Doctor Life Quotes

Heard joke once: Man goes to doctor. Says he's depressed. Says life seems harsh and cruel. Says he feels all alone in a threatening world where what lies ahead is vague and uncertain. Doctor says, "Treatment is simple. Great clown Pagliacci is in town tonight. Go and see him. That should pick you up." Man bursts into tears. Says, "But doctor...I am Pagliacci.

My doctor says that I have a malformed public-duty gland and a natural deficiency in moral fibre and that I am therefore excused from saving universes.

Amy Pond: 'I thought... well, I started to think you were just a madman with a box.' The Doctor: 'Amy Pond, there's something you better understand about me, 'cause it's important and one day your life may depend on it. [He Smiles] I am definitely a madman with a box.

I don't think I could love you so much if you had nothing to complain of and nothing to regret. I don't like people who have never fallen or stumbled. Their virtue is lifeless and of little value. Life hasn't revealed its beauty to them.

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

There came a time when you realized that moving on was pointless. That you took yourself with you wherever you went.

Hitler: Thank you, whoever you are. I think you just saved my life. The Doctor: Believe me... It was an accident.

The way I see it, every life is a pile of good things and bad things. The good things don’t always soften the bad things, but vice versa, the bad things don’t always spoil the good things and make them unimportant.

Life does not cease to be funny when people die any more than it ceases to be serious when people laugh.

Amy: I never knew you drank wine. Doctor: I'm 1103 I must have drunk it sometime in my life. *takes sip and spits it out in disgust*

I think, that if the world were a bit more like ComicCon, it would be a better place.

Dr. Armonson stitched up her wrist wounds. Within five minutes of the transfusion he declared her out of danger. Chucking her under the chin, he said, "What are you doing here, honey? You're not even old enough to know how bad life gets." And it was then Cecilia gave orally what was to be her only form of suicide note, and a useless one at that, because she was going to live: "Obviously, Doctor," she said, "you've never been a thirteen-year-old girl.

When you run with the Doctor, it feels like it'll never end. But however hard you try you can't run forever. Everybody knows that everybody dies and nobody knows it like the Doctor. But I do think that all the skies of all the worlds might just turn dark if he ever for one moment, accepts it. Everybody knows that everybody dies. But not every day. Not today. Some days are special. Some days are so, so blessed. Some days, nobody dies at all. (In the library, the Doctor walks back to the TARDIS. He stops, looking at the doors. Then he raises his hand, and stands there poised like that for a long moment. Finally he snaps his fingers. The doors open. He smiles slowly and walks in, joining Donna. Then he snaps his fingers again, and the doors close. River's voice continues over this.) Now and then, every once in a very long while, every day in a million days, when the wind stands fair, and the Doctor comes to call... everybody lives.

I have the impression that if he didn't complicate his life so needlessly, he would die of boredom.

We cannot, after all, judge a biography by its length, by the number of pages in it; we must judge by the richness of the contents...Sometimes the 'unfinisheds' are among the most beautiful symphonies.

The life so short, the craft so long to learn.

Vulnerability is the only authentic state. Being vulnerable means being open, for wounding, but also for pleasure. Being open to the wounds of life means also being open to the bounty and beauty. Don’t mask or deny your vulnerability: it is your greatest asset. Be vulnerable: quake and shake in your boots with it. the new goodness that is coming to you, in the form of people, situations, and things can only come to you when you are vulnerable, i.e. open.

Life was a wheel, its only job was to turn, and it always came back to where it started.

You don't know when you're twenty-three. You don't know what it really means to crawl into someone else's life and stay there. You can't see all the ways you're going to get tangled, how you're going to bond skin to skin. How the idea of separating will feel in five years, in ten - in fifteen. When Georgie thought about divorce now, she imagined lying side by side with Neal on two operating tables while a team of doctors tried to unthread their vascular systems. She didn't know at twenty-three.

The present state of the world and the whole of life is diseased. If I were a doctor and were asked for my advice, I should reply, 'Create silence'.

I don't like people who have never fallen or stumbled. Their virtue is lifeless and of little value. Life hasn't revealed its beauty to them.

The reality is that the lives of the smallest patients are in our hands, and their clinical condition can change in an instant. No matter how many times you are involved in situations such as this, the physical stress and anxiety as well as the emotional and psychological effects of being immersed in that environment are dramatic and lasting on the human body, mind, and central nervous system. These effects are severe, and I firmly believe that they are cumulative over your lifetime.

One of the greatest realizations that I clumsily stumbled upon during this process, was that these people didn’t need someone like me to tell them what to do; they needed someone like me to show them what can be done, together.

Angel Bob: Doctor? Excuse me, hello, Doctor? Angel Bob here, sir. The Doctor: Ah, there you are, Angel Bob. How's life? Sorry, bad subject. Angel Bob: The Angels are wondering what you hope to achieve. The Doctor: Achieve? We're not achieving anything. We're just hanging, it's nice in here: consoles; comfy chairs; a forest... how's things with you? Angel Bob: The Angels are feasting, sir. Soon we will be able to absorb enough power to consume this vessel, this world, and all the stars and worlds beyond. The Doctor: Yeah, but we've got comfy chairs. Did I mention? Angel Bob: We have no need for comfy chairs. The Doctor: [amused] I made him say 'comfy chairs'.

Art always serves beauty, and beauty is the joy of possessing form, and form is the key to organic life since no living thing can exist without it.

Do not work primarily for money; do your duty to patients first and let the money follow; our life is short, we don't live twice; the whirlwind will pick up the leaves and spin them, but then it will drop them and they will form a pile.

Rose: My mum's here. The Doctor: Oh, that's just what I need! Don't you dare make this place domestic! Mickey Smith: You ruined my life, Doctor. [the Doctor turns and looks at him, irritated] They thought she was dead, I was a murder suspect because of you! The Doctor: [looks at Rose] See what I mean? Domestic! Mickey: I bet you don't even remember my name! The Doctor: Ricky. Mickey: It's Mickey! The Doctor: No, it's Ricky. Mickey: I think I know my own name! The Doctor: You think you know your own name? How stupid are you?

Single moms: You are a doctor, a teacher, a nurse, a maid, a cook, a referee, a heroine, a provider, a defender, a protector, a true Superwoman. Wear your cape proudly.

What Rose brings to the Doctor’s life is completion. It’s completing a circle – he’s male, he’s alien, he’s a traveler. Between the two of them together they complement each other and discover each other. And are in love with each other – absolutely, unashamedly, unreservedly.

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

The purpose of a doctor or any human in general should not be to simply delay the death of the patient, but to increase the person's quality of life.

A life without love is like a tree without fruit.

I blame Doctor Who. Mr Spock. The Scooby Gang: both the ones in the Mystery Machine and the ones with the stakes. I've spent my life with stories of people who don't walk away, who go back for their friends, who make that last stand. I've been brainwashed by Samwise Gamgee.

‎Homeless person or business person, doctor or teacher, whatever your background may be, the same holds true for each of us: life takes on the meaning that you give it.

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

You are constantly told in depression that your judgment is compromised, but a part of depression is that it touches cognition. That you are having a breakdown does not mean that your life isn't a mess. If there are issues you have successfully skirted or avoided for years, they come cropping back up and stare you full in the face, and one aspect of depression is a deep knowledge that the comforting doctors who assure you that your judgment is bad are wrong. You are in touch with the real terribleness of your life. You can accept rationally that later, after the medication sets in, you will be better able to deal with the terribleness, but you will not be free of it. When you are depressed, the past and future are absorbed entirely by the present moment, as in the world of a three-year-old. You cannot remember a time when you felt better, at least not clearly; and you certainly cannot imagine a future time when you will feel better.

Used in combination with genomics, AI could help pharma companies to develop new drugs for rare diseases. The rarer a disease is, the smaller the market is and so the less likely it is to have been addressed. Big pharma is hesitant to take on the high development costs for new drugs if there’s no sign of a return on investment. Biological processes are complex, and that means that they lead to multidimensional data that human beings struggle to wrap their heads around. The good news is that AI is the perfect tool to spot patterns in this kind of data.

I have always thought that librarians are a little bit like doctors, travel agents and professors all rolled into one. We all know that a great story can lift spirits, take you anywhere in the world you want to go and in any time period to boot, and the lessons you learn from a good book can buoy your own convictions and even change your life.

I felt overwhelmed. I didn’t expect a first kiss to be so…life altering. In a few brief moments, the rule book of my universe had been rewritten. Suddenly I was a brand new person. I was as fragile as a newborn, but instead of the doctor placing me in my mother’s arms, he’d put me in Ren’s. What would Ren do with me? Would he draw me near, soothe me, and teach me about this new world or would he reject me and tell the doctor there must be some mistake. There was no way to know. What a breakable and delicate thing a heart was, no wonder I’d kept mine locked away.

John Smith: Mankind doesn't need warfare and bloodshed to prove itself. Everyday life can provide honour and valour. Let's hope that from now on this country can find its heroes in smaller places. In the most ordinary of deeds.

Reshaping life! People who can say that have never understood a thing about life—they have never felt its breath, its heartbeat—however much they have seen or done. They look on it as a lump of raw material that needs to be processed by them, to be ennobled by their touch. But life is never a material, a substance to be molded. If you want to know, life is the principle of self-renewal, it is constantly renewing and remaking and changing and transfiguring itself, it is infinitely beyond your or my obtuse theories about it.

How easy it is, Doctor, to be a philosopher on paper, and how difficult in real life!

Oh God, midnight’s not bad, you wake and go back to sleep, one or two’s not bad, you toss but sleep again. Five or six in the morning, there’s hope, for dawn’s just under the horizon. But three, now, Christ, three A.M.! Doctors say the body’s at low tide then. The soul is out. The blood moves slow. You’re the nearest to dead you’ll ever be save dying. Sleep is a patch of death, but three in the morn, full wide-eyed staring, is living death! You dream with your eyes open. God, if you had strength to rouse up, you’d slaughter your half-dreams with buckshot! But no, you lie pinned to a deep well-bottom that’s burned dry. The moon rolls by to look at you down there, with its idiot face. It’s a long way back to sunset, a far way on to dawn, so you summon all the fool things of your life, the stupid lovely things done with people known so very well who are now so very dead – And wasn’t it true, had he read somewhere, more people in hospitals die at 3 A.M. than at any other time...

I can't die yet, doctor. Not yet. I have things to do. Afterwords I'll have a whole lifetime in which to die.

He realised, more vividly than ever before, that art had two constant, two unending preoccupations: it is always meditating upon death and it is always thereby creating life.

Life is truly a ride. We're all strapped in and no one can stop it. When the doctor slaps your behind, he's ripping your ticket and away you go. As you make each passage from youth to adulthood to maturity, sometimes you put your arms up and scream, sometimes you just hang on to that bar in front of you. But the ride is the thing. I think the most you can hope for at the end of life is that your hair's messed, you're out of breath, and you didn't throw up.

Mr. Smith yelled at the doctor, What have you done to my boy? He's not flesh and blood, he's aluminum alloy!" The doctor said gently, What I'm going to say will sound pretty wild. But you're not the father of this strange looking child. You see, there still is some question about the child's gender, but we think that its father is a microwave blender.

Genius is a form of the life force that is deeply versed in illness, that both draws creatively from it and creates through it.

