Deprivation of the ability to speak is more like an attack of impotence, or the amputation of part of the personality. To a great degree, in public and private, I “was” my voice. All the rituals and etiquette of conversation, from clearing the throat in preparation for the telling of an extremely long and taxing joke to (in younger days) trying to make my proposals more persuasive as I sank the tone by a strategic octave of shame, were innate and essential to me. I have never been able to sing, but I could once recite poetry and quote prose and was sometimes even asked to do so.

God has never let me down. He’s a key factor in guiding my decisions and feeling safe within them. My wife and I suffered three miscarriages, one of them quite late in the pregnancy. Without faith, we would have retreated into our own corners to lick our wounds, but our love increased.

And because Fulbright was the chairman of the committee he had an automated — some sort of automated device that allowed the Pentagon to send him, every day, a list of the people who’d been killed in Vietnam from Arkansas. So I would go check it every day. Four of my high school classmates were killed, including, as I said, the son of my guy who was my Sunday school teacher for nine years. And I also knew, because I had to carry the stuff around, that not everything the government was claiming about the progress on the battlefield was true, and it’s kind of a crazy burden for a kid my age. I felt guilty I wasn’t there, and it felt futile to go. It was an awful feeling.

We received death threats, yes, but you see when you are in a struggle, there are going to have to be casualties, and why should you be exempt? But I often said, “Look, here, God, if I’m doing your work, then you jolly well are going to have to look after me!” And God did God’s stuff.

The first biography I read — I think the first scientific biography — was Madame Curie . And my mother, who was a surgeon, worked at the Marie Curie Hospital. She’d met Marie Curie, who was one of her great heroines. And reading the book, I think, was the first portrait of a scientist and the romance of a scientific life.

It was this celestial splendor that suddenly made me realize how little time, how little life, I had left. My sense of the heavens’ beauty, of eternity, was inseparably mixed for me with a sense of transience — and death. ... I told my friends Kate and Allen, “I would like to see such a sky again when I am dying.” “We’ll wheel you outside,” they said.

The peace of the Sabbath, of a stopped world, a time outside time, was palpable, infused everything, and I found myself drenched with a wistfulness, something akin to nostalgia, wondering what if: What if A and B and C had been different? What sort of person might I have been? What sort of a life might I have lived?

I cannot pretend I am without fear. But my predominant feeling is one of gratitude. I have loved and been loved; I have been given much and I have given something in return; I have read and traveled and thought and written. I have had an intercourse with the world, the special intercourse of writers and readers. Above all, I have been a sentient being, a thinking animal, on this beautiful planet, and that in itself has been an enormous privilege and adventure.

I feel a sudden clear focus and perspective. There is no time for anything inessential. I must focus on myself, my work and my friends. I shall no longer look at “NewsHour” every night. I shall no longer pay any attention to politics or arguments about global warming. This is not indifference but detachment — I still care deeply about the Middle East, about global warming, about growing inequality, but these are no longer my business; they belong to the future. I rejoice when I meet gifted young people — even the one who biopsied and diagnosed my metastases. I feel the future is in good hands.

I’ve had this concern all the time, but I can only hope that if one writes with appreciation and delicacy and respect, then it’s okay. I have to say that I’ve written a hundred times as much as I’ve published, because if there’s any thought of offense or embarrassment, then I will put the thing quietly away.