Your kids are launched. You love your work but you understand how to place it in the panorama of the rest of your life. There's this line in the book, and when I wrote it I thought yes, that's it - if you think of life as a job, maybe by the time you get to, say, in my case, 60, you've finally gotten good at it.

And I don't have to listen to a sermon to know what to think or feel about them. It's almost as if I absorbed completely what mattered most to me, and the rest could go.

I think at every moment in the last probably 100 years, when the institutional church had the opportunity to do the right thing, they did the wrong thing. They're a dying institution in many parts of the world because they refuse to ordain women or married people. And now they're a dying institution because some of their members did enormous harm to young people and instead of responding aggressively with humility, and with love, and with the confession of wrongdoing, they tried to spin it as though they were a political party, and that's just deplorable.

I know a lot and have written a lot and have thought a lot about motherhood.

I've always had a certain facility with words.

God bless the physician who warms the speculum or holds your hand and looks into your eyes. Perhaps one subtext of the health caredebate is a yen to be treated like a whole person, not just an eye, an ear, a nose or a throat. A yen to be human again, on the part of patient and doctor alike.

If I get the forty additional years statisticians say are likely coming to me, I could fit in at least one, maybe two new lifetimes. Sad that only one of those lifetimes can include being the mother of young children.