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" One day, I had a patient who was going through chemotherapy who came to me and said, 'I'm going to go on with what I'm doing, but I need you to tell me what it is that I'm fighting.' "
Siddhartha Mukherjee
Day
You
Need
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" 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. "
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" 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. "
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" Science is among the most profoundly human of our activities. Far from being subsumed by the dehumanising effects of technology, science, in fact, remains our last stand against it. "
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" Most discoveries even today are a combination of serendipity and of searching. "
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" Good physicians are rarely dispassionate. They agonize and self-doubt over patients. "
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" 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. "
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" 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
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Realize
" We know cancer is caused ultimately via a link between the environment and genes. There are genes inside cells that tell cells to grow and the same genes tell cells to stop growing. When you deregulate these genes, you unleash cancer. Now, what disrupts these genes? Mutations. "
Siddhartha Mukherjee
Know
Growing
Grow
" Unlike other diseases, the vulnerability to cancer lies in ourselves. We always thought of disease as exogenous, but research into cancer has turned that idea on its head - as long as we live, grow, age, there will be cancer. "
Siddhartha Mukherjee
Live
Thought
Research
" My memory of my household is of one immersed in books and music. I have a very intimate relationship with Bengali literature, particularly Tagore, and my interest besides reading then was music. "
Siddhartha Mukherjee
Memory
Relationship
Reading
" 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
" What does it mean to be an oncologist? It means that you get to sit in at a moment of another person's life that is so hyper-acute, and not just because they're medically ill. It's also a moment of hope and expectation and concern. "
Siddhartha Mukherjee
Life
Just Because
Hope
" Some cancers are curable, while others are highly incurable. The spectrum is enormous. Metastatic pancreatic cancer is a highly incurable disease, whereas some leukemia forms are very curable. There is a big difference between one form and another. "
Siddhartha Mukherjee
Cancer
Big
Difference
" If something is good, more is not necessarily better. Not always. "
Siddhartha Mukherjee
More
Better
Always
" Cancer is not just a dividing cell. It's a complex disease: It invades, it metastasizes, it evades the immune system. "
Siddhartha Mukherjee
Disease
Just
System
" I think the way we think about cancer, the way we treat cancer, has dramatically changed in the last century. 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. "
Siddhartha Mukherjee
Think
Today
Treat
" Mary Lasker was an entrepreneur; she was a socialite. She was kind of a legendary networker. She became interested in saying, 'Well, you know, if these diseases don't have political support we'll never conquer them.' And she made, really, cancer her special cause. "
Siddhartha Mukherjee
Saying
Political
Conquer
" There is a very moving and ancient connection between cancer and depression. "
Siddhartha Mukherjee
Depression
Moving
Cancer
" Cancer is not one disease but many diseases. "
Siddhartha Mukherjee
Diseases
Disease
Cancer
" The history is important because science is a discipline deeply immersed in history. In other words, every time you perform an experiment in science or in medicine, what you're actually doing is you're answering someone, answering a question raised by someone in the past. "
Siddhartha Mukherjee
History
Science
Past
" 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. "
Siddhartha Mukherjee
Money
Problem
Cancer
" Most days, I go home and I feel rejuvenated. I feel ebullient. "
Siddhartha Mukherjee
Most
Days
Feel
" When you immerse yourself in medicine you realise that hope is not absolute. It's not that simple. "
Siddhartha Mukherjee
Hope
Yourself
You
" We may have to learn to live with cancer rather than die of it. It means a big change in our mindset and how we do research. We haven't quite reached there yet. "
Siddhartha Mukherjee
Mindset
Die
Change
" 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
She
Woman
Why
" If you take 100 breast-cancer samples, 100 types of cancer have 100 different hallmarks of mutated genes. You could be nihilistic and say, 'Oh, God, we'll never be able to tackle this!' But there are deep, systematic, organizational principles at work in all that diversity. "
Siddhartha Mukherjee
Deep
Diversity
God
" I wanted to explore cancer not just biologically, but metaphorically. The idea that tuberculosis in the 19th century possessed the same kind of frightening and decaying quality was very interesting to me, and it seemed that one could explore the idea that every age defined its own illness. "
Siddhartha Mukherjee
Kind
Interesting
Age
" 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 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
" 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