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 live in southern Appalachia, so I'm surrounded by people who work very hard for barely a living wage. It's particularly painful that people are working the farms their parents and grandparents worked but aren't living nearly as well.

It's very important to distinguish between innocence and naivete. The innocent do not deserve to be the victims of violence. But only the naive refuse to think about the origins of violence and to pursue the possibility that the genesis of that hatred could be addressed.

Time cures you first, and then it kills you.

If you want sweet dreams, you've got to live a sweet life.

If we can't, as artists, improve on real life, we should put down our pencils and go bake bread.

I can count all the ways in which being a mother has enriched my understanding of the world, of character, my sense of the future and my attachment to it. I can't imagine what kind of writer I'd be if I didn't have my kids.