When Breath Becomes Air Quotes

You can’t ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving.

Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete.

There is a moment, a cusp, when the sum of gathered experience is worn down by the details of living. We are never so wise as when we live in this moment.

That message is simple: When you come to one of the many moments in life when you must give an account of yourself, provide a ledger of what you have been, and done, and meant to the world, do not, I pray, discount that you filled a dying man’s days with a sated joy, a joy unknown to me in all my prior years, a joy that does not hunger for more and more, but rests, satisfied. In this time, right now, that is an enormous thing.

I can’t go on. I’ll go on.

even if I’m dying, until I actually die, I am still living.

Will having a newborn distract from the time we have together?" she asked. "Don't you think saying goodbye to your child will make your death more painful?" "Wouldn't it be great if it did?" I said. Lucy and I both felt that life wasn't about avoiding suffering.

The main message of Jesus, I believed, is that mercy trumps justice every time.

Years ago, it had occurred to me that Darwin and Nietzsche agreed on one thing: the defining characteristic of the organism is striving.

Life wasn’t about avoiding suffering.

When you love someone, they become a part of who you are. They're in everything you do. They're in the air you breathe and the water you drink and the blood in your veins. Their touch stays on your skin and their voice stays in your ears and their thoughts stay in your mind. You know their dreams because their nightmares pierce your heart and their good dreams are your dreams too. And you don't think they're perfect, but you know their flaws, the deep-down truth of them, and the shadows of all their secrets, and they don't frighten you away; in fact you love them more for it, because you don't want perfect. You want them. You want—" He broke off then, as if realizing everyone was looking at him again. "You want what?" said Dru with enormous eyes. "Nothing," Julian said. "I'm just talking.

There are a hundred trillion cells in the human body, and every single one of the cells of my body loves you. We shed cells, and grow new ones, and my new cells love you more than the old ones, which is why I love you more every day than I did the day before. It’s science. And when I die and they burn my body and I become ashes that mix with the air, and part of the ground and the trees and the stars, everyone who breathes that air or sees the flowers that grow out of the ground or looks up at the stars will remember you and love you, because I love you that much.

Science may provide the most useful way to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspects of human life: hope, fear, love, hate, beauty, envy, honor, weakness, striving, suffering, virtue.

When Great Trees Fall When great trees fall, rocks on distant hills shudder, lions hunker down in tall grasses, and even elephants lumber after safety. When great trees fall in forests, small things recoil into silence, their senses eroded beyond fear. When great souls die, the air around us becomes light, rare, sterile. We breathe, briefly. Our eyes, briefly, see with a hurtful clarity. Our memory, suddenly sharpened, examines, gnaws on kind words unsaid, promised walks never taken. Great souls die and our reality, bound to them, takes leave of us. Our souls, dependent upon their nurture, now shrink, wizened. Our minds, formed and informed by their radiance, fall away. We are not so much maddened as reduced to the unutterable ignorance of dark, cold caves. And when great souls die, after a period peace blooms, slowly and always irregularly. Spaces fill with a kind of soothing electric vibration. Our senses, restored, never to be the same, whisper to us. They existed. They existed. We can be. Be and be better. For they existed.

What makes life meaningful enough to go on living?

The physician’s duty is not to stave off death or return patients to their old lives, but to take into our arms a patient and family whose lives have disintegrated and work until they can stand back up and face, and make sense of, their own existence.

If the unexamined life was not worth living, was the unlived life worth examining?

I began to realize that coming in such close contact with my own mortality had changed both nothing and everything. Before my cancer was diagnosed, I knew that someday I would die, but I didn’t know when. After the diagnosis, I knew that someday I would die, but I didn’t know when. But now I knew it acutely. The problem wasn’t really a scientific one. The fact of death is unsettling. Yet there is no other way to live.

I will share your joy and sorrow / Till we’ve seen this journey through.

Literature not only illuminated another’s experience, it provided, I believed, the richest material for moral reflection. My brief forays into the formal ethics of analytic philosophy felt dry as a bone, missing the messiness and weight of real human life.

Those burdens are what make medicine holy and wholly impossible: in taking up another’s cross, one must sometimes get crushed by the weight.

I don’t believe in the wisdom of children, nor in the wisdom of the old. There is a moment, a cusp, when the sum of gathered experience is worn down by the details of living. We are never so wise as when we live in the moment.

Bereavement is not the truncation of married love,” C. S. Lewis wrote, “but one of its regular phases—like the honeymoon.

