Dr. Dalrymple stopped himself from freaking out over his colleagues' shared opinions. Regarding the doctors he worked with, he states: "If I had not been fortunate enough to work with three eminent and highly competent doctors... I think I might have collapsed" (4). Dr. Dalrymple says that without doctors who had similar opinions to his, he would have lost his mind knowing that he was the only one who shared his beliefs about addiction. Without his friends making the same deductions, he would have experienced a nervous breakdown at work and fallen over the precipice of sanity. Doctor Dalrymple then decides to express his point of view on his choices whether to launch himself into madness or not. He states “… one is sane in a mad world, or mad in a sane world” (4). Dr. Dalrymple shows that he can continue with his opinions while others see him as irrational or he denies that his opinions are accepted by society but slowly loses his mind in the process. For him, accepting that the world looks at him as a maniac is equivalent to going crazy inside while the world sees him as normal. Dr. Dalrymple knows that he will lose his sanity either way, which leads to the madness that grows from his different viewpoints as he looks at the world around him.