I knew medicine only by its absence - specifically, the absence of a father growing up: one who went to work before dawn and returned in the dark to a plate of reheated dinner.
Interpretation
The quote reflects on the speaker's experience of growing up without a father, highlighting the impact of absence in their life.
In this quote, Paul Kalanithi expresses a profound sense of loss and longing related to his father's absence during his upbringing. He illustrates how the lack of paternal presence has shaped his understanding of life and influenced his perception of the world, particularly in relation to the field of medicine. The imagery of a father working tirelessly away from home emphasizes themes of sacrifice and neglect, revealing how parenting shapes not only personal identity but also professional aspirations.
In practice
During a speech about the importance of family, one could use this quote to illustrate the impact of absent parental figures.
Science is based on reproducibility and manufactured objectivity. As strong as that makes its ability to generate claims about matter and energy, it also makes scientific knowledge inapplicable to the existential, visceral nature of human life, which is unique and subjective and unpredictable.
Science may provide the most useful way to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspects of human life: hope, fear, love, hate, beauty, envy, honor, weakness, striving, suffering, virtue.
Putting lifestyle first is how you find a job - not a calling.
The root of disaster means a star coming apart, and no image expresses better the look in a patient's eyes when hearing a neurosurgeon's diagnosis.
I have sat with countless patients and families to discuss grim prognoses: It's one of the most important jobs physicians have. It's easier when the patient is 94, in the last stages of dementia, and has a severe brain bleed. For young people like me - I am 36 - given a diagnosis of cancer, there aren't many words.
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.
They're ugly, but those are the facts of life.
Do not act as if you were going to live ten thousand years. Death hangs over you. While you live, while it is in your power, be good.
I've always approached my career and my life, you know, one day at a time, as if this was the last day that I'm going, because you never know as an athlete and as a dancer. You never know what can happen today, tomorrow.
Indeed it is possible to stand with one foot on the inevitable 'banana peel' of life with both eyes peering into the Great Beyond, and still be happy, comfortable, and serene - if we will even so much as smile.
The most dangerous risk of all - the risk of spending your life not doing what you want on the bet you can buy yourself the freedom to do it later.
When you're surfing you're not thinking about where you parked the car or what you're going to do when you grow up or what you're going to buy when you've got lots of money. You know, you're just there. You're in the moment. And I think in a contemporary world, that's a rare privilege.
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