Pivot Point Quotes

We've searched our database for all the quotes and captions related to Pivot Point. Here they are! All 100 of them:

When I read, I feel emotion all on my own. Emotion no living person is making me feel.
Kasie West (Pivot Point (Pivot Point, #1))
I don't care when people think I'm an antisocial, controlling bookworm because that's what I am. It's when they interpret me wrong that I have a problem.
Kasie West (Pivot Point (Pivot Point, #1))
My bookcase is all yours." I walked to the door. "I've just decided that those are my favorite five words in the world.
Kasie West (Pivot Point (Pivot Point, #1))
Because an illusion is an illusion. Reality always exists despite the facade.
Kasie West (Pivot Point (Pivot Point, #1))
Just promise me something. If this is a Search and you don't pick me, don't pick this path, for whatever reason, promise me you won't Erase me.
Kasie West (Pivot Point (Pivot Point, #1))
Sometimes I feel like I'm slowly floating away. I'm constantly looking for something to grab on to so I don't lose myself.
Kasie West (Pivot Point (Pivot Point, #1))
Sometimes perfection reveals the lie, ..., not the truth.
Kasie West (Pivot Point (Pivot Point, #1))
And the Bastard grant us... in our direst need, the smallest gifts: the nail of the horseshoe, the pin of the axle, the feather at the pivot point, the pebble at the mountain's peak, the kiss in despair, the one right word.
Lois McMaster Bujold (Paladin of Souls (World of the Five Gods, #2))
Your eyelashes make mine want to commit suicide from shame.
Kasie West (Pivot Point (Pivot Point, #1))
He shrugs. "Doesn't help to waste my time thinking about would've-beens." Laila whispers, "He says to the girl with a mind full of them.
Kasie West (Pivot Point (Pivot Point, #1))
I want you to choose me, Addie,” he whispers. “I want this to be real.
Kasie West (Pivot Point (Pivot Point, #1))
The thing he wished for most was a thing he had never wished for at all, not until he had discovered her. And it came true that night, and many nights after. A brief and shining span of happiness, it was the pivot point around which his whole life spun.
Laini Taylor (Daughter of Smoke & Bone (Daughter of Smoke & Bone, #1))
You like to assign roles to the people in your life. And when they don't play their parts right, you have a hard time accepting that.
Kasie West (Pivot Point (Pivot Point, #1))
Do you ever feel like you do something or are something for so long that it defines you?
Kasie West (Pivot Point (Pivot Point, #1))
He sighed. "Does it get tiring?" "What?" "Always thinking you're right." I smiled. "No, not really. It's other people not realizing I'm right that gets tiring.
Kasie West (Split Second (Pivot Point, #2))
Dad, she's beautiful. I remember where she was standing.
Kasie West (Split Second (Pivot Point, #2))
My mom always tells me that if I feel like punching someone, first I have to say something nice to them. Out loud. If I still feel like punching them, they probably deserve it.
Kasie West (Split Second (Pivot Point, #2))
Every moment in our lives seems trivial," Zahel said. "Most are forgotten while some, equally humble, become the points upon which history pivots.
Brandon Sanderson (Oathbringer (The Stormlight Archive, #3))
But, he continues, if you need something to hold on to until you feel grounded, I make a pretty good anchor.
Kasie West (Pivot Point (Pivot Point, #1))
One person can't change the future. Do you know how many people and things are involved in every major event that happens? Sure, you might be able to change some of the minor aspects of a day, but ultimately things that are going to happen, if you go along a certain path, do happen.
Kasie West (Pivot Point (Pivot Point, #1))
Once Addie let someone in, she was impossible to forget. There was something about her that crawled inside a person and built a nice comfy home there, her goodness expanding until it filled every limb.
Kasie West (Split Second (Pivot Point, #2))
Our relationship feels different. Like someone has taken my favorite sweater and thrown it in the dryer and it doesn't fit right anymore. I want to pull and tug on it until it feels comfortable again.
Kasie West (Pivot Point (Pivot Point, #1))
Thanks for choosing me, Addison.
