I think of Gould and his essay every time I have a patient with a terminal illness. There is almost always a long tail of possibility, however thin. What’s wrong with looking for it? Nothing, it seems to me, unless it means we have failed to prepare for the outcome that’s vastly more probable. The trouble is that we’ve built our medical system and culture around the long tail. We’ve created a multitrillion-dollar edifice for dispensing the medical equivalent of lottery tickets — and have only the rudiments of a system to prepare patients for the near certainty that those tickets will not win. Hope is not a plan, but hope is our plan.
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REMEMBER YOUR GREATNESS
Before you were born,
And were still too tiny for
The human eye to see,
You won the race for life
From among 250 million competitors.
And yet,
How fast you have forgotten
Your strength,
When your very existence
Is proof of your greatness.
You were born a winner,
A warrior,
One who defied the odds
By surviving the most gruesome
Battle of them all.
And now that you are a giant,
Why do you even doubt victory
Against smaller numbers,
And wider margins?
The only walls that exist,
Are those you have placed in your mind.
And whatever obstacles you conceive,
Exist only because you have forgotten
What you have already
Achieved.
Poetry by Suzy Kassem
You were born a winner, a warrior, one who defied the odds by surviving the most gruesome battle of them all - the race to the egg. And now that you are a giant, why do you even doubt victory against smaller numbers and wider margins? The only walls that exist are those you have placed in your mind. And whatever obstacles you conceive, exist only because you have forgotten what you have already achieved.