If we cannot heal in one way, we must learn to heal in another. Sherwin B. Nuland More Quotes by Sherwin B. Nuland More Quotes From Sherwin B. Nuland Long regarded as central to the contemporary understanding of medical ethics are four principles that must be satisfied in order to fulfill the requirements of moral decision-making. These principles are autonomy, justice, beneficence, and non-maleficence. Sherwin B. Nuland medical ethics justice long Both individual fulfillment and the ecological balance of life on this planet are best served by dying when our inherent biology decrees that we do. Sherwin B. Nuland best biology balance life Death belongs to the dying and those who love them. Sherwin B. Nuland who dying love death It's unnatural to believe death usually has a beauty and a concordance and is usually a coming together of your life's work. It leads to frustration for the patient. And it leaves grieving families convinced they did something wrong. Sherwin B. Nuland work beauty life death Only the emerging specialty of psychoanalysis seemed to understand that mental maladies are not fully analogous to physical disease. They resist classification, and might better be known by their symptoms and the individualized sufferings of patients than by assigned names. Sherwin B. Nuland mental better understand disease Where nothing in a person's earlier years lends itself to an old age devoted to continuing intellectual and physical pursuits, a late-life interest in Tolstoy or even crossword puzzles is unlikely to appear, no matter the urging by well-intentioned social workers or people like me who write books about it. Sherwin B. Nuland me old-age age people The growing professional disciplines of medical ethics and bioethics have had a profound impact on researchers, bedside doctors, associations of physicians, and government. Sherwin B. Nuland medical ethics impact government Of all the named structures within the abdomen and the chest, those associated with reproduction retained the mysteries of their willful behavior long after others had been solved to the satisfaction of physicians and philosophers. Sherwin B. Nuland others behavior satisfaction long You know, ever since man had any notion that some of his other people, his colleagues, could be different, could be strange, could be severely depressed or what we now recognize as schizophrenia, he was certain that this kind of illness had to come from evil spirits getting into the body. Sherwin B. Nuland you man colleagues people Cancer cells are fixed at an age where they are still too young to have learned the rules of the society in which they live. As with so many immature individuals of all living kinds, everything they do is excessive and uncoordinated with the needs or constraints of their neighbors... they are reproductive but not productive. Sherwin B. Nuland live rules society age I have not seen much dignity in the process by which we die. The quest to achieve true dignity fails when our bodies fail. Sherwin B. Nuland true die dignity achieve The final disease that nature inflicts on us will determine the atmosphere in which we take our leave of life, but our own choices should be allowed, insofar as possible, to be the decisive factor in the manner of our going. Sherwin B. Nuland will nature choices life The dignity we seek in dying must be found in the dignity with which we have lived our lives. Sherwin B. Nuland seek lived dignity dying We have had a rewarding relationship, the belly and I. Sherwin B. Nuland rewarding had belly relationship Every hope of successive generations of scholars that order might be constructed from the chaotic mess of medical nomenclature has been frustrated. Even diseases recognized in the same historical period have been given names based on characteristics that have no relation to one another, and thus no common criteria. Sherwin B. Nuland mess medical historical hope Once the notion of depression had begun to dominate the diagnostic armamentarium, it became but a matter of time before patients with relatively mild disorders of mood or anxiety would be entered into it. Sherwin B. Nuland anxiety mood depression time By the time of my ninth birthday, I had become a bit of a socialist, as I am said by conservative colleagues to be to this day. I went on within the next few years to volunteer as an envelope stuffer for the American Labor Party, and my political thinking has not shifted measurably since that time. Sherwin B. Nuland i-am day time birthday