hello everyone I’d like to start by asking a simple question how do doctors
asking a simple question how do doctors
asking a simple question how do doctors heal in the cut and thrust of a busy
heal in the cut and thrust of a busy
heal in the cut and thrust of a busy teaching hospital like the one where I
teaching hospital like the one where I
teaching hospital like the one where I work in Oxford’s
work in Oxford’s
work in Oxford’s you could be forgiven for thinking that
you could be forgiven for thinking that
you could be forgiven for thinking that storytelling is the very last thing on a
storytelling is the very last thing on a
storytelling is the very last thing on a doctor’s mind we are far too busy doing
doctor’s mind we are far too busy doing
doctor’s mind we are far too busy doing our jobs often with time running out we
our jobs often with time running out we
our jobs often with time running out we are running crash calls cardiac arrests
are running crash calls cardiac arrests
are running crash calls cardiac arrests major hemorrhages making life-and-death
major hemorrhages making life-and-death
major hemorrhages making life-and-death decisions all of the time but in fact
storytelling has a unique importance in
storytelling has a unique importance in medicine and that was recognized back in
medicine and that was recognized back in
medicine and that was recognized back in the late 19th century by someone who is
the late 19th century by someone who is
the late 19th century by someone who is widely regarded as the father of modern
widely regarded as the father of modern
widely regarded as the father of modern medicine a professor called Sir William
medicine a professor called Sir William
medicine a professor called Sir William Osler Osler urged his medical students
Osler Osler urged his medical students
Osler Osler urged his medical students and his young doctors in training to
and his young doctors in training to
and his young doctors in training to learn by seeing and crucially by talking
learn by seeing and crucially by talking
learn by seeing and crucially by talking to patients he once wrote just listen to
to patients he once wrote just listen to
to patients he once wrote just listen to your patient he is telling you the
your patient he is telling you the
your patient he is telling you the diagnosis and those words are every bit
diagnosis and those words are every bit
diagnosis and those words are every bit as true today in the 21st century as
as true today in the 21st century as
as true today in the 21st century as they were when he wrote them for all the
they were when he wrote them for all the
they were when he wrote them for all the high-tech wizardry of modern medicine
high-tech wizardry of modern medicine
high-tech wizardry of modern medicine the scans the genomics the molecular
the scans the genomics the molecular
the scans the genomics the molecular analyses all those array of technologies
analyses all those array of technologies
analyses all those array of technologies at our disposal actually the way a
at our disposal actually the way a
at our disposal actually the way a doctor invariably figures out what is
doctor invariably figures out what is
doctor invariably figures out what is wrong with a patient is simply by paying
wrong with a patient is simply by paying
wrong with a patient is simply by paying very close attention to what they tell
very close attention to what they tell
very close attention to what they tell us
us
us and so story telling you telling us your
and so story telling you telling us your
and so story telling you telling us your physicians your own narratives of
physicians your own narratives of
physicians your own narratives of illness is incredibly important in
illness is incredibly important in
illness is incredibly important in medical diagnosis but there’s another
medical diagnosis but there’s another
medical diagnosis but there’s another much more fundamental way in which
much more fundamental way in which
much more fundamental way in which stories matter in medicine
stories matter in medicine
stories matter in medicine and it’s something that was encapsulated
and it’s something that was encapsulated
and it’s something that was encapsulated beautifully once by Philip Pullman the
beautifully once by Philip Pullman the
beautifully once by Philip Pullman the author himself no slouch at telling
author himself no slouch at telling
author himself no slouch at telling stories Pullman once said after
stories Pullman once said after
stories Pullman once said after nourishment shelter and companionship
nourishment shelter and companionship
nourishment shelter and companionship stories are the thing we need most in
stories are the thing we need most in
stories are the thing we need most in the world nowhere is that more true than
the world nowhere is that more true than
the world nowhere is that more true than in a hospital where what heals is not
in a hospital where what heals is not
in a hospital where what heals is not only our drugs a doctor’s scalpel it is
only our drugs a doctor’s scalpel it is
only our drugs a doctor’s scalpel it is smaller things too that matter holding
smaller things too that matter holding
smaller things too that matter holding someone hearing them making sure they
someone hearing them making sure they
someone hearing them making sure they know that they’re being hold held and
know that they’re being hold held and
know that they’re being hold held and heard I think for me stories are
heard I think for me stories are
heard I think for me stories are important because before I became a
important because before I became a
important because before I became a doctor I was a television journalist I
doctor I was a television journalist I
doctor I was a television journalist I made documentaries and so I told other
made documentaries and so I told other
