Patients Come First Quotes

One must learn to love.— This is what happens to us in music: first one has to learn to hear a figure and melody at all, to detect and distinguish it, to isolate it and delimit it as a separate life; then it requires some exertion and good will to tolerate it in spite of its strangeness, to be patient with its appearance and expression, and kindhearted about its oddity:—finally there comes a moment when we are used to it, when we wait for it, when we sense that we should miss it if it were missing: and now it continues to compel and enchant us relentlessly until we have become its humble and enraptured lovers who desire nothing better from the world than it and only it.— But that is what happens to us not only in music: that is how we have learned to love all things that we now love. In the end we are always rewarded for our good will, our patience, fairmindedness, and gentleness with what is strange; gradually, it sheds its veil and turns out to be a new and indescribable beauty:—that is its thanks for our hospitality. Even those who love themselves will have learned it in this way: for there is no other way. Love, too, has to be learned.

A writer is someone who spends years patiently trying to discover the second being inside him, and the world that makes him who he is: when I speak of writing, what comes first to my mind is not a novel, a poem, or literary tradition, it is a person who shuts himself up in a room, sits down at a table, and alone, turns inward; amid its shadows, he builds a new world with words.

The dark is generous. Its first gift is concealment: our true faces lie in the dark beneath our skins, our true hearts remain shadowed deeper still. But the greatest concealment lies not in protecting our secret truths, but in hiding from the truths of others. The dark protects us from what we dare not know. Its second gift is comforting illusion: the ease of gentle dreams in night’s embrace, the beauty that imagination brings to what would repel in the day’s harsh light. But the greatest of its comforts is the illusion that dark is temporary: that every night brings a new day. Because it’s the day that is temporary. Day is the illusion. Its third gift is the light itself: as days are defined by the nights that divide them, as stars are defined by the infinite black through which they wheel, the dark embraces the light, and brings it forth from the center of its own self. With each victory of the light, it is the dark that wins. The dark is generous, and it is patient. It is the dark that seeds cruelty into justice, that drips contempt into compassion, that poisons love with grains of doubt. The dark can be patient, because the slightest drop of rain will cause those seeds to sprout. The rain will come, and the seeds will sprout, for the dark is the soil in which they grow, and it is the clouds above them, and it waits behind the star that gives them light. The dark’s patience is infinite. Eventually, even stars burn out. The dark is generous, and it is patient, and it always wins. It always wins because it is everywhere. It is in the wood that burns in your hearth, and in the kettle on the fire; it is under your chair and under your table and under the sheets on your bed. Walk in the midday sun, and the dark is with you, attached to the soles of your feet. The brightest light casts the darkest shadow. The dark is generous and it is patient and it always wins – but in the heart of its strength lies its weakness: one lone candle is enough to hold it back. Love is more than a candle. Love can ignite the stars.

So you want to be a writer if it doesn’t come bursting out of you in spite of everything, don’t do it. unless it comes unasked out of your heart and your mind and your mouth and your gut, don’t do it. if you have to sit for hours staring at your computer screen or hunched over your typewriter searching for words, don’t do it. if you’re doing it for money or fame, don’t do it. if you’re doing it because you want women in your bed, don’t do it. if you have to sit there and rewrite it again and again, don’t do it. if it’s hard work just thinking about doing it, don’t do it. if you’re trying to write like somebody else, forget about it. if you have to wait for it to roar out of you, then wait patiently. if it never does roar out of you, do something else. if you first have to read it to your wife or your girlfriend or your boyfriend or your parents or to anybody at all, you’re not ready. don’t be like so many writers, don’t be like so many thousands of people who call themselves writers, don’t be dull and boring and pretentious, don’t be consumed with self- love. the libraries of the world have yawned themselves to sleep over your kind. don’t add to that. don’t do it. unless it comes out of your soul like a rocket, unless being still would drive you to madness or suicide or murder, don’t do it. unless the sun inside you is burning your gut, don’t do it. when it is truly time, and if you have been chosen, it will do it by itself and it will keep on doing it until you die or it dies in you. there is no other way. and there never was.

There is no doubt that even the greatest musical geniuses have sometimes worked without inspiration. This guest (inspiration) does not always respond to the first invitation. We must always work, and a self-respecting artist must not fold his hands on the pretext that he is not in the mood. If we wait for the mood, without endeavouring to meet it half-way, we easily become indolent and apathetic. We must be patient, and believe that inspiration will come to those who can master their disinclination.

But it was a happy and beautiful bride who came down the old, homespun- carpeted stairs that September noon - the first bride of Green Gables, slender and shining-eyed, in the mist of her maiden veil, with her arms full of roses. Gilbert, waiting for her in the hall below, looked up at her with adoring eyes. She was his at last, this evasive, long-sought Anne, won after years of patient waiting. It was to him she was coming in the sweet surrender of the bride. Was he worthy of her? Could he make her as happy as he hoped? If he failed her - if he could not measure up to her standard of manhood - then, as she held out her hand, their eyes met and all doubt was swept away in a glad certainty. They belonged to each other; and, no matter what life might hold for them, it could never alter that. Their happiness was in each other’s keeping and both were unafraid.

Your mother hollers that you’re going to miss the bus. She can see it coming down the street. You don’t stop and hug her and tell her you love her. You don’t thank her for being a good, kind, patient mother. Of course not -- you vault down down the stairs and make a run for the corner. Only if it’s the last time you’ll ever see your mother, you sort of start to wish you’d stopped and did those things. Maybe even missed the bus. But the bus was barreling down our street so I ran.

Who's this?" he said, coming across a name he didn't recognize. "Lady Georgina of Sandalhurst? Why are we inviting her? I don't know her. Why are we asking people we don't know?" I know her," Pauline replied. There was a certain steeliness in her voice that Halt would have done well to recognize. "She's my aunt, Bit of an old stick, really, but I have to invite her." You've never mentioned her before," Halt challenged. True. I don't like her very much. As I said, she's a bit of an old stick." Then why are we inviting her?" We're inviting her," Lady Pauline explained, "because Aunt Georgina has spent the last twenty years bemoaning the fact that I was unmarried. 'Poor Pauline!' she'd cry to anyone who'd listen. 'She'll be a lonley old maid! Married to her job! She'll never find a husband to look after her!' It's just too good an opportunity to miss." Halt's eyebrows came together in a frown. There might be a few things that would annoy him more than someone criticizing the woman he loved, but for a moment, he couldn't think of one. Agreed," he said. "And let's sit her with the most boring people possible at the wedding feast." Good thinking," Lady Pauline said. She made a note on another sheet of paper. "I'll make her the first person on the Bores' table." The Bores' table?" Halt said. "I'm not sure I've heard that term." Every wedding has to have a Bores' table," his fiance explained patiently. "We take all the boring, annoying, bombastic people and sit them together. That way they all bore each other and they don't bother the normal people we've asked." Wouldn't it be simpler to just ask the people you like?" Halt askede. "Except Aunt Georgina, of course--there's a good reason to ask her. But why ask others?" It's a family thing," Lady Pauline said, adding a second and third name to the Bores' table as she thought of them. "You have to ask family and every family has its share of annoying bores. It's just organizing a wedding.

Maxon, I hope you find someone you can't love without. I really do. And I hope you never have to know what it's like to have to try and live without them." Maxon's face was a shallow echo of my own pain. He looked absolutely brokenhearted for me. More than that, he looked angry. "I'm sorry, America. I don't..." His face shifted a little. "Is this a good time to pat your shoulder?" His uncertainty made me smile. "Yes. Now would be a great time." He seemed as skeptically as he'd been the other day, but instead of just patting my shoulder, he leaned in and tentatively wrapped his arms around me. "I only really ever hug my mother. Is this okay?" he asked. I laughed. "It's hard to get a hug wrong." After a minute, I spoke again. "I know what you mean, though. I don't really hug anyone besides my family." I felt so drained after the long day of dressing and the Report and dinner and talking. It was nice to have Maxon just hold me, sometimes even patting my hair. He wasn't as lost as he seemed. He patiently waited for my breathing to slow, and when it did, he pulled back to look at me. "America, I promise you I'll keep you here until the last possible moment. I understand that they want me to narrow the Elite down to three and then choose. But I swear to you, I'll make it to two and keep you here until then. I won't make you leave a moment before I have to. Or the moment you're ready. Whichever comes first." I nodded. "I know we just met, but I think you're wonderful. And it bothers me to see you hurt. If he were here, I'd...I'd..." Maxon shook with frustration, then sighed. "I'm so sorry, America." He pulled me back in, and I rested my head on his broad shoulder. I knew Maxon would keep his promises. So I settled into perhaps the last place I ever thought I'd find genuine comfort.

There is a saying about surgeons, meant as a reproof: "Sometimes wrong; never in doubt." But this seemed to me their strength. Each day surgeons are faced with uncertainties. Information is inadequate; the science is ambiguous; one's knowledge and abilities are never perfect. Even with the simplest operation, it cannot be taken for granted that a patient will come through better off - or even alive. Standing at the table my first time, I wondered how the surgeon knew that he would do this patient good, that all the steps would go as planned, that the bleeding would be controlled and infection would not take hold and organs would not be injured. He didn't, of course. But still he cut.

This is an ode to all of those that have never asked for one. A thank you in words to all of those that do not do what they do so well for the thanking. This is to the mothers. This is to the ones who match our first scream with their loudest scream; who harmonize in our shared pain and joy and terrified wonder when life begins. This is to the mothers. To the ones who stay up late and wake up early and always know the distance between their soft humming song and our tired ears. To the lips that find their way to our foreheads and know, somehow always know, if too much heat is living in our skin. To the hands that spread the jam on the bread and the mesmerizing patient removal of the crust we just cannot stomach. This is to the mothers. To the ones who shout the loudest and fight the hardest and sacrifice the most to keep the smiles glued to our faces and the magic spinning through our days. To the pride they have for us that cannot fit inside after all they have endured. To the leaking of it out their eyes and onto the backs of their hands, to the trails of makeup left behind as they smile through those tears and somehow always manage a laugh. This is to the patience and perseverance and unyielding promise that at any moment they would give up their lives to protect ours. This is to the mothers. To the single mom’s working four jobs to put the cheese in the mac and the apple back into the juice so their children, like birds in a nest, can find food in their mouths and pillows under their heads. To the dreams put on hold and the complete and total rearrangement of all priority. This is to the stay-at-home moms and those that find the energy to go to work every day; to the widows and the happily married. To the young mothers and those that deal with the unexpected announcement of a new arrival far later than they ever anticipated. This is to the mothers. This is to the sack lunches and sleepover parties, to the soccer games and oranges slices at halftime. This is to the hot chocolate after snowy walks and the arguing with the umpire at the little league game. To the frosting ofbirthday cakes and the candles that are always lit on time; to the Easter egg hunts, the slip-n-slides and the iced tea on summer days. This is to the ones that show us the way to finding our own way. To the cutting of the cord, quite literally the first time and even more painfully and metaphorically the second time around. To the mothers who become grandmothers and great-grandmothers and if time is gentle enough, live to see the children of their children have children of their own. To the love. My goodness to the love that never stops and comes from somewhere only mothers have seen and know the secret location of. To the love that grows stronger as their hands grow weaker and the spread of jam becomes slower and the Easter eggs get easier to find and sack lunches no longer need making. This is to the way the tears look falling from the smile lines around their eyes and the mascara that just might always be smeared with the remains of their pride for all they have created. This is to the mothers.

Rick said, "Is there some place we can go and talk?" "You want to talk?," Keir raised an eyebrow. "I never thought I'd see the day." "Nah, I want to tell you this joke I heard." Keir nodded, patient. "Shoot." "Two Irish cops walk into a bar. The first cop says..." Rick's voice dropped. He said gruffly, "I love you. Come home." Keir managed to keep his voice steady. "What's the other cop say?" The sweetness of Rick's smile was like a kick in his chest. "That's what I'm here to find out, boyo.

Still perfect,” he said. “Read to me.” “This isn’t really a poem to read aloud when you are sitting next to your sleeping mother. It has, like, sodomy and angel dust in it,” I said. “You just named two of my favorite pastimes,” he said. “Okay, read me something else then?” “Um,” I said. “I don’t have anything else?” “That’s too bad. I am so in the mood for poetry. Do you have anything memorized?” “‘Let us go then, you and I,’” I started nervously, “‘When the evening is spread out against the sky / Like a patient etherized upon a table.’” “Slower,” he said. I felt bashful, like I had when I’d first told him of An Imperial Affliction. “Um, okay. Okay. ‘Let us go, through certain half-deserted streets, / The muttering retreats / Of restless nights in one-night cheap hotels / And sawdust restaurants with oyster-shells: / Streets that follow like a tedious argument / Of insidious intent / To lead you to an overwhelming question . . . / Oh, do not ask, “What is it?” / Let us go and make our visit.’” “I’m in love with you,” he said quietly. “Augustus,” I said. “I am,” he said. He was staring at me, and I could see the corners of his eyes crinkling. “I’m in love with you, and I’m not in the business of denying myself the simple pleasure of saying true things. I’m in love with you, and I know that love is just a shout into the void, and that oblivion is inevitable, and that we’re all doomed and that there will come a day when all our labor has been returned to dust, and I know the sun will swallow the only earth we’ll ever have, and I am in love with you.” “Augustus,” I said again, not knowing what else to say. It felt like everything was rising up in me, like I was drowning in this weirdly painful joy, but I couldn’t say it back. I

We have all heard such stories of expert intuition: the chess master who walks past a street game and announces “White mates in three” without stopping, or the physician who makes a complex diagnosis after a single glance at a patient. Expert intuition strikes us as magical, but it is not. Indeed, each of us performs feats of intuitive expertise many times each day. Most of us are pitch-perfect in detecting anger in the first word of a telephone call, recognize as we enter a room that we were the subject of the conversation, and quickly react to subtle signs that the driver of the car in the next lane is dangerous. Our everyday intuitive abilities are no less marvelous than the striking insights of an experienced firefighter or physician—only more common. The psychology of accurate intuition involves no magic. Perhaps the best short statement of it is by the great Herbert Simon, who studied chess masters and showed that after thousands of hours of practice they come to see the pieces on the board differently from the rest of us. You can feel Simon’s impatience with the mythologizing of expert intuition when he writes: “The situation has provided a cue; this cue has given the expert access to information stored in memory, and the information provides the answer. Intuition is nothing more and nothing less than recognition.