The wish of death had been palpably hanging over this otherwise idyllic paradise for a good many years. All business and politics is personal in the Philippines. If it wasn't for the cheap beer and lovely girls one of us would spend an hour in this dump. They [Jehovah's Witnesses] get some kind of frequent flyer points for each person who signs on. I'm not lazy. I'm just motivationally challenged. I'm not fat. I just have lots of stored energy. You don't get it do you? What people think of you matters more than the reality. Marilyn. Despite standing firm at the final hurdle Marilyn was always ready to run the race. After answering the question the woman bent down behind the stand out of sight of all, and crossed herself. It is amazing what you can learn in prison. Merely through casual conversation Rick had acquired the fundamentals of embezzlement, fraud and armed hold up. He wondered at the price of honesty in a grey world whose half tones changed faster than the weather. The banality of truth somehow always surprises the news media before they tart it up. You've ridden jeepneys in peak hour. Where else can you feel up a fourteen-year-old schoolgirl without even trying? [Ralph Winton on the Philippines finer points] Life has no bottom. No matter how bad things are or how far one has sunk things can always get worse. You could call the Oval Office an information rain shadow. In the Philippines, a whole layer of criminals exists who consider that it is their right to rob you unhindered. If you thwart their wicked desires, to their way of thinking you have stolen from them and are evil. There's honest and dishonest corruption in this country. Don't enjoy it too much for it's what we love that usually kills us. The good guys don't always win wars but the winners always make sure that they go down in history as the good guys. The Philippines is like a woman. You love her and hate her at the same time. I never believed in all my born days that ideas of truth and justice were only pretty words to brighten a much darker and more ubiquitous reality. The girl was experiencing the first flushes of love while Rick was at least feeling the methadone equivalent. Although selfishness and greed are more ephemeral than the real values of life their effects on the world often outlive their origins. Miriam's a meteor job. Somewhere out there in space there must be a meteor with her name on it. Tsismis or rumours grow in this land like tropical weeds. Surprises are so common here that nothing is surprising. A crooked leader who can lead is better than a crooked one who can't. Although I always followed the politics of Hitler I emulate the drinking habits of Churchill. It [Australia] is the country that does the least with the most. Rereading the brief lines that told the story in the manner of Fox News reporting the death of a leftist Rick's dark imagination took hold. Didn't your mother ever tell you never to trust a man who doesn't drink? She must have been around twenty years old, was tall for a Filipina and possessed long black hair framing her smooth olive face. This specter of loveliness walked with the assurance of the knowingly beautiful. Her crisp and starched white uniform dazzled in the late-afternoon light and highlighted the natural tan of her skin. Everything about her was in perfect order. In short, she was dressed up like a pox doctor’s clerk. Suddenly, she stopped, turned her head to one side and spat comprehensively into the street. The tiny putrescent puddle contrasted strongly with the studied aplomb of its all-too-recent owner, suggesting all manner of disease and decay.

Without realizing it, we fill important places in each other’s lives. It’s that way with the guy at the corner grocery, the mechanic at the local garage, the family doctor, teachers, neighbors, coworkers. Good people who are always “there,” who can be relied upon in small, important ways. People who teach us, bless us, encourage us, support us, uplift us in the dailiness of life. We never tell them. I don’t know why, but we don’t. And, of course, we fill that role ourselves. There are those who depend in us, watch us, learn from us, take from us. And we never know. You may never have proof of your importance, but you are more important than you think. There are always those who couldn’t do without you. The rub is that you don’t always know who.

I have lived a long life, and I have seen a few things. I walked away from the Last Great Time War. I marked the passing of the Time Lords. I saw the birth of the universe and I watched as time ran out, moment by moment, until nothing remained; no time, no space. Just me. I walked in universes where the laws of physics were devised by the mind of a madman. I watched universes freeze and creations burn. I have seen things you wouldn't believe, I have lost things you will never understand. And I know things, secrets that must never be told, knowledge that must never be spoken. Knowledge that will make parasite gods blaze! So come on then! Take it! Take it all, baby! Have it! You have it all!

He had come to believe that life was a series of ironic ambushes.

You don't have to be a doctor to know when a relationship is not healthy.

People who worry that nuclear weaponry will one day fall in the hands of the Arabs, fail to realize that the Islamic bomb has been dropped already, it fell the day MUHAMMED (pbuh) was born.

Good God, man, what is that smell?" He eyed with disgust the doctor's filthy cloak. "Life," answered the doctor.

Dreams? If only they had been! But I don't need dreams, Doctor, that's why I hardly have them—because I have this life instead. With me it all happens in broad daylight!

You will continue to read stories of crookedness and corruption - of policemen who lie and steal, doctors who reap where they do not sew, politicians on the take. Don't be misled. They are news because they are the exceptions.

Rose: Who are you then? Who's that lot down there? [The Doctor ignores her] I said who are they?! The Doctor: They're made of plastic. Living plastic creatures. They're being controlled by a relay device on the roof. Which would be a great big problem if- [he pulls a bleeping bomb out of his coat] -I didn't have this. So I'm gonna go upstairs and blow it up. And I might well die in the process. But don't worry about me, no. You go home, go on! Go and have your lovely beans on toast. [suddenly serious] Don't tell anyone about this 'cos if you do, you'll get them killed. [closes the door] [opens it again] I'm The Doctor, by the way. What's your name? Rose: Rose. The Doctor: Nice to meet you, Rose. [holds up the bomb, shaking it slightly while grinning.] Run for your life!

I love you crookedly because my heart's been unhinged from birth. The doctors gave me strict instructions not to fall in love: my fragile clockwork heart would never survive. But when you gave me a dose of love so powerful - far beyond my wildest dreams - that I felt able to confront anything for you, I decided to put my life in your hands.

I saved a man's life once," said Granny. "Special medicine, twice a day. Boiled water with a bit of berry juice in it. Told him I'd bought it from the dwarves. That's the biggest part of doct'rin, really. Most people'll get over most things if they put their minds to it, you just have to give them an interest.

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

Being mortal is about the struggle to cope with the constraints of our biology, with the limits set by genes and cells and flesh and bone. Medical science has given us remarkable power to push against these limits, and the potential value of this power was a central reason I became a doctor. But again and again, I have seen the damage we in medicine do when we fail to acknowledge that such power is finite and always will be. We’ve been wrong about what our job is in medicine. We think our job is to ensure health and survival. But really it is larger than that. It is to enable well-being. And well-being is about the reasons one wishes to be alive. Those reasons matter not just at the end of life, or when debility comes, but all along the way. Whenever serious sickness or injury strikes and your body or mind breaks down, the vital questions are the same: What is your understanding of the situation and its potential outcomes? What are your fears and what are your hopes? What are the trade-offs you are willing to make and not willing to make? And what is the course of action that best serves this understanding?

Between 10 and 20 percent of people with anorexia die from heart attacks, other complications and suicide; the disease has the highest mortality rate of any mental illness. Or Kitty could have lost her life in a different way, lost it to the roller coaster of relapse and recovery, inpatient and outpatient, that eats up, on average, five to seven years. Or a lifetime: only half of all anorexics recovery in the end. The other half endure lives of dysfunction and despair. Friends and families give up on them. Doctors dread treating them. They’re left to stand in the bakery with the voice ringing in their ears, alone in every way that matters.

If you go near her or touch her with your finger, a spark will light up the room and either kill you on the spot or electrify you for your whole life with a magnetically attractive, plaintive craving and sorrow.

At the core, you’ve got to get university certification for parenting, just as you do for, say, being a doctor or an engineer. No offence to you or your species, but going into the business of creating life without any sort of formal prep is . . .’ He laughed. ‘It’s baffling. But then, I’m biased.

Everything had changed suddenly--the tone, the moral climate; you didn't know what to think, whom to listen to. As if all your life you had been led by the hand like a small child and suddenly you were on your own, you had to learn to walk by yourself. There was no one around, neither family nor people whose judgment you respected. At such a time you felt the need of committing yourself to something absolute--life or truth or beauty--of being ruled by it in place of the man-made rules that had been discarded. You needed to surrender to some such ultimate purpose more fully, more unreservedly than you had ever done in the old familiar, peaceful days, in the old life that was now abolished and gone for good.

We must not see any person as an abstraction. Instead, we must see in every person a universe with its own secrets, with its own treasures, with its own sources of anguish, and with some measure of triumph. —ELIE WIESEL from The Nazi Doctors and the Nuremberg Code

This is the kind of thing that makes sense to them; this is a language they know. They know what to do with`disease'. They know how to attach a doctor's medical descriptions to hope.

Don’t tell thin women to eat a cheeseburger. Don’t tell fat women to put down the fork. Don’t tell underweight men to bulk up. Don’t tell women with facial hair to wax, don’t tell uncircumcised men they’re gross, don’t tell muscular women to go easy on the dead-lift, don’t tell dark-skinned women to bleach their vagina, don’t tell black women to relax their hair, don’t tell flat-chested women to get breast implants, don’t tell “apple-shaped” women what’s “flattering,” don’t tell mothers to hide their stretch marks, and don’t tell people whose toes you don’t approve of not to wear flip-flops. And so on, etc, etc, in every iteration until the mountains crumble to the sea. Basically, just go ahead and CEASE telling other human beings what they “should” and “shouldn't” do with their bodies unless a) you are their doctor, or b) SOMEBODY GODDAMN ASKED YOU.

Everyone should get dirt on his hands each day. Doctors, intellectuals. Politicians, most of all. How can we presume to uplift the life of the working man, if we don't respect his work?

There’s a popular saying among doctors: There’s no such thing as alternative medicine; if it works, it’s just called medicine.

All mothers are mothers of great people, and it is not their fault that life later disappoints them.

I'm not running away. But this is one corner of one country on one continent on one planet that's a corner of a galaxy that's a corner of a universe that is forever growing and shrinking and creating and destroying and never remaining the same for a single millisecond, and there is so much, so much, to see, Amy. Because it goes so fast. I'm not running away from things, I am running to them. Before they flare and fade forever.

He is her glory. Any woman could say it. For every one of them, God is in her child. Mothers of great men must have been familiar with this feeling, but then, all women are mothers of great men -- it isn't their fault if life disappoints them later.

How many times have you been in love, Doctor?" "Twice. The love of my life, and now my soulmate." "What's the difference? Between the love of your life, and your soulmate?" "One is a choice, and one is not...There is a string that connects us that is not visible to the eye. Maybe every person has more than one soul they are connected to, and all over the world there are these invisible strings. Maybe the chances that you'll find each and every one of your soulmates is slim. But sometimes you're lucky enough to stumble across one. And you feel a tug. And it's not so much a choice to love them through their flaws and through your differences, but rather you love them without even trying. You love their flaws.

Rooney dropped to her knees. ‘Georgia, I am never going to stop being your friend. And I don’t mean that in the boring average meaning of ‘friend’ where we stop talking regularly when we’re twenty-five because we’ve both met nice young men and gone off to have babies, and only get to meet up twice a year. I mean I’m going to pester you to buy a house next door to me when we’re forty-five and have finally saved up enough for our deposits. I mean I’m going to be crashing round yours every night for dinner because you know I can’t fucking cook to save my life, and if I’ve got kids and a spouse, they’ll probably come round with me, because otherwise they’ll be living on chicken nuggets and chips. I mean I’m going to be the one bringing you soup when you text me that you’re sick and can’t get out of bed and ferrying you to the doctor’s even when you don’t want to go because you feel guilty about using the NHS when you just have a stomach bug. I mean we’re gonna knock down the fence between our gardens so we have one big garden, and we can both get a dog and take turns looking after it. I mean I’m going to be here, annoying you, until we’re old ladies, sitting in the same care home, talking about putting on a Shakespeare because we’re all old and bored as shit.

