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Geography is destiny.

Abraham Verghese

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Culture Destiny Geography Gift Offering Past Tradition Wisdom

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They realize the no money, no church service, no eulogy, no funeral procession no matter how elaborate, can remove the legacy of a mean spirit.
ABRAHAM VERGHESE

Church Eulogy Legacy Matter Money Procession Realize Remove Service
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

Advance Medicine Technology Time Today Variety
There is a point when grief exceeds the human capacity to emote, and as a result one is strangely composed-
ABRAHAM VERGHESE

Capacity Composed Emote Grief Human Result Strangely
When I wake to the gift of yet another sunrise my first thought is to rouse him and say, I owe you the sight of morning.
ABRAHAM VERGHESE

Another Gift Morning Sight Sunrise Wake
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.
ABRAHAM VERGHESE

Body Feeling Leave Physician Sense Technology Visualize Wonderful
And pray, why would this number interest us?” “It is the only number that describes itself when you read it, ‘One zero, two ones, three twos, two threes’.
ABRAHAM VERGHESE

Describe Interest Number One Only Pray Read Two Would Zero
This is my life, I thought…I have excised the cancer from my past, cut it out; I have crossed the high plains, descended into the desert, traversed oceans, and planted my feet in new soil
ABRAHAM VERGHESE

Cancer Crossed Cut Cutting Dessented Excised High Ocean Past Plain Plan
By visiting patients in their home, by helping them come to terms with their illness, I could heal when I could not cure.
ABRAHAM VERGHESE

Helping Home Patient
Be careful! Travel expands the mind and loosens the bowels.
ABRAHAM VERGHESE

Bowel Careful Expand Loosen Mind Travel
He had so many ways of climbing into the tree house in his head, escaping the madness below, and pulling the ladder up behind him.
ABRAHAM VERGHESE

Climbing Escaping House Ladder Many Pulling Tree Way
What we need in medical schools is not to teach empathy, as much as to preserve it.
ABRAHAM VERGHESE

Empathy Huge Learning Medical Need Process School Sight Volume
The flip side of suicide is that it leaves a lingering question in the minds of the people who survived. Its like a cancer thats metastasized. The suicide is the cancer and the metastasis is all these people saying, Why? Why? Why?
ABRAHAM VERGHESE

Cancer Flip Leave Mind People Side Suicide
The Country Doctor Revisited captures the trials and tribulations of medicine, but also the satisfaction and the extraordinary rewards that come to those who embrace such a practice.
ABRAHAM VERGHESE

Black Country Day Doctor Image Medicine Revisited Romantic Rural Technology
The world turns on our every action, and our every omission, whether we know it or not.
ABRAHAM VERGHESE

Action Know Omission Turn Whether World
Students undergo a conversion in the third year of medical school – not pre-clinical to clinical, but pre-cynical to cynical.
ABRAHAM VERGHESE

Clinical Conversion Cynical Medical School Student Undergo Year
Patients know in a heartbeat if they’re getting a clumsy exam.
ABRAHAM VERGHESE

Clumsy Exam Getting Heartbeat Patient
In writing, as in medicine, there are no short cuts. You need stamina.
ABRAHAM VERGHESE

Cutting Medicine Short Cut Stamina Writing
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.
ABRAHAM VERGHESE

Believe Herat Inspiration Motivation Patient Transcendent
And then by the end of the third year they completely lose that ability, partly because we teach them the specialized language of medicine.
ABRAHAM VERGHESE

Ability Completely End Language Medical Partly Specialized Teach Third Year
Certainly when I got to medical school, I had role models of the kind of physicians I wanted to be.
ABRAHAM VERGHESE

Certainly Medical Model Physician Role School Uncle
Not only our actions, but also our omissions, become our destiny.
ABRAHAM VERGHESE

Action Destiny Idea Innovation Omission Success
Being the first born gives you great patience.
ABRAHAM VERGHESE

Being Born First Giving Great Patience
The only way to know where you are is by where you have just been.
ABRAHAM VERGHESE

By Dream Success Hard Work Know Only Way
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.
ABRAHAM VERGHESE

Administered Blink Comfort Ear Emergency Father Gaze Treatment
We are all fixing what is broken. It is the task of a lifetime. We’ll leave much unfinished for the next generation.
ABRAHAM VERGHESE

Broken Fixing Generations Next Unfinished
What treatment in an emergency is administered by ear?
ABRAHAM VERGHESE

Administered Ear Emergency Treatment
That’s the funny thing about America–the blessed thing. As many people as there are to hold you back, there are angels whose humanity makes up for all the others.
ABRAHAM VERGHESE

Angel Back Blessed Country Funny Hold People Thank You Thing

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