I stir in bed and the memories rise out of me like a buzz of flies from a carcass. I crave to be rid of them.

But we've all ended up giving body and soul to Africa, one way or another. Even Adah, who's becoming an expert in tropical epidemiology and strange new viruses. Each of us got our heart buried in six feet of African dirt; we are all co-conspirators here. I mean, all of us, not just my family. So what do you do now? You get to find your own way to dig out a heart and shake it off and hold it up to the light again.

On the day I swore to uphold the Hippocratic oath, the small hairs on the back of my neck stood up as I waited for lightning to strike. Who was I, vowing calmly among all these necktied young men to steal life out of nature's jaws, every old time we got half a chance and a paycheck?... I could not accept the contract: that every child born human upon this earth comes with a guarantee of perfect health and old age clutched in its small fist.

Sometimes I still have American dreams. I mean literally. I see microwave ovens and exercise machines and grocery store shelves with 30 brands of shampoo, and I look at these things oddly, in my dream. I stand and think, "What is all this for? What is the hunger that drives this need?" I think it's fear. Codi, I hope you won't be hurt by this, but I don't think I'll ever be going back. I don't think I can.

Illusions mistaken for truth are the pavement under our feet. They are what we call civilization.

The way I see it, a person isn't nothing more than a scarecrow... The only difference between one that stands up good and one that blows over is what kind of a stick they're stuck up there on.

There was a roaring in my ears and I lost track of what they were saying. I believe it was the physical manifestation of unbearable grief.