Medicinal Life Quotes

We don't read and write poetry because it's cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. So medicine, law, business, engineering... these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love... these are what we stay alive for.

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

I know what blood poisoning is, Katniss," says Peeta. "Even if my mother isn't a healer." I'm jolted back in time, to another wound, another set of bandages. "You said that same thing to me in the first Hunger Games. Real or not real?" "Real," he says. "And you risked your life getting the medicine that saved me?" "Real." I shrug. "You were the reason I was alive to do it.

The paradox of our time in history is that we have taller buildings but shorter tempers, wider Freeways, but narrower viewpoints. We spend more, but have less, we buy more, but enjoy less. We have bigger houses and smaller families, more conveniences, but less time. We have more degrees but less sense, more knowledge, but less judgment, more experts, yet more problems, more medicine, but less wellness. We drink too much, smoke too much, spend too recklessly, laugh too little, drive too fast, get too angry, stay up too late, get up too tired, read too little, watch TV too much, and pray too seldom. We have multiplied our possessions, but reduced our values. We talk too much, love too seldom, and hate too often. We've learned how to make a living, but not a life. We've added years to life not life to years. We've been all the way to the moon and back, but have trouble crossing the street to meet a new neighbor. We conquered outer space but not inner space. We've done larger things, but not better things. We've cleaned up the air, but polluted the soul. We've conquered the atom, but not our prejudice. We write more, but learn less. We plan more, but accomplish less. We've learned to rush, but not to wait. We build more computers to hold more information, to produce more copies than ever, but we communicate less and less. These are the times of fast foods and slow digestion, big men and small character, steep profits and shallow relationships. These are the days of two incomes but more divorce, fancier houses, but broken homes. These are days of quick trips, disposable diapers, throwaway morality, one night stands, overweight bodies, and pills that do everything from cheer, to quiet, to kill. It is a time when there is much in the showroom window and nothing in the stockroom. A time when technology can bring this letter to you, and a time when you can choose either to share this insight, or to just hit delete... Remember, to spend some time with your loved ones, because they are not going to be around forever. Remember, say a kind word to someone who looks up to you in awe, because that little person soon will grow up and leave your side. Remember, to give a warm hug to the one next to you, because that is the only treasure you can give with your heart and it doesn't cost a cent. Remember, to say, "I love you" to your partner and your loved ones, but most of all mean it. A kiss and an embrace will mend hurt when it comes from deep inside of you. Remember to hold hands and cherish the moment for someday that person might not be there again. Give time to love, give time to speak! And give time to share the precious thoughts in your mind.

We don't read and write poetry because it's cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for. To quote from Whitman, "O me! O life!... of the questions of these recurring; of the endless trains of the faithless... of cities filled with the foolish; what good amid these, O me, O life?" Answer. That you are here - that life exists, and identity; that the powerful play goes on and you may contribute a verse. That the powerful play *goes on* and you may contribute a verse. What will your verse be?

The worst illiterate is the political illiterate, he doesn’t hear, doesn’t speak, nor participates in the political events. He doesn’t know the cost of life, the price of the bean, of the fish, of the flour, of the rent, of the shoes and of the medicine, all depends on political decisions. The political illiterate is so stupid that he is proud and swells his chest saying that he hates politics. The imbecile doesn’t know that, from his political ignorance is born the prostitute, the abandoned child, and the worst thieves of all, the bad politician, corrupted and flunky of the national and multinational companies.

Our ultimate goal, after all, is not a good death but a good life to the very end.

Medicine, law, business, engineering, these are all noble pursuits, and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for.

The truth about the world, he said, is that anything is possible. Had you not seen it all from birth and thereby bled it of its strangeness it would appear to you for what it is, a hat trick in a medicine show, a fevered dream, a trance bepopulate with chimeras having neither analogue nor precedent, an itinerant carnival, a migratory tentshow whose ultimate destination after many a pitch in many a mudded field is unspeakable and calamitous beyond reckoning. The universe is no narrow thing and the order within it is not constrained by any latitude in its conception to repeat what exists in one part in any other part. Even in this world more things exist without our knowledge than with it and the order in creation which you see is that which you have put there, like a string in a maze, so that you shall not lose your way. For existence has its own order and that no man's mind can compass, that mind itself being but a fact among others.

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

You may not control life's circumstances, but getting to be the author of your life means getting to control what you do with them.

The food you eat can be either the safest and most powerful form of medicine or the slowest form of poison.

In the end, people don't view their life as merely the average of all its moments—which, after all, is mostly nothing much plus some sleep. For human beings, life is meaningful because it is a story. A story has a sense of a whole, and its arc is determined by the significant moments, the ones where something happens. Measurements of people's minute-by-minute levels of pleasure and pain miss this fundamental aspect of human existence. A seemingly happy life maybe empty. A seemingly difficult life may be devoted to a great cause. We have purposes larger than ourselves.

Let us be the ones who say we do not accept that a child dies every three seconds simply because he does not have the drugs you and I have. Let us be the ones to say we are not satisfied that your place of birth determines your right for life. Let us be outraged, let us be loud, let us be bold.

The art of medicine is long, Hippocrates tells us, "and life is short; opportunity fleeting; the experiment perilous; judgment flawed.

Life is choices, and they are relentless. No sooner have you made one choice than another is upon you.

Don’t think I ever spent a minute of any day wondering why I did this work, or whether it was worth it. The call to protect life—and not merely life but another’s identity; it is perhaps not too much to say another’s soul—was obvious in its sacredness. Before operating on a patient’s brain, I realized, I must first understand his mind: his identity, his values, what makes his life worth living, and what devastation makes it reasonable to let that life end. The cost of my dedication to succeed was high, and the ineluctable failures brought me nearly unbearable guilt. Those burdens are what make medicine holy and wholly impossible: in taking up another’s cross, one must sometimes get crushed by the weight.

A few conclusions become clear when we understand this: that our most cruel failure in how we treat the sick and the aged is the failure to recognize that they have priorities beyond merely being safe and living longer; that the chance to shape one’s story is essential to sustaining meaning in life; that we have the opportunity to refashion our institutions, our culture, and our conversations in ways that transform the possibilities for the last chapters of everyone’s lives.

If there's a child on the south side of Chicago who can't read, that matters to me, even if it's not my child. If there's a senior citizen somewhere who can't pay for their prescription, who has to choose between medicine and the rent, that makes my life poorer - even if it's not my grandparent. If there's an Arab-American or Mexican-American family being rounded up by John Ashcroft without benefit of an attorney or due process, I know that that threatens my civil liberties. And I don't have to be a woman to be concerned that the Supreme Court is trying to take away a woman's right, because I know that my rights are next. It is that fundamental belief - I am my brother’s keeper, I am my sister’s keeper - that makes this country work.

Did you splice my—DNA?” Hannah puts her hand on the side of his face and looks him square in the eyes. “Your girlfriend was kind enough to let me pull some marrow from her rib, Romeo.

As a confirmed melancholic, I can testify that the best and maybe only antidote for melancholia is action. However, like most melancholics, I suffer also from sloth.

Do not find peace. Find passion. Find something you want to die for more than something you want to live for. If it is your children, then fight not just for your own but for orphans who have no one else. If it is for medicine, then do not just seek out a cure for cancer but search for a cure for AIDS as well. Fight for those who cannot fight for themselves. Speak for them. Scream for them. Live and die for them. You life will not always be a happy one, but it will have meaning.

Without the dark there isn’t light. Without the pain there is no relief. And I remind myself that I’m lucky to be able to feel such great sorrow, and also such great happiness. I can grab on to each moment of joy and live in those moments because I have seen the bright contrast from dark to light and back again. I am privileged to be able to recognize that the sound of laughter is a blessing and a song, and to realize that the bright hours spent with my family and friends are extraordinary treasures to be saved, because those same moments are a medicine, a balm. Those moments are a promise that life is worth fighting for, and that promise is what pulls me through when depression distorts reality and tries to convince me otherwise.

There are times in my life when I have been medicine for some while poison for others. I used to think I was a victim of my story until I realized the truth; that I am the creator of my story. I choose what type of person I will be and what type of impact I will leave on others. I will never choose the destructive path of self and outward victimization again.

It is not death that the very old tell me they fear. It is what happens short of death—losing their hearing, their memory, their best friends, their way of life. As Felix put it to me, “Old age is a continuous series of losses.” Philip Roth put it more bitterly in his novel Everyman: “Old age is not a battle. Old age is a massacre.

We don't read and write poetry because it's cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for. To quote from Whitman, "O me! O life!... of the questions of these recurring; of the endless trains of the faithless... of cities filled with the foolish; what good amid these, O me, O life?" Answer. That you are here - that life exists, and identity; that the powerful play goes on and you may contribute a verse. That the powerful play *goes on* and you may contribute a verse. What will your verse be?

My heart itself is a wound, no medicine can cure it It deepens further if stared at, and hurts more if touched.

Whoever said laughter is the best medicine was right - it's also the glue that holds friendships together. To laugh together at life's ridiculous turn of events makes those events bearable. To laugh at the funny things in life makes life wonderful. The real gift is having a friend to share…laughter with.

I had lines inside me, a string of guiding lights. I had language. Fiction and poetry are doses, medicines. What they heal is the rupture reality makes on the imagination. I had been damaged, and a very important part of me had been destroyed - that was my reality, the facts of my life. But on the other side of the facts was who I could be, how I could feel. And as long as I had words for that, images for that, stories for that, then I wasn't lost.

We are uncomfortable because everything in our life keeps changing -- our inner moods, our bodies, our work, the people we love, the world we live in. We can't hold on to anything -- a beautiful sunset, a sweet taste, an intimate moment with a lover, our very existence as the body/mind we call self -- because all things come and go. Lacking any permanent satisfaction, we continuously need another injection of fuel, stimulation, reassurance from loved ones, medicine, exercise, and meditation. We are continually driven to become something more, to experience something else.

Apart from the sanitation, the medicine, education, wine, public order, irrigation, roads, the fresh water system, and public health ... what have the Romans ever done for us? Brought peace!

Listen, children: Your father is dead. From his old coats I'll make you little jackets; I'll make you little trousers From his old pants. There'll be in his pockets Things he used to put there, Keys and pennies Covered with tobacco; Dan shall have the pennies To save in his bank; Anne shall have the keys To make a pretty noise with. Life must go on, Though good men die; Anne, eat your breakfast; Dan, take your medicine; Life must go on; I forget just why.

Simon whispered to me, “But is everything okay?” “No,” Tori said. “I kidnapped her and forced her to escape with me. I’ve been using her as a human shield against those guys with guns, and I was just about to strangle her and leave her body here to throw them off my trail. But then you showed up and foiled my evil plans. Lucky for you, though. You get to rescue poor little Chloe again and win her undying gratitude.” “Undying gratitude?” Simon looked at me. “Cool. Does that come with eternal servitude? If so, I like my eggs sunnyside up.” I smiled. “I’ll remember that.” *** “Oh, right. You must be starving.” Simon reached into his pockets. “I can offer one bruised apple and one brown banana. Convenience stores aren’t the place to buy fruit, as I keep telling someone.” “Better than these. For you, anyway, Simon.” Derek passed a bar to Tori. “Because you aren’t supposed to have those, are you?” I said. “Which reminds me…” I took out the insulin. “Derek said it’s your backup.” “So my dark secret is out.” “I didn’t know it was a secret.” “Not really. Just not something I advertise.” ... “Backup?” Tori said. “You mean he didn’t need that?” “Apparently not,” I murmured. Simon looked from her to me, confused, then understanding. “You guys thought…” “That if you didn’t get your medicine in the next twenty-four hours, you’d be dead?” I said. “Not exactly, but close. You know, the old ‘upping the ante with a fatal disease that needs medication’ twist. Apparently, it still works.” “Kind of a letdown, then, huh?” “No kidding. Here we were, expecting to find you minutes from death. Look at you, not even gasping.” “All right, then. Emergency medical situation, take two.” He leaped to his feet, staggered, keeled over, then lifted his head weakly. “Chloe? Is that you?” He coughed. “Do you have my insulin?” I placed it in his outstretched hand. “You saved my life,” he said. “How can I ever repay you?” “Undying servitude sounds good. I like my eggs scrambled.” He held up a piece of fruit. “Would you settle for a bruised apple?” I laughed.

I didn’t study medicine to watch people die." -Kira

There is often talk of human rights, but it is also necessary to talk of the rights of humanity. Why should some people walk barefoot, so that others can travel in luxurious cars? Why should some live for thirty-five years, so that others can live for seventy years? Why should some be miserably poor, so that others can be hugely rich? I speak on behalf of the children in the world who do not have a piece of bread. I speak on the behalf of the sick who have no medicine, of those whose rights to life and human dignity have been denied.

