Obviously, it’s different for everyone. And actually there is a difference for each thing I do. But one way it happens is to just move. [ laughs ] I mean, obviously, you don’t just sort of randomly throw yourself around the room. You move with these ideas and sometimes I find that I’ve already got images in my head that I imagine my body in, or sometimes I have sequences in my head. I think a lot of time I’m listening to what comes next because sometimes the body will tell you that. Often I don’t document it too early in the process because sometimes if you forget stuff it’s worth knowing that the things that you forget maybe weren’t worth keeping. The things that have settled are the things that need to be kept because they seem most urgent. I don’t know. I mean, sometimes it’s about going to the studio and nothing happens for a long time and you just sit there and you’re not feeling it. That’s awful. It’s like when you’re writing and sometimes you go to the coffee shop and you’re like, “So, we’ll just see what happens.” And you end up on Facebook. I think the answer to this is… I really think the answer to this is I don’t know. [ laughs ]

It can be combining something disparate. With Greenberg , for example, I had the idea with the character and I wanted to make a movie in L.A. and about L.A. Then I put the two things together and that was the movie. With Francis Ha I wanted to do things in black and white, in New York, and with Greta Gerwig. These are the more conscious things.

It depends on the project. I’m working on a novel now, which started by taking a weird interest in something and circling around it. I think in the early stages, I like to do a lot of really rough draft brainstorming, trying to generate a lot of words, even though I know they’re not going to be part of the final draft. I find first drafts challenging and, actually, I prefer the revision stage, because it seems so daunting to create something out of nothing.

Having bought the colours, an easel, and a canvas, the next step was to begin. But what a step to take! The palette gleamed with beads of colour; fair and white rose the canvas; the empty brush hung poised, heavy with destiny, irresolute in the air. My hand seemed arrested by a silent veto.

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.

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.

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.

No. You see immediately what your next task will be. I’ve been asked all kinds of silly questions, like “Aren’t you proud? Aren’t you this? Aren’t you that?” I have no time for that, because the next project is upon me.