Physician Wellness Quotes

He watched Attolia out of the corner of his eye. She was still cool, like a breath of winter in the warm evening air, but in the last few days he had begun to sense a subtle humor in her chilly words. When Gen had complained earlier that evening that Petrus, the palace physician, should stop fussing over him like a worried old woman, Attolia had asked, archly,"And me as well?" "When you stop fussing," Gen had said, slipping to his knees beside her couch, "I will sleep with two knives under my pillow." Attolia had looked down at him and said sharply, "Don't be ridiculous." Only when Eugenides laughed had Sounis realized her implication: If she ever turned against Eugenides, a second knife wouldn't save him. He almost swallowed the olive in his mouth unchewed.

The physician said, 'I was told you would be difficult. Very well. The better it heals, the less your back will trouble you with stiffness, both now and later in life, so that you will be better able to swing a sword around, killing a great many people. I was told you would be responsive to that argument.

There was a dragon who had a long-standing obsession with a queen's breasts," she said, growing breathless. "The dragon knew the penalty to touch her would mean death, yet he revealed his secret desire to the king's chief doctor. This man promised he could arrange for the dragon to satisfy his desire, but it would cost him one thousand gold coins." She spread her soapy hands over his nipples, then down his arms. "Though he didn't have the money, the dragon readily agreed to the scheme." Grace," Darius moaned, his erection straining against her stomach. She hid her smile, loving that she had this much power over such a strong man. That she, Grace Carlyle, made him ache with longing. "The next day the physician made a batch of itching powder and poured some into the queen's bra… uh, you might call it a brassiere… while she bathed. After she dressed, she began itching and itching and itching. The physician was summoned to the Royal Chambers, and he informed the king and queen that only a special saliva, if applied for several hours, would cure this type of itch. And only a dragon possessed this special saliva." Out of breath, she paused. Continue," Darius said. His arms wound around her so tightly she could barely breathe. His skin blazed hot against hers, hotter than even the steamy water. Are you sure?" Continue." Taut lines bracketed his mouth. Well, the king summoned the dragon. Meanwhile, the physician slipped him the antidote for the itching powder, which the dragon put into his mouth, and for the next few hours, the dragon worked passionately on the queen's breasts. Anyway," she said, reaching around him and lathering the muscled mounds of his butt, "the queen's itching was eventually relieved, and the dragon left satisfied and touted as a hero." This does not sound like a joke," Darius said. I'm getting to the punch line. Hang on. When the physician demanded his payment, the now satisfied dragon refused. He knew that the physician could never report what really happened to the king. So the next day, the physician slipped a massive dose of the same itching powder into the king's loincloth. And the king immediately summoned the dragon." -Heart of the Dragon

If a physician of high standing, and one’s own husband, assures friends and relatives that there is really nothing the matter with one but temporary nervous depression—a slight hysterical tendency—what is one to do? . . . So I take phosphates or phosphites—whichever it is, and tonics, and journeys, and air, and exercise, and am absolutely forbidden to “work” until I am well again. Personally, I disagree with their ideas . . .

Please understand, Conception of a Dialysis Patient (the untold truths), is for those who have never crossed over, and experienced this world first hand. Tethered to a machine for survival, takes an emotional toll, yes on the patient, but family and friends as well. Anyone who draws breath needs to take this expedition. Dialysis patients, unfortunately, know their untold truths, so this may simply be confirmation of sorts, acknowledgement of their not being alone. This is the point of view of one patient, not a physician. I ask that you and others hear our voices. As the creator of the opus, I have first-hand experience. Removed from the machine, with my second transplant of a lifetime, I am certainly blessed. My objective is to open everyone’s eyes and minds, especially those of you who never been tethered to a dialysis machine. From my perception, you will value the emotional charge, and destruction dialysis forces upon patients, and their families. Again, the goal is to enlighten, in a manner that is sure to linger, and have you examining your own predicaments. I so appreciate you passing the word. Please take that breath with us -Fayton

LADY BRACKNELL. May I ask if it is in this house that your invalid friend Mr. Bunbury resides? ALGERNON. [Stammering.] Oh! No! Bunbury doesn't live here. Bunbury is somewhere else at present. In fact, Bunbury is dead, LADY BRACKNELL. Dead! When did Mr. Bunbury die? His death must have been extremely sudden. ALGERNON. [Airily.] Oh! I killed Bunbury this afternoon. I mean poor Bunbury died this afternoon. LADY BRACKNELL. What did he die of? ALGERNON. Bunbury? Oh, he was quite exploded. LADY BRACKNELL. Exploded! Was he the victim of a revolutionary outrage? I was not aware that Mr. Bunbury was interested in social legislation. If so, he is well punished for his morbidity. ALGERNON. My dear Aunt Augusta, I mean he was found out! The doctors found out that Bunbury could not live, that is what I mean - so Bunbury died. LADY BRACKNELL. He seems to have had great confidence in the opinion of his physicians. I am glad, however, that he made up his mind at the last to some definite course of action, and acted under proper medical advice. And now that we have finally got rid of this Mr. Bunbury, may I ask, Mr. Worthing, who is that young person whose hand my nephew Algernon is now holding in what seems to me a peculiarly unnecessary manner?

John is a physician, and perhaps--(I would not say it to a living soul, of course, but this is dead paper and a great relief to my mind)--perhaps that is one reason I do not get well faster

You and I, we must carry on, Gemma. I cannot afford the luxury of love. I must marry well. And now I must look after you. It is my duty." "If you wish to suffer, you do so of your own free will, not on my behalf. Or Father's or Grandmama's or anyone's. You are a fine physician, Thomas. Why is that not enough?" "Because it isn't," he says with a rare candor. "Only this and the hope of nothing more? A quiet respectability with no true greatness or heroism in it, with only my reputation to recommend me. So you see, Gemma, you are not the only one who cannot rule her own life.

There is no physician like Him, none can save as He can; we love Him, and He loves us, and therefore we put ourselves into His hands, accept whatever he prescribes, and do whatever He bids.We feel that nothing can be wrongly ordered while He is the director of our affairs; for He loves us too well to let us perish, or suffer a single needless pang

Please understand, Conception of a Dialysis Patient (the untold truths), is for those who have never crossed over, and experienced this world first hand. Tethered to a machine for survival, takes an emotional toll, yes on the patient, but family and friends as well. Anyone who draws breath needs to take this expedition. Dialysis patients, unfortunately, know their untold truths, so this may simply be confirmation of sorts, acknowledgement of their not being alone. This is the point of view of one patient, not a physician. I ask that you and others hear our voices. As the creator of the opus, I have firsthand experience. Removed from the machine, with my second transplant of a lifetime, I am certainly blessed. My objective is to open everyone’s eyes and minds, especially those of you who never been tethered to a dialysis machine. From my perception, you will value the emotional charge, and destruction dialysis forces upon patients, and their families. Again, the goal is to enlighten, in a manner that is sure to linger, and have you examining your own predicaments. I so appreciate you passing the word, Please take that breath with us… -Fayton

He's really dead?" Benna blew out his cheeks. "Well, his head's off, and spiked above the gates, so unless you know one hell of a physician...

Song of myself I am of old and young, of the foolish as much as the wise, Regardless of others, ever regardful of others, Maternal as well as paternal, a child as well as a man, Stuff'd with the stuff that is coarse and stuff'd with the stuff that is fine, One of the Nation of many nations, the smallest the same and the largest the same, A Southerner soon as a Northerner, a planter nonchalant and hospitable down by the Oconee I live, A Yankee bound my own way ready for trade, my joints the limberest joints on earth and the sternest joints on earth, A Kentuckian walking the vale of the Elkhorn in my deer-skin leggings, a Louisianian or Georgian, A boatman over lakes or bays or along coasts, a Hoosier, Badger, Buckeye; At home on Kanadian snow-shoes or up in the bush, or with fishermen off Newfoundland, At home in the fleet of ice-boats, sailing with the rest and tacking, At home on the hills of Vermont or in the woods of Maine, or the Texan ranch, Comrade of Californians, comrade of free North-Westerners, (loving their big proportions,) Comrade of raftsmen and coalmen, comrade of all who shake hands and welcome to drink and meat, A learner with the simplest, a teacher of the thoughtfullest, A novice beginning yet experient of myriads of seasons, Of every hue and caste am I, of every rank and religion, A farmer, mechanic, artist, gentleman, sailor, quaker, Prisoner, fancy-man, rowdy, lawyer, physician, priest. I resist any thing better than my own diversity, Breathe the air but leave plenty after me, And am not stuck up, and am in my place.

DR. JOHN SNOW—This well-known physician died at noon on the 16th instant, at his house in Sackville-street, from an attack of apoplexy. His researches on chloroform and other anaesthetics were appreciated by the profession.

There came an awful day when I picked up the phone and knew at once, as one does with some old friends even before they speak, that it was Edward. He sounded as if he were calling from the bottom of a well. I still thank my stars that I didn't say what I nearly said, because the good professor's phone pals were used to cheering or teasing him out of bouts of pessimism and insecurity when he would sometimes say ridiculous things like: 'I hope you don't mind being disturbed by some mere wog and upstart.' The remedy for this was not to indulge it but to reply with bracing and satirical stuff which would soon get the gurgling laugh back into his throat. But I'm glad I didn't say, 'What, Edward, splashing about again in the waters of self-pity?' because this time he was calling to tell me that he had contracted a rare strain of leukemia. Not at all untypically, he used the occasion to remind me that it was very important always to make and keep regular appointments with one’s physician.

Sick ones cannot teach you to be well. Psychiatrists have a high suicide rate. Why do you think they can help you live happily, or add to your vitality? Physicians are not the healthiest of men by far. Why do you think they can cure you?

What shall it profit the sick man to imagine himself, as all men do, to be well, if the physician says he is sick!

Unhealthy behavior is actually common among doctors, who tend to know a lot about medicine but very little about health.

In truth, Serenus, I have for a long time been silently asking myself to what I should liken such a condition of mind, and I can find nothing that so closely approaches it as the state of those who, after being released from a long and serious illness, are sometimes touched with fits of fever and slight disorders, and, freed from the last traces of them, are nevertheless disquieted with mistrust, and, though now quite well, stretch out their wrist to a physician and complain unjustly of any trace of heat in their body. It is not, Serenus, that these are not quite well in body, but that they are not quite used to being well; just as even a tranquil sea will show some ripple, particularly when it has just subsided after a storm. What you need, therefore, is not any of those harsher measures which we have already left behind, the necessity of opposing yourself at this point, of being angry with yourself at that, of sternly urging yourself on at another, but that which comes last -confidence in yourself and the belief that you are on the right path, and have not been led astray by the many cross- tracks of those who are roaming in every direction, some of whom are wandering very near the path itself. But what you desire is something great and supreme and very near to being a god - to be unshaken.