Kästner was one reason I called my book barge the Literary Apothecary,” said Perdu. “I wanted to treat feelings that are not recognized as afflictions and are never diagnosed by doctors. All those little feelings and emotions no therapist is interested in, because they are apparently too minor and intangible. The feeling that washes over you when another summer nears its end. Or when you recognize that you haven’t got your whole life left to find out where you belong. Or the slight sense of grief when a friendship doesn’t develop as you thought, and you have to continue your search for a lifelong companion. Or those birthday morning blues. Nostalgia for the air of your childhood. Things like that.

One might even argue that if an animal could choose with intelligence, it would opt for living in a zoo, since the major difference between a zoo and the wild is the absence of parasites and enemies and the abundance of food in the first, and their respective abundance and scarcity in the second. Think about it yourself. Would you rather be put up at the Ritz with free room service and unlimited access to a doctor or be homeless without a soul to care for you?... But I don't insist. I don't mean to defend zoos. Close them all down if you want (and let us hope that what wildlife remains can survive in what is left of the natural world). I know zoos are no longer in people's good graces. Religion faces the same problem. Certain illusions about freedom plague them both.

I work all day, and get half-drunk at night. Waking at four to soundless dark, I stare. In time the curtain-edges will grow light. Till then I see what’s really always there: Unresting death, a whole day nearer now, Making all thought impossible but how And where and when I shall myself die. Arid interrogation: yet the dread Of dying, and being dead, Flashes afresh to hold and horrify. The mind blanks at the glare. Not in remorse —The good not done, the love not given, time Torn off unused—nor wretchedly because An only life can take so long to climb Clear of its wrong beginnings, and may never; But at the total emptiness for ever, The sure extinction that we travel to And shall be lost in always. Not to be here, Not to be anywhere, And soon; nothing more terrible, nothing more true. This is a special way of being afraid No trick dispels. Religion used to try, That vast moth-eaten musical brocade Created to pretend we never die, And specious stuff that says No rational being Can fear a thing it will not feel, not seeing That this is what we fear—no sight, no sound, No touch or taste or smell, nothing to think with, Nothing to love or link with, The anaesthetic from which none come round. And so it stays just on the edge of vision, A small unfocused blur, a standing chill That slows each impulse down to indecision. Most things may never happen: this one will, And realisation of it rages out In furnace-fear when we are caught without People or drink. Courage is no good: It means not scaring others. Being brave Lets no one off the grave. Death is no different whined at than withstood. Slowly light strengthens, and the room takes shape. It stands plain as a wardrobe, what we know, Have always known, know that we can’t escape, Yet can’t accept. One side will have to go. Meanwhile telephones crouch, getting ready to ring In locked-up offices, and all the uncaring Intricate rented world begins to rouse. The sky is white as clay, with no sun. Work has to be done. Postmen like doctors go from house to house.

THE MAXIMS OF MEDICINE Before you examine the body of a patient, Be patient to learn his story. For once you learn his story, You will also come to know His body. Before you diagnose any sickness, Make sure there is no sickness in the mind or heart. For the emotions in a man’s moon or sun, Can point to the sickness in Any one of his other parts. Before you treat a man with a condition, Know that not all cures can heal all people. For the chemistry that works on one patient, May not work for the next, Because even medicine has its own Conditions. Before asserting a prognosis on any patient, Always be objective and never subjective. For telling a man that he will win the treasure of life, But then later discovering that he will lose, Will harm him more than by telling him That he may lose, But then he wins. THE MAXIMS OF MEDICINE by Suzy Kassem

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

Ah? A small aversion to menial labor?" The doctor cocked an eyebrow. "Understandable, but misplaced. One should treasure those hum-drum tasks that keep the body occupied but leave the mind and heart unfettered.

if our mother cells done so much for medicine, how come her family can’t afford to see no doctors?

I wish I knew why she never told me any of this. Maybe she thought I wouldn't be able to handle it, that I was too sheltered or too innocent or something. If she had told me why she cut herself all the time, or that it was the pills that made her act so spaced out, or that she was even on pills, or even saw doctors, or any of it, I would have done my best to help her. I'm not saying I'm a superhero. I'm not saying I would have just swooped down and saved her. I'm just saying the only reason everything was a waste was that she made it a waste. That whole time, back when I was just a normal kid in high school, living out my normal life, I really thought everything mattered.

The midwife considers the miracle of childbirth as normal, and leaves it alone unless there's trouble. The obstetrician normally sees childbirth as trouble; if he leaves it alone, it's a miracle.

I heard joke once: Man goes to doctor. Says he's depressed. Life seems harsh, and cruel. Says he feels all alone in threatening world. Doctor says: "Treatment is simple. The great clown - Pagliacci - is in town. Go see him. That should pick you up." Man bursts into tears. "But doctor..." he says "I am Pagliacci." Good joke. Everybody laugh. Roll on snare drum. Curtains.

It's only in bad novels that people are divided into two camps and have nothing to do with each other. In real life everything gets mixed up! Don't you think you'd have to be a hopeless nonentity to play only one role all your life, to have only one place in society, always to stand for the same thing?--Ah, there you are!" - Larissa Fyodorovna in Doctor Zhivago.

Doctor Tenma. For you all lives are created equal, that's why I came back to life. But you've finally come to realize it now, haven't you? Only one thing is equal for all, and that is death.

I don't like purely philosophical works. I think a little philosophy should be added to life and art by way of seasoning, but to make it one's specialty seems to me as strange as eating nothing but horseradish." - Lara, from Doctor Zhivago

Believe me, Doctor, if your life ends in suddenness you will be glad it did, and if it does not you will wish it had. You will want suddenness, Doctor.

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

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.

The human race settles on terms with every plague in the end, the doctor told her. Or a stalemate, at the least. We somehow muddle along, sharing the earth with each new form of life.

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

What do you want me to say? Yes, I’m ill. I’m an epileptic—that’s my lot. It isn’t easy and it isn’t very enjoyable but this is what I’ve got to live with. This is who I am, and I don’t think I’m insane. I don’t think I should be locked up and I don’t think I need to be cured of it for my life to be good. But no one seems to agree with me on that, and I was hoping you’d be different, but apparently you think just the same as my family and my doctors and everyone else.

But here is a question that is troubling me: if there is no God, then, one may ask, who governs human life and, in general, the whole order of things on earth? – Man governs it himself, – Homeless angrily hastened to reply to this admittedly none-too-clear question. – Pardon me, – the stranger responded gently, – but in order to govern, one needs, after all, to have a precise plan for a certain, at least somewhat decent, length of time. Allow me to ask you, then, how can man govern, if he is not only deprived of the opportunity of making a plan for at least some ridiculously short period, well, say, a thousand years , but cannot even vouch for his own tomorrow? And in fact, – here the stranger turned to Berlioz, – imagine that you, for instance, start governing, giving orders to others and yourself, generally, so to speak, acquire a taste for it, and suddenly you get ...hem ... hem ... lung cancer ... – here the foreigner smiled sweetly, and if the thought of lung cancer gave him pleasure — yes, cancer — narrowing his eyes like a cat, he repeated the sonorous word —and so your governing is over! You are no longer interested in anyone’s fate but your own. Your family starts lying to you. Feeling that something is wrong, you rush to learned doctors, then to quacks, and sometimes to fortune-tellers as well. Like the first, so the second and third are completely senseless, as you understand. And it all ends tragically: a man who still recently thought he was governing something, suddenly winds up lying motionless in a wooden box, and the people around him, seeing that the man lying there is no longer good for anything, burn him in an oven. And sometimes it’s worse still: the man has just decided to go to Kislovodsk – here the foreigner squinted at Berlioz – a trifling matter, it seems, but even this he cannot accomplish, because suddenly, no one knows why, he slips and falls under a tram-car! Are you going to say it was he who governed himself that way? Would it not be more correct to think that he was governed by someone else entirely?

Don’t let yourself forget how many doctors have died, furrowing their brows over how many deathbeds. How many astrologers, after pompous forecasts about others’ ends. How many philosophers, after endless disquisitions on death and immortality. How many warriors, after inflicting thousands of casualties themselves. How many tyrants, after abusing the power of life and death atrociously, as if they were themselves immortal. How many whole cities have met their end: Helike, Pompeii, Herculaneum, and countless others. And all the ones you know yourself, one after another. One who laid out another for burial, and was buried himself, and then the man who buried him - all in the same short space of time. In short, know this: Human lives are brief and trivial. Yesterday a blob of semen; tomorrow embalming fluid, ash. To pass through this brief life as nature demands. To give it up without complaint. Like an olive that ripens and falls. Praising its mother, thanking the tree it grew on.

You know, honey, Natalie's expecting her second." I arched my eyebrows at my mother, not following the change of subject. "Second what? Mortgage? Conviction? Chance at life?" "Baby of course. Her second baby. The doctor says this one's a girl." I laughed, genuinely amused that my mother thought it should have been so obvious. "Yeah. Well, I bet Natalie can't drop a Stray with a Powerhouse Right Hook.

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

Chucking her under her chin, he said, "What are you doing here, honey? You're not even old enough to know how bad life gets." And it was then Cecilia gave orally what was to be her only form of suicide note, and a useless one at that, because she was going to live: "Obviously, Doctor," she said, "you've never been a thirteen-year-old girl.

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

The way I see it, every life is a pile of good and bad things. The good things don't always soften the bad things but vice versa, the bad things don't necessarily spoil the good things or make them unimportant.

Words are humanity's greatest natural resource, but most of us have trouble figuring out how to put them together. Words aren't cheap. They are very precious. They are like water, which gives life and growth and refreshment, but because it has always been abundant, we treat it cheaply. We waste it; we pollute it, and doctor it. Later we blame the quality of the water because we have misused it.

I told her that I didn't want to take any drugs. That I had come here not to take drugs. "Listen," she said, not unkindly, "up until now I would say that ninety-nine percent of all the narcotics you have taken in your life you bought from guys you didn't know, in bathrooms or on street corners, something like that. Correct?" I nodded. "Well these guys could have been selling you salt or strychnine. They didn't care. They wanted your money. I don't care about your money, and, unlike your previous suppliers, I went to college to study just the right drugs to give to people like you in order to help you get better. So, bearing all that in mind ... Take the fucking drugs!" I took the drugs.

He transformed the pain of his tormented life into ecstatic beauty. Pain is easy to portray, but to use your passion and pain to portray the ecstasy and joy and magnificence of our world, no one had ever done it before. Perhaps no one ever will again. To my mind, that strange, wild man who roamed the fields of Provence was not only the world's greatest artist, but also one of the greatest men who ever lived.

God does not demand that every man attain to what is theoretically highest and best. It is better to be a good street sweeper than a bad writer, better to be a good bartender than a bad doctor, and the repentant thief who died with Jesus on Calvary was far more perfect than the holy ones who had Him nailed to the cross. And yet, abstractly speaking, what is more holy than the priesthood and less holy than the state of a criminal? The dying thief had, perhaps, disobeyed the will of God in many things: but in the most important event of his life he listened and obeyed. The Pharisees had kept the law to the letter and had spent their lives in the pursuit of a most scrupulous perfection. But they were so intent upon perfection as an abstraction that when God manifested His will and His perfection in a concrete and definite way they had no choice but to reject it.

Most medical students go through a brief period when they develop all manner of imaginary illnesses – I myself had leukaemia for at least four days – until they learn, as a matter of self-preservation, that illnesses happen to patients, not to doctors.

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

Be a lawyer, a doctor or a teacher", they say. But there's one thing they can't hear: the silent beat of creativity within you - that calling beckoning you to trust your gut, follow your heart, and do what your soul demands. You can never articulate to others what you feel in your bones because you rarely understand it yourself. Do you know how many times I get a bomb-ass idea but can't explain it to anyone? All. The. Time. They can't see it, but I can - and that's all that matters. They will see it when I bring my idea to life.

