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In writing, as in medicine, there are no short cuts. You need stamina.
The flip side of suicide is that it leaves a lingering question in the minds of the people who survived. It's like a cancer that's metastasized. The suicide is the cancer and the metastasis is all these people saying, Why? Why? Why?
My sense is that the wonderful technology that we have to visualize the inside of the body often leaves physicians feeling that the exam is a waste of time and so they may shortchange the ritual.
In America, we have always taken it as an article of faith that we 'battle' cancer; we attack it with knives, we poison it with chemotherapy or we blast it with radiation. If we are fortunate, we 'beat' the cancer. If not, we are posthumously praised for having 'succumbed after a long battle.'
Lets take away the incentives to do 'to' patients and instead create incentives to do 'for' patients, to be 'with' patients. We don't need to do comparative effectiveness trials to see if that works; we can just ask patients.
My advice for writers is to get a good day job. It takes the pressure off writing if you have a job that pays the bills.
The bottom line: health care reform is about the patient, not about the physician.
I've never bought this idea of taking a therapeutic distance. If I see a student or house staff cry, I take great faith in that. That's a great person; they're going to be a great doctor.
When you have a natural genetic tan developed over centuries and many generations, the idea of soaking up rays by the pool has never made sense.
I think America is really in denial about the degree to which residents, particularly foreign medical graduates, man the county hospitals of this country, and but for their services, I'm not sure how exactly we could manage.
For one who has an interest in the body as text, airports are treasure troves of information. It seems almost un-American to enjoy delays, and perhaps enjoy is not the best word, but certainly a delayed flight, if it does nothing else, allows one the opportunity to make prolonged observations about one's fellow travelers.
I joke, but only half joke, that if you show up in an American hospital missing a finger, no one will believe you until they get a CAT scan, MRI and orthopedic consult.
There's something universal about illness... Whether you like it, at some level all patients are saying, 'Daddy, Mommy, help me, tell me it's going to be alright.'
As a young physician in the mid-'80s, caring for people who had contracted H.I.V., I lost two of my patients to suicide at a time when the virus was doing very little harm to them. I have always thought of them as having been killed by a metaphor, by the burden of secrecy and shame associated with the disease.
My writing flows out of my doctorhood. They are not separate things. They are one. I think the foremost connection between being a doctor and being a writer is the great privilege of having an intimate view of one's fellow humans, the privilege of being there and helping other people at their most vulnerable moments.
I'm the first to admit that the resolution of a hand feeling the belly doesn't compare with the resolution of a CAT scan scanning the belly, but only my hand can say that it hurts at this spot and not at this spot. Only my hand can say that.
I think legislation needs to put an end to doctors profiting on businesses to which they can funnel patients - that is business, not medicine. If you try to call it medicine, then it is corruption. Without legislation, it will keep happening.
There are moments as a teacher when I'm conscious that I'm trotting out the same exact phrase my professor used with me years ago. It's an eerie feeling, as if my old mentor is not just in the room, but in my shoes, using me as his mouthpiece.
I'm a proud American - becoming a citizen in 1988 was one of the most profoundly moving occasions in my life; I'm a former Texan and a recent Californian.
Modern society has evolved to the point where we counter the old-fashioned fatalism surrounding the word 'cancer' by embracing the idea of the Uber-mind - that our will possesses nearly supernatural powers.
There is that lovely feeling of one reader telling another, 'You must read this.' I've always wanted to write a book like that, with the sense that you are contributing to the discourse in middle America, a discourse that begins at a book club in a living room, but then spreads. That is meaningful to me.
Lest it sound as if I resent my day job, I have to say that my day job is the reason I write, and it has been the best thing for me as a writer.
The incredible cinematography makes 'A Walk to Beautiful' almost like a poem; there is a tenderness on display that seems to emanate from the camera. There is also great sensitivity to the women whose stories are being told - never did I have a sense of the subjects being exploited.
I love to read poetry but I haven't written anything that I'm willing to show anybody.
I still find the best way to understand a hospitalized patient whose care I am taking over is not by staring at the computer screen but by going to see the patient; it's only at the bedside that I can figure out what is important.
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