Future Doctor Quotes

The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet and in the cause and prevention of disease. ~

I don't know. I can't tell the future I just work there.

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

No,” said the doctor. “It’s something I’ve never seen before. Something I don’t think anyone has seen before.”  

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 doctor of the future will be oneself.

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.

The issue of reimbursement by payers is an important factor that should be discussed. Is it possible that if radiologists use AI to read scans, they’ll receive less reimbursement? Or to approach this from the other angle, if payers are reimbursing for the use of AI, will they pay radiologists less as a result? My discussions with insurance executives have shown that they don’t think this is likely. If the use of these technologies will improve patient outcomes and lead to fewer errors, there are benefits to them that will motivate executives to pay for them in addition to radiologists’ reading fees.

The doctor of the future will give no medicine, but will interest his (sic)patient in the care of the human frame, in diet and in the cause and prevention of disease

The light beyond my eyes flashflashflashes with a hundred futures for me. Doctor. Ship's captain. Forest ranger. Librarian. Beloved of that man or that women or those children or those people who voted for me or who painted my picture. Poet. Acrobat. Engineer. Friend. Guardian. Avenging whirlwind. A million futures--not all pretty, not all long, but all of them mine. I do have a choice" - p. 271

Please don't wait until the doctors tell you that you are going to have a baby to begin to take care of it. It is already there. Whatever you are, whatever you do, your baby will get it. Anything you eat, any worries that are on your mind will be for him or her. Can you tell me that you cannot smile? Think of the baby, and smile for him, for her, for the future generations. Please don't tell me that a smile and your sorrow just don't go together. It's your sorrow, but what about your baby? It's not his sorrow, its not her sorrow.

Sometimes we called one another by our future doctor names. We did it partly to be funny, but mostly because we liked it when people did it back to us.

How can you say young girls don't get it? They're our future. Our future doctors, lawyers, mothers, presidents, they kind of keep the world going.

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

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

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

You will lead, you will strike up the march of the future, boys will swear by your name, and thanks to your madness they will no longer need to be mad.

You are a beautiful person, Doctor. Clearheaded. Strong. But you seem always to be dragging your heart along the ground. From now on, little by little, you must prepare yourself to face death. If you devote all of your future energy to living, you will not be able to die well. You must begin to shift gears, a little at a time. Living and dying are, in a sense, of equal value."--Nimit in "Thailand

I tried getting my dad to buy me a beeper for my birthday,” he says, “but he thinks only doctors and drug dealers need them.

The future was cloudy, but tonight the moon was bright.

Sean groaned. “What are you thinking? The future of Vamps around the world depends on this, and you’re subjecting those poor innocent girls to a playboy and the self-proclaimed Love Doctor?” Phineas huffed. “Dude, I can be a perfect gentleman.” “On what planet?” Sean growled.

His wife spotted the danger in our resolutely bohemian ways. "You have only one year left before you qualify as a doctor and yet you're going away? You have no idea when you'll be back? But why?" We couldn't give precise answers to her desperate questions and this horrified her...

Rebuild your world, rebuild your race, rebuild your empire. Rebuild it all. But make sure you rebuild your ideals too. Rebuild the principles that made you a great and honorable galactic power in the first place. Don't prey on the weak. Don't steal from the helpless. Don't murder the innocent. Be a force for good, not a force for yourself.

Back in 1903, Thomas Edison predicted that the “doctor of the future will give no medicine, but will instruct his patient in the care of [the] human frame in diet and in the cause and prevention of diseases.

To think, analyze and invent, he [Pierre Menard] also wrote me, “are not anomalous acts, but the normal respiration of the intelligence. To glorify the occasional fulfillment of this function, to treasure ancient thoughts of others, to remember with incredulous amazement that the doctor universal is thought, is to confess our languor or barbarism. Every man should be capable of all ideas, and I believe that in the future he will be." (Jorge Luis Borges, "Pierre Menard, Author of Don Quixote, 1939)

For a moment he [Doctor Pascal] thought he could see, in a flash, the future of the Rougon-Macquart family, a pack of wild, satiated appetites in the midst of a blaze of gold and blood.

Opioids are now on pace to kill as many Americans in a decade as HIV/AIDS has since it began, with leveling-off projections tenuously predicted in a nebulous, far-off future: sometime after 2020.

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)

Our lives depend on whether safety standards at a nuclear power plant are properly maintained; on how much pesticide is allowed to get into our food or how much pollution into our air; on how skillful (or incompetent) our doctor is; whether we lose or get a job may depend on decisions made by government economists or corporation executives; and so forth. Most individuals are not in a position to secure themselves against these threats to more [than] a very limited extent.

How grand, to be a Doctor of whatever and to weigh up and decide people's future.

In the City Market is the Meet Café. Followers of obsolete, unthinkable trades doodling in Etruscan, addicts of drugs not yet synthesized, pushers of souped-up harmine, junk reduced to pure habit offering precarious vegetable serenity, liquids to induce Latah, Tithonian longevity serums, black marketeers of World War III, excusers of telepathic sensitivity, osteopaths of the spirit, investigators of infractions denounced by bland paranoid chess players, servers of fragmentary warrants taken down in hebephrenic shorthand charging unspeakable mutilations of the spirit, bureaucrats of spectral departments, officials of unconstituted police states, a Lesbian dwarf who has perfected operation Bang-utot, the lung erection that strangles a sleeping enemy, sellers of orgone tanks and relaxing machines, brokers of exquisite dreams and memories tested on the sensitized cells of junk sickness and bartered for raw materials of the will, doctors skilled in the treatment of diseases dormant in the black dust of ruined cities, gathering virulence in the white blood of eyeless worms feeling slowly to the surface and the human host, maladies of the ocean floor and the stratosphere, maladies of the laboratory and atomic war... A place where the unknown past and the emergent future meet in a vibrating soundless hum... Larval entities waiting for a Live One...

