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My sense is that the wonderful technology that we have to visualize the inside of the body often leaves physicians feeling that the exam is a waste of time and so they may shortchange the ritual.
Abraham Verghese
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Abraham Verghese
Age: 69
Born: 1955
Born: January 1
Physician
University Teacher
Writer
Federal Democratic Republic of Ethiopia
May
Inside
Time
Technology
Shortchange
Wonderful
Visualize
Feeling
Exam
Often
Physicians
Sense
Ritual
Feelings
Leaves
Body
Waste
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There is a point when grief exceeds the human capacity to emote, and as a result one is strangely composed-
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We're losing a ritual. We're losing a ritual that I believe is transformative, transcendent, and is at the heart of the patient-physician relationship.
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I joke, but I only half joke, that if you come to one of our hospitals missing a limb, no one will believe you till they get a CAT scan, MRI, or orthopedic consult.
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Rituals, anthropologists will tell us, are about transformation. The rituals we use for marriage, baptism or inaugurating a president are as elaborate as they are because we associate the ritual with a major life passage, the crossing of a critical threshold, or in other words, with transformation.
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He was teaching me how to die, just as he'd taught me how to live.
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What did it say when a man had fewer clothes than books?
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He had so many ways of climbing into the tree house in his head, escaping the madness below, and pulling the ladder up behind him.
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There is that lovely feeling of one reader telling another, 'You must read this.' I've always wanted to write a book like that, with the sense that you are contributing to the discourse in middle America, a discourse that begins at a book club in a living room, but then spreads. That is meaningful to me.
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Pray tell us, what's your favorite number?
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We know the average American physician interrupts their patient in 14 seconds.
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Make something beautiful of your life.
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I still find the best way to understand a hospitalized patient is not by staring at the computer screen but by going to see the patient it's only at the bedside that I can figure out what is important.
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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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I think we learn from medicine everywhere that it is, at its heart, a human endeavor, requiring good science but also a limitless curiosity and interest in your fellow human being, and that the physician-patient relationship is key all else follows from it.
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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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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 can play the 'Gloria'? 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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It was all I had, all I've ever had, the only currency, the only proof that I was alive. Memory.
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When I use the word 'healing', by that I mean that every disease has a physical element that we're very good at handling, but there's always a sense of the violation. 'Why me?' 'Why is my leg broken on the ski trip and not anyone else's?' And I think that medicine has done a terrible job of addressing that spiritual violation.
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There are moments as a teacher when I'm conscious that I'm trotting out the same exact phrase my professor used with me years ago. It's an eerie feeling, as if my old mentor is not just in the room, but in my shoes, using me as his mouthpiece.
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...guilt leads to righteous action, but rarely is it the right action.
Abraham Verghese