Smokers Heart Quotes

I am what the water gave me, / a smoke-ring in a jar, / the braided rope / my ladder-to-the-light, / my shivering bird heart / caught

Off the bike she was like a smoker without cigarettes, never sure what to do with her hands. As soon as she got off the bike, her heart was expected to perform all these baffling secondary functions like loving someone and feeling something and belonging somewhere - when all she'd ever trained it to do was pump blood.

I could train myself out of all this. Like a smoker, I could cut down. Like a drinker, I could kick the bottle. Like someone in love, I could learn to redesign the route to my heart so someone else stood a chance in hell of navigating it. I could do this.

perhaps that’s what it’s for – self-confidence and courage and energy and peace – perhaps it’s to be used in the world. Perhaps there’s only one thing to do with it: spend it. I’m always super-conscious of how whenever I go out into the world, whenever I get involved in a relationship, my idea of who I think I am utterly collides with the reality of who I actually am. And I continue to go out even though who I am always comes up short. I always prove myself to be less generous, less charming, less considerate, not as bold or energetic or intelligent or courageous as I imagined in my solitude. And I’m always being insulted, or snubbed, or disappointed. And I’m never in my pyjamas. And yet, in some way, maybe this is better. Each of us in this room could suffer the pangs of withdrawal and gain the serenity of the non-smoker. We could be demi-gods in our little castles, all alone, but perhaps, at heart, none of us here wants that. Maybe the only cure for self-confidence and courage is humility. Maybe we go out in order to fall short... because we want to learn how to be good at being people... and moreover, because we want to be people.

He thought, Yeah. Yeah, non-smokers live seven years longer. Which seven will be subtracted by the god called Time? It won't be that convulsive, heart-bursting spell between twenty-eight and thirty-five. No. It'll be that really cool bit between eighty-six and ninety-three.

FACT 413: Smoking contributes to heart disease, the number one cause of death in the United States. Cigarette smokers quadruple their risk for developing coronary heart disease. I think it would be fun to put on a Grim Reaper costume and go stand in the corner of the smoking room at the airport. Just stand there. With my sickle.

The cheap motel room ceiling was stained. Like muddy yellow clouds. A smoker’s room. I’m not a smoker. But I’d have lit up just about anything if it would have calmed me down. My heart felt like it was going to explode. I stared at the ceiling.

A kid asked him what his painting was. “It’s Venice at night, an accountant’s soul, the blood of imbeciles. Smoker’s lung. Tenure. The inside of a lock, the taste of iron. Despair. A city with the streetlights shot out, the heart of a school board director.” Some teachers whisper he’s having a breakdown. I think he’s the sanest person I know(181)”.

Two large trials of antioxidants were set up after Peto’s paper (which rather gives the lie to nutritionists’ claims that vitamins are never studied because they cannot be patented: in fact there have been a great many such trials, although the food supplement industry, estimated by one report to be worth over $50 billion globally, rarely deigns to fund them). One was in Finland, where 30,000 participants at high risk of lung cancer were recruited, and randomised to receive either ß-carotene, vitamin E, or both, or neither. Not only were there more lung cancers among the people receiving the supposedly protective ß-carotene supplements, compared with placebo, but this vitamin group also had more deaths overall, from both lung cancer and heart disease. The results of the other trial were almost worse. It was called the ‘Carotene and Retinol Efficacy Trial’, or ‘CARET’, in honour of the high p-carotene content of carrots. It’s interesting to note, while we’re here, that carrots were the source of one of the great disinformation coups of World War II, when the Germans couldn’t understand how our pilots could see their planes coming from huge distances, even in the dark. To stop them trying to work out if we’d invented anything clever like radar (which we had), the British instead started an elaborate and entirely made-up nutritionist rumour. Carotenes in carrots, they explained, are transported to the eye and converted to retinal, which is the molecule that detects light in the eye (this is basically true, and is a plausible mechanism, like those we’ve already dealt with): so, went the story, doubtless with much chortling behind their excellent RAF moustaches, we have been feeding our chaps huge plates of carrots, to jolly good effect. Anyway. Two groups of people at high risk of lung cancer were studied: smokers, and people who had been exposed to asbestos at work. Half were given 3-carotene and vitamin A, while the other half got placebo. Eighteen thousand participants were due to be recruited throughout its course, and the intention was that they would be followed up for an average of six years; but in fact the trial was terminated early, because it was considered unethical to continue it. Why? The people having the antioxidant tablets were 46 per cent more likely to die from lung cancer, and 17 per cent more likely to die of any cause,* than the people taking placebo pills. This is not news, hot off the presses: it happened well over a decade ago.

