Patients know in a heartbeat if they're getting a clumsy exam.

No matter what ailed you, you went to see the barber surgeon who wound up cupping you, bleeding you, purging you. And, oh yes, if you wanted, he would give you a haircut and pull your tooth while he was at it.

I always wondered if the good people who send us bibles really think that hookworm and hunger are healed by scripture? Our patients are illiterate.

According to Shiva, life is in the end about fixing holes. Shiva didn't speak in metaphors. fixing holes is precisely what he did. Still, it's an apt metaphor for our profession. But there's another kind of hole, and that is the wound that divides family. Sometimes this wound occurs at the moment of birth, sometimes it happens later. We are all fixing what is broken. It is the task of a lifetime. We'll leave much unfinished for the next generation.

What we need in medical schools is not to teach empathy, as much as to preserve it. The process of learning huge volumes of information about disease, of learning a specialised language, can ironically make one lose sight of the patient one came to serve; empathy can be replaced by cynicism.

A beautiful literary collection that tells of today's country doctor, somewhat removed from our romantic black-bag image of days gone by, but still fulfilling an essential need in caring for spread-out populations. At times, with today's advances in technology, medicine in rural America looks very like it does in America's cities, but the variety of practices is enormous. The Country Doctor Revisited captures the trials and tribulations of medicine, but also the satisfaction and the extraordinary rewards that come to those who embrace such a practice.

God will judge us, Mr. Harris, by--by what we did to relieve the suffering of our fellow human beings. I don't think God cares what doctrine we embrace.