Kasie West (Split Second (Pivot Point, #2))
Every lifetime contains pivot points—sometimes flukes of destiny, sometimes seemingly preordained—that shape and eventually cement one’s path.
Greer Hendricks (An Anonymous Girl)
Thank you," he whispered against my hair. "How did that taste in your mouth?" He laughed. "Awful.
Kasie West (Split Second (Pivot Point, #2))
I've tried subtle before. I'm not very good at it.
Kasie West (Pivot Point (Pivot Point, #1))
Why are you lying to me? I'm so tired of people lying to me. Do I not deserve the truth? Do I look like someone who can't handle it?
Kasie West (Split Second (Pivot Point, #2))
Because no one frustrates me quite as much as you do." Totally true. "Soon, the thought of your face will do it, but now, it seems I need your annoying presence as well.
Kasie West (Split Second (Pivot Point, #2))
Annie used to have a funny theory: we all have a Year Zero around which the calendars of our lives pivot. At some point you meet someone, and they become so important, so metamorphic, that ten, twenty, sixty-five years down the line you look back and realize that you could split your existence in two. Before they showed (BCE), and your Common Era. Your very own Gregorian calendar.
Ali Hazelwood (Love on the Brain)
Thank you seems like too little...or maybe too much, since he couldn't possibly understand how much I needed to hear what he just said. How much I needed to know that even without my ability, I am someone worth knowing. That every little and ridiculous quality I exhibit makes me who I am.
Kasie West (Pivot Point (Pivot Point, #1))
I had seen a different side of her, the one where she didn't feel threatened by me, and I liked that side. That side was vulnerable and happy and kind.
Kasie West (Split Second (Pivot Point, #2))
It was hard when I knew I was about to be flooded with memories of a life I hadn't lived yet. Really, two lives I hadn't lived yet.
Kasie West (Pivot Point (Pivot Point, #1))
Look at me, making one of your dreams come true. You and your Norm truck driving around Normville." "You're practically a god.
Kasie West (Split Second (Pivot Point, #2))
You're not very good for my ego". "I think I'm perfect for your ego." I smile sweetly.
Kasie West (Pivot Point (Pivot Point, #1))
Then I circle the pivot point. The point right before the path separates.
Kasie West (Pivot Point (Pivot Point, #1))
He starts with the character's eyes and by the time he moves to her hair, a mess of blonde curls, I realize he's drawing me. "Superheroes. You can finally have those super powers you want.
Kasie West (Pivot Point (Pivot Point, #1))
A wrong was just righted. Take care of my best friend.
Kasie West (Split Second (Pivot Point, #2))
I thought I wanted these memories, but now I realize he hardly knows me.
Kasie West (Split Second (Pivot Point, #2))
If I were alone I would throw my arms out and spin in a circle. Instead I walk up the stairs, running my hand along books as I go.
Kasie West (Pivot Point (Pivot Point, #1))
But maybe I’m supposed to include a little something about each of them. Like, Duke, this is Laila; she thinks you’re hot. Laila, this is Duke; he and his mirror share a close relationship.
Kasie West (Pivot Point (Pivot Point, #1))
He pulls me toward him and when his lips touch mine, I try not to audibly sigh. I can’t help it though, and he chuckles again, against my mouth. In the back of my mind I still wonder if we’re right for each other, but the rest of my mind doesn’t seem to care.
Kasie West (Pivot Point (Pivot Point, #1))
I’m more of an eye coverer.
Kasie West (Pivot Point (Pivot Point, #1))
The fact that he might be as worried as I am eases my nerves. Its like there's a certain amount of stress appointed to every situation and I'm used to being responsible for holding it all by myself. Its nice to share it with someone
Kasie West (Pivot Point (Pivot Point, #1))
She has a sour expression on her face (surprise, surprise)
Kasie West (Pivot Point (Pivot Point, #1))
One of my friends at the Compound has a photographic memory. Everything she ever sees, reads, or hears, she remembers forever in perfect detail.
