Medicine 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.

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

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

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.

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.

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.

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?

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.

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

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!

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

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.

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.

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.

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.

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?

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

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

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!

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

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.

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

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!

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

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.

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.

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

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.

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.

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

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. *   *   *

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.

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.

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?

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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?

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.

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.

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.

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

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.

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".

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.

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.

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!

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?

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.

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.

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.

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.

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.

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

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.

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.

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

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?

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.

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.

[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.

[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

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.