They all laughed and clapped, taking it for a deliberate witticism, while he had no idea what he was saying, so great was his foreboding of misfortune and his feeling of powerlessness over the future, however great his thirst for goodness and his capacity for happiness.

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.

Oh, the future. I see.” A shadow fell over the doctor’s face. “You’re wondering if your son will get cancer? Or be hit by a car? Or be bipolar? Or have autism? Or drug problems? I don’t know, I’m not a psychic. Welcome to parenthood.

We evolved haphazardly within a random universe; no purpose underpins us, no God watches over us, and no assured glorious future awaits us. We are saddled with a dualistic consciousness that weighs us down and plays tricks on us. We have built and seem unable to dismantle a dehumanizing and destructive civilization and mindset that perpetuates deceit and greed. We can make ourselves as comfortable as possible, as doctors tell their terminally ill patients, but we are sadly incurable.

The top 1 percent have the best houses, the best educations, the best doctors, and the best lifestyles, but there is one thing that money doesn’t seem to have bought: an understanding that their fate is bound up with how the other 99 percent live.

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.

...That's exactly it, my dear friend,'' the future rector had once told him regarding Existentialism, when he was already doing postgraduate work in psychology to achieve his doctorate, ''for this is nothing but a noögenic neuroses due to which such people end up feeling as if they were lost in space and time.'' ''That which the Greek Stoics used to call agnoia, isn't it, or the spiritual ignorance of Man,'' the future professor had answered while they were in the university canteen having a coffee together. ''Correct. In fact, noögenic neuroses do not emerge from conflicts between drives and instincts but rather from spiritual and existential problems...

It's a very cheery thing to come into London by any of these lines which run high and allow you to look down upon the houses like this." I thought he was joking, for the view was sordid enough, but he soon explained himself. "Look at those big, isolated clumps of buildings rising up above the slates, like brick islands in a lead-coloured sea." "The board-schools." "Light-houses, my boy! Beacons of the future! Capsules with hundreds of bright little seeds in each, out of which will spring the wiser, better England of the future.

If AI can help humans become better chess players, it stands to reason that it can help us become better pilots, better doctors, better judges, better teachers.

The doctor will be in soon.” And with that, the future I had imagined, the one just about to be realized, the culmination of decades of striving, evaporated.

It is in vain that we can predict and control the course of events in the future, unless we know how to live in the present. It is in vain that doctors prolong life if we spend the extra time being anxious to live still longer. It is in vain that engineers devise faster and easier means of travel if the new sights that we see are merely sorted and understood in terms of old prejudices. It is in vain that we get the power of the atom if we are just to continue in the rut of blowing people up.

Something as superfluous as "play" is also an essential feature of our consciousness. If you ask children why they like to play, they will say, "Because it's fun." But that invites the next question: What is fun? Actually, when children play, they are often trying to reenact complex human interactions in simplified form. Human society is extremely sophisticated, much too involved for the developing brains of young children, so children run simplified simulations of adult society, playing games such as doctor, cops and robber, and school. Each game is a model that allows children to experiment with a small segment of adult behavior and then run simulations into the future. (Similarly, when adults engage in play, such as a game of poker, the brain constantly creates a model of what cards the various players possess, and then projects that model into the future, using previous data about people's personality, ability to bluff, etc. The key to games like chess, cards, and gambling is the ability to simulate the future. Animals, which live largely in the present, are not as good at games as humans are, especially if they involve planning. Infant mammals do engage in a form of play, but this is more for exercise, testing one another, practicing future battles, and establishing the coming social pecking order rather than simulating the future.)

Well, look at the other characters in Winnie the Pooh. They all actually demonstrate that Pooh is the most mentally balanced. There’s Tigger, I mean, that tiger just can’t stay in the moment and enjoy it. He’s too much of a hedonist; he always wants the next adventure. That’s not healthy, he’ll burn out.” I started properly laughing. “And what about Eeyore?” “Well he’s a depressive, isn’t he? If Eeyore walked into my doctor’s office he’d be prescribed with a lifetime supply of antidepressants. And not just because US doctors dole them out like candy canes at Christmas.” The music stopped and I found myself clapping without even looking. “But Pooh?” “Pooh lives in the moment. He doesn’t fret about the past, or freak about the future. He’s an expert at mindfulness.” Kyle

You simplify because you cannot believe. You reduce; you diminish. Because you were raised to doubt and debunk. To reduce to a small set of knowns for easy digestion. Because you are a doctor, a man of science, and because this is America—where everything is known and understood, and God is a benevolent dictator, and the future must always be bright.

There are fixed points throughout time where things must stay exactly the way they are. This is not one of them, this is an opportunity. Whatever happens here will create its own timeline, its own reality, a temporal tipping point. The future revolves around you, here, now, so do good!

If we were immortal, we could legitimately postpone every action forever. [...] But in the face of death as absolute finis to our future and boundary to our possibilities, we are under the imperative of utilizing our lifetimes to the utmost, not letting the singular opportunities - whose "finite" sum constitutes the whole of life - pass by unused.

They say you should never hide anything from your doctors and lawyers. Hiding from a doctor could lead your way to heaven (or hell). Hiding from a lawyer could land you behind bars. Doctors give you the right direction to your present and lawyers give a picture to your future. They need to know more than what you could share with your best of friends.

The best approach is what they do at the Cleveland Clinic—doctors simply get paid flat salaries.

The doctor of the future will give no medication, but will interest his patients in the care of the human frame, diet, and in the cause and prevention of disease. —THOMAS EDISON

We must speak and move forward as one to achieve our brighter future; we are all living in one boat, and any harm to some people in this boat puts us all in danger of drowning.

I mean, how you gonna fulfill your dream of being a supervillain if you don’t get that doctorate?

