My name is Matt. I’m thirty. And being a doctor is the only thing I’ve ever wanted.

But understanding her feelings did not make the request appropriate.

“I need to think about this,” I said.

“Of course.”

She turned her face toward the window again.

For the rest of the day, I carried the conversation with me.

I told myself that if I arranged for another physician to take over her care, the situation would be different. I imagined a brief ceremony in her hospital room, her sister present, a few flowers, and a memory she could hold on to during the days remaining to her.

I told myself that I was giving her a moment of happiness.

I did not ask my supervisor, Dr. Patel, whether the marriage would violate professional rules.

I did not seek independent guidance from the hospital’s ethics department.

I did not stop long enough to consider whether my own desire to help was clouding my judgment.

Instead, I made a decision because saying yes felt kinder than saying no.

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