I’d already noticed this about him in the children’s ward, that he had no sense that he was watching himself, admiring himself, as he went about being a good and generous guy—that kind of clawing self-consciousness that I’ve observed over the years in many an altruist: priests, missionaries, ACLU attorneys, the leaders of certain charities, or all the well-dressed elites at black-tie global fundraisers. Performative bonhomie. Self-congratulatory demonstrations of their limitless agape.