They remained imprisoned in the CICU, kept alive in physicality by mechanical devices and medicinal support, inexorably suffering. I revered their resiliency, though I struggled to understand whether they were truly resilient or if this was a descriptive term I used to assure myself that what we were doing was just. Could they merely represent physical beings at this point, molecular derivatives of carbon and water, void of souls that had moved on months prior once the universe had delivered their inevitable fate, simply kept alive by us physicians, who ourselves clutched desperately to the most favored of our prehistoric binary measures of success: life?

The battle of being mortal is the battle to maintain the integrity of one’s life—to avoid becoming so diminished or dissipated or subjugated that who you are becomes disconnected from who you were or who you want to be.

Losing someone is the worst feeling. Loss carves out a deep, hollow pocket. There's no magical way to fill it, no medicine or Band-Aid or surgery to cure it. I suppose that over time you get used to it, but the feeling never totally goes away. And the more time you spend on earth, the more pockets you'll collect. But it's part of living. It's life. - Katrina Svensen

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.

You're going to make it; You're going to be at peace; You're going to create, and love, and laugh, and live; You're going to do great things.

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?

It was the dandelion principle! To some people a dandelion might look like a weed, but to others that same plant can be so much more. To an herbalist, it’s a medicine—a way of detoxifying the liver, clearing the skin, and strengthening the eyes. To a painter, it’s a pigment; to a hippie, a crown; a child, a wish. To a butterfly, it’s sustenance; to a bee, a mating bed; to an ant, one point in a vast olfactory atlas.

Be consistent in your dedication to showing your gratitude to others. Gratitude is a fuel, a medicine, and spiritual and emotional nourishment.

If end-of-life discussions were an experimental drug, the FDA would approve it.

There are no medicines to bring a dead thing back to life.

A man who has spent most of his adult life trying out a series of patent medicines is always an optimist.

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

Ketut, why is life all crazy like this?" I asked my medicine man the next day...So what can we do about the craziness of the world?" Nothing." Ketut laughed, but with a dose of kindness. "This is nature of world. This is destiny. Worry about your craziness only-make you in peace.

It never ceases to amaze me the precious time we spend chasing the squirrels around our brains, playing out our dramas, worrying about unwanted facial hair, seeking adoration, justifying our actions, complaining about slow Internet connections, dissecting the lives of idiots, when we are sitting in the middle of a full-blown miracle that is happening right here, right now. We're on a planet that somehow knows how to rotate on its axis and follow a defined path while it hurtles through space! Our hearts beat! We can see! We have love, laughter, language, living rooms, computers, compassion, cars, fire, fingernails, flowers, music, medicine, mountains, muffins!

The problem with medicine and the institutions it has spawned for the care of the sick and the old is not that they have had an incorrect view of what makes life significant. The problem is that they have had almost no view at all. Medicine’s focus is narrow. Medical professionals concentrate on repair of health, not sustenance of the soul. Yet—and this is the painful paradox—we have decided that they should be the ones who largely define how we live in our waning days.

Just like your body and lifestyle can be healthy or unhealthy, the same is true with your beliefs. Your beliefs can be your medicine or your poison.

In a life without magic, the best medicine is time,

You look drugged within an inch of your life," Neil said, "and when you're not medicated you're drinking and dusting. When they finally take your medicine away, who are you going to hurt, really?" Andrew laughed. "I'm remembering why I don't like you." "I'm surprised you forgot." "I didn't," Andrew said. "I just got distracted for a moment there.

It's the same with the wound in our hearts. We need to give them our attention so that they can heal. Otherwise the wounds continue to cause us pain. Sometimes for a very long time. We're all going to get hurt. But here's the trick - they also serve an amazing purpose. When our hearts are wounded that's when they open. We grow through pain. We grow through difficult situations. That's why you have to embrace each and every difficult thing in your life.

Work, he said, was a first-rate medicine for any illness.

The beauty of life isn't the perfectioned moments or storybook endings; the beauty of life is when you fall flat on your face, the Lord picks you up, then you look around and cheer, after all, a merry heart is the medicine!

It is foolish to think that you have to read all the books you buy, as it is foolish to criticize those who buy more books than they will ever be able to read. It would be like saying that you should use all the cutlery or glasses or screwdrivers or drill bits you bought before buying new ones. "There are things in life that we need to always have plenty of supplies, even if we will only use a small portion. "If, for example, we consider books as medicine, we understand that it is good to have many at home rather than a few: when you want to feel better, then you go to the 'medicine closet' and choose a book. Not a random one, but the right book for that moment. That's why you should always have a nutrition choice! "Those who buy only one book, read only that one and then get rid of it. They simply apply the consumer mentality to books, that is, they consider them a consumer product, a good. Those who love books know that a book is anything but a commodity.

Everything, except boredom, bores me. I’d like, without being calm, to calm down, To take life every day Like a medicine— One of those medicines everybody takes. I aspired to so much, dreamed so much, That so much so much made me into nothing. My hands grew cold From just waiting for the enchantment Of the love that would warm them up at last. Cold, empty Hands.

Sometimes we can offer a cure, sometimes only a salve, sometimes not even that. But whatever we can offer, our interventions, and the risks and sacrifices they entail, are justified only if they serve the larger aims of a person’s life. When we forget that, the suffering we inflict can be barbaric. When we remember it the good we do can be breathtaking.

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

There are times in life when sugar turns into medicine. This was one of those times.

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

And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for.

Gomers are human beings who have lost what goes into being human beings. They want to die, and we will not let them.

Modernization did not demote the elderly. It demoted the family. It gave people—the young and the old—a way of life with more liberty and control, including the liberty to be less beholden to other generations. The veneration of elders may be gone, but not because it has been replaced by veneration of youth. It’s been replaced by veneration of the independent self. *   *   *

Nobody dast blame this man. You don’t understand: Willy was a salesman. And for a salesman, there’s no rock bottom to the life. He don’t put a bolt to a nut, he don’t tell you the law or give you medicine. He’s a man way out there in the blue riding on a smile and a shoeshine. And when they start not smiling back—that’s an earthquake. And then you get yourself a couple spots on your hat and your finished. Nobody dast blame this man. A salesman is got to dream boy, it comes with the territory.

Therapy to life: Eat with the wise, and drink with the fools!

if discontent is your disease, travel is medicine. It resensitizes. It opens you up to see outside the patterns you follow. Because new places require new learning.

One reads poetry because he is a member of the human race, and the human race is filled with passion! Medicine, law, banking- these are necessary to sustain life. But poetry, romance, love, beauty? These are what we stay alive for!

It might not be the circle of life,” Lamb says. “But it is the food chain. I didn’t see you feeling sorry for that pig we had for lunch. Or that rabbit you had for dessert. Everything eats something else.” I swing my head towards him. “What eats you?” He raises an eyebrow, giving me a taste of my own medicine. “Existential despair.

People with serious illness have priorities besides simply prolonging their lives. Surveys find that their top concerns include avoiding suffering, strengthening relationships with family and friends, being mentally aware, not being a burden on others, and achieving a sense that their life is complete.

Acknowledgment--being seen and heard and witnessed inside the truth about one's own life--is the only real medicine of grief.

Be a good and proactive and even somewhat desperate patient on your own behalf—seek out the most efficacious anti-selfishness medicines, energetically, for the rest of your life. Find out what makes you kinder, what opens you up and brings out the most loving, generous, and unafraid version of you—and go after those things as if nothing else matters. Because, actually, nothing else does.

Love opens your heart, trumps fear, and paves the way for healing in all aspects of your life.

I think that modern medicine has become like a prophet offering a life free of pain. It is nonsense. The only thing I know that truly heals people is unconditional love.

Your life feels different on you, once you greet death and understand your heart’s position. You wear your life like a garment from the mission bundle sale ever after – lightly because you realize you never paid nothing for it, cherishing because you know you won’t ever come by such a bargain again.

...“Bitter.” “That’s how you know it’s real medicine,” I said. “If it tasted good it would be candy.” “Isn’t that the way of the world?” she said. “We want the sweet things, but we need the unpleasant ones.

There is no medicine that can ignite the bond of love. Friendship is compulsory, love comes around when friendship ripes, and sex is a matter of choice.

It was 10:00 p.m., and their shift had ended four hours earlier, so they could turn their pagers off, a rare privilege.

But what does the “greatest good” mean when it comes to medicine? Is it the number of lives saved? Years of life saved? Best “quality” years of life saved? Or something else?

I’ve tried to imagine how she’d feel knowing that her cells went up in the first space missions to see what would happen to human cells in zero gravity, or that they helped with some of the most important advances in medicine: the polio vaccine, chemotherapy, cloning, gene mapping, in vitro fertilization. I’m pretty sure that she—like most of us—would be shocked to hear that there are trillions more of her cells growing in laboratories now than there ever were in her body.

Pain is inevitable, yet suffering is optional. It is our heart connections that make all the difference. When we experience mental, physical, emotional, or spiritual pain – love is the one medicine that transcends any synthetic or organic drug we use to suppress pain.

Brilliant Muslim scholars applied Qur’anic insights to spark the medieval Islamic Golden Age filled with a mind-boggling outpouring of creativity in science, math, medicine, fashion, philosophy, economics, mental health therapy, architecture, art, and beyond.

All we ask is to be allowed to remain the writers of our own story. That story is ever changing. Over the course of our lives, we may encounter unimaginable difficulties. Our concerns and desires may shift. But whatever happens, we want to retain the freedom to shape our lives in ways consistent with our character and loyalties. This is why the betrayals of body and mind that threaten to erase our character and memory remain among our most awful tortures. The battle of being mortal is the battle to maintain the integrity of one’s life—to avoid becoming so diminished or dissipated or subjugated that who you are becomes disconnected from who you were or who you want to be.

He moved his line in the sand. This is what it means to have autonomy -- you may not control life's circumstances, but getting to be the author of your life means getting to control what you do with them.

But I was 22 when I started this job, and you know what? Sometimes it really is okay to just have a fucking job. Not a passion, not a career, but a steadfast source of bi-weekly income deposited directly into a checking account from which food, and medicine, and apps one totally forgot about having downloaded will be paid for.

My life should be unique; it should be an alms, a battle, a conquest, a medicine.

Advances in medicine and agriculture have saved vastly more lives than have been lost in all the wars in history.

Measurements of people’s minute-by-minute levels of pleasure and pain miss this fundamental aspect of human existence. A seemingly happy life may be empty. A seemingly difficult life may be devoted to a great cause. We have purposes larger than ourselves. Unlike your experiencing self—which is absorbed in the moment—your remembering self is attempting to recognize not only the peaks of joy and valleys of misery but also how the story works out as a whole.

...The human race is filled with passion. And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for.

Fifteen years ago I had an odd dream. In it, a medicinal plant that I was interested in, an Usnea lichen that is ubiquitous on trees throughout the world, told me that while it was good for healing human lungs it was primarily a medicine for the lungs of the planet, the trees. When I awoke, I was amazed. It had never occurred to me in quite that way that plants have some life and purpose outside their use to human beings.

For whatever reason God chose to make man as he is— limited and suffering and subject to sorrows and death—He had the honesty and the courage to take His own medicine. Whatever game He is playing with His creation, He has kept His own rules and played fair. He can exact nothing from man that He has not exacted from Himself. He has Himself gone through the whole of human experience, from the trivial irritations of family life and the cramping restrictions of hard work and lack of money to the worst horrors of pain and humiliation, defeat, despair and death. When He was a man, He played the man. He was born in poverty and died in disgrace and thought it well worthwhile.

On the day I swore to uphold the Hippocratic oath, the small hairs on the back of my neck stood up as I waited for lightning to strike. Who was I, vowing calmly among all these necktied young men to steal life out of nature's jaws, every old time we got half a chance and a paycheck?... I could not accept the contract: that every child born human upon this earth comes with a guarantee of perfect health and old age clutched in its small fist.

Money can buy a house, but not a home; a bed, but not rest; food, but not an appetite; medicine, but not health; information, but not wisdom; thrills, but not joy; associates, but not friends; servants, but not loyalty; flattery, but not respect.

I love the imagery of struggle. I sometimes wish I were suffering in a good cause, or risking my life for the good of others, instead of just being a gravely endangered patient. Allow me to inform you, though, that when you sit in a room with a set of other finalists, and kindly people bring a huge transparent bag of poison and plug it into your arm, and you either read or don't read a book while the venom sack gradually empties itself into your system, the image of the ardent solider is the very last one that will occur to you. You feel swamped with passivity and impotence: dissolving in powerlessness like a sugar lump in water.