The tricky part of illness is that, as you go through it, your values are constantly changing. You try to figure out what matters to you, and then you keep figuring it out. It felt like someone had taken away my credit card and I was having to learn how to budget. You may decide you want to spend your time working as a neurosurgeon, but two months later, you may feel differently. Two months after that, you may want to learn to play the saxophone or devote yourself to the church. Death may be a one-time event, but living with terminal illness is a process.

We shall rise insensibly, and reach the tops of the everlasting hills, where the winds are cool and the sight is glorious.

Don’t think I ever spent a minute of any day wondering why I did this work, or whether it was worth it. The call to protect life—and not merely life but another’s identity; it is perhaps not too much to say another’s soul—was obvious in its sacredness. Before operating on a patient’s brain, I realized, I must first understand his mind: his identity, his values, what makes his life worth living, and what devastation makes it reasonable to let that life end. The cost of my dedication to succeed was high, and the ineluctable failures brought me nearly unbearable guilt. Those burdens are what make medicine holy and wholly impossible: in taking up another’s cross, one must sometimes get crushed by the weight.

When there is no place for the scalpel, words are the surgeon’s only tool.

I expected to feel only empty and heartbroken after Paul died. It never occurred to me that you could love someone the same way after he was gone, that I would continue to feel such love and gratitude alongside the terrible sorrow, the grief so heavy that at times I shiver and moan under the weight of it.

When you love someone, they become a part of who you are. They’re in everything you do. They’re in the air you breathe and the water you drink and the blood in your veins. Their touch stays on your skin and their voice stays in your ears and their thoughts stay in your mind. You know their dreams because their nightmares pierce your heart and their good dreams are your dreams too. And you don’t think they’re perfect, but you know their flaws, the deep-down truth of them, and the shadows of all their secrets, and they don’t frighten you away; in fact you love them more for it, because you don’t want perfect. You want them.

Any major illness transforms a patient’s—really, an entire family’s—life.

Everyone succumbs to finitude. I suspect I am not the only one who reaches this pluperfect state. Most ambitions are either achieved or abandoned; either way, they belong to the past. The future, instead of the ladder toward the goals of life, flattens out into a perpetual present. Money, status, all the vanities the preacher of Ecclesiastes described, hold so little interest: a chasing after wind, indeed.

I would have to learn to live in a different way, seeing death as an imposing itinerant visitor but knowing that even if I'm dying, until I actually die, I am still living.

Grand illnesses are supposed to be life-clarifying. Instead, I knew I was going to die—but I’d known that before. My state of knowledge was the same, but my ability to make lunch plans had been shot to hell. The way forward would seem obvious, if only I knew how many months or years I had left. Tell me three months, I’d spend time with family. Tell me one year, I’d write a book. Give me ten years, I’d get back to treating diseases. The truth that you live one day at a time didn’t help: What was I supposed to do with that day?

Be ready. Be seated. See what courage sounds like. See how brave it is to reveal yourself in this way. But above all, see what it is to still live, to profoundly influence the lives of others after you are gone, by your words.

Words have a longevity I do not.

Death comes for all of us. For us, for our patients: it is our fate as living, breathing, metabolizing organisms. Most lives are lived with passivity toward death -- it's something that happens to you and those around you. But Jeff and I had trained for years to actively engage with death, to grapple with it, like Jacob with the angel, and, in so doing, to confront the meaning of a life. We had assumed an onerous yoke, that of mortal responsibility. Our patients' lives and identities may be in our hands, yet death always wins. Even if you are perfect, the world isn't. The secret is to know that the deck is stacked, that you will lose, that your hands or judgment will slip, and yet still struggle to win for your patients. You can't ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving.

Diseases are molecules misbehaving; the basic requirement of life is metabolism, and death its cessation.

Putting lifestyle first is how you find a job --- not a calling.

A tureen of tragedy was best allotted by the spoonful.

So here's the truth - I love you. I love everything about you – the way you stick up for people even when it costs you. The way you keep trying to do the right thing even when you're not exactly sure what the right thing is. I love how you put words together. You're as skilled with words as any knife fighter with a blade. You can put an enemy down on his back, or you can raise people up so they find what's best in themselves. You've changed my life. You've given me the words I need to become whatever I want. I love how you talk to lytlings. You don't talk down to them. You respect them, and anybody can tell you're actually interested in what they have to say. I love the way you ride a horse – how you stick there like an upland thistle, whooping like a Demonai. I love the way you throw back your head and stomp your feet when you dance. I love how you go after what you want – whether it's kisses or a queendom. I love your skin, like copper dusted over with gold. And your eyes – they're the color of a forest lake shaded by evergreens. One of the secret places that only the Demonai know about. I love the scent of you – when you've been out in the fresh air, and that perfume you put behind your ears sometimes. Believe it or not, I even love your road smell – of sweat and horses and leather and wool. I want to breathe you in for the rest of my life.

