It’s a name. It comes across in our Electronic Health Record as a consult is placed to the Palliative Care Team. Mary Tulane; age 67; ovarian cancer. I call her hospital doctor and ask, “How can our team be of support?” He replies, “She is refusing tests and her family is asking a lot of questions about her disease. They seem anxious and confused.” This is often how a consultation begins; a consultation that most often turns into a relationship.