In this narrative, Dr. Sarah Stumbar is sad to say goodbye to her patient Ana who, despite trying her best, is unable to achieve the American dream.The is the second part of Ana's story. This first part can be found here: https://soundcloud.com/cmajpodcasts/170278-encDr. Sarah Stumbar is a family physician and assistant professor of family medicine at Florida International University in Miami. She wrote a Humanities Encounters article published in CMAJ called "Goodbye: an immigration story."To read the article (subscription required): www.cmaj.ca/lookup/doi/10.1503/cmaj.180933-----------------------------------For more stories like this one, get your copy of CMAJ’s Encounters Book. This anthology of prose and poetry of some 100 Canadian authors including Drs. David Goldbloom, Shane Neilson, Allan Peterkin and Monica Kidd, has been specially curated and includes a study guide. shop.cma.ca/products/encounters-----------------------------------Subscribe to CMAJ Podcasts on Apple Podcasts, iTunes, Google Play, Stitcher, Overcast, Instacast, or your favourite app. You can also follow us directly on our SoundCloud page or you can visit www.cmaj.ca/page/multimedia/podcasts.