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Abraham Verghese

Abraham Verghese, MD, MACP, is Professor for the Theory and Practice of Medicine at the Stanford University School of Medicine and Senior Associate Chair of the Department of Internal Medicine.

Born of Indian parents who were teachers in Ethiopia, he grew up near Addis Ababa and began his medical training there. When Emperor Haile Selassie was deposed, he completed his training at Madras Medical College and went to the United States for his residency as one of many foreign medical graduates. Like many others, he found only the less popular hospitals and communities open to him, an experience he described in one of his early New Yorker articles, The Cowpath to America.

From Johnson City, Tennessee, where he was a resident from 1980 to 1983, he did his fellowship at Boston University School of Medicine, working at Boston City Hospital for two years. It was here that he first saw the early signs of the HIV epidemic and later, when he returned to Johnson City as an assistant professor of medicine, he saw the second epidemic, rural AIDS, and his life took the turn for which he is most well known ? his caring for numerous AIDS patients in an era when little could be done and helping them through their early and painful deaths was often the most a physician could do.

His work with terminal patients and the insights he gained from the deep relationships he formed and the suffering he saw were intensely transformative; they became the basis for his first book, My Own Country : A Doctor's Story, written later during his years in El Paso, Texas. Such was his interest in writing that he decided to take some time away from medicine to study at the Iowa Writers Workshop at the University of Iowa, where he earned a Master of Fine Arts degree in 1991. Since then, his writing has appeared in The New Yorker, Texas Monthly, Atlantic, The New York Times, The New York Times Magazine, Granta, Forbes.com, and The Wall Street Journal, among others.

Following Iowa, he became professor of medicine and chief of the Division of Infectious Diseases at Texas Tech Health Sciences Center in El Paso, Texas, where he lived for the next 11 years. In addition to writing his first book, which was one of five chosen as Best Book of the Year by Time magazine and later made into a Mira Nair movie, he also wrote a second best-selling book, The Tennis Partner : A Story of Friendship and Loss, about his friend and tennis partner?s struggle with addiction. This was a New York Times' Notable Book.


