Personalized Medicine Quotes

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

No man is brave that has never walked a hundred miles. If you want to know the truth of who you are, walk until not a person knows your name. Travel is the great leveler, the great teacher, bitter as medicine, crueler than mirror-glass. A long stretch of road will teach you more about yourself than a hundred years of quiet.

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

In many shamanic societies, if you came to a medicine person complaining of being disheartened, dispirited, or depressed, they would ask one of four questions: "When did you stop dancing? When did you stop singing? When did you stop being enchanted by stories? When did you stop being comforted by the sweet territory of silence?

If you want to know the truth of who you are, walk until not a person knows your name. Travel is the great leveler, the great teacher, bitter as medicine, crueler than mirror-glass. A long stretch of road will teach you more about yourself than a hundred years of quiet introspection.

the person who takes medicine must recover twice,once from the disease ,and once from the medicine.

No man is brave that has never walked a hundred miles. If you want to know the truth of who you are, walk until not a person knows your name. Travel is the great leveler, the great teacher, bitter as medicine, crueler than mirror-glass. A long stretch of road will teach you more about yourself than a hundred years of quiet introspection.

There are books that are suitable for a million people, others for only a hundred. There are even remedies—I mean books—that were written for one person only… A book is both medic and medicine at once. It makes a diagnosis as well as offering therapy. Putting the right novels to the appropriate ailments: that’s how I sell books.

There is no one way to salvation, whatever the manner in which a man may proceed. All forms and variations are governed by the eternal intelligence of the Universe that enables a man to approach perfection. It may be in the arts of music and painting or it may be in commerce, law, or medicine. It may be in the study of war or the study of peace. Each is as important as any other. Spiritual enlightenment through religious meditation such as Zen or in any other way is as viable and functional as any "Way."... A person should study as they see fit.

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

All depression has its roots in self-pity, and all self-pity is rooted in people taking themselves too seriously.” At the time Switters had disputed her assertion. Even at seventeen, he was aware that depression could have chemical causes. “The key word here is roots,” Maestra had countered. “The roots of depression. For most people, self-awareness and self-pity blossom simultaneously in early adolescence. It's about that time that we start viewing the world as something other than a whoop-de-doo playground, we start to experience personally how threatening it can be, how cruel and unjust. At the very moment when we become, for the first time, both introspective and socially conscientious, we receive the bad news that the world, by and large, doesn't give a rat's ass. Even an old tomato like me can recall how painful, scary, and disillusioning that realization was. So, there's a tendency, then, to slip into rage and self-pity, which if indulged, can fester into bouts of depression.” “Yeah but Maestra—” “Don't interrupt. Now, unless someone stronger and wiser—a friend, a parent, a novelist, filmmaker, teacher, or musician—can josh us out of it, can elevate us and show us how petty and pompous and monumentally useless it is to take ourselves so seriously, then depression can become a habit, which, in tern, can produce a neurological imprint. Are you with me? Gradually, our brain chemistry becomes conditioned to react to negative stimuli in a particular, predictable way. One thing'll go wrong and it'll automatically switch on its blender and mix us that black cocktail, the ol’ doomsday daiquiri, and before we know it, we’re soused to the gills from the inside out. Once depression has become electrochemically integrated, it can be extremely difficult to philosophically or psychologically override it; by then it's playing by physical rules, a whole different ball game. That's why, Switters my dearest, every time you've shown signs of feeling sorry for yourself, I've played my blues records really loud or read to you from The Horse’s Mouth. And that’s why when you’ve exhibited the slightest tendency toward self-importance, I’ve reminded you that you and me— you and I: excuse me—may be every bit as important as the President or the pope or the biggest prime-time icon in Hollywood, but none of us is much more than a pimple on the ass-end of creation, so let’s not get carried away with ourselves. Preventive medicine, boy. It’s preventive medicine.” “But what about self-esteem?” “Heh! Self-esteem is for sissies. Accept that you’re a pimple and try to keep a lively sense of humor about it. That way lies grace—and maybe even glory.

A student once asked anthropologist Margaret Mead, “What is the earliest sign of civilization?” The student expected her to say a clay pot, a grinding stone, or maybe a weapon. Margaret Mead thought for a moment, then she said, “A healed femur.” A femur is the longest bone in the body, linking hip to knee. In societies without the benefits of modern medicine, it takes about six weeks of rest for a fractured femur to heal. A healed femur shows that someone cared for the injured person, did their hunting and gathering, stayed with them, and offered physical protection and human companionship until the injury could mend. Mead explained that where the law of the jungle—the survival of the fittest—rules, no healed femurs are found. The first sign of civilization is compassion, seen in a healed femur.

recognizing how even poison is a form of medicine when used the right way.

Is psychiatry a medical enterprise concerned with treating diseases, or a humanistic enterprise concerned with helping persons with their personal problems? Psychiatry could be one or the other, but it cannot--despite the pretensions and protestations of psichiatrists--be both.

There are jokes about breast surgeons. You know-- something like-- I've seen more breasts in this city than-- I don't know the punch line. There must be a punch line. I'm not a man who falls in love easily. I've been faithful to my wife. We fell in love when we were twenty-two. We had plans. There was justice in the world. There was justice in love. If a person was good enough, an equally good person would fall in love with that person. And then I met-- Ana. Justice had nothing to do with it. There once was a very great American surgeon named Halsted. He was married to a nurse. He loved her-- immeasurably. One day Halsted noticed that his wife's hands were chapped and red when she came back from surgery. And so he invented rubber gloves. For her. It is one of the great love stories in medicine. The difference between inspired medicine and uninspired medicine is love. When I met Ana, I knew: I loved her to the point of invention.

