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.
When I was in high school, I remember seeing girls crying in the bathroom every Monday about what they did that weekend. I never wanted to be that girl crying in the bathroom.
I believe life is a series of near misses. A lot of what we ascribe to luck is not luck at all. It's seizing the day and accepting responsibility for your future. It's seeing what other people don't see And pursuing that vision.
A lot of life is dealing with your curse, dealing with the cards you were given that aren't so nice. Does it make you into a monster, or can you temper it in some way, or accept it and go in some other direction?
Everyone who is taken by death asks for more time, while everyone who still has time makes excuses for procrastination.
Suddenly you’re ripped into being alive. And life is pain, and life is suffering, and life is horror, but my god you’re alive and its spectacular.
Nothing changed in my life since I work all the time," Pamuk said then. "I've spent 30 years writing fiction. For the first 10 years I worried about money and no one asked me how much money I made. The second decade I spent money and no one was asking me about that. And I've spent the last 10 years with everyone expecting to hear how I spend the money, which I will not do.
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