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(siren wailing) NARRATOR: When serious illnesses take us to hospitals, we look to doctors for answers. But what happens when there are no more cures? - Do you want to call her daughter? NARRATOR: Zara Cooper is an emergency surgeon with palliative care training at Brigham and Womens Hospital in Boston. She frequently must deal with patients surprised that theyre nearing the end of life. - Its certain that everybodys gonna die. Theres no certainty as to when. Its not clear from the CT scan whats going on And frequently, as an emergency surgeon, Im meeting somebody for the first time, and they have no idea that they could die from their disease. Whether thats because nobodys told them or theyre in denial, I dont know, but its always a surprise. NARRATOR: Clyde Earle has been undergoing treatment for advanced cancer for a year. Hes now suffering with intense pain. The prognosis is not good. - Well, youre in good hands here with Dr. Cooper. - I know. NARRATOR: Dr. Cooper