Abraham Verghese Quotes
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Literature is a beautiful way of keeping the imagination alive, of visiting worlds you would never have time to in your day-to-day life. It keeps you abreast of a wider spectrum of human activities.
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I've never bought this idea of taking a therapeutic distance. If I see a student or house staff cry, I take great faith in that. That's a great person; they're going to be a great doctor.
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I'm a proud American - becoming a citizen in 1988 was one of the most profoundly moving occasions in my life; I'm a former Texan and a recent Californian.
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Patients know in a heartbeat if they're getting a clumsy exam.
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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.
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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.
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Lets take away the incentives to do 'to' patients and instead create incentives to do 'for' patients, to be 'with' patients. We don't need to do comparative effectiveness trials to see if that works; we can just ask patients.
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The incredible cinematography makes 'A Walk to Beautiful' almost like a poem; there is a tenderness on display that seems to emanate from the camera. There is also great sensitivity to the women whose stories are being told - never did I have a sense of the subjects being exploited.
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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.
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For one who has an interest in the body as text, airports are treasure troves of information. It seems almost un-American to enjoy delays, and perhaps enjoy is not the best word, but certainly a delayed flight, if it does nothing else, allows one the opportunity to make prolonged observations about one's fellow travelers.
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I still find the best way to understand a hospitalized patient whose care I am taking over 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.
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I think we can see how blessed we are in America to have access to the kind of health care we do if we are insured, and even if uninsured, how there is a safety net. 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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I write by stealing time. The hours in the day have never felt as if they belonged to me. The greatest number has belonged to my day job as a physician and professor of medicine - eight to 12 hours, and even more in the early days.
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Though I am fascinated by knowledge, I am even more fascinated by wisdom.
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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.
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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.'
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I joke, but only half joke, that if you show up in an American hospital missing a finger, no one will believe you until they get a CAT scan, MRI and orthopedic consult.
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Lest it sound as if I resent my day job, I have to say that my day job is the reason I write, and it has been the best thing for me as a writer.
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I think legislation needs to put an end to doctors profiting on businesses to which they can funnel patients - that is business, not medicine. If you try to call it medicine, then it is corruption. Without legislation, it will keep happening.
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I think America is really in denial about the degree to which residents, particularly foreign medical graduates, man the county hospitals of this country, and but for their services, I'm not sure how exactly we could manage.
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Medicine may be the lens through which I see the world, but since I think of medicine as 'life +', a place where life is exaggerated and seen at its most vital and poignant, I'll be writing about life more than I will be writing about medicine.
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My writing flows out of my doctorhood. They are not separate things. They are one. I think the foremost connection between being a doctor and being a writer is the great privilege of having an intimate view of one's fellow humans, the privilege of being there and helping other people at their most vulnerable moments.
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My advice for writers is to get a good day job. It takes the pressure off writing if you have a job that pays the bills.