If needed—a doctor-assisted death.

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 even if my voice goes before I do, I shall continue to write polemics against religious delusions, at least until it’s hello darkness my old friend. In which case, why not cancer of the brain? As a terrified, half-aware imbecile, I might even scream for a priest at the close of business, though I hereby state while I am still lucid that the entity thus humiliating itself would not in fact be “me.” (Bear this in mind, in case of any later rumors or fabrications.)

Coming offstage after a five-minute standing ovation, falling into the arms of my lover, and having the doctor look at me and say, “This is impossible! She looks much too young to go!”

He’s always been the family cook. He’s been feeding me since the day we met. Everything I know about Japanese food I know because of him. So now that’s another pleasure gone, perhaps the greatest. I don’t know how long it takes to die of starvation, or whether it hurts, but I dread it, just as I dread my sons watching me go like that. Because that is what they will remember, their mother reduced to a bag of bones. What it will do to Shin I can’t bear to contemplate.

How many times I could have died before now, and in how many different ways. And yet I came close only once: a speeding sedan ran a red light, hit three other vehicles, and jack-knifed into my rear wheel split second after I’d stepped out of my parked car. A bystander described the scene to me later. “You were a millimetre away from losing your legs,” he said.

I move from my bed in my bedroom, to my sofa here in the living room, and basically I stay here and I'm fed delectables all day and that's about it.

So many times I’ve wondered what might have happened to me if I had lost my legs, or even just my right one, where my first melanoma appeared two or three years later. If I’d just been a second slower stepping away from the car, I might not be dying now. I’d be legless, of course, but still in good health. Of these fateful forks in the road are our lives made up. We are all just a millimetre away from death, all of the time, if only we knew it.

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.