Addiction might be redefined not as a character flaw but as a "biochemical deficit management." Our emotional habits will become an accepted factor of good health, along with slogans like "Heartache can be harmful to your unborn children."

Simple intervention - the time spent with a patient - is a very powerful ingredient of the patient-doctor contract. The evidence is against the traditions such as surgery for back pain being true - the evidence says it doesn't work.

I could still remember how having a two day old baby makes you feel faintly sorry for everyone else, stuck in their wan unmiraculous lives.

Household hollowness comes around in irregular cycles, like meteor showers. But the true sign of a bad patch is that it never feels temporary or fixable. It has a shudder of the inevitable to it. The thought crosses your mind that when love goes it goes all at once, and forever.

Well, delusions are a wonderful thing, and they keep you company, too.

If Jeff Mogil and Ron Melzack are right about genetics and pain, fifty years from now, generic Tylenol tablets will seem as quaint to us as a bottle of sarsaparilla tonic. Instead, we'll take our genotype ID bracely to the local genopharmacologist to order some bespoke pharmaceuticals. Or we may rise at four A.M. to meditate on the part of our nature that is painful and feel better for it. Along with social insurance, we'll carry geno-cards that list our predispositions: photosensitivity, osteoporosis, and poor response to codeine.

When a couple turns domestic, for the first while having to talk about the need for aluminum eaves troughing and other matters only gets in the way of the relationship. Then, magically, these negotiations take the place of the relationship.