“You're fucked. You thought you were going to be someone, but now it's obvious you're nobody. You haven't got as much talent as you thought you had, and there was no Plan B, and you got no skills and no education, and now you're looking at forty or fifty years of nothing. Less than nothing, probably. That's pretty heavy. That's worse than having the brain thing, because what you got now will take a lot longer to kill you. You've got the choice of a slow, painful death, or a quick, merciful one.”

“Look, I really don't want to wax philosophic, but I will say that if you're alive, you've got to flap your arms and legs, you got to jump around a lot, you got to make a lot of noise, because life is the very opposite of death. And therefore, as I see it, if you're quiet, you're not living. You've got to be noisy, or at least your thoughts should be noisy, colorful and lively.”

“Study changes a man, puts pride into him. You need it to get to the bottom of life. Without it you just skim the surface. You think you're in the know, but trifles throw you off. You dream too much. You content yourself with words instead of going deeper. That's not what you wanted. Intentions, appearances, no more. A man of character can't content himself with that. Medicine, even if I wasn't very gifted, had brought me a good deal closer to people, to animals, everything. Now all I had to do was plunge straight into the heart of things. Death is chasing you, you've got to hurry, and while you're looking you've got to eat, and keep away from wars. That's a lot of things to do. It's no picnic.”

“If you don't have liberty and self-determination, you've got nothing, that's what this is what this country is built on. And this is the ultimate self-determination, when you determine how and when you're going to die when you're suffering.”

“If you know how much you've got, you probably haven't got much.”

“I don’t even have a choice. Rachel thought how that was pretty much true of everything now, that you got one choice at the beginning but if you didn’t choose right, and she hadn’t, things got narrow real quick. Like trying to wade a river, she thought. You take a wrong step and set your foot on a wobbly rock or in a drop-off and you’re swept away, and all you can do then is try to survive. (83)”