Kasie West (Pivot Point (Pivot Point, #1))
We're all dreaming,” Arctor said. If the last to know he's an addict is the addict, then maybe the last to know when a man means what he says is the man himself, he reflected. He wondered how much of the garbage that Donna had overheard he had seriously meant. He wondered how much of the insanity of the day--his insanity--had been real, or just induced as a contact lunacy, by the situation. Donna, always, was a pivot point of reality for him; for her this was the basic, natural question. He wished he could answer.
Philip K. Dick (A Scanner Darkly)
Duke says, “Pause,” and the movie goes quiet. “What did Laila say?
Kasie West (Pivot Point (Pivot Point, #1))
At first. And then eventually it’s realized that all that annoyance and mistrust is actually romantic tension.
Kasie West (Pivot Point (Pivot Point, #1))
I loved that book, but I don’t like to influence people from giving their honest opinions about a book before I tell them how they should’ve felt. “Did you like it?
Kasie West (Pivot Point (Pivot Point, #1))
He looked up the stairs and then back to me. “You came out of nowhere.” “No, I was on my way down too. You probably didn’t see me. I’m just glad he’s okay.
Kasie West (Split Second (Pivot Point, #2))
When I read, I feel emotion all on my own. Emotion no living person is making me feel. To me, it almost seems more real, because I know that those characters can’t influence me with any power. So I like to remind myself that I can feel without anyone manipulating me.… I know, it’s lame.
Kasie West (Pivot Point (Pivot Point, #1))
If he’s going to start coming around more, I need to find some flaws to focus on. I study him for a moment but come up empty. He’s flawless. Not even a single zit. New strategy. I will not look at him.
Kasie West (Pivot Point (Pivot Point, #1))
Sometimes perfection reveals the lie, not the truth.
Kasie West (Pivot Point (Pivot Point, #1))
Wait, are you saying a love interest has to annoy you?
Kasie West (Pivot Point (Pivot Point, #1))
Your parents aren’t getting back together. And you read entirely too much. It’s not good for your brain. I hereby ban you from all books.
Kasie West (Pivot Point (Pivot Point, #1))
Don’t make me turn on the room’s ability blockers. I’m not teaching middle school here. And turn off your phones, people.
Kasie West (Pivot Point (Pivot Point, #1))
Aw, I’m like a proud mother bird watching my daughter fly from the nest. Fly, little bird, fly. Oh no! Don’t fall. No, that’s the ground. Addie, watch out for the ground. Man, tough luck. You’d better come back home.
Kasie West (Pivot Point (Pivot Point, #1))
I’ll go home and write my own backstory. It will be easier to remember.
Kasie West (Pivot Point (Pivot Point, #1))
Considering Trevor is my future best friend, I let my gaze linger a little too long on his back.
Kasie West (Pivot Point (Pivot Point, #1))
But,” he continues, “if you need something to hold on to until you feel grounded, I make a pretty good anchor.
Kasie West (Pivot Point (Pivot Point, #1))
You're tall, young man." "Yes, I am." "How long have you been that tall?" "Um . . ." He smiled, and I could tell he was trying not to laugh. "A while now.
Kasie West (Split Second (Pivot Point, #2))
Counselor, you can come along, but I prefer to interview Stella alone.” “Let’s just say I’ll think about that.” “Is there a legal precedence that you feel you need to be there?” “No, no legal precedence. Just looking out for my client.” “Stella is now my client, as well. I don’t take any of my cases lightly. I’ve been hired to find the murderer and that’s what I intend to do. Stella is the starting point, and her interview is pivotal. If you are in the interview room with us, she may not divulge information that could be crucial to my going further. I hope you can understand my position in this.
Behcet Kaya (Uncanny Alliance (Jack Ludefance PI Series))
You ever wonder what we’d find if we could pick up the threads back to the point where things unravel, where paths cross, and lives pivot, and people come together?
Leylah Attar (Mists of the Serengeti)
It’s hard to keep track when you’re looking into so many, isn’t it?
Kasie West (Pivot Point (Pivot Point, #1))
The doorbell rings, and my heart flips.
Kasie West (Pivot Point (Pivot Point, #1))
And we’re back on track to best-friend-land.
