The voices / 19 fragments

Sherwin B. Nuland

Dates not recorded

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Archive entries

01Undated

The life sciences contain spiritual values which can never be explained by the materialistic attitude of present day science

Sherwin B. Nuland / quote

02Undated

That enormously complex biological interactions are so flawlessly coordinated as to result in such obvious manifestations as human thought or the electrical activity that dries the heartbeat is as exciting to me -- actually more exciting -- than such phenomena were when I was a small boy and thought them divinely (in the supernatural sense) driven.

Sherwin B. Nuland / quote

03Undated

My mother died of colon cancer one week after my eleventh birthday, and that fact has shaped my life. All that I have become and much that I have not become, I trace directly or indirectly to her death. ... In my professional and personal life, I have lived with the awareness of death's imminence for more than half a century, and labored in its constant presence for all but the first decade of that time.

Sherwin B. Nuland / quote

04Undated

Moths and flames, mankind and death--there is little difference.

Sherwin B. Nuland / quote

05Undated

Death with dignity" is our society's expression of the universal yearning to achieve a graceful triumph over the stark and often repugnant finality of life's last sputterings. But the fact is, death is not a confrontation. It is simply an event in the sequence of nature's ongoing rhythms. Not death but disease is the real enemy, disease the malign force that requires confrontation. Death is the surcease that comes when the exhausting battle has been lost. Even the confrontation with disease should be approached with the realization that many of the sicknesses of our species are simply conveyances for the inexorable journey by which each of us is returned to the same state of physical, and perhaps spiritual, nonexistence from which we emerged at conception. Every triumph over some major pathology, no matter how ringing the victory, is only a reprieve from the inevitable end.

Sherwin B. Nuland / quote

06Undated

...my patient needed a great deal of reassurance that there had been nothing unusual about the way her mother died, that she had not done something wrong to prevent her mother from experiencing that "spiritual" death with dignity that she had anticipated. All of her efforts and expectations had been in vain, and now this very intelligent woman was in despair. I tried to make clear to her that the belief in the probability of death with dignity is our, and society's, attempt to deal with the reality of what is all too frequently a series of destructive events that involve by their very nature the disintegration of the dying person's humanity. I have not often seen much dignity in the process by which we die.

Sherwin B. Nuland / quote

07Undated

In the community of living tissues, the uncontrolled mob of misfits that is cancer behaves like a gang of perpetually wilding adolescents. They are the juvenile delinquents of cellular society.

Sherwin B. Nuland / quote

08Undated

Though everyone may yearn for a tranquil death, the basic instinct to stay alive is a far more powerful force

Sherwin B. Nuland / quote

09Undated

I never had a conscious fear of death, but I did have a conscious fear of sickness. By the time I completed medical school, that fear was gone.

Sherwin B. Nuland / quote

10Undated

Not death but disease is the real enemy; disease, the malign force that requires confrontation. Death is the surcease that comes when the exhausting battle has been lost.

Sherwin B. Nuland / quote

11Undated

Cancer cells are fixed at an age where they are still too young to have learned the rules of the society in which they live. As with so many immature individuals of all living kinds, everything they do is excessive and uncoordinated with the needs or constraints of their neighbors... they are reproductive but not productive.

Sherwin B. Nuland / quote

12Undated

Even putting aside the Judeo-Christian morality upon which the Constitution and our nation's culture are based, the notion of forced euthanasia would contradict the long-held body of medical ethics to which all American doctors must adhere.

Sherwin B. Nuland / quote

13Undated

The growing professional disciplines of medical ethics and bioethics have had a profound impact on researchers, bedside doctors, associations of physicians, and government.

Sherwin B. Nuland / quote

14Undated

Every hope of successive generations of scholars that order might be constructed from the chaotic mess of medical nomenclature has been frustrated. Even diseases recognized in the same historical period have been given names based on characteristics that have no relation to one another, and thus no common criteria.

Sherwin B. Nuland / quote

15Undated

Long regarded as central to the contemporary understanding of medical ethics are four principles that must be satisfied in order to fulfill the requirements of moral decision-making. These principles are autonomy, justice, beneficence, and non-maleficence.

Sherwin B. Nuland / quote

16Undated

Medical judgment can be taught - laboriously, in long periods of training - but it cannot be neatly handed over as the occasion demands it. It is the irreplaceable and untransferable contribution that the healer makes to the suffering individual who would be healed.

Sherwin B. Nuland / quote

17Undated

The writings and the recommendations of the earliest medical scientists and the new breed of clinicians between the mid-fifteenth and early seventeenth centuries were based on the supposition that sufficient study and experimentation would elucidate not only the origins of disease, but its treatment as well.

Sherwin B. Nuland / quote

18Undated

By the time of my ninth birthday, I had become a bit of a socialist, as I am said by conservative colleagues to be to this day. I went on within the next few years to volunteer as an envelope stuffer for the American Labor Party, and my political thinking has not shifted measurably since that time.

Sherwin B. Nuland / quote

19Undated

We have had a rewarding relationship, the belly and I.

Sherwin B. Nuland / quote