Competing in an Olympics didn't scare her now. The thought of stepping up into the full roar of the crowd, in London, seemed simple and natural and good. It was ordinary days now that frightened her - endless Tuesday mornings and Wednesday afternoons of real life, the days you had to steer through without the benefit of handlebars. Off the bike she was like a smoker without cigarettes, never sure what to do with her hands. As soon as she got off the bike, her heart was expected to perform all these baffling secondary functions - like loving someone and feeling something and belonging somewhere - when all she'd ever trained it to do was pump blood.

An example: A few years ago, the public health authorities in Canada, where it had been estimated that smoking kills forty-five thousand people a year, decided to supplement the warning printed on every pack of cigarettes with a shock-photograph—of cancerous lungs, or a stroke-clotted brain, or a damaged heart, or a bloody mouth in acute periodontal distress. A pack with such a picture accompanying the warning about the deleterious effects of smoking would be sixty times more likely to inspire smokers to quit, a research study had somehow calculated, than a pack with only the verbal warning. Let’s assume this is true. But one might wonder, for how long? Does shock have term limits? Right now the smokers of Canada are recoiling in disgust, if they do look at these pictures. Will those still smoking five years from now still be upset? Shock can become familiar. Shock can wear off. Even if it doesn’t, one can not look. People have means to defend themselves against what is upsetting—in this instance, unpleasant information for those wishing to continue to smoke. This seems normal, that is, adaptive. As one can become habituated to horror in real life, one can become habituated to the horror of certain images.

The studio was immense and gloomy, the sole light within it proceeding from a stove, around which the three were seated. Although they were bold, and of the age when men are most jovial, the conversation had taken, in spite of their efforts to the contrary, a reflection from the dull weather without, and their jokes and frivolity were soon exhausted. In addition to the light which issued from the crannies in the stove, there was another emitted from a bowl of spirits, which was ceaselessly stirred by one of the young men, as he poured from an antique silver ladle some of the flaming spirit into the quaint old glasses from which the students drank. The blue flame of the spirit lighted up in a wild and fantastic manner the surrounding objects in the room, so that the heads of old prophets, of satyrs, or Madonnas, clothed in the same ghastly hue, seemed to move and to dance along the walls like a fantastic procession of the dead; and the vast room, which in the day time sparkled with the creations of genius, seemed now, in its alternate darkness and sulphuric light, to be peopled with its dreams. Each time also that the silver spoon agitated the liquid, strange shadows traced themselves along the walls, hideous and of fantastic form. Unearthly tints spread also upon the hangings of the studio, from the old bearded prophet of Michael Angelo to those eccentric caricatures which the artist had scrawled upon his walls, and which resembled an army of demons that one sees in a dream, or such as Goya has painted; whilst the lull and rise of the tempest without but added to the fantastic and nervous feeling which pervaded those within. Besides this, to add to the terror which was creeping over the three occupants of the room, each time that they looked at each other they appeared with faces of a blue tone, with eyes fixed and glittering like live embers, and with pale lips and sunken cheeks; but the most fearful object of all was that of a plaster mask taken from the face of an intimate friend but lately dead, which, hanging near the window, let the light from the spirit fall upon its face, turned three parts towards them, which gave it a strange, vivid, and mocking expression. All people have felt the influence of large and dark rooms, such as Hoffmann has portrayed and Rembrandt has painted; and all the world has experienced those wild and unaccountable terrors - panics without a cause - which seize on one like a spontaneous fever, at the sight of objects to which a stray glimpse of the moon or a feeble ray from a lamp gives a mysterious form; nay, all, we should imagine, have at some period of their lives found themselves by the side of a friend, in a dark and dismal chamber, listening to some wild story, which so enchains them, that although the mere lighting of a candle could put an end to their terror, they would not do so; so much need has the human heart of emotions, whether they be true or false. So it was upon the evening mentioned. The conversation of the three companions never took a direct line, but followed all the phases of their thoughts; sometimes it was light as the smoke which curled from their cigars, then for a moment fantastic as the flame of the burning spirit, and then again dark, lurid, and sombre as the smile which lit up the mask from their dead friend's face. At last the conversation ceased altogether, and the respiration of the smokers was the only sound heard; and their cigars glowed in the dark, like Will-of-the-wisps brooding o'er a stagnant pool. It was evident to them all, that the first who should break the silence, even if he spoke in jest, would cause in the hearts of the others a start and tremor, for each felt that he had almost unwittingly plunged into a ghastly reverie. ("The Dead Man's Story")