(B)rains give rise to our ability to form relationships and make life meaningful. Sometimes, they break.

Openness to human relationality does not mean revealing grand truths from the apse; it means meeting patients where they are, in the narthex or nave, and bringing them as far as you can.

Before operating on a patient’s brain, I realized, I must first understand his mind: his identity, his values, what makes his life worth living, and what devastation makes it reasonable to let that life end.

Moral duty has weight, things that have weight have gravity.

So what tense am I living in now?

Doctors, it turns out, need hope, too.

Suffering can make us callous to the obvious suffering of another.

In taking up another’s cross, one must sometimes get crushed by the weight.

What kind of life exists without language?

Severe illness wasn’t life-altering, it was life-shattering. It felt less like an epiphany—a piercing burst of light, illuminating What Really Matters—and more like someone had just firebombed the path forward.

Yet the paradox is that scientific methodology is the product of human hands and thus cannot reach some permanent truth. We build scientific theories to organize and manipulate the world, to reduce phenomena into manageable units. Science is based on reproducibility and manufactured objectivity. As strong as that makes its ability to generate claims about matter and energy, it also makes scientific knowledge inapplicable to the existential, visceral nature of human life, which is unique and subjective and unpredictable. Science may provide the most useful way to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspects of human life: hope, fear, love, hate, beauty, envy, honor, weakness, striving, suffering, virtue.

What happened to Paul was tragic, but he was not a tragedy.

We are never so wise as when we live in this moment.

If the weight of mortality does not grow lighter, does it at least get more familiar?

Death may be a one-time event, but living with terminal illness is a process.

Can I tell you a boring science fact?" she whispered. "I bet you didn't learn it in Shadowhunter history class." "If you're trying to distract me from talking about my feelings, you're not being very subtle about it." He touched her face. "You know I make speeches. It's okay. You don't have to make them back. Just tell me you love me," "I'm not trying to distract you." She held up her hand and wiggles the fingers. "There are a hundred trillion cells in the human body," she said. "And every single one of the cells of my body loves you. We shed cells, and grow new ones, and my new cells love you more than the old ones, which is why I love you more every day than I did before. It's science. And when I die and they burn my body and I become ashes that mix with the air, and part of the ground and the trees and the stars, everyone who breathes air of sees the flowers that grow out of the ground or looks up at the stars will remember you and love you, because I love you that much," She smiled. "How was that for a speech?

When you love someone, they become a part of who you are. They’re in everything you do. They’re in the air you breathe and the water you drink and the blood in your veins. Their touch stays on your skin and their voice stays in your ears and their thoughts stay in your mind. You know their dreams because their nightmares pierce your heart and their good dreams are your dreams too. And you don’t think they’re perfect, but you know their flaws, the deep-down truth of them, and the shadows of all their secrets, and they don’t frighten you away; in fact you love them more for it, because you don’t want perfect. You want them. You want-

Maybe, in the absence of any certainty, we should just assume that we’re going to live a long time. Maybe that’s the only way forward.

life’s meaning, its virtue, had something to do with the depth of the relationships we form.

At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living.

Death, so familiar to me in my work, was now paying a personal visit.

all have a notion of what it means to be good, and we can’t live up to it all the time.

The fact of death is unsettling. Yet there is no other way to live.

Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

You could not help but feel your specklike existence among the immensity of the mountain, the earth, the universe, and yet still feel your own two feet on the talus, reaffirming your presence amid the grandeur.

Frail but never weak.

The closer you get to heaven, the less air there is, because when you get to heaven for real, you don't need to breathe anymore.

In the silences between his words, listen to what you have to say back. Therein lies his message.

She was upset because I'd promised her one life, and given her another.

But knowing that even if I’m dying, until I actually die, I am still living.

The word hope first appeared in English about a thousand years ago, denoting some combination of confidence and desire. But what I desired—life—was not what I was confident about—death. When I talked about hope, then, did I really mean “Leave some room for unfounded desire?” No. Medical statistics not only describe numbers such as mean survival, they measure our confidence in our numbers, with tools like confidence levels, confidence intervals, and confidence bounds. So did I mean “Leave some room for a statistically improbable but still plausible outcome—a survival just above the measured 95 percent confidence interval?” Is that what hope was? Could we divide the curve into existential sections, from “defeated” to “pessimistic” to “realistic” to “hopeful” to “delusional”? Weren’t the numbers just the numbers? Had we all just given in to the “hope” that every patient was above average? It occurred to me that my relationship with statistics changed as soon as I became one.

