A Doctor with Terminal Cancer Writes to His Baby Daughter

Time for me is double-edged: Every day brings me further from the low of my last cancer relapse, but every day also brings me closer to the next cancer recurrence — and eventually, death. Perhaps later than I think, but certainly sooner than I desire. There are, I imagine, two responses to that realization. The most obvious might be an impulse to frantic activity: to “live life to its fullest,” to travel, to dine, to achieve a host of neglected ambitions. Part of the cruelty of cancer, though, is not only that it limits your time, it also limits your energy, vastly reducing the amount you can squeeze into a day. It is a tired hare who now races. But even if I had the energy, I prefer a more tortoiselike approach. I plod, I ponder, some days I simply persist.

Everyone succumbs to finitude. I suspect I am not the only one who reaches this pluperfect state. Most ambitions are either achieved or abandoned; either way, they belong to the past. The future, instead of the ladder toward the goals of life, flattens out into a perpetual present. Money, status, all the vanities the preacher of Ecclesiastes described, hold so little interest: a chasing after wind, indeed.

Yet one thing cannot be robbed of her futurity: my daughter, Cady. I hope I’ll live long enough that she has some memory of me. Words have a longevity I do not.

-From a short, beautiful Stanford Medicine essay by neurosurgeon Paul Kalanithi, who suffered from terminal lung cancer. Update: Kalanithi died on March 9, 2015. He was 37. “We are all devastated by the tragedy of his sudden illness and untimely demise,” said Gary Steinberg, professor and chair of neurosurgery at the university.

His book, When Breath Becomes Air, was released on January 12, 2016. Here is an excerpt from The New Yorker.

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