HEALING FOODS   The doctor of the future will no longer treat the human frame with drugs, but rather will cure and prevent disease with nutrition. —Thomas Edison

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.

Lemons. He liked lemons. They made you make funny faces when you bit them, and a very, very long way in the future there was a really amazing planet where they'd evolved into people and lived in harmony with a variety of hyper-intelligent bee. Evolution. Thousands and thousands of years of tiny changes could turn little burning sparks of chemistry into people, into monsters and angels and even human beings.

The doctors say that it will take me a long time to get over this illness. But I don’t want to get over it. I want to turn the clocks back to a time before it, when all the future was sunny. Then I could do it all again, but do it right. There’d be no illness, no need to find the courage it takes to recover. For I know I don’t have that courage within me, and I know I never will. The doctors disagree, of course. They tell me I don’t need to go back to move forward, to stop dwelling on the past and concentrate on what’s ahead. They make it sound so simple. But what do they know? Seriously, what do they know? They break my heart.

The main trouble, the root of the future evil, was loss of faith in the value of one’s own opinion. People imagined that the time when they followed the urgings of their moral sense was gone, that now they had to sing to the general tune and live by foreign notions imposed on everyone.

So I told [the doctor] about my hay fever, which used to rage just in summertime but now simmers the year round, and he listened listlessly as though it were a cock and bull story; and we sat there for a few minutes and neither of us was interested in the other's nose, but after a while he poked a little swab up mine and made a smear on a glass slide and his assistant put it under the microscope and found two cells which delighted him and electrified the whole office, the cells being characteristic of a highly allergic system. The doctor's manner changed instantly and he was full of the enthusiasm of discovery and was as proud of the two little cells as though they were his own.

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.

Man in other people is man’s soul. That is what you are, that is what your conscience breathed, relished, was nourished by all your life. Your soul, your immortality, your life in others. And what then? You have been in others and you will remain in others. And what difference does it make to you that later it will be called memory? It will be you, having entered into the composition of the future.

Then untruth came to the Russian land. The main trouble, the root of the future evil, was loss of faith in the value of one’s own opinion. People imagined that the time when they followed the urgings of their moral sense was gone, that now they had to sing to the general tune and live by foreign notions imposed on everyone.

You can’t always choose your future. Not in a world of risk and uncertainty. No matter what the self-help gurus tell you. You can only attempt to guide it in the right direction, like a willful horse, but accept there will be times when it will gallop off in a direction not of your choosing. No one can tell you what lies ahead with one hundred percent accuracy. If your doctor tells you ninety-nine out of one hundred people die of your disease, you most likely will die, but you might also be the one who beats the odds, and if you do, you will believe yourself special and blessed, and your loved ones will believe the fervency of their prayers for you paid dividends, but it’s just math. It’s all just math.

You said that life is long and patients often have long careers in treatment. You said they may learn something from one doctor, carry it inside their heads, and, sometime in the future, be ready to do more. And that meanwhile you had played the role she was ready for.

It takes the average American four years of doctors' visits to spend as much time with their physician as they spend with their phone in a single day.

At the rate AI technology is improving, a kid born today will rarely need to see a doctor to get a diagnosis by the time they are an adult.” Medicine

Who cares what you want? The only thing that matters is what is good for you. Your mother and I only care about what is good for you. You go to school, you become a doctor, you be successful. Then you never have to work in a store like this. Then you have money and respect, and all the things you want will come. You find a nice girl and have children and you have the American Dream. Why would you throw your future away for temporary things that you only want right now?

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.

Even if you do not have a baby in your womb, the seed is already there. Even if you are not married, even if you are a man, you should be aware that a baby is already there, the seeds of future generations are already there. Please don't wait until the doctors tell you that you are going to have a baby to begin to take care of it. It is already there. Whatever you are, whatever you do, your baby will receive it. Anything you eat, any worries that are on your mind will be for him or her. Can you tell me that you cannot smile? Think of the baby, and smile for him, for her, for the future generations. Please don't tell me that a smile and your sorrow just don't go together. It's your sorrow, but what about your baby? It's not his sorrow, it's not her sorrow.

ON AN INTUITIVE level, most of us understand the deep interconnection between identity and labor. Children think of their potential future occupations in terms of what they will be (firemen, teachers, doctors, behavioral economists, or what have you), not about the amount of money they will earn.

But aesthetic value does not rise from the work's apparent ability to predict a future: we do not admire Cézanne because of the Cubists drew on him. Value rises from deep in the work itself - from its vitality, its intrinsic qualities, its address to the senses, intellect, and imagination; from the uses it makes of the concrete body of tradition. In art there is no progress, only fluctuations of intensity. Not even the greatest doctor in Bologna in the 17th century knew as much a bout the human body as today's third-year medical student. But nobody alive today can draw as well as Rembrandt or Goya.

Then untruth came to the Russian land. The main trouble, the root of the future evil, was loss of faith in the value of one’s own opinion. People imagined that the time when they followed the urgings of their moral sense was gone, that now they had to sing to the general tune and live by foreign notions imposed on everyone. The dominion of the ready-made phrase began to grow—first monarchistic, then revolutionary.

I am writing a treatise just now" said the badger, coughing diffidently to show that he was absolutely set on explaining it, "which is to point out why Man has become the master of the animals. Perhaps you would like to hear it? It's for my doctor's degree you know," he added hastily, before Wart could protest. He got few chances of reading his treatise to anybody, so he could not bear to let the opportunity slip by.

You can’t be a risk taker and expect to win each and every time. If you could control the future, then you wouldn’t be taking any risks. And while failure leaves a bitter taste in your mouth, the sweetness of winning more than makes up for it, and you’ll never win at anything unless you take a risk in the first place.

