“Pain reaches the heart with electrical speed, but truth moves to the heart as slowly as a glacier.”

“This is what it means to be alone: everyone is connected to everyone else, their bodies are a bright liquid life flowing around you, sharing a single heart that drives them to move all together. If the shark comes they will all escape, and leave you to be eaten.”

“Like kids who only ever get socks for Christmas, but still believe with all their hearts in Santa.”

“Bitter words normally evaporate with the moisture of breath, after a quarrel. In order to become permanent, they require transcribers, reporters, complicit black hearts.”

“Why do you suppose the poets talk about hearts?' he asked me suddenly. 'When they discuss emotional damage? The tissue of hearts is tough as a shoe. Did you ever sew up a heart?'I shook my head. 'No, but I've watched. I know what you mean.' The walls of a heart are thick and strong, and the surgeons use heavy needles. It takes a good bit of strength, but it pulls together neatly. As much as anything it's like binding a book.The seat of human emotion should be the liver,' Doc Homer said. 'That would be an appropriate metaphor: we don't hold love in our hearts, we hold it in our livers.'I understood exactly. Once in ER I saw a woman who'd been stabbed everywhere, most severely in the liver. It's an organ with the consistency of layer upon layer of wet Kleenex. Every attempt at repair just opens new holes that tear and bleed. You try to close the wound with fresh wounds, and you try and you try and you don't give up until there's nothing left.”

“Forgive me, O Heavenly Father, according to the multitude of Thy mercies. I have lusted in my heart to break a man's skull and scatter the stench of his brains across several people's back yards.”

“But we've all ended up giving body and soul to Africa, one way or another. Even Adah, who's becoming an expert in tropical epidemiology and strange new viruses. Each of us got our heart buried in six feet of African dirt; we are all co-conspirators here. I mean, all of us, not just my family. So what do you do now? You get to find your own way to dig out a heart and shake it off and hold it up to the light again.”