Are you afraid of death?

Yes. Of course. And since I don't believe in another world, in another life, that this is it. And when they die they are out of my life. They're gone forever. Blank. Blank. Blank. And I am not afraid of death. And I begin to - as maybe a good many elderly people do. Who knows? When I did "Bumble-ardy" I was so intensely aware of death. Eugene, my friend and my partner, was dying here in the house while I did "Bumble-ardy." And I did "Bumble-ardy" to save myself. I did not want to die with him. I wanted to live, as any human being does.

These matters have become discussable with one’s friends, not, of course, as a frequent part of gossip over lunch in the dining room (our only communal occasion) but from time to time, perhaps when admiring someone’s stoicism if their frailty is becoming painfully apparent, or feeling sad at someone else’s inability to accept what seems to be imminent. As a result of this openness, I think that most of the people here would consider it foolish to be frightened of being dead. All of us, however, feel some degree of anxiety about the process of dying.

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.

At first I - I felt that it was confined to my liver and that they had - the operation had completely removed it. And so I felt quite relieved. And then that same afternoon we had an MRI of my head and neck and it showed up that it was already in four places in my brain. So I would say that night and the next day, until I came back up to Emory, I just thought I had a few weeks left. But I was surprisingly at ease. You know, I've had a wonderful life. I've had thousands of friends and I've had an exciting and adventurous and gratifying existence. So I was surprisingly at ease, much more so than my wife was.

But Larkin was different. He knew it would end in silence, and he was afraid of the silence. He didn’t like the idea of not being here. I’m not like that – and my death might come as a relief to quite a few people. I’d rather like it not to hurt, that’s all.

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.