But before I could come up with an answer, Tod appeared in the desk chair, where I'd sat minutes earlier. 'Hey. Am I interrupting something?' 'Yes,' Nash said. 'Get out.' But Tod was watching me, and I could tell from the angry line of his jaw that he'd been listening long before he showed himself. He'd heard what Avari had done to me. What Nash had let him do. 'You want me to go?' Tod asked me, his back to his brother. Nash implores me silently to say yes. Tod waited patiently. 'No,' I said, looking right at Nash. He scowled, and his shoulders sagged. 'Good.' Tod stood and kicked the rolling chair out of his way. 'I just checked on your friend in the straitjacket. But first...' The reaper swung before either of us realized what he intended to do. Tod's very sold first slammed into Nash's jaw. Nash's head snapped back. He stumbled into the wall. Tod shook his hand like it hurt. 'That's for what you let him do to Kaylee.

It is a great thing to start life with a small number of really good books which are your very own. You may not appreciate them at first. You may pine for your novel of crude and unadulterated adventure. You may, and will, give it the preference when you can. But the dull days come, and the rainy days come, and always you are driven to fill up the chinks of your reading with the worthy books which wait so patiently for your notice. And then suddenly, on a day which marks an epoch in your life, you understand the difference. You see, like a flash, how the one stands for nothing, and the other for literature. From that day onwards you may return to your crudities, but at least you do so with some standard of comparison in your mind. You can never be the same as you were before. Then gradually the good thing becomes more dear to you; it builds itself up with your growing mind; it becomes a part of your better self, and so, at last, you can look, as I do now, at the old covers and love them for all that they have meant in the past.

it’s a terrible feeling when you first fall in love. your mind gets completely taken over, you can’t function properly anymore. the world turns into a dream place, nothing seems real. you forget your keys, no one seems to be talking English and even if they are you don’t care as you can’t hear what they’re saying anyway, and it doesn’t matter since your not really there. things you cared about before don’t seem to matter anymore and things you didn’t think you cared about suddenly do. I must become a brilliant cook, I don’t want to waste time seeing my friends when I could be with him, I feel no sympathy for all those people in India killed by an earthquake last night; what is the matter with me? It’s a kind of hell, but you feel like your in heaven. even your body goes out of control, you can’t eat, you don’t sleep properly, your legs turn to jelly as your not sure where the floor is anymore. you have butterflies permanently, not only in your tummy but all over your body - your hands, your shoulders, your chest, your eyes everything’s just a jangling mess of nerve endings tingling with fire. it makes you feel so alive. and yet its like being suffocated, you don’t seem to be able to see or hear anything real anymore, its like people are speaking to you through treacle, and so you stay in your cosy place with him, the place that only you two understand. occasionally your forced to come up for air by your biggest enemy, Real Life, so you do the minimum then head back down under your love blanket for more, knowing it’s uncomfortable but compulsory. and then, once you think you’ve got him, the panic sets in. what if he goes off me? what if I blow it, say the wrong thing? what if he meets someone better than me? Prettier, thinner, funnier, more like him? who doesn’t bite there nails? perhaps he doesn’t feel the same, maybe this is all in my head and this is just a quick fling for him. why did I tell him that stupid story about not owning up that I knew who spilt the ink on the teachers bag and so everyone was punished for it? does he think I'm a liar? what if I'm not very good at that blow job thing and he’s just being patient with me? he says he loves me; yes, well, we can all say words, can’t we? perhaps he’s just being polite. of course you do your best to keep all this to yourself, you don’t want him to think you're a neurotic nutcase, but now when he’s away doing Real Life it’s agony, your mind won’t leave you alone, it tortures you and examines your every moment spent together, pointing out how stupid you’ve been to allow yourself to get this carried away, how insane you are to imagine someone would feel like that about you. dad did his best to reassure me, but nothing he said made a difference - it was like I wanted to see Simon, but didn’t want him to see me.

What must I do, to tame you?" asked the little prince. "You must be very patient," replied the fox. "First you will sit down at a little distance from me--like that--in the grass. I shall look at you out of the corner of my eye, and you will say nothing. Words are the source of misunderstandings. But you will sit a little closer to me, every day . . ." The next day the little prince came back. "It would have been better to come back at the same hour," said the fox. "If, for example, you come at four o'clock in the afternoon, then at three o'clock I shall begin to be happy. I shall feel happier and happier as the hour advances. At four o'clock, I shall already be worrying and jumping about. I shall show you how happy I am! But if you come at just any time, I shall never know at what hour my heart is to be ready to greet you...

We lead a difficult life, not always managing to fit our actions to the vision we have of the world. (And when I think I have caught a glimpse of the color of my fate, it flees from my gaze.) We struggle and suffer to reconquer our solitude. But a day comes when the earth has its simple and primitive smile. Then, it is as if the struggles and life within us were rubbed out. Millions of eyes have looked at this landscape, and for me it is like the first smile of the world. It takes me out of myself, in the deepest meaning of the expression. It assures me that nothing matters except my love, and that even this love has no value for me unless it remains innocent and free. It denies me a personality, and deprives my suffering of its echo. The world is beautiful, and this is everything. The great truth which it patiently teaches me is that neither the mind nor even the heart has any importance. And that the stone warmed by the stone or the cypress tree swelling against the empty sky set a boundary to the only world in which "to be right" has any meaning: nature without men. This world reduces me to nothing. It carries me to the very end. Without anger, it denies that I exist. And, agreeing to my defeat, I move toward a wisdom where everything has already been conquered -- except that tears come into my eyes, and this great sob of poetry which swells my heart makes me forget the truth of the world.

SO YOU WANT TO BE A WRITER if it doesn't come bursting out of you in spite of everything, don't do it. unless it comes unasked out of your heart and your mind and your mouth and your gut, don't do it. if you have to sit for hours staring at your computer screen or hunched over your typewriter searching for words, don't do it. if you're doing it for money or fame, don't do it. if you're doing it because you want women in your bed, don't do it. if you have to sit there and rewrite it again and again, don't do it. if it's hard work just thinking about doing it, don't do it. if you're trying to write like somebody else, forget about it. if you have to wait for it to roar out of you, then wait patiently. if it never does roar out of you, do something else. if you first have to read it to your wife or your girlfriend or your boyfriend or your parents or to anybody at all, you're not ready. don't be like so many writers, don't be like so many thousands of people who call themselves writers, don't be dull and boring and pretentious, don't be consumed with self- love. the libraries of the world have yawned themselves to sleep over your kind. don't add to that. don't do it. unless it comes out of your soul like a rocket, unless being still would drive you to madness or suicide or murder, don't do it. unless the sun inside you is burning your gut, don't do it. when it is truly time, and if you have been chosen, it will do it by itself and it will keep on doing it until you die or it dies in you. there is no other way. and there never was.

Nothing important comes into being overnight; even grapes and figs need time to ripen. If you say that you want a fig now, I will tell you to be patient. First, you must allow the tree to flower, then put forth fruit; then you have to wait until the fruit is ripe. So if the fruit of a fig tree is not brought to maturity instantly or in an hour, how do you expect the human mind to come to fruition, so quickly and easily?

Such a number of nights,' said the girl, with a touch of woman's tenderness, which communicated something like sweetness of tone, even to her voice; 'such a number of nights as I've been patient with you, nursing and caring for you, as if you had been a child: and this the first that I've seen you like yourself; you wouldn't have served me as you did just now, if you'd thought of that, would you? Come, come; say you wouldn't.

LAWS OF THE HOUSE OF GOD I Gomers don’t die. II Gomers go to ground. III At a cardiac arrest, the first procedure is to take your own pulse. IV The patient is the one with the disease. V Placement comes first. VI There is no body cavity that cannot be reached with a #14 needle and a good strong arm. VII Age + BUN = Lasix dose. VIII They can always hurt you more. IX The only good admission is a dead admission. X If you don’t take a temperature, you can’t find a fever. XI Show me a BMS who only triples my work and I will kiss his feet. XII If the radiology resident and the BMS both see a lesion on the chest X ray, there can be no lesion there. XIII The delivery of medical care is to do as much nothing as possible.

....the Crocodiles say they can't even begin to say how many new guys they've seen Come In and then get sucked back Out There, Come In to AA for a while and Hang In and put together a little sober time and have things start to get better, head-wise and life-quality-wise, and after a while the new guys get cocky, they decide they've gotten `Well,' and they get really busy at the new job sobriety's allowed them to get, or maybe they buy season Celtics tickets, or they rediscover pussy and start chasing pussy (these withered gnarled toothless totally post-sexual old fuckers actually say pussy), but one way or another these poor cocky clueless new bastards start gradually drifting away from rabid Activity In The Group, and then away from their Group itself, and then little by little gradually drift away from any AA meetings at all, and then, without the protection of meetings or a Group, in time--oh there's always plenty of time, the Disease is fiendishly patient--how in time they forget what it was like, the ones that've cockily drifted, they forget who and what they are, they forget about the Disease, until like one day they're at like maybe a Celtics-Sixers game, and the good old Fleet/First Interstate Center's hot, and they think what could just one cold foamer hurt, after all this sober time, now that they've gotten `Well.' Just one cold one. What could it hurt. And after that one it's like they'd never stopped, if they've got the Disease. And how in a month or six months or a year they have to Come Back In, back to the Boston AA halls and their old Group, tottering, D.T.ing, with their faces hanging down around their knees all over again, or maybe it's five or ten years before they can get it up to get back In, beaten to shit again, or else their system isn't ready for the recurred abuse again after some sober time and they die Out There--the Crocodiles are always talking in hushed, 'Nam-like tones about Out There--or else, worse, maybe they kill somebody in a blackout and spend the rest of their lives in MCI-Walpole drinking raisin jack fermented in the seatless toilet and trying to recall what they did to get in there, Out There; or else, worst of all, these cocky new guys drift back Out There and have nothing sufficiently horrible to Finish them happen at all, just go back to drinking 24/7/365, to not-living, behind bars, undead, back in the Disease's cage all over again. The Crocodiles talk about how they can't count the number of guys that've Come In for a while and drifted away and gone back Out There and died, or not gotten to die.

I speak as a planetary physician whose patient, the living Earth, complains of fever; I see the Earth's declining health as our most important concern, our very lives depending upon a healthy Earth. Our concern for it must come first, because the welfare of the burgeoning mass of humanity demands a healthy planet.

Work hard, then, on the disappointment or anticlimax which is certainly coming to the patient during his first few weeks as a churchman. The Enemy allows this disappointment to occur on the threshold of every human endeavour. It occurs when the boy who has been enchanted in the nursery by Stories from the Odyssey buckles down to really learning Greek. It occurs when lovers have got married and begin the real task of learning to live together. In every department of life it marks the transition from dreaming aspiration to laborious doing.

Humanity comes first. Always. Politics and religion, valuable as they are, are always of second importance. If we do not work together to preserve life, to treasure it and keep it safe, then nothing we fight for is worth having.

We will never have any memory of dying. We were so patient about our being, noting down numbers, days, years and months, hair, and the mouths we kiss, and that moment of dying we let pass without a note - we leave it to others as memory, or we leave it simply to water, to water, to air, to time. Nor do we even keep the memory of being born, although to come into being was tumultuous and new; and now you don’t remember a single detail and haven’t kept even a trace of your first light. It’s well known that we are born. It’s well known that in the room or in the wood or in the shelter in the fishermen’s quarter or in the rustling canefields there is a quite unusual silence, a grave and wooden moment as a woman prepares to give birth. It’s well known that we were all born. But if that abrupt translation from not being to existing, to having hands, to seeing, to having eyes, to eating and weeping and overflowing and loving and loving and suffering and suffering, of that transition, that quivering of an electric presence, raising up one body more, like a living cup, and of that woman left empty, the mother who is left there in her blood and her lacerated fullness, and its end and its beginning, and disorder tumbling the pulse, the floor, the covers till everything comes together and adds one knot more to the thread of life, nothing, nothing remains in your memory of the savage sea which summoned up a wave and plucked a shrouded apple from the tree. The only thing you remember is your life." -"Births

The year was 1987, but it might as well have been the Summer of Love: I was twenty, had hair down to my shoulders, and was dressed like an Indian rickshaw driver. For those charged with enforcing our nation’s drug laws, it would have been only prudent to subject my luggage to special scrutiny. Happily, I had nothing to hide. “Where are you coming from?” the officer asked, glancing skeptically at my backpack. “India, Nepal, Thailand…” I said. “Did you take any drugs while you were over there?” As it happens, I had. The temptation to lie was obvious—why speak to a customs officer about my recent drug use? But there was no real reason not to tell the truth, apart from the risk that it would lead to an even more thorough search of my luggage (and perhaps of my person) than had already commenced. “Yes,” I said. The officer stopped searching my bag and looked up. “Which drugs did you take? “I smoked pot a few times… And I tried opium in India.” “Opium?” “Yes.” “Opium or heroin? “It was opium.” “You don’t hear much about opium these days.” “I know. It was the first time I’d ever tried it.” “Are you carrying any drugs with you now?” “No.” The officer eyed me warily for a moment and then returned to searching my bag. Given the nature of our conversation, I reconciled myself to being there for a very long time. I was, therefore, as patient as a tree. Which was a good thing, because the officer was now examining my belongings as though any one item—a toothbrush, a book, a flashlight, a bit of nylon cord—might reveal the deepest secrets of the universe. “What is opium like?” he asked after a time. And I told him. In fact, over the next ten minutes, I told this lawman almost everything I knew about the use of mind-altering substances. Eventually he completed his search and closed my luggage. One thing was perfectly obvious at the end of our encounter: We both felt very good about it.

