One of the things about being raised British in Africa is that you get this double whammy of toughness. The continent in place itself made you quite tough. And then you've got this British mother whose entire being rejects 'coddling' in case it makes you too soft. So there's absolutely nothing standing between you and a fairly rough experience.

Until I read Anne Frank's diary, I had found books a literal escape from what could be the harsh reality around me. After I read the diary, I had a fresh way of viewing the both literature and the world. From then on, I found I was impatient with books that were not honest or that were trivial and frivolous.

I don't think we have all the words in a single vocabulary to explain what we are or why we are. I don't think we have the range of emotion to fully feel what someone else is feeling. I don't think any of us can sit in judgment of another human being. We're incomplete creatures, barely scraping by. Is it possible--from the perspective of this quickly spinning Earth and our speedy journey from crib to coffin--to know the difference between right, wrong, good, and evil? I don't know if it's even useful to try.

I had the constitution of a missionary.

The land itself, of course, was careless of its name. It still is. You can call it what you like, fight all the wars you want in its name. Change its name altogether if you like. The land is still unblinking under the African sky. It will absorb white man's blood and the blood of African men, it will absorb blood from slaughtered cattle and the blood from a woman's birthing with equal thirst. It doesn't care.

But I plucked a new, different, worldly soul for myself -- maybe a soul I found in the spray thrown up by the surge of that distant African river as it plummets onto black rocks and sends up into the sun a permanent arc of a rainbow.

There aren't enough doctors in Africa. Those who choose to become doctors here don't do it for the money or because they want to do good. They do it because they have to heal, the way most people need to breathe or eat or love.