Not only is Seifter a doctor (kidney specialist), but he's also a man with type I diabetes. A few poignant moments in the book for me:
"There's a concept from the ancient world, revived in the Renaissance, known as serio ludere---"to play seriously." Serio ludere was shorthand for a set of ideas on how to live: Contain opposites. Embrace variety. Hold two thoughts at once. Be rational and informed (serio) but also creative and joyful (ludere)." (pg 4)
"Chronic illness doesn't necessarily diminish life; it can actually enrich life by inviting us to access parts of ourselves that might otherwise lie hidden." (pg. 4)
It's tempting, according to the author, to "give in to the diagnosis, to let yourself be reduced to the thing you have." After all, isn't that how we are made to feel---clothes taken away, cotton gowns, medical bracelets? (p.37)
"Our society is notoriously bad at accepting certain painful facts; that we all live in bodies that are subject to time and chance; that health---good or bad---is not fully within our control; that at some point, our bodies will betray us. Barring accidental or violent death, we all die of something." (p. 46)
"Doctors, however, don't have the time, the economic leeway, or, sometimes, the temperament to make room for the whole patient in all his complexity. They rarely inquire about a person's emotional or spiritual health or help with inner struggles. The office visit tends to be about time management and drug prescriptions, not relationships and the quest for meaning." (p. 87)
"[. . .] the burdens of chronic illness make it tempting to stay put and close the doors, retreating to a safe space where everythings known and predictable. Some people, when they become ill, hunker down; they need sameness, above all. This isn't wrong, and in facet may be quite right for certain temperaments. Not everyone is able to, or wants to, 'transform.'" (p. 130)
"Sickness doesn't have to mean the end of creative living and positive transformation. In any given life, change might manifest [. . .]" (p. 130)
"Unfortunately, our culture is inclined to promote the illusion of invulnerability: we believe we have the right not to be ill, we think we can sidestep again, and we avoid whenever possible the fact that each and every one of us is going to die. Why should we face facts? We have Botox! We have Viagra! We have the best medical advice! If someone is sick, it's obviously his own fault." (p. 165)
"[. . .] as it is for anyone with a chronic illness, has been to walk the line between 'possibility' and 'reality,' and let herself change and grow over time. This task is both hard and necessary; hard, because the temptation, with illness particularly, is to confine oneself to the familiar, becoming increasingly bound by habit and complacency; necessary, because only by opening oneself to what is 'next' can be a person truly live his life." (p. 181)
"Illness represents a hard limit---an unyielding reality that closes off possibility, compromises freedom, undermines desire and hope. At the same time, being sick opens up unexpected opportunities for creativity and growth. By taking away the 'taken-for-granted,' illness invites, even forces, new awareness and new learning. By exploring parts of the self that were once hidden by everyday routine, a sick person can find his way to creative expression, personal transformation, emotional enrichment" (p. 229)