made documentaries and so I told other people’s stories for a living but now as
people’s stories for a living but now as
people’s stories for a living but now as a doctor my job is to listen very
a doctor my job is to listen very
a doctor my job is to listen very closely very attentively to my patient
closely very attentively to my patient
closely very attentively to my patient stories and try with a team to help
stories and try with a team to help
stories and try with a team to help shape those stories for the better
shape those stories for the better
shape those stories for the better that’s the essence of what we all do in
that’s the essence of what we all do in
that’s the essence of what we all do in medicine I’m a palliative care doctor
medicine I’m a palliative care doctor
medicine I’m a palliative care doctor and so I specialize in looking after
and so I specialize in looking after
and so I specialize in looking after patients who are at the end of their
patients who are at the end of their
patients who are at the end of their life and we all know that the beginnings
life and we all know that the beginnings
life and we all know that the beginnings and the endings of stories are often
and the endings of stories are often
and the endings of stories are often they’re dramatic high points as with
they’re dramatic high points as with
they’re dramatic high points as with birth so too in death great intensity of
birth so too in death great intensity of
birth so too in death great intensity of emotion tends to dominate it’s therefore
emotion tends to dominate it’s therefore
emotion tends to dominate it’s therefore incredibly important that as palliative
incredibly important that as palliative
incredibly important that as palliative care doctors we try to get that
care doctors we try to get that
care doctors we try to get that experience of dying for our patients as
experience of dying for our patients as
experience of dying for our patients as right as it is possible to be and that
right as it is possible to be and that
right as it is possible to be and that means more simply than the absence of
means more simply than the absence of
means more simply than the absence of symptoms such as pain and distress it
symptoms such as pain and distress it
symptoms such as pain and distress it means trying to ensure that a patient’s
means trying to ensure that a patient’s
means trying to ensure that a patient’s end of life has grace and dignity and I
end of life has grace and dignity and I
end of life has grace and dignity and I think something that’s incredibly
think something that’s incredibly
think something that’s incredibly important which we learn early on in
important which we learn early on in
important which we learn early on in palliative care is a person’s death is
palliative care is a person’s death is
palliative care is a person’s death is not actually
not actually
not actually end of their story because that story
end of their story because that story
end of their story because that story and the manner of a patient’s dying
and the manner of a patient’s dying
and the manner of a patient’s dying lives on in their loved ones it has a
lives on in their loved ones it has a
lives on in their loved ones it has a life of its own after the death of a
life of its own after the death of a
life of its own after the death of a person I think for me a very powerful
person I think for me a very powerful
person I think for me a very powerful recent example that I heard of a story
recent example that I heard of a story
recent example that I heard of a story in medicine came from the Royal Marsden
in medicine came from the Royal Marsden
in medicine came from the Royal Marsden cancer hospital in London one of the
cancer hospital in London one of the
cancer hospital in London one of the foremost centers for cancer treatment in
foremost centers for cancer treatment in
foremost centers for cancer treatment in this country it came from one of the
this country it came from one of the
this country it came from one of the play specialists there a woman who was
play specialists there a woman who was
play specialists there a woman who was wrestling with the challenge of trying
wrestling with the challenge of trying
wrestling with the challenge of trying to care for children who faced
to care for children who faced
to care for children who faced radiotherapy for their tumors and
radiotherapy for their tumors and
radiotherapy for their tumors and there’s a particular problem for these
there’s a particular problem for these
there’s a particular problem for these children which is they have to undergo
children which is they have to undergo
children which is they have to undergo the treatments alone inside a
the treatments alone inside a
the treatments alone inside a radiotherapy machine we’re off necessity
radiotherapy machine we’re off necessity
radiotherapy machine we’re off necessity they’re separated from their parents and
they’re separated from their parents and
they’re separated from their parents and so they faced a loud distressing
so they faced a loud distressing
so they faced a loud distressing threatening machine by themselves it’s a
threatening machine by themselves it’s a
threatening machine by themselves it’s a very it’s a very challenging and
very it’s a very challenging and
very it’s a very challenging and frightening experience sometimes for
frightening experience sometimes for
frightening experience sometimes for children to cope with this challenge the
children to cope with this challenge the
children to cope with this challenge the play specialist invented something very
play specialist invented something very
play specialist invented something very simple but very ingenious and she called
simple but very ingenious and she called
simple but very ingenious and she called it magic string the magic string was a