The shaman is a self-realized person. She discovers the ways of Spirit through her inner awakening.

You cannot separate passion from pathology any more than you can separate a person's spirit from his body.

My sadness is beautiful. It infuses everything I do. It is at the core of my identity and always has been, just as happiness is in some people. I refuse to be told that it's a flaw. I will not mute it with medications for the sake of society. I will hold it close to me and celebrate it rightfully while the rest of the world fails to see it for what it is and it will be their loss.

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

Books are medicine for the soul. They heal the eternal parts of a person.

So many things in the world have happened before. But it's like they never did. Every new thing that happens to a person, it's a first... In that night I felt expansion, as if the world was branching out in shoots and growing faster than the eye could see. I felt smallness, how the earth divided into bits and kept dividing. I felt stars.

How We Gain and Lose Weight To understand how we gain and lose weight, we need to start with insulin. Medical researchers and internal medicine doctors almost universally agree that the amount of insulin a person produces determines weight gain and weight loss. For example, Gary Taubes, a medical researcher and recipient of multiple awards from the National Association of Science Writers, refers to insulin as “the stop-and-go light of weight gain and loss.”    Produce more insulin—you will gain weight. Produce less insulin— you will lose weight.

Anyone who seeks to help others—whether by means of religion or by means of medicine—must eschew the use of force.

On a good day, every small thing is enchanting. Everything is a miracle. There is no emptiness. There is no need for forgiveness or escape or medicine. I hear only the wind in the trees, and my devils hatching their sacral plans, fusing all the shattered pieces together into a blanket of ice. I have found that it's under that ice that I can feel I am just another normal person. In the dark and cold, I am at 'peace.

When people are doing their utmost to upset you, it's probably best to just laugh at them.

Americans see democracy as a remedy for all ills-to be taken three times daily like prescription medicine. It works for them. Ergo - it should work for the world. What America naïvely forgets is that for democracy to function, most of a populace must have something personally that is worth preserving.

When push comes to shove we can afford to lose an arm or a leg, but I am operating on peoples thoughts and feelings... and if something goes wrong I can destroy that persons character... forever.

Affection as medicine is highly overrated...a person who is as sick with depression as I most certainly was cannot possibly be rescued through the power of anyone's love.

Persons in whom a crisis takes place pass the night preceding the paroxysm uncomfortably, but the succeeding night generally more comfortably.

The power of love is the best medicine a person can get.

The fact that I had never wanted to be a doctor was nothing more than a footnote to a story that interested no one. You wouldn’t think a person could succeed in something as difficult as medicine without wanting to do it, but it turned out I was part of a long and noble tradition of self-subjugation.

Kvothe nodded. “Teccam said the same thing: No man is brave that has never walked a hundred miles. If you want to know the truth of who you are, walk until not a person knows your name. Travel is the great leveler, the great teacher, bitter as medicine, crueler than mirror-glass. A long stretch of road will teach you more about yourself than a hundred years of quiet introspection

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

Endings matter, not just for the person but, perhaps even more, for the ones left behind.

Everywhere means nowhere. When a person spends all his time in foreign travel, he ends by having many acquaintances, but no friends. And the same thing must hold true of men who seek intimate acquaintance with no single author, but visit them all in a hasty and hurried manner. 3. Food does no good and is not assimilated into the body if it leaves the stomach as soon as it is eaten; nothing hinders a cure so much as frequent change of medicine; no wound will heal when one salve is tried after another; a plant which is often moved can never grow strong. There is nothing so efficacious that it can be helpful while it is being shifted about. And in reading of many books is distraction.

You have to believe. That's what I think. It's not about medicine and all that stuff. You have to believe a person can get better. There is so much in the human mind we don't understand. But, you see, if you have faith, you can do anything.

Years ago, homosexuals were given special status within the tribe. They had powerful medicine. I think it's even more true today, even though our tribe has assimilated into homophobia. I mean, a person has to have magic to assert their identity without regard to all the bullshit, right?

Emotional competence requires the capacity to feel our emotions, so that we are aware when we are experiencing stress; the ability to express our emotions effectively and thereby to assert our needs and to maintain the integrity of our emotional boundaries; the facility to distinguish between psychological reactions that are pertinent to the present situation and those that represent residue from the past. What we want and demand from the world needs to conform to our present needs, not to unconscious, unsatisfied needs from childhood. If distinctions between past and present blur, we will perceive loss or the threat of loss where none exists; and the awareness of those genuine needs that do require satisfaction, rather than their repression for the sake of gaining the acceptance or approval of others. Stress occurs in the absence of these criteria, and it leads to the disruption of homeostasis. Chronic disruption results in ill health. In each of the individual histories of illness in this book, one or more aspect of emotional competence was significantly compromised, usually in ways entirely unknown to the person involved. Emotional competence is what we need to develop if we are to protect ourselves from the hidden stresses that create a risk to health, and it is what we need to regain if we are to heal. We need to foster emotional competence in our children, as the best preventive medicine.

A cheerful heart is good medicine, but a broken spirit saps a person's strength

We tend to hold that popping medicine in our mouths and swallowing is the extent of our involvement in the healing process. We believe that if we get better, it's because the medicine worked magic, not the person.