You that seek what life is in death, Now find it air that once was breath. New names unknown, old names gone: Till time end bodies, but souls none. Reader! then make time, while

There’s a place in the ocean, so deep, where not a single point of light penetrates through it. And for so long, I’ve been trapped there, unable to breathe. When I met you, you lifted me out of that darkness, and it was the first time I came up for air. You’ve become my oxygen, bella ladra, and I can no longer breathe without you.

There must be a way, I thought, that language of life as experienced-- of passion, of hunger, of love-- bore some relationship, however convoluted, to the language of neurons, digestive tracts, and heartbeats.

All the idylls of youth: beauty manifest in lakes, mountains, people; richness in experience, conversation, friendships. Nights during a full moon, the light flooded the wilderness, so it was possible to hike without a headlamp. We would hit the trail at two A.M., summiting the nearest peak, Mount Tallac, just before sunrise, the clear, starry night reflected in the flat, still lakes spread below us. Snuggled together in sleeping bags at the peak, nearly ten thousand feet up, we weathered frigid blasts of wind with coffee someone had been thoughtful enough to bring. And then we would sit and watch as the first hint of sunlight, a light tinge of day blue, would leak out of the eastern horizon, slowly erasing the stars. The day sky would spread wide and high, until the first ray of the sun made an appearance. The morning commuters began to animate the distant South Lake Tahoe roads. But craning your head back, you could see the day’s blue darken halfway across the sky, and to the west, the night remained yet unconquered—pitch-black, stars in full glimmer, the full moon still pinned in the sky. To the east, the full light of day beamed toward you; to the west, night reigned with no hint of surrender. No philosopher can explain the sublime better than this, standing between day and night. It was as if this were the moment God said, “Let there be light!” You could not help but feel your specklike existence against the immensity of the mountain, the earth, the universe, and yet still feel your own two feet on the talus, reaffirming your presence amid the grandeur.

When you love someone, they become a part of who you are. They're in everything you do. They're in the air you breathe and the water you drink and the blood in your veins. Their touch stays on your skin and their voice stays in your ears and their thoughts stay in your mind. You know their dreams because their nightmares pierce your heart and their good dreams are your dreams too. And you don't think they're perfect, but you know their flaws, the deep-down truth of them, and the shadows of all their secrets, and they don't frighten you away; in fact you love them more for it, because you don't want perfect. You want them.

In the end, it cannot be doubted that each of us can see only a part of the picture. The doctor sees one, the patient another, the engineer a third, the economist a fourth, the pearl diver a fifth, the alcoholic a sixth, the cable guy a seventh, the sheep farmer an eighth, the Indian beggar a ninth, the pastor a tenth. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete. And Truth comes somewhere above all of them, where,

He knew he would never be alone, never suffer unnecessarily. At home in bed a few weeks before he died, I asked him, “Can you breathe okay with my head on your chest like this?” His answer was “It’s the only way I know how to breathe.” That Paul and I formed part of the deep meaning of each other’s lives is one of the greatest blessings that has ever come to me.

What patients seek is not scientific knowledge that doctors hide but existential authenticity each person must find on her own. Getting too deeply into statistics is like trying to quench a thirst with salty water. The angst of facing mortality has no remedy in probability.

Relying on his own strength and the support of his family and community, Paul faced each stage of his illness with grace—not with bravado or a misguided faith that he would “overcome” or “beat” cancer but with an authenticity that allowed him to grieve the loss of the future he had planned and forge a new one. He cried on the day he was diagnosed. He cried while looking at a drawing we kept on the bathroom mirror that said, “I want to spend all the rest of my days here with you.” He cried on his last day in the operating room. He let himself be open and vulnerable, let himself be comforted. Even while terminally ill, Paul was fully alive; despite physical collapse, he remained vigorous, open, full of hope not for an unlikely cure but for days that were full of purpose and meaning.

There is a tension in the Bible between justice and mercy, between the Old Testament and the New Testament. And the New Testament says you can never be good enough: goodness is the thing, and you can never live up to it. The main message of Jesus, I believed, is that mercy trumps justice every time.

I had learned something, something not found in Hippocrates, Maimonides, or Osler: the physician's duty is not to stave off death or return patients to their old lives, but to take into our arms a patient and family whose lives have disintegrated and work until they can stand back up and face, and make sense of, their own existence.

