In 2019, there were 312 beds in the oncology ward at St. Augustine's. In 2038, there were four. The nurses who remained said the wards felt ghostly at first. They had trained for decades in a certain kind of vigilance — the careful management of suffering, the art of holding hope at arm's length so it could not destroy you when it fled. And then, slowly, there was less suffering to manage. --- The transformation didn't happen all at once. The first wave was early detection. AI-assisted scree