““With Q-tips and cotton I cleaned out Elena’s nose, ears, and mouth—a deeply unpleasant task. In the last throes of life, basic hygiene is often ignored. This is reasonable, but reason does not make the aftermath any less abhorrent. In moving the corpse, there is always a chance there may be a sudden burst of “purge”—a frothy, reddish-brown liquid expunged from the lungs and stomach. I did not envy nurses, whose living patients produced these disagreeable fluids every day.””