Many cottage memories in Port Albert, building our fort at the bottom of 'Sherwood Forest' by "Beaver Creek'. Nathan was great at catching crayfish with his hands. He also gave our son Will his 15 month shots.

Best neighbours ever! Nathan always had the right hat/costume for any occasion. Loved our annual 'Symphony of Fire' celebration.  We love you all.

I got to know Nate in med school, we spent our first months together in small group sessions - he immediately stood out as incredibly intelligent, organized, well-spoken and most importantly kind and genuine.  He was a true superstar in our class and was loved by his colleagues and classmates. He will be truly missed, but he will always be in our memories. My heart breaks for you in this difficult time but my thoughts and prayers are with you and your family.

I recall sitting in a study room at UW with Nate after he had already learned he had been accepted into med school at Queens.  He was prepping me for my own interview, giving me pointers and guidance. I don't think I would have ever gotten into med school or become a Dr. with out him. Thankful to have had such an amazing friend. I miss him.

We first met Nathan when we moved in to the house next door to his parents, Dennis and Lori.  He was busy building their back deck.  He warmly welcomed us to the neighbourhood. We were so impressed with his commitment and architecture expertise! He's a man of many talents!  Our thoughts and prayers are with all of your family during these days. Blessings and Love

It was an honour to have taught Nathan at Rockway.  He was such a hard working young man, of whom I always knew would become a difference maker.  My heart goes to his family. My thoughts and prayers will be focused on you all through this time.  Blessings

I heard of Nathan when Kristy came back to work at UW Campus Rec.  Kristy was working with me at the department. All she kept saying is that he had the best smile and so sweet.  Nathan is all that and more.  He and Kristy were adorable and cute from the beginning and always are.  The both have amazing and infectious smiles.  Lucky to know them both! Lots of love,

If there is anything I will remember Nate for, it will undoubtedly be his warmth and kindness, shown not just to me, but all our classmates, coworkers and patients.  He was a genuinely kind soul and will be greatly missed.

I have may fond memories of time with Nathan from years of volleyball and travelling the globe with Rockway, but one that stands out was his birthday party in (I think) grade 8, going to the UWaterloo football game and the fun we had.  Nathan was a wonderful man and friend and will be greatly missed.

Nate, your kind soul will be never forgotten.  You brought so much heart and character to our residency class. Your patients were blessed to have been cared for by you.  The medical community has lost one of the best!  Thinking of you often.

Nate, your kind soul will be never forgotten.  You brought so much heart and character to our residency class. Your patients were blessed to have been cared for by you.  The medical community has lost one of the best!  Thinking of you often.

I will always remember Nate's bright smile and reassuring, calm personality.  He was such a comforting soul in times of stress at Queen's Med as he never ever seemed stressed and we could always count on him for support.  Our class will never be complete without him and we'll miss him always.

I didn't get to know Nathan until grade 12 at Rockway - but I will always have the fondest memories of the China Exchange we were both part of.  Especially when he graciously offered to sit on the "bucket" instead of a real seat - so that I could have a real seat on one of our many sketchy "Tour Bus" rides in Xindu. Love and thoughts to friends and family.

We had a lovely conversation a few weeks ago with Nathan and Kristy at Dianne and Jessi's wedding.  He will be remembered as one of the kindest people we know.

My favourite memories of Nathan:

1. Working with him in the ER was always a pleasure. He shined there. Such a great doctor.
2. The day I got an email telling me that he had decided to apply for the ER.
3. The day he told me he matched to KW! I was so happy he would be Return of Service and become my colleague rather than my resident.

I will miss him.  Our whole department misses him already. He was a fantastic doctor and an even better person.

My favourite memories of Nathan:

1. Working with him in the ER was always a pleasure. He shined there. Such a great doctor.
2. The day I got an email telling me that he had decided to apply for the ER.
3. The day he told me he matched to KW! I was so happy he would be Return of Service and become my colleague rather than my resident.

I will miss him.  Our whole department misses him already. He was a fantastic doctor and an even better person.

We have all kinds of wonderful memories of Kristy and Nate at our cottage in Georgian Bay.  We still laugh at the night the power went out and we had the whip-the-whipping-cream-by-hand contest! And later that same night everyone creatively wearing their dinner napkins in a variety of (non)stylish arrangements.  We remember those times with love and laughter.  They are so very near and dear in our hearts.  The love and joy you shared with us, we are so grateful for.  With all our love,

We will never forget Nathan's kind soul and genuine interest for what was going on in our lives! He had a way of making people feel heard! I remember playing pool in the basement and Nathan would always make us laugh!  Sending you all lots of love.

I have fond memories of playing in Sherwood forest at the cottage with Nathan and Emily. We always had great fun in the canoe and playing at Beaver creek.  We only came back when we heard the dinner bell.  Thoughts and prayers with you all during this time.

