As I sat there and watched him struggle to go on living, I tried to focus on what the tumor had done with him already. This wasn’t difficult, given that he looked on that stretcher as though by then he’d been through a hundred rounds with Joe Louis. I thought about the misery that was sure to come, provided he could even be kept alive on a respirator. I saw it all, all, and yet I had to sit there a very long time before I leaned as close to him as I could get and, with my lips to his sunken, ruined face, found it in me finally to whisper, “Dad, I’m going to have to let you go.” He’d been unconscious for several hours and couldn’t hear me, but, shocked, amazed, and weeping, I repeated it to him again and then again, until I believed it myself.
After that, all I could do was to follow his stretcher up to the room where they put him and sit by the bedside. Dying is work and he was a worker. Dying is horrible and my father was dying. I held his hand, which at least still felt like a hand; I stroked his forehead, which at least still looked like his forehead; and I said to him all sorts of things that he could no longer register. Luckily, there wasn’t anything I told him that morning that he didn’t already know.
–Philip Roth, Patrimony