Kelly E. Tenzek is a Clinical Assistant Professor at the University at Buffalo. Her scholarship focuses on difficult dialogues, primarily related to health and interpersonal communication in the context of end-of-life. James Carviou is an Assistant Professor of Journalism, Public Relations and Digital Media at Missouri Western State University in the Department of Communication and Journalism. He also serves as a college media adviser for the campus annual, The Griffon. Dr. Carviou is published widely in scholarly journals and books. His research interrogates media narratives and audience response in areas surrounding public health and everyday identity development.