The woman was terminally ill with advanced cancer, and the oncologist who had been treating her for three years thought the next step might be to deliver chemotherapy directly to her brain. It was a risky treatment that he knew would not, could not, help her.
When Dr. Diane Meier asked what he thought the futile therapy would accomplish, the oncologist replied, “I don’t want Judy to think I’m abandoning her.”
In a recent interview, Meier said, “Most physicians have no other strategies, no other arrows in their quiver beyond administering tests and treatments.”
“To avoid feeling that they’ve abandoned their patients, doctors …


As one of the American pioneers credited for bringing Eastern spirituality to the West, Ram Dass had more than four decades of spiritual training to help guide him when he suffered a massive cerebral hemorrhage in 1997. Nonetheless, in the hours after his devastating stroke, he lay in a gurney staring at the pipes on the hospital ceiling, feeling utterly helpless and alone. No uplifting thoughts came to rescue him, and he was unable to regard what was happening with mindfulness or self-compassion. In that crucial moment, as he put it bluntly, “I flunked the test.”