This medicinal potion was additionally consumed as part of a sacred ritual known as Sōmayajña where the Yogis that Jesus himself had taught were helped to reach an enlightened trance. In effect, Jesus had developed the Nirvanalaksanayoga Tantra specifically for women, to heal them from the psychological damage and abuse they had to endure at the hands of men. He wanted to enable them to rise above patriarchal dominance, realise their highest potential, and then he would guide them towards an enlightened state. The first person to benefit from this privilege was Mari [Mary Magdalene] herself. Jesus began teaching this discipline in every place that he visited: from Kashmir in the northernmost region of the Indian subcontinent, to Uttar Pradesh, and Mari would accompany him on every journey he embarked on, from east of the Indus to Nepal.

As in the political sphere, the child is taught that he is free, a democrat, with a free will and a free mind, lives in a free country, makes his own decisions. At the same time he is a prisoner of the assumptions and dogmas of his time, which he does not question, because he has never been told they exist. By the time a young person has reached the age when he has to choose (we still take it for granted that a choice is inevitable) between the arts and the sciences, he often chooses the arts because he feels that here is humanity, freedom, choice. He does not know that he is already moulded by a system: he does not know that the choice itself is the result of a false dichotomy rooted in the heart of our culture. Those who do sense this, and who don't wish to subject themselves to further moulding, tend to leave, in a half-unconscious, instinctive attempt to find work where they won't be divided against themselves. With all our institutions, from the police force to academia, from medicine to politics, we give little attention to the people who leave—that process of elimination that goes on all the time and which excludes, very early, those likely to be original and reforming, leaving those attracted to a thing because that is what they are already like. A young policeman leaves the Force saying he doesn't like what he has to do. A young teacher leaves teaching, here idealism snubbed. This social mechanism goes almost unnoticed—yet it is as powerful as any in keeping our institutions rigid and oppressive.

The night before brain surgery, I thought about death. I searched out my larger values, and I asked myself, if I was going to die, did I want to do it fighting and clawing or in peaceful surrender? What sort of character did I hope to show? Was I content with myself and what I had done with my life so far? I decided that I was essentially a good person, although I could have been better--but at the same time I understood that the cancer didn't care. I asked myself what I believed. I had never prayed a lot. I hoped hard, I wished hard, but I didn't pray. I had developed a certain distrust of organized religion growing up, but I felt I had the capacity to be a spiritual person, and to hold some fervent beliefs. Quite simply, I believed I had a responsibility to be a good person, and that meant fair, honest, hardworking, and honorable. If I did that, if I was good to my family, true to my friends, if I gave back to my community or to some cause, if I wasn't a liar, a cheat, or a thief, then I believed that should be enough. At the end of the day, if there was indeed some Body or presence standing there to judge me, I hoped I would be judged on whether I had lived a true life, not on whether I believed in a certain book, or whether I'd been baptized. If there was indeed a God at the end of my days, I hoped he didn't say, 'But you were never a Christian, so you're going the other way from heaven.' If so, I was going to reply, 'You know what? You're right. Fine.' I believed, too, in the doctors and the medicine and the surgeries--I believed in that. I believed in them. A person like Dr. Einhorn [his oncologist], that's someone to believe in, I thought, a person with the mind to develop an experimental treatment 20 years ago that now could save my life. I believed in the hard currency of his intelligence and his research. Beyond that, I had no idea where to draw the line between spiritual belief and science. But I knew this much: I believed in belief, for its own shining sake. To believe in the face of utter hopelessness, every article of evidence to the contrary, to ignore apparent catastrophe--what other choice was there? We do it every day, I realized. We are so much stronger than we imagine, and belief is one of the most valiant and long-lived human characteristics. To believe, when all along we humans know that nothing can cure the briefness of this life, that there is no remedy for our basic mortality, that is a form of bravery. To continue believing in yourself, believing in the doctors, believing in the treatment, believing in whatever I chose to believe in, that was the most important thing, I decided. It had to be. Without belief, we would be left with nothing but an overwhelming doom, every single day. And it will beat you. I didn't fully see, until the cancer, how we fight every day against the creeping negatives of the world, how we struggle daily against the slow lapping of cynicism. Dispiritedness and disappointment, these were the real perils of life, not some sudden illness or cataclysmic millennium doomsday. I knew now why people fear cancer: because it is a slow and inevitable death, it is the very definition of cynicism and loss of spirit. So, I believed.

In the spring of 2009, I was the 217th person ever to be diagnosed with anti-NMDA-receptor autoimmune encephalitis. Just a year later, that figure had doubled. Now the number is in the thousands. Yet Dr. Bailey, considered one of the best neurologists in the country, had never heard of it. When we live in a time when the rate of misdiagnoses has shown no improvement since the 1930s, the lesson here is that it’s important to always get a second opinion. While he may be an excellent doctor in many respects, Dr. Bailey is also, in some ways, a perfect example of what is wrong with medicine. I was just a number to him (and if he saw thirty-five patients a day, as he told me, that means I was one of a very large number). He is a by-product of a defective system that forces neurologists to spend five minutes with X number of patients a day to maintain their bottom line. It’s a bad system. Dr. Bailey is not the exception to the rule. He is the rule.

Studies of the interaction between genetic and environmental risks are pinpointing critical parts of our health that derive from environmental variables.

I realized then why people call suicide hotlines. The person on the other end of the line wasn’t a therapist, wasn’t going to prescribe medicine, wasn’t going to try to convince the caller to feel differently, wasn’t going to love the caller the way a family member would. The person on the other end of the line was going to listen without judgment or fear, an invaluable gift that the suicidal rarely receive.

