Hope is a terrible thing, she said. Is it? Yes, it keep you living in another place, a place which doesn't exist. For some people it's better than where they are. For many it's a relief. From life, she said. A relief from life? Is that living? Some people don't have a choice. No and that's awful for them. Hope is better than misery, he said. Or despair. Hope belongs in the same box as despair. Hope is not so bad, he said. At least despair has truth to it.

Illness can make us behave in the most surprising ways.

After she was gone there would be no one who knew the whole of her life. She did not even know the whole of it! Perhaps she should have written some of it down...but really what would have been the point in that? Everything passed, she would too. This perspective offered her an unexpected clarity she nearly enjoyed, but even with this new clarity the world offered no more explanation for itself than it ever had.

Did people ever stop changing? They surprised you with fresh pain. Sometimes they surprised you with happiness, but the pain was the sharper surprise. There was no way to protect yourself from it. People could always change and always hurt you. Of course it went in the other direction too, you could hurt them when you didn't intend it and that too was out of your control.

A struggle, to the person experiencing it, is a struggle.

...[She] felt as if she were both a stranger to herself and more herself than she'd ever been.

She thought of how much people changed you. It was the opposite of what you always heard, that no one could change a person. It wasn't true. It was only through other people that one ever did change.