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Cancer Care Chronicles
July 3, 2024

Caregiver Burden—Within and Without

Author Affiliations
  • 1Department of Continuing Medical Education, Christian Medical College, Vellore, Vellore, India
  • 2Graduate Program in Creative Writing, The University of Iowa, Iowa City
JAMA Oncol. Published online July 3, 2024. doi:10.1001/jamaoncol.2024.2482

My 4-year-old brother woke up to see the hills and paddy fields of tropical Kerala.

“Those umbrellas are so big!” he said, wide-eyed. I (R.G.), his older and wiser sister, was happy to educate him: the umbrellas were coconut palms, trees that did not grow in the plains of northern India where we had our home.

A few days later, my brother and I watched in amazement as the bare-chested, bare-legged coconut climber shinned-up the tree, a ring of cloth holding his ankles in apposition. Two stories above our heads, gripping the branchless trunk with his bare thighs, he extricated a sickle from his waistcloth and cut down tender coconuts for us to drink.

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