"Three and a half billion years ago, when life on earth began, the snail and I shared a common ancestor, some kind of simple worm that over time evolved into two animal groups. The protostomes, which in the embryotic stage develop a mouth first and then an anus, branched off into gastropods...And the Deuterostomes, which develop the same characteristics, though somewhat embarrassingly in reverse order, anus first and then a mouth, branched off into mammals, including Homo sapiens."
There is a certain depth of illness that is piercing in its isolation; the only rule of existence is uncertainty, and the only movement is the passage of time. One cannot bear to live through another loss of function, and sometimes friends and family cannot bear to watch. An unspoken, unbridgeable divide may widen. Even if you are still who you were, you cannot actually fully be who you are. Sometimes the people you know well withdraw, and then even the person you know as yourself begins to change (131).
NB: The publisher sent me a finished hardcover copy of this book last year when it was published, but I am just now getting around to reading it. As of this writing I do not know when it is slated for a paperback release.