Oh, how I wish I had already regenerated to become the tall one with the dicky bow, thought the Doctor, who occasionally had visions of his future selves. He is always so fit and agile. I suppose all that incessant running down corridors that he does . . . will do . . . may do, in one of my possible futures . . . is good for something.

Siddhartha wants liberation, Dante wants Beatrice, Frodo wants to get to Mount Doom—we all want something. Quest is elemental to the human experience. All road narratives are to some extent built on quest. If you’re a woman, though, this fundamental possibility of quest is denied. You can’t go anywhere if you can’t step out onto a road… …(T)here is no female counterpart in our culture to Ishmael or Huck Finn. There is no Dean Moriarty, Sal, or even a Fuckhead. It sounds like a doctoral crisis, but it’s not. As a fifteen-year-old hitchhiker, my survival depended upon other people’s ability to envision a possible future for me. Without a Melvillean or Kerouacian framework, or at least some kind of narrative to spell out a potential beyond death, none of my resourcefulness or curiosity was recognizable, and therefore I was unrecognizable.

To the furniture worker's child in North Carolina who wants to become a doctor or a scientist, an engineer or an entrepreneur, a diplomat or even a president -- that's the future we hope for. That's the vision we share. That's where we need to go -- forward

Do you know what two centimeters is? Yeah. It's a measurement. It's about three quarters of an inch. All right. That's the distance that round missed your liver by. Is that what the doctor told you? Yes. You know what the liver does? No. It keeps you alive. Do you know who the man is who shot you? Maybe he didnt shoot me. Maybe it was one of the Mexicans. Do you know who the man is? No. Am I supposed to? Becase he's not somebody you really want to know. The people he meets tend to have very short futures. Nonexistent, in fact. Well good for him.

I have called this mental defect the Lucretius problem, after the Latin poetic philosopher who wrote that the fool believes that the tallest mountain in the world will be equal to the tallest one he has observed. We consider the biggest object of any kind that we have seen in our lives or hear about as the largest item that can possibly exist. And we have been doing this for millenia. In Pharaonic Egypt, which happens to be the first complete top-down nation-state managed by bureaucrats, scribes tracked the high-water mark of the Nile and used it as an estimate for a future worst-case scenario. The same can be seen in the Fukushima nuclear reactor, which experienced a catastrophic failure in 2011 when a tsunami struck. It had been built to withstand the worst past historical earthquake, with the builders not imagining much worse--and not thinking that the worst past event had to be a surprise, as it had no precedent. Likewise, the former chairman of the Federal Reserve, Fragilista Doctor Alan Greenspan, in his apology to Congress offered the classic "It never happened before." Well, nature, unlike Fragilista Greenspan, prepares for what has not happened before, assuming worse harm is possible.

I am drunk. I usually only drink like this once a month. At such times my audacity and temerity know no bounds. I feel capable of anything. I attempt the most difficult operations and do them magnificently. The most brilliant plans for the future take shape in my head. I am no longer a poor fool of a doctor, but mankind's greatest benefactor. I evolve my own system of philosophy and all of you seem to crawl at my feet like so many insects or microbes.

After two or three stanzas and several images by which he was himself astonished, his work took possession of him and he experienced the approach of what is called inspiration. At such moments the correlation of the forces controlling the artist is, as it were, stood on its head. The ascendancy is no longer with the artist or the state of mind which he is trying to express, but with language, his instrument of expression. Language, the home and dwelling of beauty and meaning, itself begins to think and speak for man and turns wholly into music, not in the sense of outward, audible sounds but by virtue of the power and momentum of its inward flow. Then, like the current of a mighty river polishing stones and turning wheels by its very movement, the flow of speech creates in passing, by the force of its own laws, rhyme and rhythm and countless other forms and formations, still more important and until now undiscovered, unconsidered and unnamed. At such moments Yury felt that the main part of his work was not being done by him but by something which was above him and controlling him: the thought and poetry of the world as it was at that moment and as it would be in the future. He was controlled by the next step it was to take in the order of its historical development; and he felt himself to be only the pretext and the pivot setting it in motion. ... In deciphering these scribbles he went through the usual disappointments. Last night these rough passages had astonished him and moved him to tears by certain unexpectedly successful lines. Now, on re-reading these very lines, he was saddened to find that they were strained and glaringly far-fetched.

When I was a young woman with four children, I was always living ahead of myself,” she said. “Everything I was doing was projected toward the future, and I was so busy, busy, busy, preparing for tomorrow, for the next week, for the next month. Then one day, it all changed. At thirty-eight years old, I found I had breast cancer. I can remember asking my doctor what I should plan for in my future. He said, ‘Diane, my advice to you is to live each day as richly as you can.’ As I lay in my bed after he left, I thought, will I be alive next year to take my son to first grade? Will I see my children marry? And will I know the joy of holding my grandchildren?” She looked out over the water, barefoot, her legs outstretched; a white visor held down her short, black hair. “For the first time in my life, I started to be fully present in the day I was living. I was alive. My goals were no longer long-range plans, they were daily goals, much more meaningful to me because at the end of each day, I could evaluate what I had done.

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

Or on retiring to Prunesquallors' he might take down one of the Doctor's many books and read, for these days a passion to accumulate knowledge of any and every kind consumed him; but only as a means to an end. He must know all things, for only so might he have, when situations arose in the future, a full pack of cards to play from. He imagined himself occasions when the conversation of one from who he foresaw advancement might turn to astronomy, metaphysics, history, chemistry, or literature, and he realized that to be able to drop into the argument a lucid and exact thought, an opinion based on what might *appear* to be a life-time study, would instantaneously gain more for him than waiting until the conversation turned upon what lay within his scope of experience.