Is God present or is he absent? Maybe we can say now that in the center of our sadness for his absence we can find the first signs of his presence. And that in the middle of our longings we discover the footprints of the one who has created them. It is in the faithful waiting for the loved one that we know how much he has filled our lives already. Just as the love of a mother for her son can grow while she is waiting for his return, and just as lovers can rediscover each other during long periods of absence, so also our intimate relationship with God can become deeper and more mature while we wait patiently in expectation for his return.

When you choose to earn your living by helping people who are in emotional pain, you're also making a choice to carry them on your back for a while. To hell with all that talk of taking responsibility, assertiveness. That's crap. You're going to be coming up against helplessness every day of your lives. Your patients will imprint you, like goslings who latch on to the first creature they see when they stick their heads out of the egg shell. If you can't handle it, become and accountant. (82) When the Bough Breaks

But all this doesn´t happen effortlessly, as demonstrated by patients who surgically recover their eyesight after decades of blindless: they do not suddenly see the world, but instead must learn to see again. At first the world is buzzing, jangling barrage of shapes and colors, and even when the optics of their eyes are perfectly functional, their brain must learn how to interpret the data coming in.

Great dreams may not necessarily come to pass greatly at a twinkle of an eye. The best dream which survive greatly in reality takes great roots first before it grows in reality to bear great fruits. Delay is not death! Carefully and patiently nurture your dreams and make them happen distinctively in reality

Who that has ever visited the borders of this classic sea, has not felt at the first sight of its waters a glow of reverent rapture akin to devotion, and an instinctive sensation of thanksgiving at being permitted to stand before these hallowed waves? All that concerns the Mediterranean is of the deepest interest to civilized man, for the history of its progress is the history of the development of the world; the memory of the great men who have lived and died around its banks; the recollection of the undying works that have come thence to delight us for ever; the story of patient research and brilliant discoveries connected with every physical phenomenon presented by its waves and currents, and with every order of creatures dwelling in and around its waters. The science of the Mediterranean is the epitome of the science of the world.

Not all the nurses noticed at first.7 People die, that’s what happens in a hospital, especially the CCU, and sometimes those deaths seem to come in clusters, but something seemed to have changed. The veteran nurses felt it, a new night wind blowing their patients away. It seemed to some that the codes were almost constant now. And they weren’t ending well. Some

Sandra O'Toole walked back to the nurses' station, remembering what she alone had seen. Kelly's face turning so white that her first reaction to it was that he must be in shock, then the tumult behind her as she reached for her patient -- but then what? It wasn't like the first time at all. Kelly's face has transformed itself. Only an instant, like opening a door into some other place, and she'd seen something she had never imagined. Something very old and feral and ugly. The eyes not wide, but focused on something she could not see. The pallor of his face not that of shock, but of rage. His hands balled briefly into fists of quivering stone. And then his face had changed again. There had been comprehension to replace the blind, killing rage, and what she'd seen next was the most dangerous sight she had ever beheld, though she knew not why. Then the door closed, Kelly's eyes shut, and when he opened them, his face was unnaturally serene. The complete sequence had not taken four seconds, she realized, all of it while Rosen and Douglas had been scuffling against the wall. He'd passed from horror to rage to understanding -- then to concealment, but what had come in between comprehension and disguise was the most frightening thing of all. What had she seen in the face of this man? It took her a moment to answer the question. Death was what she'd seen. Controlled. Planned. Disciplined. But it was still Death, living in the mind of a man.

A writer is someone who spends years patiently trying to discover the second being inside him, and the world that makes him who he is: when I speak of writing, what comes first to my mind is not a novel, a poem, or literary tradition, it is a person who shuts himself up in a room, sits down at a table, and alone, turns inward; amid its shadows, he builds a new world with words. This man – or this woman – may use a typewriter, profit from the ease of a computer, or write with a pen on paper, as I have done for 30 years. As he writes, he can drink tea or coffee, or smoke cigarettes. From time to time he may rise from his table to look out through the window at the children playing in the street, and, if he is lucky, at trees and a view, or he can gaze out at a black wall. He can write poems, plays, or novels, as I do. All these differences come after the crucial task of sitting down at the table and patiently turning inwards. To write is to turn this inward gaze into words, to study the world into which that person passes when he retires into himself, and to do so with patience, obstinacy, and joy. As I sit at my table, for days, months, years, slowly adding new words to the empty page, I feel as if I am creating a new world, as if I am bringing into being that other person inside me, in the same way someone might build a bridge or a dome, stone by stone. The stones we writers use are words. As we hold them in our hands, sensing the ways in which each of them is connected to the others, looking at them sometimes from afar, sometimes almost caressing them with our fingers and the tips of our pens, weighing them, moving them around, year in and year out, patiently and hopefully, we create new worlds.

I’m tired of only being able to talk to you on the phone, Alyssa...”Silence. “I need to see you...” His voice was strained.  “I need to fuck you...”“Thoreau...” “No, listen to me.” His tone was a warning. “I need to be buried deep inside of you, feeling your pussy throb around my cock as you scream my name—my real name.”A hand trailed down past my stomach and between my thighs, and my fingers began to strum my clit. Slow at first, then faster, faster with every sound of his heavy breaths in my ear. “I’ve been very patient with you...” His voice trailed off. “Don’t you think?”“No...”“I have,” he said. “I’m tired of imagining how wet your pussy can get, how loudly you’ll scream when I suck your tits as you ride me...How hard I’ll pull your hair when I bend you over my desk and fuck you until you can’t breathe...Tired.”I shut my eyes, letting my other hand squeeze my breast, letting my thumb pinch my nipple.“I’m giving you two weeks to come to your fucking senses...”“What?”“Two weeks,” he whispered. “That’s when you and I are going to meet face to face, and I’m going to claim every inch of you.”“I can’t...I can’t agree to...that.”“You will.” His breathing was now in sync with mine. “And the second you do, you’re going to invite me over and I’m going to remind you of everything you’ve teased me with over the past six months.

A writer is someone who spends years patiently trying to discover the second being inside him, and the world that makes him who he is. When I speak of writing, the image that comes first to my mind is not a novel, a poem, or a literary tradition; it is the person who shuts himself up in a room, sits down at a table, and, alone, turns inward. Amid his shadows, he builds a new world with words.

Doctors generally adhere to the Hippocratic oath, where they swear to abide by an ethical code, where they swear to act, always, in their patients’ best interests. Unless the patient is overweight. I hate going to the doctor because they seem wholly unwilling to follow the Hippocratic oath when it comes to treating obese patients. The words “first do no harm” do not apply to unruly bodies. There

Going home does not come naturally to me. If my father's medium was silence, mine had tended to be escape. But there's no future in escape because the world is round. So the faster you run away, the faster you end up, right back where you started, face to face with whatever you were running from in the first place. Your worst fears, they're always the most patient. They'll wait up for you. That's what makes them the worst.

After a moment or two a man in brown crimplene looked in at us, did not at all like the look of us and asked us if we were transit passengers. We said we were. He shook his head with infinite weariness and told us that if we were transit passengers then we were supposed to be in the other of the two rooms. We were obviously very crazy and stupid not to have realized this. He stayed there slumped against the door jamb, raising his eyebrows pointedly at us until we eventually gathered our gear together and dragged it off down the corridor to the other room. He watched us go past him shaking his head in wonder and sorrow at the stupid futility of the human condition in general and ours in particular, and then closed the door behind us. The second room was identical to the first. Identical in all respects other than one, which was that it had a hatchway let into one wall. A large vacant-looking girl was leaning through it with her elbows on the counter and her fists jammed up into her cheekbones. She was watching some flies crawling up the wall, not with any great interest because they were not doing anything unexpected, but at least they were doing something. Behind her was a table stacked with biscuits, chocolate bars, cola, and a pot of coffee, and we headed straight towards this like a pack of stoats. Just before we reached it, however, we were suddenly headed off by a man in blue crimplene, who asked us what we thought we were doing in there. We explained that we were transit passengers on our way to Zaire, and he looked at us as if we had completely taken leave of our senses. 'Transit passengers? he said. 'It is not allowed for transit passengers to be in here.' He waved us magnificently away from the snack counter, made us pick up all our gear again, and herded us back through the door and away into the first room where, a minute later, the man in the brown crimplene found us again. He looked at us. Slow incomprehension engulfed him, followed by sadness, anger, deep frustration and a sense that the world had been created specifically to cause him vexation. He leaned back against the wall, frowned, closed his eyes and pinched the bridge of his nose. 'You are in the wrong room,' he said simply. `You are transit passengers. Please go to the other room.' There is a wonderful calm that comes over you in such situations, particularly when there is a refreshment kiosk involved. We nodded, picked up our gear in a Zen-like manner and made our way back down the corridor to the second room. Here the man in blue crimplene accosted us once more but we patiently explained to him that he could fuck off.

In your heart of hearts you don't want to see that happen." "No. But sometimes I wish he'd learn a lesson and shape up." "Sometimes that's all it takes. But sometimes the road is much longer. Zoe, you have to be patient. Have faith." "How can I have faith in him when he's not trying?" "Do you know he's not trying?" "He's not changing, is he?" "Zoe." He stepped closer and though he didn't touch me, his nearness swiped away my anger. "Change isn't as easy as snapping your finger." "It's easy if you just decide to do something. Come on Matthias, everybody's got their turning point, their rock bottom or whatever you want to call it." "And for everyone it's different. If we all learned the lesson the first time around the track, there'd be no need for a stadium, for coaches, for cheerleaders, for those people who maintain the field so we can pick ourselves up and try again.

In the first chapter, for example, when Job first gets all the bad news about the deaths of his children and the loss of his estate, we are told that “Job got up and tore his robe” and then he “fell to the ground” (Job 1:20), but then the author adds, “In all this Job sinned not” (Job 1:22). Here is a man already behaving in a way that many pious Christians would consider at least unseemly or showing a lack of faith. He rips his clothes, falls to the ground, cries out. He does not show any stoical patience. But the biblical text says, “In all this Job sinned not.” By the middle of the book, Job is cursing the day he is born and comes very close to charging God with injustice in his angry questions. And yet God’s final verdict on Job is surprisingly positive. At the end of the book, God turns to Eliphaz, the first of Job’s friends, and says: “I am angry with you and your two friends, because you have not spoken the truth about me, as my servant Job has. So now take seven bulls and seven rams and go to my servant Job and sacrifice a burnt offering for yourselves. My servant Job will pray for you, and I will accept his prayer and not deal with you according to your folly. You have not spoken the truth about me, as my servant Job has.” So Eliphaz the Temanite, Bildad the Shuhite and Zophar the Naamathite did what the Lord told them; and the Lord accepted Job’s prayer (Job 42:7–9). Job’s grief was expressed with powerful emotion and soaring rhetoric. He did not “make nice” with God, praying politely. He was brutally honest about his feelings. And while God did—as we will see later—forcefully call Job to acknowledge his unfathomable wisdom and majesty, nevertheless God ultimately vindicated him. A Bruised Reed He Will Not Break It is not right, therefore, for us to simply say to a person in grief and sorrow that they need to pull themselves together. We should be more gentle and patient with them. And that means we should also be gentle and patient with ourselves. We should not assume that if we are trusting in God we won’t weep, or feel anger, or feel hopeless.

Problems with the gut, such as yeast or bacterial overgrowth, often present themselves in the form of mood swings, anxiety, and persistent food cravings. When a patient comes in with any of these brain issues, the gut is the first thing I look at.

If you [Robert Oppenheimer] intend to mount heavy mathematical artillery again during your coming year in Europe, I would ask you not only not to come to Leiden, but if possible not even to Holland, and just because I am really so fond of you and want to keep it that way. But if, on the contrary, you want to spend at least your first few months patiently, comfortably, and joyfully in discussions that keep coming back to the same few points, chatting about a few basic questions with me and our young people- and without thinking much about publishing (!!!)-why then I welcome you with open arms!!

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

Sometimes," Catelyn said slowly, "the best thing you can do is nothing. When I first came to Winterfell, I was hurt whenever Ned went to the godwood to sit beneath his heart tree. Part of his soul was in that tree, I know, a part I would never share. Yet, without that part, I soon realized, he would not have been Ned. Jeyne, child, you have wed the north, as I did ... and in the north, the winters will come." She tried to smile. "Be patient. Be understanding. He loves you and he needs you, and he will come back to you soon enough. This very night, perhaps. Be there when he does. That is all I can tell you.

so you want to be a writer? if it doesn’t come bursting out of you in spite of everything, don’t do it. unless it comes unasked out of your heart and your mind and your mouth and your gut, don’t do it. if you have to sit for hours staring at your computer screen or hunched over your typewriter searching for words, don’t do it. if you’re doing it for money or fame, don’t do it. if you’re doing it because you want women in your bed, don’t do it. if you have to sit there and rewrite it again and again, don’t do it. if it’s hard work just thinking about doing it, don’t do it. if you’re trying to write like somebody else, forget about it. if you have to wait for it to roar out of you, then wait patiently. if it never does roar out of you, do something else. if you first have to read it to your wife or your girlfriend or your boyfriend or your parents or to anybody at all, you’re not ready. don’t be like so many writers, don’t be like so many thousands of people who call themselves writers, don’t be dull and boring and pretentious, don’t be consumed with self- love. the libraries of the world have yawned themselves to sleep over your kind. don’t add to that. don’t do it. unless it comes out of your soul like a rocket, unless being still would drive you to madness or suicide or murder, don’t do it. unless the sun inside you is burning your gut, don’t do it. when it is truly time, and if you have been chosen, it will do it by itself and it will keep on doing it until you die or it dies in you. there is no other way. and there never was.

