A child, thought Carl, is not the only result of childbirth. A mother, too, is born. You see them every day--nondescript women with a bulge just above the groin, slightly double-chinned. Perpetually forty. Someone's mother, you think. There is a child somewhere who has made this woman into a mother, and for the sake of the child she has altered her appearance to better play the part.

To conform is to lose your soul

Names generate meaning in a short amount of space — they provoke thoughts, questions. That's something I like doing. Of course, you have to be careful. Sometimes it can alienate the reader, it can be another level of mediation, to make a character carry the great burden of a metaphoric name. The character can be a device before he or she becomes a person, and that can be a bad thing for a writer who wants to offer up a kind of emotional proximity in the work. It's a constant struggle, the desire to be playful and the desire to communicate on some very stark emotional level.

A dentist is only half the doctor he claims to be.

We had the great good fortune and shortcomings of character that marked every generation that had never seen war.

There were times where I felt I was pressing a little bit too hard with the humor, and I had to pull back, because the overriding concern of the book was to create this disease that had no cure and make you pay attention to every emotional stage of what happens.

If you can get by with quotes from The Godfather and nothing you say matters, that's pretty bleak, don't you think? Don't we want what we say to matter?