His father’s words had been made of breath, nothing left of his deep-timbered voice. ‘Tell the physicians I will be well,’ his father had said. ‘I wish to see all my son will accomplish when he takes the throne.’ In

Well--to put it briefly--Arianna and I had become--well--friends." "I see." "Nothing improper, you understand," Lelldorin said quickly. "But our friendship was such that--well--we didn't want to be separated." The young Asturian's face appealed to his friend for understanding. "Actually," he went on, "it was a little more than 'didn't want to.' Arianna told me she'd die if I left her behind." "Possibly she was exaggerating," Garion suggested. "How could I risk it, though?" Lelldorin protested. "Women are much more delicate than we are-- besides, Arianna's a physician. She'd know if she'd die, wouldn't she?

Where there were once several competing approaches to medicine, there is now only one that matters to most hospitals, insurers, and the vast majority of the public. One that has been shaped to a great degree by the successful development of potent cures that followed the discovery of sulfa drugs. Aspiring caregivers today are chosen as much (or more) for their scientific abilities, their talent for mastering these manifold technological and pharmaceutical advances as for their interpersonal skills. A century ago most physicians were careful, conservative observers who provided comfort to patients and their families. Today they act: They prescribe, they treat, they cure. They routinely perform what were once considered miracles. The result, in the view of some, has been a shift in the profession from caregiver to technician. The powerful new drugs changed how care was given as well as who gave it.

Based on USDA data, the US per capita consumption (pounds per person per year) of beef from 1970 to 2020 fell an annual average of 34 percent with no health or environmental benefits. Yet we still blame red meat for nearly all health problems. This terrifies me as a physician.

The difference between the earnings of a common labourer and those of a well employed lawyer or physician, is evidently much greater than that between the ordinary profits in any two different branches of trade. The apparent difference, besides, in the profits of different trades, is generally a deception arising from our not always distinguishing what ought to be considered as wages, from what ought to be considered as profit.

He came to put a harlot above a Pharisee, a penitent robber above a High Priest, and a prodigal son above his exemplary brother. To all the phonies and fakers who would say that they could not join the Church because His Church was not holy enough, He would ask, 'How holy must the Church be before you will enter into it?' If the Church were as holy as they wanted it to be, they would never be allowed into it! In every other religion under the sun, in every Eastern religion from Buddhism to Confucianism, there must always be some purification before one can commune with God. But Our Blessed Lord brought a religion where the admission of sin is the condition of coming to Him. 'Those who are well have no need of a physician, but those who are ill.

Therefore, to you, and to the fifty governors, I have a request. Please, do not send me politicians. We do not have the time to do the things that must be done through that process. I need people who do real things in the real world. I need people who do not want to live in Washington. I need people who will not try to work the system. I need people who will come here at great personal sacrifice to do an important job, and then return home to their normal lives. “I want engineers who know how things are built. I want physicians who know how to make sick people well. I want cops who know what it means when your civil rights are violated by a criminal. I want farmers who grow real food on real farms. I want people who know what it’s like to have dirty hands, and pay a mortgage bill, and raise kids, and worry about the future. I want people who know they’re working for you and not themselves. That’s what I want. That’s what I need. I think that’s what a lot of you want, too.

I used to read in books how our fathers persecuted mankind. But I never appreciated it. I did not really appreciate the infamies that have been committed in the name of religion, until I saw the iron arguments that Christians used. I saw the Thumbscrew—two little pieces of iron, armed on the inner surfaces with protuberances, to prevent their slipping; through each end a screw uniting the two pieces. And when some man denied the efficacy of baptism, or may be said, 'I do not believe that a fish ever swallowed a man to keep him from drowning,' then they put his thumb between these pieces of iron and in the name of love and universal forgiveness, began to screw these pieces together. When this was done most men said, 'I will recant.' Probably I should have done the same. Probably I would have said: 'Stop; I will admit anything that you wish; I will admit that there is one god or a million, one hell or a billion; suit yourselves; but stop.' But there was now and then a man who would not swerve the breadth of a hair. There was now and then some sublime heart, willing to die for an intellectual conviction. Had it not been for such men, we would be savages to-night. Had it not been for a few brave, heroic souls in every age, we would have been cannibals, with pictures of wild beasts tattooed upon our flesh, dancing around some dried snake fetich. Let us thank every good and noble man who stood so grandly, so proudly, in spite of opposition, of hatred and death, for what he believed to be the truth. Heroism did not excite the respect of our fathers. The man who would not recant was not forgiven. They screwed the thumbscrews down to the last pang, and then threw their victim into some dungeon, where, in the throbbing silence and darkness, he might suffer the agonies of the fabled damned. This was done in the name of love—in the name of mercy, in the name of Christ. I saw, too, what they called the Collar of Torture. Imagine a circle of iron, and on the inside a hundred points almost as sharp as needles. This argument was fastened about the throat of the sufferer. Then he could not walk, nor sit down, nor stir without the neck being punctured, by these points. In a little while the throat would begin to swell, and suffocation would end the agonies of that man. This man, it may be, had committed the crime of saying, with tears upon his cheeks, 'I do not believe that God, the father of us all, will damn to eternal perdition any of the children of men.' I saw another instrument, called the Scavenger's Daughter. Think of a pair of shears with handles, not only where they now are, but at the points as well, and just above the pivot that unites the blades, a circle of iron. In the upper handles the hands would be placed; in the lower, the feet; and through the iron ring, at the centre, the head of the victim would be forced. In this condition, he would be thrown prone upon the earth, and the strain upon the muscles produced such agony that insanity would in pity end his pain. I saw the Rack. This was a box like the bed of a wagon, with a windlass at each end, with levers, and ratchets to prevent slipping; over each windlass went chains; some were fastened to the ankles of the sufferer; others to his wrists. And then priests, clergymen, divines, saints, began turning these windlasses, and kept turning, until the ankles, the knees, the hips, the shoulders, the elbows, the wrists of the victim were all dislocated, and the sufferer was wet with the sweat of agony. And they had standing by a physician to feel his pulse. What for? To save his life? Yes. In mercy? No; simply that they might rack him once again. This was done, remember, in the name of civilization; in the name of law and order; in the name of mercy; in the name of religion; in the name of Christ.

Tolstoy recognized this. As Ivan Ilyich’s health fades and he realizes that his time is limited, his ambition and vanity disappear. He simply wants comfort and companionship. But almost no one understands—not his family, his friends, or the stream of eminent physicians whom his wife pays to examine him. Tolstoy saw the chasm of perspective between those who have to contend with life’s fragility and those who don’t. He grasped the particular anguish of having to bear such knowledge alone. But he saw something else, as well: even when a sense of mortality reorders our desires, these desires are not impossible to satisfy. Although none of Ivan Ilyich’s family or friends or doctors grasp his needs, his servant Gerasim does. Gerasim sees that Ivan Ilyich is a suffering, frightened, and lonely man and takes pity on him, aware that someday he himself would share his master’s fate.

Dr. Margaret Chan, Director-General of the World Health Organization, recently warned that we may be facing a future in which many of our miracle drugs no longer work. She stated, “A post-antibiotic era means, in effect, an end to modern medicine as we know it. Things as common as strep throat or a child’s scratched knee could once again kill.”147 We may soon be past the age of miracles. The director-general’s prescription to avoid this catastrophe included a global call to “restrict the use of antibiotics in food production to therapeutic purposes.” In other words, only use antibiotics in agriculture to treat sick animals. But that isn’t happening. In the United States, meat producers feed millions of pounds of antibiotics each year to farm animals just to promote growth or prevent disease in the often cramped, stressful, and unhygienic conditions of industrial animal agriculture. Yes, physicians overprescribe antibiotics as well, but the FDA estimates that 80 percent of the antimicrobial drugs sold in the United States every year now go to the meat industry.

Dr. Faust is my personal physician, as well as being medical director of the Erebus Health System.

If clergymen knew their congregations as well as physicians do, the sermons would be often more closely related to the parish needs.

And when we say also that the Word, who is the first-birth of God, was produced without sexual union, and that He, Jesus Christ, our Teacher, was crucified and died, and rose again, and ascended into heaven, we propound nothing different from what you believe regarding those whom you esteem sons of Jupiter. For you know how many sons your esteemed writers ascribed to Jupiter: Mercury, the interpreting word and teacher of all; Aesculapius, who, though he was a great physician, was struck by a thunderbolt, and so ascended to heaven; and Bacchus too, after he had been torn limb from limb; and Hercules, when he had committed himself to the flames to escape his toils; and the sons of Leda, and Dioscuri; and Perseus, son of Danae; and Bellerophon, who, though sprung from mortals, rose to heaven on the horse Pegasus. For what shall I say of Ariadne, and those who, like her, have been declared to be set among the stars? And what of the emperors who die among yourselves, whom you deem worthy of deification, and in whose behalf you produce some one who swears he has seen the burning Caesar rise to heaven from the funeral pyre? And what kind of deeds are recorded of each of these reputed sons of Jupiter, it is needless to tell to those who already know. This only shall be said, that they are written for the advantage and encouragement of youthful scholars; for all reckon it an honourable thing to imitate the gods. But far be such a thought concerning the gods from every well-conditioned soul, as to believe that Jupiter himself, the governor and creator of all things, was both a parricide and the son of a parricide, and that being overcome by the love of base and shameful pleasures, he came in to Ganymede and those many women whom he had violated and that his sons did like actions. But, as we said above, wicked devils perpetrated these things. And we have learned that those only are deified who have lived near to God in holiness and virtue; and we believe that those who live wickedly and do not repent are punished in everlasting fire.

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

His heart is weak, but his will is strong-more so now than ever,” he continued, shrugging into the light cape Ormsley was putting over his shoulders. “What do you mean, ‘more now than ever’?” The physician smiled in surprise. “Why, I meant that your coming here has meant a great deal to him, my lord. It’s had an amazing effect on him-well, not amazing, really. I should say a miraculous effect. Normally he rails at me when he’s ill. Today he almost hugged me in his eagerness to tell me you were here, and why. Actually, I was ordered to “have a look at you,” he continued in the confiding tone of an old family friend, “although I wasn’t supposed to tell you I was doing so, of course.” Grinning, he added, “He thinks you are a ‘handsome devil.’” Ian refused to react to that admonishing information with any emotion whatsoever. “Good day, my lord,” the doctor said. Turning to the duke’s sisters, who’d been hovering worriedly in the hall, he tipped his hat. “Ladies,” he said, and he departed. “I’ll just go up and look in on him,” Hortense announced. Turning to Charity, she said sternly, “Do not bore Ian with too much chatter,” she admonished, already climbing the stairs. In an odd, dire voice, she added, “And do not meddle.” For the next hour Ian paced the floor, with Charity watching him with great interest. The one thing he did not have was time, and time was what he was losing. At this rate Elizabeth would be giving birth to her first child before he got back to London.

