My father was a raconteur, and as his dementia advanced, he often got caught in anecdotal loops. In the middle of a familiar story, he would forget that he had told the beginning, repeat it, then charge through the middle before backtracking again, cycling through the tale until some kind of interruption saved him and his listeners.
Reading Samantha Stewart’s poem “Stingray” (Spring 2022 Intima) made me think about how experiences can become anecdotes, which may turn into stories, which may evolve into legends. And I saw how personal legends connect the dying to the living.
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When I read the Field Notes essay “Letter to My Oncologist” (Fall 2025 Intima), I was struck by how the writer, psychologist Julia Dobner-Pereira, watches her physician for the smallest fracture of a moment in composure—and how the physician watches her for the same. Their exchanges sit on a narrow ledge—two people trying to hold each other’s fear without admitting how much weight they’re carrying. I recognized that terrain immediately. As a clinician, I’ve felt patients monitor my breathing, my pauses, my half-smiles.
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The “estranged daughter from California” is an expression used by MAiD practitioners to describe that relative who shows up to rail against the dying person’s wishes to end their life.
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“There is bravery in enduring. There is bravery in leaving.”
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We carry them in our thoughts and in our prayers. It is the unspoken in the medical field. The hesitation you feel, to show at times, you hurt for them, with them, through them. The patient unaware that emotion is viable and present when treating, caring, or guiding steps to an end, no matter what that may be. Their physical bodies are present at the appointments, but their souls are searching elsewhere for meaning. The “why” of illness.
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In “Mathematical Fix | ation” (Fall 2023 Intima), Laura Pinto describes the slow decline of her father’s ability to communicate. She tries her best to accompany him along his inward spiral of dementia, in which he has become completely fixated on arithmetic and logic, to the point that she calls him “Professor” rather than father. I am struck by the small joys she discovers in his lucid moments at the end of his life, such as when he calls her by name, only once, in the way he did when she was young. Putting myself in her shoes, I wonder if I would have the grace and openness of heart to delight in similar moments, as untethered as I imagine I might be in the face of impending loss.
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