A MONTH ago, I felt that I was in good health, even robust health. At
81, I still swim a mile a day. But my luck has run out -- a few weeks
ago I learned that I have multiple metastases in the liver. Nine years
ago it was discovered that I had a rare tumor of the eye, an ocular
melanoma. Although the radiation and lasering to remove the tumor
ultimately left me blind in that eye, only in very rare cases do such
tumors metastasize. I am among the unlucky 2 percent.
http://www.nytimes.com/2015/02/19/opinion/oliver-sacks-on-learning-he-has-terminal-cancer.html
I feel grateful that I have been granted nine years of good health and
productivity since the original diagnosis, but now I am face to face
with dying. The cancer occupies a third of my liver, and though its
advance may be slowed, this particular sort of cancer cannot be
halted.

It is up to me now to choose how to live out the months that remain to
me. I have to live in the richest, deepest, most productive way I can.
In this I am encouraged by the words of one of my favorite
philosophers, David Hume, who, upon learning that he was mortally ill
at age 65, wrote a short autobiography in a single day in April of
1776. He titled it "My Own Life."

"I now reckon upon a speedy dissolution," he wrote. "I have suffered
very little pain from my disorder; and what is more strange, have,
notwithstanding the great decline of my person, never suffered a
moment's abatement of my spirits. I possess the same ardour as ever in
study, and the same gaiety in company."

I have been lucky enough to live past 80, and the 15 years allotted to
me beyond Hume's three score and five have been equally rich in work
and love. In that time, I have published five books and completed an
autobiography (rather longer than Hume's few pages) to be published
this spring; I have several other books nearly finished.

Hume continued, "I am ... a man of mild dispositions, of command of
temper, of an open, social, and cheerful humour, capable of
attachment, but little susceptible of enmity, and of great moderation
in all my passions."

Here I depart from Hume. While I have enjoyed loving relationships and
friendships and have no real enmities, I cannot say (nor would anyone
who knows me say) that I am a man of mild dispositions. On the
contrary, I am a man of vehement disposition, with violent
enthusiasms, and extreme immoderation in all my passions.

And yet, one line from Hume's essay strikes me as especially true: "It
is difficult," he wrote, "to be more detached from life than I am at
present."


Over the last few days, I have been able to see my life as from a
great altitude, as a sort of landscape, and with a deepening sense of
the connection of all its parts. This does not mean I am finished with
life.


On the contrary, I feel intensely alive, and I want and hope in the
time that remains to deepen my friendships, to say farewell to those I
love, to write more, to travel if I have the strength, to achieve new
levels of understanding and insight.


This will involve audacity, clarity and plain speaking; trying to
straighten my accounts with the world. But there will be time, too,
for some fun (and even some silliness, as well).

Continue reading the main story

Continue reading the main story

I feel a sudden clear focus and perspective. There is no time for
anything inessential. I must focus on myself, my work and my friends.
I shall no longer look at "NewsHour" every night. I shall no longer
pay any attention to politics or arguments about global warming.

This is not indifference but detachment -- I still care deeply about
the Middle East, about global warming, about growing inequality, but
these are no longer my business; they belong to the future. I rejoice
when I meet gifted young people -- even the one who biopsied and
diagnosed my metastases. I feel the future is in good hands.

I have been increasingly conscious, for the last 10 years or so, of
deaths among my contemporaries. My generation is on the way out, and
each death I have felt as an abruption, a tearing away of part of
myself. There will be no one like us when we are gone, but then there
is no one like anyone else, ever. When people die, they cannot be
replaced. They leave holes that cannot be filled, for it is the fate --
the genetic and neural fate -- of every human being to be a unique
individual, to find his own path, to live his own life, to die his own
death.

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.



Oliver Sacks, a professor of neurology at the New York University
School of Medicine, is the author of many books, including
"Awakenings" and "The Man Who Mistook His Wife for a Hat."

A version of this op-ed appears in print on February 19, 2015, on page
A25 of the New York edition with the headline: My Own Life.


-- 
Avinash Shahi
Doctoral student at Centre for Law and Governance JNU



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