Imagine another scene, one that occurred when he was twenty years older. At an academic symposium on Ellen West, a heavily studied patient who committed suicide several decades before, Rogers startled the audience by the depth and intensity of his reaction. He spoke about Ellen West as though he knew her well, as though it were only yesterday that she had poisoned herself. Not only did Rogers express his sorrow about her tragically wasted life, but also his anger at her physicians and psychiatrists who, through their impersonality and preoccupation with precise diagnosis, had transformed her into an object. How could they have? Rogers asked.

I wouldn’t say so. I’ve told people I’m a medieval historian when asked what I do. It freezes conversation. If one tells them one’s a poet, one gets these odd looks which seem to say, “Well, what’s he living off?” In the old days a man was proud to have in his passport, Occupation: Gentleman. Lord Antrim’s passport simply said, Occupation: Peer—which I felt was correct. I’ve had a lucky life. I had a happy home, and my parents provided me with a good education. And my father was both a physician and a scholar, so I never got the idea that art and science were opposing cultures—both were entertained equally in my home. I cannot complain. I’ve never had to do anything I really disliked. Certainly I’ve had to do various jobs I would not have taken on if I’d had the money; but I’ve always considered myself a worker, not a laborer. So many people have jobs they don’t like at all. I haven’t, and I’m grateful for that.

All life is a risk—I’m a physician, I’m only too well aware of that. But some people sail closer to the wind and they are the ones after my own heart. I admire them for that, you see, because I have been incapable of doing it myself.

Although Galen was a great physician, he was not a terribly courageous man. Galen was a self-promotor above anything else. According to McLynn, he consistently claimed to be a self-made man, casually downplaying the fact that he can from an extremely wealthy family and had inherited numerous estates as well as a stellar list of contacts. He employed underhanded tactics to win debates, and he constantly aggrandized his own achievements. Personality-wise, you could think of him as the Donald Trump of Ancient Rome.

For some, trying to uphold such a distorted, upside-down morality is too much to bear. Frederica Mathewes-Green was a young pro-choice feminist. But after reading a physician’s account in Esquire of an abortion, her eyes were opened. “There I was, anti-war, anti–capital punishment, even vegetarian, and a firm believer that social justice cannot be won at the cost of violence,” Mathewes-Green recounted. “Well, this sure looked like violence. How had I agreed to make this hideous act the centerpiece of my feminism?

Human being" is more a verb than a noun. Each of us is unfinished, a work in progress. Perhaps it would be most accurate to add the word "yet" to all our assessments of ourselves and each other . . . If life is process, all judgments are provisional, we can't judge something until it is finished. No one has won or lost until the race is over . . . In our instinctive attachments, our fear of change, and our wish for certainty and permanence, we may undercut the impermanence which is our greatest strength, our most fundamental identity. Without impermanence, there is no process. The nature of life is change. All hope is based on process . . . It is taken me somewhat longer to recognize that a diagnosis is simply another form of judgment. Naming a disease has limited usefulness. It does not capture life or even reflect it accurately. Illness, on the other hand, is a process, like life is. Much in the concept of diagnosis and cure is about fixing, and the narrow-bore focus on fixing people's problems can lead to denial of the power of their process. Years ago, I took full credit when people became well; their recovery was testimony to my skill and knowledge as a physician. I never recognized that without their biological, emotional, and spiritual process which could respond to my interventions, nothing could have changed at all. All the time I thought I was repairing, I was collaborating.

It is said that physicians sometimes ask patients, “Do you really wish to get well?” And, to be perfectly realistic in this matter, we must put the question of whether modern civilization wishes to survive. One can detect signs of suicidal impulse; one feels at times that the modern world is calling for madder music and for stronger wine, is craving some delirium which will take it completely away from reality. One is made to think of Kierkegaard’s figure of spectators in the theater, who applaud the announcement and repeated announcement that the building is on fire. I

But when the physicians assured us that the danger was as well from the sound (that is, the seemingly sound) as the sick, and that those people who thought themselves entirely free were oftentimes the most fatal, and that it came to be generally understood that people were sensible of it, and of the reason of it; then, I say, they began to be jealous of everybody, and a vast number of people locked themselves up, so as not to come abroad into any company at all, nor suffer any that had been abroad in promiscuous company to come into their houses, or near them—at least not so near them as to be within the reach of their breath or of any smell from them; and when they were obliged to converse at a distance with strangers, they would always have preservatives in their mouths and about their clothes to repel and keep off the infection. It must be acknowledged that when people began to use these cautions they were less exposed to danger, and the infection did not break into such houses so furiously as it did into others before; and thousands of families were preserved (speaking with due reserve to the direction of Divine Providence) by that means.

Physicians need to be trained to see symptoms of the larger structural problems that will bedevil a child’s health and well-being more than a simple cold ever could. But these problems are harder for even a well-trained physician to identify. A child doesn’t come to my exam room for “food insecurity.” Their moms don’t call the clinic for an appointment because “we can’t make ends meet” or “there aren’t any safe places to play outside.” They make appointments because of nosebleeds and ear infections, like other moms, or for well-baby checkups. And when we see them, if we don’t ask about the situation at home or learn to notice the clues on our own, we’ll never find out what these larger problems are. When we know about the child’s environment, we can treat these kids in the best, most holistic way, which will leave them with much more than just a prescription for amoxicillin.

I’m going to have to watch every word I say around you.” “Impossible. You talk far too much to succeed at that.” “I’m not going to worry about you any longer, Karl Van der Vort. You’re feeling well enough to be ornery. It just serves to prove what a fine physician I am—even if I wear red shirtwaists.

His assistants left him pretty well alone, apart from attending to his dressings, for not only was he a dangerous patient, stubborn, dogged and even violent if attempted to be dosed according to any system but his own, but he was also their superior in naval and in medical rank, being a physician and the author of highly-esteemed works on seamen's diseases, an officer much caressed by the Sick and Hurt Board: furthermore he was no more consistent than other men and in spite of his liberal principles and his dislike of constituted authority he was capable of petulant tyranny when confronted with a slimedraught early in the morning.

Our only qualification for God's grace is our emptiness, not our fullness; our undeservingness, not our deservingness. 'Those who are well have no need of a physician, but those who are sick. I came not to call the righteous but the sinners.' (Mk 2:17). Similarly, on an infinitely lower level, this book is for empty hearts, not full ones.

Mrs. Roosevelt seemed calm in her characteristic, graceful dignity. She stepped forward and placed her arm gently about my shoulder. “Harry,” she said quietly, “the President is dead.” For a moment, I could not bring myself to speak. The last news we had had from Warm Springs was that Mr. Roosevelt was recuperating nicely. In fact, he was apparently doing so well that no member of his immediate family, and not even his personal physician, was with him. All this flashed through my mind before I found my voice. “Is there anything I can do for you?” I asked at last. I shall never forget her deeply understanding reply. “Is there anything we can do for you?” she asked. “For you are the one in trouble now.

As regards illness, we should follow the advice of competent physicians, and desire to get well so we can serve God, but not refuse to remain ill if that would serve Him better. In the meantime, while we are sick and the outcome is not known, we can very meaningfully offer our suffering in union with the suffering of Jesus for the salvation of the world.

The Heiligenstadt Testament" Oh! ye who think or declare me to be hostile, morose, and misanthropical, how unjust you are, and how little you know the secret cause of what appears thus to you! My heart and mind were ever from childhood prone to the most tender feelings of affection, and I was always disposed to accomplish something great. But you must remember that six years ago I was attacked by an incurable malady, aggravated by unskillful physicians, deluded from year to year, too, by the hope of relief, and at length forced to the conviction of a lasting affliction (the cure of which may go on for years, and perhaps after all prove impracticable). Born with a passionate and excitable temperament, keenly susceptible to the pleasures of society, I was yet obliged early in life to isolate myself, and to pass my existence in solitude. If I at any time resolved to surmount all this, oh! how cruelly was I again repelled by the experience, sadder than ever, of my defective hearing! — and yet I found it impossible to say to others: Speak louder; shout! for I am deaf! Alas! how could I proclaim the deficiency of a sense which ought to have been more perfect with me than with other men, — a sense which I once possessed in the highest perfection, to an extent, indeed, that few of my profession ever enjoyed! Alas, I cannot do this! Forgive me therefore when you see me withdraw from you with whom I would so gladly mingle. My misfortune is doubly severe from causing me to be misunderstood. No longer can I enjoy recreation in social intercourse, refined conversation, or mutual outpourings of thought. Completely isolated, I only enter society when compelled to do so. I must live like art exile. In company I am assailed by the most painful apprehensions, from the dread of being exposed to the risk of my condition being observed. It was the same during the last six months I spent in the country. My intelligent physician recommended me to spare my hearing as much as possible, which was quite in accordance with my present disposition, though sometimes, tempted by my natural inclination for society, I allowed myself to be beguiled into it. But what humiliation when any one beside me heard a flute in the far distance, while I heard nothing, or when others heard a shepherd singing, and I still heard nothing! Such things brought me to the verge of desperation, and well-nigh caused me to put an end to my life. Art! art alone deterred me. Ah! how could I possibly quit the world before bringing forth all that I felt it was my vocation to produce? And thus I spared this miserable life — so utterly miserable that any sudden change may reduce me at any moment from my best condition into the worst. It is decreed that I must now choose Patience for my guide! This I have done. I hope the resolve will not fail me, steadfastly to persevere till it may please the inexorable Fates to cut the thread of my life. Perhaps I may get better, perhaps not. I am prepared for either. Constrained to become a philosopher in my twenty-eighth year! This is no slight trial, and more severe on an artist than on any one else. God looks into my heart, He searches it, and knows that love for man and feelings of benevolence have their abode there! Oh! ye who may one day read this, think that you have done me injustice, and let any one similarly afflicted be consoled, by finding one like himself, who, in defiance of all the obstacles of Nature, has done all in his power to be included in the ranks of estimable artists and men. My brothers Carl and [Johann], as soon as I am no more, if Professor Schmidt be still alive, beg him in my name to describe my malady, and to add these pages to the analysis of my disease, that at least, so far as possible, the world may be reconciled to me after my death. I also hereby declare you both heirs of my small fortune (if so it may be called). Share it fairly, agree together and assist each other. You know that any

I have heard Silvius, an excellent physician of Paris, say that lest the digestive faculties of the stomach should grow idle, it were not amiss once a month to rouse them by this excess, and to spur them lest they should grow dull and rusty; and one author tells us that the Persians used to consult about their most important affairs after being well warmed with wine.

