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The question

When did you last change your mind about something important?

Originally asked

Vox, to writers and thinkers, 9 Questions, 2017

The exact question was part of every retrieved Vox 9 Questions installment.

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HM
Henry Marsh

Neurosurgeon and writer

Recorded said elsewhere, not written here
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.

Edited extract from And Finally: Matters of Life and Death, published by Vintage, The Guardian, 13 August 2022 source ↗

Others on this question

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Six months ago, I decided to move house. I got a skip, cleared everything out and then thought: “Why am I doing this?” So I remained, and I’m glad I did.
Recorded The Q&A, The Guardian, 27 December 2025 source ↗
Diana Athill Editor and memoirist
I can’t remember when I read, or was told, that he considered it a good thing to spend a short time every day thinking about death, thus getting used to its inevitability and coming to understand that something inevitable is natural and can’t be too bad, but it was in my early teens, and it struck me as a sensible idea. Of course I didn’t set out to think about death in a regular way every day, but I did think about it quite often, and sure enough, it worked. Why coming to see death’s naturalness should have caused belief in an afterlife to melt away, I am unsure, but it did.
Recorded The Long Read essay, The Guardian, 23 September 2014 source ↗
My mind is changing about being a mum. I got a dog and the way I feel about it is a lot, and I realise maybe I would want to be a mum.
Recorded The Q&A, The Guardian, 29 November 2025 source ↗

More from Henry Marsh

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Question If you could revise one chapter of your past, what would you change? Failure & regret
I should have known that I might not like what my brain scan showed, just as I should have known that the symptoms of prostatism that were increasingly bothering me were just as likely to be caused by cancer as by the benign prostatic enlargement that happens in most men as they age. 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. I simply couldn’t believe the diagnosis at first, so deeply ingrained was my denial.
Recorded Edited extract from And Finally: Matters of Life and Death, published by Vintage, The Guardian, 13 August 2022 source ↗
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 What do you need to believe in order to get through an ordinary day? Values & belief
For the last few weeks, I've been completely happy. I've got my next PSA in three weeks' time. It may well show my PSA is starting to go up, and the cancer's coming back. Totally to my surprise, I've acquired this sort of Buddhist Zen outlook. Well, the future doesn't exist. I'm well. I'm happy at the moment. I've had a wonderful, exciting life. I've made lots of mistakes. I've trampled on people - yak, yak, yak, as I discuss in my books. But at the moment, today, the sun is shining. I'm very well. It's not that I'm in denial, but I think, well, all right. It may be bad news in three weeks' time, but that's three weeks away. At the moment, I'm well.
Recorded Scott Simon, Weekend Edition Saturday, NPR, 21 January 2023 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 ↗
Question Has knowing you will die changed how you live? Death & what remains
what’s the difference? If I die in two years’ time, what will I do between now and then which I don’t want to do now? The main reason for living longer now is for the sake of my family and my wife. And this is not rationalist bravado entirely. I’ve had a wonderful life. Yes, I’ve done a lot of things I shouldn’t have done. But you know, I’ve had a full, complete life, and there’s nothing more I can do to complete it. Dying when you’re younger is obviously a totally different situation. Or losing a child. I mean, that’s beyond words.
Recorded Sirin Kale, The Guardian, 5 October 2022 source ↗

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