Our supposed leader was Miss Joyce, who had been working as a civil servant in the department since its foundation forty-five years earlier in 1921. She was sixty-three years old and, like my late adoptive mother Maude, was a compulsive smoker, favouring Chesterfield Regulars (Red), which she imported from the United States in boxes of one hundred at a time and stored in an elegantly carved wooden box on her desk with an illustration of the King of Siam on the lid. Although our office was not much given to personal memorabilia, she kept two posters pinned to the wall beside her in defence of her addiction. The first showed Rita Hayworth in a pinstriped blazer and white blouse, her voluminous red hair tumbling down around her shoulders, professing that ‘ALL MY FRIENDS KNOW THAT CHESTERFIELD IS MY BRAND’ while holding an unlit cigarette in her left hand and staring off into the distance, where Frank Sinatra or Dean Martin were presumably pleasuring themselves in anticipation of erotic adventures to come. The second, slightly peeling at the edges and with a noticeable lipstick stain on the subject’s face, portrayed Ronald Reagan seated behind a desk that was covered in cigarette boxes, a Chesterfield hanging jauntily from the Gipper’s mouth. ‘I’M SENDING CHESTERFIELDS TO ALL MY FRIENDS. THAT’S THE MERRIEST CHRISTMAS ANY SMOKER CAN HAVE – CHESTERFIELD MILDNESS PLUS NO UNPLEASANT AFTER-TASTE’ it said, and sure enough he appeared to be wrapping boxes in festive paper for the likes of Barry Goldwater and Richard Nixon, who, I’m sure, were only thrilled to receive them