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

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

Nearly every book has the same architecture--cover, spine, pages--but you open them onto worlds and gifts far beyond what paper and ink are, and on the inside they are every shape and power. Some books are toolkits you take up to fix things, from the most practical to the mostmysterious, from your house to your heart, or to make things, from cakes to ships. Some books are wings. Some are horses that run away with you. Some are parties to which you are invited, full of friends who are there even when you have no friends. In some books you meet one remarkable person; in others a whole group or even a culture. Some books are medicine, bitter but clarifying. Some books are puzzles, mazes, tangles, jungles. Some long books are journeys, and at the end you are not the same person you were at the beginning. Some are handheld lights you can shine on almost anything.

Lies propagate, that's what I'm saying. You've got to tell more lies to cover them up, lie about every fact that's connected to the first lie. And if you kept on lying, and you kept on trying to cover it up, sooner or later you'd even have to start lying about the general laws of thought. Like, someone is selling you some kind of alternative medicine that doesn't work, and any double-blind experimental study will confirm that it doesn't work. So if someone wants to go on defending the lie, they've got to get you to disbelieve in the experimental method. Like, the experimental method is just for merely scientific kinds of medicine, not amazing alternative medicine like theirs. Or a good and virtuous person should believe as strongly as they can, no matter what the evidence says. Or truth doesn't exist and there's no such thing as objective reality. A lot of common wisdom like that isn't just mistaken, it's anti-epistemology, it's systematically wrong. Every rule of rationality that tells you how to find the truth, there's someone out there who needs you to believe the opposite. If you once tell a lie, the truth is ever after your enemy; and there's a lot of people out there telling lies.

Humans only live for a hundred years, it is as unreal as a dream that ends in an instant. What is the point of a person living in this world? No more than just being on a journey, and witnessing interesting things. Although I do not want to die, I do not fear death. I am already on my right path, I will strive to have no regrets even if I die. The only thing lacking in this world is a medicine for regret.” - Fang Yuan

no disease suffered by a live man can be known, for every living person has his own peculiarities and always has his own peculiar, personal, novel, complicated disease, unknown to medicine -- not a disease of the lungs, liver, skin, heart, nerves, and so on mentioned in medical books, but a disease consisting of one of the innumerable combinations of the maladies of those organs. This simple thought could not occur to the doctors (as it cannot occur to a wizard that he is unable to work his charms) because the business of their lives was to cure, and they received money for it and had spent the best years of their lives on that business. But above all that thought was kept out of their minds by the fact that they saw they were really useful [...] Their usefulness did not depend on making the patient swallow substances for the most part harmful (the harm was scarcely perceptible because they were given in small doses) but they were useful, necessary, and indispensable because they satisfied a mental need of the invalid and those who loved her -- and that is why there are, and always will be, pseudo-healers, wise women, homoeopaths, and allopaths. They satisfied that eternal human need for hope of relief, for sympathy, and that something should be done, which is felt by those who are suffering.

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

A landmark 2010 study from the Massachusetts General Hospital had even more startling findings. The researchers randomly assigned 151 patients with stage IV lung cancer, like Sara’s, to one of two possible approaches to treatment. Half received usual oncology care. The other half received usual oncology care plus parallel visits with a palliative care specialist. These are specialists in preventing and relieving the suffering of patients, and to see one, no determination of whether they are dying or not is required. If a person has serious, complex illness, palliative specialists are happy to help. The ones in the study discussed with the patients their goals and priorities for if and when their condition worsened. The result: those who saw a palliative care specialist stopped chemotherapy sooner, entered hospice far earlier, experienced less suffering at the end of their lives—and they lived 25 percent longer. In other words, our decision making in medicine has failed so spectacularly that we have reached the point of actively inflicting harm on patients rather than confronting the subject of mortality.

There is no medicine or other intervention that appears to be nearly as effective as exercise in maintaining or even bumping up a person's cognitive abilities.

In the United States, the person who led the fight to reform treatment of the mentally ill and to develop asylums was Dorothea Dix. Often neglected in history, Dix was a nurse

Healing from an eating disorder is a personal journey—the medicine is whatever reminds you that you do in fact want to live, and that you are worthy and capable of love.

There is one essential requirement for being close with a dying person: the letting go of self-concern.

Today, we have discovered that everyone is born with dozens of genetic glitches. There are no perfect human specimens. But not all our glitches are the same, so one treatment often does not fit all sufferers of a given disease.

And from the perspective of those in need, that extra quarter of a million bucks your material person spent on the prestige addition for his house looks like an awful lot of lifesaving food and medicine that could have existed if the jerk with the big house in the suburbs hadn't blown it all to artificially inflate his sociogeographic penis.

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

One can use standard principles and textbooks in educating people for law, medicine, architecture, chemistry or almost any other profession—but not for the theater. For, in most professions, every practitioner uses the same tools and techniques, while the actor’s chief instrument is himself. And since no two persons are alike, no universal rule is applicable to any two actors in exactly the same way.

Fear, by its depressing effect on our mentality, thus causes disharmony in our physical and magnetic bodies and paves the way for [bacterial] invasion. The real cause of disease lies in our own personality. ..

I can't see the logic in medicating a grieving person like there was something wrong with her, and yet it happens all the time... you go to the doctor with symptoms of profound grief and they push an antidepressant at you. We need to walk through our grief, not medicate it and shove it under the carpet like it wasn't there.

Perspective shifted on why it must 'hurt to heal', and a series of questions kept coming to mind. I found myself wondering if these medicines always 'hurt', or do they hurt so much now to show us how separate we are from nature? Perhaps these 'revelations in pain' are necessary in order for a personal apocalpyse to occur so you may have a shift in perception, and a greater understanding of your role in the whole? To realize that we are not foreign from nature, nature is where we come from and where we return to.

