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Letter to Myself, in Remission, from Myself, Terminal" You'll come to hate your own poems, read them as pretty wisps of colorful thinking, all those images just a splash of colored oil sloshed over a pool gone rancid. Admit it. Atheists always scared you. And no wonder. Those nights you switched on the fan so no one could hear you scream into your pillow, weeping and biting your own hands like a motherless monkey,banded to a body that despised you, a suit of coals with a jammed-shut zipper. Instead of the truth, you took refuge in stories and souls, wore the word survivor like a pink nimbus. All the while, my dear, I waited, knowing you'd catch up to me one day. I'm holding the black- backed mirror to your face. Look into it. ↗
Long before there were effective treatments, physicians dispensed prognoses, hope, and, above all, meaning. When something terrible happens-and serious disease is always terrible-people want to know why. In a pantheistic world, the explanation was simple-one god had caused the problem, another could cure it. In the time since people have been trying to get along with only one God, explaining disease and evil has become more difficult. Generations of theologians have wrestled with the problem of theodicy-how can a good God allow such bad things to happen to good people? Darwinian medicine can't offer a substitute for such explanations. It can't provide a universe in which events are part of a divine plan, much less one in which individual illness reflects individual sins. It can only show us why we are the way we are, why we are vulnerable to certain diseases. A Darwinian view of medicine simultaneously makes disease less and more meaningful. Diseases do not result from random or malevolent forces, they arise ultimately from past natural selection. Paradoxically, the same capacities that make us vulnerable to disease often confer benefits. The capacity for suffering is a useful defense. Autoimmune disease is a price of our remarkable ability to attack invaders. Cancer is the price of tissues that can repair themselves. Menopause may protect the interests of our genes in existing children. Even senescence and death are not random, but compromises struck by natural selection as it inexorably shaped out bodies to maximize the transmission of our genes. In such paradoxical benefits, some may find a gentle satisfaction, even a bit of meaning-at least the sort of meaning Dobzhansky recognized. After all, nothing in medicine makes sense except in the light of evolution. ↗
I replied that I did not quite know what my ailment had been, but that I had certainly suffered a good deal especially in mind. Further, on this subject, I did not consider it advisable to dwell, for the details of what I had undergone belonged to a portion of my existence in which I never expected my godmother to take a share. Into what a new region would such a confidence have led that hale, serene nature! The difference between her and me might be figured by that between the stately ship cruising safe on smooth seas, with its full complement of crew, a captain gay and brave, and venturous and provident; and the life-boat, which most days of the year lies dry and solitary in an old, dark boat-house, only putting to sea when the billows run high in rough weather, when cloud encounters water, when danger and death divide between them the rule of the great deep. No, the "Louisa Bretton" never was out of harbour on such a night, and in such a scene: her crew could not conceive it; so the half-drowned life-boat man keeps his own counsel, and spins no yarns. ↗
Where my soul went during that swoon I cannot tell. Whatever she saw, or wherever she travelled in her trance on that strange night she kept her own secret; never whispering a word to Memory, and baffling imagination by an indissoluble silence. She may have gone upward, and come in sight of her eternal home, hoping for leave to rest now, and deeming that her painful union with matter was at last dissolved. While she so deemed, an angel may have warned her away from heaven's threshold, and, guiding her weeping down, have bound her, once more, all shuddering and unwilling, to that poor frame, cold and wasted, of whose companionship she was grown more than weary. I know she re-entered her prison with pain, with reluctance, with a moan and a long shiver. The divorced mates, Spirit and Substance, were hard to re-unite: they greeted each other, not in an embrace, but a racking sort of struggle. ↗
The only thing that ever scared him was finding out there was something he couldn't do, so he damn well made sure there was anything he couldn't. ↗
