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The patient appeared to be dying. She had chronic lung disease, and she had been told she had little reserve left and had barely survived on home oxygen for the past few years. Each time she picked up a lung infection, the buzzards circled closer. Now she had tripped, fallen, broken a bone, had surgery, and her subsequent infection seemed to have pushed her past the point of no return. Still, I held off the palliative care/comfort care team for as long as I could, and she rallied. Everyone saw how tough she was and a fighter and praised my intervention, but it just wasn’t enough in the end and she died.