I was searching for a vocabulary with which to make sense of death, to find a way to begin defining myself and inching forward again. The privilege of direct experience had led me away from literary and academic work, yet now I felt that to understand my own experiences, I would have to translate them back into language. Hemingway described his process in similar terms: acquiring rich experiences, then retreating to cogitate and write about them. I needed words to go forward.

The most obvious might be an impulse to frantic activity: to “live life to its fullest,” to travel, to dine, to achieve a host of neglected ambitions. Part of the cruelty of cancer, though, is not only that it limits your time; it also limits your energy, vastly reducing the amount you can squeeze into a day. It is a tired hare who now races. And even if I had the energy, I prefer a more tortoiselike approach. I plod, I ponder. Some days, I simply persist.

While all doctors treat diseases, neurosurgeons work in the crucible of identity: every operation on the brain is, by necessity, a manipulation of the substance of our selves, and every conversation with a patient undergoing brain surgery cannot help but confront this fact. In addition, to the patient and family, the brain surgery is usually the most dramatic event they have ever faced and, as such, has the impact of any major life event. At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability - or your mother's - to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for eliminating the small possibility of a fatal brain hemorrhage? Your right hand's function to stop seizures? How much neurologic suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

Love is like air, babe. It's there all the time, and you don't even think about it,or you take it for granted. Then all of a sudden, you need it, or you can't breathe. You inhale, and for the first time you're aware it's keeping you alive. You feel it brush your skin all the time. Sometimes it's warm and other times it's cool, but it's there surrounding you, feeding you, holding you. When you finally realize it's love, you become vulnerable. With that new fear of not having air, you subconsciously allow someone special to breathe life for you.

If you believe that science provides not basis for God, then you are almost obligated to conclude that science provides no basis for meaning and, there for, life itself doesn't have any. In other words, existential claims have no weight; all knowledge is scientific knowledge. Yet the paradox is that scientific methodology is the product of human hands and thus cannot reach some permanent truth. We build scientific theories to organize and manipulate the world, to reduce phenomena into manageable units. Science is based on reproducibility and manufactured objectivity. As strong as that makes its ability to generate claims about matter and energy, it also makes scientific knowledge inapplicable to the existential, visceral nature or human life, which is unique and subjective and unpredictable. Science may provide the most useful may to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspects of human life: hope, fear, love, hate, beauty, envy, honor, weakness, striving, suffering, virtue.

The temperature jumped another ninety degrees. Why couldn't anyone see in my life how awesome Noah was? I shoved up my sleeves, welcoming the cold air on my skin. "Echo, stop!" Ashley propelled her self out of the gliter. I froze and then remembered Ashley was damaged. I was going on a date, not to Vegas to elope. Noah's strong hand slipped over my wrist before he entwined his fingers with mine. The sensation of warm flesh against an area I allowed no one to see, much less touch, caused me to shiver. My eyes widened, realizing my mistake. This is what had freaked Ashley out. What had come over me? I never pulled up my sleeves. I spent all my time pulling them down. When had I become...comfortable? He rubbed his thumb over my hand. "I planned on taking her to my house to meet some of my friends." Noah could have told them he was getting me to the ghetto to buy us crack and they wouldn't have heard him. Ashley stood in place, staring at my exposed scars as my father stared at our combined hands. I reached over to pull down my sleeve, but Noah casually placed his hand over my forearm, preventing me fron doing it. My lungs squeezed out all the oxygen in my body. Noah Hutchins, in fact, a human being, was overtly, on purpose, touching my scars. I'd stopped breathing moments ago, as had Ashley. Noah continued as nothing earth-shattering had happened. "What time does Echo need to be home?" Blinking my self back to life, i answered for them, "My curfew is eleven." "Twelve." My father stood and extended his hand. "I didn't have a chance to properly introduce myself earlier. I'm Owen Emerson.

