Tuesday 8 October 2024

RD BK WHEN BREATH BECOMES AIR

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“You can’t ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving.”
― Paul Kalanithi, When Breath Becomes Air


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That message is simple: When you come to one of the many moments in life when you must give an account of yourself, provide a ledger of what you have been, and done, and meant to the world, do not, I pray, discount that you filled a dying man’s days with a sated joy, a joy unknown to me in all my prior years, a joy that does not hunger for more and more, but rests, satisfied. In this time, right now, that is an enormous thing.”
― Paul Kalanithi, When Breath Becomes Air


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“There is a moment, a cusp, when the sum of gathered experience is worn down by the details of living. We are never so wise as when we live in this moment.”
― Paul Kalanithi, When Breath Becomes Air


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“even if I’m dying, until I actually die, I am still living.”
― Paul Kalanithi, When Breath Becomes Air


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I began to realize that coming in such close contact with my own mortality had changed both nothing and everything. Before my cancer was diagnosed, I knew that someday I would die, but I didn’t know when. After the diagnosis, I knew that someday I would die, but I didn’t know when. But now I knew it acutely. The problem wasn’t really a scientific one. The fact of death is unsettling. Yet there is no other way to live.”
― Paul Kalanithi, When Breath Becomes Air


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The main message of Jesus, I believed, is that mercy trumps justice every time.”
― Paul Kalanithi, When Breath Becomes Air



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“Years ago, it had occurred to me that Darwin and Nietzsche agreed on one thing: the defining characteristic of the organism is striving.”
― Paul Kalanithi, When Breath Becomes Air



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“Life wasn’t about avoiding suffering.”
― Paul Kalanithi, When Breath Becomes Air



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Death comes for all of us. For us, for our patients: it is our fate as living, breathing, metabolizing organisms. Most lives are lived with passivity toward death -- it's something that happens to you and those around you. But Jeff and I had trained for years to actively engage with death, to grapple with it, like Jacob with the angel, and, in so doing, to confront the meaning of a life. We had assumed an onerous yoke, that of mortal responsibility. Our patients' lives and identities may be in our hands, yet death always wins. Even if you are perfect, the world isn't. The secret is to know that the deck is stacked, that you will lose, that your hands or judgment will slip, and yet still struggle to win for your patients. You can't ever reach perfection, but you can believe in an asymptote toward which you are ceaselessly striving.”
― Paul Kalanithi, When Breath Becomes Air


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“If the unexamined life was not worth living, was the unlived life worth examining?”
― Paul Kalanithi, When Breath Becomes Air



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“Grand illnesses are supposed to be life-clarifying. Instead, I knew I was going to die—but I’d known that before. My state of knowledge was the same, but my ability to make lunch plans had been shot to hell. The way forward would seem obvious, if only I knew how many months or years I had left. Tell me three months, I’d spend time with family. Tell me one year, I’d write a book. Give me ten years, I’d get back to treating diseases. The truth that you live one day at a time didn’t help: What was I supposed to do with that day?”
― Paul Kalanithi, When Breath Becomes Air



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Everyone succumbs to finitude. I suspect I am not the only one who reaches this pluperfect state. Most ambitions are either achieved or abandoned; either way, they belong to the past. The future, instead of the ladder toward the goals of life, flattens out into a perpetual present. Money, status, all the vanities the preacher of Ecclesiastes described, hold so little interest: a chasing after wind, indeed.”
― Paul Kalanithi, When Breath Becomes Air



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Bereavement is not the truncation of married love,” C. S. Lewis wrote, “but one of its regular phases—like the honeymoon.”
― Paul Kalanithi, When Breath Becomes Air



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