A miscarriage is a natural and common event. All told, probably more women have lost a child from this world than haven't. Most don't mention it, and they go on from day to day as if it hadn't happened, so people imagine a woman in this situation never really knew or loved what she had. But ask her sometime: how old would your child be now? And she'll know.

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.

I don't bring expectations to any of my books. I don't tell people what to do. I want to invite them in.

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.

If it's important, your heart remembers.

People read books to escape the uncertainties of life.

I concentrate on character, theme, language, structure, voice. It actually surprises me that no matter what I write, people declare it "intently political." I'm just writing about the world I know, as it is. Wounds and griefs included.