Kasie West (Pivot Point (Pivot Point, #1))
Is this Journey? Are you grieving to Journey?
Kasie West (Split Second (Pivot Point, #2))
It’s entitled ‘Revenge.’ Subtitled ‘How to pay Duke back for using not only his ability but his exceptionally good looks against two unsuspecting, perfectly innocent girls.
Kasie West (Split Second (Pivot Point, #2))
He hums a little. “He’s a really old guy with an English accent, he might have a goatee, and he’ll definitely be carrying around a really thick, boring book. You might be able to pry it from his decaying hands and beat him back to death with it. Or maybe just reading it to him would work.
Kasie West (Pivot Point (Pivot Point, #1))
Hey, I’m still in my-parents-just-got-a-divorce mode. Remember? This is the time when I’m allowed to question all relationships, wonder if true love exists at all anymore, and swear to a life of celibacy.
Kasie West (Pivot Point (Pivot Point, #1))
I notice he made a point of saying a group would be there; it wouldn’t be just the two of us or anything. He’s definitely not interested in me. So this confirms the fact that he is perfect best-friend material.
Kasie West (Pivot Point (Pivot Point, #1))
You know what else the average girl who’s acting out does?” Duke asks quietly. I glance once at Laila, but it’s obvious she can’t hear us. “What?” “She starts spending all her time with a boy who’s no good for her.
Kasie West (Pivot Point (Pivot Point, #1))
When you break up with someone, and I’m not talking casual breakups here, it’s hard to take the sudden absence of such an important person in your life. It reminded me of when I’d stopped going to school and the weird uneasy feeling I’d gotten afterward, like I was forgetting to do something. My life until that point had pivoted around some form of education, and all of a sudden, it was gone. Homework, classes, running around, and then – bam – nothing but a life of work stretching out before you. No one prepares you for that feeling or even mentions it. You just suddenly have a gap and have to decide how to fill it. A break up is like that gap, only much, much more painful. One day the person you talked to constantly or did stuff with is just absent. Gone. Poof. And even though I’m not one of those people who has to be in a relationship all the time, I was feeling at a loss.
Lish McBride (Necromancing the Stone (Necromancer, #2))
Yeast is to flour as action is to ambition. Rising to success requires adding and alternating starters.
Ryan Lilly
Anytime you make something a secret, it becomes a big deal.
Kasie West (Pivot Point (Pivot Point, #1))
But people fear what they don’t know.
Kasie West (Pivot Point (Pivot Point, #1))
I was surprised to see you in Government this morning. I thought you said you were a junior.
Kasie West (Pivot Point (Pivot Point, #1))
And that reaction - my inability to react - scared me more than anything.
Kasie West (Pivot Point (Pivot Point, #1))
Stephanie,
Kasie West (Split Second (Pivot Point, #2))
I think it looks hot,” Duke says. “But that’s just coming from the guy who hopes to play another role in your rebellion.
Kasie West (Pivot Point (Pivot Point, #1))
There are bands of this era that are perfectly acceptable to cry to.
Kasie West (Split Second (Pivot Point, #2))
There are moments that define our existence, moments that, if we recognize them, become pivotal turning points in our life.
C.W. Gortner (The Tudor Secret (The Spymaster Chronicles, #1))
And none of you teenagers have cell phones?" I wasn't sure what Addie's plan was, but I stepped forward to help her lie her way out of this one. I could tell she wasn't going to answer right. I pointed to all of us in turn, starting with Addie. "She got grounded from hers." Then to Duke. "His fell in the toilet yesterday." Then to Trevor. "His got stolen at a football game." And then pulled mine out. "And mine is out of batteries.
Kasie West (Split Second (Pivot Point, #2))
I watched the water swirl away entirely before I twisted my head to look at him. His fingers were gentle, but firm where he’d fisted them in my hair. “You never failed them,” I rasped. “I did … horrible things to ensure that.” Those violet eyes near-glowed in the dim light. “So did I.” My sweat clung like blood—the blood of those two faeries— I pivoted, barely turning in time. His other hand stroked long, soothing lines down the curve of my back, as over and over I yielded my dinner. When the latest wave had ebbed, I breathed, “The flames?” “Autumn Court.” I couldn’t muster a response. At some point, I leaned against the coolness of the nearby bathtub and closed my eyes. When I awoke, sun streamed through the windows, and I was in my bed—tucked in tightly to the fresh, clean sheets.