Having a chronic illness, Molly thought, was like being invaded. Her grandmother back in Michigan used to tell about the day one of their cows got loose and wandered into the parlor, and the awful time they had getting her out. That was exactly what Molly's arthritis was like: as if some big old cow had got into her house and wouldn't go away. It just sat there, taking up space in her life and making everything more difficult, mooing loudly from time to time and making cow pies, and all she could do really was edge around it and put up with it. When other people first became aware of the cow, they expressed concern and anxiety. They suggested strategies for getting the animal out of Molly's parlor: remedies and doctors and procedures, some mainstream and some New Age. They related anecdotes of friends who had removed their own cows in one way or another. But after a while they had exhausted their suggestions. Then they usually began to pretend that the cow wasn't there, and they preferred for Molly to go along with the pretense.

But there can be no grave for Sherlock Holmes and Doctor Watson...Shall they not always live in Baker Street? Are they not there this moment, as one writes? Outside, the hansoms rattle through the rain, and Moriarty plans his latest devilry. Within, the sea-coal flames upon the hearth and Holmes and Watson take their well-won case...So they still live for all that love them well; in a romantic chamber of the heart, in a nostalgic country of the mind, where it is always 1895.

Most people live in fear of some terrible event changing their lives, the death of a loved one or a serious illness. For the chronically ill, this terrible event has already happened, and we have been let in on an amazing secret: You survive. You adapt, and your life changes, but in the end you go on, with whatever compromises you have been forced to make, whatever losses you have been forced to endure. You learn to balance your fears with the simple truth that you must go on living.

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

Everything established, settled, everything to do with home and order and the common ground, has crumbled into dust and has been swept away in the general upheaval and reorganization of the whole of society. The whole human way of life has been destroyed and ruined. All that's left is the bare, shivering human soul, stripped to the last shred, the naked force of the human psyche for which nothing has changed because it was always cold and shivering and reaching out to its nearest neighbor, as cold and lonely as itself.

The Four Noble Truths are pragmatic rather than dogmatic. They suggest a course of action to be followed rather than a set of dogmas to be believed. The four truths are prescriptions for behavior rather than descriptions of reality. The Buddha compares himself to a doctor who offers a course of therapeutic treatment to heal one’s ills. To embark on such a therapy is not designed to bring one any closer to ‘the Truth’ but to enable one’s life to flourish here and now, hopefully leaving a legacy that will continue to have beneficial repercussions after one’s death. (154)

pity this busy monster, manunkind' pity this busy monster, manunkind, not. Progress is a comfortable disease: your victim (death and life safely beyond) plays with the bigness of his littleness --- electrons deify one razorblade into a mountainrange; lenses extend unwish through curving wherewhen till unwish returns on its unself. A world of made is not a world of born --- pity poor flesh and trees, poor stars and stones, but never this fine specimen of hypermagical ultraomnipotence. We doctors know a hopeless case if --- listen: there's a hell of a good universe next door; let's go

Clarissa will be bereaved, deeply lonely, but she will not die. She will be too much in love with life, with London. Virginia imagines someone else, yes, someone strong of body but frail-minded; someone with a touch of genius, of poetry, ground under by the wheels of the world, by war and government, by doctors; a someone who is, technically speaking insane, because that person sees meaning everywhere, knows that trees are sentient beings and sparrows sing in Greek. Yes, someone like that. Clarissa, sane Clarissa -exultant, ordinary Clarissa - will go on, loving London, loving her life of ordinary pleasures, and someone else, a deranged poet, a visonary, will be the one to die.

They loved each other greatly. Most people experience love, without noticing that there is anything remarkable about it. To them - and this made them unusual - the moments when passion visited their doomed human existence like a breath of timelessness were moments of revelation, of even greater understanding of life and of themselves.

It’s the southern way, Doctor.” “The southern way?” she said. “My mother’s immortal phrase. We laugh when the pain gets too much. We laugh when the pity of human life gets too . . . pitiful. We laugh when there’s nothing else to do.” “When do you weep . . . according to the southern way?” “After we laugh, Doctor. Always. Always after we laugh.

Rose Tyler: The time war ends. Emperor Dalek: I will not die! I cannot diieee! [we see Rose's eyes light up, and the Dalek Emperor and his entire fleet disappear in an explosion of golden dust] The Doctor: Rose, you've done it, now stop. [Rose stares straight ahead] The Doctor: Just let go. Rose Tyler: How can I let go of this? I bring life. [we see Jack start breathing again and open his eyes] The Doctor: But this is wrong! You can't control life and death! Rose Tyler: But I can. The sun and the moon, the day and night... but why do they hurt? [she is crying] The Doctor: The power's gonna kill you and it's my fault! Rose Tyler: I can see everything... all that is... all that was... all that ever could be. The Doctor: [stands up] But that's what *I* see. All the time. And doesn't it drive you mad? Rose Tyler: [Rose nods, barely able to speak] My head... The Doctor: Come here. Rose Tyler: ...is killing me. The Doctor: I think you need a Doctor. [He leans down and kisses her, and the golden light transfers from her to him through their lips]

People are delighted to accept pensions and gratuities, for which they hire out their labour or their support or their services. But nobody works out the value of time: men use it lavishly as if it cost nothing. But if death threatens these same people, you will see them praying to their doctors; if they are in fear of capital punishment, you will see them prepared to spend their all to stay alive.

The street to my left was backed up with traffic and I watched the people waiting patiently in the cars. There was almost always a man and a women, staring straight ahead, not talking. It was, finally, for everyone, a matter of waiting. You waited and you waited- for the hospital, the doctor, the plumber, the madhouse, the jail, papa death himself. First the signal red, then the signal was green. The citizens of the world ate food and watched t.v. and worried about their jobs or lack of the same, while they waited.

Listen, now, you're going to die, Ray-mond K. K. K. Hessel, tonight. You might die in one second or in one hour, you decide. So lie to me. Tell me the first thing off the top of your head. Make something up. I don't give a shit. I have a gun. Finally, you were listening and coming out of the little tragedy in your head. Fill in the blank. What does Raymond Hessel want to be when he grows up? Go home, you said you just wanted to go home, please. No shit, I said. But after that, how did you want to spend your life? If you could do anything in the world. Make something up. You didn't know. Then you're dead right now, I said. I said, now turn your head. Death to commence in ten, in nine, in eight. A vet, you said. You want to be a vet, a veterinarian. You could be in school working your ass off, Raymond Hessel, or you could be dead. You choose. I stuffed your wallet into the back of your jeans. So you really wanted to be an animal doctor. I took the saltwater muzzle of the gun off one cheek and pressed it against another. Is that what you've always wanted to be, Dr. Raymond K. K. K. K. Hessel, a veterinarian?... So, I said, go back to school. If you wake up tomorrow morning, you find a way to get back into school. I have your license. I know who you are. I know where you live. I'm keeping your license, and I'm going to check on you, mister Raymond K. Hessel. In three months, and then six months, and then a year, and if you aren't back in school on your way to being a veterinarian, you will be dead... Raymond K. K. Hessel, your dinner is going to taste better than any meal you've ever eaten, and tomorrow will be the most beautiful day of your life.

One of the reasons I never became a clinician is because I was never convinced that life—its saving, its extension, its return—was definitively the best outcome. In order to be a good doctor, you have to think that, you have to fundamentally believe that living is superior to dying, you have to believe that the point of life is more life.

The more I protested about this ambiguity, the more Joanna pointed out to me that it was both a terrible and wonderful part of life: terrible because you can't count on anything for sure—like certain good health and no possibility of cancer; wonderful because no human being knows when another is going to die—no doctor can absolutely predict the outcome of a disease. The only thing that is certain is change. Joanna calls all of this 'delicious ambiguity.' 'Couldn't there be comfort and freedom in no one knowing the outcome of anything and all things being possible?' she asked. Was I convinced? Not completely. I still wanted to believe in magic thinking. But I was intrigued.

When her doctor took her bandages off and led her into the garden, the girl who was no longer blind saw “the tree with the lights in it.” It was for this tree I searched through the peach orchards of summer, in the forests of fall and down winter and spring for years. Then one day I was walking along Tinker creek and thinking of nothing at all and I saw the tree with the lights in it. I saw the backyard cedar where the mourning doves roost charged and transfigured, each cell buzzing with flame. I stood on the grass with the lights in it, grass that was wholly fire, utterly focused and utterly dreamed. It was less like seeing that like being for the first time see, knocked breathless by a powerful glance. The flood of fire abated, but I’m still spending the power. Gradually the lights went out in the cedar, the colors died, the cells un-flamed and disappeared. I was still ringing. I had been my whole life a bell and never knew it until at that moment I was lifted and struck. I have since only very rarely seen the tree with the lights in it. The vision comes and goes, mostly goes, but I live for it, for the moment the mountains open and a new light roars in spate through the crack, and the mountains slam.

Don't get me started on the whole Doctor-Amy-Rory thing. It's kind of like... I dunno. Suppose you'd always fancied Ryan Reynolds. That's fine, yeah. You meet someone else, who is maybe not Ryan Reynolds, but perhaps he's got the same goofy smile. And you think, 'Yeah, that's it, I'm happy.' Then Ryan Reynolds himself roars up in a camper van and says 'Hey guys! Let's all go on a road trip. Bring the boyfriend! It'll be fun.' Only Ryan Reynolds doesn't save the universe. Well, not at weekends. So I guess that's my life. Crammed in a camper van, sneaking the odd glance at Ryan, squeezing the hand of my lovely husband...

One time, two years ago, I took a draught of morphia, meaning to end my life. My mother found me before the life was ended, the doctor drew the poison from my stomach with a syringe, and when I woke, it was to the sound of my own weeping. For I had hoped to open my eyes on Heaven, where my father was; and they had only pulled me back to Hell.

Betterment is perpetual labor. The world is chaotic, disorganized, and vexing, and medicine is nowhere spared that reality. To complicate matters, we in medicine are also only human ourselves. We are distractible, weak, and given to our own concerns. Yet still, to live as a doctor is to live so that one's life is bound up in others' and in science and in the messy, complicated connection between the two It is to live a life of responsibility. The question then, is not whether one accepts the responsibility. Just by doing this work, one has. The question is, having accepted the responsibility, how one does such work well.

Keep that red-haired girl of yours in the open air all summer and don't let her read books until she gets more spring into her step." This message frightened Marilla wholesomely. She read Anne's death warrant by consumption in it unless it was scrupulously obeyed. As a result, Anne had the golden summer of her life as far as freedom and frolic went. She walked, rowed, berried, and dreamed to her heart's content; and when September came she was bright-eyed and alert, with a step that would have satisfied the Spencervale doctor and a heart full of ambition and zest once more. "I just feel like studying with might and main," she declared as she brought her books down from the attic. "Oh, you good old friends, I'm glad to see your honest face once more - yes, even you, geometry.

