An August 2013 BBC Sport report illustrated the progress of his disease — by then, Van der Westhuizen was confined to a wheelchair, and his speech had grown increasingly slurred. He told reporter James Peacock,I realise every day could be my last. It's been a rollercoaster from day one and I know I'm on a deathbed from now on. I've had my highs and I have had my lows, but no more. I'm a firm believer that there's a bigger purpose in my life and I am very positive, very happy.