It’s the fastest incubation period I’ve ever seen. I just saw a patient, she works as an orderly here at the hospital, on duty when the first patients started coming in this morning. She started feeling sick a few hours into her shift, went home early, her boyfriend drove her back in two hours ago and now she’s on a ventilator.

you come to rely, more than anything else, on first sight. You walk into the room and you think, sick or not sick. Not sick goes home as fast as possible. Sick, you watch. You draw blood, you order X rays, you give them fluids. You are careful, because a little bell went off in your head when you walked into the room and saw them.

When a patient comes in with a fatal head bleed, that first conversation with a neurosurgeon may forever color how the family remembers the death, from a peaceful letting go (“Maybe it was his time”) to an open sore of regret (“Those doctors didn’t listen! They didn’t even try to save him!”). When there’s no place for the scalpel, words are the surgeon’s only tool.

I took the jar of weed from its hiding place and started rolling a joint. I’d been smoking marijuana since university. I first encountered it during my first term, alone and friendless at a fresher party, too paralyzed with fear to initiate a conversation with any of the good-looking and confident young people around me. I was planning my escape when the girl standing next to me offered me something. I thought it was a cigarette until I smelled the spicy, pungent, curling black smoke. Too shy to refuse, I accepted it and brought the joint to my lips. It was badly rolled and coming unstuck, unraveling at the end. The tip was wet and stained red from her lipstick. It tasted different from a cigarette; it was richer, rawer, more exotic.

First, God doesn’t count time the way we do. With the Lord, a thousand years is like one day. But more important is the reason God is waiting until the last minute to command His Son’s second coming to earth. Peter says this: ‘The Lord is not slow about His promise, as some count slowness, but is patient toward you, not wishing for any to perish, but for all to come to repentance.

Ronkers was getting out of the elevator on the first floor when the intercom paged 'Dr Heart'. There was no Dr Heart at University Hospital. 'Dr Heart' meant someone's heart had stopped. 'Dr Heart?' the intercom asked sweetly. 'Please come to 304 . . .' Any doctor in the hospital was supposed to hurry to that room. There was an unwritten rule that you looked around and made a slow move to the nearest elevator, hoping another doctor would beat you to the patient. Ronkers hesitated, letting the elevator door close. He pushed the button again, but the elevator was already moving up. 'Dr Heart, room 304,' the intercom said calmly. It was better than urgently crying, 'A doctor! Any doctor to room 304! Oh my God, hurry!' That might disturb the other patients and the visitors.

Amid the tragedies and failures, I feared I was losing sight of the singular importance of human relationships, not between patients and their families but between doctor and patient. Technical excellence was not enough. As a resident, my highest ideal was not saving lives—everyone dies eventually—but guiding a patient or family to an understanding of death or illness. When a patient comes in with a fatal head bleed, that first conversation with a neurosurgeon may forever color how the family remembers the death, from a peaceful letting go (“Maybe it was his time”) to an open sore of regret (“Those doctors didn’t listen! They didn’t even try to save him!”). When there’s no place for the scalpel, words are the surgeon’s only tool. For amid that unique suffering invoked by

I suppose the real reason Ginny Weasley's like this is because she opened her heart and spilled all her secrets to an invisible stranger." "What are you talking about?" said Harry. "The diary," said Riddle. "My diary. Little Ginny's been writing in it for months and months, telling me all her pitiful worries and woes- how her brothers tease her, how she had come to school with secondhand robes and books, how"- Riddle's eyes glinted- "how she didn't think famous, good, great Harry Potter would ever like her..." All the time he spoke, Riddle's eyes never left Harry's face. There was an almost hungry look in them. "It's very boring, having to listen to the silly little troubles of an eleven-year-old girl," he went on. "But I was patient. I wrote back. I was sympathetic, I was kind. Ginny simply loved me. No one's ever understood me like you, Tom... I'm so glad I've got this diary to confide in.... It's like having a friend I can carry around in my pocket...." Riddle laughed, a high, cold laugh that didn't suit him. It made the hairs stand up on the back of Harry's neck. "If I say it myself, Harry, I've always been able to charm the people I needed. So Ginny poured out her soul to me, and her soul happened to be exactly what I wanted.... I grew stronger and stronger on a diet of her deepest fears, her darkest secrets. I grew powerful, more powerful than little Miss Weasley. Powerful enough to start feeding Miss Weasley a few of my secrets, to start pouring a little of my soul into her..." "What d'you mean?" said Harry, whose mouth had gone dry. "Haven't you guessed yet, Harry Potter?" said Riddle softly. "Ginny Weasley opened the Chamber of Secrets. She strangled the school roosters and daubed threatening messages on the walls. She set the Serpent of Slytherin on four Mudbloods, and the Squib's cat." "No," Harry whispered. "Yes," said Riddle, calmly. "Of course, she didn't know what she was doing at first. It was very amusing. I wish you could have seen her new diary entries... far more interesting, they became... Dear Tom," he recited, watching Harry's horrified face, "I think I'm losing my memory. There are rooster feathers all over my robes and I don't know how they got there. Dear Tom, I can't remember what I did on the night of Halloween, but a cat was attacked and I've got paint all down my front. Dear Tom, Percy keeps telling me I'm pale and I'm not myself. I think he suspects me.... There was another attack today and I don't know where I was. Tom, what am I going to do? I think I'm going mad.... I think I'm the one attacking everyone, Tom!

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

I’m tired of only being able to talk to you on the phone, Alyssa...” Silence. “I need to see you...” His voice was strained.  “I need to fuck you...” “Thoreau...” “No, listen to me.” His tone was a warning. “I need to be buried deep inside of you, feeling your pussy throb around my cock as you scream my name—my real name.” A hand trailed down past my stomach and between my thighs, and my fingers began to strum my clit. Slow at first, then faster, faster with every sound of his heavy breaths in my ear. “I’ve been very patient with you...” His voice trailed off. “Don’t you think?” “No...” “I have,” he said. “I’m tired of imagining how wet your pussy can get, how loudly you’ll scream when I suck your tits as you ride me...How hard I’ll pull your hair when I bend you over my desk and fuck you until you can’t breathe...Tired.” I shut my eyes, letting my other hand squeeze my breast, letting my thumb pinch my nipple. “I’m giving you two weeks to come to your fucking senses...” “What?” “Two weeks,” he whispered. “That’s when you and I are going to meet face to face, and I’m going to claim every inch of you.” “I can’t...I can’t agree to...that.” “You will.” His breathing was now in sync with mine. “And the second you do, you’re going to invite me over and I’m going to remind you of everything you’ve teased me with over the past six months.

For a psychoanalyst to be any good with Franny at all, he'd have to be a pretty peculiar type. I don't know. He'd have to believe that it was through the grace of God that he'd been inspired to study psychoanalysis in the first place. He'd have to believe that it was through the grace of God that he wasn't run over by a goddam truck before he ever got his license to practice. He'd have to believe that it's through the grace of God that he has the native intelligence to be able to help his goddam patients at all. I don't know any good analysts who think along those lines. But that's the only kind of psychoanalyst who might be able to do Franny any good at all. If she got somebody terribly Freudian, or terribly eclectic, or just terribly run-of-the-mill - somebody who didn't even have any crazy, mysterious gratitude for his insight and intelligence - she'd come out of analysis in even worse shape.

I resolved to come right to the point. "Hello," I said as coldly as possible, "we've got to talk." "Yes, Bob," he said quietly, "what's on your mind?" I shut my eyes for a moment, letting the raging frustration well up inside, then stared angrily at the psychiatrist. "Look, I've been religious about this recovery business. I go to AA meetings daily and to your sessions twice a week. I know it's good that I've stopped drinking. But every other aspect of my life feels the same as it did before. No, it's worse. I hate my life. I hate myself." Suddenly I felt a slight warmth in my face, blinked my eyes a bit, and then stared at him. "Bob, I'm afraid our time's up," Smith said in a matter-of-fact style. "Time's up?" I exclaimed. "I just got here." "No." He shook his head, glancing at his clock. "It's been fifty minutes. You don't remember anything?" "I remember everything. I was just telling you that these sessions don't seem to be working for me." Smith paused to choose his words very carefully. "Do you know a very angry boy named 'Tommy'?" "No," I said in bewilderment, "except for my cousin Tommy whom I haven't seen in twenty years..." "No." He stopped me short. "This Tommy's not your cousin. I spent this last fifty minutes talking with another Tommy. He's full of anger. And he's inside of you." "You're kidding?" "No, I'm not. Look. I want to take a little time to think over what happened today. And don't worry about this. I'll set up an emergency session with you tomorrow. We'll deal with it then." Robert This is Robert speaking. Today I'm the only personality who is strongly visible inside and outside. My own term for such an MPD role is dominant personality. Fifteen years ago, I rarely appeared on the outside, though I had considerable influence on the inside; back then, I was what one might call a "recessive personality." My passage from "recessive" to "dominant" is a key part of our story; be patient, you'll learn lots more about me later on. Indeed, since you will meet all eleven personalities who once roamed about, it gets a bit complex in the first half of this book; but don't worry, you don't have to remember them all, and it gets sorted out in the last half of the book. You may be wondering -- if not "Robert," who, then, was the dominant MPD personality back in the 1980s and earlier? His name was "Bob," and his dominance amounted to a long reign, from the early 1960s to the early 1990s. Since "Robert B. Oxnam" was born in 1942, you can see that "Bob" was in command from early to middle adulthood. Although he was the dominant MPD personality for thirty years, Bob did not have a clue that he was afflicted by multiple personality disorder until 1990, the very last year of his dominance. That was the fateful moment when Bob first heard that he had an "angry boy named Tommy" inside of him. How, you might ask, can someone have MPD for half a lifetime without knowing it? And even if he didn't know it, didn't others around him spot it? To outsiders, this is one of the most perplexing aspects of MPD. Multiple personality is an extreme disorder, and yet it can go undetected for decades, by the patient, by family and close friends, even by trained therapists. Part of the explanation is the very nature of the disorder itself: MPD thrives on secrecy because the dissociative individual is repressing a terrible inner secret. The MPD individual becomes so skilled in hiding from himself that he becomes a specialist, often unknowingly, in hiding from others. Part of the explanation is rooted in outside observers: MPD often manifests itself in other behaviors, frequently addiction and emotional outbursts, which are wrongly seen as the "real problem." The fact of the matter is that Bob did not see himself as the dominant personality inside Robert B. Oxnam. Instead, he saw himself as a whole person. In his mind, Bob was merely a nickname for Bob Oxnam, Robert Oxnam, Dr. Robert B. Oxnam, PhD.

Esmé Weijun Wang writes in The Collected Schizophrenias about speaking to medical professionals about her experiences with schizophrenia. A doctor approached her to thank her afterward, but what she said shows how many able-bodied people don’t treat or see disabled people as human: She said that she was grateful for this reminder that her patients are human too. She starts out with such hope, she said, every time a new patient comes—and then they relapse and return, relapse and return. The clients, or patients, exhibit their illness in ways that prevent them from seeming like people who can dream, or like people who can have others dream for them. Disabled voices like Wang’s and others are needed to change the narratives around disability—to insist on disabled people’s humanity and complexity, to resist inspiration porn, to challenge the binary that says disabled bodies and lives are less important or tragic or that they have value only if they can be fixed or be cured or be made productive.

During her time at Miss Porter’s School in Farmington she had often become depressed and was hobbled by fatigue. In 1887, when she was twenty, she wrote in her diary, “Tears come without any provocation. Headache all day.” The school’s headmistress and founder, Sarah Porter, offered therapeutic counsel. “Cheer up,” she told Theodate. “Always be happy.” It did not work. The next year, in March 1888, her parents sent her to Philadelphia, to be examined and cared for by Dr. Silas Weir Mitchell, a physician famous for treating patients, mainly women, suffering from neurasthenia, or nervous exhaustion. Mitchell’s solution for Theodate was his then-famous “Rest Cure,” a period of forced inactivity lasting up to two months. “At first, and in some cases for four or five weeks, I do not permit the patient to sit up or to sew or write or read,” Mitchell wrote, in his book Fat and Blood. “The only action allowed is that needed to clean the teeth.” He forbade some patients from rolling over on their own, insisting they do so only with the help of a nurse. “In such cases I arrange to have the bowels and water passed while lying down, and the patient is lifted on to a lounge at bedtime and sponged, and then lifted back again into the newly-made bed.” For stubborn cases, he reserved mild electrical shock, delivered while the patient was in a filled bathtub. His method reflected his own dim view of women. In his book Wear and Tear; or, Hints for the Overworked, he wrote that women “would do far better if the brain were very lightly tasked.

As a resident, my highest ideal was not saving lives—everyone dies eventually—but guiding a patient or family to an understanding of death or illness. When a patient comes in with a fatal head bleed, that first conversation with a neurosurgeon may forever color how the family remembers the death, from a peaceful letting go ("Maybe it was his time") to an open sore of regret ("Those doctors didn't listen! They didn't even try to save him!"). When there's no place for the scalpel, words are the surgeon's only tool.