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

Do I have an original thought in my head? My bald head. Maybe if I were happier, my hair wouldn't be falling out. Life is short. I need to make the most of it. Today is the first day of the rest of my life. I'm a walking cliché. I really need to go to the doctor and have my leg checked. There's something wrong. A bump. The dentist called again. I'm way overdue. If I stop putting things off, I would be happier. All I do is sit on my fat ass. If my ass wasn't fat I would be happier. I wouldn't have to wear these shirts with the tails out all the time. Like that's fooling anyone. Fat ass. I should start jogging again. Five miles a day. Really do it this time. Maybe rock climbing. I need to turn my life around. What do I need to do? I need to fall in love. I need to have a girlfriend. I need to read more, improve myself. What if I learned Russian or something? Or took up an instrument? I could speak Chinese. I'd be the screenwriter who speaks Chinese and plays the oboe. That would be cool. I should get my hair cut short. Stop trying to fool myself and everyone else into thinking I have a full head of hair. How pathetic is that? Just be real. Confident. Isn't that what women are attracted to? Men don't have to be attractive. But that's not true. Especially these days. Almost as much pressure on men as there is on women these days. Why should I be made to feel I have to apologize for my existence? Maybe it's my brain chemistry. Maybe that's what's wrong with me. Bad chemistry. All my problems and anxiety can be reduced to a chemical imbalance or some kind of misfiring synapses. I need to get help for that. But I'll still be ugly though. Nothing's gonna change that.

I have already told you Father, more than once: I’m not going to subject myself to a husband chosen for me, I’m not going to bury myself in some planter’s kitchen, and I’m not going to be a servant to some doctor or lawyer in Ilhéus. I want to live my own life. When I finish school at the end of the year, I want to go to work in an office

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

I’m not scared of hell. I lived a decent life, and I don’t think there is such a place, anyway. I’m scared there’s nothing.” He struggled for breath. A pearl of blood was swelling in the corner of his right eye. “There was nothing before, we all know that, so doesn’t it stand to reason that there’s nothing after?” “But there is.” Dan wiped Charlie’s face with the damp cloth. “We never really end, Charlie. I don’t know how that can be, or what it means, I only know that it is.

Medicine, and Law, and Philosophy - You've worked your way through every school, Even, God help you, Theology, And sweated at it like a fool. Why labour at it any more? You're no wiser now than you were before. You're Master of Arts, and Doctor too, And for ten years all you've been able to do Is lead your students a fearful dance Through a maze of error and ignorance. And all this misery goes to show There's nothing we can ever know. Oh yes you're brighter than all those relics, Professors and Doctors, scribblers and clerics, No doubts or scruples to trouble you, Defying hell, and the Devil too. But there's no joy in self-delusion; Your search for truth ends in confusion. Don't imagine your teaching will ever raise The minds of men or change their ways. And as for worldly wealth, you have none - What honour or glory have you won? A dog could stand this life no more. And so I've turned to magic lore; The spirit message of this art Some secret knowledge might impart. No longer shall I sweat to teach What always lay beyond my reach; I'll know what makes the world revolve, Its mysteries resolve, No more in empty words I'll deal - Creation's wellsprings I'll reveal!

I know the truth, and I will tell you now: He was admired, loved, cheered, honored, respected. In life as well as in death. A great man, he is. A great man, he was. A great man he will be. He died that day because his body had served its purpose. His soul had done what it came to do, learned what it came to learn, and then was free to leave. And I knew, as Denny sped me toward the doctor who would fix me, that if I had already accomplished what I set out to accomplish here on earth, if I had already learned what I was meant to learn, I would have left the curb one second later than I had, and I would have been killed instantly by that car. But I was not killed. Because I was not finished. I still had work to do.

The path trodden by wayfarers and pilgrims followed the railway and then turned into the fields. Here Lara stopped, closed her eyes and took a good breath of the air which carried all the smells of the huge countryside. It was dearer to her than her kin, better than a lover, wiser than a book. For a moment she rediscovered the meaning of her life. She was here on earth to make sense of its wild enchantment and to call each thing by its right name, or, if this were not within her power, then, out of love of life, to give birth to heirs who would do it in her place.

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

Why is it that God gets all the credit for the good stuff, but it's the doctor's fault when shit happens? When the patient comes through, it's always 'Thank God,' and when the patient dies, it's always blame the doctor. Just once in my life, just for the sheer fucking novelty of it, it would be nice if somebody blamed God when the patient dies, instead of me.

Running along the bank was a white rabbit wearing a waistcoat and looking worriedly at a clock. Appearing and disappearing at various points on both banks was a dark blue British police telephone booth, out of which a perplexed-looking man holding a screwdriver would periodically emerge. A group of dwarf bandits could be seen disappearing into a hole in the sky. "Time travelers," said Nobodaddy in a voice of gentle disgust. "They're everywhere these days.

Now what is history? It is the centuries of systematic explorations of the riddle of death, with a view to overcoming death. That's why people discover mathematical infinity and electromagnetic waves, that's why they write symphonies. Now, you can't advance in this direction without a certain faith. You can't make such discoveries without spiritual equipment. And the basic elements of this equipment are in the Gospels. What are they? To begin with, love of one's neighbor, which is the supreme form of vital energy. Once it fills the heart of man it has to overflow and spend itself. And then the two basic ideals of modern man—without them he is unthinkable—the idea of free personality and the idea of life as sacrifice.

Writing is such an industry now. In many ways, that's a good thing, in that it removes all the muse-like mystique and makes it a plain old job, accessible to everyone. But with industry comes jargon. I was aware that jargon was starting to fill those growing shelves of Writer's Self Help books, not to mention the blogosphere. Wherever I looked, the writing of a script was being reduced to A, B, C plots, Text and Subtext, Three Act Structure and blah, blah, blah. And I'd think, that's not what writing is! Writing's inside your head! It's thinking! It's every hour of the day, every day of your life, a constant storm of pictures and voices and sometimes, if you're very, very lucky, insight.

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

When a human doctor, after much bleeding and cupping, finds that a patient has died out of sheer desperation, he can always say, "Dear me, will of the gods, that will be thirty dollars please," and walk away a free man. This is because human beings are not, technically, worth anything. A good racehorse, on the other hand, may be worth twenty thousand dollars. A doctor who lets one hurry off too soon to that great paddock in the sky may well expect to hear, out of some dark alley, a voice saying something on the lines of "Mr. Chrysoprase is very upset," and find the brief remainder of his life full of incident.

Healthy people, I have concluded, including myself, do not understand how everything changes once you have been diagnosed with a fatal illness. How you cling to hope, however false, however slight, and how reluctant most doctors are to deprive patients of that fragile beam of light in so much darkness. Indeed, many people develop what psychiatrists call ‘dissociation’ and a doctor can find himself talking to two people – they know that they are dying and yet still hope that they will live. I had noticed the same phenomenon with my mother during the last few days of her life. When faced by people who are dying you are no longer dealing with the rational consumers assumed by economic model-builders, if they ever existed in the first place.

I took in a deep breath, and smoke twisted around my head as I let it slip through my teeth. “Do you know what my favorite show was when I was a little kid?” The look again. “I would have no idea.” “Doctor Who. British sci-fi show.” “I am familiar with it. Christopher Eccleston, David Tennant, and Matt—“ “No,” I said. “The new show’s great, but I grew up on the old one. The low-budget, rubber monster show with Tom Baker and Peter Davison. I watched it on PBS all the time as a kid.” I looked out at the dark ruins of Hollywood, at the stumbling shadows dotting the streets as far as you could see. The only other living person within half a mile was standing behind me, her eyes boring into my head. “The Doctor didn’t have super-powers or weapons or anything like that. He was just a really smart guy who always tried to do the right thing. To help people, no matter what. That struck me when I was a kid. The idea that no matter how cold and callous and heartless the world seemed, there was somebody out there who just wanted to make life better. Not better for worlds or countries in some vague way. Just better for people trying to live their lives, even if they didn’t know about him.” I turned back to her and tapped my chest. “That’s what this suit’s always been about. Not scaring people like you or Gorgon do. Not some sort of pseudo-sexual roleplay or repressed emotions. I wear this thing, all these bright colors, because I want people to know someone’s trying to make their lives better. I want to give them hope.

Stories help you understand your life, she’d say. Stories can heal. And I think she’s right, because why do old guys back from the war tell their experiences again and again? Why did people of long ago make up elaborate tales of mythical beings? Why do people sit in a room and reveal the pieces of their life to doctors trained to listen, and why are they cured by doing that? Why libraries? Come on, all those stories, pieces of life told again and again. We need them. Stories are a ritual that put all the crazy shit about life into a form that makes sense. We’re all like the little kids that need to be read the same story over and over again.

Let me tell you about scared. Your heart is beating so hard I can feel it through your hands. There’s so much blood and oxygen pumping through your brain it’s like rocket fuel. Right now you could run faster and you can fight harder. You can jump higher than ever in your life and you are so alert it’s like you can slow down time. What’s wrong with scared? Scared is a superpower! Your superpower! There is danger in this room. And guess what? It’s you. Do you feel it? Do you think he feels it? Do you think he’s scared? Nah. Loser!

What I mean is that those thoughts, they're human. And just because you turn out differently than everyone's imagined you would doesn't mean that you've failed in some way. A kid who gets teased in one school might move to a different one, and be the most popular girl there, just because no one has any other expectations of her. Or a person who goes to med school because his entire family is full of doctors might find out that what he really wants to be is an artist instead.

You, Doctor Martin, walk from breakfast to madness. Late August, I speed through the antiseptic tunnel where the moving dead still talk of pushing their bones against the thrust of cure. And I am queen of this summer hotel or the laughing bee on a stalk of death. We stand in broken lines and wait while they unlock the doors and count us at the frozen gates of dinner. The shibboleth is spoken and we move to gravy in our smock of smiles. We chew in rows, our plates scratch and whine like chalk in school. There are no knives for cutting your throat. I make moccasins all morning. At first my hands kept empty, unraveled for the lives they used to work. Now I learn to take them back, each angry finger that demands I mend what another will break tomorrow. Of course, I love you; you lean above the plastic sky, god of our block, prince of all the foxes. The breaking crowns are new that Jack wore. Your third eye moves among us and lights the separate boxes where we sleep or cry. What large children we are here. All over I grow most tall in the best ward. Your business is people, you call at the madhouse, an oracular eye in our nest. Out in the hall the intercom pages you. You twist in the pull of the foxy children who fall like floods of life in frost. And we are magic talking to itself, noisy and alone. I am queen of all my sins forgotten. Am I still lost? Once I was beautiful. Now I am myself, counting this row and that row of moccasins waiting on the silent shelf.

Dear Son, I would call you by name, but I’m waiting for your mother to decide. I only hope she is joking when she calls you Albert Dalbert. For weeks now I have watched your mother zealously gather her tokens for this box. She’s so afraid of you not knowing anything about her, and it bothers me greatly that you’ll never know her strength firsthand. I’m sure by the time you read this, you’ll know everything I do about her. But you’ll never know her for yourself and that pains me most of all. I wish you could see the look on her face whenever she talks to you. The sadness she tries so hard to hide. Every time I see it, it cuts through me. She love you so much. You’re all she talks about. I have so many orders from her for you. I’m not allowed to make you crazy the way I do your Uncle Chris. I’m not allowed to call the doctors every time you sneeze and you are to be allowed to tussle with your friends without me having a conniption that someone might bruise you. Nor am I to bully you about getting married or having kids. Ever. Most of all, you are allowed to pick your own car at sixteen. I’m not supposed to put you in a tank. We’ll see about that one. I refuse to promise her this last item until I know more about you. Not to mention, I’ve seen how other people drive on the roads. So if you have a tank, sorry. There’s only so much changing man my age can do. I don’t know what our futures will hold. I only hope that when all is said and done, you are more like your mother than you are like me. She’s a good woman. A kind woman. Full of love and compassion even though her life has been hard and full of grief. She bears her scars with a grace, dignity, and humor that I lack. Most of all, she has courage the likes of which I haven’t witnessed in centuries. I hope with every part of me that you inherit all her best traits and none of my bad ones. I don’t really know what more to say. I just thought you should have something of me in here too. Love, Your father (Wulf)

I would have liked to say, "I'm a doctor," to those who asked me what I did, doctors being the current purveyors of magic and miracle. But I'm sure we would have had a bus accident around the next bend, and with all eyes fixed on me I would have to explain, amidst the crying and moaning of victims...I would have to confess that as a matter of fact it was a bachelor's in philosophy; next, to the shouts of what meaning such a bloody tragedy could have, I would have to admit that I had hardly touched kierkegaard; and so on.

