"I asked them, ‘What are your deepest concerns?’ The husband started sobbing and said, ‘I think she’s going to die, and I don’t know what to do without her.’” The wife, Puchalski said, expressed fear over how her death would come about and whether she would suffer at the end. “They just cried, and I sat with them. We’d gotten to the heart of the visit, and it wasn’t about the medication or the pain. The real issue was the bereavement and the fear of losing each other.” Sometimes, Puchalski noted, the most crucial thing a doctor can offer a patient is their presence and a willingness to listen. With these tools doctors can attend not only to their patient’s physical needs but to their spiritual concerns as well, she said."