Christine Piercy writes, "The Arbutus tree represents that place between life and death, often perched precariously at the meeting place of land and ocean. So it is with those who are dying and those who care for them, as the dying hover in this place of transition between life and death. Those of us who encircle them may long to bring them back into life, or wish that death would take them from this intensely painful place of 'in-between'. Is it possible that, like the Arbutus tree, there can be growth and beauty in such a place?"

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