Robot Boy Mr. an Mrs. Smith had a wonderful life. They were a normal, happy husband and wife. One day they got news that made Mr. Smith glad. Mrs. Smith would would be a mom which would make him the dad! But something was wrong with their bundle of joy. It wasn't human at all, it was a robot boy! He wasn't warm and cuddly and he didn't have skin. Instead there was a cold, thin layer of tin. There were wires and tubes sticking out of his head. He just lay there and stared, not living or dead. The only time he seemed alive at all was with a long extension cord plugged into the wall. Mr. Smith yelled at the doctor, "What have you done to my boy? He's not flesh and blood, he's aluminum alloy!" The doctor said gently, "What I'm going to say will sound pretty wild. But you're not the father of this strange looking child. You see, there still is some question about the child's gender, but we think that its father is a microwave blender." The Smith's lives were now filled with misery and strife. Mrs. Smith hated her husband, and he hated his wife. He never forgave her unholy alliance: a sexual encounter with a kitchen appliance. And Robot Boy grew to be a young man. Though he was often mistaken for a garbage can.

Rosie: I don't know what you're talking about! I am not waiting for Alex! Ruby: Yes you are, my dear friend. He must be some man because nobody can ever measure up to him. And I know that's what you do every time you meet someone: compare. I'm sure he's a fabulous friend and I'm sure he always says sweet and wonderful thing to you. But he's not here. He's thousands of miles away, working as a doctor in a great big hospital and he lives in a fancy apartment with his fancy doctor fiancee. I don't think he's thinking of leaving that life anytime soon to come back to a single mother who's living in a tiny flat working in a crappy part-time job in a paperclip factory with a crazy friend who emails her every second. So stop waiting and move on. Live your life.

Because, if you stop to think of it, the three Rules of Robotics are the essential guiding principles of a good many of the world’s ethical systems. Of course, every human being is supposed to have the instinct of self-preservation. That’s Rule Three to a robot. Also every ‘good’ human being, with a social conscience and a sense of responsibility, is supposed to defer to proper authority; to listen to his doctor, his boss, his government, his psychiatrist, his fellow man; to obey laws, to follow rules, to conform to custom—even when they interfere with his comfort or his safety. That’s Rule Two to a robot. Also, every ‘good’ human being is supposed to love others as himself, protect his fellow man, risk his life to save another. That’s Rule One to a robot. To put it simply—if Byerley follows all the Rules of Robotics, he may be a robot, and may simply be a very good man.

Give me priests. Give me men with feathers in their hair, or tall domed hats, female oracles in caves, servants of the python, smoking weed and reading palms. A gypsy fortuneteller with a foot-peddle ouija board and a gold fish bowl for a crystal ball knows more about the world than many of the great thinkers of the West. Mumbling priests swinging stink cans on their chains and even witch doctors conjuring up curses with a well-buried elephant tooth have a better sense of their places in the world. They know this universe is brimming with magic, with life and riddles and ironies. They know that the world might eat them, and no encyclopedia could stop it

Okay then. That's what I'll do. I'll tell you a story. Can you hear them? All these people who lived in terror of you and your judgment. All these people whose ancestors devoted themselves, sacrificed themselves to you. Can you hear them singing? Oh you like to think you're a god. But you're not a god. You're just a parasite. Eaten with jealousy and envy and longing for the lives of others. You feed on them. On the memory of love and loss and birth and death and joy and sorrow, so... so come on then. Take mine. Take my memories. But I hope you're got a big a big appetite. Because I've lived a long life. And I've seen a few things. I walked away from the last great Time War. I marked the passing of the Time Lords. I saw the birth of the universe and watched as time ran out, moment by moment, until nothing remained. No time, no space. Just me! I walked in universes where the laws of physics were devised by the mind of a madman! And I watched universes freeze and creation burn! I have seen things you wouldn't believe! I have lost things you will never understand! And I know things, secrets that must never be told, knowledge that must never be spoken! Knowledge that will make parasite gods blaze! So come on then! Take it! Take it all, baby! Have it! You have it all!

The simple view is that medicine exists to fight death and disease, and that is, of course, its most basic task. Death is the enemy. But the enemy has superior forces. Eventually, it wins. And, in a war that you cannot win, you don't want a general who fights to the point of total annihilation. You don't want Custer. You want Robert E. Lee, someone who knows how to fight for territory that can be won and how to surrender it when it can't, someone who understands that the damage is greatest if all you do is battle to the bitter end.

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.

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

The people thrown into other cultures go through something of the anguish of the butterfly, whose body must disintegrate and reform more than once in its life cycle. In her novel “Regeneration,” Pat Barker writes of a doctor who “knew only too well how often the early stages of change or cure may mimic deterioration. Cut a chrysalis open, and you will find a rotting caterpillar. What you will never find is that mythical creature, half caterpillar, half butterfly, a fit emblem of the human soul, for those whose cat of mind leads them to seek such emblems. No, the process of transformation consists almost entirely of decay.” But the butterfly is so fit an emblem of the human soul that its name in Greek is “psyche,” the word for soul. We have not much language to appreciate this phase of decay, this withdrawal, this era of ending that must precede beginning. Nor of the violence of the metamorphosis, which is often spoken of as though it were as graceful as a flower blooming.

Of the thousands of patients I have seen, only two or three have ever claimed to be unhappy: all the rest have said that they were depressed. This semantic shift is deeply significant, for it implies that dissatisfaction with life is itself pathological, a medical condition, which it is the responsibility of the doctor to alleviate by medical means. Everyone has a right to health; depression is unhealthy; therefore everyone has a right to be happy (the opposite of being depressed). This idea in turn implies that one’s state of mind, or one’s mood, is or should be independent of the way that one lives one’s life, a belief that must deprive human existence of all meaning, radically disconnecting reward from conduct. A ridiculous pas de deux between doctor and patient ensues: the patient pretends to be ill, and the doctor pretends to cure him. In the process, the patient is wilfully blinded to the conduct that inevitably causes his misery in the first place.

Anger doesn't really cover what I feel, though. You get angry because someone almost runs you over in the bike lane. Angry because someone cuts in line at Walmart. What's the word for when someone drinks so much, they are ruining your best friend's life? Or the word for a man so vengeful about his own past that he wants to destroy your future? What's the word for a woman who was sick for months, but refused to go to the doctor until it was too late? The word for a girl at school whose personal mission is to mess with your head? Anger 's not the right word. Rage. That's what this feeling is, eating me up.

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

Louis XI (1423-1483), the great Spider King of France, had a weakness for astrology. He kept a court astrologer whom he admired, until one day the man predicted that a lady of the court would die within eight days. When the prophecy came true, Louis was terrified, thinking that either the man had murdered the woman to prove his accuracy or that he was so versed in his science that his powers threatened Louis himself. In either case he had to be killed. One evening Louis summoned the astrologer to his room, high in the castle. Before the man arrived, the king told his servants that when he gave the signal they were to pick the astrologer up, carry him to the window, and hurl him to the ground, hundreds of feet below. The astrologer soon arrived, but before giving the signal, Louis decided to ask him one last question: “You claim to understand astrology and to know the fate of others, so tell me what your fate will be and how long you have to live.” “I shall die just three days before Your Majesty,” the astrologer replied. The king’s signal was never given. The man’s life was spared. The Spider King not only protected his astrologer for as long as he was alive, he lavished him with gifts and had him tended by the finest court doctors. The astrologer survived Louis by several years, disproving his power of prophecy but proving his mastery of power.

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

...sometimes they almost made me feel glad that I had a few extra years to play my depression out with therapy and other means, because I think its useful in youth- unless suicide or drug abuse are the alternatives- to have some faith in the mind to cure itself, to not rush to doctors or diagnosis's...I sometimes worry that part of what creates depression in young people is their own, and their parents, and the whole worlds impatience with allowing the phases of life to run their course. We will very likely soon be living in a society that confuses disease with normal life if the panic and rush to judgment and labeling do not slow down a bit. Somewhere between the unbelievable tardiness that the medical profession was guilty of in administering proper treatment to me and the eagerness to with which practitioners prescribe Ritalin for 8 year old boys and Paxil for 14 year old girls, there is a sane course of action.

Resurrection. In the crude form in which it is preached to console the weak, it is alien to me. I have always understood Christ's words about the living and the dead in a different sense. Where could you find room for all these hordes of people accumulated over thousands of years? The universe isn't big enough for them; God, the good, and meaningful purpose would be crowded out. They'd be crushed by these throngs greedy merely for the animal life. But all the time, life, one, immense, identical throughout its innumerable combinations and transformations, fills the universe and is continually reborn. You are anxious about whether you will rise from the dead or not, but you rose from the dead when you were born and you didn't notice it.

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

I'll stay with you a little, my unforgettable delight, for as long as my arms and my hands and my lips remember you. I'll put my grief for you in a work that will endure and be worthy of you. I'll write your memory into an image of aching tenderness and sorrow. I'll stay here till this is done, then I too will go. This is how I will portray you, I'll trace your features on paper as the sea, after a fearful storm has churned it up, traces the form of the greatest, farthest-reaching wave on the sand. Seaweed, shells, cork, pebbles, the lightest, most imponderable things that it could lift from its bed, are cast up in a broken, sinuous line on the sand. This line endlessly stretching into the distance is the frontier of the highest tide. That was how life's storm cast you up on my shore, O my pride, that is how I'll portray you.

I doubt whether a doctor can answer this question in general terms. For the meaning of life differs from man to man, from day to day and from hour to hour. What matters, therefore, is not the meaning of life in general but rather the specific meaning of a person’s life at a given moment. To put the question in general terms would be comparable to the question posed to a chess champion: “Tell me, Master, what is the best move in the world?” There simply is no such thing as the best or even a good move apart from a particular situation in a game and the particular personality of one’s opponent. The same holds for human existence. One should not search for an abstract meaning of life. Everyone has his own specific vocation or mission in life to carry out a concrete assignment which demands fulfillment. Therein he cannot be replaced, nor can his life be repeated. Thus, everyone’s task is as unique as is his specific opportunity to implement it.

I am sometimes amazed at what we did not fully grasp in kindergarten. In the years I was a parish minister I was always taken aback when someone came to me and said. 'I've just come from the doctor and he told me I have only a limited time to live'. I was always tempted to shout 'WHAT? You didn't know? You had to pay a doctor to tell you - at your age? Where were you the week in kingergarten when you got the little cup with the cotton and water and seed? Life happened - remember? A plant grew up and the roots grew down. A miracle. And then a few days later the plant was dead. DEAD. Life is short. Were you asleep that week or home sick or what?

This sadness lies at the heart of every merely positivistic, agnostic, or naturalistic scheme of philosophy. Let sanguine healthy-mindedness do its best with its strange power of living in the moment and ignoring and forgetting, still the evil background is really there to be thought of, and the skull will grin in at the banquet. In the practical life of the individual, we know how his whole gloom or glee about any present fact depends on the remoter schemes and hopes with which it stands related. Its significance and framing give it the chief part of its value. Let it be known to lead nowhere, and however agreeable it may be in its immediacy, its glow and gilding vanish. The old man, sick with an insidious internal disease, may laugh and quaff his wine at first as well as ever, but he knows his fate now, for the doctors have revealed it; and the knowledge knocks the satisfaction out of all these functions. They are partners of death and the worm is their brother, and they turn to a mere flatness.