There’s pushback on the legislative front as well. In 2013, California passed the nation’s only law that year to expand abortion access: Nurses and some other health professionals (midwives, nurse practitioners, and physician assistants) are now permitted to perform first-trimester nonsurgical abortions.30 (This is what can happen when a state is controlled by Democrats.)

Remember, Bettina, that you are going to get well; but if you dare scratch yourself; you will be so ugly that no one will ever love you again." I challenge all the physicians in the world to find a more powerful deterrent to itching than this in the case of a girl who knows that she has been beautiful and is in danger of becoming ugly through her own fault if she scratches.

This figure upon the Cross is not a MVD agent or a Gestapo inquisitor, but a Divine Physician, Who only asks that we bring our wounds to Him in order that He may heal them. If our sins be as scarlet, they shall be washed white as snow, and if they be as red as crimson, they shall be made white as wool. Was it not He Who told us, “I say to you, that even so there shall be more joy in Heaven upon one sinner that doth penance than upon ninety-nine just who need not penance” (Luke 15:7)? In the story of the prodigal, did He not describe the Father as saying, “Let us eat and make merry: because this my son was dead and is come to life again; was lost and is found” (Luke 15:23, 24)? Why is there more joy in Heaven for the repentant sinner than for the righteous? Because God’s attitude is not judgment but love. In judgment, one is not as joyful after doing wrong as before; but in love, there is joy because the danger and worry of losing that soul is past. He who is sick is loved more than he who is well, because he needs it more. Some will feign sickness to solicit love and pretend wounds that the beloved may bind them.

Nevertheless the state in which I find myself most of all — for why should I not admit the truth to you as to a physician? — is that I have neither been honestly set free from the things that I hated and feared, nor, on the other hand, am I in bondage to them; while the condition in which I am placed is not the worst, yet I am complaining and fretful — I am neither sick nor well.

Just as sick people need surgery and cautery to recover the health they have lost, so we need trials, and toils of repentance, and fear of death and punishment, so that we may regain our former health of soul and shake off the sickness which our folly has induced. The more the Physician of our souls bestows upon us voluntary and involuntary suffering, the more we should thank Him for His compassion and accept the suffering joyfully: For it is to help us that He increases our tribulation, both through the sufferings we willingly embrace in our repentance and through the trials and punishments not subject to our will. In this way, if we voluntarily accept affliction, we will be freed from our sickness and from the punishments to come, and perhaps even from present punishments as well.

It didn’t occur to him to think that better is not the same as well. Was he fooling himself? He would not have said so. Even at twenty-two, when his diagnosis was confirmed, he was realistic. Most suffer. Everyone dies. He knew how, if not when. Now more than ever, he was determined to cheat the Fates of entertainment, but naturally, his time would come. When it did, he believed he would accept death as Socrates had: with cool philosophical distance. He would say something funny, or profound, or loving. Then he would let life fall gracefully from his hands. Horseshit, as James Earp would say, of the highest order. The truth is this. On the morning of August 14, 1878, Doc Holliday believed in his own death exactly as you do—today, at this very moment. He knew that he was mortal, just as you do. Of course, you know you’ll die someday, but … not quite the same way you know that the sun will rise tomorrow or that dropped objects fall. The great bitch-goddess Hope sees to that. Sit in a physician’s office. Listen to a diagnosis as bad as Doc’s. Beyond the first few words, you won’t hear a thing. The voice of Hope is soft but impossible to ignore. This isn’t happening, she assures you. There’s been a mix-up with the tests. Hope swears, You’re different. You matter. She whispers, Miracles happen. She says, often quite reasonably, New treatments are being developed all the time! She promises, You’ll beat the odds. A hundred to one? A thousand to one? A million to one? Eight to five, Hope lies. Odds are, when your time comes, you won’t even ask, “For or against?” You’ll swing up on that horse, and ride.

The Chinese physician, in contrast, directs his or her attention to the complete physiological and psychological individual. All relevant information, including the symptom as well as the patient’s other general characteristics, is gathered and woven together until it forms what Chinese medicine calls a “pattern of disharmony.” This pattern of disharmony describes a situation of “imbalance” in a patient’s body.

What is the essence of human sexuality and how did it get to be that way? In the following pages, we’ll explain how seismic cultural shifts that began about ten thousand years ago rendered the true story of human sexuality so subversive and threatening that for centuries it has been silenced by religious authorities, pathologized by physicians, studiously ignored by scientists, and covered up by moralizing therapists.

In medicine, we have long faced a conflict between the imperative to give patients the best possible care and the need to provide novices with experience. Residencies attempt to mitigate potential harm for supervision and graduated responsibility. And there is reason to think patients actually benefit from teaching. Studies generally find teaching hospitals have better outcomes than non teaching hospitals. Residents may be amateurs, but having them around checking on patients, asking questions, and keeping faculty on their toes seems to help. But there is still no getting around those first few unsteady times a young physician tries to put in a central line, remove a breast cancer, or sew together two segments of colon. No matter how many protections we put in place, on average these cases go less well with a novice then with someone experienced.

It turns out that since 1825, researchers have known that Graves’ disease is often correlated with stressful life events, which Trinity had in spades. It was clear that her problems with emotional regulation were overlaid on the hyperthyroidism, making her time in the classroom that much more difficult. The crazy thing is that many busy physicians do their entire assessment of ADHD based on behavioral symptoms alone, without a stethoscope

The truth is, Senor, that I’m the most unfortunate doctor one could find anywhere in the world, where a physician can kill the sick person he’s treating and wants to be paid for his work, which is nothing but signing a piece of paper for some medicines that are made not by him but by the apothecary, and that’s the whole swindle; but when other people’s well-being costs me drops of blood, slaps, pinches, pinpricks, and lashes, they don’t give me an ardite.

We currently know more about superfoods, calories, fat content and food groups than ever before. Yet obesity—and all the awful illnesses that go with it—is more prevalent than ever. So where are we going wrong? And what can we do about it? Well, as one of my favorite experts, the brilliant Dr. Mark Hyman, a physician and bestselling wellness author, said, “We have to cook our way out of this mess.” And this starts with getting back in the kitchen and making all of our meals from scratch.

Kraus asks the question of Freudian analysis: What would be enough? At what point would talking about one’s problems for x hours a week, be sufficient to bring one to a state of “normalcy”? The genius of Freudianism, Kraus writes, is not the creation of a cure, but of a disease—the universal, if intermittent, human sentiment that “something is not right,” elaborated into a state whose parameters, definitions, and prescriptions are controlled by a self-selecting group of “experts,” who can never be proved wrong. It was said that the genius of the Listerine campaign was attributable to the creation not of mouthwash, but of halitosis. Kraus indicts Freud for the creation of the nondisease of dissatisfaction. (See also the famous “malaise” of Jimmy Carter, which, like Oscar Wilde’s Pea Soup Fogs, didn’t exist ’til someone began describing it.) To consider a general dissatisfaction with one’s life, or with life in general as a political rather than a personal, moral problem, is to exercise or invite manipulation. The fortune teller, the “life coach,” the Spiritual Advisor, these earn their living from applying nonspecific, nonspecifiable “remedies” to nonspecifiable discomforts.The sufferers of such, in medicine, are called “the worried well,” and provide the bulk of income and consume the bulk of time of most physicians. It was the genius of the Obama campaign to exploit them politically. The antecedent of his campaign has been called Roosevelt’s New Deal, but it could, more accurately, be identified as The Music Man.

How often things must have been seen and dismissed as unimportant, before the speculative eye and the moment of vision came! It was Gilbert, Queen Elizabeth's court physician, who first puzzled his brains with rubbed amber and bits of glass and silk and shellac, and so began the quickening of the human mind to the existence of this universal presence. And even then the science of electricity remained a mere little group of curious facts for nearly two hundred years, connected perhaps with magnetism—a mere guess that—perhaps with the lightning. Frogs' legs must have hung by copper hooks from iron railings and twitched upon countless occasions before Galvani saw them. Except for the lightning conductor, it was 250 years after Gilbert before electricity stepped out of the cabinet of scientific curiosities into the life of the common man… . Then suddenly, in the half-century between 1880 and 1930, it ousted the steam-engine and took over traction, it ousted every other form of household heating, abolished distance with the perfected wireless telephone and the telephotograph… .

The majority of people living with chronic pain have the symptoms attributed to conditions that are not fully understood, including Spinal Stenosis, Fibromyalgia, Diabetic Neuropathy, Arthritis, and Restless Leg Syndrome. These diagnoses provide a label allowing the patient to be classified and guiding physicians to treat, but often do not reflect the true cause of symptoms. Using approaches presented in Walking Well Again, both patients and clinicians are guided to recognizing and treating the hidden causes of pain, which often results in relief in just one or two days.

To the enormous majority of persons who risk themselves in literature, not even the smallest measure of success can fall. They had better take to some other profession as quickly as may be, they are only making a sure thing of disappointment, only crowding the narrow gates of fortune and fame. Yet there are others to whom success, though easily within their reach, does not seem a thing to be grasped at. Of two such, the pathetic story may be read, in the Memoir of A Scotch Probationer, Mr. Thomas Davidson, who died young, an unplaced Minister of the United Presbyterian Church, in 1869. He died young, unaccepted by the world, unheard of, uncomplaining, soon after writing his latest song on the first grey hairs of the lady whom he loved. And she, Miss Alison Dunlop, died also, a year ago, leaving a little work newly published, Anent Old Edinburgh, in which is briefly told the story of her life. There can hardly be a true tale more brave and honourable, for those two were eminently qualified to shine, with a clear and modest radiance, in letters. Both had a touch of poetry, Mr. Davidson left a few genuine poems, both had humour, knowledge, patience, industry, and literary conscientiousness. No success came to them, they did not even seek it, though it was easily within the reach of their powers. Yet none can call them failures, leaving, as they did, the fragrance of honourable and uncomplaining lives, and such brief records of these as to delight, and console and encourage us all. They bequeath to us the spectacle of a real triumph far beyond the petty gains of money or of applause, the spectacle of lives made happy by literature, unvexed by notoriety, unfretted by envy. What we call success could never have yielded them so much, for the ways of authorship are dusty and stony, and the stones are only too handy for throwing at the few that, deservedly or undeservedly, make a name, and therewith about one-tenth of the wealth which is ungrudged to physicians, or barristers, or stock-brokers, or dentists, or electricians. If literature and occupation with letters were not its own reward, truly they who seem to succeed might envy those who fail. It is not wealth that they win, as fortunate men in other professions count wealth; it is not rank nor fashion that come to their call nor come to call on them. Their success is to be let dwell with their own fancies, or with the imaginations of others far greater than themselves; their success is this living in fantasy, a little remote from the hubbub and the contests of the world. At the best they will be vexed by curious eyes and idle tongues, at the best they will die not rich in this world’s goods, yet not unconsoled by the friendships which they win among men and women whose faces they will never see. They may well be content, and thrice content, with their lot, yet it is not a lot which should provoke envy, nor be coveted by ambition.