My Dear Mrs Winter. (I had half a mind when I dipped my pen in the ink, to address you by your old natural Christian name.) The snow lies so deep on the Northern Railway, and the Posts have been so interrupted in consequence, that your charming note arrived here only this morning... I get the heartache again when I read your commission, written in the hand which I find now to be not in the least changed, and yet it is a great pleasure to be entrusted with it, and to have that share in your gentler remembrances which I cannot find it still my privilege to have, without a stirring of the old fancies. ... I am very very sorry you mistrusted me in not writing before your little girl was born; but I hope now you know me better you will teach her, one day, to tell her children, in times to come when they have some interest in wondering about it, that I loved her mother with the most extraordinary earnestness when I was a boy. I have always believed since, and always shall to the last, that there never was such a faithful and devoted poor fellow as I was. Whatever of fancy, romance, energy, passion, aspiration and determination belong to me, I never have separated and never shall separate from the hard hearted little woman - you - whom it is nothing to say I would have died for, with the greatest alacrity! I never can think, and I never seem to observe, that other young people are in such desperate earnest, or set so much, so long, upon one absorbing hope. It is a matter of perfect certainty to me that I began to fight my way out of poverty and obscurity, with one perpetual idea of you. This is so fixed in my knowledge that to the hour when I opened your letter last Friday night, I have never heard anybody addressed by your name or spoken of by your name, without a start. The sound of it has always filled me with a kind of pity and respect for the deep truth that I had, in my silly hobbledehoyhood, to bestow upon one creature who represented the whole world to me. I have never been so good a man since, as I was when you made me wretchedly happy. I shall never be half so good a fellow any more. This is all so strange now, both to think of, and to say, after every change that has come about; but I think, when you ask me to write to you, you are not unprepared for what it is so natural to me to recall, and will not be displeased to read it. I fancy, - though you may not have thought in the old time how manfully I loved you - that you may have seen in one of my books a faithful reflection of the passion I had for you, and may have thought that it was something to have been loved so well, and may have seen in little bits of "Dora" touches of your old self sometimes, and a grace here and there that may be revived in your little girls, years hence, for the bewilderment of some other young lover - though he will never be as terribly in earnest as I and David Copperfield were. People used to say to me how pretty all that was, and how fanciful it was, and how elevated it was above the little foolish loves of very young men and women. But they little thought what reason I had to know it was true and nothing more nor less. These are things that I have locked up in my own breast, and that I never thought to bring out any more. But when I find myself writing to you again "all to your self", how can I forbear to let as much light in upon them as will shew you that they are there still! If the most innocent, the most ardent, and the most disinterested days of my life had you for their Sun - as indeed they had - and if I know that the Dream I lived in did me good, refined my heart, and made me patient and persevering, and if the Dream were all of you - as God knows it was - how can I receive a confidence from you, and return it, and make a feint of blotting all this out! ...

On Wednesday night, November 13, (1861), Lincoln went with Seward and Hay to McClellan's house. Told that the general was at a wedding, the three waited in the parlor for an hour. When McClellan arrived home, the porter told him the president was waiting, but McClellan passed by the parlor room and climbed the stairs to his private quarters. After another half hour, Lincoln again sent word that he was waiting, only to be informed that the general had gone to sleep. Young John Hay was enraged, " I wish here to record what I consider a portent of evil to come," he wrote in his diary, recounting what he considered an inexcusable "insolence of epaulettes," the first indicator "of the threatened supremacy of the military authorities." To Hay's surprise, Lincoln "seemed not to have noticed it specially, saying it was better at this time not to be making points of etiquette & personal dignity." He would hold McClellan's horse, he once said, if a victory could be achieved. Though Lincoln, the consummate pragmatist, did not express anger at McClellan's rebuff, his aides fumed at every instance of such arrogance. Lincoln's secretary, William Stoddard, described the infuriating delay when he accompanied Lincoln to McClellan's anteroom. "A minute passes, then another, and then another, and with every tick of the clock upon the mantel your blood warms nearer and nearer its boiling-point. Your face feels hot and your fingers tingle, as you look at the man, sitting so patiently over there...and you try to master your rebellious consciousness." As time went by, Lincoln visited the haughty general less frequently. If he wanted to talk with McClellan, he sent a summons for him to appear at the White House.

I remained silent, scarcely daring to breathe. I felt as if I was present at an intimate moment, watching a wild animal give birth. Although Alicia was aware of my presence, she didn’t seem to mind. She occasionally looked up, while painting, and glanced at me. Almost as if she was studying me. Over the next few days the painting slowly took shape, roughly at first, sketchily, but with increasing clarity—then it emerged from the canvas with a burst of pristine photo-realistic brilliance. Alicia had painted a redbrick building, a hospital—unmistakably the Grove. It was on fire, burning to the ground. Two figures were discernible on the fire escape. A man and a woman escaping the fire. The woman was unmistakably Alicia, her red hair the same color as the flames. I recognized the man as myself. I was carrying Alicia in my arms, holding her aloft while the fire licked at my ankles. I couldn’t tell if I was depicted as rescuing Alicia—or about to throw her in the flames. CHAPTER TWENTY-NINE “THIS IS RIDICULOUS. I’ve been coming here for years and nobody ever told me to call ahead before. I can’t stand around waiting all day. I’m an extremely busy person.

Most of these patients suffer from Eiffel Syndrome – ‘I fell, doctor! I fell!’ – and the tales of how things get where can be skyscraper tall (come to think of it, it’s only a matter of time before someone tries to sit on the Gherkin), but today is the first time I’ve actually believed the patient’s story. It’s a credible and painful sounding incident with a sofa and a remote control that at the very least had me furrowing my brow and thinking, ‘Well, I suppose it could happen.’ Upon removal of the remote control in theatre, however, we notice it has a condom on it, so maybe it wasn’t a complete accident.

Dearest dearest darling most important dearest darling Natalie-this is me talking, your own priceless own Natalie, and I just wanted to tell you one single small thing: you are the best, and they will know it someday, and someday no one will ever dare laugh again when you are near, and no one will dare even speak to you without bowing first. And they will be afraid of you. And all you have to do is wait, my darling, wait and it will come, I promise you. Because that’s the fair part of it—they have it now, and you have it later. Don’t worry, please, please don’t, because worrying might spoil it, because if you worry it might not come true. Somewhere there is something waiting for you, and you can smile a little perhaps now when you are so unhappy, because how well we both know that you will be happy very very very very soon. Somewhere someone is waiting for you, and loves you, and thinks you are beautiful, and it will be so wonderful and so fine, and if you can be patient and wait and never never never never despair, because despair might spoil it, you will come there, someday, and the gates will open and you will pass through, and no one will be able to come in unless you let them, and no one can even see you. Someday, someone, somewhere. Natalie, please

I find for myself that my first thought is never my best thought. My first thought is always someone else’s; it’s always what I’ve already heard about the subject, always the conventional wisdom. It’s only by concentrating, sticking to the question, being patient, letting all the parts of my mind come into play, that I arrive at an original idea. By giving my brain a chance to make associations, draw connections, take me by surprise. And often even that idea doesn’t turn out to be very good. I need time to think about it, too, to make mistakes and recognize them, to make false starts and correct them, to outlast my impulses, to defeat my desire to declare the job done and move on to the next thing.

Obviously, in those situations, we lose the sale. But we’re not trying to maximize each and every transaction. Instead, we’re trying to build a lifelong relationship with each customer, one phone call at a time. A lot of people may think it’s strange that an Internet company is so focused on the telephone, when only about 5 percent of our sales happen through the telephone. In fact, most of our phone calls don’t even result in sales. But what we’ve found is that on average, every customer contacts us at least once sometime during his or her lifetime, and we just need to make sure that we use that opportunity to create a lasting memory. The majority of phone calls don’t result in an immediate order. Sometimes a customer may be calling because it’s her first time returning an item, and she just wants a little help stepping through the process. Other times, a customer may call because there’s a wedding coming up this weekend and he wants a little fashion advice. And sometimes, we get customers who call simply because they’re a little lonely and want someone to talk to. I’m reminded of a time when I was in Santa Monica, California, a few years ago at a Skechers sales conference. After a long night of bar-hopping, a small group of us headed up to someone’s hotel room to order some food. My friend from Skechers tried to order a pepperoni pizza from the room-service menu, but was disappointed to learn that the hotel we were staying at did not deliver hot food after 11:00 PM. We had missed the deadline by several hours. In our inebriated state, a few of us cajoled her into calling Zappos to try to order a pizza. She took us up on our dare, turned on the speakerphone, and explained to the (very) patient Zappos rep that she was staying in a Santa Monica hotel and really craving a pepperoni pizza, that room service was no longer delivering hot food, and that she wanted to know if there was anything Zappos could do to help. The Zappos rep was initially a bit confused by the request, but she quickly recovered and put us on hold. She returned two minutes later, listing the five closest places in the Santa Monica area that were still open and delivering pizzas at that time. Now, truth be told, I was a little hesitant to include this story because I don’t actually want everyone who reads this book to start calling Zappos and ordering pizza. But I just think it’s a fun story to illustrate the power of not having scripts in your call center and empowering your employees to do what’s right for your brand, no matter how unusual or bizarre the situation. As for my friend from Skechers? After that phone call, she’s now a customer for life. Top 10 Ways to Instill Customer Service into Your Company   1. Make customer service a priority for the whole company, not just a department. A customer service attitude needs to come from the top.   2. Make WOW a verb that is part of your company’s everyday vocabulary.   3. Empower and trust your customer service reps. Trust that they want to provide great service… because they actually do. Escalations to a supervisor should be rare.   4. Realize that it’s okay to fire customers who are insatiable or abuse your employees.   5. Don’t measure call times, don’t force employees to upsell, and don’t use scripts.   6. Don’t hide your 1-800 number. It’s a message not just to your customers, but to your employees as well.   7. View each call as an investment in building a customer service brand, not as an expense you’re seeking to minimize.   8. Have the entire company celebrate great service. Tell stories of WOW experiences to everyone in the company.   9. Find and hire people who are already passionate about customer service. 10. Give great service to everyone: customers, employees, and vendors.

So young and so lethargic! As though he had been born to sit and stare like this. Ever since Kiyoaki had confided in him, Shigekuni, who would have been bright and confident, as befitted such an able young man, had undergone a change. Or rather, the friendship between him and Kiyoaki had undergone a strange reversal. For years, each of them had been extremely careful to intrude in no way on the personal life of the other. But now, just three days before, Kiyoaki had suddenly come to him and, like a newly cured patient transmitting his disease to someone else, had passed on to his friend the virus of introspection. It had taken hold so readily that Honda's disposition now seemed a far better host to it than Kiyoaki's. The first major symptom of the disease was a vague sense of apprehension.

Looking down on the assembly, standing patiently in the drizzle awaiting a verdict, I suddenly had a vivid understanding of something. Like so many, I had heard, appalled, the reports that trickled out of postwar Germany; the stories of deportations and mass murder, of concentration camps and burnings. And like so many others had done, and would do, for years to come, I had asked myself, “How could the people have let it happen? They must have known, must have seen the trucks, the coming and going, the fences and smoke. How could they stand by and do nothing?” Well, now I knew. The stakes were not even life or death in this case. And Colum’s patronage would likely prevent any physical attack on me. But my hands grew clammy around the porcelain bowl as I thought of myself stepping out, alone and powerless, to confront that mob of solid and virtuous citizens, avid for the excitement of punishment and blood to alleviate the tedium of existence. People are gregarious by necessity. Since the days of the first cave dwellers, humans—hairless, weak, and helpless save for cunning—have survived by joining together in groups; knowing, as so many other edible creatures have found, that there is protection in numbers. And that knowledge, bred in the bone, is what lies behind mob rule. Because to step outside the group, let alone to stand against it, was for uncounted thousands of years death to the creature who dared it. To stand against a crowd would take something more than ordinary courage; something that went beyond human instinct. And I feared I did not have it, and fearing, was ashamed. It

The resort to stereotype is the first refuge and chief strategy of the bigot. Though this is a matter that ought to concern everyone, it should be of particular concern to Negroes. For their lives, as far back as we can remember, have been made nightmares by one kind of bigotry or another. This urge to stereotype groups and deal wtih them accordingly is an evil urge. Its birthplace is in that sinister back room of the mind where plots and schemes are hatched for the persecution and oppression of other human beings. It comes out of many things, but chiefly out of a failure or refusal to do the kind of tough, patient thinking that is required of difficult problems of relationship. It comes, as well, out of a desire to establish one's own sense of humanity and worth upon the ruins of someone else's.

Appendix 1 Seven Points and Fifty-Nine Slogans for Generating Compassion and Resilience POINT ONE Resolve to Begin 1. Train in the preliminaries. POINT TWO Train in Empathy and Compassion: Absolute Compassion 2. See everything as a dream. 3. Examine the nature of awareness. 4. Don’t get stuck on peace. 5. Rest in the openness of mind. 6. In Postmeditation be a child of illusion. POINT TWO Train in Empathy and Compassion: Relative Compassion 7. Practice sending and receiving alternately on the breath. 8. Begin sending and receiving practice with yourself. 9. Turn things around (Three objects, three poisons, three virtues). 10. Always train with the slogans. POINT THREE Transform Bad Circumstances into the Path 11. Turn all mishaps into the path. 12. Drive all blames into one. 13. Be grateful to everyone. 14. See confusion as Buddha and practice emptiness. 15. Do good, avoid evil, appreciate your lunacy, pray for help. 16. Whatever you meet is the path. POINT FOUR Make Practice Your Whole Life 17. Cultivate a serious attitude (Practice the five strengths). 18. Practice for death as well as for life. POINT FIVE Assess and Extend 19. There’s only one point. 20. Trust your own eyes. 21. Maintain joy (and don’t lose your sense of humor). 22. Practice when you’re distracted. POINT SIX The Discipline of Relationship 23. Come back to basics. 24. Don’t be a phony. 25. Don’t talk about faults. 26. Don’t figure others out. 27. Work with your biggest problems first. 28. Abandon hope. 29. Don’t poison yourself. 30. Don’t be so predictable. 31. Don’t malign others. 32. Don’t wait in ambush. 33. Don’t make everything so painful. 34. Don’t unload on everyone. 35. Don’t go so fast. 36. Don’t be tricky. 37. Don’t make gods into demons. 38. Don’t rejoice at others’ pain. POINT SEVEN Living with Ease in a Crazy World 39. Keep a single intention. 40. Correct all wrongs with one intention. 41. Begin at the beginning, end at the end. 42. Be patient either way. 43. Observe, even if it costs you everything. 44. Train in three difficulties. 45. Take on the three causes. 46. Don’t lose track. 47. Keep the three inseparable. 48. Train wholeheartedly, openly, and constantly. 49. Stay close to your resentment. 50. Don’t be swayed by circumstances. 51. This time get it right! 52. Don’t misinterpret. 53. Don’t vacillate. 54. Be wholehearted. 55. Examine and analyze. 56. Don’t wallow. 57. Don’t be jealous. 58. Don’t be frivolous. 59. Don’t expect applause.