It is a common belief that we breathe with our lungs alone, but in point of fact, the work of breathing is done by the whole body. The lungs play a passive role in the respiratory process. Their expansion is produced by an enlargement, mostly downward, of the thoracic cavity and they collapse when that cavity is reduced. Proper breathing involves the muscles of the head, neck, thorax, and abdomen. It can be shown that chronic tension in any part of the body's musculature interferes with the natural respiratory movements. Breathing is a rhythmic activity. Normally a person at rest makes approximately 16 to 17 respiratory incursions a minute. The rate is higher in infants and in states of excitation. It is lower in sleep and in depressed persons. The depth of the respiratory wave is another factor which varies with emotional states. Breathing becomes shallow when we are frightened or anxious. It deepens with relaxation, pleasure and sleep. But above all, it is the quality of the respiratory movements that determines whether breathing is pleasurable or not. With each breath a wave can be seen to ascend and descend through the body. The inspiratory wave begins deep in the abdomen with a backward movement of the pelvis. This allows the belly to expand outward. The wave then moves upward as the rest of the body expands. The head moves very slightly forward to suck in the air while the nostrils dilate or the mouth opens. The expiratory wave begins in the upper part of the body and moves downward: the head drops back, the chest and abdomen collapse, and the pelvis rocks forward. Breathing easily and fully is one of the basic pleasures of being alive. The pleasure is clearly experienced at the end of expiration when the descending wave fills the pelvis with a delicious sensation. In adults this sensation has a sexual quality, though it does not induce any genital feeling. The slight backward and forward movements of the pelvis, similar to the sexual movements, add to the pleasure. Though the rhythm of breathing is pronounced in the pelvic area, it is at the same time experienced by the total body as a feeling of fluidity, softness, lightness and excitement. The importance of breathing need hardly be stressed. It provides the oxygen for the metabolic processes; literally it supports the fires of life. But breath as "pneuma" is also the spirit or soul. We live in an ocean of air like fish in a body of water. By our breathing we are attuned to our atmosphere. If we inhibit our breathing we isolate ourselves from the medium in which we exist. In all Oriental and mystic philosophies, the breath holds the secret to the highest bliss. That is why breathing is the dominant factor in the practice of Yoga.

When you love someone, they become a part of who you are. They're in everything you do. They're the air you breathe and the water you drink and the blood in your veins. Their touch stays on your skin and their voice stays in your ears and their thoughts stay in your mind. You know their dreams because their nightmares pierce your heart and their good dreams are your dreams too. And they don't think they're perfect, but you know their flaws, the deep-down truths of them, and the shadows of all their secrets, and they don't frighten you away; in fact, you love them more for it, because you don't want perfect. You want them.

Do not miss me, because I will always be with you. In every drop of rain that touches your tongue, in every breath of air you inhale. In the tips of the leaves that you brush with your fingertips as you pass by. I will be there, in every moment. I am not gone, I am only altered, from this state of matter to another. For a moment, for too brief a moment, I was the man that loved you, but now that I am changed, I am the air, the moon, the stars. For we are all made of stars, my beloved. You and I, and all of life, we were all born out of the death of a star, millions of billions of years ago. A star that lived long and then, before its death, burned at its brightest, its fiercest - an enflaming supernova. But when it died, it did not cease to exist; instead everything it was made of became part of the universe once again, and everything that is part of the universe will once more become part of us. So do not miss me, because I do not die; I transform - into the wind in the tops of the trees, the wave on the ocean, the pebbles under your foot, the dust on your bookshelves, the midnight sky. Wherever you look, I will be there.

1. WE'VE LEFT SHORE SOMEHOW BECOME THE FRIENDS OF EARLY THEORY CLOSE ENOUGH TO SPEAK DESIRE AND PAIN OF ABSENCE OF MISTAKES WE'D MAKE GIVEN THE CHANCE. EACH SMILE RETURNED MAKES HARDER AVOIDING DREAMS THAT SEE US LYING IN EARLY EVENING CURTAIN SHADOWS, SKIN SAFE AGAINST SKIN. BLOOM OF COMPASSION RESPECT FOR MOMENTS EYES LOCK TURNS FOREVER INTO ONE MORE VEIL THAT FALLS AWAY. 2. THIS AFTER SEEING YOU LAST NIGHT, FIRST TIME SMELLING YOU WITH PERMISSION: SHOULDERS TO WONDER OPENLY AT AS CAREFULLY KISSED AS THOSE ARMS WAITED IMPOSSIBLY ON. THEY'VE HELD ME NOW AND YOUR BREATH DOWN MY BACK SENT AWAY NIGHT AIR THAT HAD ME SHAKING IN THE UNLIT ANGLICAN DOORWAY. 3. ARE WE RUINED FOR FINDING OUR FACES FIT AND WANT TO KNOW MORE ABOUT MORNING? IS FRIENDSHIP CANCELLED IF WE CAN'T CALL EACH OTHER ANYMORE IN AMNESIA, INVITE OURSELVES TO LAST GLANCES UNDER SUSPICIOUS CLOCKS TELLING US WHEN WE'VE HAD ENOUGH? 4. YOUR STEADY HANDS CRADLING MY GRATEFUL SKULL: WERE YOU TAKING IN MY FACE TO SAVE AN IMAGE YOU'VE RARELY ALLOWED YOURSELF AFTER LEAVING THAT COLD ALCOVE? AM I A PHOTOGRAPH YOU GAZE AT IN MOMENTS OF WEAKNESS? YOU ORDERED ME OFF MY KNEES INTO YOUR ARMS. WASN'T TO BEG THAT I KNELT; ONLY TO SEE YOU ONCE FROM BELOW. TRIED TO SAY SOMETHING THAT FILLED MY MOUTH AND LONGED TO REST IN YOUR EAR. DON'T DARE WRITE IT DOWN FOR FEAR IT'LL BECOME WORDS, JUST WORDS.