it magic string the magic string was a
it magic string the magic string was a ball of multicolored twine one end of
ball of multicolored twine one end of
ball of multicolored twine one end of which the child could hold the other end
which the child could hold the other end
which the child could hold the other end of which could thread underneath the
of which could thread underneath the
of which could thread underneath the door out of the room and be held by the
door out of the room and be held by the
door out of the room and be held by the child’s parents she had invented a
child’s parents she had invented a
child’s parents she had invented a literal story that was simultaneously a
literal story that was simultaneously a
literal story that was simultaneously a narrative story a narrative threat a
narrative story a narrative threat a
narrative story a narrative threat a story that that child could tell
story that that child could tell
story that that child could tell themselves that even though they were
themselves that even though they were
themselves that even though they were alone and cold behind a lead-lined door
alone and cold behind a lead-lined door
alone and cold behind a lead-lined door still they were being loved and held and
still they were being loved and held and
still they were being loved and held and cared for by their mother or father a
cared for by their mother or father a
cared for by their mother or father a very powerful idea a hospice like the
very powerful idea a hospice like the
very powerful idea a hospice like the wonderful place where I work is often
wonderful place where I work is often
wonderful place where I work is often seen by members of the public as a
seen by members of the public as a
seen by members of the public as a precipice people fear that
precipice people fear that
precipice people fear that you cross the threshold all you will do
you cross the threshold all you will do
you cross the threshold all you will do as plummets downwards there is nothing
as plummets downwards there is nothing
as plummets downwards there is nothing left for you to experience but the
left for you to experience but the
left for you to experience but the experience of dying and I was recently
experience of dying and I was recently
experience of dying and I was recently struck by this when I met a new patient
struck by this when I met a new patient
struck by this when I met a new patient for the first time somebody who was a
for the first time somebody who was a
for the first time somebody who was a huge Star Wars fan and who happened also
huge Star Wars fan and who happened also
huge Star Wars fan and who happened also to have terminal cancer he said to me
to have terminal cancer he said to me
to have terminal cancer he said to me when he first met me somewhat ruefully
when he first met me somewhat ruefully
when he first met me somewhat ruefully I’ve always thought of this place as the
I’ve always thought of this place as the
I’ve always thought of this place as the Death Star and we smiled of course in
Death Star and we smiled of course in
Death Star and we smiled of course in one sense he was absolutely right there
one sense he was absolutely right there
one sense he was absolutely right there is no escaping the fact that many of the
is no escaping the fact that many of the
is no escaping the fact that many of the patients who come to our Hospice will
patients who come to our Hospice will
patients who come to our Hospice will not leave although that’s by no means
not leave although that’s by no means
not leave although that’s by no means always the case but I think what strikes
always the case but I think what strikes
always the case but I think what strikes me in the work I do is not my proximity
me in the work I do is not my proximity
me in the work I do is not my proximity to death
to death
to death it is the sheer quantity of life that I
it is the sheer quantity of life that I
it is the sheer quantity of life that I observe every day at work and not just
observe every day at work and not just
observe every day at work and not just ordinary humdrum everyday life I’m
ordinary humdrum everyday life I’m
ordinary humdrum everyday life I’m talking about the very best bits of life
talking about the very best bits of life
talking about the very best bits of life love compassion courage selflessness all
love compassion courage selflessness all
love compassion courage selflessness all those things we see an abundance and in
those things we see an abundance and in
those things we see an abundance and in fact so often as a patient approaches
fact so often as a patient approaches
fact so often as a patient approaches the end of their life these things
the end of their life these things
the end of their life these things predominate in a way they never have
predominate in a way they never have
predominate in a way they never have done at any other point in their life
done at any other point in their life
done at any other point in their life story it’s truly remarkable I’d like to
story it’s truly remarkable I’d like to
story it’s truly remarkable I’d like to share with you a story from the end of
share with you a story from the end of
share with you a story from the end of my very first week as a palliative care
my very first week as a palliative care
my very first week as a palliative care doctor that I think exemplifies what
doctor that I think exemplifies what
doctor that I think exemplifies what I’ve just described and it took place
I’ve just described and it took place
I’ve just described and it took place one busy Friday afternoon I had been
one busy Friday afternoon I had been
one busy Friday afternoon I had been caring all week for a gentleman in his
caring all week for a gentleman in his
caring all week for a gentleman in his 70s who was dying of cancer and on that
