Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Grandma was tired. So she told me goodbye.

James C. Salwitz, MD
Physician
May 8, 2015
Share
Tweet
Share

At the wake, when the kids kept running around, disturbing the disturbed, their mother, or maybe their aunt, or maybe their neighbor, shooed them to the basement. Adult quiet and proper mourning returned. However, I noticed that Mary, eight years old, or so, stayed upstairs. For a while, I watched her, carrying food, clearing plates, even answering the front door. A petite, hard working, hostess. I wondered why.

“Mary,” I said, when she walked past, taking two empty plastic cups to the trash, “You are really doing a lot to help. Don’t you want to go downstairs and play?”

“No,” she said. “Grandma said I should help.”

I was confused; after all, we had buried her grandmother that morning. “When did your grandma tell you to help?” I asked.

“Before,” said Mary. “Before. When we talked on the porch.”

“You and your grandma talked about her wake, before she died?”

“Yes,” said Mary, “and we ate cookies.”

“What else did she tell you?”

Mary hesitated. Perhaps confused by the question or by the intrusion of confidence. I waited, sipping my coffee.

“She told me a lot,” Mary revealed.

“Like what?”

“She told me what to do. She said I have to study hard, because I am a good reader. And math.”

“That’s really nice.”

“And I have to tell the truth.”

“That’s important.”

“And I have help my Mom, because my Mom is sad.”

“Well, you are doing a great job. I am sure it really helps your Mom feel better. Are you sad that your grandma died?” I asked.

“No. Well, yes. A little. Not a lot. Some.”

“Why?”

“Because Grandma said it was OK.”

“Your grandma said it was OK that she was dying?”

“Yes.”

“Why was it OK?”

“Grandma said that she had a lot of fun playing with me, but she was tired, and she was going to get some rest. Grandma said she would see God.”

“What else did she tell you?”

“She gave me her necklace.” Mary showed me that she was wearing an ancient yellowing necklace, folded three times because it was too big for her young neck. Mary stared at the pearls for a moment.

“Did she give you anything else?”

“No. We talked and ate cookies. And milk. Only grandma didn’t drink much milk. I don’t think she liked milk. “

“Did she say anything else?”

“A little.”

Mary was quiet for a moment. Dishes clanked in the kitchen. The doorbell rang. Someone laughed. The smell of baked chicken floated through the room.

“Grandma told me she loved me. And that she was tired. So, she told me goodbye.”

James C. Salwitz is an oncologist who blogs at Sunrise Rounds.

Prev

The VA inspires me to be a better physician leader. Here's how.

May 8, 2015 Kevin 16
…
Next

It ain't bleeding until you can hear it bleeding

May 8, 2015 Kevin 0
…

Tagged as: Oncology/Hematology

< Previous Post
The VA inspires me to be a better physician leader. Here's how.
Next Post >
It ain't bleeding until you can hear it bleeding

ADVERTISEMENT

More by James C. Salwitz, MD

  • Each line on the radiology list is a patient’s line in the sand

    James C. Salwitz, MD
  • The broader mission for hospice care

    James C. Salwitz, MD
  • Is the medical profession at its end?

    James C. Salwitz, MD

More in Physician

  • Rural maternity care in crisis: 5 solutions to save local OB units

    Jesus Ruiz, MD
  • Bipolar I and the illusion of insight: a firsthand account

    Tommy Saborido, MD
  • The hidden toll of physician regulatory investigations

    Jean Paul Brutus, MD
  • Learned helplessness and self-efficacy in tobacco treatment

    Edward Anselm, MD
  • Why doctors struggle with health care system delays

    Kayvan Haddadan, MD
  • Physician mental health and suicide prevention: stories of survival

    Michael F. Myers, MD
  • Most Popular

  • Past Week

    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • Why PAs are masters in medicine, not competitors to MDs

      Chidalu Mbonu, MPH | Education
    • A tribute to an oncologist: the power of mentorship in medicine

      Dr. Damane Zehra | Conditions
    • Uterine aging plays a critical hidden role in IVF outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
  • Recent Posts

    • Reproductive care for rare diseases: the missing playbook

      Lyndsay Hoy, MD | Conditions
    • The myth of cancer overdiagnosis: Why screening saves lives

      Frederic W. Grannis, Jr., MD | Conditions
    • Early-stage medical device innovation: How to discuss untested ideas

      Jarelis Cabrera | Tech
    • Primary care receives only five cents of every health care dollar [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
    • Bipolar I and the illusion of insight: a firsthand account

      Tommy Saborido, MD | Physician

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 3 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

    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • Why PAs are masters in medicine, not competitors to MDs

      Chidalu Mbonu, MPH | Education
    • A tribute to an oncologist: the power of mentorship in medicine

      Dr. Damane Zehra | Conditions
    • Uterine aging plays a critical hidden role in IVF outcomes [PODCAST]

      The Podcast by KevinMD | Podcast
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • My wife’s story: How DEA and CDC guidelines destroyed our golden years

      Monty Goddard & Richard A. Lawhern, PhD | Conditions
    • The gastroenterologist shortage: Why supply is falling behind demand

      Brian Hudes, MD | Physician
  • Recent Posts

    • Reproductive care for rare diseases: the missing playbook

      Lyndsay Hoy, MD | Conditions
    • The myth of cancer overdiagnosis: Why screening saves lives

      Frederic W. Grannis, Jr., MD | Conditions
    • Early-stage medical device innovation: How to discuss untested ideas

      Jarelis Cabrera | Tech
    • Primary care receives only five cents of every health care dollar [PODCAST]

      The Podcast by KevinMD | Podcast
    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
    • Bipolar I and the illusion of insight: a firsthand account

      Tommy Saborido, MD | Physician

MedPage Today Professional

An Everyday Health Property Medpage Today

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

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

Grandma was tired. So she told me goodbye.
3 comments

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

Loading Comments...