At times, in medicine, you feel you are inside a colossal and impossibly complex machine whose gears will turn for you only according to their own arbitrary rhythm. The notion that human caring, the effort to do better for people, might make a difference can seem hopelessly naive. But it isn't.
I talked to my little brother, Jeb -- I haven't told this to many people. But he's the governor of -- I shouldn't call him my little brother -- my brother, Jeb, the great Governor of Texas.