“Such is the demographic paradox of a junior physician's relationship with his patients: I worry about how to extend their lives. This anxiety inevitably shortens my own.”

“Such is the demographic paradox of a junior physician's relationship with his patients: I worry about how to extend their lives. This anxiety inevitably shortens my own.”

“Maybe that is the greatest of wonders: that we can be shaped so much by those we've known closely, and equally by those we've never known at all - and that we too can change the world long after we've left it.”

“Such is the demographic paradox of a junior physician's relationship with his patients: I worry about how to extend their lives. This anxiety inevitably shortens my own.”

“The most dangerous ideas are not those that challenge the status quo. The most dangerous ideas are those so embedded in the status quo, so wrapped in a cloud of inevitability, that we forget they are ideas at all.”

“Arnold had never given much thought to whether or not he loved America—but now it seemed pretty obvious to him that he didn’t. Not in the way Nathan Hale had loved America. Or even in the way his late father, a Dutch-Jewish refugee, had loved America. In fact, he found the idea of sacrificing his life for his country somewhat abhorrent. Moreover, it wasn’t that he disliked abstract loyalties in general. He loved New York, for instance: Senegalese takeout at three a.m., and strolling through the Botanical Gardens on the first crisp day of autumn, and feeding the peacocks at the Cathedral of St. John the Divine. If Manhattan were invaded—if New Jersey were to send an expeditionary force of militiamen across the Hudson River—he’d willingly take up arms to defend his city. He also loved Sandpiper Key in Florida, where they owned a time-share, and maybe Brown University, where he’d spent five years of graduate school. But the United States? No one could mistake his qualified praise for love.”

“This is how most stories end in the hospital. Not with crash carts and sirens and electric shocks to the chest, but with an empty room, a crisp white bed, silence.”

“Choose old people for enemies. They die. You win.”

“If God wanted teenagers to be abstinent, puberty would begin at twenty.”

“That was the heart of the problem: every choice made sense from some vantage point.”

“Patriotism is being convinced your country is better because you were born in it.”

“Know your load. That’s rule numero uno in this business, which is why I make them count the penguins out in front of me one at a time. I’m not going to be the schmuck who shows up in Orlando twobirds short of a dinner party....I know I’m pulling out of Houston with exactly forty-two Gentoo penguins, seventeen Jamaican land iguanas, four tuataras from New Zealand, and a pair of rare, civet-like mammals called linsangs. No more, no less.”