Pendennis, sir," he said, "your idleness is incorrigible and your stupidity beyond example. You are a disgrace to your school, and to your family, and I have no doubt will prove so in after-life to your country. If that vice, sir, which is described to us as the root of all evil, be really what moralists have represented (and I have no doubt of the correctness of their opinion), for what a prodigious quantity of future crime and wickedness are you, unhappy boy, laying the seed! Miserable trifler! A boy who construes de and, instead of de but, at sixteen years of age is guilty not merely of folly, and ignorance, and dulness inconceivable, but of crime, of deadly crime, of filial ingratitude, which I tremble to contemplate. A boy, sir, who does not learn his Greek play cheats the parent who spends money for his education. A boy who cheats his parent is not very far from robbing or forging upon his neighbour. A man who forges on his neighbour pays the penalty of his crime at the gallows. And it is not such a one that I pity (for he will be deservedly cut off), but his maddened and heart-broken parents, who are driven to a premature grave by his crimes, or, if they live, drag on a wretched and dishonoured old age. Go on, sir, and I warn you that the very next mistake that you make shall subject you to the punishment of the rod. Who's that laughing? What ill-conditioned boy is there that dares to laugh?" shouted the Doctor.

I read the miserable story of the play in which she was the one true loving soul. It obviously described the spread of an epidemic brain fever which, like typhoid, was perhaps caused by seepings from the palace graveyard into the Elsinore water supply. From an inconspicuous start among sentries on the battlements the infection spread through prince, king, prime minister and courtiers causing hallucinations, logomania and paranoia resulting in insane suspicions and murderous impulses. I imagined myself entering the palace quite early in the drama with all the executive powers of an efficient public health officer. The main carriers of the disease (Claudius, Polonius and the obviously incurable Hamlet) would he quarantined in separate wards. A fresh water supply and efficient modern plumbing would soon set the Danish state right and Ophelia, seeing this gruff Scottish doctor pointing her people toward a clean and healthy future, would be powerless to withhold her love.

(“We live in a world in which relatively few people—maybe 500 or 1,000—make the important decisions”—Philip B. Heymann of Harvard Law School, quoted by Anthony Lewis, New York Times, April 21, 1995.) Our lives depend on whether safety standards at a nuclear power plant are properly maintained; on how much pesticide is allowed to get into our food or how much pollution into our air; on how skillful (or incompetent) our doctor is; whether we lose or get a job may depend on decisions made by government economists or corporation executives; and so forth. Most individuals are not in a position to secure themselves against these threats to more [than] a very limited extent.

A similar concern about using the web to provide just-in-time information shows up among physicians arguing the future of medical education. Increasingly, and particularly while making a first diagnosis, physicians rely on handheld databases, what one philosopher calls “E-memory.” The physicians type in symptoms and the digital tool recommends a potential diagnosis and suggested course of treatment. Eighty-nine percent of medical residents regard one of these E-memory tools, UpToDate, as their first choice for answering clinical questions. But will this “just-in-time” and “just enough” information teach young doctors to organize their own ideas and draw their own conclusions?

Rose of Sharon Chapter 16 Me an’ Connie don’t want to live in the country no more. We got it all planned up what we gonna do. Well, we talked about it, me an’ Connie. Ma, we want to live in a town. Connie gonna get a job in a store or maybe a factory. An’ he’s gonna study at home, maybe radios, so he can get to be a expert an’ maybe later have his own store. An’ we’ll go to pitchers whenever. An’ Connie says I’m gonna have a doctor when the baby’s born; an’ he says we’ll see how times is, an’ maybe I’ll go to a hospiddle. An’ we’ll have a car, a little car. An’ when he gets done studying at night, why – it’ll be nice, an’ he tore a page out of Western Love Stories, an’ he’s gonna send off for a course ‘cause it don’t cost nothin’ to send off. Says right on that clipping. I seen it. An’, why- they even get you a job when you take that course-radios, it is—nice clean work, and a future. An’ we’ll live in town an’ go to pitchers whenever, an’ – well. I’m gonna have an ‘lectric iron! an’, the baby’ll have all new stuff-“white an’- Well, you seen in the catalogue all the stuff they got for a baby. Maybe right at first while Connie’s studying’ at home it wou’t be so easy, but-well, when the baby comes, maybe he’ll be all done studyin’ an’ we’ll have a place, little bit of a place. We don’t want nothin’ fancy, but we want it nice for the baby-“An’ I thougt-well, I thought maybe we could all go in town, an’ when Connie gets his store – maybe Al could work for him.

Isn’t that… A lie? It’s okay. You can say it. Yes, they were lies and sometimes that’s not a bad thing. Lies are neither bad nor good. Like a fire they can either keep you warm or burn you to death, depending on how they’re used. The lies our government told us before the war, the ones that were supposed to keep us happy and blind, those were the ones that burned, because they prevented us from doing what had to be done. However, by the time I made Avalon, everyone was already doing everything they could possibly do to survive. The lies of the past were long gone and now the truth was everywhere, shambling down their streets, crashing through their doors, clawing at their throats. The truth was that no matter what we did, chances were most of us, if not all of us, were never going to see the future. The truth was that we were standing at what might be the twilight of our species and that truth was freezing a hundred people to death every night. They needed something to keep them warm. And so I lied, and so did the president, and every doctor and priest, every platoon leader and every parent. “We’re going to be okay.” That was our message.

