“Empathy can be replaced by cynicism.”

We have the sense that medical students come to medicine with a great capacity to understand the suffering of patients.

What we are fighting isn’t godlessness–this is the most godly country on earth.

I was taking care of people my age who were dying. The constant feeling, hearing from them, was that life is transient and can end very quickly, so don’t postpone your dreams.

My VIP patients often regret so many things on their deathbeds. They regret the bitterness they’ll leave in people’s hearts.

When a man is a mystery to himself you can hardly call him mysterious.

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?’ ‘