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.

The artist deals with what cannot be said in words. The novelist says in words what cannot be said in words.

She kept swimming out into life because she hadn't yet found a rock to stand on.

If I had to give up my life for anything, it would have to have the resilience of hope, the elation of new literacy, the brilliant life of a field of flowers, the elementary kindness of bread. Nothing short of that. It would have to be something as sure as love.

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.

You see mother, you had no life of your own. They have no idea. One has only a life of one's own.

I’ve seen how you can’t learn anything when you’re trying to look like the smartest person in the room.