Antidepression medication is temperamental. Somewhere around fifty-nine or sixty I noticed the drug I’d been taking seemed to have stopped working. This is not unusual. The drugs interact with your body chemistry in different ways over time and often need to be tweaked. After the death of Dr. Myers, my therapist of twenty-five years, I’d been seeing a new doctor whom I’d been having great success with. Together we decided to stop the medication I’d been on for five years and see what would happen... DEATH TO MY HOMETOWN!! I nose-dived like the diving horse at the old Atlantic City steel pier into a sloshing tub of grief and tears the likes of which I’d never experienced before. Even when this happens to me, not wanting to look too needy, I can be pretty good at hiding the severity of my feelings from most of the folks around me, even my doctor. I was succeeding well with this for a while except for one strange thing: TEARS! Buckets of ’em, oceans of ’em, cold, black tears pouring down my face like tidewater rushing over Niagara during any and all hours of the day. What was this about? It was like somebody opened the floodgates and ran off with the key. There was NO stopping it. 'Bambi' tears... 'Old Yeller' tears... 'Fried Green Tomatoes' tears... rain... tears... sun... tears... I can’t find my keys... tears. Every mundane daily event, any bump in the sentimental road, became a cause to let it all hang out. It would’ve been funny except it wasn’t. Every meaningless thing became the subject of a world-shattering existential crisis filling me with an awful profound foreboding and sadness. All was lost. All... everything... the future was grim... and the only thing that would lift the burden was one-hundred-plus on two wheels or other distressing things. I would be reckless with myself. Extreme physical exertion was the order of the day and one of the few things that helped. I hit the weights harder than ever and paddleboarded the equivalent of the Atlantic, all for a few moments of respite. I would do anything to get Churchill’s black dog’s teeth out of my ass. Through much of this I wasn’t touring. I’d taken off the last year and a half of my youngest son’s high school years to stay close to family and home. It worked and we became closer than ever. But that meant my trustiest form of self-medication, touring, was not at hand. I remember one September day paddleboarding from Sea Bright to Long Branch and back in choppy Atlantic seas. I called Jon and said, “Mr. Landau, book me anywhere, please.” I then of course broke down in tears. Whaaaaaaaaaa. I’m surprised they didn’t hear me in lower Manhattan. A kindly elderly woman walking her dog along the beach on this beautiful fall day saw my distress and came up to see if there was anything she could do. Whaaaaaaaaaa. How kind. I offered her tickets to the show. I’d seen this symptom before in my father after he had a stroke. He’d often mist up. The old man was usually as cool as Robert Mitchum his whole life, so his crying was something I loved and welcomed. He’d cry when I’d arrive. He’d cry when I left. He’d cry when I mentioned our old dog. I thought, “Now it’s me.” I told my doc I could not live like this. I earned my living doing shows, giving interviews and being closely observed. And as soon as someone said “Clarence,” it was going to be all over. So, wisely, off to the psychopharmacologist he sent me. Patti and I walked in and met a vibrant, white-haired, welcoming but professional gentleman in his sixties or so. I sat down and of course, I broke into tears. I motioned to him with my hand; this is it. This is why I’m here. I can’t stop crying! He looked at me and said, “We can fix this.” Three days and a pill later the waterworks stopped, on a dime. Unbelievable. I returned to myself. I no longer needed to paddle, pump, play or challenge fate. I didn’t need to tour. I felt normal.

Let the doctors of all the schools condemn me," White Logic whispers as I ride along. "What of it? I am truth. You know it. You cannot combat me. They say I make for death. What of it? It is truth. Life lies in order to live. Life is a perpetual lie-telling process. Life is a mad dance in the domain of flux, wherein appearances in mighty tides ebb and flow, chained to the wheels of moons beyond our ken. Appearances are ghosts. Life is ghost land, where appearances change, transfuse, permeate each the other and all the others, that are, that are not, that always flicker, fade, and pass, only to come again as new appearances, as other appearances. You are such an appearance, composed of countless appearances out of the past. All an appearance can know is mirage. You know mirages of desire. These very mirages are the unthinkable and incalculable congeries of appearances that crowd in upon you and form you out of the past, and that sweep you on into dissemination into other unthinkable and incalculable congeries of appearances to people the ghost land of the future. Life is apparitional, and passes. You are an apparition. Through all the apparitions that preceded you and that compose the parts of you, you rose gibbering from the evolutionary mire, and gibbering you will pass on, interfusing, permeating the procession of apparitions that will succeed you." And of course it is all unanswerable, and as I ride along through the evening shadows I sneer at that Great Fetish which Comte called the world. And I remember what another pessimist of sentiency has uttered: "Transient are all. They, being born, must die, and, being dead, are glad to be at rest.

I always prefer to work in the studio. It isolates people from their environment. They become in a sense...symbolic of themselves. I often feel that people come to me to be photographed as they would go to a doctor or a fortune teller-to find out how they are. So they are dependent on me. I have to engage them. Otherwise there is nothing to photograph. The concentration has to come from me and involve them. Sometimes the force of it grows so strong that sounds in the studio go unheard. Time stops. We share a brief, intense intimacy. But is is unearned. It has no past...no future. And when the sitting is over-when the picture is done-there is nothing left except the photograph...the photograph and a kind of embarrassment. They leave...and I don't know them. I have hardly heard what they have said. If I meet them a week later in a room somewhere, I expect they won't recognize me. Because I don't feel I was really there. At least the part of me that was...is now in the photograph. And the photographs have a reality for me that the people don't. it is through the photographs that I know them. Maybe it is in the nature of being a photographer. I am never really implicated. I don't have to have any real knowledge. It is all a question of recognitions.

