I knew medicine only by its absence - specifically, the absence of a father growing up: one who went to work before dawn and returned in the dark to a plate of reheated dinner.
Interpretation
The quote reflects on the speaker's experience of growing up without a father, highlighting the impact of absence in their life.
In this quote, Paul Kalanithi expresses a profound sense of loss and longing related to his father's absence during his upbringing. He illustrates how the lack of paternal presence has shaped his understanding of life and influenced his perception of the world, particularly in relation to the field of medicine. The imagery of a father working tirelessly away from home emphasizes themes of sacrifice and neglect, revealing how parenting shapes not only personal identity but also professional aspirations.
In practice
During a speech about the importance of family, one could use this quote to illustrate the impact of absent parental figures.
Science is based on reproducibility and manufactured objectivity. As strong as that makes its ability to generate claims about matter and energy, it also makes scientific knowledge inapplicable to the existential, visceral nature of human life, which is unique and subjective and unpredictable.
Science may provide the most useful way to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspects of human life: hope, fear, love, hate, beauty, envy, honor, weakness, striving, suffering, virtue.
Putting lifestyle first is how you find a job - not a calling.
The root of disaster means a star coming apart, and no image expresses better the look in a patient's eyes when hearing a neurosurgeon's diagnosis.
I have sat with countless patients and families to discuss grim prognoses: It's one of the most important jobs physicians have. It's easier when the patient is 94, in the last stages of dementia, and has a severe brain bleed. For young people like me - I am 36 - given a diagnosis of cancer, there aren't many words.
Everyone succumbs to finitude. I suspect I am not the only one who reaches this pluperfect state. Most ambitions are either achieved or abandoned; either way, they belong to the past. The future, instead of the ladder toward the goals of life, flattens out into a perpetual present.
Give me, for my life, all lives, give me all the pain of everyone, I'm going to turn it into hope. Give me all the joys, even the most secret, because otherwise how will these things be known? I have to tell them, give me the labors of everyday, for that's what I sing.
Real value isn’t in what you own, drive, wear or live. The greater value is found in love and life, health and strength, friends and family!
I wanted a perfect ending. Now I've learned, the hard way, that some poems don't rhyme, and some stories don't have a clear beginning, middle and end.
I really haven't had that exciting of a life. There are a lot of things I wish I would have done, instead of just sitting around and complaining about having a boring life. So I pretty much like to make it up. I'd rather tell a story about somebody else.
Wherever life takes us, there are always moments of wonder.
But the people who took the bus didn't experience the city as we experienced the city. The pain made the city more beautiful. The story made us different characters than we would have been if we had skipped the story and showed up at the ending an easier way.
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