Abstract
I am most deeply indebted to Rob, his family, and nurse for allowing me access to their lives. My understanding of what is happening in these data has been greatly helped by comments from Lisa Capps, David Goode, Anita Guynn, Russell Harless, Cathryn Houghton, Sally Jacoby, Minna Laakso, Melissa Lefko, Alycia Myhrer, Elinor Ochs, Kersten Priest, Curtis Renoe, Emanuel Schegloff, Jennifer Schlegel, Marja Leena Sjoronson, Elizabeth Teas-Heaster, and most especially Candy Goodwin.