Geography decides destiny.

“The next activity we will do in today’s session is called the fantasy death exercise.” I look at the expectant faces in front of me. I always get a kick out of doing this exercise with medical students as it is a great immersion learning tool and fun to do. “The fantasy death exercise is sort of like guided imagery experience. Please close your eyes and keep them closed until I tell you to open them again.” I look at the eager faces around me now calm in repose, eyes faithfully closed. “Let’s fast forward into the future. Imagine that you have lived a great life and accomplished everything you ever wanted to do both professionally and personally. You are at peace with yourself and with the world . . .” I continue and as if on cue gentle smiles of satisfaction appear on all the faces. I pause for a moment to let them savor their success. “But all good things must come to an end,” my solemn voice carefully sets the stage for the next phase of the exercise even as I absorb the smiling introspection on their faces. “It is now your turn to die.” My bald statement wipes off the calm smiles on all their faces in one fell swoop. “The good news is you get to completely orchestrate your death.” Their smiles do not reappear. “I will give you another minute to ponder. Now, I want you to imagine your fantasy death. Where would you like to die. . . . and how? What are you feeling? What is your fondest hope for yourself as you die. . . . ?”