Sarah J. Maas (A Court of Mist and Fury (A Court of Thorns and Roses, #2))
Thank you.” “How’d those words taste in your mouth?” “Awful.” He smiled. We stood there in silence. He didn’t offer to let me in, and I knew it was because he wanted me to ask. He liked to make things hard on me. “Can I come in?” “Why?” “Because I want to talk.” “Why?” “Because you’re here, and I want to know why.” He rolled his eyes and started to shut the door. I put my hand on the edge. “Because you need me, and I’ve never needed anyone more than I need you.” He pulled me inside and against him before I even finished the sentence.
Kasie West (Split Second (Pivot Point, #2))
…Or he could choose life. At that pivotal moment, it occurred to him that with all his schooling in theology he had, perhaps, missed the entire point of his studies, the very crux of the gospel he had professed to believe. That the measure of a person’s heart, the barometer of good or evil, was nothing more than the extent of their willingness to choose life over death. That the path of God was, simply, the path of life, abundant and eternal. And this is where he failed, for to choose life is to choose sorrow as well as joy, pain as well as pleasure. When Hunter had buried Rachel, he buried along with her his heart, lest it might heal and feel and grow again. And in so doing he had chosen more than death, he had chosen damnation itself, for damnation is nothing more than to stop a thing in its eternal progression. In that first flight from West Chester he had run not only from the horror and pain of death but from life itself.
Richard Paul Evans (The Looking Glass (The Locket, #2))
It would let him know we were there, always watching, able to get in whenever we want. Plus I’ve always kind of wanted to put lipstick on him. He has amazing lips.” After she said it, she realized she shouldn’t have and dropped her gaze.
Kasie West (Split Second (Pivot Point, #2))
A certain night in a certain train?" "Stop. I need to concentrate." "You need to concentrate on a certain night in a certain train?
Kasie West (Split Second (Pivot Point, #2))
I’m not sure exactly. Against what, Addie?” Laila asks with a smirk. “Against unnormalcy. Antiaverageness.
Kasie West (Pivot Point (Pivot Point, #1))
I pull out my notebook, turn to a blank page, and write, The ghost of Charles Dickens told me that after he turned over in his grave, he couldn’t go back to sleep. He’s decided to leave eternal rest, reinhabit his decaying body, and exact revenge on you for disturbing his slumber. You’ve been warned. I rip out the page and fold it in half twice, making sure the corners are perfectly lined up. I haven’t had to make a friend since kindergarten, and apparently my tactics haven’t changed much.
Kasie West (Pivot Point (Pivot Point, #1))
My commitment falters. “It comes out. Twenty-one washes.” That’s not what I intended to say. The plan was to put my hand on my hip and say, “It’s my hair. I can do what I want with it.” That’s what brave, angsty teenagers say after they do something rebellious. But I’m pretty sure those teenagers didn’t ever have to answer to someone like my mother. I’m also sure I’m neither brave nor angsty.
Kasie West (Pivot Point (Pivot Point, #1))
It was probably the pivotal point of our friendship when he realized I had actually spent some hours thinking about him and his troubles, and he was trying to place that in his tremendously involved and tormented mental categories. Something clicked in both of us.
Jack Kerouac (On the Road)
She looked at Mad Rogan. "What did you do?" Mad Rogan opened his mouth. She turned to me. "What did he do?" "He got hit by a car," I said. The woman pivoted back to Mad Rogan. "Why in the world would you do a stupid thing like that?" Mad Rogan opened his mouth again to say something. "Don't you have an army of badasses to keep this exact thing from happening?" "I..." The woman turned to me. "What kind of car was it?" "An armored Escalade," I said. "Well, at least it was a nice car." She turned to Mad Rogan. "Who would want to ruin their nice car by hitting you with it?" Mad Rogan sucked in a slow breath and let it out. "Got you in the ribs, huh?" The woman waved. "Load both of them up." "I can..." Mad Rogan started. She pointed to a stretcher. "Down." Mad Rogan lay down on the stretcher.