Stick to a sleep schedule. Go to bed and wake up at the same time each day. As creatures of habit, people have a hard time adjusting to changes in sleep patterns. Sleeping later on weekends won’t fully make up for a lack of sleep during the week and will make it harder to wake up early on Monday morning. Set an alarm for bedtime. Often we set an alarm for when it’s time to wake up but fail to do so for when it’s time to go to sleep. If there is only one piece of advice you remember and take from these twelve tips, this should be it. Exercise is great, but not too late in the day. Try to exercise at least thirty minutes on most days but not later than two to three hours before your bedtime. Avoid caffeine and nicotine. Coffee, colas, certain teas, and chocolate contain the stimulant caffeine, and its effects can take as long as eight hours to wear off fully. Therefore, a cup of coffee in the late afternoon can make it hard for you to fall asleep at night. Nicotine is also a stimulant, often causing smokers to sleep only very lightly. In addition, smokers often wake up too early in the morning because of nicotine withdrawal. Avoid alcoholic drinks before bed. Having a nightcap or alcoholic beverage before sleep may help you relax, but heavy use robs you of REM sleep, keeping you in the lighter stages of sleep. Heavy alcohol ingestion also may contribute to impairment in breathing at night. You also tend to wake up in the middle of the night when the effects of the alcohol have worn off. Avoid large meals and beverages late at night. A light snack is okay, but a large meal can cause indigestion, which interferes with sleep. Drinking too many fluids at night can cause frequent awakenings to urinate. If possible, avoid medicines that delay or disrupt your sleep. Some commonly prescribed heart, blood pressure, or asthma medications, as well as some over-the-counter and herbal remedies for coughs, colds, or allergies, can disrupt sleep patterns. If you have trouble sleeping, talk to your health care provider or pharmacist to see whether any drugs you’re taking might be contributing to your insomnia and ask whether they can be taken at other times during the day or early in the evening. Don’t take naps after 3 p.m. Naps can help make up for lost sleep, but late afternoon naps can make it harder to fall asleep at night. Relax before bed. Don’t overschedule your day so that no time is left for unwinding. A relaxing activity, such as reading or listening to music, should be part of your bedtime ritual. Take a hot bath before bed. The drop in body temperature after getting out of the bath may help you feel sleepy, and the bath can help you relax and slow down so you’re more ready to sleep. Dark bedroom, cool bedroom, gadget-free bedroom. Get rid of anything in your bedroom that might distract you from sleep, such as noises, bright lights, an uncomfortable bed, or warm temperatures. You sleep better if the temperature in the room is kept on the cool side. A TV, cell phone, or computer in the bedroom can be a distraction and deprive you of needed sleep. Having a comfortable mattress and pillow can help promote a good night’s sleep. Individuals who have insomnia often watch the clock. Turn the clock’s face out of view so you don’t worry about the time while trying to fall asleep. Have the right sunlight exposure. Daylight is key to regulating daily sleep patterns. Try to get outside in natural sunlight for at least thirty minutes each day. If possible, wake up with the sun or use very bright lights in the morning. Sleep experts recommend that, if you have problems falling asleep, you should get an hour of exposure to morning sunlight and turn down the lights before bedtime. Don’t lie in bed awake. If you find yourself still awake after staying in bed for more than twenty minutes or if you are starting to feel anxious or worried, get up and do some relaxing activity until you feel sleepy.

Two pairs of strangers performed. Jane watched them. Mr. Nobley watched her. Then it was her turn. She curtsied to the audience, to Mr. Nobley, and faced him in the center of the floor. All eyes watched them. Jane looked for Martin in the crowd. Maybe I really don’t want this, she thought. This is summer camp. This is a novel. This isn’t home. I need something real. Root beer and disposable umbrellas and bare feet real. “I believe we must say something.” It was Mr. Nobley who spoke. “Sorry,” she said. “Are you unwell tonight?” “Do I look unwell?” He smiled. “You are baiting me. It will not work tonight, Miss Erstwhile. I am completely at ease. I might even say, I am quite content.” Jane pushed the air out of her lungs. Part of her very much wanted to banter and play, to twirl and laugh, to be Miss Erstwhile and fall in love with Mr. Nobley (fall back in love?), but she felt herself on that razor’s edge, talking toe to heel like a gymnast, and when she fell this time, she wanted to be on the real world side, away from heartless fantasy, into the tangible. Then, with his hand on her waist to lead her through another figure, Mr. Nobley smiled at her again, and she clean forgot what she wanted. Him, him, him! she thought. I want him and this and everything, every flower, every strain of music. And I don’t want it wrapped up in a box--I want it living, around me, real. Why can’t I have that? I’m not ready to give it up. The first number ended, the group applauded the musicians. Mr. Nobley seemed to applaud Jane. “You look flushed,” he said. “I will get you a drink.” And he was gone. Jane smiled at his back. She liked a man in tails. Something bumped her elbow. “Excuse me…of, it is you, Jane, dear,” said Aunt Saffronia. She’d been watching Mr. Nobley as well, and her expression was still misty with contemplation. “Where is your partner off to?” “He is fetching me a drink,” said Jane. “I’ve never seen him so attentive. Or so at ease.” “Nor I, not in the four years I have known him. He is acting like a proper gentleman in love, is he not? I might almost say that he looks happy.” Aunt Saffronia was thoughtful, and while she stared, she idly bit her fingernail right through her glove. “Is he in love?” asked Jane. She was feeling bold in her bridal gown. “Hm, a question only hearts can answer.” She looked fully at Jane now and smiled approvingly. “Well, you are a confection tonight! And no wonder.” Aunt Saffronia leaned in to touch cheeks and kiss, and Jane caught a trace of cigarette smoke. Could the dear lady be the unseen smoker? What a lot of secrets in this place, thought Jane. She’d never before considered that Austen didn’t just write romances and comedies, but mysteries as well.

