You understand that you are not going well when you cannot tell others the simplest facts of your life, just because they would imagine that you are asking for pity. In my opinion it is for this reason that one feels so far from everyone, in the end: whatever you think you tell him, it always ends up being sick.
The quote from Nick Hornby's book "A Long Way Down" highlights a sense of isolation that arises when individuals struggle to share their life experiences. It reflects the fear that sharing even basic details might be perceived as seeking sympathy, leading to a disconnect from others. This concern can create a barrier, making it difficult to connect authentically.