Debbie decided that she wanted to die at home after we were told that the cancer had metastasized to her brain. We remain alert for most to 4 weeks that she was at home but could not express her self but in the simplest way, no, yes, I love you and wait a minute. Before that she was a wonderfully articulate woman. Those 4 weeks were precious, but heart wrenching. I was able to care for Debbie, with limited support from palliative home care. I held her hand until she was gone.