It is necessary to make this point in answer to the `iatrogenic' theory that the unveiling of repressed memories in MPD sufferers, paranoids and schizophrenics can be created in analysis; a fabrication of the doctor—patient relationship. According to Dr Ross, this theory, a sort of psychiatric ping-pong 'has never been stated in print in a complete and clearly argued way'. My case endorses Dr Ross's assertions. My memories were coming back to me in fragments and flashbacks long before I began therapy. Indications of that abuse, ritual or otherwise, can be found in my medical records and in notebooks and poems dating back before Adele Armstrong and Jo Lewin entered my life. There have been a number of cases in recent years where the police have charged groups of people with subjecting children to so-called satanic or ritual abuse in paedophile rings. Few cases result in a conviction. But that is not proof that the abuse didn't take place, and the police must have been very certain of the evidence to have brought the cases to court in the first place. The abuse happens. I know it happens. Girls in psychiatric units don't always talk to the shrinks, but they need to talk and they talk to each other. As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. (Alice refers to her constant infections as a child, which were never recognised as caused by sexual abuse)

There is a pretty Indian fable to the effect that if it rains when the star Svati is in the ascendant, and a drop of rain falls into an oyster, that drop will become a pearl. The oysters know this, so they come to the surface when that star shines, and wait to catch the precious rain-drop. When one falls into the shell, quickly the oyster closes it and dives down to the bottom of the sea, there to patiently develop the drop into the pearl. We should be like that. First hear, then understand, and then, leaving all distractions, shut our minds to outside influences, and devote ourselves to developing the truth within us. There is the danger of frittering away our energies by taking up an idea only for its novelty, and then giving it up for another that is newer. Take one thing up and do it, and see the end of it, and before ou have seen the end, do not give it up. He who can become mad upon an idea, he alone will see light.

What’s more, AI researchers have begun to realize that emotions may be a key to consciousness. Neuroscientists like Dr. Antonio Damasio have found that when the link between the prefrontal lobe (which governs rational thought) and the emotional centers (e.g., the limbic system) is damaged, patients cannot make value judgments. They are paralyzed when making the simplest of decisions (what things to buy, when to set an appointment, which color pen to use) because everything has the same value to them. Hence, emotions are not a luxury; they are absolutely essential, and without them a robot will have difficulty determining what is important and what is not. So emotions, instead of being peripheral to the progress of artificial intelligence, are now assuming central importance. If a robot encounters a raging fire, it might rescue the computer files first, not the people, since its programming might say that valuable documents cannot be replaced but workers always can be. It is crucial that robots be programmed to distinguish between what is important and what is not, and emotions are shortcuts the brain uses to rapidly determine this. Robots would thus have to be programmed to have a value system—that human life is more important than material objects, that children should be rescued first in an emergency, that objects with a higher price are more valuable than objects with a lower price, etc. Since robots do not come equipped with values, a huge list of value judgments must be uploaded into them. The problem with emotions, however, is that they are sometimes irrational, while robots are mathematically precise. So silicon consciousness may differ from human consciousness in key ways. For example, humans have little control over emotions, since they happen so rapidly and because they originate in the limbic system, not the prefrontal cortex of the brain. Furthermore, our emotions are often biased.

Montgomery, Alabama. December 1, 1955. Early evening. A public bus pulls to a stop and a sensibly dressed woman in her forties gets on. She carries herself erectly, despite having spent the day bent over an ironing board in a dingy basement tailor shop at the Montgomery Fair department store. Her feet are swollen, her shoulders ache. She sits in the first row of the Colored section and watches quietly as the bus fills with riders. Until the driver orders her to give her seat to a white passenger. The woman utters a single word that ignites one of the most important civil rights protests of the twentieth century, one word that helps America find its better self. The word is “No.” The driver threatens to have her arrested. “You may do that,” says Rosa Parks. A police officer arrives. He asks Parks why she won’t move. “Why do you all push us around?” she answers simply. “I don’t know,” he says. “But the law is the law, and you’re under arrest.” On the afternoon of her trial and conviction for disorderly conduct, the Montgomery Improvement Association holds a rally for Parks at the Holt Street Baptist Church, in the poorest section of town. Five thousand gather to support Parks’s lonely act of courage. They squeeze inside the church until its pews can hold no more. The rest wait patiently outside, listening through loudspeakers. The Reverend Martin Luther King Jr. addresses the crowd. “There comes a time that people get tired of being trampled over by the iron feet of oppression,” he tells them. “There comes a time when people get tired of being pushed out of the glittering sunlight of life’s July and left standing amidst the piercing chill of an Alpine November.” He praises Parks’s bravery and hugs her. She stands silently, her mere presence enough to galvanize the crowd. The association launches a citywide bus boycott that lasts 381 days. The people trudge miles to work. They carpool with strangers. They change the course of American history.

REVELATION 2 “To the angel of the church in Ephesus write: ‘The words of  e him who holds the seven stars in his right hand,  f who walks among the seven golden lampstands. 2 g “‘I know your works, your toil and your patient endurance, and how you cannot bear with those who are evil, but  h have tested those  i who call themselves apostles and are not, and found them to be false. 3I know you are enduring patiently and bearing up  j for my name’s sake, and you  k have not grown weary. 4But I have this against you, that you have abandoned  l the love you had at first. 5Remember therefore from where you have fallen; repent, and do  m the works you did at first. If not,  n I will come to you and remove your lampstand from its place, unless you repent. 6Yet this you have: you hate the works of  o the Nicolaitans, which I also hate. 7 p He who has an ear, let him hear what the Spirit says to the churches.  q To the one who conquers I will grant to eat of  r the tree of life, which is in  s the paradise of God.

Her gaze fell on his lips, and she remembered the ointment in her basket. She bit her lower lip. Dare she? A small smile formed on the man's mouth, and Serena reared back. Could he read her mind? Of course not, she chided herself. He was probably just feeling better- he'd certainly needed the water he had been able to ingest. Slowly, so as not to disturb his sleep, she leaned toward the basket on the floor and rummaged through it until her fingers wrapped around a little clay pot. It was in her lap and opened before she realized she had made her decision. She looked down at the ointment. Normally, she would have given it to the patient and allowed him to apply it himself, but this man clearly could not manage that. She dipped her finger into the pot before she could convince herself otherwise, the soothing smells of lemon and beeswax filling the space around them. Her hand stretched out toward his face, her heart pounding. What if he woke? How would she explain what she was doing? She dabbed a bit on his lower lip and sat back to see what response he would have. Nothing. He slept on. She nodded. She was a nurse; she could do this. Leaning in again, she quickly spread the ointment across his bottom lip. He moved his head away, as if avoiding a fly, but didn't wake. Determined to finish the job, she reached for the upper lip, which wasn't quite as chapped. It was softer and curved, dark rose in color with an indention in the middle that must be sinful, it was so well shaped. Her heart pounded in her chest and her breath quickened as she spread the ointment across the top of his upper lip. She halted, realizing how close she had leaned in, how deep her breathing had become... When had she closed her eyes? Heaven help her, she wanted to kiss him. "You can, you know." At first she didn't know if the deep voice had come from the man or some other being in the room, so deep and quiet and inside her head it was. Her eyelids shot open as she straightened. "Can what?" "Kiss me." He smiled, but didn't open his eyes. Serena gasped, "Thee has been awake this entire time?" One of his shoulders lifted. "I didn't think it would help my cause-" he paused pressing his lips together, as though struggling to stay conscious- "for you to realize that.

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Depletion of Vitamin D Sunscreens prevent the absorption of vitamin D. But all the compounds discussed above, whether in sunscreens or other products, also lower your liver’s ability to convert this critical vitamin to its active form. This prevents the regeneration of new cells in your protective intestinal wall barrier, allowing more lectins and LPSs through, along with other foreign bodies. Men with prostate cancer have very low levels of vitamin D. Despite the fact that my practice is in Southern California, I have found that almost 80 percent of my patients have low levels of vitamin D in their blood. In fact, anyone in my practice with leaky gut or autoimmune diseases has low levels. Lacking sufficient vitamin D, and in the face of repeated assaults on the walls of the intestine and the lack of ongoing repair to keep out lectins and LPSs, the body constantly senses that it is at war. It’s not surprising, then, that most of my overweight and obese patients are also very deficient in vitamin D.20 Such a deficiency also impedes the generation of new bone, setting the stage for the development of osteoporosis. My thin female patients with osteopenia and osteoporosis also have low levels of this critical vitamin when they first come to see me.

Melinda Pratt rides city bus number twelve to her cello lesson, wearing her mother's jean jacket and only one sock. Hallo, world, says Minna. Minna often addresses the world, sometimes silently, sometimes out loud. Bus number twelve is her favorite place for watching, inside and out. The bus passes cars and bicycles and people walking dogs. It passes store windows, and every so often Minna sees her face reflection, two dark eyes in a face as pale as a winter dawn. There are fourteen people on the bus today. Minna stands up to count them. She likes to count people, telephone poles, hats, umbrellas, and, lately, earrings. One girl, sitting directly in front of Minna, has seven earrings, five in one ear. She has wisps of dyed green hair that lie like forsythia buds against her neck. There are, Minna knows, a king, a past president of the United States, and a beauty queen on the bus. Minna can tell by looking. The king yawns and scratches his ear with his little finger. Scratches, not picks. The beauty queen sleeps, her mouth open, her hair the color of tomatoes not yet ripe. The past preside of the United States reads Teen Love and Body Builder's Annual. Next to Minna, leaning against the seat, is her cello in its zippered canvas case. Next to her cello is her younger brother, McGrew, who is humming. McGrew always hums. Sometimes he hums sentences, though most often it comes out like singing. McGrew's teachers do not enjoy McGrew answering questions in hums or song. Neither does the school principal, Mr. Ripley. McGrew spends lots of time sitting on the bench outside Mr. Ripley's office, humming. Today McGrew is humming the newspaper. First the headlines, then the sports section, then the comics. McGrew only laughs at the headlines. Minna smiles at her brother. He is small and stocky and compact like a suitcase. Minna loves him. McGrew always tells the truth, even when he shouldn't. He is kind. And he lends Minna money from the coffee jar he keeps beneath his mattress. Minna looks out the bus window and thinks about her life. Her one life. She likes artichokes and blue fingernail polish and Mozart played too fast. She loves baseball, and the month of March because no one else much likes March, and every shade of brown she has ever seen. But this is only one life. Someday, she knows, she will have another life. A better one. McGrew knows this, too. McGrew is ten years old. He knows nearly everything. He knows, for instance, that his older sister, Minna Pratt, age eleven, is sitting patiently next to her cello waiting to be a woman.

I know. I think they probably just want to see you performing the full load of a chief. It’s because they like you. Seriously.” I realized it was true: For the past few months, I had been acting merely as a surgical technician. I had been using cancer as an excuse not to take full responsibility for my patients. On the other hand, it was a good excuse, damn it. But now I started coming in earlier, staying later, fully caring for the patients again, adding another four hours to a twelve-hour day. It put the patients back in the center of my mind at all times. The first two days I thought I would have to quit, battling waves of nausea, pain, and fatigue, retreating to an unused bed in down moments to sleep. But by the third day, I had begun to enjoy it again, despite the wreck of my body. Reconnecting with patients brought back the meaning of this work. I took antiemetics and nonsteroidal anti-inflammatory drugs (NSAIDs) between cases and just before rounds. I was suffering, but I was fully back. Instead of finding an unused bed, I started resting on the junior residents’ couch, supervising them on the care of my patients, lecturing as I rode a wave of back spasms. The more tortured my body became, the more I relished having done the work. At the end of the first week, I slept for forty hours straight. But I was calling the shots:

I hurt my hip, too.” “Let me see.” She made a face and yelped when her cheek protested even that slight movement. “You don’t need to see my hip. It’s fine.” “If the skin’s broken, it’ll need cleaning, too,” he said, unbuckling her belt. “Stop that.” “Think of me as your doctor,” he said, as he unsnapped and then unzipped her jeans. “My doctor doesn’t usually undress me,” she snapped. “And my patients already come undressed.” He laughed. “Life your hips,” he said. “Up!” he ordered, when she hesitated. She put her one good hand on his shoulder to brace herself and lifted her hips as he pulled her torn jeans down. To her surprise, her bikini underwear was shredded, and the skin underneath was bloody. “Uh-oh.” She was still staring at the injury on her hip when she felt him pulling off her boots. She started to protest, saw the warning look in his eyes, and shut her mouth. He pulled her jeans off, leaving her legs bare above her white boot socks. “Was that really necessary?” “You’re decent,” he said, straightening the tails of her Western shirt over her shredded bikini underwear. “I can put your boots back on if you like.” Bay shook her head and laughed. “Just get the first-aid kit, and let me take care of myself.” He grimaced. “If I’m not mistaken, you packed the first-aid kit in your saddlebags.” Bay winced. “You’re right.” She stared down the canyon as far as she could see. There was no sign of her horse. “How long do you think it’ll take him to stop running?” “He won’t have gone far. But I need to set up camp before it gets dark. And I’m not hunting for your horse in the dark, for the same reason I’m not hunting for your brother in the dark.” “Where am I supposed to sleep? My bedroll and tent are with my horse.” “You should have thought of that before you started that little striptease of yours.” “You’re the one who shouted and scared me half to death. I was only trying to cool off.” “And heating me up in the process!” “I can’t help it if you have a vivid imagination.” “It didn’t take much to imagine to see your breasts,” he shot back. “You opened your blouse right up and bent over and flapped your shirt like you were waving a red flag at a bull” “I was getting some air!” “You slid your butt around that saddle like you were sitting right on my lap.” “That’s ridiculous!” “Then you lifted your arms to hold your hair up and those perfect little breasts of yours—” “That’s enough,” she interrupted. “You’re crazy if you think—” “You mean you weren’t inviting me to kiss my way around those wispy curls at your nape?” “I most certainly was not!” “Could’ve fooled me.” She searched for the worst insult she could think of to sling at him. “You—you—Bullying Blackthorne!” “Damned contentious Creed!