“If 'ecstasy' meant the sudden intrusion of the sacred into the ordinary, then it had just happened to me.”
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“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
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“Nevertheless, I drove right past my landmark, an antique store which looked to me like an ordinary house with junk piled on the front porch.”
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“The key to your happiness is to...own who you are, own how you look, own your family, own the talents you have, and own the ones you don't. [Otherwise] 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.”
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“The poorest in America are the sickets. Poor people can't afford preventive care or insurance. The poor don't see doctors. They show up at our doorstep when things are advanced.”
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“He had a theory that bedroom Amharic and bedside Amharic were really the same thing: Please lie down. Take off your shirt. Open your mouth. Take a deep breath...The language of love was the same as the language of medicine.”
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“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.”
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“Make something beautiful of your life.”
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“Wasn't that the definition of home? Not where you are from, but where you are wanted”
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“This was what growing up was about: hide the corpse, don't bare your heart, do make assumptions about the motives of others. They're certainly doing all these things to you.”
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“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.”
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“Why must I do what is hardest?" "Because, Marion, 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 play the 'Gloria'?”
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“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.”
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“...guilt leads to righteous action, but rarely is it the right action.”
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“... her unhandsome, but beautiful friend of so many years...”
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“What did it say when a man had fewer clothes than books?”
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“Life is like that. You live it forward but understand it backward.”
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“God will judge us, Mr. Harris, by--by what we did to relieve the suffering of our fellow human beings. I don't think God cares what doctrine we embrace.”
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“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.”
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“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.”
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“You live it forward, but understand it backward.”
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“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'.”
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“The world turns on our every action, and our every omission, whether we know it or not.”
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“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.”
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“Not only our actions, but also our omissions, become our destiny. From "Cutting for Stone”
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“We stopped you from going, didn't we? Me and Shiva. Our birth?"Don't be silly. Can you imagine me giving up this?" he said sweeping his hand to indicate family, Missing, the home he'd made out of a bungalow. "I've been blessed. My genius was to know long ago that money alone wouldn't make me happy. Or maybe that's my excuse for not leaving you a huge fortune! I certainly could have made more money if that had been my goal. But one thing I won't have is regrets. 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.Of course, you and I have seen countless deaths among the poor. Their only regret surely is being born poor, suffering from birth to death. You know, in the book of Job, Job says to God, 'You should've taken me straight from the womb to the tomb! Why the in-between part, why life, if it was just to suffer?' Something like that. For the poor, death is at least the end of suffering.”
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“I spent as much time as I could with Ghosh. I wanted every bit of wisdom he could impart to me. All sons should write down every word of what their fathers have to say to them. I tried. Why did it take an illness for me to recognize the value of time with him? It seems we humans never learn. And so we relearn the lesson every generation and then want to write epistles. We proselytize to our friends and shake them by the shoulders and tell them, "Seize the day! What matters is THIS moment!" Most of us can't go back and make restitution. We can't do a thing about our should haves and our could haves. But a few lucky men like Ghosh never have such worries; there was no restitution he needed to make, no moment he failed to seize.Now and then Ghosh would grin and wink at me across the room. He was teaching me how to die, just as he'd taught me how to live.”
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“I'll never forget the stillness, the hesitation, and a trace of something I'd never before seen on Ghosh's face: cunning. Then it gave in to resignation and a faraway look. For a moment I saw the world through his eyes, his intellect, his sweeping vision...a vision that recapitulated our birth and looked to the future, looked past his life to the end of mine and beyond. And then and only then did it settle, gather, and focus, on the now, on a moment when the love was so palpable between father and son that the thought that it might end, and this memory be its only legacy, was unacceptable.”
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“It was a tale well known to children all over Africa: Abu Kassem, a miserly Baghdad merchant, had held on to his battered, much repaired pair of slippers even though they were objects of derision. At last, even he couldn't stomach the sight of them. But his every attempt to get rid of his slippers ended in disaster: when he tossed them out of his window they landed on the head of a pregnant woman who miscarried, and Abu Kassem was thrown in jail; when he dropped them in the canal, the slippers choked off the main drain and caused flooding, and off Abu Kassem went to jail...'One night when Tawfiq finished, another prisoner, a quiet dignified old man, said, 'Abu Kassem might as well build a special room for his slippers. Why try to lose them? He'll never escape.' The old man laughed, and he seemed happy when he said that. That night the old man died in his sleep.We all saw it the same way. the old man was right. The slippers in the story mean that everything you see and do and touch, every seed you sow, or don't sow, becomes part of your destiny...In order to start to get rid of your slippers, you have to admit they are yours, and if you do, then they will get rid of themselves.Ghosh sighed. 'I hope one day you see this as clearly as I did in Kerchele. 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.”
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“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.”
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“I chose the specialty of surgery because of Matron, that steady presence during my boyhood and adolescence. 'What is the hardest thing you can possibly do?' she said when I went to her for advice on the darkest day of the first half of my life.I squirmed. How easily Matron probed the gap between ambition and expediency. 'Why must I do what is hardest?''Because, Marion, 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 play the 'Gloria'?'But, Matron, I can't dream of playing Bach...I couldn't read music.'No, Marion,' she said her gaze soft...'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.”
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“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.”
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“This is my life, I thought...I have exised 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, mudstained slippers that I buried at the start of the journey still stuck to my feet? ”
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“I realized that I could have done more for him if I had been in his house. I would have pushed morphine--large doses. Morphine disconnects the head from the body, makes the isthmus of a neck vanish and diminishes the awareness of suffering. It is like a magic trick: the head on the pillow, at peace, while the chest toils away.”
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“If Norman had found a way, had stumbled on a path--or, indeed, if he had not found a way--then I wanted to know. I was after something more intimate, something less elegant and Kübler-Ross's stages of denial, anger, bargaining, grieving and acceptance. I simply wanted to know how to accomplish a good death.”
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“I felt sorry that he had suffered so long in the hospital, sorry that even in his last minutes our mindless technology had so rudely interrupted his transition”
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“Life for the Italians was what it was, no more and no less, an interlude between meals”
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“As she bent over the child she realized that the tragedy of death had to do entirely with what was left unfulfilled. She was ashamed that such a simple insight should have eluded her all these years. Make something beautiful of your life. Wasn't that the adage of Sister Mary Joseph Praise lived by? Hema's second thought was that she, deliverer of countless babies, she who'd rejected the kind of marriage her parents wanted for her, she who felt there were too many children in the world and felt no pressure to add to that number, understood for the first time that having a child was about cheating death. Children were the foot wedged in the closing door, the glimmer of hope that in reincarnation there would be some house to go to, even if one came back as a dog, or a mouse, or a flea that lived on the bodies of men. If, as Matron and Sister Mary Joseph Praise believed, there was a raising of the dead, then a child would be sure to see that its parents were awakened. Provided, of course, the child didn't die with you in a plane crash.”
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“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
Read more