That if you didnt get your medicine in the next twenty-four hours you'd be dead?" i said, " Not exactly, but close. you know, the old ' upping the ante with a fatal disease that needs medication twist. APerently it still works." "Kind of a letdown, then, huh?" "No kidding. Look at you, your not even gasping." " All right then, emergency medical situation, take two." he leaped to his feet, stagored, kneeled over, then lifted his head weakly. Chloe? Is that you?" he couphed, " DO you have my insulin?" i placed it in his outstreched hand. "You savedmy life, how can i ever repay you?" he said. "undying servitude sounds good. i like my eggs scrambled." he held up a piece of fruit, "Would you settle for a bruised apple?" i lauphed. "YOu guys are wierd." tori said. simon sat on the crate beside me. "thats right. we are totally wierd and completely uncool. you popularity is plummeting just by being near us. so why dont you-" "Chloe?" derek inturupted. "Hows your arm?" "HEr-?" simon swore under his breath. "Way to keep showing me up. first food. now her arm" he turned to me"How is it?

medicine, law, banking- these are necessary to sustain life. but poetry, romance, love, beauty? these are what we stay alive for!

This drove home to me how barbaric our own medicine and our own customs are in the “civilized” world, where we put ill or demented people away and try to forget them.

Medicine, law, banking--these are necessary to sustain life. But poetry, romance, love, beauty? These are what we stay alive for! - Mr. Keating, Dead Poet’s Society.

Jazz music itself is an example of changing poison into medicine. African Americans created jazz, a great medicine for people’s hearts, out of the poisonous experience of slavery. Jazz developed from African culture, gospel music, and blues to lift up the spirits of oppressed people, and now it brings joy to people the world over.

Every creature was designed to serve a purpose. Learn from animals for they are there to teach you the way of life. There is a wealth of knowledge that is openly accessible in nature. Our ancestors knew this and embraced the natural cures found in the bosoms of the earth. Their classroom was nature. They studied the lessons to be learned from animals. Much of human behavior can be explained by watching the wild beasts around us. They are constantly teaching us things about ourselves and the way of the universe, but most people are too blind to watch and listen.

What we are fighting isn't godlessness--this is the most godly country on earth. We aren't even fighting disease. Its poverty. Money for food, medicines... that helps. When we cannot cure or save a life, our patients can at least feel cared for. It should be a basic human right.

For where else can I go to sample daily the richness of life in all its profound chaos?

Medicines cannot drug away the cellular defects that develop in response to improper nutrition throughout life.

But I always have thought it was strange, if our mother cells done so much for medicine, how come her family can’t afford to see no doctors?

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.

In the land of Gods and Monsters I was an Angel Living in the garden of evil Screwed up, scared, doing anything that I needed Shining like a fiery beacon You got that medicine I need Fame, Liquor, Love give it to me slowly Put your hands on my waist, do it softly Me and God, we don't get along so now I sing No one's gonna take my soul away I'm living like Jim Morrison Headed towards a fucked up holiday Motel sprees sprees and I'm singing 'Fuck yeah give it to me this is heaven, what I truly Want' It's innocence lost Innocence lost In the land of Gods and Monsters I was an Angel Looking to get fucked hard Like a groupie incognito posing as a real singer Life imitates art You got that medicine I need Dope, shoot it up, straight to the heart please I don't really wanna know what's good for me God's dead, I said 'baby that's alright with me' No one's gonna take my soul away I'm living like Jim Morrison Headed towards a fucked up holiday Motel sprees sprees and I'm singing 'Fuck yeah give it to me this is heaven, what I truly Want' It's innocence lost Innocence lost When you talk it's like a movie and you're making me Crazy - Cause life imitates art If I get a little prettier can I be your baby? You tell me, "life isn't that hard" No one's gonna take my soul away I'm living like Jim Morrison Headed towards a fucked up holiday Motel sprees sprees and I'm singing 'Fuck yeah give it to me this is heaven, what I truly Want' It's innocence lost Innocence lost

because he is a member of the human race, and the human race is filled with passion! Medicine, law, banking—these are necessary to sustain life. But poetry, romance, love, beauty? These are what we stay alive for!

Pure creativity is magnificent expressly because it is the opposite of everything else in life that’s essential or inescapable (food, shelter, medicine, rule of law, social order, community and familial responsibility, sickness, loss, death, taxes, etc.). Pure creativity is something better than a necessity; it’s a gift. It’s the frosting. Our creativity is a wild and unexpected bonus from the universe.

A nurse has five seconds to make a patient like you and trust you. It’s in the whole way you present yourself. I do not come in saying, ‘I’m so sorry.’ Instead, it’s: ‘I’m the hospice nurse, and here’s what I have to offer you to make your life better. And I know we don’t have a lot of time to waste.

My head is so full of memories!" Cinderheart wailed. "I feel as though there are two lives inside me, not one. How can it be my choice to make? Doesn't Cinderpelt have a choice? I can't make her a warrior! She was a medicine cat!" Lionblaze pressed his muzzle closer. "She chose you", he murmured. "She gave you the choice". Cinderheart began to tremble. Lionblaze could sense her mind whirling. "You can only live one life, Cinderheart. It's your choice! This is your destiny, not Cinderpelt's. She lived her own life". Cinderheart gasped. Then her pelt smoothed. She lifted her chin. "Then I choose the life of a warrior". Her blue eyes shone. "And I choose you". A breeze stirred the ferns. Lionblaze glimpsed a pale gray shape appear like a shadow beside Cinderheart. Stepping back in surprise, he saw it peel away from her and drift up like a cobweb carried by the wind. A soft voice whispered, Thank you. Lionblaze's fur stood on end. "Did you see that? Cinderheart was watching the shadow disappear into the trees. "It was Cinderpelt", she breathed. "I've set her free". Lionblaze purred loudly. "Will you fight alongside me?" Cinderheart pressed her muzzle fiercely against his. "Always".

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!

When the right person hugs you, it's like medicine. I'm so grateful for those few people in my life who are good for my soul.

The peculiar predicament of the present-day self surely came to pass as a consequence of the disappointment of the high expectations of the self as it entered the age of science and technology. Dazzled by the overwhelming credentials of science, the beauty and elegance of the scientific method, the triumph of modern medicine over physical ailments, and the technological transformation of the very world itself, the self finds itself in the end disappointed by the failure of science and technique in those very sectors of life which had been its main source of ordinary satisfaction in past ages. As John Cheever said, the main emotion of the adult Northeastern American who has had all the advantages of wealth, education, and culture is disappointment. Work is disappointing. In spite of all the talk about making work more creative and self-fulfilling, most people hate their jobs, and with good reason. Most work in modern technological societies is intolerably dull and repetitive. Marriage and family life are disappointing. Even among defenders of traditional family values, e.g., Christians and Jews, a certain dreariness must be inferred, if only from the average time of TV viewing. Dreary as TV is, it is evidently not as dreary as Mom talking to Dad or the kids talking to either. School is disappointing. If science is exciting and art is exhilarating, the schools and universities have achieved the not inconsiderable feat of rendering both dull. As every scientist and poet knows, one discovers both vocations in spite of, not because of, school. It takes years to recover from the stupor of being taught Shakespeare in English Lit and Wheatstone's bridge in Physics. Politics is disappointing. Most young people turn their backs on politics, not because of the lack of excitement of politics as it is practiced, but because of the shallowness, venality, and image-making as these are perceived through the media--one of the technology's greatest achievements. The churches are disappointing, even for most believers. If Christ brings us new life, it is all the more remarkable that the church, the bearer of this good news, should be among the most dispirited institutions of the age. The alternatives to the institutional churches are even more grossly disappointing, from TV evangelists with their blown-dry hairdos to California cults led by prosperous gurus ignored in India but embraced in La Jolla. Social life is disappointing. The very franticness of attempts to reestablish community and festival, by partying, by groups, by club, by touristy Mardi Gras, is the best evidence of the loss of true community and festival and of the loneliness of self, stranded as it is as an unspeakable consciousness in a world from which it perceives itself as somehow estranged, stranded even within its own body, with which it sees no clear connection. But there remains the one unquestioned benefit of science: the longer and healthier life made possible by modern medicine, the shorter work-hours made possible by technology, hence what is perceived as the one certain reward of dreary life of home and the marketplace: recreation. Recreation and good physical health appear to be the only ambivalent benefits of the technological revolution.

However, one thing that grave illness does is to make you examine familiar principles and seemingly reliable sayings. And there's one that I find I am not saying with quite the same conviction as I once used to: In particular, I have slightly stopped issuing the announcement that "whatever doesn't kill me makes me stronger." In fact, I now sometimes wonder why I ever thought it profound... In the brute physical world, and the one encompassed by medicine, there are all too many things that could kill you, don't kill you, and then leave you considerably weaker.

We don't read and write poetry because it is cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for. To quote Whitman, 'O me! O life!... of the questions of these recurring; of the endless trains of the faithless... of cities filled with the foolish; what good amid these, O me, O life?' Answer: That you are here - that life exists, and identity; that the powerful play goes on and you may contribute a verse. What will your verse be?

One reads poetry because he is a member of the human race, and the human race is filled with passion! Medicine, law, banking - these are necesseary to sustain life. But poetry, romance, love, beauty? These are what we stay alive for!

I always figured we were born to fly, one way or other, so I couldn't stand most men shuffling along with all the iron of the earth in their blood. I never met a man who weighed less than nine hundred pounds.

In 2014, my friend Herbie Hancock was invited to give the prestigious Norton Lectures at Harvard University, where he shared great insights on the topics of mentorship and changing poison into medicine. Herbie related lessons from his jazz mentor, Miles Davis, who taught him that “a great mentor can provide a path to finding your own true answers,” and to always “reach up while reaching down; grow while helping others.

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.

A woman's body is a sacred temple. A work of art, and a life-giving vessel. And once she becomes a mother, her body serves as a medicine cabinet for her infant. From her milk she can nourish and heal her own child from a variety of ailments. And though women come in a wide assortment as vast as the many different types of flowers and birds, she is to reflect divinity in her essence, care and wisdom. God created a woman's heart to be a river of love, not to become a killing machine.

Because drugs have become so profitable, major medical journals rarely publish studies on nondrug treatments of mental health problems.31 Practitioners who explore treatments are typically marginalized as “alternative.” Studies of nondrug treatments are rarely funded unless they involve so-called manualized protocols, where patients and therapists go through narrowly prescribed sequences that allow little fine-tuning to individual patients’ needs. Mainstream medicine is firmly committed to a better life through chemistry, and the fact that we can actually change our own physiology and inner equilibrium by means other than drugs is rarely considered.

Despite all my public misconduct, in the past year, I had learned the Elemental spells, the Doppelschläferin, and the preparation and flying of a magic broom; I had survived two months as prisoner of war, saving the life of captain Johanne in the process; I had escaped the dungeons of Fortress Drachensbett, and after an arduous journey successfully reunited with my double, so preserving her, and all Montagne, from Prince Flonian's rapacity, I would somehow master the despicable art of being a princess.

Eventually it became clear that our emotions, attitudes, and thoughts profoundly affect our bodies, sometimes to the degree of life or death. Soon mind-body effects were recognized to have positive as well as negative impacts on the body. This realization came largely from research on the placebo effect—the beneficial results of suggestion, expectation, and positive thinking.

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

As people become aware of the finitude of their life, they do not ask for much. They do not seek more riches. They do not seek more power. They ask only to be permitted, insofar as possible, to keep shaping the story of their life in the world—to make choices and sustain connections to others according to their own priorities.

Elder's Meditation of the Day - February 18 "laughter is a necessity in life that does not cost much, and the Old Ones say that one of the greatest healing powers in our life is the ability to laugh." --Larry P. Aitken, CHIPPEWA Laughter is a good stress eliminator. Laughter causes healing powers to be distributed through our bodies. Laughter helps heal relationships that are having problems. Laughter can change other people. Laughter can heal the sick. Laughter is spiritual. One of the greatest gifts among Indian people has been our ability to laugh. Humor is natural to Indian people. Sometimes the only thing left to do is laugh. Great Spirit, allow me to laugh when times get tough.

What we need to remember -- as a working practice -- is to honor all griefs. Honor all losses, small and not small. Life changing and moment changing. And then, not to compare them. That all people experience pain is not medicine for anything.