Doctors came to see her singly and in consultation, talked much in French, German, and Latin, blamed one another, and prescribed a great variety of medicines for all the diseases known to them, but the simple idea never occurred to any of them that they could not know the disease that Natasha was suffering from, as no disease suffered by a by a live man can be known, for every living person has his own peculiarities and always has his own peculiar, personal, novel, complicated disease, unknown to medicine - not a disease of the lungs, liver, skin, heart, nerves, and so on mentioned in medical books, but a disease consisting of one of the innumerable combinations of the maladies of those organs.

If you want to know the truth of who you are, walk until not a person knows your name. Travel is the great leveler, the great teacher, bitter as medicine, crueler than mirror-glass. A long stretch of road will teach you more about yourself than a hundred years of quiet introspection.

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

Henrietta was a black woman born of slavery and sharecropping who fled north for prosperity, only to have her cells used as tools by white scientists without her consent. It was a story of white selling black, of black cultures “contaminating” white ones with a single cell in an era when a person with “one drop” of black blood had only recently gained the legal right to marry a white person. It was also the story of cells from an uncredited black woman becoming one of the most important tools in medicine. This was big news.

The human psyche is not unitary; we all have different parts. This phenomenon is widely recognized, but in psychiatry the terminology and theories about it are far from unified. Nevertheless, I think dissociation, parts, sub-personalities, selves, and complexes are all referring to the same or to overlapping phenomenon.

Now, we shall be able to judge the extent of the spiritual undernourishment if we look at all these movements from another angle: not as errors but rather as attempts to find healing. I use this comparison: For a long time medical men combated fever as if it itself constituted the illness. Medicine today inclines rather to respect it, not only as a symptom of the disease but of the struggle of the organism against the disease. True, it is this struggle which makes it ill, and yet this very struggle is also the proof of its vitality and is the necessary way to healing.

Seemed to me a phone was an impersonal instrument. If it felt like it, it let your personality go through its wires. If it didn't want to, it just drained your personality away until what slipped through at the other end was some cold fish of a voice, all steel, copper, plastic, no warmth, no reality. It's easy to say the wrong thing on telephones; the telephone changes your meaning on you. First thing you know, you've made an enemy. Then, of course, the telephone's such a convenient thing; it just sits there and demands you call someone who doesn't want to be called. Friends were always calling, calling, calling me. Hell, I hadn't any time of my own.

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

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

Why say 'the world is complicated' and stop there? I say the world is complicated but not incomprehensible. Only you have to look at it steadily. Isn't it true a person's shoulder hurts sometimes because they've got a disorder in their stomach? And then what does a stupid doctor do? Order massages for the shoulder. What does a wise doctor do? He takes time to think about it, watches the patient carefully, gives him some medicine for his stomach, and the pain in his shoulder goes away. Better yet, he explains to his patients what they have to do to keep their stomach from getting out of order. One day his patient's going to get old and die, just like himself, just like us, and one day, incredible as it may seem, the Empire's going to die, and how foolish people are who whine about it, and whine about how complicated the world is. A seamstress's room is complicated too, but even at night, with the lights out, she can reach out in the darkness and find the yellow thread, the needles, the pincushion. We couldn't, because we don't know the order things are in, in the seamstress's room. And we can't see the order the world is in. But all the same it's there, right under our eyes.

If to be human is to be limited, then the role of caring professions and institutions - from surgeons to nursing homes - ought to be aiding people in their struggle with those limits. Sometimes we can offer a cure, sometimes only a salve, sometimes not even that. But whatever we can offer, our interventions, and the risks and sacrifices they entail, are justified only if they serve the large aims of a person's life. When we forget that, the suffering we inflict can be barbaric. When we remember it, the good we do can be breathtaking.

The elders versed in the mores of the Celtic culture instructed me in the meaning of a special word, buíochas. It means, as best I can render it, tender gratitude. The buíochas should be very high in each person, like a glass that is full. Buíochas is also a self-protection. You should carry gratitude in your heart for everything inside and outside your life and all the small things that impinge on your consciousness. The feeling of buíochas is like a medicine of the mind that holds your life together. The old saying buíochas le Dia, thanks be to God, reminded the human family that life itself is the greatest gift and should therefore be treasured in yourself and in all others.

When we are mindful to the various elements of the human experience and are acutely aware of the sacred responsibility we hold when we treat the mouth of another person – and we are humbled by the beauty, sensitivity and complexity of the design of the human body and spirit – it is in that moment that we do our best work and are in service to the well-being of the patient, and we are grateful for the fulfilling experience of restoring health to that person.

One day in my pharmacology class, we were discussing the possibility of legalizing marijuana. The class was pretty evenly divided between those that advocated legalizing marijuana and those that did not. The professor said he wanted to hear from a few people on both sides of the argument. A couple students had the opportunity to stand in front of the class and present their arguments. One student got up and spoke about how any kind of marijuana use was morally wrong and how nobody in the class could give him any example of someone who needed marijuana. A small girl in the back of the classroom raised her hand and said that she didn’t want to get up, but just wanted to comment that there are SOME situations in which people might need marijuana. The same boy from before spoke up and said that she needed to back up her statements and that he still stood by the fact that there wasn’t anyone who truly needed marijuana. The same girl in the back of the classroom slowly stood up. As she raised her head to look at the boy, I could physically see her calling on every drop of confidence in her body. She told us that her husband had cancer. She started to tear up, as she related how he couldn’t take any of the painkillers to deal with the radiation and chemotherapy treatments. His body was allergic and would have violent reactions to them. She told us how he had finally given in and tried marijuana. Not only did it help him to feel better, but it allowed him to have enough of an appetite to get the nutrients he so desperately needed. She started to sob as she told us that for the past month she had to meet with drug dealers to buy her husband the only medicine that would take the pain away. She struggled every day because according to society, she was a criminal, but she was willing to do anything she could to help her sick husband. Sobbing uncontrollably now, she ran out of the classroom. The whole classroom sat there in silence for a few minutes. Eventually, my professor asked, “Is there anyone that thinks this girl is doing something wrong?” Not one person raised their hand.

