We don't need to remake our health-care system or rebuild it from the ground up. We don't need to do very much. It's pretty simple, quite attainable.… - Victoria Sweet

What I discovered was that the two ways of looking at the body—the modern and the premodern, the Fast and the Slow, as a machine to be repaired and as a plant to be tended—are both effective when they are applied to the right patient at the right time. For illnesses that come on suddenly—an inflamed appendix, a rip-roaring infection, a car accident, a heart attack—it is best to think like a mechanic—boldly, reductively. What is broken? What should I do to fix it? Desperate illnesses require desperate remedies. But not-desperate illnesses do better with not-desperate remedies. Diseases that come on slowly—chronic infections, complex medical conditions, the aftermath of the appendectomy, the heart attack, the chemotherapy—are best approached like a gardener, asking myself as Hildegard would have done, not what is broken but what is working? What are my patient's strengths and how can I support them? What can I do to nurture viriditas, the natural power of healing?

Every time a new drug comes out, I read what the side effects are and how many people really get better, and I add in the side effects and the adverse reactions. When you do that, and subtract out the placebo effect, not many new medications make a difference.

[Regarding the saying "the secret of caring for the patient is caring for the patient"] The way we talk about patient care in our society is almost the opposite of what's actually happening. It's almost like the less we care in any way for the patient the more people talk about the patient, the "consumer" of health care. What was actually meant by that saying was that caring meant doing little things for them; it's the little things that establish the relationship between you and the patient, not some abstract "love for your neighbor." It's doing something actual and physical for this neighbor.