76. David Hume – Treatise on Human Nature; Essays Moral and Political; An Enquiry Concerning Human Understanding 77. Jean-Jacques Rousseau – On the Origin of Inequality; On the Political Economy; Emile – or, On Education, The Social Contract 78. Laurence Sterne – Tristram Shandy; A Sentimental Journey through France and Italy 79. Adam Smith – The Theory of Moral Sentiments; The Wealth of Nations 80. Immanuel Kant – Critique of Pure Reason; Fundamental Principles of the Metaphysics of Morals; Critique of Practical Reason; The Science of Right; Critique of Judgment; Perpetual Peace 81. Edward Gibbon – The Decline and Fall of the Roman Empire; Autobiography 82. James Boswell – Journal; Life of Samuel Johnson, Ll.D. 83. Antoine Laurent Lavoisier – Traité Élémentaire de Chimie (Elements of Chemistry) 84. Alexander Hamilton, John Jay, and James Madison – Federalist Papers 85. Jeremy Bentham – Introduction to the Principles of Morals and Legislation; Theory of Fictions 86. Johann Wolfgang von Goethe – Faust; Poetry and Truth 87. Jean Baptiste Joseph Fourier – Analytical Theory of Heat 88. Georg Wilhelm Friedrich Hegel – Phenomenology of Spirit; Philosophy of Right; Lectures on the Philosophy of History 89. William Wordsworth – Poems 90. Samuel Taylor Coleridge – Poems; Biographia Literaria 91. Jane Austen – Pride and Prejudice; Emma 92. Carl von Clausewitz – On War 93. Stendhal – The Red and the Black; The Charterhouse of Parma; On Love 94. Lord Byron – Don Juan 95. Arthur Schopenhauer – Studies in Pessimism 96. Michael Faraday – Chemical History of a Candle; Experimental Researches in Electricity 97. Charles Lyell – Principles of Geology 98. Auguste Comte – The Positive Philosophy 99. Honoré de Balzac – Père Goriot; Eugenie Grandet 100. Ralph Waldo Emerson – Representative Men; Essays; Journal 101. Nathaniel Hawthorne – The Scarlet Letter 102. Alexis de Tocqueville – Democracy in America 103. John Stuart Mill – A System of Logic; On Liberty; Representative Government; Utilitarianism; The Subjection of Women; Autobiography 104. Charles Darwin – The Origin of Species; The Descent of Man; Autobiography 105. Charles Dickens – Pickwick Papers; David Copperfield; Hard Times 106. Claude Bernard – Introduction to the Study of Experimental Medicine 107. Henry David Thoreau – Civil Disobedience; Walden 108. Karl Marx – Capital; Communist Manifesto 109. George Eliot – Adam Bede; Middlemarch 110. Herman Melville – Moby-Dick; Billy Budd 111. Fyodor Dostoevsky – Crime and Punishment; The Idiot; The Brothers Karamazov 112. Gustave Flaubert – Madame Bovary; Three Stories 113. Henrik Ibsen – Plays 114. Leo Tolstoy – War and Peace; Anna Karenina; What is Art?; Twenty-Three Tales 115. Mark Twain – The Adventures of Huckleberry Finn; The Mysterious Stranger 116. William James – The Principles of Psychology; The Varieties of Religious Experience; Pragmatism; Essays in Radical Empiricism 117. Henry James – The American; The Ambassadors 118. Friedrich Wilhelm Nietzsche – Thus Spoke Zarathustra; Beyond Good and Evil; The Genealogy of Morals;The Will to Power 119. Jules Henri Poincaré – Science and Hypothesis; Science and Method 120. Sigmund Freud – The Interpretation of Dreams; Introductory Lectures on Psychoanalysis; Civilization and Its Discontents; New Introductory Lectures on Psychoanalysis 121. George Bernard Shaw – Plays and Prefaces

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.

Emergencies are crucibles that contain and reveal the daily, slower-burning problems of medicine and beyond—our vulnerabilities; our trouble grappling with uncertainty, how we die, how we prioritize and divide what is most precious and vital and limited; even our biases and blindnesses.

Walt Whitman (1819–1892). Leaves of Grass. 1900. To You WHOEVER you are, I fear you are walking the walks of dreams, I fear these supposed realities are to melt from under your feet and hands; Even now, your features, joys, speech, house, trade, manners, troubles, follies, costume, crimes, dissipate away from you, Your true Soul and Body appear before me, They stand forth out of affairs—out of commerce, shops, law, science, work, forms, clothes, the house, medicine, print, buying, selling, eating, drinking, suffering, dying. Whoever you are, now I place my hand upon you, that you be my poem; I whisper with my lips close to your ear, I have loved many women and men, but I love none better than you. O I have been dilatory and dumb; I should have made my way straight to you long ago; I should have blabb’d nothing but you, I should have chanted nothing but you. I will leave all, and come and make the hymns of you; None have understood you, but I understand you; None have done justice to you—you have not done justice to yourself; None but have found you imperfect—I only find no imperfection in you; None but would subordinate you—I only am he who will never consent to subordinate you; I only am he who places over you no master, owner, better, God, beyond what waits intrinsically in yourself. Painters have painted their swarming groups, and the centre figure of all; From the head of the centre figure spreading a nimbus of gold-color’d light; But I paint myriads of heads, but paint no head without its nimbus of gold-color’d light; From my hand, from the brain of every man and woman it streams, effulgently flowing forever. O I could sing such grandeurs and glories about you! You have not known what you are—you have slumber’d upon yourself all your life; Your eye-lids have been the same as closed most of the time; What you have done returns already in mockeries; (Your thrift, knowledge, prayers, if they do not return in mockeries, what is their return?) The mockeries are not you; Underneath them, and within them, I see you lurk; I pursue you where none else has pursued you; Silence, the desk, the flippant expression, the night, the accustom’d routine, if these conceal you from others, or from yourself, they do not conceal you from me; The shaved face, the unsteady eye, the impure complexion, if these balk others, they do not balk me, The pert apparel, the deform’d attitude, drunkenness, greed, premature death, all these I part aside. There is no endowment in man or woman that is not tallied in you; There is no virtue, no beauty, in man or woman, but as good is in you; No pluck, no endurance in others, but as good is in you; No pleasure waiting for others, but an equal pleasure waits for you. As for me, I give nothing to any one, except I give the like carefully to you; I sing the songs of the glory of none, not God, sooner than I sing the songs of the glory of you. Whoever you are! claim your own at any hazard! These shows of the east and west are tame, compared to you; These immense meadows—these interminable rivers—you are immense and interminable as they; These furies, elements, storms, motions of Nature, throes of apparent dissolution—you are he or she who is master or mistress over them, Master or mistress in your own right over Nature, elements, pain, passion, dissolution. The hopples fall from your ankles—you find an unfailing sufficiency; Old or young, male or female, rude, low, rejected by the rest, whatever you are promulges itself; Through birth, life, death, burial, the means are provided, nothing is scanted; Through angers, losses, ambition, ignorance, ennui, what you are picks its way.

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.

The possibilities and probabilities are all we have to work with in medicine, though. What we are drawn to in this imperfect science, what we in fact covet in our way, is the alterable moment-the fragile but crystalline opportunity for one's know-how, ability, or just gut instinct to change the course of another's life for the better.

We don’t read and write poetry because it’s cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. Medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for. To quote from Whitman, ‘O me! O life!… of the questions of these recurring; of the endless trains of the faithless… of cities filled with the foolish; what good amid these, O me, O life?’ Answer. That you are here - that life exists, and identity; that the powerful play goes on and you may contribute a verse. That the powerful play goes on and you may contribute a verse. What will your verse be?

Love is an intangible thing. When you truly love, you learn that what you feel is more significant than anything that you can see. Love has more power than any weapon. It is more life giving than food or medicine. Sometimes love lasts forever and sometimes it lasts just long enough to teach you what you need to learn.

We’re suggesting that [kids are] missing something if they don’t read but, actually, we’re condemning kids to a lesser life. If you had a sick patient, you would not try to entice them to take their medicine. You would tell them, ‘Take this or you’re going to die.’ We need to tell kids flat out: reading is not optional.

We don't read and write poetry because it's cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for

We don't read and write poetry because it's cute. We read and write poetry because we are members of the human race. And the human race is filled with passion. And medicine, law, business, engineering, these are noble pursuits and necessary to sustain life. But poetry, beauty, romance, love, these are what we stay alive for.

THE ONE THING YOU MUST DO There is one thing in this world you must never forget to do. If you forget everything else and not this, there's nothing to worry about, but if you remember everything else and forget this, then you will have done nothing in your life. It's as if a king has sent you to some country to do a task, and you perform a hundred other services, but not the one he sent you to do. So human being come to this world to do particular work. That work is the purpose, and each is specific to the person. If you don't do it, it's as though a priceless Indian sword were used to slice rotten meat. It's a golden bowl being used to cook turnips, when one filing from the bowl could buy a hundred suitable pots. It's like a knife of the finest tempering nailed into a wall to hang things on. You say, "But look, I'm using the dagger. It's not lying idle." Do you hear how ludicrous that sounds? For a penny an iron nail could be bought to serve for that. You say, "But I spend my energies on lofty enterprises. I study jurisprudence and philosophy and logic and astronomy and medicine and the rest." But consider why you do those things. They are all branches of yourself. Remember the deep root of your being, the presence of your lord. Give yourself to the one who already owns your breath and your moments. If you don't, you will be like the man who takes a precious dagger and hammers it into his kitchen wall for a peg to hold his dipper gourd. You'll be wasting valuable keenness and forgetting your dignity and purpose.

There is lovemaking that is bad for a person, just as there is eating that is bad. That boysenberry cream pie from the Thrift-E Mart may appear inviting, may, in fact, cause all nine hundred taste buds to carol from the tongue, but in the end, the sugars, the additives, the empty calories clog arteries, disrupt cells, generate fat, and rot teeth. Even potentially nourishing foods can be improperly prepared. There are wrong combinations and improper preparations in sex as well. Yes, one must prepare for a fuck--the way an enlightened priest prepares to celebrate mass, the way a great matador prepares for the ring: with intensification, with purification, with a conscious summoning of sacred power. And even that won't work if the ingredients are poorly matched: oysters are delectable, so are strawberries, but mashed together ... (?!) Every nutritious sexual recipe calls for at least a pinch of love, and the fucks that rate four-star rankings from both gourmets and health-food nuts use cupfuls. Not that sex should be regarded as therapeutic or to be taken for medicinal purposes--only a dullard would hang such a millstone around the nibbled neck of a lay--but to approach sex carelessly, shallowly, with detachment and without warmth is to dine night after night in erotic greasy spoons. In time, one's palate will become insensitive, one will suffer (without knowing it) emotional malnutrition, the skin of the soul will fester with scurvy, the teeth of the heart will decay. Neither duration nor proclamation of commitment is necessarily the measure--there are ephemeral explosions of passion between strangers that make more erotic sense than lengthy marriages, there are one-night stands in Jersey City more glorious than six-months affairs in Paris--but finally there is a commitment, however brief; a purity, however threatened; a vulnerability, however concealed; a generosity of spirit, however marbled with need; and honest caring, however singled by lust, that must be present if couplings are to be salubrious and not slow poison.

Sometimes, though, I feel that pushing books is a whole lot like pushing medicine. Think of books as pills. I have pills that cure ignorance and pills that cure boredom. I have pills to elevate moods and pills to open people's eyes to the awful truth: uppers and downers as they were. I sell pills to help people find themselves and pills to help them lose themselves when they require escape from the pressures and anxieties of life in a complex society...

A mountain is the best medicine for a troubled mind. Seldom does man ponder his own insignificance. He thinks he is master of all things. He thinks the world is his without bonds. Nothing could be farther from the truth. Only when he tramps the mountains alone, communing with nature, observing other insignificant creatures about him, to come and go as he will, does he awaken to his own short-lived presence on earth.

Seeing modern health care from the other side, I can say that it is clearly not set up for the patient. It is frequently a poor arrangement for doctors as well, but that does not mitigate how little the system accounts for the patient's best interest. Just when you are at your weakest and least able to make all the phone calls, traverse the maze of insurance, and plead for health-care referrals is that one time when you have to — your life may depend on it.

His overriding life necessity was not love, it was his profession…He had come to medicine not by coincidence or calculation but by a deep inner desire. Insofar as it is possible to divide people into categories, the surest criterion is the deep-seated desires that orient them to one or another lifelong activity. Every Frenchman is different. But all the actors the world over are similar.

Better to forget, better to let go of the bitterness. I say bitterness is only good in medicine, or if you fry bitter gourd with egg, then it's dlicious. I told Lan-Lan many times, we have only one life, it's important to kua kwee, to look spaciously. Not keep the eyes so narrowed down to the small dispairs. Those people who say forgive and forget, I say they not right. Not so simple. I say, find right medicine. Bitterness must be just right for problem. Then swallow it, think of good things can do when no longer sick.

Our reverence for independence takes no account of the reality of what happens in life: sooner or later, independence will become impossible. Serious illness or infirmity will strike. It is as inevitable as sunset. And then a new question arises: If independence is what we live for, what do we do when it can no longer be sustained?

