The news came on a typical busy Thursday. Interrupting the steady hum of checking retinal images, office procedures, and patient exams, a simple post-it note was handed to me with the news. Suddenly, it was like the world stopped. I knew she had not been feeling well, but losing her was like losing family. I had known Frances for over 10 years and had nursed her aging eyes with monthly treatments for her macular degeneration. I knew where she grew up and what foods she liked.