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The question

What worries you about getting older?

Originally asked

The Guardian, to a different person each week, The Q&A

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Henry Marsh

Neurosurgeon and writer

Recorded said elsewhere, not written here
I was looking at ageing in action, in black-and-white MRI pixels, death and dissolution foretold, and already partly achieved. My 70-year-old brain was shrunken and withered, a worn and sad version of what it once must have been. There were also ominous white spots in the white matter, signs of ischaemic damage, small-vessel disease, known in the trade as white matter hyperintensities – there are various names for them. They looked like some evil pox. Not to put too fine a point on it, my brain is starting to rot. I am starting to rot. It is the writing on the wall, a deadline.

The Guardian, 13 August 2022 source ↗

Others on this question

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Warren Buffett Chairman and chief executive of Berkshire Hathaway, 1970–2025
I go in every day to the office. I don't accomplish hardly anything. I mean, in terms of – it just takes me way longer to do things. And Greg is so good. It was kind of embarrassing how good he is, because he has covered – you know, we've got about 200 businesses within Berkshire, you know, that came about, and I can't name the manager's names or their wives names, or – and I haven't seen them, you know, in a long time. It's easier just to write the letter once a year and kind of do my own thing. Greg covers more ground in a day than I would in a week, even when I was at my peak, let alone my present condition.
Recorded Becky Quick, CNBC “Squawk Box”, recorded in Omaha; CNBC's own transcript of its own broadcast, 31 March 2026 source ↗

More from Henry Marsh

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Question Does the thought of dying frighten you? Death & what remains
It was fear of suffering before dying, and of, you know, lingering on, being in a hospital bed. And I hate hospitals, always have done. I think they're horrible places, even though I spent most of my life working in them. No, it's really - death itself holds no fears for me at all, as far as - I love the famous 18th century philosopher David Hume, who on his deathbed was asked, aren't you terribly worried about what will happen after death? And he said, no, I'm no more worried about not existing after death than I'm worried about not existing before I was born. And that is my view about death. I don't believe in an afterlife. But I know, as a doctor, that dying can be very unpleasant.
Recorded Terry Gross, Fresh Air, NPR, 30 January 2023 source ↗
Question When did you last change your mind about something important? Change of mind
When I now think of how the uncertainty about my own future, and the proximity of death, threw me into torment, careering wildly between hope and despair, I look back in wonder at how little I thought about the effect I had on my own patients after I had spoken to them. I did worry that if my tone of voice was too pessimistic the poor patient might spend what little time they had left feeling deeply depressed, simply waiting to die. So I tried to find a balance between telling them the truth and not depriving them of hope. After a patient died, I only occasionally heard back from the family, so I had little way of knowing whether the way I had spoken to them was appropriate or not.
Recorded Edited extract from And Finally: Matters of Life and Death, published by Vintage, The Guardian, 13 August 2022 source ↗
Question What became visible only after your working life slowed down or ended? Time & hindsight
But I continued to think that illness happened to patients and not to doctors, even though I was now retired. Twenty months after I had my brain scanned, I was diagnosed with advanced prostate cancer. I had had typical symptoms for years, steadily getting worse, but it took me a long time before I could bring myself to ask for help. I thought I was being stoical when in reality I was being a coward.
Recorded Edited extract from And Finally: Matters of Life and Death, published by Vintage, The Guardian, 13 August 2022 source ↗

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