Love and intimacy are at the root of what makes us sick and what makes us well, what causes sadness and what brings happiness, what makes us suffer and what leads to healing. … I am not aware of any other factor in medicine—not diet, not smoking, not exercise, not stress, not genetics, not drugs, not surgery—that has a greater impact on our quality of life, incidence of illness, and premature death from all causes.

Women are at their most powerful during menstruation, connected to life-giving forces. The reason we don’t use traditional medicines and we’re not around ceremonial fires during this time is that we carry our own medicine and fire within. Others may act as if it’s something annoying or unclean, but even the way we refer to menstruation is respectful. Your Moon is a mighty time.

That was the splendid thing about life: Though it was cruel, it was also mysterious, filled with wonder and surprise; sometimes the surprises were so amazing that they qualified as miraculous, and by witnessing those miracles, a despondent person could discover a reason to live, a cynic could obtain unexpected relief from ennui, and a profoundly wounded boy could find the will to heal himself and medicine for melancholy.

Sometimes it all becomes too much. Your body and mind will just give way. Part of you may want to blissfully fade into nothing, but you never do. After a while all the memories and emotions make you shut down but never fully disappear—it’s safer for you this way, to be excluded. It’s a time to be alone, to heal, and to find yourself. It doesn’t mean you’ve given up or stopped trying; it just means you know what’s best for you. Breathing is medicine. I forgot how to breathe, but I’m learning all over again.

Study changes a man, puts pride into him. You need it to get to the bottom of life. Without it you just skim the surface. You think you're in the know, but trifles throw you off. You dream too much. You content yourself with words instead of going deeper. That's not what you wanted. Intentions, appearances, no more. A man of character can't content himself with that. Medicine, even if I wasn't very gifted, had brought me a good deal closer to people, to animals, everything. Now all I had to do was plunge straight into the heart of things. Death is chasing you, you've got to hurry, and while you're looking you've got to eat, and keep away from wars. That's a lot of things to do. It's no picnic.

Life, inexhaustible, goes on. And we do too. Carrying our wounds and our medicines as we go. Ours is an amazing, a spectacular, journey in the Americas. It is so remarkable one can only be thankful for it, bizarre as that may sound. Perhaps our planet is for learning to appreciate the extraordinary wonder of life that surrounds even our suffering, and to say Yes, if through the thickest of tears.

Healing is a biological process, not an art. It is as much a function of the living organism as respiration, digestion, circulation, excretion, cell proliferation, or nerve activity. It is a ceaseless process, as constant as the turning of the earth on its axis. Man can neither duplicate nor imitate nor provide a substitute for the process. All schools of healing are frauds.

THE ONE THING YOU MUST DO There is one thing in this world you must never forget to do. If you forget everything else and not this, there's nothing to worry about, but if you remember everything else and forget this, then you will have done nothing in your life. It's as if a king has sent you to some country to do a task, and you perform a hundred other services, but not the one he sent you to do. So human being come to this world to do particular work. That work is the purpose, and each is specific to the person. If you don't do it, it's as though a priceless Indian sword were used to slice rotten meat. It's a golden bowl being used to cook turnips, when one filing from the bowl could buy a hundred suitable pots. It's like a knife of the finest tempering nailed into a wall to hang things on. You say, "But look, I'm using the dagger. It's not lying idle." Do you hear how ludicrous that sounds? For a penny an iron nail could be bought to serve for that. You say, "But I spend my energies on lofty enterprises. I study jurisprudence and philosophy and logic and astronomy and medicine and the rest." But consider why you do those things. They are all branches of yourself. Remember the deep root of your being, the presence of your lord. Give yourself to the one who already owns your breath and your moments. If you don't, you will be like the man who takes a precious dagger and hammers it into his kitchen wall for a peg to hold his dipper gourd. You'll be wasting valuable keenness and forgetting your dignity and purpose.

THERE HAVE ALWAYS BEEN ITINERANTS, drifters, hobos, restless souls. But now, in the second millennium, a new kind of wandering tribe is emerging. People who never imagined being nomads are hitting the road. They’re giving up traditional houses and apartments to live in what some call “wheel estate”—vans, secondhand RVs, school buses, pickup campers, travel trailers, and plain old sedans. They are driving away from the impossible choices that face what used to be the middle class. Decisions like: Would you rather have food or dental work? Pay your mortgage or your electric bill? Make a car payment or buy medicine? Cover rent or student loans? Purchase warm clothes or gas for your commute? For many the answer seemed radical at first. You can’t give yourself a raise, but what about cutting your biggest expense? Trading a stick-and-brick domicile for life on wheels?

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

Plants are not like us. They are different in critical and fundamental ways. As I catalog the differences between plants and animals, the horizon stretches out before me faster than I can travel and forces me to acknowledge that perhaps I was destined to study plants for decades only in order to more fully appreciate that they are beings we can never truly understand. Only when we begin to grasp this deep otherness can we be sure we are no longer projecting ourselves onto plants. Finally we can begin to recognize what is actually happening. Our world is falling apart quietly. Human civilization has reduced the plant, a four-million-year-old life form, into three things: food, medicine, and wood...

This is the consequence of a society that faces the final phase of the human life cycle by trying not to think about it. We end up with institutions that address any number of societal goals—from freeing up hospital beds to taking burdens off families’ hands to coping with poverty among the elderly—but never the goal that matters to the people who reside in them: how to make life worth living when we’re weak and frail and can’t fend for ourselves anymore.

I would not choose to live in any age but my own; advances in medicine alone, and the consequent survival of children with access to these benefits, should preclude any temptation to trade for the past. But we cannot understand history if we saddle the past with pejorative categories based on our bad habits for dividing continua into compartments of increasing worth towards the present. These errors apply to the vast paleontological history of life, as much as to the temporally trivial chronicle of human beings. I cringe every time I read that this failed business, or that defeated team, has become a dinosaur is succumbing to progress. Dinosaur should be a term of praise, not opprobrium. Dinosaurs reigned for more than 100 million years and died through no fault of their own; Homo sapiens is nowhere near a million years old, and has limited prospects, entirely self-imposed, for extended geological longevity.

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

In the end, people don’t view their life as merely the average of all of its moments—which, after all, is mostly nothing much plus some sleep. For human beings, life is meaningful because it is a story. A story has a sense of a whole, and its arc is determined by the significant moments, the ones where something happens. Measurements of people’s minute-by-minute levels of pleasure and pain miss this fundamental aspect of human existence. A seemingly happy life may be empty. A seemingly difficult life may be devoted to a great cause. We have purposes larger than ourselves. Unlike your experiencing self—which is absorbed in the moment—your remembering self is attempting to recognize not only the peaks of joy and valleys of misery but also how the story works out as a whole. That is profoundly affected by how things ultimately turn out. Why would a football fan let a few flubbed minutes at the end of the game ruin three hours of bliss? Because a football game is a story. And in stories, endings matter. Yet we also recognize that the experiencing self should not be ignored. The peak and the ending are not the only things that count. In favoring the moment of intense joy over steady happiness, the remembering self is hardly always wise. “An inconsistency is built into the design of our minds,” Kahneman observes. “We have strong preferences about the duration of our experiences of pain and pleasure. We want pain to be brief and pleasure to last. But our memory … has evolved to represent the most intense moment of an episode of pain or pleasure (the peak) and the feelings when the episode was at its end. A memory that neglects duration will not serve our preference for long pleasure and short pains.” When our time is limited and we are uncertain about how best to serve our priorities, we are forced to deal with the fact that both the experiencing self and the remembering self matter. We do not want to endure long pain and short pleasure. Yet certain pleasures can make enduring suffering worthwhile. The peaks are important, and so is the ending.

But God’s presence in your life has nothing to do with your feelings. Your emotions are susceptible to all kinds of influences, so they are often unreliable. Sometimes the worst advice you can get is “Do what you feel.” Often what we feel is neither real nor right. Your emotional state can be the result of memories, hormones, medicines, food, lack of sleep, tension, or fears. Whenever I start to feel anxious about a situation, I remind myself that fear is often False Evidence Appearing Real.

I kneeled in front of the E M T chair, in front of the mirror on the medicine cabinet, and wiped the rest of the makeup away. My skin was raw, pink and new. The ambulance had a single round light in the middle of the ceiling. The light cast long shadows under my nose, ears, eyes, and chin, and in the shadows I was young and I was a crone, in the exact same moment. That's it, I thought: life is short. The only value of wated time is knowledge. p.295

[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.

Backup?" Tori said. "You mean he didn't need that?" "Apparently not," I murmured. Simon looked from her to me, confused, then understanding. "You guys thought..." "That if you didn't get your medicine in the next twenty-four hours, you'd be dead?" I said. "Not exactly, but close. You know, the old 'upping the ante with a fatal disease that needs medication' twist. Apparently, it still works." "Kind of a letdown, then, huh?" "No kidding. Here we were, expecting to find you minutes from death. Look at you, not even gasping." "All right, then. Emergency medical situation, take two." He leaped to his feet, staggered, keeled over, then lifted his head weakly. "Chloe? Is that you?" He coughed. "Do you have my insulin?" I placed it in his outstretched hand. "You saved my life," he said. "How can I ever repay you?" "Undying servitude sounds good. I like my eggs scrambled." He held up a piece of fruit. "Would you settle for a bruised apple?

I don't eat healthy because I'm trying to avoid death. Death does not scare me. I am, however, terrified of dying before I am dead. I have a strong desire to make the best of the time I have here. Living foods straight from the Earth help my body thrive, my imagination soar and my mind stay clear. It's about quality of life for me. I feel the best when I eat a diet free of pesticides, chemicals, GMOs and refined sugars. Growing herbs and making my own medicine helps me stay connected to the Earth; hence, helping me connect with my true purpose here. I have work to do here! I choose to leave this planet more beautiful than I found it and eating magical foods gives me the energy and inspiration I need to do my work.

Parisians take their work quite seriously, but they take their enjoyment of the little moments just as seriously. Sometimes sitting in a café with close friends or family and enjoying a shared plate of macarons is just as important as sitting in an office working. You know, some Parisians start their morning with a mug of hot chocolate. Really? Emilia asked, taking a fourth and fifth sip. The chocolate is like medicine to take away your troubles and help you see that life is sweet.

I realised from quite early on in my childhood that I saw things differently from other people,' he wrote. 'But, more than not, it's helped me in my life. Psychopathy(if that's what you call it) is like a medicine for modern times. If you take it in moderation it can prove extremely beneficial. It can alleviate a lot of existential ailments that we would otherwise fall victim to because our fragile psychological immune systems just aren't up to the job of protecting us. But if you take too much of it, if you overdose on it, then there can, as is the case with all medicines, be some rather unpleasant side effects.

He stared to sea. "I gave up all ideas of practicing medicine. In spite of what I have just said about the wave and the water, in those years in France I am afraid I lived a selfish life. That is, I offered myself every pleasure. I traveled a great deal. I lost some money dabbling in the theatre, but I made much more dabbling on the Bourse. I gained a great many amusing friends, some of whom are now quite famous. But I was never very happy. I suppose I was fortunate. It took me only five years to discover what some rich people never discover — that we all have a certain capacity for happiness and unhappiness. And that the economic hazards of life do not seriously affect it.

I made him a promise." Kevin dragged his stare away from Neil's face to follow Andrew's progress. "He's waiting to see if I can keep it." "I don't understand." Kevin said nothing for so long Neil almost gave up waiting for an answer. Finally he explained, "Andrew on his drugs is useless, but Andrew off his drugs is worse. His high school counselor saw the difference between his junior and senior years and swore this medicine saved his life. A sober Andrew is…" Kevin thought for a moment, trying to remember her exact words, and crooked his fingers at Neil as he quoted, "destructive and joyless. "Andrew has neither purpose nor ambition," Kevin said. "I was the first person who ever looked at Andrew and told him he was worth something. When he comes off these drugs and has nothing else to hold him up I will give him something to build his life around." "He agreed to this?" Neil asked. "But he's fighting you every step of the way. Why?" "When I first said you would be Court, why were you upset with me?" "Because I knew it'd never happen," Neil said, "but I wanted it anyway." Kevin said nothing. Neil waited, then realized he'd answered his own question.

