“If I had my way we'd sleep every night all wrapped around each other like hibernating rattlesnakes.”

“A curse. Been in our family for generations. The Lees have always been perverts. I shall never forget the unspeakable horror that froze the lymph in my glands when the baneful word seared my reeling brain—I was a homosexual. I thought of the painted simpering female impersonators I'd seen in a Baltimore nightclub. Could it be possible I was one of those subhuman things? I walked the streets in a daze like a man with a light concussion. I would've destroyed myself. And a wise old queen—Bobo, we called her—taught me that I had a duty to live and bear my burden proudly for all to see. Poor Bobo came to a sticky end - he was riding in the Duke Devanche's Hispano Suissa when his falling hemorrhoids blew out of the car and wrapped around the rear wheel. He was completely gutted leaving an empty shell sitting there on the giraffe skin upholstry. Even the eyes and the brain went with a horrible "shlupping" sound. The Duke says he would carry that ghastly "shlup" with him to his mausoleum.”

“I am not one of those weak-spirited, sappy Americans who want to be liked by all the people around them. I don’t care if people hate my guts; I assume most of them do. The important question is whether they are in a position to do anything about it. My affections, being concentrated over a few people, are not spread all over Hell in a vile attempt to placate sulky, worthless shits.”

“This is a war universe. War all the time. That is its nature. There may be other universes based on all sorts of other principles, but ours seems to be based on war and games. All games are basically hostile. Winners and losers. We see them all around us: the winners and the losers. The losers can oftentimes become winners, and the winners can very easily become losers. ”

“Wouldn't it be great,as Scott Peck suggests, if all medical students had to undergo the symptoms and feeling of a spectrum of illnesses. From acute infections to terminal cancer - and Kuru, the laughing sickness. Just a month for each exposure, controlled of course, and a good heavy dose of excruciating pain. So they'll know what that feels like.”

“I was lying there trying to control the fear. I did not know much about this uremic poisoning. A woman I'd known slightly in Texas had died of it after drinking a bottle of beer ever hour, night and day, for two weeks.”

“we are all alone, born alone, die alone, and — in spite of true romance magazines — we shall all someday look back on our lives and see that, in spite of our company, we were alone the whole way. i do not say lonely — at least, not all the time — but essentially, and finally, alone. this is what makes your self-respect so important, and i don’t see how you can respect yourself if you must look in the hearts and minds of others for your happiness”