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September 8, 1989, Vol 262, No. 10 >
ARTICLE | September 8, 1989

Family Medicine

William R. McClintic, DO
JAMA. 1989;262(10):1381. doi:10.1001/jama.1989.03430100115043.
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ABSTRACT

I had the honor of making a house call at the Brewer farm the other night. That might sound facetious, but it's not. It almost always strikes me as a privilege to breech the inner sanctum of someone's home, where only the most intimate of family and friends hover near the sick and dying. You can almost feel the layers of privacy and familiarity brush by as you make your way to the bedroom. The smells, the pictures, the old boots by the door—all things universal to a human nest, yet all stamped so indelibly with their own uniqueness. And so it was with the Brewer home.

Helen was now 78 and dying. She knew it, although she wouldn't dwell on it or even discuss it. Her family knew too— even her great-grandchildren. Her pain was unremitting, she could barely tolerate nourishment, and her strength was all but gone. Yet

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