He [Paracelsus] was a Swiss, a queer mixture of a man, of keenest intellect and coarsest fiber, an unusual combination. Like most students of these times, he led a wandering life. That was the only way one could keep in touch with what was going on; there were no scientific periodicals, no newspapers and where a postal service existed, it was uncertain and expensive. Consequently, most of the university students, the professors as well, and many physicians wandered from one university to another. Most of these itinerant students were true vagabonds, begging and stealing for their livelihood.

retired physician from Alabama, Dr. Turner told us about the Tuskegee experiment of the 1920s and ’30s, when the government refused to cure a group of Black men with syphilis, just to watch the disease’s horrible progression. Another tangent was about Dr. Turner’s white professor in medical school. He had reminded his students that it was a well-known, scientific fact that the colored race didn’t have the same filial affections as other races. They didn’t feel physical pain much, either, the white professor had said. You could cut into their flesh with a scalpel and they wouldn’t even flinch.

Valentine’s concept of introversion includes traits that contemporary psychology would classify as openness to experience (“thinker, dreamer”), conscientiousness (“idealist”), and neuroticism (“shy individual”). A long line of poets, scientists, and philosophers have also tended to group these traits together. All the way back in Genesis, the earliest book of the Bible, we had cerebral Jacob (a “quiet man dwelling in tents” who later becomes “Israel,” meaning one who wrestles inwardly with God) squaring off in sibling rivalry with his brother, the swashbuckling Esau (a “skillful hunter” and “man of the field”). In classical antiquity, the physicians Hippocrates and Galen famously proposed that our temperaments—and destinies—were a function of our bodily fluids, with extra blood and “yellow bile” making us sanguine or choleric (stable or neurotic extroversion), and an excess of phlegm and “black bile” making us calm or melancholic (stable or neurotic introversion). Aristotle noted that the melancholic temperament was associated with eminence in philosophy, poetry, and the arts (today we might classify this as opennessto experience). The seventeenth-century English poet John Milton wrote Il Penseroso (“The Thinker”) and L’Allegro (“The Merry One”), comparing “the happy person” who frolics in the countryside and revels in the city with “the thoughtful person” who walks meditatively through the nighttime woods and studies in a “lonely Towr.” (Again, today the description of Il Penseroso would apply not only to introversion but also to openness to experience and neuroticism.) The nineteenth-century German philosopher Schopenhauer contrasted “good-spirited” people (energetic, active, and easily bored) with his preferred type, “intelligent people” (sensitive, imaginative, and melancholic). “Mark this well, ye proud men of action!” declared his countryman Heinrich Heine. “Ye are, after all, nothing but unconscious instruments of the men of thought.” Because of this definitional complexity, I originally planned to invent my own terms for these constellations of traits. I decided against this, again for cultural reasons: the words introvert and extrovert have the advantage of being well known and highly evocative. Every time I uttered them at a dinner party or to a seatmate on an airplane, they elicited a torrent of confessions and reflections. For similar reasons, I’ve used the layperson’s spelling of extrovert rather than the extravert one finds throughout the research literature.

As Ernest Becker observes in The Denial of Death, the very thought of disobeying authority appears to awaken the anxiety connected with the possible loss, during infancy, of parental love, respect or support. The unexamined beliefs and experiences that generate our reliance on, and deference to authority, seem rooted in a profound existential uncertainty: the patient looks to the doctor to relieve this uncertainty, not only about not feeling well and not knowing why, but also about not knowing what to do, what action to undertake. In other words, the expertise of the physician relieves the patient of some of the burden of responsibility.

We were beginning to see that the medical profession, at the time still over 90 percent male, had transformed childbirth from a natural event into a surgical operation performed on an unconscious patient in what approximated a sterile environment. Routinely, the woman about to give birth was subjected to an enema, had her pubic hair shaved off, and was placed in the lithotomy position - on her back, with knees up and crotch spread wide open. As the baby began to emerge, the obstetrician performed an episiotomy, a surgical enlargement of the vaginal opening, which had to be stitched back together after birth. Each of these procedures came with a medical rationale: The enema was to prevent contamination with feces; the pubic hair was shaved because it might be unclean; the episiotomy was meant to ease the baby's exit. But each of these was also painful, both physically and otherwise, and some came with their own risks, Shaving produces small cuts and abrasions that are open to infection; episiotomy scars heal m ore slowly than natural tears and can make it difficult for the woman to walk or relieve herself for weeks afterward. The lithotomy position may be more congenial for the physician than kneeling before a sitting woman, but it impedes the baby's process through the birth canal and can lead to tailbone injuries in the mother.

Nature, ... in order to carry out the marvelous operations [that occur] in animals and plants has been pleased to construct their organized bodies with a very large number of machines, which are of necessity made up of extremely minute parts so shaped and situated as to form a marvelous organ, the structure and composition of which are usually invisible to the naked eye without the aid of a microscope. ... Just as Nature deserves praise and admiration for making machines so small, so too the physician who observes them to the best of his ability is worthy of praise, not blame, for he must also correct and repair these machines as well as he can every time they get out of order.

Pen woke aroused, rolled over sleepily, and reached for himself. The room seemed warm and dim and safe and quiet. His hand had barely touched its target when his mouth commented, “Ooh, I’ve not felt it from this angle before. This should be interesting.” Pen’s hand froze. “Don’t stop on our account,” said Desdemona. “Physicians, remember?” “Yes, don’t be shy. I’ve seen a thousand of ’em.” “Speak for yourself!” “Well, I’ve certainly diapered them a thousand times.” Pen had no idea what the next comment was, and it might just have been the language, but it certainly sounded obscene. He rolled from the bed and dressed as fast as possible. He couldn’t be out on the road soon enough.

What I can say with confidence, as a physician and healer, is that for our society to right itself and chart a course toward maximum health, certain conditions will have to be met. And it will take some key changes or shifts to create those conditions. They all derive from the core principles of this book: biopsychosocial medicine, disease as teacher, the primacy of both attachment and authenticity, and, above all, fearless self-inquiry, here on a social scale. None of these shifts is sufficient in itself, but as far as I can tell, they are all necessary. They may not fully come to pass without significant social-political transformation, but they are easy to grasp, and it is well within our power to work toward them.

Meditation Take the world, but give me Jesus, Sweetest comfort of my soul; With my Savior watching o’er me, I can sing though billows roll. Take the world, but give me Jesus, Let me view his constant smile; Then throughout my pilgrim journey Light will cheer me all the while. Take the world, but give me Jesus, All its joys are but a name; But his love abideth ever, Through eternal years the same. Take the world, but give me Jesus. In his cross my trust shall be, Till, with clearer, brighter vision, Face to face my Lord I see. Refrain Oh, the height and depth of mercy! Oh, the length and breadth of love! Oh, the fullness of redemption, Pledge of endless life above! “TAKE THE WORLD, BUT GIVE ME JESUS,” FANNY CROSBY (1879)

The Catholic Inquisition is well-known for its persecutions, but the Protestants were no better. An infamous example of Protestant evil, an example given by Thomas Jefferson, is the execution of Michael Servetus. A Spanish physician, Servetus wrote that the doctrine of the Trinity makes no sense, that it contradicts the idea that there is only one God. Servetus was condemned to die by the Catholic Inquisition, but he wasn't present, so they couldn't kill him. He had fled to Protestant Switzerland, expecting to be protected there. Instead, the city leaders in Geneva, with the approval of John Calvin (one of the great fathers of Protestant thought) and other Protestant leaders across Europe, had Servetus burned alive (with green wood to give him longer to repent) in 1553.

Things here go just as they did with me and my physician. I complained about being out of sorts. He replied, ‘You probably drink too much coffee and walk too little.’ Three weeks later I spoke with him again and said, ‘I really do not feel very well, but now it cannot be because of drinking coffee, for I do not drink coffee at all, nor because of lack of exercise, for I walk all day long.’ He replied, ‘Well, then the reason must be that you do not drink coffee and that you walk too much.’ And so my infirmity was and remains the same, but if I drink coffee the cause of my infirmity is that I drink coffee, and if I do not drink coffee, then my infirmity is caused by my not drinking coffee. And that is how it is with us human beings. All of earthly existence is a sort of infirmity.

In losing her he lost not merely his main source of companionship but also his primary adviser, whose observations he had found so useful in helping shape his own thinking. The White House became for him a lonely place, haunted not by the ghost of Lincoln, as some White House servants believed, but by memories of Ellen. For a time his grief seemed incapacitating. His physician and frequent golf companion, Dr. Cary Grayson, grew concerned. “For several days he has not been well,” Grayson wrote, on August 25, 1914, in a letter to a friend, Edith Bolling Galt. “I persuaded him yesterday to remain in bed during the forenoon. When I went to see him, tears were streaming down his face. It was a heart-breaking scene, a sadder picture no one could imagine. A great man with his heart torn out.

Senility and Death.—Apart from the demands made by religion, it may well be asked why it is more honorable in an aged man, who feels the decline of his powers, to await slow extinction than to fix a term to his existence himself? Suicide in such a case is a quite natural and due proceeding that ought to command respect as a triumph of reason: and did in fact command respect during the times of the masters of Greek philosophy and the bravest Roman patriots, who usually died by their own hand. Eagerness, on the other hand, to keep alive from day to day with the anxious counsel of physicians, without capacity to attain any nearer to one's ideal of life, is far less worthy of respect.—Religions are very rich in refuges from the mandate of suicide: hence they ingratiate themselves with those who cling to life.

For what is more foolish than for a man to study nothing else than how to please himself? To make himself the object of his own admiration? And yet, what is there that is either delightful or taking, nay rather what not the contrary, that a man does against the hair? Take away this salt of life, and the orator may even sit still with his action, the musician with all his division will be able to please no man, the player be hissed off the stage, the poet and all his Muses ridiculous, the painter with his art contemptible, and the physician with all his slip-slops go a-begging. Lastly, you will be taken for an ugly fellow instead of youthful, and a beast instead of a wise man, a child instead of eloquent, and instead of a well-bred man, a clown. So necessary a thing it is that everyone flatter himself and commend himself to himself before he can be commended by others.

Another common practice, the reps told us, was to take fancy meals to the entire doctor’s office (one of the perks of being a nurse or receptionist, I suppose). One doctor’s office even required alternating days of steak and lobster for lunch if the reps wanted access to the doctors. Even more shocking, we found out that physicians sometimes called the reps into the examination room (as an “expert”) to directly inform patients about the way certain drugs work. Hearing stories from the reps who sold medical devices was even more disturbing. We learned that it’s common practice for device reps to peddle their medical devices in the operating room in real time and while a surgery is under way. Janet and I were surprised at how well the pharmaceutical reps understood classic psychological persuasion strategies and how they employed them in a sophisticated and intuitive manner.