At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability--or your mother's--to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for the small possibility of a fatal brain hemorrhage? Your right hand's function to stop seizures? How much neurological suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient, and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

The problem, however, eventually became evident: to make science the arbiter of metaphysics is to banish not only God from the world but also love, hate, meaning—to consider a world that is self-evidently not the world we live in. That’s not to say that if you believe in meaning, you must also believe in God. It is to say, though, that if you believe that science provides no basis for God, then you are almost obligated to conclude that science provides no basis for meaning and, therefore, life itself doesn’t have any. In other words, existential claims have no weight; all knowledge is scientific knowledge.

When you love someone, they become a part of who you are. They're in everything you do. They're in the air you breathe and the water you drink and the blood in your veins. Their touch stays on your skin and their voice stays in your ears and their thoughts stay in your mind. You know their dreams because their nightmares pierce your heart and their good dreams are your drams too. And you don't think they're perfect, but you know their flaws, the deep-down truth of them, and the shadows of all their secrets, and they don't frighten you away; in fact you love them more for it, because you don't want perfect. You want them.

...we're a people who pollute the very air we breathe. And our rivers. We're destroying the great lakes; Erie is already gone, and now we've begun on the oceans. We filled our atmosphere with radioactive fallout that put poison into our children's bones, and we knew it. We've made bombs that can wipe out humanity in minutes, and they are aimed and ready to fire. We ended polio, and then the United States Army bred new strains of germs that can cause fatal, incurable disease. We had a chance to do justice to our Negroes, and when they asked it, we refused. In Asia we burned people alive, we really did. We allow children to grow up malnourished in the United States. We allow people to make money by using our television channels to pursued our own children to smoke, knowing what it is going to do to them. This is a time when it becomes harder and harder to continue telling yourself that we are still good people. We hate each other. And we're used to it.

Struggle toward the capital-T Truth, but recognize that the task is impossible—or that if a correct answer is possible, verification certainly is impossible. In the end, it cannot be doubted that each of us can see only part of the picture. The doctor sees one, the patient another, the engineer a third, the economist a fourth, the pearl diver a fifth, the alcoholic a sixth, the cable guy a seventh, the sheep farmer an eighth, the Indian beggar a ninth, the pastor a tenth. Human knowledge is never contained in one person. It grows from the relationships we create between each other and the world, and still it is never complete. And truth comes somewhere above all of them, where, as at the end of that Sunday’s reading: the sower and reaper can rejoice together. For here the saying is verified that “One sows and another reaps.” I sent you to reap what you have not worked for; others have done the work, and you are sharing the fruits of that work.

You will know if you are too acidic if you get sick often, get urinary tract infections, suffer from headaches, and have bad breath and body odor (when you do not use antiperspirant). Acidosis is the medical term for a blood alkalinity of less than 7.35. A normal reading is called homeostasis. It is not considered a disease; although in and of itself it is recognized as an indicator of disease. Your blood feeds your organs and tissues; so if your blood is acidic, your organs will suffer and your body will have to compensate for this imbalance somehow. We need to do all we can to keep our blood alkalinity high. The way to do this is to dramatically increase our intake of alkaline-rich elements like fresh, clean air; fresh, clean water; raw vegetables (particularly their juices); and sunlight, while drastically reducing our intake of and exposure to acid-forming substances: pollution, cigarettes, hard alcohol, white flour, white sugar, red meat, and coffee. By tipping the scales in the direction of alkalinity through alkaline diet and removal of acid waste through cleansing, and acidic body can become an alkaline one. "Bear in mind that some substances that are alkaline outside the body, like milk, are acidic to the body; meaning that they leave and acid reside in the tissues, just as many substances that are acidic outside the body, like lemons and ripe tomatoes, are alkaline and healing in the body and contribute to the body's critical alkaline reserve.