Ilona Andrews (Burn for Me (Hidden Legacy, #1))
Okay, so there’s just you. Your goals, your career, your crew, your prospects, and your God. All together, chillin’. Before the house, the apartment, the kids, the boyfriend, the wedding, the night you crossed over with your frat brothers, there’s that pivotal point of asking your heart, “Who am I, really? What do I really like? Do I want to change for someone else? Is my soul mate right now, somewhere, finishing this sentence and completing my thoughts?
Kirk Franklin (The Blueprint: A Plan for Living Above Life's Storms)
After several days, I had a pivotal interview with my teacher. When I described how I’d become so overwhelmed, she calmly asked, “How are you relating to the presence of desire?” I was startled into understanding. Her question pointed me back to the essence of mindfulness practice: It doesn’t matter what is happening. What matters is how we are relating to our experience. For me, desire had become the enemy, and I was losing the battle. She advised me to stop fighting my experience and instead investigate the nature of my wanting mind. Desire was just another passing phenomenon, she reminded me. It was attachment or aversion to it that was the problem.
Tara Brach (Radical Acceptance: Embracing Your Life With the Heart of a Buddha)
I settled deeper into the pillow and tried to relax. It was hard when I knew I was about to be flooded with memories of a life I hadn’t lived yet. Really, two lives I hadn’t lived yet. It would only seem like five minutes to Laila, but to me it would feel like a month. I concentrated on the energies around me, and everything went hazy.
Kasie West (Pivot Point (Pivot Point, #1))
There was a point of equilibrium in any organization’s middle management, a fulcrum of responsibility that remained still while the upper and lower ranks of the bureaucracy moved around it. Tyren knew from experience that a shrewd official could find this pivot-point within the org chart and, once entrenched, enjoy near-complete autonomy with almost no responsibility.
J. Zachary Pike (Son of a Liche (The Dark Profit Saga, #2))
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.
Robert G. Ingersoll (The Liberty Of Man, Woman And Child)
In 1994, Friedman wrote a memo marked “Very Confidential” to Raymond, Mortimer, and Richard Sackler. The market for cancer pain was significant, Friedman pointed out: four million prescriptions a year. In fact, there were three-quarters of a million prescriptions just for MS Contin. “We believe that the FDA will restrict our initial launch of OxyContin to the Cancer pain market,” Friedman wrote. But what if, over time, the drug extended beyond that? There was a much greater market for other types of pain: back pain, neck pain, arthritis, fibromyalgia. According to the wrestler turned pain doctor John Bonica, one in three Americans was suffering from untreated chronic pain. If that was even somewhat true, it represented an enormous untapped market. What if you could figure out a way to market this new drug, OxyContin, to all those patients? The plan would have to remain secret for the time being, but in his memo to the Sacklers, Friedman confirmed that the intention was “to expand the use of OxyContin beyond Cancer patients to chronic non-malignant pain.” This was a hugely audacious scheme. In the 1940s, Arthur Sackler had watched the introduction of Thorazine. It was a “major” tranquilizer that worked wonders on patients who were psychotic. But the way the Sackler family made its first great fortune was with Arthur’s involvement in marketing the “minor” tranquilizers Librium and Valium. Thorazine was perceived as a heavy-duty solution for a heavy-duty problem, but the market for the drug was naturally limited to people suffering from severe enough conditions to warrant a major tranquilizer. The beauty of the minor tranquilizers was that they were for everyone. The reason those drugs were such a success was that they were pills that you could pop to relieve an extraordinary range of common psychological and emotional ailments. Now Arthur’s brothers and his nephew Richard would make the same pivot with a painkiller: they had enjoyed great success with MS Contin, but it was perceived as a heavy-duty drug for cancer. And cancer was a limited market. If you could figure out a way to market OxyContin not just for cancer but for any sort of pain, the profits would be astronomical. It was “imperative,” Friedman told the Sacklers, “that we establish a literature” to support this kind of positioning. They would suggest OxyContin for “the broadest range of use.” Still, they faced one significant hurdle. Oxycodone is roughly twice as potent as morphine, and as a consequence OxyContin would be a much stronger drug than MS Contin. American doctors still tended to take great care in administering strong opioids because of long-established concerns about the addictiveness of these drugs. For years, proponents of MS Contin had argued that in an end-of-life situation, when someone is in a mortal fight with cancer, it was a bit silly to worry about the patient’s getting hooked on morphine. But if Purdue wanted to market a powerful opioid like OxyContin for less acute, more persistent types of pain, one challenge would be the perception, among physicians, that opioids could be very addictive. If OxyContin was going to achieve its full commercial potential, the Sacklers and Purdue would have to undo that perception.
