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Ingenious particles that fly about in clouds overhead , attracted equally everywhere to each other and so unable ever to cease movement . Everything seemed of a sudden so flat and commonplace , that even her jealousy of Cecily faded for lack of sustenance . " There was something so crude and vulgar about everything of the kind . If people are allowed to have adequate pain medication and remain in their homes , end-of-life care is usually so cheap that there 's no need to ' ration ' it . This is an unpredictable response , so careful initially careful observation of a patients response is crucial .