It does seem a rather poignant and melancholy scene, but I would bet he did have a few smiles for the delight of it all - the contrast between the finality and inevitability of his soon-to-be demise and outrageous life parading past his window.

When I was bedridden for five months, waiting for a new heart valve, I watched a lot of old, funny movies. I could not abide sad ones. I often had my grandson with me, on the bed as we watched and laughed together. There was a significant poignancy there all of the time, though. I would look at him, all of 1.5 years old, and burst out in tears for fear I'd not live to see him grow up; then he would smile and laugh about something and lift me up and out of any despondency...my own little "parade" of Life.