The Transition to Fewer Animal Products Many people claim to need animal products to feel good and perform well. In my experience, this assertion generally comes from individuals who felt worse during the first couple of weeks after a change to a lower-animal-source diet. Instead of being patient, they simply returned to their old way of eating—genuinely feeling better for it—and now insist that they need meat to thrive. A diet heavily burdened with animal products places a huge stress on the detoxification systems of the body. As with stopping caffeine and cigarettes, many people observe withdrawal symptoms for a short period, usually including fatigue, weakness, headaches, or loose stools. In 95 percent of such cases, these symptoms resolve within two weeks. It is more common that the temporary adjustment period, during which you might feel mild symptoms as your body withdraws from your prior toxic habits, lasts less than a week. Unfortunately, many people mistakenly assume these symptoms to be due to some lack in the new diet and go back to eating a poor diet again. Sometimes they have been convinced that they feel bad because they aren’t eating enough protein, especially since when they return to their old diet they feel better again. People often confuse feeling well with getting well, not realizing that sometimes you have to temporarily feel a little worse to really get well.

Further investigation of the subject shows that the analyst has to combat no less than five kinds of resistance, emanating from three directions—the ego, the id and the super-ego. The ego is the source of three of these, each differing in its dynamic nature. The first of these three ego-resistances is the repression resistance, which we have already discussed above and about which there is least new to be added. Next there is the transference resistance, which is of the same nature but which has different and much clearer effects in analysis, since it succeeds in establishing a relation to the analytic situation or the analyst himself and thus re-animating a repression which should only have been recollected. The third resistance, though also an ego-resistance, is of quite a different nature. It proceeds from the gain from illness and is based upon an assimilation of the symptom into the ego. It represents an unwillingness to renounce any satisfaction or relief that has been obtained. The fourth variety, arising from the id, is the resistance which, as we have just seen, necessitates ‘working-through’. The fifth, coming from the super-ego and the last to be discovered, is also the most obscure though not always the least powerful one. It seems to originate from the sense of guilt or the need for punishment; and it opposes every move towards success, including, therefore, the patient's own recovery through analysis.

From WIP 'Behind The Fan' *** “Come with me.” His warm breath caresses her ear, giving her a delicious tingle. This seduction is no accident. “Baby we can be anywhere; we’ll start a new life. Dottie, all I need is you.” She opens her eyes, he turns when he feels the flutter of her lashes. She expects another plea instead; he kisses her. Soft and slow his lips pulling her down deeper into a sweet chasm. This assault on her proprieties will be slow and subdued. He has after all proven that he is a patient man. Those musicians’ finger will first trail on the column of her neck. The touch is soft but deliberate. Do the top buttons of her blouse come undone on their own accord or has he banished them? She is never sure but before she can register the affect, he lightly strokes the swell of her breast. It is sinful; despite her confessions to the priest regarding this weakness, she is never stronger. Her body willingly betrays her; she will roam her hands down his back, beyond the tapered waist to the hard orbs. She knows that she is no innocent; she revels in his plea for her touch. Convinced that she is going to hell she wished she cared for her soul. “Honey leap with me, we will land safely I promise you.” “Oh God, Nicky you know it is never this simple.” Nick leans back far enough to bore into her eyes; staring to the depth of her soul. She prays he will stay but knows her appeal is futile. He feels colder already, it doesn’t matter how she tries to hold on he is already leaving; leaving her behind. ***

Looking down on the assembly, standing patiently in the drizzle awaiting a verdict, I suddenly had a vivid understanding of something. Like so many, I had heard, appalled, the reports that trickled out of postwar Germany; the stories of deportations and mass murder, of concentration camps and burnings. And like so many others had done, and would do, for years to come, I had asked myself, “How could the people have let it happen? They must have known, must have seen the trucks, the coming and going, the fences and smoke. How could they stand by and do nothing?” Well, now I knew. The stakes were not even life or death in this case. And Colum’s patronage would likely prevent any physical attack on me. But my hands grew clammy around the porcelain bowl as I thought of myself stepping out, alone and powerless, to confront that mob of solid and virtuous citizens, avid for the excitement of punishment and blood to alleviate the tedium of existence. People are gregarious by necessity. Since the days of the first cave dwellers, humans—hairless, weak, and helpless save for cunning—have survived by joining together in groups; knowing, as so many other edible creatures have found, that there is protection in numbers. And that knowledge, bred in the bone, is what lies behind mob rule. Because to step outside the group, let alone to stand against it, was for uncounted thousands of years death to the creature who dared it. To stand against a crowd would take something more than ordinary courage; something that went beyond human instinct.

Gareth?" "What is it, dearest?" She took a deep breath and reached up to touch his cheek. "I ... love you." "Oh, Juliet ..."  He actually blushed, so pleased was he by her long-overdue admission. "You couldn't have chosen a nicer time to tell me." "I should have told you ages ago, when I first knew. But I couldn't admit it then, not even to myself." "And when did you first know?" "When you took that bullet meant for the little boy. When you nearly died trying to save him — and all of us on that coach. I think I started to love you then. I think I've loved you ever since. I just ... haven't told you." "But — what about Charles?" She gave him a patient little smile. "I'll be honest, Gareth. Once, I was like everyone else in that I was always comparing the two of you. But as I've grown to know you, those comparisons have happened less and less, and when they do occur ... well, you always come out on top."  She leaned up to kiss the smile just breaking out on his face. "Lately, I've come to realize that Charles and I would never have been this happy together. We were too much alike. You, on the other hand ... well, I've never had as much fun with anyone as I have with you." "Oh, Juliet. I don't know what to say."  He was grinning fiercely. "But I will tell you this. I've always been sure." "Of what?" "That I love you." "Are you, now?" she asked, trying to muster a grin even as a tear leaked from one eye. She knuckled it away. Sniffled. Heavens, she was beginning to bawl like a baby. "Yes. And you know something else, my dear, darling little wife? I'm going to take you upstairs and prove it." Laughing,

The last refuge of the Self, perhaps, is “physical continuity.” Despite the body’s mercurial nature, it feels like a badge of identity we have carried since the time of our earliest childhood memories. A thought experiment dreamed up in the 1980s by British philosopher Derek Parfit illustrates how important—yet deceiving—this sense of physical continuity is to us.15 He invites us to imagine a future in which the limitations of conventional space travel—of transporting the frail human body to another planet at relatively slow speeds—have been solved by beaming radio waves encoding all the data needed to assemble the passenger to their chosen destination. You step into a machine resembling a photo booth, called a teletransporter, which logs every atom in your body then sends the information at the speed of light to a replicator on Mars, say. This rebuilds your body atom by atom using local stocks of carbon, oxygen, hydrogen, and so on. Unfortunately, the high energies needed to scan your body with the required precision vaporize it—but that’s okay because the replicator on Mars faithfully reproduces the structure of your brain nerve by nerve, synapse by synapse. You step into the teletransporter, press the green button, and an instant later materialize on Mars and can continue your existence where you left off. The person who steps out of the machine at the other end not only looks just like you, but etched into his or her brain are all your personality traits and memories, right down to the memory of eating breakfast that morning and your last thought before you pressed the green button. If you are a fan of Star Trek, you may be perfectly happy to use this new mode of space travel, since this is more or less what the USS Enterprise’s transporter does when it beams its crew down to alien planets and back up again. But now Parfit asks us to imagine that a few years after you first use the teletransporter comes the announcement that it has been upgraded in such a way that your original body can be scanned without destroying it. You decide to give it a go. You pay the fare, step into the booth, and press the button. Nothing seems to happen, apart from a slight tingling sensation, but you wait patiently and sure enough, forty-five minutes later, an image of your new self pops up on the video link and you spend the next few minutes having a surreal conversation with yourself on Mars. Then comes some bad news. A technician cheerfully informs you that there have been some teething problems with the upgraded teletransporter. The scanning process has irreparably damaged your internal organs, so whereas your replica on Mars is absolutely fine and will carry on your life where you left off, this body here on Earth will die within a few hours. Would you care to accompany her to the mortuary? Now how do you feel? There is no difference in outcome between this scenario and what happened in the old scanner—there will still be one surviving “you”—but now it somehow feels as though it’s the real you facing the horror of imminent annihilation. Parfit nevertheless uses this thought experiment to argue that the only criterion that can rationally be used to judge whether a person has survived is not the physical continuity of a body but “psychological continuity”—having the same memories and personality traits as the most recent version of yourself. Buddhists

Dr. Knox Todd began documenting how patients’ race affects the treatment of pain when he was a doctor in the UCLA Emergency Center in the 1990s.46 He and colleagues examined the way doctors treated 139 white and Latino patients coming to the emergency room over a two-year period with a single injury—fractures of a long bone in either the arm or leg. Because this type of fracture is extremely painful, there is no medical reason to distinguish between the two groups of patients. Yet the researchers discovered that Latinos were twice as likely as whites to receive no pain medication while in the emergency room.47 Although it’s possible that the Latino patients complained less of pain, the doctors should have been aware of the high degree of pain they suffered, given the nature of their injuries. When Todd moved to Emory University School of Medicine, he led an Atlanta-based study that confirmed his finding in Los Angeles. This time his research team analyzed medical charts of 217 patients who were treated for long-bone fractures at an inner-city emergency room that served both black and white patients. In a 2000 article in Annals of Emergency Medicine, Todd reported that 43 percent of blacks, but only 26 percent of whites, received no pain medication. In this study, Todd took the additional step of documenting whether or not the patients expressed pain to their doctors. By carefully looking at notations in the medical files, he found that black patients were about as likely as whites to complain of pain. Black patients thus received pain medication half as often as whites because doctors did not order it for them, not because blacks do not feel pain or do not want pain relief.

A circle of trust is a group of people who know how to sit quietly "in the woods" with each other and wait for the shy soul to show up. The relationships in such a group are not pushy but patient; they are not confrontational but compassionate; they are filled not with expectations and demands but with abiding faith in the reality of the inner teacher and in each person's capacity to learn from it. The poet Rumi captures the essence of this way of being together: "A circle of lovely, quiet people / becomes the ring on my finger."6 Few of us have experienced large-scale communities that possess these qualities, but we may have had one-on-one relationships that do. By reflecting on the dynamics of these small-scale circles of trust, we can sharpen our sense of what a larger community of solitudes might look like-and remind ourselves that two people who create safe space for the soul can support each other's inner journey. Think, for example, about someone who helped you grow toward true self. When I think about such a person, it is my father who first comes to mind. Though he was himself a hardworking and successful businessman, he did not press me toward goals that were his rather than mine. Instead, he made space for me to grow into my own selfhood. Throughout high school, I got mediocre grades-every one of which I earned-although I always did quite well on standardized intelligence tests. I look back with amazement on the fact that not once did my father demand that I "live up to my potential." He trusted that if I had a gift for academic life, it would flower in its own time, as it did when I went to college. The people who help us grow toward true self offer unconditional love, neither judging us to be deficient nor trying to force us to change but accepting us exactly as we are. And yet this unconditional love does not lead us to rest on our laurels. Instead, it surrounds us with a charged force field that makes us want to grow from the inside out -a force field that is safe enough to take the risks and endure the failures that growth requires.

And we beseech you, brethren, to know them which labour among you, and are over you in the Lord, and admonish you; 13 And to esteem them very highly in love for their work's sake. And be at peace among yourselves. 14 Now we exhort you, brethren, warn them that are unruly, comfort the feebleminded, support the weak, be patient toward all men. 15 See that none render evil for evil unto any man; but ever follow that which is good, both among yourselves, and to all men. 16 Rejoice evermore. 17 Pray without ceasing. 18 In every thing give thanks: for this is the will of God in Christ Jesus concerning you. 19 Quench not the Spirit. 20 Despise not prophesyings. 21 Prove all things; hold fast that which is good. 22 Abstain from all appearance of evil. 23 And the very God of peace sanctify you wholly; and I pray God your whole spirit and soul and body be preserved blameless unto the coming of our Lord Jesus Christ. 24 Faithful is he that calleth you, who also will do it. 25 Brethren, pray for us. 26 Greet all the brethren with an holy kiss. 27 I charge you by the Lord that this epistle be read unto all the holy brethren. 28 The grace of our Lord Jesus Christ be with you. Amen. ¶     The first epistle unto the Thessalonians was written from Athens. Holy Bible 2 Thessalonians 1 2 3 THE SECOND EPISTLE OF PAUL THE APOSTLE TO THE THESSALONIANS. CHAPTER 1 PAUL, and Silvanus, and Timotheus, unto the church of the Thessalonians in God our Father and the Lord Jesus Christ: 2 Grace unto you, and peace, from God our Father and the Lord Jesus Christ. 3 We are bound to thank God always for you, brethren, as it is meet, because that your faith groweth exceedingly, and the charity of every one of you all toward each other aboundeth; 4 So that we ourselves glory in you in the churches of God for your patience and faith in all your persecutions and tribulations that ye endure: 5 Which is a manifest token of the righteous judgment of God, that ye may be counted worthy of the kingdom of God, for which ye also suffer: 6 Seeing it is a righteous thing with God to recompense tribulation to them that trouble you; 7 And to you who are troubled rest with us, when the Lord Jesus shall be revealed from heaven with his mighty angels, 8 In flaming fire taking vengeance on them that know not God, and that obey not the gospel of our Lord Jesus Christ: 9 Who shall be punished with everlasting destruction from the presence of the Lord, and from the glory of his power; 10 When he shall come to be glorified in his saints, and to be admired in all them that believe (because our testimony among you was believed) in that day.

