Skip to content
  • About
  • Contact
  • Contribute
  • What Physicians Say
  • My Book
  • Careers
  • Podcast
  • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
KevinMD.com — Social media's leading physician voice
  • All
  • Physician
  • Burnout
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
    • All
    • Physician
    • Burnout
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • About
    • Contact
    • Contribute
    • What Physicians Say
    • My Book
    • Careers
    • Podcast
    • Speaking
  • About Kevin Pho, MD, Founder of KevinMD
  • Aging and dementia: what physicians say, in their own words
  • Artificial intelligence: what physicians say, in their own words
  • Be heard on social media’s leading physician voice
  • Cancer: what physicians say, in their own words
  • Children’s health: what pediatricians say, in their own words
  • Contact Kevin
  • COVID-19: what physicians wrote as it happened
  • Custom enhanced author page pricing
  • Diabetes and obesity: what physicians say, in their own words
  • Direct primary care: what physicians say, in their own words
  • DMCA Policy
  • End of life: what physicians say, in their own words
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • GLP-1 drugs: what physicians say about Ozempic and its successors, in their own words
  • Heart disease: what physicians say, in their own words
  • Immigration and medicine: what physicians say about immigrant doctors and immigrant patients, in their own words
  • KevinMD influencer opportunities
  • Medical errors: what physicians say, in their own words
  • Medical ethics: what physicians say, in their own words
  • Medical malpractice: what physicians say, in their own words
  • Medical school: what students and physicians say, in their own words
  • Mental health: what psychiatrists and physicians say, in their own words
  • Nursing: what nurses and physicians say, in their own words
  • Opinion and commentary by KevinMD
  • Opioids: what physicians and pain patients say, in their own words
  • Physician burnout speakers to keynote your conference
  • Physician burnout: what physicians say, in their own words
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician personal finance: what physicians say about their own money, in their own words
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Physician suicide: what physicians say, in their own words
  • Physicians and administrators: what physicians say about who runs medicine, in their own words
  • Primary care physician in Nashua, NH | Kevin Pho, MD
  • Primary care: what physicians say, in their own words
  • Prior authorization: what physicians say, in their own words
  • Privacy Policy
  • Private equity and corporate medicine: what physicians say, in their own words
  • Race and medicine: what physicians say, in their own words
  • Recommended services by KevinMD
  • Residency: what residents and attendings say, in their own words
  • Scope of practice: what physicians, nurse practitioners, and PAs say, in their own words
  • Subscribe to the KevinMD enhanced author page
  • Subscribe to the newsletter
  • Surgeons and surgery: what surgeons say, in their own words
  • Take-home messages: what physicians say when asked to leave one
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The electronic health record: what physicians say, in their own words
  • Vaccines: what physicians say, in their own words
  • Violence against health care workers: what physicians and nurses say, in their own words
  • What physicians say: the KevinMD records
  • Women in medicine: what women physicians say, in their own words
  • Women’s health: what physicians say, in their own words

From a hospice volunteer: Yes, you make a difference

Ellen Rand
Patient
April 2, 2015
Share
Tweet
Share

One winter afternoon during my first year as a hospice volunteer, I drove slowly through the kind of neighborhood where the only people you see during the day are landscapers, contractors and housecleaning services and where one house is grander than the next. I was looking for the ranch house where Bobby had been living since his diagnosis.

Most people I visit, as a hospice volunteer, are my senior by 20 years or more, but Bobby was the first person I’d see who was my age. Too close to home, as it were; a reminder that, yes, it can happen to you. Worse, Bobby was in hospice care for ALS (Lou Gehrig’s disease), whose cruel impact I’d last encountered with my aunt 15 years earlier.

Heavy and pear-shaped, with a full head of gray-white hair and lopsided glasses, Bobby sat in one of three wheelchairs positioned side by side in a dark, silent and cluttered family room that felt like a cave and greeted me with a wan handshake. That first conversation was tentative, as awkward as a blind date.

Before I left, he said,  “There’s no hope. And all I want is a cure.”

I felt that I couldn’t leave without responding; that he needed his fear and despair acknowledged.

“Well, there’s a different kind of hope,” I said. But even though this is what I truly believe — that there can be hope for good days, for good companionship, for the comfort of being with friends or family, for seeing another season — my words sounded hollow even to me.

***

In the course of a few months, it became clear that we had virtually nothing in common. But he did tell me about what he used to love to do: rollerblading, driving, going to Central Park. He brightened only in talking about his three German shepherds that he missed so much, who remained in his house in a nearby town, cared for by his girlfriend, Jenny.

“Can’t the dogs stay here? Or visit?” I asked. He looked at me as if I’d asked if he could leap out of the chair and fly away.

