Where Fear About Living and Dying is Held: A reflection by UC San Diego internal medicine resident Tulsi Patel

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 Importance of Providing Compassionate Palliative and End-of-Life Care

A writer reflects on her own mother’s experience with death and dying and argues for the greater recognition of palliative care in the clinical encounter.

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Waiting: A reflection on anticipating a diagnosis by poet RN Amy Haddad

A nurse, poet, and educator ponders the lot of patients—one that often includes loss of identity, dislocation in time and space, and of course, waiting.

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Written in the Stars: A Reflection on Youth Cancer by Will Moody

For every young adult diagnosed with cancer, a time comes when we ask ourselves a question.

Why?

Why did this happen to me? Why now? They are not questions we want an answer to, but as humans, we crave finding meaning in our lives. We do it because the alternative is accepting that cosmic randomness determines our very breath.

Why did this happen to me? Why now? They are not questions we want an answer to, but as humans, we crave finding meaning in our lives. We do it because the alternative is accepting that cosmic randomness determines our very breath.

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