Cinder." Kai pulled one leg onto the bank, turning his body so they were facing each other. He took her hands between his and her heart began to drum unexpectedly. Not because of his touch, and not even because of his low, serious tone, but because it occurred to Cinder all at once that Kai was nervous. Kai was never nervous. "I asked you once," he said, running his thumbs over her knuckles, "if you thought you would ever be willing to wear a crown again. Not as the queen of Luna, but ... as my empress. And you said that you would consider it, someday." She swallowed a breath of cool night air. "And ... this is that day?" His lips twitched, but didn't quite become a smile. "I love you. I want to be with you for the rest of my life. I want to marry you, and, yes, I want you to be my empress." Cinder gaped at him for a long moment before she whispered, "That's a lot of wanting." "You have no idea." She lowered her lashes. "I might have some idea." Kai released one of her hands and she looked up again to see him reaching into his pocket - the same that had held Wolf's and Scarlet's wedding rings before. His fist was closed when he pulled it out and Kai held it toward her, released a slow breath, and opened his fingers to reveal a stunning ring with a large ruby ringed in diamonds. It didn't take long for her retina scanner to measure the ring, and within seconds it was filling her in on far more information than she needed - inane worlds like carats and clarity scrolled past her vision. But it was the ring's history that snagged her attention. It had been his mother's engagement ring once, and his grandmother's before that. Kai took her hand and slipped the ring onto her finger. Metal clinked against metal, and the priceless gem looked as ridiculous against her cyborg plating as the simple gold band had looked on Wolf's enormous, deformed, slightly hairy hand. Cinder pressed her lips together and swallowed, hard, before daring to meet Kai's gaze again. "Cinder," he said, "will you marry me?" Absurd, she thought. The emperor of the Eastern Commonwealth was proposing to her. It was uncanny. It was hysterical. But it was Kai, and somehow, that also made it exactly right. "Yes," she whispered. "I will marry you." Those simple words hung between them for a breath, and then she grinned and kissed him, amazed that her declaration didn't bring the surge of anxiety she would have expected years ago. He drew her into his arms, laughing between kisses, and she suddenly started to laugh too. She felt strangely delirious. They had stood against all adversity to be together, and now they would forge their own path to love. She would be Kai's wife. She would be the Commonwealth's empress. And she had every intention of being blissfully happy for ever, ever after.

The children in my dreams speak in Gujarati turn their trusting faces to the sun say to me care for us nurture us in my dreams I shudder and I run. I am six in a playground of white children Darkie, sing us an Indian song! Eight in a roomful of elders all mock my broken Gujarati English girl! Twelve, I tunnel into books forge an armor of English words. Eighteen, shaved head combat boots - shamed by masis in white saris neon judgments singe my western head. Mother tongue. Matrubhasha tongue of the mother I murder in myself. Through the years I watch Gujarati swell the swaggering egos of men mirror them over and over at twice their natural size. Through the years I watch Gujarati dissolve bones and teeth of women, break them on anvils of duty and service, burn them to skeletal ash. Words that don't exist in Gujarati : Self-expression. Individual. Lesbian. English rises in my throat rapier flashed at yuppie boys who claim their people “civilized” mine. Thunderbolt hurled at cab drivers yelling Dirty black bastard! Force-field against teenage hoods hissing F****ing Paki bitch! Their tongue - or mine? Have I become the enemy? Listen: my father speaks Urdu language of dancing peacocks rosewater fountains even its curses are beautiful. He speaks Hindi suave and melodic earthy Punjabi salty rich as saag paneer coastal Kiswahili laced with Arabic, he speaks Gujarati solid ancestral pride. Five languages five different worlds yet English shrinks him down before white men who think their flat cold spiky words make the only reality. Words that don't exist in English: Najjar Garba Arati. If we cannot name it does it exist? When we lose language does culture die? What happens to a tongue of milk-heavy cows, earthen pots jingling anklets, temple bells, when its children grow up in Silicon Valley to become programmers? Then there's American: Kin'uh get some service? Dontcha have ice? Not: May I have please? Ben, mane madhath karso? Tafadhali nipe rafiki Donnez-moi, s'il vous plait Puedo tener….. Hello, I said can I get some service?! Like, where's the line for Ay-mericans in this goddamn airport? Words that atomized two hundred thousand Iraqis: Didja see how we kicked some major ass in the Gulf? Lit up Bagdad like the fourth a' July! Whupped those sand-niggers into a parking lot! The children in my dreams speak in Gujarati bright as butter succulent cherries sounds I can paint on the air with my breath dance through like a Sufi mystic words I can weep and howl and devour words I can kiss and taste and dream this tongue I take back.