Patrick Radden Keefe (Empire of Pain: The Secret History of the Sackler Dynasty)
I landed on my side, my hip taking the brunt of the fall. It burned and stung from the hit, but I ignored it and struggled to sit up quickly. There really was no point in hurrying so no one would see. Everyone already saw A pair of jean-clad legs appeared before me, and my suitcase and all my other stuff was dropped nearby. "Whatcha doing down there?" Romeo drawled, his hands on his hips as he stared down at me with dancing blue eyes. "Making a snow angel," I quipped. I glanced down at my hands, which were covered with wet snow and bits of salt (to keep the pavement from getting icy). Clearly, ice wasn't required for me to fall. A small group of girls just "happened by", and by that I mean they'd been staring at Romeo with puppy dog eyes and giving me the stink eye. When I fell, they took it as an opportunity to descend like buzzards stalking the dead. Their leader was the girl who approached me the very first day I'd worn Romeo's hoodie around campus and told me he'd get bored. As they stalked closer, looking like clones from the movie Mean Girls, I caught the calculating look in her eyes. This wasn't going to be good. I pushed up off the ground so I wouldn't feel so vulnerable, but the new snow was slick and my hand slid right out from under me and I fell back again. Romeo was there immediately, the teasing light in his eyes gone as he slid his hand around my back and started to pull me up. "Careful, babe." he said gently. The girls were behind him so I knew he hadn't seen them approach. They stopped as one unit, and I braced myself for whatever their leader was about to say. She was wearing painted-on skinny jeans (I mean, really, how did she sit down and still breathe?) and some designer coat with a monogrammed scarf draped fashionably around her neck. Her boots were high-heeled, made of suede and laced up the back with contrasting ribbon. "Wow," she said, opening her perfectly painted pink lips. "I saw that from way over there. That sure looked like it hurt." She said it fairly amicably, but anyone who could see the twist to her mouth as she said it would know better. Romeo paused in lifting me to my feet. I felt his eyes on me. Then his lips thinned as he turned and looked over his shoulder. "Ladies," he said like he was greeting a group of welcomed friends. Annoyance prickled my stomach like tiny needles stabbing me. It's not that I wanted him to be rude, but did he have to sound so welcoming? "Romeo," Cruella DeBarbie (I don't know her real name, but this one fit) purred. "Haven't you grown bored of this clumsy mule yet?" Unable to stop myself, I gasped and jumped up to my feet. If she wanted to call me a mule, I'd show her just how much of an ass I could be. Romeo brought his arm out and stopped me from marching past. I collided into him, and if his fingers hadn't knowingly grabbed hold to steady me, I'd have fallen again. "Actually," Romeo said, his voice calm, "I am pretty bored." Three smirks were sent my way. What a bunch of idiots. "The view from where I'm standing sure leaves a lot to be desired." One by one, their eyes rounded when they realized the view he referenced was them. Without another word, he pivoted around and looked down at me, his gaze going soft. "No need to make snow angels, baby," he said loud enough for the slack-jawed buzzards to hear. "You already look like one standing here with all that snow in your hair." Before I could say a word, he picked me up and fastened his mouth to mine. My legs wound around his waist without thought, and I kissed him back as gentle snow fell against our faces.
Cambria Hebert (#Hater (Hashtag, #2))