Oscar the cat has a very special skill. An otherwise ordinary cat—he'd sooner give you his back or a sideways glance than curl up on your lap—Oscar has the uncanny ability to predict when people are about to die. Adopted by staff members at Steere House nursing home when he was a kitten, the three year-old cat has presided over the deaths of more than twenty-five nursing home residents thus far. His mere presence at the bedside is viewed by physicians and nursing home staff as an almost absolute indicator of impending death – a blessing, really, because it allows staff members to notify families that the end is near. Oscar is highly regarded by the physicians and staff at Steere House and by the families of the residents whom he serves because he provides companionship to those who would otherwise have died alone.

When Dr. David Dosa, an attending physician at Steere House, wrote about Oscar in the New England Journal of Medicine, the response was tremendous, with coverage everywhere from Today to People to CNN. Now Dr. Dosa expands his story, using the cat and the stories of several patients to examine end-of-life care as it exists today. Heartfelt, inspiring and sometimes even funny, it allows readers into a world rarely seen from the outside and often misunderstood.