“I’ve always wanted to write a book like that, with the sense that you are contributing to the discourse in middle America,”

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.

When you win, you often lose, that’s just a fact. There’s no currency to straighten a warped spirit, or open a closed heart, a selfish heart.

We aren’t even fighting disease. Its poverty. Money for food, medicines… that helps.

The rituals we use for marriage, baptism or inaugurating a president are as elaborate as they are because we associate the ritual with a major life passage, the crossing of a critical threshold, or in other words, with transformation.

Patients know in a heartbeat if they’re getting a clumsy exam.

I still find the best way to understand a hospitalized patient 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.

Tell us please, what treatment in an emergency is administered by ear?”….I met his gaze and I did not blink. “Words of comfort,” I said to my father.

If it does nothing else, allows one the opportunity to make prolonged observations about one’s fellow travelers.

What we need in medical schools is not to teach empathy, as much as to preserve it.

We come unbidden into this life, and if we are lucky we find a purpose beyond starvation, misery, and early death which, lest we forget, is the common lot.

When I use the word ‘healing’, by that I mean that every disease has a physical element that we’re very good at handling, but there’s always a sense of the violation. ‘Why me?’ ‘

Pray tell us, what’s your favorite number?

Not only our actions, but also our omissions, become our destiny.

Rituals, anthropologists will tell us, are about transformation.

Still, it’s an apt metaphor for our profession. But there’s another kind of hole, and that is the wound that divides family.

We come unbidden into this life, and if we are lucky we find a purpose beyond starvation, misery, and early death which, lest we forget, is the common lot.