And of course, I wonder why I was not more vigilant about checking my skin, because if I had been, I would have picked up that first melanoma before it turned bad, and saved myself a lot of heartache. When I was first diagnosed, I was angry with myself for being too lazy and stupid to bother with anything but the occasional quick examination. But then I decided that kind of thinking was a waste of my time, because we start dying the moment we are born. I know that now. The knowledge has changed from a first illuminating but soon forgotten premonition into an undeniable lived reality.