“I have seen a husband adapt honestly and courageously while his wife descended into terminal dementia. He made the necessary adjustments, step by step. He accepted help when he needed it. He refused to deny her sad deterioration and in that manner adapted gracefully to it. I saw the family of that same woman come together in a supporting and sustaining manner as she lay dying, and gain newfound connections with each other—brother, sisters, grandchildren and father—as partial but genuine compensation for their loss. I have seen my teenage daughter live through the destruction of her hip and her ankle and survive two years of continual, intense pain and emerge with her spirit intact. I watched her younger brother voluntarily and without resentment sacrifice many opportunities for friendship and social engagement to stand by her and us while she suffered. With love, encouragement, and character intact, a human being can be resilient beyond imagining. What cannot be borne, however, is the absolute ruin produced by tragedy and deception.”