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The question

How does a new piece of work usually begin for you?

Originally asked

The Paris Review, to novelists and poets, The Art of Fiction

A recurrent craft question in The Paris Review's Art of Fiction interviews; wording varies between character, theme, first sentence, image, and idea.

You answer as yourself. Nobody on FLAPSS answers as anybody else.

Willem Kolff

Physician and inventor; builder of the first practical artificial kidney

Recorded said elsewhere, not written here
When I was this young assistant at the University of Groningen my responsibility was for four beds, or rather the patients in four beds. That was all I had to do. And, one of these patients was a young man, 22 years old, who slowly and miserably died from renal failure. He became blind, he vomited, and it was a miserable death. And I, as a very, very young physician, had to tell his mother, in a black dress and a little white cap like the farmers have, that her only son was going to die. I couldn’t do a damn thing about it. So, I began to think, “If I could just every day remove as much urea as this boy creates, which is about 20 grams, then the boy could live.” Well, he died, but I began to work on that.

Academy of Achievement interview source ↗

Others on this question

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Steve Jobs Co-founder and chief executive of Apple; co-founder of NeXT; chief executive of Pixar
Creativity is just connecting things. When you ask creative people how they did something, they feel a little guilty because they didn't really do it, they just saw something. It seemed obvious to them after a while. That's because they were able to connect experiences they've had and synthesize new things. And the reason they were able to do that was that they've had more experiences or they have thought more about their experiences than other people.
Recorded Gary Wolf, Wired 4.02, February 1996 source ↗
Sumayya Vally architect
We often start with the physical place itself, and with stories about that place. Deepen that research. I’m really interested in how places are constructed beyond a parochial idea of local, like what kind of stories, and what kind of movements, and what kind of trajectories are tied to a particular place. Then, once we start looking at a story of place, it somehow very often becomes a story about migration.
Recorded Somnath Bhatt, The Creative Independent interview, 27 February 2025 source ↗
At first I’ll think of stuff in my head for a while. The more I think of an idea, the more promising it is— it just naturally occupies space in my brain. Then I start making notes with pen and paper. If it’s a story, it’s more like a moment, or just it’s kind of a more fleeting idea. And if it’s a novel, it’s something that I can see approaching in a lot of different ways, and sticking with for two or three years. I might write a scene or two and just kind of see how it feels. Then I will type an outline. That’s when I really feel like I have a path forward, even though I don’t feel like I have to stick to the outline, but it is very reassuring to me to have it.
Recorded Scarlett Harris, The Creative Independent interview, 29 May 2025 source ↗
Well, it’s very simple for me. It’s pretty much always the same. I might have certain things swimming around in my head. We all always do. What’s been on your mind lately? You could ask anybody that, and you’d get a couple of answers. But, I always jump in. I always just try to think of a first sentence. Well, actually, I decide firstly if it’s going to be in third person or first person. And then I just think of something, I just get something moving.
Recorded Maddie Crum, The Creative Independent interview, 12 October 2020 source ↗

More from Willem Kolff

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Question What does everyone in your world seem to agree on that you think is wrong? Values & belief
I’ve been mortally opposed to the so-called life-and-death committees that were instituted. When there were many more patients that needed to be dialyzed, and not enough artificial kidneys available, you had the institution of the life-and-death committees. ... Depending on the answer to these questions, he could be dialyzed. Otherwise, he could go to hell. I’ve been mortally opposed to that. When I set up a dialysis center here with a grant from some government agency, I was forced to put in a life-and-death committee, but it never met.
Recorded Academy of Achievement recorded interview, American Academy of Achievement source ↗
Question What counsel would you give your twenty-year-old self — and what should they ignore? Time & hindsight
By the way, the guys with very high grades are not necessarily the people that are the most successful in later life. They may be the ones that can regurgitate gracefully, and they get very high grades. But if the guys that have to work for it and do not have such good grades can do something extra, and prove that they can perform, they may have a chance.
Recorded Academy of Achievement recorded interview, American Academy of Achievement source ↗
Question Which teacher, parent, coach, or friend most made you who you are, and what did you learn from them? Relationships
In my early years it was undoubtedly my father. My father was director of a sanatorium for pulmonary tuberculosis, and at that time there were no antibiotics, tuberculosis was a terrible disease. And, he and I would walk in the woods around that sanatorium and he would discuss his worries about his patients. And from him, I certainly inherited this extreme concern about the well-being of patients. I’ve seen him very happy when he succeeded after months and months of rest and other things to have these people go home cured. I’ve also seen him crying and desperate after trying for a long time and a patient did not get well, and went home to die.
Recorded Academy of Achievement interview source ↗

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