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" I think the cardinal rule of learning to write is learning to read first. I learned to write by learning to read. "
Siddhartha Mukherjee
Think
Rule
First
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" I began wondering, can one really write a biography of an illness? But I found myself thinking of cancer as this character that has lived for 4,000 years, and I wanted to know what was its birth, what is its mind, its personality, its psyche? "
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" When you immerse yourself in medicine you realise that hope is not absolute. It's not that simple. "
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" Robert Sandler is a child who died when he was three years old, and he is a child who was the first child that we know of to be treated with chemotherapy. "
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" What we do in the laboratory is we try to design drugs that will not just eradicate cancer cells but will eradicate their homes. "
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" We now have poured in an enormous amount of resources into cancer. The National Cancer Institute Project, you know, runs about $5 billion a year. That's a large amount of money, but let's not be grandiose about the amount of money we're actually spending on a problem that is attacking us at the most fundamental level of the human species. "
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" I am a scientist and I am a physician. So I write papers. "
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" Why did I write 'The Emperor of All Maladies?' A 56-year-old woman with an abdominal sarcoma, having undergone two remissions and a relapse, asked me to describe what she was battling. By the time I had finished answering her, I realised that I had written 600 pages. "
Siddhartha Mukherjee
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Why
" I had seen cancer at a more cellular level as a researcher. The first time I entered the cancer ward, my first instinct was to withdraw from what was going on - the complexity, the death. It was a very bleak time. "
Siddhartha Mukherjee
First Time
Death
More
" I believe the biggest breakthroughs on cancer could come from brilliant researchers based in India. "
Siddhartha Mukherjee
I Believe
Cancer
India
" There is an enormous amount of options that a physician can provide today, right down from curing patients, treating patients, or providing patients with psychic solace or pain relief. So, in fact, the gamut of medical intervention is enormous. "
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Down
" I'm human, we all are - all doctors are - and grieving is a natural part of medicine. As a doctor, grieving is a natural part of medicine. If you deny that, again, you'd get into this trap of curing and victory. I think grief is very important. "
Siddhartha Mukherjee
Medicine
Doctor
Victory
" The idea that cancer genes are sitting inside each and every one of our chromosomes, just waiting to be corrupted or inactivated and thereby unleashing cancer, is, of course, one of the seminal ideas of oncology. "
Siddhartha Mukherjee
Inside
Cancer
Ideas
" I think when we use 'stress', we are often using a kind of dummy word to try to fit many different things into one big category. "
Siddhartha Mukherjee
Stress
Kind
Think
" Nearly every one of the genes that turns out to be a key player in cancer has a vital role in the normal physiology of an organism. The genes that enable our brains and blood cells to develop are implicated in cancer. "
Siddhartha Mukherjee
Blood
Genes
Cells
" I think you would have to be a nihilist to say that we are not making progress on cancer, just like you'd have to be hubristically optimistic to say that we have conquered cancer. "
Siddhartha Mukherjee
Like
Say
Progress
" There is a duality in recognising what an incredible disease it is - in terms of its origin, that it emerges out of a normal cell. It's a reminder of what a wonderful thing a normal cell is. In a very cold, scientific sense, I think a cancer cell is a kind of biological marvel. "
Siddhartha Mukherjee
Sense
Normal
Cold
" I could write a thesis on the physiology of vision. But I had no way to look through the fabric of confabulation spun by a man with severe lung disease who was prescribed 'home oxygen', but gave a false address out of embarrassment because he had no 'home.' "
Siddhartha Mukherjee
Disease
Vision
Way
" Because I work on leukemia, the image of cancer I carry in my mind is that of blood. I imagine that doctors who work on breast cancer or pancreatic cancer have very different visualizations. "
Siddhartha Mukherjee
Blood
Work
Cancer
" Pharmacology is benefited by the prepared mind. You need to know what you are looking for. "
Siddhartha Mukherjee
Prepared
Mind
You
" Postwar U.S. was the world's leader in science and technology. The investment in science research was staggering. "
Siddhartha Mukherjee
Leader
Science
Technology
" Sidney Farber was a pathologist. He was called a doctor of the dead. He was a pathologist who sort of lived in the basement of the children's hospital in Boston, and he became very interested in childhood leukemia. And Farber began to inject this drug, aminopterin, into young kids, in order to see if he could get a remission. "
Siddhartha Mukherjee
See
Children
Doctor
" Cancer is not one disease but many diseases. "
Siddhartha Mukherjee
Diseases
Disease
Cancer
" If something is good, more is not necessarily better. Not always. "
Siddhartha Mukherjee
More
Better
Always
" It turns out that the very genes that turn on in cancer cells perform vital functions in normal cells. In other words, the very genes that allow our embryos to grow or our brains to grow, our bodies to grow, if you mutate them, if you distort them, then you unleash cancer. "
Siddhartha Mukherjee
You
Cancer
Cells
" Good physicians are rarely dispassionate. They agonize and self-doubt over patients. "
Siddhartha Mukherjee
Over
Rarely
Self-Doubt
" A strong intuition is much more powerful than a weal test. Normals teach us rules; outliers teach us laws. For every perfect medical experiment, there is a perfect human bias. "
Siddhartha Mukherjee
Test
Medical
Perfect
" In a spiritual sense, a positive attitude may help you get through chemotherapy and surgery and radiation and what have you. But a positive mental attitude does not cure cancer - any more than a negative mental attitude causes cancer. "
Siddhartha Mukherjee
You
Spiritual
Positive
" I once set myself a deadline: half a chapter a week, 20 minutes a day. The thought froze me instantly, like literary Botox. I returned to my non-schedule: sleeping, writing 20 minutes, and then back to sleep. Breakfast in bed, with juice congealing on the sill: pages and pages began to pour out again. "
Siddhartha Mukherjee
Sleep
Day
Breakfast
" I left Delhi in 1989 and remember very little of how life used to be then. Increasingly, in my recent visits to Delhi, I've started to realize that the city has become intellectually very lively. It makes me want to discover the city over and over again. "
Siddhartha Mukherjee
Life
Me
Realize
" Probably the most important reason we are seeing more cancers than before is because the population is ageing overall. And cancer is an age-related disease. "
Siddhartha Mukherjee
Important
Cancer
Seeing