I became expert at making myself invisible. I could linger two hours over a coffee, four over a meal, and hardly be noticed by the waitress. Though the janitors in Commons rousted me every night at closing time, I doubt they ever realized they spoke to the same boy twice. Sunday afternoons, my cloak of invisibility around my shoulders, I would sit in the infirmary for sometimes six hours at a time, placidly reading copies of Yankee magazine ('Clamming on Cuttyhunk') or Reader's Digest (Ten Ways to Help That Aching Back!'), my presence unremarked by receptionist, physician, and fellow sufferer alike. But, like the Invisible Man in H. G. Wells, I discovered that my gift had its price, which took the form of, in my case as in his, a sort of mental darkness. It seemed that people failed to meet my eye, made as if to walk through me; my superstitions began to transform themselves into something like mania. I became convinced that it was only a matter of time before one of the rickety iron steps that led to my room gave and I would fall and break my neck or, worse, a leg; I'd freeze or starve before Leo would assist me. Because one day, when I'd climbed the stairs successfully and without fear, I'd had an old Brian Eno song running through my head ('In New Delhi, 'And Hong Kong,' They all know that it won't be long...'), I now had to sing it to myself each trip up or down the stairs. And each time I crossed the footbridge over the river, twice a day, I had to stop and scoop around in the coffee-colored snow at the road's edge until I found a decent-sized rock. I would then lean over the icy railing and drop it into the rapid current that bubbled over the speckled dinosaur eggs of granite which made up its bed - a gift to the river-god, maybe, for safe crossing, or perhaps some attempt to prove to it that I, though invisible, did exist. The water ran so shallow and clear in places that sometimes I heard the dropped stone click as it hit the bed. Both hands on the icy rail, staring down at the water as it dashed white against the boulders, boiled thinly over the polished stones, I wondered what it would be like to fall and break my head open on one of those bright rocks: a wicked crack, a sudden limpness, then veins of red marbling the glassy water. If I threw myself off, I thought, who would find me in all that white silence? Might the river beat me downstream over the rocks until it spat me out in the quiet waters, down behind the dye factory, where some lady would catch me in the beam of her headlights when she pulled out of the parking lot at five in the afternoon? Or would I, like the pieces of Leo's mandolin, lodge stubbornly in some quiet place behind a boulder and wait, my clothes washing about me, for spring?

February 20 MORNING “God, that comforteth those that are cast down.” — 2 Corinthians 7:6 AND who comforteth like Him? Go to some poor, melancholy, distressed child of God; tell him sweet promises, and whisper in his ear choice words of comfort; he is like the deaf adder, he listens not to the voice of the charmer, charm he never so wisely. He is drinking gall and wormwood, and comfort him as you may, it will be only a note or two of mournful resignation that you will get from him; you will bring forth no psalms of praise, no hallelujahs, no joyful sonnets. But let God come to His child, let Him lift up his countenance, and the mourner’s eyes glisten with hope. Do you not hear him sing — “ ’Tis paradise, if thou art here; If thou depart, ’tis hell”? You could not have cheered him: but the Lord has done it; “He is the God of all comfort.” There is no balm in Gilead, but there is balm in God. There is no physician among the creatures, but the Creator is Jehovah-rophi. It is marvellous how one sweet word of God will make whole songs for Christians. One word of God is like a piece of gold, and the Christian is the goldbeater, and can hammer that promise out for whole weeks. So, then, poor Christian, thou needest not sit down in despair. Go to the Comforter, and ask Him to give thee consolation. Thou art a poor dry well. You have heard it said, that when a pump is dry, you must pour water down it first of all, and then you will get water, and so, Christian, when thou art dry, go to God, ask Him to shed abroad His joy in thy heart, and then thy joy shall be full. Do not go to earthly acquaintances, for you will find them Job’s comforters after all; but go first and foremost to thy “God, that comforteth those that are cast down,” and you will soon say, “In the multitude of my thoughts within me Thy comforts delight my soul.

Biopsychosocial discourse often portrays these patients as possessing unhealthy personality traits, such as ‘maladaptive perfectionism’ [67,68]; yet such assertions are not well supported, many studies find no significant differences between ME/CFS patients and the general population with regard to distinctive personality profiles [69–72]. A Swedish study of physicians’ attitudes to CFS found that physicians often downgrade the seriousness of this illness to ‘non-disease’ status and view patients as being ‘illness focused’, ‘demanding’, and ‘medicalising’ [73]. Given community-based doctors have limited knowledge of ME/CFS [74] and doctors display high levels of skepticism in this illness domain [75], it is unsurprising that many patients with ME/CFS report problematic clinical interactions [29–31,76]. Patient surveys conducted by patient organizations confirm high levels of patient dissatisfaction in the medical encounter.

Elizabeth snapped awake in a terrified instant as the door to her bed chamber was flung open near dawn, and Ian stalked into the darkened room. “Do you want to go first, or shall I?” he said tightly, coming to stand at the side of her bed. “What do you mean?” she asked in a trembling voice. “I mean,” he said, “that either you go first and tell me why in hell you suddenly find my company repugnant, or I’ll go first and tell you how I feel when I don’t know where you are or why you want to be there!” “I’ve sent word to you both nights.” “You sent a damned note that arrived long after nightfall both times, informing me that you intended to sleep somewhere else. I want to know why!” He has men beaten like animals, she reminded herself. “Stop shouting at me,” Elizabeth said shakily, getting out of bed and dragging the covers with her to hide herself from him. His brows snapped together in an ominous frown. “Elizabeth?” he asked, reaching for her. “Don’t touch me!” she cried. Bentner’s voice came from the doorway. “Is aught amiss, my lady?” he asked, glaring bravely at Ian. “Get out of here and close that damned door behind you!” Ian snapped furiously. “Leave it open,” Elizabeth said nervously, and the brave butler did exactly as she said. In six long strides Ian was at the door, shoving it closed with a force that sent it crashing into its frame, and Elizabeth began to vibrate with terror. When he turned around and started toward her Elizabeth tried to back away, but she tripped on the coverlet and had to stay where she was. Ian saw the fear in her eyes and stopped short only inches in front of her. His hand lifted, and she winced, but it came to rest on her cheek. “Darling, what is it?” he asked. It was his voice that made her want to weep at his feet, that beautiful baritone voice; and his face-that harsh, handsome face she’d adored. She wanted to beg him to tell her what Robert and Wordsworth had said were lies-all lies. “My life depends on this, Elizabeth. So does yours. Don’t fail us,” Robert had pleaded. Yet, in that moment of weakness she actually considered telling Ian everything she knew and letting him kill her if he wanted to; she would have preferred death to the torment of living with the memory of the lie that had been their lives-to the torment of living without him. “Are you ill?” he asked, frowning and minutely studying her face. Snatching at the excuse he’d offered, she nodded hastily. “Yes. I haven’t been feeling well.” “Is that why you went to London? To see a physician?” She nodded a little wildly, and to her bewildered horror he started to smile-that lazy, tender smile that always made her senses leap. “Are you with child, darling? Is that why you’re acting so strangely?” Elizabeth was silent, trying to debate the wisdom of saying yes or no-she should say no, she realized. He’d hunt her to the ends of the earth if he believed she was carrying his babe. “No! He-the doctor said it is just-just-nerves.” “You’ve been working and playing too hard,” Ian said, looking like the picture of a worried, devoted husband. “You need more rest.” Elizabeth couldn’t bear any more of this-not his feigned tenderness or his concern or the memory of Robert’s battered back. “I’m going to sleep now,” she said in a strangled voice. “Alone,” she added, and his face whitened as if she had slapped him. During his entire adult life Ian had relied almost as much on his intuition as on his intellect, and at that moment he didn’t want to believe in the explanation they were both offering. His wife did not want him in her bed; she recoiled from his touch; she had been away for two consecutive nights; and-more alarming than any of that-guilt and fear were written all over her pale face. “Do you know what a man thinks,” he said in a calm voice that belied the pain streaking through him, “when his wife stays away at night and doesn’t want him in her bed when she does return?

Yes, there is a human nature and that human nature is build for love and contact. It is build for connection, it is build for mutual protection, it is build for mutual aid. And when we rear people in base of all society on the lines that transgress those needs, we're gonna get exactly what we have today. Which is a society which is increasingly conflicted, increasingly fractured, increasingly disconnected and where human pathology is, despite all the advances of medicine, chronic human pathology is on the rise. Western medicine does not recognize that the pathologies are manifestations of our life, that diseases don't have a life of their own, that diseases express the life of the individual. And if that individual's life is changed, so can the disease in many, many cases. And furthermore, that human beings have an innate healing capacity. There is a healing capacity in all living beings, plant or animal. And along with the wonders and contributions of Western medicine we could do so much more if we actually respected and evoked and encouraged that healing capacity that is within the individual, which is very much connected to the emergence of the true self. Now, for that, you need the truth. That means, we actually have to look at what is going on. And there is so much denial in this society. My own profession is a prime example. The average doctor does not hear the information I gave you about asthma. They couldn't explain it, even though the physiology is straightforward. For all the trauma in this society, the average physician does not hear the word "trauma" in all their years of training. Not that they don't get a lecture, not that they don't get a course, they don't even hear the word, except in the physical sense, physical trauma. Teachers are not taught that the human child's brain is still developing and that the conditions for healthy brain development is the presence of nurturing and responsive adults. And that schools are not knowledge factories, they are places where human development needs to be nurtured. That's a very different proposition for an educational system. And the courts don't get it. The courts think that if a human is behaving badly, it is a choice they're making, therefore they need to be punished. For some strange reason, certain minority groups have to be punished more than the average, like in my country 5% of the population is native, and they are 25% of the jail population now. And of course when we ask the question if the science is straightforward — as I believe it to be — and the conclusions are as clear as I believe them to be, why don't we just embrace it and follow it and do something about it? Well.. the reason for that is obvious, because if everything I just said happens to be true, which I firmly believe to be true, and if it is.. everything would have to change. How we teach parents would have to change, how we treat family would have to change, how we support young parents would have to change, how we pass laws, how we educate people, how we run the economy. We have to do something different. Getting to that something different has to begin with an inquiry and I hope I've said enough to encourage you to continue on that path of inquiry.

Lying there in silence, Elim thought about how quickly a person’s fate could change, how precious life and health are. He had walked into this very room two days ago as a practicing physician, a man in control, with the power to heal, looking down on the sick American on the same bed where he himself now lay. He had never known just how different the world looked from the other side. He vowed that if he became well, he would cherish every day. And although he had never wished ill health on another person, there and then he wondered if every physician might benefit from being sick—really sick—just once. He wondered if it would make them all care a little more, or work a little harder, to have been on the other side for a while—to have placed their life and livelihood in the hands of a stranger, even if for only a short period. He had considered himself a very conscientious physician before this, but he imagined that if he lived, he would be even more dedicated to his patients. Staring at the ceiling, he was reminded of an old Indian proverb: A healthy person has a hundred wishes, but a sick person has only one.

