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They explained their concerns and she said, “I feel a kind of isolation that you’ll never be able to understand. What you see is a mere fraction of what’s happening inside, but at least my inner and outer worlds are reflecting each other. You wouldn’t want me to throw worlds off balance, would you?

It is very important that you only do what you love to do. you may be poor, you may go hungry, you may lose your car, you may have to move into a shabby place to live, but you will totally live. And at the end of your days you will bless your life because you have done what you came here to do. Otherwise, you will live your life as a prostitute, you will do things only for a reason, to please other people, and you will never have lived. and you will not have a pleasant death.

How, then, do we know when a patient is giving up “too early” when we feel that a little fight on his part combined with the help of the medical profession could give him a chance to live longer? How can we differentiate this from the stage of acceptance, when our wish to prolong his life often contradicts his wish to rest and die in peace? If we are unable to differentiate these two stages we do more harm than good to our patients, we will be frustrated in our efforts, and will make his dying a painful last experience.