70s who was dying of cancer and on that
70s who was dying of cancer and on that Friday afternoon he had taken a turn for
Friday afternoon he had taken a turn for
Friday afternoon he had taken a turn for the worse he was clearly in the last
the worse he was clearly in the last
the worse he was clearly in the last probably short hours of his life his
probably short hours of his life his
probably short hours of his life his wife whom I’ll call Linda was incredibly
wife whom I’ll call Linda was incredibly
wife whom I’ll call Linda was incredibly distraught when she realized he was
distraught when she realized he was
distraught when she realized he was dying and she had so little time left
dying and she had so little time left
dying and she had so little time left with him her cries reverberate it
with him her cries reverberate it
with him her cries reverberate it through the entire ward she could only
through the entire ward she could only
through the entire ward she could only scream her distress it was
scream her distress it was
scream her distress it was in tents for her and I went into the
in tents for her and I went into the
in tents for her and I went into the room to try to help I was confronted by
room to try to help I was confronted by
room to try to help I was confronted by a woman consumed by grief by the patient
a woman consumed by grief by the patient
a woman consumed by grief by the patient himself now deeply unconscious and
himself now deeply unconscious and
himself now deeply unconscious and probably around 10 or 12 other family
probably around 10 or 12 other family
probably around 10 or 12 other family members all of whom are crammed into
members all of whom are crammed into
members all of whom are crammed into this chaotic environment and I had to
this chaotic environment and I had to
this chaotic environment and I had to decide how to proceed I thought very
decide how to proceed I thought very
decide how to proceed I thought very quickly and the first thing I did was
quickly and the first thing I did was
quickly and the first thing I did was ask all of the other family members to
ask all of the other family members to
ask all of the other family members to leave the room so now just the three of
leave the room so now just the three of
leave the room so now just the three of us were left Linda her husband and me
us were left Linda her husband and me
us were left Linda her husband and me and I placed my hands firmly on her
and I placed my hands firmly on her
and I placed my hands firmly on her shoulders to try and distract her from
shoulders to try and distract her from
shoulders to try and distract her from her grief she looked at me and when I
her grief she looked at me and when I
her grief she looked at me and when I caught her eye I said to her Linda would
caught her eye I said to her Linda would
caught her eye I said to her Linda would you like to say goodbye to your husband
you like to say goodbye to your husband
you like to say goodbye to your husband as his wife would you like to lie beside
as his wife would you like to lie beside
as his wife would you like to lie beside him now to say goodbye to him and she
him now to say goodbye to him and she
him now to say goodbye to him and she was confused she said how I don’t know
was confused she said how I don’t know
was confused she said how I don’t know how I can do that and if I’m honest at
how I can do that and if I’m honest at
how I can do that and if I’m honest at that stage I wasn’t entirely sure how
that stage I wasn’t entirely sure how
that stage I wasn’t entirely sure how she could myself there were high sides
she could myself there were high sides
she could myself there were high sides on the bed and there wasn’t very much
on the bed and there wasn’t very much
on the bed and there wasn’t very much room for someone else I just knew he had
room for someone else I just knew he had
room for someone else I just knew he had to try and so with several of the nurses
to try and so with several of the nurses
to try and so with several of the nurses excuse me with several of the nurses we
excuse me with several of the nurses we
excuse me with several of the nurses we carefully maneuvered the patient to one
carefully maneuvered the patient to one
carefully maneuvered the patient to one side of his bed and created a small
side of his bed and created a small
side of his bed and created a small space where his wife of nearly 50 years
space where his wife of nearly 50 years
space where his wife of nearly 50 years a woman who had met her husband when she
a woman who had met her husband when she
a woman who had met her husband when she was 14 years old and had spent her
was 14 years old and had spent her
was 14 years old and had spent her entire adult life married to him now lay
entire adult life married to him now lay
entire adult life married to him now lay beside him she kissed him held his hand
beside him she kissed him held his hand
beside him she kissed him held his hand whispered that she loved him stroked his
whispered that she loved him stroked his
whispered that she loved him stroked his cheek cries did everything she wanted to
cheek cries did everything she wanted to
cheek cries did everything she wanted to I withdrew gave them some privacy and
I withdrew gave them some privacy and
I withdrew gave them some privacy and when I returned after about half an hour
when I returned after about half an hour
when I returned after about half an hour her whole family had gathered in the
her whole family had gathered in the
her whole family had gathered in the room as well and just moments after I
room as well and just moments after I
room as well and just moments after I entered the room he inhaled his chest
entered the room he inhaled his chest
entered the room he inhaled his chest rose as his lungs filled with air and he