We may need to take our labels and our experts far more lightly. Some years ago...[I heard of] a farmer who had done exceptionally well despite a dire prognosis. He had taken the same attitude toward his physician's prognosis that he took toward the words of the government soil experts who analyzed his fields. As they were educated men, he respected them and listened carefully as they showed him the findings of their tests and told him that the corn would not grow in this field. He valued their opinions. But, as he said, 'A lot of the time, the corn grows anyway.' What would it be like if more people allowed for the presence of the unknown, and accepted the words of experts in this same way? Like a diagnosis, a label is an attempt to assert control and manage uncertainty. It may allow us the security and comfort of a mental closure and encourage us not to think about things again. But life never comes to a closure, life is process, even mystery. Life is known only by those who have found a way to be comfortable with change and the unknown. Given the nature of life, there may be no security, but only adventure.

Dr. Fauci, Bill Gates, and WHO financed a cadre of research mercenaries to concoct a series of nearly twenty studies—all employing fraudulent protocols deliberately designed to discredit HCQ as unsafe. Instead of using the standard treatment dose of 400 mg/day, the 17 WHO studies administered a borderline lethal daily dose starting with 2,400 mg.61 on Day 1, and using 800 mg/day thereafter. In a cynical, sinister, and literally homicidal crusade against HCQ, a team of BMGF operatives played a key role in devising and pushing through the exceptionally high dosing. They made sure that UK government “Recovery” trials on 1,000 elderly patients in over a dozen British, Welsh, Irish and Scottish hospitals, and the U.N. “Solidarity” study of 3,500 patients in 400 hospitals in 35 countries, as well as additional sites in 13 countries (the “REMAP-COVID” trial), all used those unprecedented and dangerous doses.62 This was a brassy enterprise to “prove” chloroquine dangerous, and sure enough, it proved that elderly patients can die from deadly overdoses. “The purpose seemed, very clearly, to poison the patients and blame the deaths on HCQ,” says Dr. Meryl Nass, a physician, medical historian, and biowarfare expert.

Yet the homogeneity of contemporary humanity is most apparent when it comes to our view of the natural world and of the human body. If you fell sick a thousand years ago, it mattered a great deal where you lived. In Europe, the resident priest would probably tell you that you had made God angry and that in order to regain your health you should donate something to the church, make a pilgrimage to a sacred site, and pray fervently for God’s forgiveness. Alternatively, the village witch might explain that a demon had possessed you and that she could cast it out using song, dance, and the blood of a black cockerel. In the Middle East, doctors brought up on classical traditions might explain that your four bodily humors were out of balance and that you should harmonize them with a proper diet and foul-smelling potions. In India, Ayurvedic experts would offer their own theories concerning the balance between the three bodily elements known as doshas and recommend a treatment of herbs, massages, and yoga postures. Chinese physicians, Siberian shamans, African witch doctors, Amerindian medicine men—every empire, kingdom, and tribe had its own traditions and experts, each espousing different views about the human body and the nature of sickness, and each offering their own cornucopia of rituals, concoctions, and cures. Some of them worked surprisingly well, whereas others were little short of a death sentence. The only thing that united European, Chinese, African, and American medical practices was that everywhere at least a third of all children died before reaching adulthood, and average life expectancy was far below fifty.14 Today, if you happen to be sick, it makes much less difference where you live. In Toronto, Tokyo, Tehran, or Tel Aviv, you will be taken to similar-looking hospitals, where you will meet doctors in white coats who learned the same scientific theories in the same medical colleges. They will follow identical protocols and use identical tests to reach very similar diagnoses. They will then dispense the same medicines produced by the same international drug companies. There are still some minor cultural differences, but Canadian, Japanese, Iranian, and Israeli physicians hold much the same views about the human body and human diseases. After the Islamic State captured Raqqa and Mosul, it did not tear down the local hospitals. Rather, it launched an appeal to Muslim doctors and nurses throughout the world to volunteer their services there.15 Presumably even Islamist doctors and nurses believe that the body is made of cells, that diseases are caused by pathogens, and that antibiotics kill bacteria.

When you are visited by chaos and swallowed up; when nature curses you or someone you love with illness; or when tyranny rends asunder something of value that you have built, it is salutary to know the rest of the story. All of that misfortune is only the bitter half of the tale of existence, without taking note of the heroic element of redemption or the nobility of the human spirit requiring a certain responsibility to shoulder. We ignore that addition to the story at our peril, because life is so difficult that losing sight of the heroic part of existence could cost us everything. We do not want that to happen. We need instead to take heart, and to take spirit, and to look at things carefully and properly, and to live the way that we could live. You have sources of strength upon which you can draw, and even though they may not work well, they may be enough. You have what you can learn if you can accept your error. You have medications and hospitals, as well as physicians and nurses who genuinely and bravely care to lift you up and help you through every day. And then you have your own character and courage, and if those have been beat to a bloody pulp and you are ready to throw in the towel, you have the character and courage of those for whom you care and who care for you. And maybe, just maybe, with all that, you can get through.

Belief is always most desired, most pressingly needed where there is a lack of will: for the will, as emotion of command, is the distinguishing characteristic of sovereignty and power. That is to say, the less a person knows how to command, the more urgent is his desire for one who commands, who commands sternly, — a God, a prince, a caste, a physician, a confessor, a dogma, a party conscience. From whence perhaps it could be inferred that the two world-religions, Buddhism and Christianity, might well have had the cause of their rise, and especially of their rapid extension, in an extraordinary malady of the will. And in truth it has been so: both religions lighted upon a longing, monstrously exaggerated by malady of the will, for an imperative, a "Thou-shalt," a longing going the length of despair; both religions were teachers of fanaticism in times of slackness of will-power, and thereby offered to innumerable persons a support, a new possibility of exercising will, an enjoyment in willing. For in fact fanaticism is the sole "volitional strength" to which the weak and irresolute can be excited, as a sort of hypnotising of the entire sensory-intellectual system, in favour of the over-abundant nutrition (hypertrophy) of a particular point of view and a particular sentiment, which then dominates — the Christian calls it his faith. When a man arrives at the fundamental conviction that he requires to be commanded, he becomes "a believer".

It is a science," said Don Quixote, "that comprehends in itself all or most of the sciences in the world, for he who professes it must be a jurist, and must know the rules of justice, distributive and equitable, so as to give to each one what belongs to him and is due to him. He must be a theologian, so as to be able to give a clear and distinctive reason for the Christian faith he professes, wherever it may be asked of him. He must be a physician, and above all a herbalist, so as in wastes and solitudes to know the herbs that have the property of healing wounds, for a knight-errant must not go looking for some one to cure him at every step. He must be an astronomer, so as to know by the stars how many hours of the night have passed, and what clime and quarter of the world he is in. He must know mathematics, for at every turn some occasion for them will present itself to him; and, putting it aside that he must be adorned with all the virtues, cardinal and theological, to come down to minor particulars, he must, I say, be able to swim as well as Nicholas or Nicolao the Fish could, as the story goes; he must know how to shoe a horse, and repair his saddle and bridle; and, to return to higher matters, he must be faithful to God and to his lady; he must be pure in thought, decorous in words, generous in works, valiant in deeds, patient in suffering, compassionate towards the needy, and, lastly, an upholder of the truth though its defence should cost him his life. Of all these qualities, great and small, is a true knight-errant made up;

In a physician's office in Kearny Street three men sat about a table, drinking punch and smoking. It was late in the evening, almost midnight, indeed, and there had been no lack of punch. The gravest of the three, Dr. Helberson, was the host—it was in his rooms they sat. He was about thirty years of age; the others were even younger; all were physicians. "The superstitious awe with which the living regard the dead," said Dr. Helberson, "is hereditary and incurable. One needs no more be ashamed of it than of the fact that he inherits, for example, an incapacity for mathematics, or a tendency to lie." The others laughed. "Oughtn't a man to be ashamed to lie?" asked the youngest of the three, who was in fact a medical student not yet graduated. "My dear Harper, I said nothing about that. The tendency to lie is one thing; lying is another." "But do you think," said the third man, "that this superstitious feeling, this fear of the dead, reasonless as we know it to be, is universal? I am myself not conscious of it." "Oh, but it is 'in your system' for all that," replied Helberson; "it needs only the right conditions—what Shakespeare calls the 'confederate season'—to manifest itself in some very disagreeable way that will open your eyes. Physicians and soldiers are of course more nearly free from it than others." "Physicians and soldiers!—why don't you add hangmen and headsmen? Let us have in all the assassin classes." "No, my dear Mancher; the juries will not let the public executioners acquire sufficient familiarity with death to be altogether unmoved by it." Young Harper, who had been helping himself to a fresh cigar at the sideboard, resumed his seat. "What would you consider conditions under which any man of woman born would become insupportably conscious of his share of our common weakness in this regard?" he asked, rather verbosely. "Well, I should say that if a man were locked up all night with a corpse—alone—in a dark room—of a vacant house—with no bed covers to pull over his head—and lived through it without going altogether mad, he might justly boast himself not of woman born, nor yet, like Macduff, a product of Cæsarean section." "I thought you never would finish piling up conditions," said Harper, "but I know a man who is neither a physician nor a soldier who will accept them all, for any stake you like to name." "Who is he?" "His name is Jarette—a stranger here; comes from my town in New York. I have no money to back him, but he will back himself with loads of it." "How do you know that?" "He would rather bet than eat. As for fear—I dare say he thinks it some cutaneous disorder, or possibly a particular kind of religious heresy." "What does he look like?" Helberson was evidently becoming interested. "Like Mancher, here—might be his twin brother." "I accept the challenge," said Helberson, promptly. "Awfully obliged to you for the compliment, I'm sure," drawled Mancher, who was growing sleepy. "Can't I get into this?" "Not against me," Helberson said. "I don't want your money." "All right," said Mancher; "I'll be the corpse." The others laughed. The outcome of this crazy conversation we have seen.

