I am feeling fine. I remember these words and recite them. These are the things you say when asked how you are. After all, it would be odd to say: I'm not feeling. Or, more to the point: I'm not, I have ceased to be. Where am I?

The fact that you were essentially dead does not register until you begin to come alive.

Hospitalizations in general are blurry. The days are the same, precisely the same. Nothing changes. Life melts down to a simple progression of meals. They become a way of life fairly quickly. You may welcome this transition. It may seem inevitable to you. You have been removed from the world. It is all right, in a way, because there is nothing so sure, so safe, as routine.

I was perpetually grief-stricken when I finished a book, and would slide down from my sitting position on the bed, put my cheek on the pillow and sigh for a long time. It seemed there would never be another book. It was all over, the book was dead. It lay in its bent cover by my hand. What was the use? Why bother dragging the weight of my small body down to dinner? Why move? Why breathe? The book had left me, and there was no reason to go on.

When you're teaching creative nonfiction, it helps to have written about your life in a very open way, because you can say, 'Look, how much are you willing to risk emotionally to write? How careful can you be with the other people you're writing about?

After a lifetime of silence, it is difficult then to speak.

I know for a fact that sickness is easier, but health is more interesting.