Levin had been hit in the neck. PPE wouldn't have helped. But I guess the sergeant major, like most people, needed death to be sensible. A reason for each casualty. I'd seen the same feeble theodicy at funerals in the civilian world. If lung disease, the deceased should be a smoker. If heart disease, a lover of red meat. Some sort of causality, no matter how tenuous, to sanitize it. As if mortality is a game with rules where the universe is rational and the God watching over maneuvers us like chess pieces. His fingers deep into the sides of the world.

IT’S NO SURPRISE that men like Graham, Hamblen, and Boone gained celebrity status within this burgeoning evangelical culture. What’s more curious is the fact that John Wayne would, too. Unlike Hamblen, Wayne didn’t have a born-again experience. Unlike Boone, Wayne could hardly be called the poster boy of “family values.” Thrice married, twice divorced, Wayne also carried on several high-profile affairs. He was a chain-smoker and a hard drinker. Yet despite his rough edges, Wayne would capture the hearts and imaginations of American evangelicals. The affinity was based not on theology, but rather on a shared masculine ideal.

Indeed, even if the permanent secretary was fat, hypertensive or a smoker, he was still less likely to suffer a heart attack at a given age than a thin, non-smoking, low-blood-pressure janitor.

As Hippocrates would have predicted, scores of other studies on the effects of physical activity on morbidity and mortality yield similar results.61 That doesn’t mean, however, that physical activity is a surefire Fountain of Youth, and remember it doesn’t delay mortality by preventing aging per se. Instead, physical activity triggers a suite of mechanisms that increase the chances of staying healthy with age by retarding senescence and preventing many chronic diseases that contribute over time to mortality. This logic raises three vitally important insights that help explain the Donald Trumps of the world who don’t die young in spite of being sedentary and overweight. First, and most fundamentally, the mortality and morbidity statistics I have been citing are probabilities. Eating sensibly and exercising don’t guarantee long life and good health; they just decrease the risk of getting sick. By the same token, smokers have a higher risk of getting lung cancer, and individuals who are unfit or obese are more likely to get heart disease or become diabetic, but plenty don’t. Second, advances in medical care are shifting the relationship between morbidity and mortality.62 Conditions like diabetes, heart disease, and some cancers are no longer imminent death sentences but instead can be treated or held at bay for years with drugs that maintain blood sugar levels, decrease harmful cholesterol levels, lower blood pressure, and combat mutant cells. In Donald Trump’s case, for example, his reportedly normal blood pressure and cholesterol levels likely reflect the medications he takes to lower these risk factors.63