In the canoe, the Indian smiled. Once he paused in a stroke, and rested his blade. For that instant he looked like his own Paddle. There was a song in his heart. It crept to his lips, but only the water and the wind could hear. You, Little Traveler! You made the journey, the Long Journey. You now know the things I have yet to know. You, Little Traveler! You were given a name, a true name in my father’s lodge. Good Medicine, Little Traveler! You are truly a Paddle Person, a Paddle-to-the-Sea!

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

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

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

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

He was becoming an effective human being. He had learned from his birth family how to snare rabbits, make stew, paint fingernails, glue wallpaper, conduct ceremonies, start outside fires in a driving rain, sew with a sewing machine, cut quilt squares, play Halo, gather, dry, and boil various medicine teas. He had learned from the old people how to move between worlds seen and unseen. Peter taught him how to use an ax, a chain saw, safely handle a .22, drive a riding lawn mower, drive a tractor, even a car. Nola taught him how to paint walls, keep animals, how to plant and grow things, how to fry meat, how to bake. Maggie taught him how to hide fear, fake pain, how to punch with a knuckle jutting. How to go for the eyes. How to hook your fingers in a person’s nose from behind and threaten to rip the nose off your face. He hadn’t done these things yet, and neither had Maggie, but she was always looking for a chance. When

One of my great wishes is that people of the present will see those of the past as friendly (or irritating) acquaintances they can look to for advice. It’s easy to forget that people from the past weren’t the two-dimensional black-and-white photos or line drawings you might encounter in some dry textbooks. They weren’t just gray-faced guys in top hats. They were living, breathing, joking, burping people, who could be happy or sad, funny or boring, cool or the lamest people you ever met in your life. They had no idea they were living in the past. They all thought they were living in the present. Accordingly, like any person, past or present, could be, some of them were smart and kind and geniuses about medicine and also completely dull on a personal level. (I’m trying to come to terms with loving John Snow’s deductive brilliance and being absolutely certain I would never want to spend more than ten minutes talking to him.)

The capital ... shall form a fund, the interest of which shall be distributed annually as prizes to those persons who shall have rendered humanity the best services during the past year. ... One-fifth to the person having made the most important discovery or invention in the science of physics, one-fifth to the person who has made the most eminent discovery or improvement in chemistry, one-fifth to the one having made the most important discovery with regard to physiology or medicine, one-fifth to the person who has produced the most distinguished idealistic work of literature, and one-fifth to the person who has worked the most or best for advancing the fraternization of all nations and for abolishing or diminishing the standing armies as well as for the forming or propagation of committees of peace.

No one can successfully tell me that material things cannot bring happiness. For as the spirit is medicine to the bones; so is the happiness of the bones a medicine to the spirit. Without a soul, the body is dust; but without a body, the soul cannot fulfil destiny. Neither one is more important than the other; both are equally important. One will last longer than the other, yes, but while we are on this Earth, both are equally important. Surely money itself cannot make one happy; but it is what one does with money that makes one happy! If you do not know what to do with it, then it will not bring you happiness! But if you know what to do with it; there is no reason why it cannot bring you happiness. People think I am a very spiritual person; yes, this is true; but I have not achieved it through denial of the flesh. I have a new vision. I take pleasure in the pleasures of this world and I seek fulfilment in the answers of the spirit. I find happiness in the material and the physical things of this nature and I find joy in the connections I have with what is divine. Do I imagine myself on top of a mountain, detached from all the things I want to buy and to own? Never. My spirituality is not one of negative righteousness; my spirituality is one of the rose. It is whole and it is above as it is below.

If you think about it, the public perception of funky brain chemistry has been as varied and weird as the symptoms, historically speaking. If I had been born a Native American in another time, I might have been lauded as a medicine man. My voices would have been seen as the voices of ancestors imparting wisdom. I would have been treated with great mystical regard. If I had lived in biblical times, I might have been seen as a prophet, because, let’s face it, there are really only two possibilities: either prophets were actually hearing God speaking to them, or they were mentally ill. I’m sure if an actual prophet surfaced today, he or she would receive plenty of Haldol injections, until the sky opened up and the doctors were slapped silly by the Hand of God. In the Dark Ages my parents would have sent for an exorcist, because I was clearly possessed by evil spirits, or maybe even the Devil himself. And if I lived in Dickensian England, I would have been thrown into Bedlam, which is more than just a description of madness. It was an actual place—a “madhouse” where the insane were imprisoned in unthinkable conditions. Living in the twenty-first century gives a person a much better prognosis for treatment, but sometimes I wish I’d lived in an age before technology. I would much rather everyone think I was a prophet than some poor sick kid.

The fact that I had never wanted to be a doctor was nothing more than a footnote to a story that interested no one. You wouldn’t think a person could succeed in something as difficult as medicine without wanting to do it, but it turned out I was part of a long and noble tradition of self-subjugation. I would guess at least half the students in my class would rather have been anywhere else. We were fulfilling the expectations that had been set for us: the sons of doctors were expected to become doctors so as to honor the tradition; the sons of immigrants were expected to become doctors in order to make a better life for their families; the sons who had been driven to work the hardest and be the smartest were expected to become doctors because back in the day medicine was still where the smart kids went.

