The evening was a string of miserable minutes strung together in tiny clusters. Three minutes for a man shot through the shoulder; Ellis put first a finger in the entry wound and then another in the exit and when his fingers touched, he decided the man was only lightly injured and didn’t need a surgeon. Three minutes to set a broken wrist and splint it with a strip of cowhide and a piece of wood from a sycamore tree. Two minutes to tourniquet a leg, then extract a piece of wire deep in the meat of it. A minute to peek under a pink, saturated bandage several inches below a slender belly button; he saw thin, red water leaking from a hole and smelled urine, knew the ball had breached the bladder. It would either heal or it wouldn’t, but nothing to do about it so he set the soul aside, a case not to be operated upon. He turned a man’s head looking for the source of a trickle of blood and had ten terrible minutes trying to stop torrential bleeding from under his clavicle; frantic moments during which he could get neither a finger nor a clamp around the pulsating source. All bleeding stops eventually though, and the case did not violate the rule. He took two minutes to settle his own breathing, then four minutes sewing a torn scalp, and half a minute saying a prayer over a fat, cigar-shaped dead man. After awhile, he had the impression he wasn’t seeing men, but parts—an exploded chest, a blood swolled thigh, a busted jaw with its teeth spat to the wind or swallowed.It was more than a man could take and a lot less than there was to be seen.

A large piece of lead floated out of Bobby head, followed by dark chunks of what could only be pieces of Bobby's brain.The torrent started up again. It flowed steady rather than pulsed with his heart. I knew from that, and from the amount of blood, that it was that mofo vein bleeding. And probably more than a small tear if the amount of blood was telling. I thought there had to be a hole the size of Montana in that thing.'Jesus Mother Mary' I said, then 'Stitch!'The scrub tech slapped a needle holder into my palm, a curved needle and silk stitch clamped into the end of it. I might have closed my eyes—I've been told I do that sometimes in surgery when I'm trying to visualize something—though if so I don't remember doing it. I took that needle and aimed it into the pool of blood.'Suck here Joe, right here.'When I thought I could see something, something gray and not black red, I plunged the pointy end of the needle through whatever the visible tissue was and looped it out again. I cinched it down and tied it quick, then repeated the maneuver again after adjusting slightly for lighting, sweating, my own bounding heartbeat, and the regret I wasn't wearing my own diaper.We're losing, I thought.

Whenever they are condemning weaves or breast implants, some people speak so passionately that their false teeth almost fall out.

I sew his ears on from time to time, sure.

He walked across the room and flicked a switch. A spotlight turned on, illuminating a laminated poster of a woman on his wall. He took a crayon from his pocket and began drawing on it. I could see smudges from past demonstrations. [. . .] His dashed lines crisscrossed the woman's chest as if he were planning a military maneuver on undulating terrain.

Of the many 'firsts' with which I have been involved at the Texas Heart Institute —including the first successful human heart transplant in the United States and the first total artificial heart transplant in the world—the achievement that may have the greatest impact on health care did not occur in the operating room or in the research laboratory. It happened on a piece of paper... When we created the first-ever packaged pricing plan for cardiovascular surgical procedures.

I got the bill for my surgery. Now I know what those doctors were wearing masks for.

I didn't expect to recover from my second operation but since I did, I consider that I'm living on borrowed time. Every day that dawns is a gift to me and I take it in that way. I accept it gratefully without looking beyond it. I completely forget my physical suffering and all the unpleasantness of my present condition and I think only of the joy of seeing the sun rise once more and of being able to work a little bit, even under difficult conditions.

Surgeons can cut out everything except cause.

No one has the right to demand that your body be something other than what it is.