Fascinated with the complexity of the working of the brain, primary care physician Alvin Moyer felt something was missing until a residency in palliative care, tending to his sister in her final days, and serving as the physician to a young boy whose cancer was incurable provided a clue. Coming from a large family, he had a lifetime of experience and lived understanding that life ends for all that allowed him to guide folks in managing their care and their departure.