The physical shape of Mollies paralyses and contortions fit the pattern of late-nineteenth-century hysteria as well — in particular the phases of "grand hysteria" described by Jean-Martin Charcot, a French physician who became world-famous in the 1870s and 1880s for his studies of hysterics..." "The hooplike spasm Mollie experienced sounds uncannily like what Charcot considered the ultimate grand movement, the arc de de cercle (also called arc-en-ciel), in which the patient arched her back, balancing on her heels and the top of her head..." "One of his star patients, known to her audiences only as Louise, was a specialist in the arc de cercle — and had a background and hysterical manifestations quite similar to Mollie's. A small-town girl who made her way to Paris in her teens, Louise had had a disrupted childhood, replete with abandonment and sexual abuse. She entered Salpetriere in 1875, where while under Charcot's care she experienced partial paralysis and complete loss of sensation over the right side of her body, as well as a decrease in hearing, smell, taste, and vision. She had frequent violent, dramatic hysterical fits, alternating with hallucinations and trancelike phases during which she would "see" her mother and other people she knew standing before her (this symptom would manifest itself in Mollie). Although critics, at the time and since, have decried the sometime circus atmosphere of Charcot's lectures, and claimed that he, inadvertently or not, trained his patients how to be hysterical, he remains a key figure in understanding nineteenth-century hysteria.

In every act observe the things which come first, and those which follow it; and so proceed to the act. If you do not, at first you will approach it with alacrity, without having thought of the things which will follow; but afterward, when certain base things have shown themselves, you will be ashamed. A man wishes to conquer at the Olympic games. I also wish indeed, for it is a fine thing. But observe both the things which come first, and the things which follow; and then begin the act. You must do everything according to rule, eat according to strict orders, abstain from delicacies, exercise yourself as you are bid at appointed times, in heat, in cold, you must not drink cold water, nor wine as you choose; in a word, you must deliver yourself up to the exercise master as you do to the physician, and then proceed to the contest. And sometimes you will strain the hand, put the ankle out of joint, swallow much dust, sometimes be flogged, and after all this be defeated. When you have considered all this, if you still choose, go to the contest: if you do not, you will behave like children, who at one time play at wrestlers, another time as flute players, again as gladiators, then as trumpeters, then as tragic actors: so you also will be at one time an athlete, at another a gladiator, then a rhetorician, then a philosopher, but with your whole soul you will be nothing at all; but like an ape you imitate everything that you see, and one thing after another pleases you. For you have not undertaken anything with consideration, nor have you surveyed it well; but carelessly and with cold desire.

You were never as much to blame as you thought,” she told him softly. A brief smile touched his lips. “That’s what you say. But you’re biased.” She shrugged. “Maybe a little. But I would never have agreed to marry you if I’d thought you capable of real wickedness. I wouldn’t have risked having a child of mine suffer the same torments you and your siblings suffered.” Oliver went still. “And does this sudden mention of some future child have anything to do with your sneaking out of the house to consult with a physician this morning?” She gaped at him. “You knew? How did you find out?” “Believe me, angel, I know whenever you leave my bed.” His eyes gleamed at her. “I feel the loss of it right here.” He struck his heart dramatically. “Aunt Rose spoke the truth about you,” she grumbled. “You are a smooth-tongued devil. And apparently you read minds, as well.” He chuckled. “Your aunt simply cannot keep secrets. But to be honest, it’s not been hard to notice how little interest you show in your breakfast these days, and how often you like to nap. I know the signs of a woman with child. I watched my mother go through them with four children.” “And here I was hoping to surprise you,” she said with a pout. “I swear you are impossible to surprise.” “That’s only because you used up all your surprises in the first hour of our meeting.” “How so?” “By boldly threatening me with Freddy’s sword. And by agreeing to my insane proposal. Then by showing sympathy for the loss of my parents. Few people ever did that for me.” As a lump caught in her throat, he pulled her into his arms. “But your greatest surprise came long after, on that day at the inn.” Laying his hand on her still flat belly, his voice grew husky. “You surprised me by loving me. That was the best surprise of all.

Depression” is a problematic word. We all believe we know what it means because we toss it off so easily: “Oh, I’m depressed; I got a run in my stocking.” At the same time, when we are describing severe psychopathology, we presume that because the word is descriptive, it offers a definition as well. We move to the next step and presume that because we can take a picture of the brain and “see” depression, it therefore is real. It has been occurring to me more and more, not just from these conversations, but also from my work, that when the brain is in clearly different states—and the Diagnostic and Statistical Manual of Mental Disorders80 says they are the same pathology—maybe our definition of the psychopathology is too broad. We need to redefine the nature of suffering to understand how it may be a condition more like dukkha, instead of a disease with a physiological cause as specific as something like a brain lesion. That is not to deny that true psychopathology exists, or that the patients I take care of do not suffer from a brain disease. I believe very strongly that they do. But I also see patients who, with focused attention and by acquiring new skill sets, can bring themselves out of it in the same way that William James did when he decided to focus his attention from inside to outside. The ability to focus attention means your brain is in a different state. Maybe we ought to understand those as different definitions of illness. What I’ve learned from all of you is that maybe we have to start making those distinctions more strongly. That will allow us to focus attention on how to handle ourselves in a world with natural levels of suffering, and help us not stigmatize people who don’t have the brain capacity to even start. Those are two separate items.

That must be my surgeon coming aboard. You will like him; a reading man too, most amazing learned; a full-blown physician into the bargain, and my particular friend. But I must tell you this, Yorke; he is wealthy – ‘ In point of fact Captain Aubrey had little idea of his surgeon’s fortune, apart from knowing that he owned a good deal of hilly land in Catalonia with a tumbledown castle on it. But Stephen had done pretty well out of the Mauritius campaign; his manner of living was Spartan – one suit of clothes every five years and perhaps a couple of shirts – and apart from books he had no visible expenses at all. Jack was no Macchiavel, but he did know that to the rich it should be given; that capital possessed a mystical significance; that even the most perfectly disinterested respected it and its owner; and that although a naval surgeon was ordinarily a person of no great consequence, the same man moved into quite a different category the moment he was endowed with comfortable private means. In short, that whereas an ordinary surgeon, living on his pay, might not readily be indulged in room for exotic livestock, an imperfectly- preserved giant squid, and several tons of natural specimens, in a stranger’s ship, a wealthy natural philosopher might meet with more consideration; and Jack knew how Stephen prized the collection he had made during their arduous voyage. ‘ – he is wealthy, and he only comes with me because of the opportunities for natural philosophy; though he is a first-rate surgeon, too, and we are lucky to have him. But this voyage the opportunities have been prodigious, and he has turned the Leopard into a down-right Ark. Most of the Desolation creatures are stuffed or pickled but there are some from New Holland that skip and bound about: I hope you are not too crowded in La Fleche?

The blinking message light on the phone screamed at us when we walked into the bedroom of our suite. Marlboro Man audibly exhaled, clearly wishing the world--and his brother and the grain markets and the uncertainties of agriculture--would leave us alone already. I wish they’d leave us alone, too. In light of the recent developments, though, Marlboro Man picked up the phone and dialed Tim to get an update. I excused myself to the bathroom to freshen up and put on a champagne satin negligee in an effort to thwart the external forces that were trying to rob me of my husband’s attention. I brushed my teeth and spritzed myself with Jil Sander perfume before opening the door to the bedroom, where I would seduce my Marlboro Man away from his worries. I knew I could win if only I applied myself. He was just getting off the phone when I entered the room. “Dammit,” I heard him mumble as he plopped down onto the enormous king-size bed. Oh no. Jil Sander had her work cut out for her. I climbed on the bed and lay beside him, resting my head on his arm. He draped his arm across my waist. I draped my leg around his. He sighed. “The markets are totally in the shitter.” I didn’t know the details, but I did know the shitter wasn’t a good place. I wanted to throw out the usual platitudes. Don’t worry about it, try not to think about it, we’ll figure it out, everything will be okay. But I didn’t know enough about it. I knew he and his brother owned a lot of land. I knew they worked hard to pay for it. I knew they weren’t lawyers or physicians by profession and didn’t have a whole separate income to supplement their ranching operation. As full-time ranchers, their livelihoods were completely reliant on so many things outside of their control--weather, market fluctuations, supply, demand, luck. I knew they weren’t home free in terms of finances--Marlboro Man and I had talked about it. But I didn’t understand enough about the ramifications of this current wrinkle to reassure him that everything would be okay, businesswise. And he probably didn’t want me to. So I did the only thing I could think of to do. I assured my new husband everything would be okay between us by leaning over, turning off the lamp, and letting the love between us--which had zero to do with markets or grains--take over.

Surely you’re not going to destroy another book, are you?” “I’ve decided my obsession with reading has gotten me absolutely nowhere, so . . . I’m tossing all the nonsense out of my life and intend to travel forth with less baggage.” “You love to read.” “And I’ll occasionally indulge that love, but enough is enough.” She held up her copy of Pride and Prejudice. “This, for all intent and purposes, is a fairy tale. I’m done with fairy tales for good, as well as anything by Shakespeare. I loathe his stories, don’t understand most of what he’s written, and I was only reading them because of any future children I hoped to have. But since I’m destined to remain a spinster forever . . . I’m chucking them into the fire.” “What do Shakespeare and any children you might have in the future have in common?” Millie sent him a look that clearly said she found him a little dense. “I wanted to be knowledgeable so that my children wouldn’t suffer any embarrassment because of my ignorance and lack of education.” Everett’s mouth dropped open before he had the presence of mind to snap it shut when she shot him a glare. Bracing himself in case she got it into her head to punch him as she’d done Mr. Victor, Everett stepped closer to her and pried the copy of Pride and Prejudice out of her hand. “Any child would be lucky to call you mother, Millie. You’re smart, well-read, curious about everything, and have a true love for children.” Staring at him for a long moment, Millie tilted her head. “I knew we should have summoned the physician to take a look at you after your last brawl.” “My wits are not addled, Millie. Quite honestly, my mind is clearer right now than it’s been in years.” He brought her hand up to his lips and kissed it, relieved when her eyes widened just a bit. “And I have to tell you something else.” “What?” she asked in a voice that sounded somewhat breathless. “I can’t allow you to burn any Jane Austen book—but especially not Pride and Prejudice.” “That’s what you have to say to me—that I can’t burn a silly book?” “I finished the story, Millie. I read Pride and Prejudice from cover to cover, and . . . I’m your Mr. Darcy and you’re my Lizzy.” “You . . . finished . . . the story?” “Indeed. And if you didn’t hear me the first time, I’m Mr. Darcy.” “I’m fairly certain Mr. Darcy would have had an English accent, but since Lizzy did enjoy reading, I suppose it’s not too much of a stretch to compare me with her, although. . . .” As Millie continued talking, really rapidly at that, Everett simply watched her, taking in every detail of her face. Her green eyes were sparkling and her cheeks were flushed a delicate shade of pink. Brown curls had begun to escape the pins someone had put in her hair, and a spray of flowers that had been tucked into that hair was hanging somewhat forlornly over her ear. Her lips were still moving incredibly fast, but the second his gaze settled on them, he couldn’t seem to look away. They were delightful lips, just the right shade of pink, and . . . Everett leaned forward and claimed those rapidly moving lips with his own. For