Has knowing that you will die changed how you live?

I just thought right away that I wanted to work. ... This is a good job. It's been a good job. Work is the most effective drug there can possibly be. ... I'm on the periphery of a lot of despair, of course. ... You'd have to be stupid not to be. I have my moments when I'm not too thrilled about this whole deal. But at the same time, the songs have never come like this, so I'd have to feel more gratitude than anything else. I'm probably in the intensest creative period of my life.

Let us consider me as a test case. As I have said, I would like to die peacefully with Thomas Tallis on my iPod before the disease takes me over and I hope that will not be for quite some time to come, because if I knew that I could die at any time I wanted, then suddenly every day would be as precious as a million pounds. If I knew that I could die, I would live. My life, my death, my choice.

I see the future as something that could come crashing down very fast. Let me put it slightly by way of a comparison. Normal people, and I use the term very deliberately, by this not otherwise able situation - I'm disabled. I'm abnormal. Normal people dont think very much about the medium term future. They think only about the present, which is constantly changing for them or the very far future, which is just an abstraction. For me, its the other way around, my present never changes. So I dont really think about. But the medium term involves my death so I'm quite conscious of what is going to happen to me in about a year, maybe two years, who knows, whereas no one else I know thinks like that.

Yeah. These books are all around me and they'll be here when I go and I'm that sick. I just don't know when it ends. But in 2010, I got really ill and leukaemia was one of the things I was diagnosed with and eventually it will switch me off. So it raises the question: what do you do? Do you lie down and give up? Read the Bible? Or do you go on as you were reading and writing. And I've done the second and I've just done a little bit called Latest Readings which is about the books I've been reading lately and I could do another volume of that because I'm still reading.

But in the weeks after I learned that the breast cancer I have been in treatment for over the past year had spread to my bones — breaking my spine and becoming incurable and most likely fatal — finding the perfect living-room couch has begun to feel like the most important thing I’ve ever done.

Every 90 days I lie in a whirling CT machine, dye coursing through my veins, and the doctors look to see whether the tumors in my liver are growing. If they are not, the doctors smile and schedule another scan. The rhythm has been the same since my doctors told me I had stage IV colon cancer two and a half years ago. I live for three months, take a deep breath and hope to start over again. I will probably do this for the rest of my life. Whatever that means.