The symptoms syphilis engendered worsened over time. In addition to the unsightly skin ulcers that pockmarked the body in the later stages of the disease, many victims endured paralysis, blindness, dementia, and “saddle nose,” a grotesque deformity that occurs when the bridge of the nose caves into the face. (Syphilis was so common that “no nose clubs” sprang up all over London. One newspaper reported that “an eccentric gentleman, having taken a fancy to see a large party of noseless persons, invited every one thus afflicted, whom he met in the streets, to dine on a certain day at a tavern, where he formed them into a brotherhood.” The man, who assumed the alias of Mr. Crampton for these clandestine parties, entertained his noseless friends every month for a year until his death, at which time the group “unhappily dissolved.”)

Look in it,' he said, smiling slightly, as you do when you have given someone a present which you know will please him and he is unwrapping it before your eyes. I opened it. In the folder I found four 8×10 glossy photos, obviously professionally done; they looked like the kind of stills that the publicity departments of movie studios put out. The photos showed a Greek vase, on it a painting of a male figure who we recognized as Hermes. Twined around the vase the double helix confronted us, done in red glaze against a black background. The DNA molecule. There could be no mistake. 'Twenty-three or -four hundred years ago,' Fat said. 'Not the picture but the krater, the pottery.' 'A pot,' I said. 'I saw it in a museum in Athens. It's authentic. Thats not a matter of my own opinion; I'm not qualified to judge such matters; it's authenticity has been established by the museum authorities. I talked with one of them. He hadn't realized what the design shows; he was very interested when I discussed it with him. This form of vase, the krater, was the shape later used as the baptismal font. That was one of the Greek words that came into my head in March 1974, the word “krater”. I heard it connected with another Greek word: “poros”. The words “poros krater” essentially mean “limestone font”. ' There could be no doubt; the design, predating Christianity, was Crick and Watson's double helix model at which they had arrived after so many wrong guesses, so much trial-and-error work. Here it was, faithfully reproduced. 'Well?' I said. 'The so-called intertwined snakes of the caduceus. Originally the caduceus, which is still the symbol of medicine was the staff of- not Hermes-but-' Fat paused, his eyes bright. 'Of Asklepios. It has a very specific meaning, besides that of wisdom, which the snakes allude to; it shows that the bearer is a sacred person and not to be molested...which is why Hermes the messenger of the gods, carried it.' None of us said anything for a time. Kevin started to utter something sarcastic, something in his dry, witty way, but he did not; he only sat without speaking. Examining the 8×10 glossies, Ginger said, 'How lovely!' 'The greatest physician in all human history,' Fat said to her. 'Asklepios, the founder of Greek medicine. The Roman Emperor Julian-known to us as Julian the Apostate because he renounced Christianity-conside​red Asklepios as God or a god; Julian worshipped him. If that worship had continued, the entire history of the Western world would have basically changed

I have rules,” she said to him. He stilled his pen, raised expressionless eyes to her face, and waited. “When you bring me an old servant who’s come willingly where the king’s men have bidden him, a man who’s never been convicted, or even accused, of a crime,” Fire said, “I will not take his mind. I’ll sit before him and ask questions, and if my presence makes him more talkative, very well. But I will not compel him to say things he would otherwise not have said. Nor,” she added, voice rising, “will I take the mind of a person who’s been fed too little, or denied medicines, or beaten in your jails. I won’t manipulate a prisoner you’ve mistreated.” Garan sat back and crossed his arms. “That’s rich, isn’t it? Your own manipulation is mistreatment; you’ve said it yourself.” “Yes, but mine is meant to be for good reason. Yours is not.” “It’s not my mistreatment. I don’t give the orders down there, I’ve no idea what goes on.” “If you want me to question them, you’d best find out.” To Garan’s credit, the treatment of Dellian prisoners did change after that. One particularly laconic man, after a session in which Fire learned positively nothing, thanked her for it specifically. “Best dungeons I ever been in,” he said, chewing on a toothpick. “Wonderful,” Garan grumbled when he’d gone. “We’ll grow a reputation for our kindness to lawbreakers.

McKusick's belief in this paradigm-the focus on disability rather than abnormalcy-was actualized in the treatment of patients in his clinic. Patients with dwarfism, for instance, were treated by an interdisciplinary team of genetic counselors, neurologists, orthopedic surgeons, nurses, and psychiatrists trained to focus on specific disabilities of persons with short stature. Surgical interventions were reserved to correct specific deformities as they arose. The goal was not to restore "normalcy"-but vitality, joy, and function. McKusic had rediscovered the founding principles of modern genetics in the realm of human pathology. In humans as in wild flies, genetic variations abounded. Here too genetic variants, environments, and gene-environment interactions ultimately collaborated to cause phenotypes-except in this case, the "phenotype" in question was disease. Here too some genes had partial penetrance and widely variable expressivity. One gene could cause many diseases, and one disease could be caused by many genes. And here too "fitness" could not be judged in absolutes. Rather the lack of fitness-illness [italicized, sic] in colloquial terms- was defined by the relative mismatch between an organism and environment.

The bunk was a long, rectangular building. Inside, the walls were whitewashed and the floor unpainted. In three walls there were small, square windows, and in the fourth a solid door with a wooden latch. Against the walls were eight bunks, five of them made up with blankets and the other three showing their burlap ticking. Over each bunk there was nailed an apple-box with the opening forward so that it made two shelves for the personal belongings of the occupant of the bunk. And these shelves were loaded with little articles, soap and talcum-powder, razors and those Western magazines ranch-men love to read and scoff at and secretly believe. And there were medicines on the shelves, and little vials, combs; and, from nails on the box-sides, a few neck-ties. Near one wall there was a black cast-iron stove, its stove-pipe going straight up through the ceiling. In the middle of the room stood a big square table littered with playing-cards, and around it were grouped boxes for the players to sit on.

