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For lifes optimists,
who see hope in human change
LECTOR INTENDE, LAETABERIS
Mankind
N. human race, human species, human kind, human
nature; humanity.
human being; person, individual, mortal, body.
Adj. human, mortal, personal, individual, social.
Change
N. alteration, mutation, variation, modification,
metastasis, deviation, turn, evolution, revolution,
transformation, transfiguration; metamorphosis.
V. alter, vary; modulate, turn, shift, veer, shuffle, swerve,
deviate.
transform, transfigure, metamorphose.
My aim is to sing of the ways bodies change, ceaselessly transforming into other forms.
Ovid, Metamorphoses (c. 8 CE )
All things change with time, and we change with them.
Lothar, Holy Roman Emperor (c. 840)
And then I, a woman, by a flick of Fortunes hand was transformed into a man.
Christine de Pizan, The Mutation of Fortune (1403)
We are nothing but a bundle or collection of different sensations and are in a perpetual flux and movement.
David Hume, A Treatise of Human Nature (1739)
It is itself unchanged, the same water which my youthful eyes fell on; all the change is in me.
Henry David Thoreau, Walden (1854)
Metamorphosis governs natural phenomena reflects the shifting character of knowledge and attitudes to the human.
Marina Warner, Ovidian Metamorphosis in Contemporary Art (2009)
THIS BOOK IS A SERIES OF STORIES about medicine and the changing human body. Just as physicians must honour the privileged access they have to our bodies, they must honour the trust with which we share our stories. Even as long as two and a half thousand years ago that obligation was recognised: the Hippocratic Oath insists whatsoever in the course of practice you see or hear that ought never to be published abroad, you will not divulge. As a doctor who is also a writer Ive spent a great deal of time deliberating over that use of ought, considering what can and cannot be said without betraying the confidence of my patients.
The reflections that follow are all grounded in events within my clinical experience, but the patients in them have been so disguised as to be unrecognisable any similarities that remain are coincidental. Protecting confidences is an essential part of what I do: confidence means with faith we are all patients sooner or later; we all want faith that well be heard, and that our privacy will be respected.
From so simple a beginning endless forms most beautiful and most wonderful have been, and are being, evolved.
Charles Darwin, On the Origin of Species
THERES A PARK near my medical office lined with cherry trees and elms that undergo beautiful annual transformations. If theres time on my commute Ill stop at a bench and watch them for a few moments. Winter brings storms, and the last few years have seen several of the tallest elms blown over. When they fall down, tearing up their roots, deep coffin-sized gashes open in the earth. Around Easter the branches thicken with a green so enchanting I see why some imagine it as the colour of heaven. The blossoming of the cherry trees in spring strews the grass with petals, and to take a stroll beneath their branches is to be fted in pink. The summer air feels ripe and dense barbecues are lit and babies play on rugs in the shade; acrobats teeter over ropes strung between the tree trunks. But my favourite season is autumn, when the sky feels high, the air pellucid and brittle, and heaps of crimson, auburn and gold gather around my feet. Ive been appreciating this park for around twenty-five years its adjacent to the medical school where I trained.