To make matters worse, learning about health care is inherently difficult not only for the poor, but for everyone.33 If patients are somehow convinced that they need shots to get better, there is little chance that they could ever learn they are wrong. Because most diseases that prompt visits to the doctor are self-limiting (i.e., they will disappear no matter what), there is a good chance that patients will feel better after a single shot of antibiotics. This naturally encourages spurious causal associations: Even if the antibiotics did nothing to cure the ailment, it is normal to attribute any improvement to them. By contrast, it is not natural to attribute causal force to inaction: If a person with the flu goes to the doctor, and the doctor does nothing, and the patient then feels better, the patient will correctly infer that it was not the doctor who was responsible for the cure. And rather than thanking the doctor for his forbearance, the patient will be tempted to think that it was lucky that everything worked out this time but that a different doctor should be seen for future problems.This reaction creates a natural tendency to overmedicate in a private, unregulated market. This is compounded by the fact that, in many cases, the prescriber and the provider are the same person, either because people turn to their pharmacists for medical advice, or because private doctors also stock and sell medicine. It

All of medicine, not just cadaver dissection, trespasses into sacred spheres. Doctors invade the body in every way imaginable. They see people at their most vulnerable, their most scared, their most private. They escort them into the world, and then back out. Seeing the body as matter and mechanism is the flip side to easing the most profound human suffering. By the same token, the most profound human suffering becomes a mere pedagogical tool. Anatomy professors are perhaps the extreme end of this relationship, yet their kinship to the cadavers remains. Early on, when I made a long, quick cut through my donor’s diaphragm in order to ease finding the splenic artery, our proctor was both livid and horrified. Not because I had destroyed an important structure or misunderstood a key concept or ruined a future dissection but because I had seemed so cavalier about it. The look on his face, his inability to vocalize his sadness, taught me more about medicine than any lecture I would ever attend.

You have to imagine what it was like to be on the receiving end of vicious antagonism: sneering, contempt, ridicule, slights about one’s intelligence, integrity and motives. In those days, women even ran the risk of dismissal for their opinions. And this treatment came from other women, as well as men. In fact, “in-fighting” between various schools of nurses who had some sort of training in midwifery was particularly nasty. One eminent lady – the matron of St Bartholomew’s Hospital – branded the aspiring midwives as “anachronisms, who would in the future be regarded as historical curiosities”. The medical opposition seems to have arisen mainly from the fact that “women are striving to interfere too much in every department of life”.* Obstetricians also doubted the female intellectual capacity to grasp the anatomy and physiology of childbirth, and suggested that they could not therefore be trained. But the root fear was – guess what? – you’ve got it, but no prizes for quickness: money. Most doctors charged a routine one guinea for a delivery. The word got around that trained midwives would undercut them by delivering babies for half a guinea! The knives were out.

And now, O kind-hearted reader, I feel myself constrained, in the telling of this little story, to depart altogether from the principles of story telling to which you probably have become accustomed and to put the horse of my romance before the cart. There is a mystery respecting Mr and Mrs Peacocke which, according to all laws recognised in such matters, ought not to be elucidated till, let us say, the last chapter but two, so that your interest should be maintained almost to the end, -- so near the end that there should be left only space for those little arrangements which are necessary for the well-being, or perhaps for the evil-being, of our personages. It is my purpose to disclose the mystery at once, and to ask you to look for your interest, -- should you choose to go on with my chronicle, -- simply in the conduct of my persons, during this disclosure, to others. You are to know it all before the Doctor or the Bishop, -- before Mrs. Wortle or the Hon Mrs Stantiloup, or Lady De Lawle. You are to know it all before the Peacockes become aware that it must necessarily be disclosed to any one. It may be that when I shall have once told the mystery there will no longer be any room for interest in the tale to you. That there are many such readers of novels I know. I doubt whether the greater number be not such. I am far from saying that the kind of interest of which I am speaking – and of which I intend to deprive myself, -- is not the most natural and the most efficacious. What would the ‘Black Dwarf’ be if every one knew from the beginning that he was a rich man and a baronet? – or ‘The Pirate,’ if all the truth about Norna of the Fitful-head had been told in the first chapter? Therefore, put the book down if the revelation of some future secret be necessary for your enjoyment. Our mystery is going to be revealed in the next paragraph, -- in the next half-dozen words. Mr and Mrs Peacocke were not man and wife.

The introduction of cinematography enabled us to corral time past and thus retain it not merely in the memory - at best, a falsifying receptacle - but in the objective preservative of a roll of film. But, if past, present and future are the dimensions of time, they are notoriously fluid. There is no tension in the tenses and yet they are always tremulously about to coagulate. The present is a liquid jelly which settles into a quivering, passive mass, the past, as soon as - if not sooner than - we are aware of it as present. Yet this mass was intangible and existed only conceptually until arrival of the preservative, cinema. The motion picture is usually regarded as only a kind of shadow play and few bother to probe the ontological paradoxes it presents. For it offers us nothing less than the present tense experience of time irrefutably past. So that the coil of film has, as it were, lassoed inert phenomena from which the present had departed, and when projected upon a screen, they are granted a temporary revivification. [...] The images of cinematography, however, altogether lack autonomy. Locking in programmed patterns, they merely transpose time past into time present and cannot, by their nature, respond to the magnetic impulses of time future for the unachievable future which does not exist in any dimension, but nevertheless organizes phenomena towards its potential conclusions. The cinematographic model is one of cyclic recurrences alone, even if these recurrences are instigated voluntarily, by the hand of man viz. the projectionist, rather than the hand of fate. Though, in another sense, the action of time is actually visible in the tears, scratches and thumbprints on the substance of the film itself, these are caused only by the sly, corrosive touch of mortality and, since the print may be renewed at will, the flaws of aging, if retained, increase the presence of the past only by a kind of forgery, as when a man punches artificial worm-holes into raw or smokes shadows of fresh pain with a candle to produce an apparently aged artefact. Mendoza, however, claimed that if a thing were sufficiently artificial, it became absolutely equivalent to the genuine.

Some have estimated that the pharmaceutical industry overall spends about twice as much on marketing and promotion as it does on research and development. Regardless of how those two figures compare to each other, the fact that they are in the same ballpark gives one pause, and this is worth mulling over in various contexts. For example, when a drug company refuses to let a developing country have affordable access to a new AIDS drug it’s because – the company says – it needs the money from sales to fund research and development on other new AIDS drugs for the future. If R&D is a fraction of the company’s outgoings, and it spends a similar amount on promotion, then this moral and practical argument doesn’t hold water quite so well. The scale of this spend is fascinating in itself, when you put it in the context of what we all expect from evidence-based medicine, which is that people will simply use the best treatment for the patient. Because when you pull away from the industry’s carefully fostered belief that this marketing activity is all completely normal, and stop thinking of drugs as being a consumer product like clothes or cosmetics, you suddenly realise that medicines marketing only exists for one reason. In medicine, brand identities are irrelevant, and there’s a factual, objective answer to whether one drug is the most likely to improve a patient’s pain, suffering and longevity. Marketing, therefore, one might argue, exists for no reason other than to pervert evidence-based decision-making in medicine.