It was the American middle class. No one's house cost more than two or three year's salary, and I doubt the spread in annual wages (except for the osteopath) exceeded more than five thousand dollars. And other than the doctor (who made house calls), the store managers, the minister, the salesman, and the banker, everyone belonged to a union. That meant they worked a forty-hour week, had the entire weekend off (plus two to four weeks' paid vacation in the summer), comprehensive medical benefits, and job security. In return for all that, the country became the most productive in the world and in our little neighborhood it meant your furnace was always working, your kids could be dropped off at the neighbors without notice, you could run next door anytime to borrow a half-dozen eggs, and the doors to all the homes were never locked -- because who would need to steal anything if they already had all that they needed?

Ever since childhood Yurii Andreievich had been fond of woods seen at evening against the setting sun. At such moments he felt as if he too were being pierced by shafts of light. It was as though the gift of the living spirit were streaming into his breast, piercing his being and coming out at his shoulders like a pair of wings. The archetype that is formed in every child for life and seems for ever after to be his inward face, his personality, awoke in him in its full primordial strength, and compelled nature, the forest, the afterglow, and everything else visible to be transfigured into a similarly primordial and all-embracing likeness of a girl. Closing his eyes, "Lara," he whispered and thought, addressing the whole of his life, all God's earth, all the sunlit space spread out before him.

Simple people with less education, sophistication, social ties, and professional obligations seem in general to have somewhat less difficulty in facing this final crisis than people of affluence who lose a great deal more in terms of material luxuries, comfort, and number of interpersonal relationships. It appears that people who have gone through a life of suffering, hard work, and labor, who have raised their children and been gratified in their work, have shown greater ease in accepting death with peace and dignity compared to those who have been ambitiously controlling their environment, accumulating material goods, and a great number of social relationships but few meaningful interpersonal relationships which would have been available at the end of life.

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

In my restless dreams, I see that town. Silent Hill. You promised me you'd take me there again someday. But because of me, you were never able to. Well, I'm alone there now… In our ”“special place.” Waiting for you… Waiting for you to come to see me. But you never do. And so I wait, wrapped in my cocoon of pain and loneliness. I know I've done a terrible thing to you. Something you'll never forgive me for. I wish I could change that, but I can't. I feel so pathetic and ugly lying here, waiting for you... Every day I stare up at the cracks in the ceiling, and all I can think about is how unfair it all is... The doctor came today. He told me I could go home for a short stay. It's not that I'm getting better. It's just that this may be my last chance... I think you know what I mean... Even so, I'm glad to be coming home. I've missed you terribly. But I'm afraid James. I'm    afraid you don't really want me to come home. Whenever you come see me, I can tell how hard it is on you... I don't know if you hate me or pity me... Or maybe I just disgust you.... I'm sorry about that. When I first learned that I was going to die, I just didn't want to accept it. I was so angry all the time, and I struck out at everyone I loved most. Especially you, James. That's why I understand if you do hate me. But I want you to know this, James. I'll always love you. Even though our life together had to end like this, I still wouldn't trade it for the world. We had some wonderful years together. Well, this letter has gone on too long, so I'll say goodbye. I told the nurse to give this to you after I'm gone. That means that when you read this, I'll already be dead. I can't tell you to remember me, but I can't bear for you to forget me. These last few years since I became ill...I'm so sorry for what I did to you, did to us... You've given me so much and I haven't been able to return a single thing. That's why I want you to live for yourself now. Do what's best for you, James. James... You made me happy. “I love you, Mary.”  As the car began to slowly sink to the bottom of the lake, James pulled his wife close and gently held her. Their wish had finally come true. They would be together. And now they had an eternity to enjoy their happiness.

As important as your obligations as a doctor, lawyer or business leader will be, you are a human being first. And these human connections with spouse, with children and with friends are the most important investments you will ever make. At the end of your life, you will never regret not having passed one more test, not winning one more verdict, or closing one more deal. You will regret time not spent with a husband, a friend, a child or a parent. One thing will never change. Fathers and Mothers, if you have children, they must come first. You must read to your children, you must hug your children and you must love your children…. Your success as a family, our success as a society depends not what happens at the White House, but what happens inside YOUR house.

Gilbert had finally made up his mind that he was going to be a doctor. "It's a splendid profession," he said enthusiastically. "A fellow has to fight something all through life. . .didn't somebody once define man as a fighting animal?. . .and I want to fight disease and pain and ignorance. . .which are all members one of another. I want to do my share of honest, real work in the world, Anne. . . add a little to the sum of human knowledge that all the good men have been accumulating since it began. The folks who lived before me have done so much for me that I want to show my gratitude by doing something for the folks who will live after me. It seems to me that is the only way a fellow can get square with his obligations to the race." "I'd like to add some beauty to life," said Anne dreamily. "I don't exactly want to make people know more. . .though I know that is the noblest ambition. . .but I'd love to make them have a pleasanter time because of me. . .to have some little joy or happy thought that would never have existed if I hadn't been born." "I think you're fulfilling that ambition every day," said Gilbert admiringly. And he was right. Anne was one of the children of light by birthright. After she had passed through a life with a smile or a word thrown across it like a gleam of sunshine the owner of that life saw it, for the time being at least, as hopeful and lovely and of good report.

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

My Venus is damaged, or in exile, that’s what you say of a Planet that can’t be found in the sign where it should be. What’s more, Pluto is in a negative aspect to Venus, and in my case Pluto rules the Ascendant. The result of this situation is that I have, as I see it, Lazy Venus syndrome. That’s what I call this Conformity. In this case we’re dealing with a Person whom fortune has gifted generously, but who has entirely failed to use their potential. Such People are bright and intelligent, but don’t apply themselves to their studies, and use their intelligence to play card games or patience instead. They have beautiful bodies, but they destroy them through neglect, poison themselves with harmful substances, and ignore doctors and dentists. This Venus induces a strange kind of laziness—lifetime opportunities are missed, because you overslept, because you didn’t feel like going, because you were late, because you were neglectful. It’s a tendency to be sybaritic, to live in a state of mild semiconsciousness, to fritter your life away on petty pleasures, to dislike effort and be devoid of any penchant for competition. Long mornings, unopened letters, things put off for later, abandoned projects. A dislike of any authority and a refusal to submit to it, going your own way in a taciturn, idle manner. You could say such people are of no use at all.

1. Bangladesh.... In 1971 ... Kissinger overrode all advice in order to support the Pakistani generals in both their civilian massacre policy in East Bengal and their armed attack on India from West Pakistan.... This led to a moral and political catastrophe the effects of which are still sorely felt. Kissinger’s undisclosed reason for the ‘tilt’ was the supposed but never materialised ‘brokerage’ offered by the dictator Yahya Khan in the course of secret diplomacy between Nixon and China.... Of the new state of Bangladesh, Kissinger remarked coldly that it was ‘a basket case’ before turning his unsolicited expertise elsewhere. 2. Chile.... Kissinger had direct personal knowledge of the CIA’s plan to kidnap and murder General René Schneider, the head of the Chilean Armed Forces ... who refused to countenance military intervention in politics. In his hatred for the Allende Government, Kissinger even outdid Richard Helms ... who warned him that a coup in such a stable democracy would be hard to procure. The murder of Schneider nonetheless went ahead, at Kissinger’s urging and with American financing, just between Allende’s election and his confirmation.... This was one of the relatively few times that Mr Kissinger (his success in getting people to call him ‘Doctor’ is greater than that of most PhDs) involved himself in the assassination of a single named individual rather than the slaughter of anonymous thousands. His jocular remark on this occasion—‘I don’t see why we have to let a country go Marxist just because its people are irresponsible’—suggests he may have been having the best of times.... 3. Cyprus.... Kissinger approved of the preparations by Greek Cypriot fascists for the murder of President Makarios, and sanctioned the coup which tried to extend the rule of the Athens junta (a favoured client of his) to the island. When despite great waste of life this coup failed in its objective, which was also Kissinger’s, of enforced partition, Kissinger promiscuously switched sides to support an even bloodier intervention by Turkey. Thomas Boyatt ... went to Kissinger in advance of the anti-Makarios putsch and warned him that it could lead to a civil war. ‘Spare me the civics lecture,’ replied Kissinger, who as you can readily see had an aphorism for all occasions. 4. Kurdistan. Having endorsed the covert policy of supporting a Kurdish revolt in northern Iraq between 1974 and 1975, with ‘deniable’ assistance also provided by Israel and the Shah of Iran, Kissinger made it plain to his subordinates that the Kurds were not to be allowed to win, but were to be employed for their nuisance value alone. They were not to be told that this was the case, but soon found out when the Shah and Saddam Hussein composed their differences, and American aid to Kurdistan was cut off. Hardened CIA hands went to Kissinger ... for an aid programme for the many thousands of Kurdish refugees who were thus abruptly created.... The apercu of the day was: ‘foreign policy should not he confused with missionary work.’ Saddam Hussein heartily concurred. 5. East Timor. The day after Kissinger left Djakarta in 1975, the Armed Forces of Indonesia employed American weapons to invade and subjugate the independent former Portuguese colony of East Timor. Isaacson gives a figure of 100,000 deaths resulting from the occupation, or one-seventh of the population, and there are good judges who put this estimate on the low side. Kissinger was furious when news of his own collusion was leaked, because as well as breaking international law the Indonesians were also violating an agreement with the United States.... Monroe Leigh ... pointed out this awkward latter fact. Kissinger snapped: ‘The Israelis when they go into Lebanon—when was the last time we protested that?’ A good question, even if it did not and does not lie especially well in his mouth. It goes on and on and on until one cannot eat enough to vomit enough.

What grief is not taken away by time? What passion will survive an unequal battle with it? I knew a man in the bloom of his still youthful powers, filled with true nobility and virtue, I knew him when he was in love, tenderly, passionately, furiously, boldly, modestly, and before me, almost before my eyes, the object of his passion - tender, beautiful as an angel - was struck down by insatiable death. I never saw such terrible fits of inner suffering, such furious scorching anguish, such devouring despair as shook the unfortunate lover. I never thought a man could create such a hell for himself, in which there would be no shadow, no image, nothing in the least resembling hope... They tried to keep an eye on him; they hid all instruments he might have used to take his own life. Two weeks later he suddenly mastered himself: he began to laugh, to joke; freedom was granted him, and the first thing he did was buy a pistol. One day his family was terribly frightened by the sudden sound of a shot. They ran into the room and saw him lying with his brains blown out. A doctor who happened to be there, whose skill was on everyone's lips, saw signs of life in him, found that the wound was not quite mortal, and the man, to everyone's amazement, was healed. The watch on him was increased still more. Even at the table they did not give him a knife to and tried to take away from him anything that he might strike himself with; but a short while later he found a new occasion and threw himself under the wheels of a passing carriage. His arms and legs were crushed; but again they saved him. A year later I saw him in a crowded room; he sat at the card table gaily saying 'Petite ouverte,' keeping one card turned down, and behind him, leaning on the back of his chair, stood his young wife, who was sorting through his chips.

