%0 Journal Article %T Living in the present %J Archive of "Canadian Family Physician". %D 2019 %X Patients look to us as physicians to cure what ails. When that fails it can be difficult to admit that to the patient, and to oneself. I wrote this poem after one of my patients with end-stage chronic obstructive pulmonary disease died after months of suffering. I suppose writing it was a way to deal with feelings of inadequacy and futility that we all face from time to time. The style was inspired by Charles Bukowski¡¯s poem ¡°Hell is a Lonely Place. %U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6516700/