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At times, with today’s advances in technology, medicine in rural America looks very like it does in America’s cities, but the variety of practices is enormous.

Abraham Verghese

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We’re losing a ritual. We’re losing a ritual that I believe is transformative, transcendent, and is at the heart of the patient-physician relationship.
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If we are fortunate, we ‘beat’ the cancer. If not, we are posthumously praised for having ‘succumbed after a long battle.’
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I have been the apprentice, paid my dues, and have just become master of my ship. But when I look down, why do I see the ancient, tarred, mud-stained slippers that I buried at the start of the journey still stuck to my feet?
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We must believe that ministering to others will heal our woundedness. And it can. but it can also deepen the wound.
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I’m a great believer in geography being destiny.
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Now, as to the problem of how much health care costs and how we reform health care … it is another story altogether.
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My VIP patients often regret so many things on their deathbeds. They regret the bitterness they’ll leave in people’s hearts.
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There is a point when grief exceeds the human capacity to emote, and as a result one is strangely composed-
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We know the average American physician interrupts their patient in 14 seconds.
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