“No,” he said. “My brother hates dogs.”

***

One time I rooted around my basement to find a checkers set because the week before Bobby  had told me that he liked playing checkers. I won the first game we played. By the time we played the second, he didn’t have the strength to move his own pieces, but indicated to me where they should go. He won that game, which annoyed me no end.

“Two out of three?” I asked, my competitive streak raising its sly little head. But he was too tired.

Another time, when his voice was giving out, I told him I could play some music on my iPhone with the Pandora music app.

“Can you get Johnny Cash?” he asked. And I did, cranking up the volume. We sat in companionable silence, me on the couch in the family room, Bobby in one of the wheelchairs, as Johnny croaked about Folsom Prison and being caught in a ring of fire.

ADVERTISEMENT

***

Bobby was released from his own prison in early May that year. I learned about it via a short  email from our volunteer coordinator, chronicling his fatal breathing problems. It was a shock, partly because I had seen him just a few days before that. I’d left earlier than I normally would have then, when a friend showed up, presenting Bobby with a large, detailed drawing of his three dogs. I wanted to give them a little time together. And fully expected to see him the following week.

***

In hospice volunteer training, we’d talked about the big questions that people often focus on close to the end, if they’re blessed with a clear, conscious mind: What did my life mean?Why was I here? What was my purpose? What’s my legacy? And despite ample evidence to the contrary, I believe in the possibility of resolution and reconciliation and redemption. But for Bobby there was none of that.

I thought about how he left the world, in anxiety and fear, with many regrets. Was I of any comfort at all?  I was a visitor, who played some checkers, played some music, told some jokes and listened to him expressing his sorrow and anger without telling him that everything was going to be OK.

A witness.

Ellen Rand is a journalist. This article originally appeared in Life Matters Media.

Prev

What great basketball coaches can teach us about doctoring

April 2, 2015 Kevin 4
…
Next

Top stories in health and medicine, April 3, 2015

April 3, 2015 Kevin 0
…

Tagged as: Palliative Care

< Previous Post
What great basketball coaches can teach us about doctoring
Next Post >
Top stories in health and medicine, April 3, 2015

 

ADVERTISEMENT

More by Ellen Rand

  • Easing a burden, one step at a time

    Ellen Rand
  • a desk with keyboard and ipad with the kevinmd logo

    A phrase as a metaphor for dying itself

    Ellen Rand

More in Patient

  • Patient communication ends when the patient understands

    Diane Bruno
  • Book publishing scams took $7,500 from me by wire transfer

    Richard A. Lawhern, PhD
  • Cosmetic dentistry abroad is not about the lowest price

    Anna Estrin
  • There’s no one to drive your patient home

    Denise Reich
  • Dying is a selfish business

    Nancie Wiseman Attwater
  • A story of a good death

    Carol Ewig
  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 2 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • The conflict of interest that discloses as nothing

      Martha Rosenberg | Medications
    • Surgical judgment: the skill no one sees from the gallery

      Mustafa Kemal Çalık, MD | Physician
    • Why haven’t ambient AI scribes boosted productivity?

      Karan Kanwar | Health Technology
    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Physician well-being is not an individual problem

      Heather Buckley | Conditions and Diseases
  • Past 6 Months

    • Why CDC opioid guidelines get the overdose data wrong

      Richard A. Lawhern, PhD | Conditions and Diseases
    • Retirement isn’t the end of medicine, it’s a second act [PODCAST]

      The Podcast by KevinMD | Podcast
    • Sensory processing in autism and the brain’s volume control

      Josette Pelatan, PhD | Conditions and Diseases
    • What maternity care deserts cost a town

      Manisha Kaliaperumal | Health Policy
    • Why medicine needs a national physician license now

      Vaishali Popat, MD, MPH | Physician
    • A cold cost $945. The cost of primary care is broken.

      Susan Newman, MD | Physician
  • Recent Posts

    • 3 reforms to counter wellness influencers in practice

      Farid Sabet-Sharghi, MD | Physician
    • Shift work and circadian rhythms shape the 24/7 workplace

      Deepak Gupta, MD | Conditions and Diseases
    • Paid for twice

      Physicians paid for G2211 twice. Most never bill it.

      Michael Duben, MD | Physician Finance
    • The next child

      Medicaid managed care and the case for mutual stewardship

      Steven Merahn, MD | Health Policy
    • Choosing a limb lengthening surgeon requires accountability

      Hrayr Basmajian, MD | Physician
    • Cited but never checked

      Why AI crisis advice may fail families facing psychosis

      Nicole Drapeau Gillen | Health Technology

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use Agreement
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

From a hospice volunteer: Yes, you make a difference
2 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...