[excerpt] The usual I say. Essence. Spirit. Medicine. A taste. I say top shelf. Straight up. A shot. A sip. A nip. I say another round. I say brace yourself. Lift a few. Hoist a few. Work the elbow. Bottoms up. Belly up. Set ‘em up. What’ll it be. Name your poison. I say same again. I say all around. I say my good man. I say my drinking buddy. I say git that in ya. Then a quick one. Then a nightcap. Then throw one back. Then knock one down. Fast & furious I say. Could savage a drink I say. Chug. Chug-a-lug. Gulp. Sauce. Mother’s milk. Everclear. Moonshine. White lightning. Firewater. Hootch. Relief. Now you’re talking I say. Live a little I say. Drain it I say. Kill it I say. Feeling it I say. Wobbly. Breakfast of champions I say. I say candy is dandy but liquor is quicker. I say Houston, we have a drinking problem. I say the cause of, and solution to, all of life’s problems. I say god only knows what I’d be without you. I say thirsty. I say parched. I say wet my whistle. Dying of thirst. Lap it up. Hook me up. Watering hole. Knock a few back. Pound a few down. My office. Out with the boys I say. Unwind I say. Nurse one I say. Apply myself I say. Toasted. Glow. A cold one a tall one a frosty I say. One for the road I say. Two-fisted I say. Never trust a man who doesn’t drink I say. Drink any man under the table I say. Then a binge then a spree then a jag then a bout. Coming home on all fours. Could use a drink I say. A shot of confidence I say. Steady my nerves I say. Drown my sorrows. I say kill for a drink. I say keep ‘em comin’. I say a stiff one. Drink deep drink hard hit the bottle. Two sheets to the wind then. Knackered then. Under the influence then. Half in the bag then. Out of my skull I say. Liquored up. Rip-roaring. Slammed. Fucking jacked. The booze talking. The room spinning. Feeling no pain. Buzzed. Giddy. Silly. Impaired. Intoxicated. Stewed. Juiced. Plotzed. Inebriated. Laminated. Swimming. Elated. Exalted. Debauched. Rock on. Drunk on. Bring it on. Pissed. Then bleary. Then bloodshot. Glassy-eyed. Red-nosed. Dizzy then. Groggy. On a bender I say. On a spree. I say off the wagon. I say on a slip. I say the drink. I say the bottle. I say drinkie-poo. A drink a drunk a drunkard. Swill. Swig. Shitfaced. Fucked up. Stupefied. Incapacitated. Raging. Seeing double. Shitty. Take the edge off I say. That’s better I say. Loaded I say. Wasted. Off my ass. Befuddled. Reeling. Tanked. Punch-drunk. Mean drunk. Maintenance drunk. Sloppy drunk happy drunk weepy drunk blind drunk dead drunk. Serious drinker. Hard drinker. Lush. Drink like a fish. Boozer. Booze hound. Alkie. Sponge. Then muddled. Then woozy. Then clouded. What day is it? Do you know me? Have you seen me? When did I start? Did I ever stop? Slurring. Reeling. Staggering. Overserved they say. Drunk as a skunk they say. Falling down drunk. Crawling down drunk. Drunk & disorderly. I say high tolerance. I say high capacity. They say protective custody. Blitzed. Shattered. Zonked. Annihilated. Blotto. Smashed. Soaked. Screwed. Pickled. Bombed. Stiff. Frazzled. Blasted. Plastered. Hammered. Tore up. Ripped up. Destroyed. Whittled. Plowed. Overcome. Overtaken. Comatose. Dead to the world. The old K.O. The horrors I say. The heebie-jeebies I say. The beast I say. The dt’s. B’jesus & pink elephants. A mindbender. Hittin’ it kinda hard they say. Go easy they say. Last call they say. Quitting time they say. They say shut off. They say dry out. Pass out. Lights out. Blackout. The bottom. The walking wounded. Cross-eyed & painless. Gone to the world. Gone. Gonzo. Wrecked. Sleep it off. Wake up on the floor. End up in the gutter. Off the stuff. Dry. Dry heaves. Gag. White knuckle. Lightweight I say. Hair of the dog I say. Eye-opener I say. A drop I say. A slug. A taste. A swallow. Down the hatch I say. I wouldn’t say no I say. I say whatever he’s having. I say next one’s on me. I say bottoms up. Put it on my tab. I say one more. I say same again

magine a trust in yourself, or another person, or in life itself, that doesn’t need to be proved or demonstrated, that is able to contain uncertainty. People sometimes put their trust in a spiritual leader and are terribly betrayed if that person then fails to live up to ideals. But a real trust of faith would be to decide whether to trust someone, knowing that betrayal is inevitable because life and personality are never without shadow. The vulnerability that faith demands could be matched by an equal trust in oneself, the feeling that one can survive the pain of betrayal.

Health is being in harmony with the world view. Health is an intuitive perception of the universe and all its inhabitants as being of one fabric. Health is maintaining communication with the animals and plants and minerals and stars. It is knowing death and life and seeing no difference. It is blending and melding, seeking solitude and seeking companionship to understand one's many levels. Unlike the more "modern" notions, in shamanic society health is not the absence of feeling; no more so is it the absence of pain. Health is seeking out all of the experiences of Creation and turning them over and over, feeling their texture and multiple meanings. Health is expanding beyond one's singular state of consciousness to experience the ripples and waves of the universe.

We have taller buildings but shorter tempers; wider freeways but narrower viewpoints; we spend more but have less; we buy more but enjoy it less; we have bigger houses and smaller families; more conveniences, yet less time; we have more degrees but less sense; more knowledge but less judgment; more experts, yet more problems; we have more gadgets but less satisfaction; more medicine, yet less wellness; we take more vitamins but see fewer results. We drink too much; smoke too much; spend too recklessly; laugh too little; drive too fast, get too angry quickly; stay up too late; get up too tired; read too seldom; watch TV too much and pray too seldom. We have multiplied our possessions, but reduced our values; we fly in faster planes to arrive there quicker, to do less and return sooner; we sign more contracts only to realize fewer profits; we talk too much; love too seldom, and lie too often. We’ve learned how to make a living, but not a life; we’ve added years to life, not life to years.

I am leery of suggesting the idea that endings are controllable. No one ever really has control. Physics and biology and accident ultimately have their way in our lives. But the point is that we are not helpless either. Courage is the strength to recognize both realities. We have room to act, to shape our stories, though as time goes on it is within narrower and narrower confines. A few conclusions become clear when we understand this: that our most cruel failure in how we treat the sick and the aged is the failure to recognize that they have priorities beyond merely being safe and living longer; that the chance to shape one’s story is essential to sustaining meaning in life; that we have the opportunity to refashion our institutions, our culture, and our conversations in ways that transform the possibilities for the last chapters of everyone’s lives.

Holiness must have a philosophical and theological foundation, namely, Divine truth; otherwise it is sentimentality and emotionalism. Many would say later on, 'We want religion, but no creeds.' This is like saying we want healing, but no science of medicine; music, but no rules of music; history, but no documents. Religion is indeed a life, but it grows out of truth, not away from it. It has been said it makes no difference what you believe, it all depends on how you act. This is psychological nonsense, for a man acts out of his beliefs. Our Lord placed truth or belief in Him first; then came sanctification and good deeds. But here truth was not a vague ideal, but a Person. Truth was now lovable, because only a Person is lovable. Sanctity becomes the response the heart makes to Divine truth and its unlimited mercy to humanity.

As different as Emily Dickinson’s parents’ life in America seems from that of Sitaram Gawande’s in India, both relied on systems that shared the advantage of easily resolving the question of care for the elderly. There was no need to save up for a spot in a nursing home or arrange for meals-on-wheels. It was understood that parents would just keep living in their home, assisted by one or more of the children they’d raised. In contemporary societies, by contrast, old age and infirmity have gone from being a shared, multigenerational responsibility to a more or less private state—something experienced largely alone or with the aid of doctors and institutions. How did this happen? How did we go from Sitaram Gawande’s life to Alice Hobson’s?

Every nutritious sexual recipe calls for at least a pinch of love, and the fucks that rate four-star rankings from both gourmets and health-food nuts used cupfuls. Not that sex should be regarded as therapeutic or to be taken for medicinal purposes - only a dullard would hang such a millstone around the nibbled neck of a lay - but to approach sex carelessly, shallowly, with detachment and without warmth is to dine night after night in erotic greasy spoons. In time, one's palate will become insensitive, one will suffer (without knowing it) emotional malnutrition, the skin of the soul will fester with scurvy, the teeth of the heart will decay. Neither duration nor proclamation of commitment is necessarily the measure - there are ephemeral explosions of passion between strangers that make more erotic sense than many lengthy marriages, there are one-night stands in Jersey City more glorious than six-months affairs in Paris - but finally there is a commitment, however brief; a purity, however threatened; a vulnerability, however concealed; a generosity of spirit, however marbled with need; an honest caring, however singed by lust, that must be present if couplings are to be salubrious and not slow poison.

It is nothing new, these vital lies men tell themselves, muttering and mumbling them like charms and incantations against the powers of Night. The voodoos and medicine men and the devil-devil doctors were the fathers of metaphysics. Night and the Noseless One were ogres that beset the way of light and life. And the metaphysicians would win by if they had to tell lies to do it. They were vexed by the brazen law of the Ecclesiast that men die like the beasts of the field and their end is the same. Their creeds were their schemes, their religions their nostrums, their philosophies their devices, by which they half-believed they would outwit the Noseless One and the Night. "Bog-lights, vapours of mysticism, psychic overtones, soul orgies, wailings among the shadows, weird gnosticisms, veils and tissues of words, gibbering subjectivisms, gropings and maunderings, ontological fantasies, pan-psychic hallucinations—this is the stuff, the phantasms of hope, that fills your bookshelves. Look at them, all the sad wraiths of sad mad men and passionate rebels—your Schopenhauers, your Strindbergs, your Tolstois and Nietzsches. "Come. Your glass is empty. Fill and forget.

It’s like we've been flung back in time," he said. "Here we are in the Stone Age, knowing all these great things after centuries of progress but what can we do to make life easier for the Stone Agers? Can we make a refrigerator? Can we even explain how it works? What is electricity? What is light? We experience these things every day of our lives but what good does it do if we find ourselves hurled back in time and we can’t even tell people the basic principles much less actually make something that would improve conditions. Name one thing you could make. Could you make a simple wooden match that you could strike on a rock to make a flame? We think we’re so great and modern. Moon landings, artificial hearts. But what if you were hurled into a time warp and came face to face with the ancient Greeks. The Greeks invented trigonometry. They did autopsies and dissections. What could you tell an ancient Greek that he couldn’t say, ‘Big Deal.’ Could you tell him about the atom? Atom is a Greek word. The Greeks knew that the major events in the universe can’t be seen by the eye of man. It’s waves, it’s rays, it’s particles." “We’re doing all right.” “We’re sitting in this huge moldy room. It’s like we’re flung back.” “We have heat, we have light.” “These are Stone Age things. They had heat and light. They had fire. They rubbed flints together and made sparks. Could you rub flints together? Would you know a flint if you saw one? If a Stone Ager asked you what a nucleotide is, could you tell him? How do we make carbon paper? What is glass? If you came awake tomorrow in the Middle Ages and there was an epidemic raging, what could you do to stop it, knowing what you know about the progress of medicines and diseases? Here it is practically the twenty-first century and you’ve read hundreds of books and magazines and seen a hundred TV shows about science and medicine. Could you tell those people one little crucial thing that might save a million and a half lives?” “‘Boil your water,’ I’d tell them.” “Sure. What about ‘Wash behind your ears.’ That’s about as good.” “I still think we’re doing fairly well. There was no warning. We have food, we have radios.” “What is a radio? What is the principle of a radio? Go ahead, explain. You’re sitting in the middle of this circle of people. They use pebble tools. They eat grubs. Explain a radio.” “There’s no mystery. Powerful transmitters send signals. They travel through the air, to be picked up by receivers.” “They travel through the air. What, like birds? Why not tell them magic? They travel through the air in magic waves. What is a nucleotide? You don’t know, do you? Yet these are the building blocks of life. What good is knowledge if it just floats in the air? It goes from computer to computer. It changes and grows every second of every day. But nobody actually knows anything.

She went to her room and curled into a ball of misery and decided that she would die of a broken heart. Minstrels would write songs about how she had turned her face to the wall and died of the false-heartedness of men. She could not quite make up her mind whether she wanted to be a ghost who would haunt the convent or not. It would be very satisfying to be a sad-eyed, beautiful ghost who drifted through the halls, gazing up at the moon and weeping silently, as a warning to other young women. On the other hand, she was still short and round-faced and sturdy, and there were very few ghost stories about short, sturdy women. Marra had not managed to be pale and willowy and consumptive at any point in eighteen years of life and did not think she could achieve it before she died. Possibly it would be better to just have songs made about her. The Sister Apothecary came to her, the nun who doctored all the residents of the convent for various ailments, and who compounded medicines and salves and treatments for the farmer’s wives who lived nearby. She studied Marra intensely for a few minutes. “It’s a man, is it?” she said finally. Marra grunted. It occurred to her about an hour earlier that she did not know how the minstrels would find out that she existed in order to write the sad songs in the first place, and her mind was somewhat occupied by this problem. Did you write them letters?

