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.

Like an animal, cancer sleeps, prowls, hibernates, turns surly or placid.

The first axiom of the family vacation is that someone, possibly everyone, will get sick.

Every time I caught a fish, I wondered how something so small could have such clear, pure strength. It kept reminding me of another sensation, from another realm. The fish on the line, I eventually realized, felt like the baby, kicking inside you. Or the shocking, life-hungry pull of the baby on the breast. Perhaps fishing is like quickening for men, a long and patient wait for a few electric moments when they feel connected to another life.

Motherhood is like Albania- you can't trust the descriptions in the books, you have to go there.

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.

When a mother comes home with her new baby, she will find her abstractions are all concrete now. 'Freedom' now means being able to take a shower. 'Mobility' means being able to reach the glass of water on the dresser while not breaking the baby's suction on the breast. 'Flexibility' means being able to push the Record function on the VCR without dropping the baby.