“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.”

“In America, my initial impression was that death or the possibility of it always seemed to come as a surprise, as if we took it for granted that we were immortal, and that death was just an option.”

“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.”

“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.”

“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.”

“When a man is a mystery to himself you can hardly call him mysterious.""God will judge us by what we did to relieve the suffering of our fellow human beings. I don't think God cares what doctrine we embrace.”

“Or to think that before Pasteur's discovery of microbes, doctors fought duels over the merits of balsam of Peru vs. tar oil for wound infection. Ignorance was just as dynamic as knowledge, and it grew in the same proportion. Still, each generation of physicians imagined that ignorance was the special provenance of their elders.”