Dreams

I don't know where I am going but I'm on my way. There are many promises I have made to myself; didn't know much when I made those promises and now I find myself wondering; thinking about those promises...
Being able to live a dream is one thing; being able to build a dream as you're living is another; being able to dream when you'd rather not sleep and think of all that could be and all that was and all that is. On call nights; when I stay up fielding questions about tylenol and Milk of Magnesia; I wonder what would the world be like without sleep; would the world be dreamless; does hope stem from dreams or do dreams come from hope? And what happens to people who sleep but can't dream you know like people with PCA territory occipital infarcts? My eyes grow weary but my mind wanders. My beeper goes off and I come back to life as I know it.
What is the purpose of it all? I don't know how many times I have asked this question and how many times I fail to get an answer. But I keep trying.
There are questions that we feel we know the answers to. To angio or not to angio; to stent or not to stent; to aspirin or to plavix but what about to dream or not to dream? Is there really a finite number of dreams out there (out there, I don't know where!) which we are all entitled to; just like the air we breathe or the beats that our hearts don't skip...Could I ever prescribe those? As my head touches a pillow at an hour I'd rather wake up; I'm too tired to think; I am just happy to to be able to sleep for a few minutes and at that point in time I couldn't care less about not dreaming and even if I did; I'm sure I wouldn't remember it when I wake up.