Our world is falling apart quietly. Human civilization has reduced the plant, a four-million-year-old life form, into three things: food, medicine, and wood. In our relentless and ever-intensifying obsession with obtaining a higher volume, potency, and variety of these three things, we have devastated plant ecology to an extent that millions of years of natural disaster could not. Roads have grow like a manic fungus and the endless miles of ditches that bracket these roads serve as hasty graves for perhaps millions of plant species extinguished in the name of progress. Planet Earth is nearly a Dr. Seuss book made real: every year since 1990 we have created more than eight billion new stumps. If we continue to fell healthy trees at this rate, less then six hundred years from now, every tree on the planet will have been reduced to a stump. My job is about making sure there will be some evidence that someone cared about the great tragedy that unfolded during our age.

Unwilling to tolerate life’s ambiguity, its unresolvability, its inevitability, we search for certainty, demanding that someone else must provide it. Stubbornly, relentlessly, we seek the wise man, the wizard, the good parent, someone else who will show us the way. Surely someone must know. It simply cannot be that life is just what it appears to be, that there are no hidden meanings, that this is it, just this and nothing more. It’s not fair, not enough! We cannot possibly bear having to live life as it is, without reassurance, without being special, without even being offered some comforting explanations. Come on now! Come across! You’ve got to give us something to make it all right. The medicine tastes lousy. Why should we have to swallow it just because it’s the only thing we can do? Can’t you at least promise us that we will have to take it just once, that it won’t taste that bad, that we will feel just fine immediately afterward, that we will be glad we took it? No? Well then, surely, at least you have to give us a lollipop for being good. But what if we are talking to ourselves? What if there is no one out there listening? What if for each of us the only wise man, the only wizard, the only good parent we will ever have is our own helpless, vulnerable self? What then?

It may be the first day of your life, the prime of youth or several decades in, when Medicine Woman calls you. Your name on her list. Her new initiate. She crept in whilst you were sleeping, when you over-exerted, when you kissed him, or ate that, or lived there or pushed too hard just one time too many. She crept in and curled up in your cells, your heart, waiting to meet you. Longing to know you. Longing for you to know her, at last. And what feels like the end is in fact a beginning, of a new road, an unknown path of pain and healing. She will show you how to slow down, she will run her fingers roughly through your life and help you sort the busyness from what matters, she will show you how to find support… and who you really are, beyond your roles and expectations… and even more beyond the System the world has forced you into. She transports you into the timelessness of big pains and tiny joys. Initiates you into your strength. Into your love. Into your courage. Into a world beyond your control. She has sent me an invitation. I see yours too, tucked in your bag, amongst all the receipts and bills, the pens and detritus of life. Take it out. It is time.

Cheryl was aided in her search by the Internet. Each time she remembered a name that seemed to be important in her life, she tried to look up that person on the World Wide Web. The names and pictures Cheryl found were at once familiar and yet not part of her conscious memory: Dr. Sidney Gottlieb, Dr. Louis 'Jolly' West, Dr. Ewen Cameron, Dr. Martin Orne and others had information by and about them on the Web. Soon, she began looking up sites related to childhood incest and found that some of the survivor sites mentioned the same names, though in the context of experiments performed on small children. Again, some names were familiar. Then Cheryl began remembering what turned out to be triggers from old programmes. 'The song, "The Green, Green Grass of home" kept running through my mind. I remembered that my father sang it as well. It all made no sense until I remembered that the last line of the song tells of being buried six feet under that green, green grass. Suddenly, it came to me that this was a suicide programme of the government. 'I went crazy. I felt that my body would explode unless I released some of the pressure I felt within, so I grabbed a [pair ofl scissors and cut myself with the blade so I bled. In my distracted state, I was certain that the bleeding would let the pressure out. I didn't know Lynn had felt the same way years earlier. I just knew I had to do it Cheryl says. She had some barbiturates and other medicine in the house. 'One particularly despondent night, I took several pills. It wasn't exactly a suicide try, though the pills could have killed me. Instead, I kept thinking that I would give myself a fifty-fifty chance of waking up the next morning. Maybe the pills would kill me. Maybe the dose would not be lethal. It was all up to God. I began taking pills each night. Each-morning I kept awakening.

To-day all our novels and newspapers will be found to be swarming with numberless allusions to the popular character called a Cave-Man. He seems to be quite familiar to us, not only as a public character but as a private character. His psychology is seriously taken into account in psychological fiction and psychological medicine. So far as I can understand, his chief occupation in life was knocking his wife about, or treating women in general with what is, I believe, known in the world of the film as 'rough stuff.' I have never happeend to come upon the evidence for this idea; and I do not know on what primitive diaries or prehistoric divorce-reports it is founded. Nor, as I have explained elsewhere, have I ever been able to see the probability of it, even considered a priori. We are always told without any explanation or authority that primitive man waved a club and knocked the woman down before he carried her off. But on every animal analogy, it would seem an almost morbid modesty and reluctance, on the part of the lady, always to insist on being knocked down before consenting to be carried off. And I repeat that I can never comprehend why, when the male was so very rude, the female should have been so very refined. The cave-man may have been a brute, but there is no reason why he should have been more brutal than the brutes. And the loves of the giraffes and the river romances of the hippopotami are affected without any of this preliminary fracas or shindy.

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.

Oh, those lapses, darling. So many of us walk around letting fly with “errors.” We could do better, but we’re so slovenly, so rushed amid the hurly-burly of modern life, so imprinted by the “let it all hang out” ethos of the sixties, that we don’t bother to observe the “rules” of “correct” grammar. To a linguist, if I may share, these “rules” occupy the exact same place as the notion of astrology, alchemy, and medicine being based on the four humors. The “rules” make no logical sense in terms of the history of our language, or what languages around the world are like. Nota bene: linguists savor articulateness in speech and fine composition in writing as much as anyone else. Our position is not—I repeat, not—that we should chuck standards of graceful composition. All of us are agreed that there is usefulness in a standard variety of a language, whose artful and effective usage requires tutelage. No argument there. The argument is about what constitutes artful and effective usage. Quite a few notions that get around out there have nothing to do with grace or clarity, and are just based on misconceptions about how languages work. Yet, in my experience, to try to get these things across to laymen often results in the person’s verging on anger. There is a sense that these “rules” just must be right, and that linguists’ purported expertise on language must be somehow flawed on this score. We are, it is said, permissive—perhaps along the lines of the notorious leftist tilt among academics, or maybe as an outgrowth of the roots of linguistics in anthropology, which teaches that all cultures are equal. In any case, we are wrong. Maybe we have a point here and there, but only that.

Alexander the Magnus was once called to solve the following challenge in the Phrygian city of Gordium (as usual with Greek stories, in modern-day Turkey). When he entered Gordium, he found an old wagon, its yoke tied with a multitude of knots, all so tightly entangled that it was impossible to figure out how they were fastened. An oracle had declared that he who would untie the knot would rule all of what was then called “Asia,” that is, Asia Minor, the Levant, and the Middle East. After wrestling with the knot, the Magnus drew back from the lump of gnarled ropes, then made a proclamation that it didn’t matter for the prophecy how the tangle was to be unraveled. He then drew his sword and, with a single stroke, cut the knot in half. No “successful” academic could ever afford to follow such a policy. And no Intellectual Yet Idiot. It took medicine a long time to realize that when a patient shows up with a headache, it is much better to give him aspirin or recommend a good night’s sleep than do brain surgery, although the latter appears to be more “scientific.” But most “consultants” and others paid by the hour are not there yet.

In the end, a person is only know by the impact he or she has on others. The Gift of Work: He who loves his work never labors. The Gift of Money: Money is nothing more than a tool. It can be a force for good, a force for evil, or simple be idle. The Gift of Friends: It is a wealthy person, indeed, who calculates riches not in gold but in friends. The Gift of Learning: Education is a lifelong journey whose destination expands as you travel. The desire and hunger for education is the key to real learning. The Gift of Problems: Problems can only be avoided by exercising good judgment. Good judgment can only be gained by experiencing life's problems. The Gift of Family: Some people are born into wonderful families. Others have to find or create them. Being a member of a family is a priceless privilege which costs nothing but love. The Gift of Laughter: Laughter is good medicine for the soul. Our world is desperately in need of more such medicine. The Gift of Dreams: Faith is all that dreamers need to see into the future. The Gift of Giving: The only way you can truly get more out of life for yourself is to give part of yourself away. One of the key principles in giving, is that the gift must be yours to give-either something you earned or created or maybe, simply, part of yourself. The Gift of Gratitude: In those times when we yearn to have more in our lives, we should dwell on the things we already have. In doing so, we will often find that our lives are already full to overflowing. The Golden List: Every morning before getting up visualize a golden tablet on which is written ten things in your life you are especially thankful for. The Gift of a Day: Life at its essence boils down to one day at a time. Today is the Day! If we can learn how to live one day to its fullest, our lives will be rich and meaningful. The Gift of Love: Love is a treasure for which we can never pay. The only way we keep it is to give it away. The Ultimate Gift: In the end, life lived to its fullest is its own ultimate gift.

Tom felt that it was time to wake up; this sort of life might be romantic enough, in his blighted condition, but it was getting to have too little sentiment and too much distracting variety about it. So he thought over various plans for relief, and finally hit pon that of professing to be fond of Pain-killer. He asked for it so often that he became a nuisance, and his aunt ended by telling him to help himself and quit bothering her. If it had been Sid, she would have had no misgivings to alloy her delight; but since it was Tom, she watched the bottle clandestinely. She found that the medicine did really diminish, but it did not occur to her that the boy was mending the health of a crack in the sitting-room floor with it. One day Tom was in the act of dosing the crack when his aunt's yellow cat came along, purring, eying the teaspoon avariciously, and begging for a taste. Tom said: "Don't ask for it unless you want it, Peter." But Peter signified that he did want it. "You better make sure." Peter was sure. "Now you've asked for it, and I'll give it to you, because there ain't anything mean about me; but if you find you don't like it, you mustn't blame anybody but your own self." Peter was agreeable. So Tom pried his mouth open and poured down the Pain-killer. Peter sprang a couple of yards in the air, and then delivered a war-whoop and set off round and round the room, banging against furniture, upsetting flower-pots, and making general havoc. Next he rose on his hind feet and pranced around, in a frenzy of enjoyment, with his head over his shoulder and his voice proclaiming his unappeasable happiness. Then he went tearing around the house again spreading chaos and destruction in his path. Aunt Polly entered in time to see him throw a few double summersets, deliver a final mighty hurrah, and sail through the open window, carrying the rest of the flower-pots with him. The old lady stood petrified with astonishment, peering over her glasses; Tom lay on the floor expiring with laughter.

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.

I was like Robinson Crusoe on the island of Tobago. For hours at a stretch I would lie in the sun doing nothing, thinking of nothing. To keep the mind empty is a feat, a very healthful feat too. To be silent the whole day long, see no newspaper, hear no radio, listen to no gossip, be thoroughly and completely lazy, thoroughly and completely indifferent to the fate of the world is the finest medicine a man can give himself. The book-learning gradually dribbles away; problems melt and dissolve; ties are gently severed; thinking, when you deign to indulge in it, becomes very primitive; the body becomes a new and wonderful instrument; you look at plants or stones or fish with different eyes; you wonder what people are struggling to accomplish with their frenzied activities; you know there is a war on but you haven't the faintest idea what it's about or why people should enjoy killing one another; you look at a place like Albania—it was constantly staring me in the eyes—and you say to yourself, yesterday it was Greek, to-day it's Italian, to-morrow it may be German or Japanese, and you let it be anything it chooses to be. When you're right with yourself it doesn't matter which flag is flying over your head or who owns what or whether you speak English or Monongahela. The absence of newspapers, the absence of news about what men are doing in different parts of the world to make life more livable or unlivable is the greatest single boon. If we could just eliminate newspapers a great advance would be made, I am sure of it. Newspapers engender lies, hatred, greed, envy, suspicion, fear, malice. We don't need the truth as it is dished up to us in the daily papers. We need peace and solitude and idleness. If we could all go on strike and honestly disavow all interest in what our neighbor is doing we might get a new lease on life. We might learn to do without telephones and radios and newspapers, without machines of any kind, without factories, without mills, without mines, without explosives, without battleships, without politicians, without lawyers, without canned goods, without gadgets, without razor blades even or cellophane or cigarettes or money. This is a pipe dream, I know.

