You can't show up at the bedside and then turn on your skills. You have to keep your game sharp all the time.
As a young physician in the mid-'80s, caring for people who had contracted H.I.V., I lost two of my patients to suicide at a time when the virus was doing very little harm to them. I have always thought of them as having been killed by a metaphor, by the burden of secrecy and shame associated with the disease.
I'm a proud American - becoming a citizen in 1988 was one of the most profoundly moving occasions in my life; I'm a former Texan and a recent Californian.
I joke, but only half joke, that if you show up in an American hospital missing a finger, no one will believe you until they get a CAT scan, MRI and orthopedic consult.
I'm the first to admit that the resolution of a hand feeling the belly doesn't compare with the resolution of a CAT scan scanning the belly, but only my hand can say that it hurts at this spot and not at this spot. Only my hand can say that.
When you have a natural genetic tan developed over centuries and many generations, the idea of soaking up rays by the pool has never made sense.
