1.
According to Shiva, life is in the end about fixing holes. Shiva didn't speak in metaphors. fixing holes is precisely what he did. Still, it's an apt metaphor for our profession. But there's another kind of hole, and that is the wound that divides family. Sometimes this wound occurs at the moment of birth, sometimes it happens later. 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
2.
Pray tell us, what's your favorite number?"... "Shiva jumped up to the board, uninvited, and wrote 10,213,223"... "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
3.
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. I grew up and I found my purpose and it was to become a physician. My intent wasn't to save the world as much as to heal myself. Few doctors will admit this, certainly not young ones, but subconsciously, in entering the profession, we must believe that ministering to others will heal our woundedness. And it can. but it can also deepen the wound.
Abraham Verghese
4.
Wasn't that the definition of home? Not where you are from, but where you are wanted
Abraham Verghese
5.
A rich man's faults are covered with money, but a surgeon's faults are covered with earth.
Abraham Verghese
6.
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
7.
I think we learn from medicine everywhere that it is, at its heart, a human endeavor, requiring good science but also a limitless curiosity and interest in your fellow human being, and that the physician-patient relationship is key; all else follows from it.
Abraham Verghese
8.
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
9.
What we need in medical schools is not to teach empathy, as much as to preserve it. The process of learning huge volumes of information about disease, of learning a specialised language, can ironically make one lose sight of the patient one came to serve; empathy can be replaced by cynicism.
Abraham Verghese
10.
The key to your happiness is to own your slippers, own who you are, own how you look, own your family, own the talents you have, and own the ones you don't. If you keep saying your slippers aren't yours, then you'll die searching, you'll die bitter, always feeling you were promised more. Not only our actions, but also our omissions, become our destiny.
Abraham Verghese
11.
Though I am fascinated by knowledge, I am even more fascinated by wisdom.
Abraham Verghese
12.
You are an instrument of God. Don't leave the instrument sitting in its case, my son. Play! Leave no part of your instrument unexplored. Why settle for 'Three Blind Mice' when you can can play the 'Gloria'? No, not Bach's 'Gloria.' Yours! Your 'Gloria' lives within you. The greatest sin is not finding it, ignoring what God made possible in you.
Abraham Verghese
13.
The most important innovation in medicine to come in the next 10 years: the power of the human hand.
Abraham Verghese
14.
No blade can puncture the human heart like the well-chosen words of a spiteful son.
Abraham Verghese
15.
Students undergo a conversion in the third year of medical school - not pre-clinical to clinical, but pre-cynical to cynical.
Abraham Verghese
16.
We know the average American physician interrupts their patient in 14 seconds.
Abraham Verghese
17.
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; 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?
Abraham Verghese
18.
You live it forward, but understand it backward.
Abraham Verghese
19.
Rituals, anthropologists will tell us, are about transformation. 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.
Abraham Verghese
20.
To be around someone whose self-confidence is more than what our first glance led us to expect is seductive.
Abraham Verghese
21.
Geography is destiny.
Abraham Verghese
22.
I joke, but I only half joke, that if you come to one of our hospitals missing a limb, no one will believe you till they get a CAT scan, MRI, or orthopedic consult.
Abraham Verghese
23.
In writing, as in medicine, there are no short cuts. You need stamina.
Abraham Verghese
24.
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.
Abraham Verghese
25.
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.
Abraham Verghese
26.
Your job is to preserve yourself, not to descend into their hole. It's a relief when you arrive at this place, the point of absurdity, because then you are free, you owe them nothing.
Abraham Verghese
27.
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.'
Abraham Verghese
28.
He was teaching me how to die, just as he'd taught me how to live.
Abraham Verghese
29.
The world turns on our every action, and our every omission, whether we know it or not.
Abraham Verghese
30.
My VIP patients often regret so many things on their deathbeds. They regret the bitterness they'll leave in people's hearts. 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
31.
We have the sense that medical students come to medicine with a great capacity to understand the suffering of patients. 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
32.
Life, too, is like that. You live it forward, but understand it backward. It is only when you stop and look to the rear that you see the corpse caught under your wheel.
Abraham Verghese
33.
There is a point when grief exceeds the human capacity to emote, and as a result one is strangely composed-
Abraham Verghese
34.
What treatment in an emergency is administered by ear?
Abraham Verghese
35.
Patients know in a heartbeat if they're getting a clumsy exam.
Abraham Verghese
36.
She felt the familiar calmness of an emergency, but she understood the falseness of that feeling, now that it was her life at stake.
Abraham Verghese
37.
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
38.
Make something beautiful of your life.
Abraham Verghese
39.
No matter what ailed you, you went to see the barber surgeon who wound up cupping you, bleeding you, purging you. And, oh yes, if you wanted, he would give you a haircut and pull your tooth while he was at it.
Abraham Verghese
40.
I'm a great believer in geography being destiny.
Abraham Verghese
41.
I believe in black holes. I believe that as the universe empties into nothingness, past and future will smack together in the last swirl around the drain.
Abraham Verghese
42.
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.
Abraham Verghese
43.
I was angry with myself because I still loved her, or at least I loved that dream of our togetherness. My feelings were unreasonable, irrational, and I couldn't change them. That hurt.
Abraham Verghese
44.
A beautiful literary collection that tells of today's country doctor, somewhat removed from our romantic black-bag image of days gone by, but still fulfilling an essential need in caring for spread-out populations. 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. 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
45.
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
46.
What we are fighting isn't godlessness--this is the most godly country on earth. We aren't even fighting disease. Its poverty. Money for food, medicines... that helps. When we cannot cure or save a life, our patients can at least feel cared for. It should be a basic human right.
Abraham Verghese
47.
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.
Abraham Verghese
48.
If 'ecstasy' meant the sudden intrusion of the sacred into the ordinary, then it had just happened to me.
Abraham Verghese
49.
She died chasing greatness and never saw it each time it was in her hand, so she kept seeking it elsewhere, but never understood the work required to get it or to keep it.
Abraham Verghese
50.
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.
Abraham Verghese