rose as his lungs filled with air and he
rose as his lungs filled with air and he exhaled one final time and he died in
exhaled one final time and he died in
exhaled one final time and he died in the arms of the woman he had loved for
the arms of the woman he had loved for
the arms of the woman he had loved for so many decades
so many decades
so many decades I share that example because for me it
I share that example because for me it
I share that example because for me it exemplifies two things first and
exemplifies two things first and
exemplifies two things first and foremost that even in a hospice a place
foremost that even in a hospice a place
foremost that even in a hospice a place that is so synonymous for many people
that is so synonymous for many people
that is so synonymous for many people with fear and taboo and darkness there
with fear and taboo and darkness there
with fear and taboo and darkness there is more than enough love to light the
is more than enough love to light the
is more than enough love to light the rooms in fact I’m struck over and over
rooms in fact I’m struck over and over
rooms in fact I’m struck over and over again by the fact that in my work in
again by the fact that in my work in
again by the fact that in my work in palliative care it is for all the pain
palliative care it is for all the pain
palliative care it is for all the pain and suffering and grief that accompanies
and suffering and grief that accompanies
and suffering and grief that accompanies the work we do actually it is love from
the work we do actually it is love from
the work we do actually it is love from which all of that stems and it is that
which all of that stems and it is that
which all of that stems and it is that what that it is that that predominates
what that it is that that predominates
what that it is that that predominates at the end of someone’s life I have
at the end of someone’s life I have
at the end of someone’s life I have learned as surely as I know anything
learned as surely as I know anything
learned as surely as I know anything through this work that grief is the form
through this work that grief is the form
through this work that grief is the form love takes when somebody dies it is what
love takes when somebody dies it is what
love takes when somebody dies it is what binds us it is our magic string perhaps
binds us it is our magic string perhaps
binds us it is our magic string perhaps not literal but certainly metaphorical
not literal but certainly metaphorical
not literal but certainly metaphorical and the second thing I have learned is
and the second thing I have learned is
and the second thing I have learned is that here in this example was the very
that here in this example was the very
that here in this example was the very best of health care we saw here a
best of health care we saw here a
best of health care we saw here a medical team of doctors and nurses doing
medical team of doctors and nurses doing
medical team of doctors and nurses doing their utmost to strive beyond the mere
their utmost to strive beyond the mere
their utmost to strive beyond the mere statistics the hard facts of medicine
statistics the hard facts of medicine
statistics the hard facts of medicine and reach out to the meanings and the
and reach out to the meanings and the
and reach out to the meanings and the emotions that matter to a patient and
emotions that matter to a patient and
emotions that matter to a patient and their family at the end of life there is
their family at the end of life there is
their family at the end of life there is a wonderful quotation here from the
a wonderful quotation here from the
a wonderful quotation here from the great poet Maya Angelou who said I’ve
great poet Maya Angelou who said I’ve
great poet Maya Angelou who said I’ve learned that people will forget what you
learned that people will forget what you
learned that people will forget what you said people will forget what you did but
said people will forget what you did but
said people will forget what you did but they will never forget how you made them
they will never forget how you made them
they will never forget how you made them feel all doctors not only palliative
feel all doctors not only palliative
feel all doctors not only palliative care doctors I believe must strive to
care doctors I believe must strive to
care doctors I believe must strive to hear those words and heed them we must
hear those words and heed them we must
hear those words and heed them we must do our utmost to ensure that our
do our utmost to ensure that our
do our utmost to ensure that our patients feel our care for them
patients feel our care for them
patients feel our care for them and we do that by hearing their stories
and we do that by hearing their stories
and we do that by hearing their stories we listen we respect we ensure that a
we listen we respect we ensure that a
we listen we respect we ensure that a patient does not feel they are ever
patient does not feel they are ever
patient does not feel they are ever abandoned they are ever by themselves
abandoned they are ever by themselves
abandoned they are ever by themselves left alone in medicine so to return to
left alone in medicine so to return to
left alone in medicine so to return to my original question how do doctors heal
my original question how do doctors heal
my original question how do doctors heal I think we have an extraordinary array
I think we have an extraordinary array
I think we have an extraordinary array of technologies in medicine at our
of technologies in medicine at our
of technologies in medicine at our disposal to achieve that healing we can
disposal to achieve that healing we can
disposal to achieve that healing we can enhance and prolong life in so many ways
enhance and prolong life in so many ways
enhance and prolong life in so many ways we can use antibiotics chemotherapy