The Book of the Grotesque The writer, an old man with a white mustache, had some difficulty in getting into bed. The windows of the house in which he lived were high and he wanted to look at the trees when he awoke in the morning. A carpenter came to fix the bed so that it would be on a level with the window. Quite a fuss was made about the matter. The carpenter, who had been a soldier in the Civil War, came into the writer’s room and sat down to talk of building a platform for the purpose of raising the bed. The writer had cigars lying about and the carpenter smoked. For a time the two men talked of the raising of the bed and then they talked of other things. The soldier got on the subject of the war. The writer, in fact, led him to that subject. The carpenter had once been a prisoner in Andersonville prison and had lost a brother. The brother had died of starvation, and whenever the carpenter got upon that subject he cried. He, like the old writer, had a white mustache, and when he cried he puckered up his lips and the mustache bobbed up and down. The weeping old man with the cigar in his mouth was ludicrous. The plan the writer had for the raising of his bed was forgotten and later the carpenter did it in his own way and the writer, who was past sixty, had to help himself with a chair when he went to bed at night. In his bed the writer rolled over on his side and lay quite still. For years he had been beset with notions concerning his heart. He was a hard smoker and his heart fluttered. The idea had got into his mind that he would some time die unexpectedly and always when he got into bed he thought of that. It did not alarm him. The effect in fact was quite a special thing and not easily explained. It made him more alive, there in bed, than at any other time. Perfectly still he lay and his body was old and not of much use any more, but something inside him was altogether young. He was like a pregnant woman, only that the thing inside him was not a baby but a youth. No, it wasn’t a youth, it was a woman, young, and wearing a coat of mail like a knight. It is absurd, you see, to try to tell what was inside the old writer as he lay on his high bed and listened to the fluttering of his heart. The thing to get at is what the writer, or the young thing within the writer, was thinking about. The old writer, like all of the people in the world, had got, during his long fife, a great many notions in his head. He had once been quite handsome and a number of women had been in love with him. And then, of course, he had known people, many people, known them in a peculiarly intimate way that was different from the way in which you and I know people. At least that is what the writer thought and the thought pleased him. Why quarrel with an old man concerning his thoughts? In the bed the writer had a dream that was not a dream. As he grew somewhat sleepy but was still conscious, figures began to appear before his eyes. He imagined the young indescribable thing within himself was driving a long procession of figures before his eyes. You see the interest in all this lies in the figures that went before the eyes of the writer. They were all grotesques. All of the men and women the writer had ever known had become grotesques. The grotesques were not all horrible. Some were amusing, some almost beautiful, and one, a woman all drawn out of shape, hurt the old man by her grotesqueness. When she passed he made a noise like a small dog whimpering. Had you come into the room you might have supposed the old man had unpleasant dreams or perhaps indigestion. For an hour the procession of grotesques passed before the eyes of the old man, and then, although it was a painful thing to do, he crept out of bed and began to write. Some one of the grotesques had made a deep impression on his mind and he wanted to describe it.

It seemed as if doggystyle was her favorite position because she couldn't see who was behind her. She kept playing Snoop Dogg's song, “What's My Name?”. It seemed as if she was referring to my signature being forged and still being on the club and she knew perfectly. As if she was referring to all the dogs eager to breed in the video running after something after someone had let them out. As Snoop Dogg is magically transforming into a Doberman dog in the music video, just like the kind of dogs the Nazis had. I just realize Martina’s dog, Chicha was all black and her cat Anouki was all black too, just like the night Sky, just like the dark, empty, cold Space. The total darkness the canvas, on which our planet is just a pinhead. This rock. This sizzling rock. Spinning. Turning. Leaning. Following the Sun. Lost in the infinite nothingness. Ain’t like a balloon which has nothing inside. All the nothing is outside, all the cold and dark and wide and empty and vile. All the dark forces all the nights, all the known universe and beyond, is located here, inside. Iron comes from Outer Space, it is not a local material on this planet. Each one of us has iron inside a “kickstart-molecule” located in our hearts. Without iron, there would be no life. Are we locals on this planet? To what degree? Since when? I noticed three members of the Camorra in our street and the street parallel to it, casually passing by. I even nodded to one or two of them, since we already knew each other from the club where I hadn't been since Adam and I had our disagreement. Later that night, while I was waiting for Martina in vain, I noticed two to three of the Camorra's soldiers living a few houses down our street. From the rooftop, and our bedroom that was higher than theirs, I could see into their living room. I couldn't help but wonder whether this was a mere coincidence, or if Adam and Martina had found our new home together, hanging out in Nico’s store, and so we moved on the Mountain of Jews, on purpose, perhaps, knowing that the Camorra’s men were living almost right in front of us. No accidents. When I told Martina about the Camorra’s guys living across the street, Martina couldn’t have cared less. It was almost as if she never considered her life being in danger in Barcelona, Europe, but only mine. I had felt before like Adam had used my skin to make money, while I was the one walking around the streets, spotting tourists usually having fun, not thinking about how I was working hard to make their “unreachable” happiness come true. This time, however, I felt both stuck in our home, feeling helpless to make Martina happy and the outside world offered her much better chances to have fun and find a rich guy or any other smoker club manager with her beauty.