Defining philosophy as “an activity, attempting by means of discussion and reasoning, to make life happy,” he believed that happiness is gained through the achievement of moral self-sufficiency (autarkeia) and freedom from disturbance (ataraxia). The main obstacles to the goal of tranquillity of mind are our unnecessary fears and desires, and the only way to eliminate these is to study natural science. The most serious disturbances of all are fear of death, including fear of punishment after death, and fear of the gods. Scientific inquiry removes fear of death by showing that the mind and spirit are material and mortal, so that they cannot live on after we die: as Epicurus neatly and logically puts it: “Death…is nothing to us: when we exist, death is not present; and when death is present, we do not exist. Consequently it does not concern either the living or the dead, since for the living it is non-existent and the dead no longer exist” (Letter to Menoeceus 125). As for fear of the gods, that disappears when scientific investigation proves that the world was formed by a fortuitous concourse of atoms, that the gods live outside the world and have no inclination or power to intervene in its affairs, and that irregular phenomena such as lightning, thunder, volcanic eruptions, and earthquakes have natural causes and are not manifestations of divine anger. Every Epicurean would have agreed with Katisha in the Mikado when she sings: But to him who’s scientific There’s nothing that’s terrific In the falling of a flight of thunderbolts! So the study of natural science is the necessary means whereby the ethical end is attained. And that is its only justification: Epicurus is not interested in scientific knowledge for its own sake, as is clear from his statement that “if we were not disturbed by our suspicions concerning celestial phenomena, and by our fear that death concerns us, and also by our failure to understand the limits of pains and desires, we should have no need of natural science” (Principal Doctrines 11). Lucretius’ attitude is precisely the same as his master’s: all the scientific information in his poem is presented with the aim of removing the disturbances, especially fear of death and fear of the gods, that prevent the attainment of tranquillity of mind. It is very important for the reader of On the Nature of Things to bear this in mind all the time, particularly since the content of the work is predominantly scientific and no systematic exposition of Epicurean ethics is provided.25 Epicurus despised philosophers who do not make it their business to improve people’s moral condition: “Vain is the word of a philosopher by whom no human suffering is cured. For just as medicine is of no use if it fails to banish the diseases of the body, so philosophy is of no use if it fails to banish the suffering of the mind” (Usener fr. 221). It is evident that he would have condemned the majority of modern philosophers and scientists.

To My Priestess Sisters To my priestess sisters: the keepers of mysteries, the medicine women, the story keepers and story tellers, the holy magicians, the wild warriors, the original ones, the ones who carry the ancients within the marrow of your bones, the ones forged in the fires, the ones who have bathed in thier own blood, the heroines who wear thier scars as stars, the ones who give birth to their visions and dreams, the ones who weep and howl upon the holy altars, the avatars, the mothers, maidens and crones, the mystics, the oracles, the artists, the musicians, the virgins, the sensual and sexual, the women of our world- I honor you. I stand for you and with you. I celebrate both your autonomy and our sisterhood of One. We are many. We are fierce. We are tender. We are the change agents and we are radically holding and clearing space for the bursting forth of the holy seeds of the collective conscience and consciousness. We are manifestors and flames of purification and transformation. We are living our lives in authenticity, vulnerability, transparency and unapologetically. We are committed to integrity, impeccability, accountability, responsibility and passionate love. We are here on purpose, with purpose and give no energy to conformity, acceptance or approval. We are the daughters of the earth and the courageous of the cosmos. Priestess, keep living your life passionately, raising the cosmic vibrations and lowering your standards for no one. You are brazenly blessed and a force of nature. Nurture yourself and one another. You are a crystalline bridge between realms and uniting heaven and earth. You are a priestess and you are divinely anointed, appointed and unstoppable.

I’m going to tell you something, there’s country poor, and there’s city poor. As much of my life as I’d spent in front of a TV thinking Oh, man, city’s where the money trees grow, I was seeing more to the picture now. I mean yes, that is where they all grow, but plenty of people are sitting in that shade with nothing falling on them. Chartrain was always discussing “hustle,” and it took me awhile to understand he grew up hungry for money like it was food. Because for him, they’re one and the same. Not to run the man down, but he wouldn’t know a cow from a steer, or which of them gave milk. No desperate men Chartrain ever knew went out and shot venison if they were hungry. They shot liquor store cashiers. Living in the big woods made of steel and cement, without cash, is a hungrier life than I knew how to think about. I made my peace with the place, but never went a day without feeling around for things that weren’t there, the way your tongue pushes into the holes where you’ve lost teeth. I don’t just mean cows, or apple trees, it runs deeper. Weather, for instance. Air, the way it smells from having live things breathing into it, grass and trees and I don’t know what, creatures of the soil. Sounds, I missed most of all. There was noise, but nothing behind it. I couldn’t get used to the blankness where there should have been bird gossip morning and evening, crickets at night, the buzz saw of cicadas in August. A rooster always sounding off somewhere, even dead in the middle of Jonesville. It’s like the movie background music. Notice it or don’t, but if the volume goes out, the movie has no heart. I’d oftentimes have to stop and ask myself what season it was. I never realized what was holding me to my place on the planet of earth: that soundtrack. That, and leaf colors and what’s blooming in the roadside ditches this week, wild sweet peas or purple ironweed or goldenrod. And stars. A sky as dark as sleep, not this hazy pinkish business, I’m saying blind man’s black. For a lot of us, that’s medicine. Required for the daily reboot.

As the leader of the international Human Genome Project, which had labored mightily over more than a decade to reveal this DNA sequence, I stood beside President Bill Clinton in the East Room of the White House... Clinton's speech began by comparing this human sequence map to the map that Meriwether Lewis had unfolded in front of President Thomas Jefferson in that very room nearly two hundred years earlier. Clinton said, "Without a doubt, this is the most important, most wondrous map ever produced by humankind." But the part of his speech that most attracted public attention jumped from the scientific perspective to the spiritual. "Today," he said, "we are learning the language in which God created life. We are gaining ever more awe for the complexity, the beauty, and the wonder of God's most divine and sacred gift." Was I, a rigorously trained scientist, taken aback at such a blatantly religious reference by the leader of the free world at a moment such as this? Was I tempted to scowl or look at the floor in embarrassment? No, not at all. In fact I had worked closely with the president's speechwriter in the frantic days just prior to this announcement, and had strongly endorsed the inclusion of this paragraph. When it came time for me to add a few words of my own, I echoed this sentiment: "It's a happy day for the world. It is humbling for me, and awe-inspiring, to realize that we have caught the first glimpse of our own instruction book, previously known only to God." What was going on here? Why would a president and a scientist, charged with announcing a milestone in biology and medicine, feel compelled to invoke a connection with God? Aren't the scientific and spiritual worldviews antithetical, or shouldn't they at least avoid appearing in the East Room together? What were the reasons for invoking God in these two speeches? Was this poetry? Hypocrisy? A cynical attempt to curry favor from believers, or to disarm those who might criticize this study of the human genome as reducing humankind to machinery? No. Not for me. Quite the contrary, for me the experience of sequencing the human genome, and uncovering this most remarkable of all texts, was both a stunning scientific achievement and an occasion of worship.

In the course of my life I have had pre-pubescent ballerinas; emaciated duchesses, dolorous and forever tired, melomaniac and morphine-sodden; bankers' wives with eyes hollower than those of suburban streetwalkers; music-hall chorus girls who tip creosote into their Roederer when getting drunk... I have even had the awkward androgynes, the unsexed dishes of the day of the *tables d'hote* of Montmartre. Like any vulgar follower of fashion, like any member of the herd, I have made love to bony and improbably slender little girls, frightened and macabre, spiced with carbolic and peppered with chlorotic make-up. Like an imbecile, I have believed in the mouths of prey and sacrificial victims. Like a simpleton, I have believed in the large lewd eyes of a ragged heap of sickly little creatures: alcoholic and cynical shop girls and whores. The profundity of their eyes and the mystery of their mouths... the jewellers of some and the manicurists of others furnish them with *eaux de toilette*, with soaps and rouges. And Fanny the etheromaniac, rising every morning for a measured dose of cola and coca, does not put ether only on her handkerchief. It is all fakery and self-advertisement - *truquage and battage*, as their vile argot has it. Their phosphorescent rottenness, their emaciated fervour, their Lesbian blight, their shop-sign vices set up to arouse their clients, to excite the perversity of young and old men alike in the sickness of perverse tastes! All of it can sparkle and catch fire only at the hour when the gas is lit in the corridors of the music-halls and the crude nickel-plated decor of the bars. Beneath the cerise three-ply collars of the night-prowlers, as beneath the bulging silks of the cyclist, the whole seductive display of passionate pallor, of knowing depravity, of exhausted and sensual anaemia - all the charm of spicy flowers celebrated in the writings of Paul Bourget and Maurice Barres - is nothing but a role carefully learned and rehearsed a hundred times over. It is a chapter of the MANCHON DE FRANCINE read over and over again, swotted up and acted out by ingenious barnstormers, fully conscious of the squalid salacity of the male of the species, and knowledgeable in the means of starting up the broken-down engines of their customers. To think that I also have loved these maleficent and sick little beasts, these fake Primaveras, these discounted Jocondes, the whole hundred-franc stock-in-trade of Leonardos and Botticellis from the workshops of painters and the drinking-dens of aesthetes, these flowers mounted on a brass thread in Montparnasse and Levallois-Perret! And the odious and tiresome travesty - the corsetted torso slapped on top of heron's legs, painful to behold, the ugly features primed by boulevard boxes, the fake Dresden of Nina Grandiere retouched from a medicine bottle, complaining and spectral at the same time - of Mademoiselle Guilbert and her long black gloves!... Have I now had enough of the horror of this nightmare! How have I been able to tolerate it for so long? The fact is that I was then ignorant even of the nature of my sickness. It was latent in me, like a fire smouldering beneath the ashes. I have cherished it since... perhaps since early childhood, for it must always have been in me, although I did not know it!

Kate?” Anthony yelled again. He couldn’t see anyone; a dislodged bench was blocking the opening. “Can you hear me?” Still no response. “Try the other side,” came Edwina’s frantic voice. “The opening isn’t as crushed.” Anthony jumped to his feet and ran around the back of the carriage to the other side. The door had already come off its hinges, leaving a hole just large enough for him to stuff his upper body into. “Kate?” he called out, trying not to notice the sharp sound of panic in his voice. Every breath from his lips seemed overloud, reverberating in the tight space, reminding him that he wasn’t hearing the same sounds from Kate. And then, as he carefully moved a seat cushion that had turned sideways, he saw her. She was terrifyingly still, but her head didn’t appear to be stuck in an unnatural position, and he didn’t see any blood. That had to be a good sign. He didn’t know much of medicine, but he held on to that thought like a miracle. “You can’t die, Kate,” he said as his terrified fingers yanked away at the wreckage, desperate to open the hole until it was wide enough to pull her through. “Do you hear me? You can’t die!” A jagged piece of wood sliced open the back of his hand, but Anthony didn’t notice the blood running over his skin as he pulled on another broken beam. “You had better be breathing,” he warned, his voice shaking and precariously close to a sob. “This wasn’t supposed to be you. It was never supposed to be you. It isn’t your time. Do you understand me?” He tore away another broken piece of wood and reached through the newly widened hole to grasp her hand. His fingers found her pulse, which seemed steady enough to him, but it was still impossible to tell if she was bleeding, or had broken her back, or had hit her head, or had . . . His heart shuddered. There were so many ways to die. If a bee could bring down a man in his prime, surely a carriage accident could steal the life of one small woman. Anthony grabbed the last piece of wood that stood in his way and heaved, but it didn’t budge. “Don’t do this to me,” he muttered. “Not now. It isn’t her time. Do you hear me? It isn’t her time!” He felt something wet on his cheeks and dimly realized that it was tears. “It was supposed to be me,” he said, choking on the words. “It was always supposed to be me.” And then, just as he was preparing to give that last piece of wood another desperate yank, Kate’s fingers tightened like a claw around his wrist. His eyes flew to her face, just in time to see her eyes open wide and clear, with nary a blink. “What the devil,” she asked, sounding quite lucid and utterly awake, “are you talking about?” Relief flooded his chest so quickly it was almost painful. “Are you all right?” he asked, his voice wobbling on every syllable. She grimaced, then said, “I’ll be fine.” Anthony paused for the barest of seconds as he considered her choice of words. “But are you fine right now?” She let out a little cough, and he fancied he could hear her wince with pain. “I did something to my leg,” she admitted. “But I don’t think I’m bleeding.” “Are you faint? Dizzy? Weak?” She shook her head. “Just in pain. What are you doing here?” He smiled through his tears. “I came to find you.” “You did?” she whispered. He nodded. “I came to— That is to say, I realized . . .” He swallowed convulsively. He’d never dreamed that the day would come when he’d say these words to a woman, and they’d grown so big in his heart he could barely squeeze them out. “I love you, Kate,” he said chokingly. “It took me a while to figure it out, but I do, and I had to tell you. Today.” Her lips wobbled into a shaky smile as she motioned to the rest of her body with her chin. “You’ve bloody good timing.