we can use antibiotics chemotherapy
we can use antibiotics chemotherapy organ transplants so many different
organ transplants so many different
organ transplants so many different technologies and yet all of us will die
technologies and yet all of us will die
technologies and yet all of us will die we will all reach a point in our life
we will all reach a point in our life
we will all reach a point in our life where the moment for all of that has
where the moment for all of that has
where the moment for all of that has passed we have lost it there is no room
passed we have lost it there is no room
passed we have lost it there is no room anymore for prolonging or enhancing the
anymore for prolonging or enhancing the
anymore for prolonging or enhancing the message I take from working as a
message I take from working as a
message I take from working as a palliative care doctor though is this
palliative care doctor though is this
palliative care doctor though is this there is always capacity for healing
there is always capacity for healing
there is always capacity for healing even when there is no option for cure
even when there is no option for cure
even when there is no option for cure even when we can’t enhance we can’t
even when we can’t enhance we can’t
even when we can’t enhance we can’t prolong we can still heal and that’s
prolong we can still heal and that’s
prolong we can still heal and that’s because healing fundamentally at its
because healing fundamentally at its
because healing fundamentally at its core is about our shared humanity it is
core is about our shared humanity it is
core is about our shared humanity it is about ensuring we remain connected to
about ensuring we remain connected to
about ensuring we remain connected to someone especially in the final days of
someone especially in the final days of
someone especially in the final days of their life so that they never feel alone
their life so that they never feel alone
their life so that they never feel alone we always ensure there is a magic string
we always ensure there is a magic string
we always ensure there is a magic string and it is always embracing all of us the
and it is always embracing all of us the
and it is always embracing all of us the great beauty of that aspect of healing
great beauty of that aspect of healing
great beauty of that aspect of healing is of course that it is in no sense the
is of course that it is in no sense the
is of course that it is in no sense the monopoly of doctors we can all do this
monopoly of doctors we can all do this
monopoly of doctors we can all do this you can do this every bit as much as I
you can do this every bit as much as I
you can do this every bit as much as I can as any of us can and I think we will
can as any of us can and I think we will
can as any of us can and I think we will all you will all at some stage if you
all you will all at some stage if you
all you will all at some stage if you haven’t already faced a situation where
haven’t already faced a situation where
haven’t already faced a situation where you are grieving you are hurting because
you are grieving you are hurting because
you are grieving you are hurting because you are losing someone
you are losing someone
you are losing someone and perhaps in that grief you can hold
and perhaps in that grief you can hold
and perhaps in that grief you can hold on to two facts the first is you can
on to two facts the first is you can
on to two facts the first is you can heal if you can maintain that human
heal if you can maintain that human
heal if you can maintain that human connection if you can embrace rather
connection if you can embrace rather
connection if you can embrace rather than shrink away from the pain of having
than shrink away from the pain of having
than shrink away from the pain of having to lose somebody you love you have the
to lose somebody you love you have the
to lose somebody you love you have the opportunity to do something remarkable
opportunity to do something remarkable
opportunity to do something remarkable and healing right when it matters the
and healing right when it matters the
and healing right when it matters the most right at the end of somebody’s life
most right at the end of somebody’s life
most right at the end of somebody’s life and if you can remember somehow although
and if you can remember somehow although
and if you can remember somehow although it’s hard that that pain you are feeling
it’s hard that that pain you are feeling
it’s hard that that pain you are feeling exists because grief is the form your
exists because grief is the form your
exists because grief is the form your love is taking as you lose someone as
love is taking as you lose someone as
love is taking as you lose someone as you see them die then perhaps that can
you see them die then perhaps that can
you see them die then perhaps that can give you strength at that time if you’re
give you strength at that time if you’re
give you strength at that time if you’re able to do that you’re doing something
able to do that you’re doing something
able to do that you’re doing something remarkable because at the end of
remarkable because at the end of
remarkable because at the end of somebody’s life when they need that
somebody’s life when they need that
somebody’s life when they need that human connection and all the healing
human connection and all the healing
human connection and all the healing that encompasses more than at any other
that encompasses more than at any other
that encompasses more than at any other time you are being their magic string
time you are being their magic string
time you are being their magic string and we can all do that thank you very
and we can all do that thank you very
and we can all do that thank you very much
”
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