They stood around a bleeding stump of a man lying on the ground. His right arm and left leg had been chopped off. It was inconceivable how, with his remaining arm and leg, he had crawled to the camp. The chopped-off arm and leg were tied in terrible bleeding chunks onto his back with a small wooden board attached to them; a long inscription on it said, with many words of abuse, that the atrocity was in reprisal for similar atrocities perpetrated by such and such a Red unit—a unit that had no connection with the Forest Brotherhood. It also said that the same treatment would be meted out to all the partisans unless, by a given date, they submitted and gave up their arms to the representatives of General Vitsyn’s army corps. Fainting repeatedly from loss of blood, the dying man told them in a faltering voice of the tortures and atrocities perpetrated by Vitsyn’s investigating and punitive squads. His own sentence of death had been allegedly commuted; instead of hanging him, they had cut off his arm and leg in order to send him into the camp and strike terror among the partisans. They had carried him as far as the outposts of the camp, where they had put him down and ordered him to crawl, urging him on by shooting into the air. He could barely move his lips. To make out his almost unintelligible stammering, the crowd around him bent low. He was saying: “Be on your guard, comrades. He has broken through.” “Patrols have gone out in strength. There’s a big battle going on. We’ll hold him.” “There’s a gap. He wants to surprise you. I know. ... I can’t go on, men. I am spitting blood. I’ll die in a moment.” “Rest a bit. Keep quiet.—Can’t you see it’s bad for him, you heartless beasts!” The man started again: “He went to work on me, the devil. He said: You will bathe in your own blood until you tell me who you are. And how was I to tell him, a deserter is just what I am? I was running from him to you.” “You keep saying ‘he.’ Who was it that got to work on you?” “Let me just get my breath. ... I’ll tell you. Hetman, Bekeshin. Colonel, Strese. Vitsyn’s men. You don’t know out here what it’s like. The whole town is groaning. They boil people alive. They cut strips out of them. They take you by the scruff of the neck and push you inside, you don’t know where you are, it’s pitch black. You grope about—you are in a cage, inside a freight car. There are more than forty people in the cage, all in their underclothes. From time to time they open the door and grab whoever comes first—out he goes. As you grab a chicken to cut its throat. I swear to God. Some they hang, some they shoot, some they question. They beat you to shreds, they put salt on the wounds, they pour boiling water on you. When you vomit or relieve yourself they make you eat it. As for children and women—O God!” The unfortunate was at his last gasp. He cried out and died without finishing the sentence. Somehow they all knew it at once and took off their caps and crossed themselves. That night, the news of a far more terrible incident flew around the camp. Pamphil had been in the crowd surrounding the dying man. He had seen him, heard his words, and read the threatening inscription on the board. His constant fear for his family in the event of his own death rose to a new climax. In his imagination he saw them handed over to slow torture, watched their faces distorted by pain, and heard their groans and cries for help. In his desperate anguish—to forestall their future sufferings and to end his own—he killed them himself, felling his wife and three children with that same, razor-sharp ax that he had used to carve toys for the two small girls and the boy, who had been his favorite. The astonishing thing was that he did not kill himself immediately afterward.

She looked thoughtful. “Who knows? Perhaps now is the time to see through the habit. Accidents, illness, healing, they’re all more mysterious than any of us ever imagined. I believe that we have an undiscovered ability to influence what happens to us in the future, including whether we are healthy—although, again, the power has to remain with the individual patient. “There was a reason that I didn’t offer an opinion concerning how badly you were hurt. We in the medical establishment have learned that medical opinions have to be offered very carefully. Over the years the public has developed almost a worship of doctors, and when a physician says something, patients have tended to take these opinions totally to heart. The country doctors of a hundred years ago knew this, and would use this principle to actually paint an overly optimistic picture of any health situation. If the doctor said that the patient would get better, very often the patient would internalize this idea in his or her mind and actually defy all odds to recover. In later years, however, ethical considerations have prevented such distortions, and the establishment has felt that the patient is entitled to a cold scientific assessment of his or her situation. “Unfortunately when this was given, sometimes patients dropped dead right before our eyes, just because they were told their condition was terminal. We know now that we have to be very careful with these assessments, because of the power of our minds. We want to focus this power in a positive direction. The body is capable of miraculous regeneration. Body parts thought of in the past as solid forms are actually energy systems that can transform overnight. Have you read the latest research on prayer? The simple fact that this kind of spiritual visualization is being scientifically proven to work totally undermines our old physical model of healing. We’re having to work out a new model.” She paused and poured more water on the towel around my ankle, then continued, “I believe the first step in the process is to identify the fear with which the medical problem seems to be connected; this opens up the energy block in your body to conscious healing. The next step is to pull in as much energy as possible and focus it at the exact location of the block.” I was about to ask how this was done, but she stopped me. “Go ahead and raise your energy level as much as you can.” Accepting her guidance, I began to observe the beauty around me and to concentrate on a spiritual connection within, evoking a heightened sensation of love. Gradually the colors became more vivid and everything in my awareness increased in presence. I could tell that she was raising her own energy at the same time. When I felt as though my vibration had increased as much as possible, I looked at her. She smiled back at me. “Okay, now you can focus the energy on the block.” “How do I do that?” I asked. “You use the pain. That’s why it’s there, to help you focus.