I rose early the day I killed my friend. I knew that when I killed him I would have to be ready, could not hesitate or be moved by his suffering, but be ready to strike swift and sure, and for that I needed to prepare myself. I needed not to harden myself but to be strong enough to hold myself open, to measure his pain not with detachment but with empathy, to strike him at the precise moment when the balance between his will and his suffering tumbled irretrievably against him; to allow him his struggle but not to struggle needlessly. I was to honor his final moments by judging when they would be, to do what he would not be able to do, and to give him the honor he was due from me and for himself. I rose early and spent the day in silence, and when I was ready and when the time had come, I took my knife and I went to him.

He did not answer his door; it was too late for that. His disease was untreated and untrammeled, sending the impulses of his nerves to bleed into his flesh, to twitch the muscle and fritter away any semblance of control. A friend let me enter and drew me to the rough mat on the floor, on which our friend sat and shook. I knelt in front of my friend and greeted him; drew my knife for him to see and placed it between us, not as a threat but as a promise, fulfillment of his request and my requirement to end his life.

He turned his head toward the knife and reached out a palsied hand to touch it, jostling it slightly as he did so. Told me it would serve, then reached the same hand to me, bidding me to take it. I found that I could not, the hand holding itself up for long seconds before retreating to its owner.

You blame yourself for this still, said my friend. You blame yourself for this disease you gave me, the one that will kill me today. It sits between us like an unwelcome guest.