When Breath Becomes Air

There is perhaps only one thing to say to this infant, who is all future, overlapping briefly with me, whose life, barring the improbable, is all but past.

The message is simple:

When you come to one of the many moments in life where you must give an account of yourself, provide a ledger of what you have been, and done, and meant to the world, do not, I pray, discount that you filled a dying man’s days with a sated joy, a joy unknown to me in all my prior years, a joy that does not hunger for more and more but rests, satisfied. In this time, right now, that is an enormous thing.


When Breath Becomes AirWhen Breath Becomes Air by Paul Kalanithi
My rating: 5 of 5 stars

The quote above is the conclusion of this tremendously powerful book. For a variety of biographical reasons I found it hit me particularly hard. That it was written under the duress of an advancing terminal cancer is astonishing. The risk with this sort of book is a descent into sentimentality, or a sort of “here are 7 life lessons” reduction (… let me guess … lesson 7: seize the day?). This is not that sort of book. Here is Kalanithi at one point in his treatment:

The way forward would seem obvious, if only I knew how many months or years I had left. Tell me three months, I’d spend time with family. Tell me one year, I’d write a book. Give me ten years, I’d get back to treating diseases. The truth that you live one day at a time didn’t help: What was I supposed to do with that day?

It is not that there is nothing to learn here (Kalanithi’s oncologist encourages him repeatedly as treatment progresses “to find his values” and part of what makes the book interesting and moving is his wrestling with this mission) but it is complex, thorny, multi-layered. This is one that will stick with me – and perhaps I’ll have more to write about it later.