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As a young physician in the mid-'80s, caring for people who had contracted H.I.V., I lost two of my patients to suicide at a time when the virus was doing very little harm to them. I have always thought of them as having been killed by a metaphor, by the burden of secrecy and shame associated with the disease.

As a young singer, you have to get experience somehow, to try things out and grow as a singer. They way you do that is by going through the ranks and singing at companies like Opera Birmingham. It's a perfect place to foster a career.

As a young surgeon in training at the University of California San Francisco General Hospital in the early '80s, my colleagues and I were inundated with an epidemic of young men with fevers, rashes, swollen lymph nodes and eventually death.