Many things combine to show that Midaq Alley is one of the gems of times gone by and that it once shone forth like a flashing star in the history of Cairo. Which Cairo do I mean? That of the Fatimads, the Mamlukes, or the Sultans? Only God and the archaeologists know the answer to that, but in any case, the alley is certainly an ancient relic and a precious one. How could it be otherwise with its stone-paved surface leading directly to the historic Sanadiqiya Street. And then there is its cafe known as "Kirsha's". Its walls decorated with multicolored arabesques, now crumbling, give off strong odors from the medicines of olden times, smells which have now become the spices and folk-cures of today and tomorrow ... Although Midaq Alley lives in almost complete isolation from all surrounding activity, it clamors with a distinctive and personal life of its own. Fundamentally and basically, its roots connect with life as a whole and yet, at the same time, it retains a number of the secrets of a world now past.

Until fairly recently, every family had a cornucopia of favorite home remedies--plants and household items that could be prepared to treat minor medical emergencies, or to prevent a common ailment becoming something much more serious. Most households had someone with a little understanding of home cures, and when knowledge fell short, or more serious illness took hold, the family physician or village healer would be called in for a consultation, and a treatment would be agreed upon. In those days we took personal responsibility for our health--we took steps to prevent illness and were more aware of our bodies and of changes in them. And when illness struck, we frequently had the personal means to remedy it. More often than not, the treatment could be found in the garden or the larder. In the middle of the twentieth century we began to change our outlook. The advent of modern medicine, together with its many miracles, also led to a much greater dependency on our physicians and to an increasingly stretched healthcare system. The growth of the pharmaceutical industry has meant that there are indeed "cures" for most symptoms, and we have become accustomed to putting our health in the hands of someone else, and to purchasing products that make us feel good. Somewhere along the line we began to believe that technology was in some way superior to what was natural, and so we willingly gave up control of even minor health problems.

The conceptual problem at the center of contemporary healthcare is the confusion between disease processes and disease origins. Instead of asking why an illness occurs and trying to remove the conditions that led to it, medical researchers try to understand the mechanisms through which the disease operates, so that they can then interfere with them. These mechanisms, rather than the true origins, are seen as the causes of disease in current medical thinking. In the process of reducing illness to disease, the attention of physicians has moved away from the patient as a whole person. By concentrating on smaller and smaller fragments of the body – shifting its perspective from the study of bodily organs and their functions to that of cells and, finally, to the study of molecules – modern medicine often loses sight of the human being, and having reduced health to mechanical functioning, it is no longer able to deal with the phenomenon of healing. Over the past four decades, the dissatisfaction with the mechanistic approach to health and healthcare has grown rapidly both among healthcare professionals and the general public. At the same time, the emerging systems view of life has given rise to a corresponding systems view of health, as we discuss in Chapter 15, while health consciousness among the general population has increased dramatically in many countries. The

Grief doesn’t go away. It can change into many things and will, but as a substance and presence it never leaves. To have caused and witnessed suffering and loss of life means grief is eagerly awaiting your decision as to what direction it will take in your destiny: to make more life or to make more death and violence, internally or externally. The best decision is that all grief be turned into life-promoting grief-based beauty and usefulness. The willingness for violence-shattered soldiers to heal others makes their malady into medicine. If a society is alive, and aware in this way, then those who have suffered loss will have a chance to heal, and those who have caused loss will be socially supported to sprout a new type of life-making person out of the death they have caused: a person who can now help others to heal from their losses, instead of both of them causing more loss to the rest of the world. This not only gives a place to these people, but having been remade into a new type of human, they will become an indispensible necessity for the future well-being of the community on the whole. Only in such a way can one who has killed continue living without destroying even more: themselves and/or others. Alive, in love as one who can feel the heartbreak of another, they are praised by their community as useful human beings instead of being shunned or forgotten.

First, I must confess that over the past few years I have been gravely disappointed with the white moderate. I have almost reached the regrettable conclusion that the Negro's great stumbling block in his stride toward freedom is not the White Citizens' Councilor or the Ku Klux Klanner, but the white moderate, who is more devoted to "order" than to justice; who prefers a negative peace which is the absence of tension to a positive peace which is the presence of justice; who constantly says: "I agree with you in the goal you seek, but I cannot agree with your methods of direct action"; who paternalistically believes he can set the timetable for another man's freedom; who lives by a mythical concept of time and who constantly advises the Negro to wait for a "more convenient season." Shallow understanding from people of good will is more frustrating than absolute misunderstanding from people of ill will. Lukewarm acceptance is much more bewildering than outright rejection. I had hoped that the white moderate would understand that law and order exist for the purpose of establishing justice and that when they fail in this purpose they become the dangerously structured dams that block the flow of social progress. I had hoped that the white moderate would understand that the present tension in the South is a necessary phase of the transition from an obnoxious negative peace, in which the Negro passively accepted his unjust plight, to a substantive and positive peace, in which all men will respect the dignity and worth of human personality. Actually, we who engage in nonviolent direct action are not the creators of tension. We merely bring to the surface the hidden tension that is already alive. We bring it out in the open, where it can be seen and dealt with. Like a boil that can never be cured so long as it is covered up but must be opened with all its ugliness to the natural medicines of air and light, injustice must be exposed, with all the tension its exposure creates, to the light of human conscience and the air of national opinion before it can be cured.