There are writers who draw immediate attention to the fact that it's fiction. And I like some of that, but it doesn't really have the power.

I really enjoy the immediacy of the 'knife and gun clubs,' as they're so callously called. Emergency is a great place to learn about people.

There once was this powerful, both capital and political, class who cared about supporting and affirming a solid middle class in this country.

If you write a page a day in couple months you have a good chunk of the book and then after a year you have almost a book. It's not that...hard.

To have too much time is not good, you have to force yourself. And human beings aren't meant for true freedom. I've learned that, having had it.

I work with wood a lot. I like building. I think of building. I would love to buy land on some water somewhere and build a house. That'd be nice.

Families tend to artificially divide the world, imbuing one member with all the attributes and another with all the faults. But it's never that way.

When you're in medicine - especially when you're a resident in a public hospital - you feel like you're doing your part. But not when you're a writer.

Writing a book is like an unknown abyss, every time. Every book is different. Contrary to what unpublished writers think, it's horrible to have a book out.

You have to look at the value of different kinds of words. Adjectives weaken, and adverbs come even farther down the line. Verbs are strong; verbs and nouns.

The short story can't really hold an interesting event. It can't hold a death or a war or a loss of great magnitude the way either a long story or a novel can.

Mathematicians don't like it when they're associated with mental illness and sort of bristle when you say that they can't get along socially, that they're not good with people.

Art is so personal. I'm very comforted by the fact that certain movies that I love, other people hate. Certain books that I love, other people hate. You can't please everybody.

Bausch is a wonderful storyteller. He's a mature writer who has a lot of confidence in the quality of character. He doesn't need to hook you with a sneaky plot and zany characters.

You can tell within a sentence if something is fiction or non-fiction. You can tell in the artifice of the language or the care of the construction the difference between art and life.

Your first book is kind of a labor of ignorance. You don't realize the difficulty of it. Your second book is sort of a labor of fear. Then you sort of either hit a stride, or you don't.

The only successful way to write, and the only one I have found, is to be the character. Give up on trying to control them. Writers always talk about hearing voices. That's what they mean.

In medical school, you're taught to write in this convoluted, Latinate way. I knew the vocabulary as well as anyone, but I would write kidney instead of nephric. I insisted on using English.

I was born in Ann Arbor. I lived for a while in Ohio; Pennsylvania, California for 10 years, and now in Boston. And I lived in Iowa for a couple of years, where I studied at the Writers Workshop.

The historical background is one of the easier aspects of writing a novel. Far more difficult is dreaming up the smaller, character-based scenes, scenes that rise entirely from one's own imagination.

I think even great writers only write two books that you might like. When I think of my touchstone writers like Saul Bellow, I think of 'Henderson the Rain King.' With Don DeLillo, I think of 'Libra.'

Politicians are already exaggerated. They're bigger than life in every way - their appetites, their ambitions, their personalities, their failings, their magnetism. In a sense, they're made for fiction.

There has always been a tension in my life between the romantic and the practical. I can't hole myself up in a cabin and write down ideas for the rest of my life. I also need to be able to clean out a dog bite.

Doubt is the enemy of mania. It's trying to get aloft strung with weights. The moment I like writing is three sentences in, when somehow those weights drop away, and you can invent. I cannot tell you the dread I have.

If you're concentrating so damn hard on a piece of mathematics or a musical - a piece of music or a piece of art, the restraint that holds the rest of - the rest of the world back off and vanishes in the rest of your life.

You know that thing people say, 'poetry is the hardest, stories are the second hardest, novels are the easiest?' I'm here to tell you that novels are the hardest. Writing a novel is unbelievably difficult. It's nightmarish.

Medicine involves dealing with people who are going through changes and cycles, often people trapped in bodies that are going out from under them. Spending time with them lets you think their way, gives you insights as a writer.

My idea of teaching literature is just to read great passages aloud or to look at it the way a writer does, which is what I try to do. Which is to say, 'How does this writer do this? How did he order his scenes? Do you notice any pattern to his sentences?'

It's such a risk to write a novel that it's easy to become conservative - you're spending what would be, for me, a couple of years of my life on a single idea. Which is maybe one of the reasons I write stories - if it doesn't work, you've only lost a month.

I've discovered over the years that being subject to both the adoration and the vilification actually makes me more disciplined. It makes me understand that it's the idea of writing a great book that propels me now, whereas it used to be the idea of success.

Although I think I'm relatively happy as a person, I think there's something unhappy at the root of all my writing. I'd say optimistic but unhappy. Nothing that's particularly original, other than that we're going to live and die, and terrible things happen.

One of my favorite ways to find fictional inspiration, by the way, is to browse historical timelines. I also like world atlases - any country with a squiggly coastline seems to inspire me, as do visual dictionaries, those reclusive creatures of the reference shelf.

I think one of the things that is essential for happiness in life, or at least for non-sadness, is producing something. I guess that's why I spend so much time and agony writing books. But working on carpentry is sort of like all the pleasure with none of the agony.

John Cheever was the first writer I ever read who sort of had that similar sensation that, you know, life is nasty, miserable, brutish and short, but that occasionally, there's a certain river of light, a kind word, a telling gesture that sort of illuminates something.

A ten- or twelve-page story seems too easy, which is a funny thing to say considering that writing a decent short story is devastatingly difficult. Yet it still seems easier than a novel. You can turn a short story on a single good line - ten pages of decent writing and one good moment.

In the winter, I read next to a wood-burning stove. In the summer, we have a place up in Michigan where I like to read in a hammock. It's almost entirely hidden by cedar trees and right up by the water. You can climb in there and see nothing but water and be seen by nobody. It's perfect.

When I went for my medical school interview, I had an old paperback of 'Henderson the Rain King' in the pocket of my coat. I was wearing the best clothes I had - a pair of cords and a sport coat - but when I got to the office, all the other interviewees were lined up in their black suits.

In medicine, there's a fairly large but still finite body of knowledge that you need at hand for most of your daily work. It takes a few years to learn it, but once it's there, it's there. With writing, on the other hand, every new book - indeed, every new story - is a fresh and terrifying reinvention of everything.

I think talent has a huge amount to do with concentration, concentration rather than the athletic ability of your neurons. If you can concentrate on an esoteric piece of math, how can you think about the rest of your life? That's why people can leave their car keys in the gutter; they're in the midst of obsession and concentration.

I teach a 14-week semester, and one of the things I do when I have to teach literature is, for the first half hour of the class, I have the students write the beginning of a new story every week. At the end of the semester, even if they have learned nothing about literature, at least they'll have 14 beginnings that they can take with them.

There are some advantages to being a writer: you do generally get better as you get older. I think I understand things better. When I was a kid, I was kind of guessing at the emotion. Now I'm interested in writing more difficult books, books that confront the facts of life, of death and dying and failure - the majority of life. You write outwardly imaginative books when you're younger. When you're older you apply imagination to internal experience.

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