For life to me is Christ, and if I die, it would be gain.

So, I am in a dilemma between the two choices. [On the one hand] I have the desire to depart [from this life] and be with Christ [in heaven], which would be far better.

But even if I am poured out like a drink offering [See Ex. 29:38-41] on the sacrifice and service produced by your faith, I am glad and will rejoice with all of you. [Note: Paul here likens the possible pouring out of his blood to the wine and oil of the Old Testament sacrifice, which is then likened to the Philippians' faithful service to God].

And indeed, he was [so] sick that he almost died, but God had pity on him, and not only on him but also on me, so that I would not have one sorrow on top of another.