I took up the pestle as she left, and pounded and ground automatically, paying little heed to the results. The shut window blocked the sound both of the rain and the crowd below; the two blended in a soft, pattering susurrus of menace. Like any schoolchild, I had read Dickens. And earlier authors, as well, with their descriptions of the pitiless justice of these times, meted out to all illdoers, regardless of age or circumstance. But to read, from a cozy distance of one or two hundred years, accounts of child hangings and judicial mutilation, was a far different thing than to sit quietly pounding herbs a few feet above such an occurrence. Could I bring myself to interfere directly, if the sentence went against the boy? I moved to the window, carrying the mortar with me, and peered out. The crowd had increased, as merchants and housewives, attracted by the gathering, wandered down the High Street to investigate. Newcomers leaned close as the standees excitedly relayed the details, then merged into the body of the crowd, more faces turned expectantly to the door of the house. Looking down on the assembly, standing patiently in the drizzle awaiting a verdict, I suddenly had a vivid understanding of something. Like so many, I had heard, appalled, the reports that trickled out of postwar Germany; the stories of deportations and mass murder, of concentration camps and burnings. And like so many others had done, and would do, for years to come, I had asked myself, “How could the people have let it happen? They must have known, must have seen the trucks, the coming and going, the fences and smoke. How could they stand by and do nothing?” Well, now I knew. The stakes were not even life or death in this case. And Colum’s patronage would likely prevent any physical attack on me. But my hands grew clammy around the porcelain bowl as I thought of myself stepping out, alone and powerless, to confront that mob of solid and virtuous citizens, avid for the excitement of punishment and blood to alleviate the tedium of existence. People are gregarious by necessity. Since the days of the first cave dwellers, humans—hairless, weak, and helpless save for cunning—have survived by joining together in groups; knowing, as so many other edible creatures have found, that there is protection in numbers. And that knowledge, bred in the bone, is what lies behind mob rule. Because to step outside the group, let alone to stand against it, was for uncounted thousands of years death to the creature who dared it. To stand against a crowd would take something more than ordinary courage; something that went beyond human instinct. And I feared I did not have it, and fearing, was ashamed.

For God’s sake, Anders, your pacing is driving me wild,” Leigh said with exasperation. “Sit down.” Anders paused with surprise and turned to peer at the brunette curled up in the corner of the couch with a book in her hands. “I’m not pacing, I’m . . .” She arched her eyebrows, waiting, and he sighed. “Pacing,” he acknowledged and sank onto the nearest chair. He rested his elbows on his spread knees, allowing his hands to dangle between them, and stared out the window. After several minutes, he dropped back in the chair with a heavy sigh, then straightened and asked impatiently, “What the devil is she doing up there?” “She’s checking with her academic advisor to ensure that missing the first two weeks of classes won’t bugger her up for the term,” Leigh reminded him patiently. “Yeah, but that should have been a five-minute conversation. She’s been up there over an hour,” he complained. Valerie had helped clean up the kitchen after breakfast, then had taken Roxy with her and escaped upstairs on the pretext of calling the veterinary college to be sure she was still welcome after missing the first two weeks of the semester. “Yes, well, perhaps whoever she needs to speak to wasn’t available and she’s waiting for a call back,” Leigh suggested. “Or maybe they had work for her to do to keep from falling behind and she’s up their reading her textbooks and studying.” “Or maybe she’s hiding,” Anders said unhappily. Leigh tsked with irritation. “Why would she be hiding?” Anders didn’t respond, but in his mind he was remembering their kiss that morning . . . well, kisses. Or maybe one kiss. He wasn’t sure how to classify it. Did you have to come up for air to classify it as more than one kiss? Or was it counted in minutes or seconds? Because it had been a constant devouring of each other’s mouths for several minutes. “Oh my, yes. I see,” Leigh murmured. Anders glanced up at her murmur and noted her narrowed concentration on him. She’d read his damn mind. “Yes, that might have made her want to hide out,” she said sympathetically. “It wasn’t that long ago when I had my first encounter with life mate passion. It was pretty terrifying. And she didn’t have any idea what was happening. I mean, as an immortal you had heard about it, had some idea of what to expect, and yet you were still overwhelmed by it. Imagine how she must feel. She got hit by a nuclear explosion of passion out of nowhere.” Anders sighed and ran one hand wearily over his closely cropped hair. Leigh wasn’t saying a damned thing he hadn’t already thought of. Which was why he suspected Valerie was hiding out. The question was, how long would she hide? And how was he supposed to get her to know and trust him if she wouldn’t come out of her room?

Chapter One Vivek Ranadivé “IT WAS REALLY RANDOM. I MEAN, MY FATHER HAD NEVER PLAYED BASKETBALL BEFORE.” 1. When Vivek Ranadivé decided to coach his daughter Anjali’s basketball team, he settled on two principles. The first was that he would never raise his voice. This was National Junior Basketball—the Little League of basketball. The team was made up mostly of twelve-year-olds, and twelve-year-olds, he knew from experience, did not respond well to shouting. He would conduct business on the basketball court, he decided, the same way he conducted business at his software firm. He would speak calmly and softly, and he would persuade the girls of the wisdom of his approach with appeals to reason and common sense. The second principle was more important. Ranadivé was puzzled by the way Americans play basketball. He is from Mumbai. He grew up with cricket and soccer. He would never forget the first time he saw a basketball game. He thought it was mindless. Team A would score and then immediately retreat to its own end of the court. Team B would pass the ball in from the sidelines and dribble it into Team A’s end, where Team A was patiently waiting. Then the process would reverse itself. A regulation basketball court is ninety-four feet long. Most of the time, a team would defend only about twenty-four feet of that, conceding the other seventy feet. Occasionally teams played a full-court press—that is, they contested their opponent’s attempt to advance the ball up the court. But they did it for only a few minutes at a time. It was as if there were a kind of conspiracy in the basketball world about the way the game ought to be played, Ranadivé thought, and that conspiracy had the effect of widening the gap between good teams and weak teams. Good teams, after all, had players who were tall and could dribble and shoot well; they could crisply execute their carefully prepared plays in their opponent’s end. Why, then, did weak teams play in a way that made it easy for good teams to do the very things that they were so good at? Ranadivé looked at his girls. Morgan and Julia were serious basketball players. But Nicky, Angela, Dani, Holly, Annika, and his own daughter, Anjali, had never played the game before. They weren’t all that tall. They couldn’t shoot. They weren’t particularly adept at dribbling. They were not the sort who played pickup games at the playground every evening. Ranadivé lives in Menlo Park, in the heart of California’s Silicon Valley. His team was made up of, as Ranadivé put it, “little blond girls.” These were the daughters of nerds and computer programmers. They worked on science projects and read long and complicated books and dreamed about growing up to be marine biologists. Ranadivé knew that if they played the conventional way—if they let their opponents dribble the ball up the court without opposition—they would almost certainly lose to the girls for whom basketball was a passion. Ranadivé had come to America as a seventeen-year-old with fifty dollars in his pocket. He was not one to accept losing easily. His second principle, then, was that his team would play a real full-court press—every game, all the time. The team ended up at the national championships. “It was really random,” Anjali Ranadivé said. “I mean, my father had never played basketball before.” 2. Suppose you were to total up all the wars over the past two hundred years that occurred between very large and very small countries. Let’s say that one side has to be at least ten times larger in population and armed might

As she explained to her students, patients often awoke from very bad illnesses or cardiac arrests, talking about how they had been floating over their bodies. “Mm-hmmm,” Norma would reply, sometimes thinking, Yeah, yeah, I know, you were on the ceiling. Such stories were recounted so frequently that they hardly jolted medical personnel. Norma at the time had mostly chalked it up to some kind of drug reaction or brain malfunction, something like that. “No, really,” said a woman who’d recently come out of a coma. “I can prove it.” The woman had been in a car accident and been pronounced dead on arrival when she was brought into the emergency room. Medical students and interns had begun working on her and managed to get her heartbeat going, but then she had coded again. They’d kept on trying, jump-starting her heart again, this time stabilizing it. She’d remained in a coma for months, unresponsive. Then one day she awoke, talking about the brilliant light and how she remembered floating over her body. Norma thought she could have been dreaming about all kinds of things in those months when she was unconscious. But the woman told them she had obsessive-compulsive disorder and had a habit of memorizing numbers. While she was floating above her body, she had read the serial number on top of the respirator machine. And she remembered it. Norma looked at the machine. It was big and clunky, and this one stood about seven feet high. There was no way to see on top of the machine without a stepladder. “Okay, what’s the number?” Another nurse took out a piece of paper to jot it down. The woman rattled off twelve digits. A few days later, the nurses called maintenance to take the ventilator machine out of the room. The woman had recovered so well, she no longer needed it. When the worker arrived, the nurses asked if he wouldn’t mind climbing to the top to see if there was a serial number up there. He gave them a puzzled look and grabbed his ladder. When he made it up there, he told them that indeed there was a serial number. The nurses looked at each other. Could he read it to them? Norma watched him brush off a layer of dust to get a better look. He read the number. It was twelve digits long: the exact number that the woman had recited. The professor would later come to find out that her patient’s story was not unique. One of Norma’s colleagues at the University of Virginia Medical Center at the time, Dr. Raymond Moody, had published a book in 1975 called Life After Life, for which he had conducted the first large-scale study of people who had been declared clinically dead and been revived, interviewing 150 people from across the country. Some had been gone for as long as twenty minutes with no brain waves or pulse. In her lectures, Norma sometimes shared pieces of his research with her own students. Since Moody had begun looking into the near-death experiences, researchers from around the world had collected data on thousands and thousands of people who had gone through them—children, the blind, and people of all belief systems and cultures—publishing the findings in medical and research journals and books. Still, no one has been able to definitively account for the common experience all of Moody’s interviewees described. The inevitable question always followed: Is there life after death? Everyone had to answer that question based on his or her own beliefs, the professor said. For some of her students, that absence of scientific evidence of an afterlife did little to change their feelings about their faith. For others,

Our patients predict the culture by living out consciously what the masses of people are able to keep unconscious for the time being. The neurotic is cast by destiny into a Cassandra role. In vain does Cassandra, sitting on the steps of the palace at Mycenae when Agamemnon brings her back from Troy, cry, “Oh for the nightingale’s pure song and a fate like hers!” She knows, in her ill-starred life, that “the pain flooding the song of sorrow is [hers] alone,” and that she must predict the doom she sees will occur there. The Mycenaeans speak of her as mad, but they also believe she does speak the truth, and that she has a special power to anticipate events. Today, the person with psychological problems bears the burdens of the conflicts of the times in his blood, and is fated to predict in his actions and struggles the issues which will later erupt on all sides in the society. The first and clearest demonstration of this thesis is seen in the sexual problems which Freud found in his Victorian patients in the two decades before World War I. These sexual topics‒even down to the words‒were entirely denied and repressed by the accepted society at the time. But the problems burst violently forth into endemic form two decades later after World War II. In the 1920's, everybody was preoccupied with sex and its functions. Not by the furthest stretch of the imagination can anyone argue that Freud "caused" this emergence. He rather reflected and interpreted, through the data revealed by his patients, the underlying conflicts of the society, which the “normal” members could and did succeed in repressing for the time being. Neurotic problems are the language of the unconscious emerging into social awareness. A second, more minor example is seen in the great amount of hostility which was found in patients in the 1930's. This was written about by Horney, among others, and it emerged more broadly and openly as a conscious phenomenon in our society a decade later. A third major example may be seen in the problem of anxiety. In the late 1930's and early 1940's, some therapists, including myself, were impressed by the fact that in many of our patients anxiety was appearing not merely as a symptom of repression or pathology, but as a generalized character state. My research on anxiety, and that of Hobart Mowrer and others, began in the early 1940's. In those days very little concern had been shown in this country for anxiety other than as a symptom of pathology. I recall arguing in the late 1940's, in my doctoral orals, for the concept of normal anxiety, and my professors heard me with respectful silence but with considerable frowning. Predictive as the artists are, the poet W. H. Auden published his Age of Anxiety in 1947, and just after that Bernstein wrote his symphony on that theme. Camus was then writing (1947) about this “century of fear,” and Kafka already had created powerful vignettes of the coming age of anxiety in his novels, most of them as yet untranslated. The formulations of the scientific establishment, as is normal, lagged behind what our patients were trying to tell us. Thus, at the annual convention of the American Psychopathological Association in 1949 on the theme “Anxiety,” the concept of normal anxiety, presented in a paper by me, was still denied by most of the psychiatrists and psychologists present. But in the 1950's a radical change became evident; everyone was talking about anxiety and there were conferences on the problem on every hand. Now the concept of "normal" anxiety gradually became accepted in the psychiatric literature. Everybody, normal as well as neurotic, seemed aware that he was living in the “age of anxiety.” What had been presented by the artists and had appeared in our patients in the late 30's and 40's was now endemic in the land.