RT Journal A1 Manning KD T1 DO something JF JAMA JO JAMA YR 2010 FD March 17 VO 303 IS 11 SP 1018 OP 1018 DO 10.1001/jama.2010.82 UL http://dx.doi.org/10.1001/jama.2010.82 AB Pain from the breast cancer that was ravaging her once strong and able 66-year-old body, pain from the grief-stricken stares that her husband and family cast upon her at the bedside, and pain from the slowing of her mentation—her once high-speed, ultra-quick wit was now as slow as the stutter of dial-up Internet. She knew what she wanted to say; it just took a long time for the page to upload. My patient was dying. And, short of divine intervention, there was nothing I could do about it.