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Medicine was certainly intended to be a career. I wanted to become a psychiatrist, an adolescent ambition which, of course, is fulfilled by many psychiatrists. The doctor/psychiatrist figures in my writing are alter egos of a kind, what I would have been had I not become a writer - a personal fantasy that I've fed into my fiction.

Medicine, which I wouldn't be without, has also been a force for... less good. For example, if you look at our mishandling of the immune system, using antibiotics in children and avoiding infection, we've certainly increased the risk of asthma.

Medicine will be personalized and preventive: Your genome might predict that you have an 80 percent chance of breast cancer by the time you are 50, but if you take a preventive drug starting when you are 40, the chance will drop to 2 percent.

Medicine, you see, is my first love; whether I write fiction or nonfiction, and even when it has nothing to do with medicine, it's still about medicine. After all, what is medicine but life plus? So I write about life.

Medicines are unusual commodities. Important drugs can save the lives and protect the health of millions. Their consumption can bring huge benefits, by helping patients to avoid infection and preventing serious damage to the economies of families, nations and even humanity at large.