At those critical junctures the question is not…

At those critical junctures, the question is not simply whether to live or die but what kind of life is worth living. Would you trade your ability–or your mother’s–to talk for a few extra months of mute life? The expansion of your visual blind spot in exchange for the small possibility of a fatal brain hemorrhage? Your right hand’s function to stop seizures? How much neurological suffering would you let your child endure before saying that death is preferable? Because the brain mediates our experience of the world, any neurosurgical problem forces a patient, and family, ideally with a doctor as a guide, to answer this question: What makes life meaningful enough to go on living?

―Paul Kalanithi, When Breath Becomes Air

The physician’s duty is not to stave off…

The physician’s duty is not to stave off death or return patients to their old lives, but to take into our arms a patient and family whose lives have disintegrated and work until they can stand back up and face, and make sense of, their own existence.

―Paul Kalanithi, When Breath Becomes Air

Science may provide the most useful way to…

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.

―Paul Kalanithi, When Breath Becomes Air