This episode is a conversation with Palliative Care CRNP Courtney Alesandro. This frank and wide-ranging discussion covers many issues common to late-stage and end of life in medicine. Note that this episode may be stressful to those who have been through end of life situations with a friend or loved one. As is often the case we use humor in the discussion, but the themes of empathy and respect for patients and their families are always present.