The quote from Sebastian Faulks' novel "Engleby" reflects on the significant responsibilities that come with being a doctor. It emphasizes the power physicians hold in making critical decisions that can shape the lives and futures of their patients. Being a doctor is portrayed as both a prestigious position and a heavy burden, as the weight of these decisions can greatly impact individuals and their families.

This perspective invites readers to consider not just the expertise required to practice medicine, but also the ethical implications and emotional challenges involved. The notion of 'weighing up and deciding' suggests a deep contemplation of the consequences of medical choices, highlighting the profound role that medical professionals play in society.