverb lacks a final -ly, like well, ill, seldom, altogether or one of those words like tight and slow that double as adjectives. To avoid ambiguity here we must write a well-kept garden, an ill-considered objection, a tight-fisted policy. The commonest fault in the use of the hyphen, and the hardest to eradicate, is found when an adjectival phrase is used predicatively. So a gent may write of a hard-to-conquer mountain peak but not of a mountain peak that remains hard-to-conquer, an often-proposed solution but not of one that is often-proposed. For some reason this fault is especially common when numbers, including fractions, are concerned, and we read every other day of criminals being imprisoned for two-and-a-half years, a woman becoming a mother-of-three and even of some unfortunate being stabbed six-times. And the Tories have been in power for a decade-and-a-half. Finally, there seems no end to the list of common phrases that some berk will bung a superfluous hyphen into the middle of: artificial-leg, daily-help, false-teeth, taxi-firm, martial-law, rainy-day, airport-lounge, first-wicket, piano-concerto, lung-cancer, cavalry-regiment, overseas-service. I hope I need not add that of course one none the less writes of a false-teeth problem, a first-wicket stand, etc. The only guide is: omit the hyphen whenever possible, so avoid not only mechanically propelled vehicle users (a beauty from MEU) but also a man eating tiger. And no one is right and no-one is wrong.

Let them see your joie de vivre. Let your beauty radiate outward like the rays of the sun, warming you with its breath, a lover’s kiss. The sun gives us hope, renewal . . .” “Cancer,” I added helpfully.