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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.

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 no longer practice medicine, but I can say that, for me, medicine was easier - and certainly less emotionally turbulent - than writing.

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.

No one knows why books do well.

It's nice when critics say 'Emperor of the Air' is an important book of stories.

Fame is a problem of perspective.

I was never writing for commercial success. It's nice that it has come, but it is not important.

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 don't have a pen name, so I'm thinking of getting a doctor's name. What would you call that, a stethoscope name?

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