I just thought right away that I wanted to work. ... This is a good job. It's been a good job. Work is the most effective drug there can possibly be. ... I'm on the periphery of a lot of despair, of course. ... You'd have to be stupid not to be. I have my moments when I'm not too thrilled about this whole deal. But at the same time, the songs have never come like this, so I'd have to feel more gratitude than anything else. I'm probably in the intensest creative period of my life.

I see the future as something that could come crashing down very fast. Let me put it slightly by way of a comparison. Normal people, and I use the term very deliberately, by this not otherwise able situation - I'm disabled. I'm abnormal. Normal people dont think very much about the medium term future. They think only about the present, which is constantly changing for them or the very far future, which is just an abstraction. For me, its the other way around, my present never changes. So I dont really think about. But the medium term involves my death so I'm quite conscious of what is going to happen to me in about a year, maybe two years, who knows, whereas no one else I know thinks like that.

Yeah. These books are all around me and they'll be here when I go and I'm that sick. I just don't know when it ends. But in 2010, I got really ill and leukaemia was one of the things I was diagnosed with and eventually it will switch me off. So it raises the question: what do you do? Do you lie down and give up? Read the Bible? Or do you go on as you were reading and writing. And I've done the second and I've just done a little bit called Latest Readings which is about the books I've been reading lately and I could do another volume of that because I'm still reading.

But in the weeks after I learned that the breast cancer I have been in treatment for over the past year had spread to my bones — breaking my spine and becoming incurable and most likely fatal — finding the perfect living-room couch has begun to feel like the most important thing I’ve ever done.

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.

And I spent four years at a boarding school in the country, probably a rather abusive boarding school, and seeing very little of my parents, and that was a very bad time for me. A bad and almost a mad time. ... I think that some sort of trust, and ability for closeness, may have been compromised. And I think I’ve perhaps, to some extent, sort of kept a distance since that time, although this is not a distance I feel with my patients or my students.

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.

My generation is on the way out, and each death I have felt as an abruption, a tearing away of part of myself. There will be no one like us when we are gone, but then there is no one like anyone else, ever. When people die, they cannot be replaced. They leave holes that cannot be filled, for it is the fate — the genetic and neural fate — of every human being to be a unique individual, to find his own path, to live his own life, to die his own death.

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?

On the contrary, I feel intensely alive, and I want and hope in the time that remains to deepen my friendships, to say farewell to those I love, to write more, to travel if I have the strength, to achieve new levels of understanding and insight. This will involve audacity, clarity and plain speaking; trying to straighten my accounts with the world. But there will be time, too, for some fun (and even some silliness, as well).