For a moment of nearly five seconds Nemed had wanted to correct, to interject with the boasting recitation of a child who has just learned something interesting about the subject at hand and wants to amaze the adults; he had wanted to tell Emer that the Inrisus were not magical or truly evil, and that their medicine was amazing. The tablet suggested that the Inrisus were entirely made of tumor cells; long ago, blue historians believed, the Inrisus had conquered cancer and found a way to separate its resilience to radiation and chemical attack from its malignancy, producing cells both immortal and functional. Their brains and hearts and other parts would keep showing up on medical scans, like blotches in a smoker’s lungs. Carcinogens simply made an Inrisus pregnant. But then Nemed realized that Emer was wearing beaver hide, that no part of his costume even had a zipper; he might not even know what cancer was. He wouldn’t know that it could be treated with radiation or chemicals; he wouldn’t appreciate the Inrisus and their ability to turn cancer into eternal life. He would probably call it necromancy, or a form of vampirism, stealing the life of an unborn infant because that was supposed to be the only way to live forever in the old stories of the Folk. I think less of him, Nemed realized. Him, and the others.

I’m not here to make friends, I’m here to keep Marines alive,” the sergeant major said, haranguing the men only a few days afterward, “and the fact of the matter is, when a Marine comes in and he wasn’t wearing his PPE when he was hit, because it’s hot, and he doesn’t want to wear it while he’s at the OP, I’m the one who’s got to say the thing nobody wants to say.” Levin had been hit in the neck. PPE wouldn’t have helped. But I guess the sergeant major, like most people, needed death to be sensible. A reason for each casualty. I’d seen the same feeble theodicy at funerals in the civilian world. If lung disease, the deceased should be a smoker. If heart disease, a lover of red meat. Some sort of causality, no matter how tenuous, to sanitize it. As if mortality is a game with rules where the universe is rational and the God watching over maneuvers us like chess pieces, His fingers deep into the sides of the world.

The cheap motel-room ceiling was stained. Like muddy yellow clouds. A smoker’s room. I’m not a smoker. But I’d have lit up just about anything if it would have calmed me down. My heart felt like it was going to explode. I stared at the ceiling. I should have been asleep. The motel bed was comfortable enough, but every limb of my body felt rigid. I was unable to relax.

when the ACE study data started to appear on his computer screen, he realized that they had stumbled upon the gravest and most costly public health issue in the United States: child abuse. He had calculated that its overall costs exceeded those of cancer or heart disease and that eradicating child abuse in America would reduce the overall rate of depression by more than half, alcoholism by two-thirds, and suicide, IV drug use, and domestic violence by three-quarters.20 It would also have a dramatic effect on workplace performance and vastly decrease the need for incarceration. When the surgeon general’s report on smoking and health was published in 1964, it unleashed a decades-long legal and medical campaign that has changed daily life and long-term health prospects for millions. The number of American smokers fell from 42 percent of adults in 1965 to 19 percent in 2010, and it is estimated that nearly 800,000 deaths from lung cancer were prevented between 1975 and 2000.21 The ACE study, however, has had no such effect. Follow-up studies and papers are still appearing around the world, but the day-to-day reality of children like Marilyn and the children in outpatient clinics and residential treatment centers around the country remains virtually the same. Only now they receive high doses of psychotropic agents, which makes them more tractable but which also impairs their ability to feel pleasure and curiosity, to grow and develop emotionally and intellectually, and to become contributing members of society.