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Terminal Lucidity

Susan had not eaten for weeks by the time she entered the hospice facility. A 75-year-old editor, she was dying from a brain tumor. As her body weakened, she grew confused and nearly comatose. But suddenly, a few days later, she perked up and asked her brother for a liverwurst sandwich with sweet pickles. Relatives fetched the sandwich and she nibbled a few bites. More animated than in previous days, she engaged in

The Art of Waiting

To paraphrase the writer Viet Thanh Nguyen, the death of each of my patients is lived twice: once in current time and once in memory. Some of my memories of patients are intensely vivid, as if they were shot in high-definition video. Other memories are blurry because I must have subconsciously deleted or altered them. I do remember their faces. And, the faces of family members, especially that “look of waiting.â€

Journey’s End

I had the great and terrible honor of being involved in the death of 7 people this month. Attending to the dying is hard and exhausting work. Anyone who willingly accompanies the dying and their family’s needs during the final hours knows of what I speak. I recently read a book that my fellow clinician’s may find valuable for additional resources and support. And for those of my non-clinical readers these resou
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