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When longtime Zen practitioner and world-renowned writing teacher Natalie Goldberg learns that she has a life-threatening illness, she is plunged into the challenging realm of hospitals, physicians, unfamiliar medical treatments, and the intense reality of her own impermanence. In navigating this foreign landscape, Natalie illuminates a pathway through illness that is grounded in the fierce commitment to embrace the suffering directly. In the middle of this, her partner discovers that she too has cancer. The cancer twins, as Natalie calls them, must together and apart grapple with survival, love, and the rawness of human connection. This book is a moving meditation on living a genuine life in full bloom.