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

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

Here is the best true story on giving I know, and it was told by Jack Kornfield of the Spirit Rock Meditation Center in Woodacre. An eight-year-old boy had a younger sister who was dying of leukemia, and he was told that without a blood transfusion she would die. His parents explained to him that his blood was probably compatible with hers, and if so, he could be the blood donor. They asked him if they could test his blood. He said sure. So they did and it was a good match. Then they asked if he would give his sister a pint of blood, that it could be her only chance of living. He said he would have to think about it overnight. The next day he went to his parents and said he was willing to donate the blood. So they took him to the hospital where he was put on a gurney beside his six-year-old sister. Both of them were hooked up to IVs. A nurse withdrew a pint of blood from the boy, which was then put in the girl’s IV. The boy lay on his gurney in silence while the blood dripped into his sister, until the doctor came over to see how he was doing. Then the boy opened his eyes and asked, “How soon until I start to die?

What is art? Art is tar, rearranged. Art is tar on canvas or tar on tarp or tar on a naked body. Art is a bird chirping changed into something visual. Art is an image of a thousand beaks breaking into the office of a quack doctor. I know that doctor, and I've personally spoken to ten of those beaks. Art is rhythm, two hands clapping at a urinal while a third shakes off pee to the beat. Good art stays with you your whole life, especially if that good art is a tattoo. Good art is my name, written backwards, inked on your upper lip in a furry font. Art imitates life, just as life imitates Orafoura. Art can be anything from a Manet to a Monet to a painting of money to a missile. Art can save the world, or devastate it. (We could drop another big bomb on Japan, though I'm not advocating dumping Basquiat paintings on Hiroshima). Art rhymes with a bodily function, and everybody should let their creativity rip everywhere from the privacy of their bathrooms to small heated boxes with four of their closest friends. Art is thinking outside that box, and desperately trying to escape.

Dr. Bone Specialist came in, made me stand up and hobble across the room, checked my reflexes, and then made me lie down on the table. He bent my right knee this way and that, up and down, all the way out to the side and in. Then he did the same with my left leg. He ordered X rays then started to leave the room. I panicked. I MUST GET DRUGS. "What can I take for the pain?" I asked him before he got out the door. "You can take some over the counter ibuprofen," he suggested. "But I wouldn't take more than nine a day." I choked. Nine a day? I'd been popping forty. Nine a day? Like hell. I couldn't even go to the bathroom on my own, I hadn't slept in three weeks, and my normally sunny cheery disposition had turned into that of a very rabid dog. If I didn't get good drugs and get them now, it was straight to Shooter's World and then Walgreens pharmacy for me. "I don't think you understand," I explained. "I can't go to work. I have spent the last four days with my mother who is addicted to QVC, watching jewelry shows, doll shows and make-up shows. I almost ordered a beef-jerky maker! Give me something, or I'm going to use your calf muscles to make the first batch!" Without further ado, he hastily scribbled out a prescription for some codeine and was gone. I was happy. My mother, however, had lost the ability to speak.

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

I remember going to the British Museum one day to read up the treatment for some slight ailment of which I had a touch – hay fever, I fancy it was. I got down the book, and read all I came to read; and then, in an unthinking moment, I idly turned the leaves, and began to indolently study diseases, generally. I forget which was the first distemper I plunged into – some fearful, devastating scourge, I know – and, before I had glanced half down the list of “premonitory symptoms,” it was borne in upon me that I had fairly got it. I sat for awhile, frozen with horror; and then, in the listlessness of despair, I again turned over the pages. I came to typhoid fever – read the symptoms – discovered that I had typhoid fever, must have had it for months without knowing it – wondered what else I had got; turned up St. Vitus’s Dance – found, as I expected, that I had that too, – began to get interested in my case, and determined to sift it to the bottom, and so started alphabetically – read up ague, and learnt that I was sickening for it, and that the acute stage would commence in about another fortnight. Bright’s disease, I was relieved to find, I had only in a modified form, and, so far as that was concerned, I might live for years. Cholera I had, with severe complications; and diphtheria I seemed to have been born with. I plodded conscientiously through the twenty-six letters, and the only malady I could conclude I had not got was housemaid’s knee. ... I had walked into that reading-room a happy, healthy man. I crawled out a decrepit wreck. I went to my medical man. He is an old chum of mine, and feels my pulse, and looks at my tongue, and talks about the weather, all for nothing, when I fancy I’m ill; so I thought I would do him a good turn by going to him now. “What a doctor wants,” I said, “is practice. He shall have me. He will get more practice out of me than out of seventeen hundred of your ordinary, commonplace patients, with only one or two diseases each.” So I went straight up and saw him, and he said: “Well, what’s the matter with you?” I said: “I will not take up your time, dear boy, with telling you what is the matter with me. Life is brief, and you might pass away before I had finished. But I will tell you what is NOT the matter with me. I have not got housemaid’s knee. Why I have not got housemaid’s knee, I cannot tell you; but the fact remains that I have not got it. Everything else, however, I HAVE got.” And I told him how I came to discover it all. Then he opened me and looked down me, and clutched hold of my wrist, and then he hit me over the chest when I wasn’t expecting it – a cowardly thing to do, I call it – and immediately afterwards butted me with the side of his head. After that, he sat down and wrote out a prescription, and folded it up and gave it me, and I put it in my pocket and went out. I did not open it. I took it to the nearest chemist’s, and handed it in. The man read it, and then handed it back. He said he didn’t keep it. I said: “You are a chemist?” He said: “I am a chemist. If I was a co-operative stores and family hotel combined, I might be able to oblige you. Being only a chemist hampers me.” I read the prescription. It ran: “1 lb. beefsteak, with 1 pt. bitter beer every 6 hours. 1 ten-mile walk every morning. 1 bed at 11 sharp every night. And don’t stuff up your head with things you don’t understand.” I followed the directions, with the happy result – speaking for myself – that my life was preserved, and is still going on.

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

As Harry Potter was the only other thing I was passionate about, the doctors gave consent for me to leave the hospital and collect the fifth Harry Potter book, Harry Potter and the Order of the Phoenix, from the local book shop. I was so ecstatic to have the book and excited to begin reading it, but there was never any hint of your imminent arrival and the way you would change my life so drastically. Luna, you instantly captivated me. I didn’t know why but there was something about you with your upside-down magazine, straggly blonde hair, and the honest, abashed way you stared at people without blinking that fascinated and perplexed me at once. You laughed hysterically at one of Ron’s quips and didn’t stop to excuse yourself and feel ashamed when it became clear that everyone found you strange. Throughout the book, I found myself waiting for your brief appearances and wanting to know more about you and why you were the way you were. You baffled me, not because you were odd (though indeed you were), but because you were… perfect. But it was a different kind of perfect to the perfectly thin, smiling magazine girls I simultaneously idolised and reviled. It was the way you carried your oddness like it was the most natural thing in the world. You didn’t market your oddness as your defining feature the way some insecure teenagers do, in guise of confidence and security. And nor were you oblivious to the awkward and uncomfortable feelings your oddness provoked in others. When, unable to comprehend how you wore your oddness so honestly and unashamedly, your peers reverted to mockery and bullying, you recognized this as a reflection of their own deep-seated insecurity and calmly let them carry on, quite above your head. You weren’t trying hard to present a certain aspect of yourself that would boldly identify you in the world. And that’s when it occurred to me how bizarre and positively ridiculous it was to apply the word “weird” to describe you, when you represented the most natural and unpretentious state possible to be; you were yourself.

Hi there, cutie." Ash turned his head to find an extremely attractive college student by his side. With black curly hair, she was dressed in jeans and a tight green top that displayed her curves to perfection. "Hi." "You want to go inside for a drink? It's on me." Ash paused as he saw her past, present, and future simultaneously in his mind. Her name was Tracy Phillips. A political science major, she was going to end up at Harvard Med School and then be one of the leading researchers to help isolate a mutated genome that the human race didn't even know existed yet. The discovery of that genome would save the life of her youngest daughter and cause her daughter to go on to medical school herself. That daughter, with the help and guidance of her mother, would one day lobby for medical reforms that would change the way the medical world and governments treated health care. The two of them would shape generations of doctors and save thousands of lives by allowing people to have groundbreaking medical treatments that they wouldn't have otherwise been able to afford. And right now, all Tracy could think about was how cute his ass was in leather pants, and how much she'd like to peel them off him. In a few seconds, she'd head into the coffee shop and meet a waitress named Gina Torres. Gina's dream was to go to college herself to be a doctor and save the lives of the working poor who couldn't afford health care, but because of family problems she wasn't able to take classes this year. Still Gina would tell Tracy how she planned to go next year on a scholarship. Late tonight, after most of the college students were headed off, the two of them would be chatting about Gina's plans and dreams. And a month from now, Gina would be dead from a freak car accident that Tracy would see on the news. That one tragic event combined with the happenstance meeting tonight would lead Tracy to her destiny. In one instant, she'd realize how shallow her life had been, and she'd seek to change that and be more aware of the people around her and of their needs. Her youngest daughter would be named Gina Tory in honor of the Gina who was currently busy wiping down tables while she imagined a better life for everyone. So in effect, Gina would achieve her dream. By dying she'd save thousands of lives and she'd bring health care to those who couldn't afford it... The human race was an amazing thing. So few people ever realized just how many lives they inadvertently touched. How the right or wrong word spoken casually could empower or destroy another's life. If Ash were to accept Tracy's invitation for coffee, her destiny would be changed and she would end up working as a well-paid bank officer. She'd decide that marriage wasn't for her and go on to live her life with a partner and never have children. Everything would change. All the lives that would have been saved would be lost. And knowing the nuance of every word spoken and every gesture made was the heaviest of all the burdens Ash carried. Smiling gently, he shook his head. "Thanks for asking, but I have to head off. You have a good night." She gave him a hot once-over. "Okay, but if you change your mind, I'll be in here studying for the next few hours." Ash watched as she left him and entered the shop. She set her backpack down at a table and started unpacking her books. Sighing from exhaustion, Gina grabbed a glass of water and made her way over to her... And as he observed them through the painted glass, the two women struck up a conversation and set their destined futures into motion. His heart heavy, he glanced in the direction Cael had vanished and hated the future that awaited his friend. But it was Cael's destiny. His fate... "Imora thea mi savur," Ash whispered under his breath in Atlantean. God save me from love.

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.

I stood back up and looked down at my feces. A lovely snail-shell architecture, still steaming. Borromini. My bowels must be in good shape, because everyone knows you have nothing to worry about unless your feces are to soft or downright liquid. I was seeing my shit for the first time (in the city you sit on the bowl, then flush right away, without looking). I was now calling it shit, which I think is what people call it. Shit is the most personal and private thing we have. Anyone can get to know the rest - your facial expression, your gaze, your gestures. Even your naked body: at the beach, at the doctor's, making love. Even your thoughts, since usually you express them, or else others guess them from the way you look at them or appear embarrassed. Of course, there are such things as secret thoughts... but in general thoughts too are revealed. Shit, however, is not. Except for an extremely brief period of your life, when your mother is still changing your diapers, it is all yours. And since my shit at that moment must not have been all that different from what I had produced over the course of my past life, I was in that instant reuniting with my old, forgotten self, undergoing the first experience capable of merging with countless previous experiences, even those from when I did my business in the vineyards as a boy. Perhaps if I took a god look around, I would find the remains of those shits past, and then, triangulating properly, Clarabelle's treasure. But I stopped there. Shit was not my linden-blossom tea, of course not, how could I have expected to conduct my recherche with my sphincter? In order to rediscover lost time, one should have not diarrhea but asthma. Asthma is pneumatic, it is the breath (however labored) of the spirit: it is for the rich, who can afford cork-lined rooms. The poor, in the fields, attend less to spiritual than to bodily functions. And yet I felt not disinherited but content, and I mean truly content, in a way I had not felt since reawakening. The ways of the Lord are infinite, I said to myself, they go even through the butthole.

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

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

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