I remember our days at Elizabeth Ziegler together. We were always competing for top marks :) You were always so friendly and a good friend throughout elementary school.  Praying for you all. xo

We remember driving the carpool to Rockway and Nathan being gracious in trying to make conversation early in the morning. And, of course, our championship Grade 7 & 8 Basketball team where he was a hard working team-mate with a great group of boys. This is a tragic loss.

My heart aches at the tragic news of Nate's passing. I went to medical school with Nate, and as you know, our class was very close. I will remember Nate as a truly beautiful soul, so full of goodness.  He was lovely and is very much missed.  He filled all our lives with his brightness. My prayers are with you.

Nate, Jessi and I had a great round of golf on the most beautiful course I've played on.  It was a perfect, warm, August afternoon with good laughs and perfect music on the drive home.  Totally worth missing out on the "Citadel" practice time the girls snuck in that afternoon!

I enjoyed all of the opportunities I had to play sports with Nate, whether it was running a race or playing hockey in med school or playing golf or volleyball in residency.  He always cared so much about bringing out the best in others.

My memories begin with Nathan and Jesse in grade 9 at Rockway.  I loved when the "gang" would visit our farm and spend hours around a roaring campfire!  Nathan was a gentle kind young man, and loyal to his friends!  Praying you sense the love from so many!  Blessings and prayers

Nate is one of the most genuine people I've met. He only ever has nice things to say about everyone, and always has a smile on. He is a good friend, doctor, and role model.  We lost a truly caring and outstanding doctor.  He contributed so much to the lives of his patients.  We will miss you Nate!

You were always so calm and collected, you left a lasting wonderful impression everytime we met.

Nathan was an amazing individual and doctor.  He had a very gentle air about him that set everyone at ease.  He was a resident a year above me and I always appreciated his patience, positive attitude and interest in teaching. He was a great resident to look up to and follow.

I was so sorry to hear of Nathan's passing.  As the department recruiter I was involved in our efforts to get Nate to come on board.  He was so well regarded professionally and as an individual.  His passing is a tremendous loss to us and our department. Deepest regrets

Memories of Nathan Grade 8 Ottawa trip, China trip and all the days at school.  Such a kind, smart, bright light who was so talented and gifted but never bragged about any of his abilities.  You are all in our thoughts and prayers. Much love

Wonderful memories doing game nights and dinners out in Kingston.  Amazing times travelling to Cuba and Costa Rica. You will be forever missed and never forgotten.  Much love.

Doing research with pupil tracking glasses.  Your curiosity and bright mind were always so inspiring. Rest Easy

I've got so many memories from my time babysitting, but I'll never forget the creative ways Nathan used to come up with to be able to stay up just a few minutes longer!

Nathan, you are my role model.  I love you and have amazing life long memories of you.  See you soon my friend.

Nathan was always smiling every time we saw him.  He had a very happy glow.  Nathan seemed so enthusiastic and  did so much.  We admired his athleticism, his triathlons and other sports.  We admired his love and dedication to his family. Nathan was a gift.  We are blessed to have known Nathan and your family.

Dear Nathan, Whenever we see you there's that twinkle in your eye.  Thank you for being friendly to us and you have always been.

It was great getting to know you better of late; hitting balls at the driving range, killing zombies, walks around the neighbourhood with Peanut, talking football, your love of the Packers, and discussing a future trip with the girls to Lambeau Field next season. Kunu Killaz for Life.

Dear Nate and family,  Still can't believe you are really gone. You have been an inspiration.  You did amazingly with the time you had.  Wish one day people would say the same about the rest of us.

Although I did not get to work with Nathan very often, the few times I did left an impression on me that he was a very intelligent, competent and kind physician.  I had a chance to teach him a few times in education sessions and he was always so knowledgeable.  But mostly I remember just seeing him in our interactive area and his warm smile that he always wore and his acceptance of my hugs that I imposed on him and other residents.  I will miss him.

During Medical School, I had the pleasure of being in Nate's clinical skills group and played on his volleyball team.  It was a tremendous pleasure to be his classmate, team mate and friend. I know he will be missed dearly by all his loved ones and friends. Moreover, I know he was incredible with his patients firsthand. I am sincerely sorry for your loss.  A friend of Nate

I was Nathan's French and Music teacher at Rockway Mennonite Collegiate and have fond memories of him and his commitment to learn!  He was always respectful of me and his friends and loved by all!

Dennis and Lori, you have two of the nicest kids I ever taught. Nathan was smart, coachable and always considerate.  I have nothing but good memories of Nathan, a hard working, competitive but fun loving guy.

Nathan was Mr. Reliable on our high school volleyball team. Our bench called him "Asomo", which to this day I don't know what it means.  He was such a calm presence in sports and life.

Dear Kristy, There are not enough words to describe how wonderful Nate was or how he just made this world a better place.  The world needs more Nathan Roth's!

Nathan's love of life and drive to be the best he could be made him a valuable community builder.  Nathan's integrity and talent were models for many.

Dearest Nate, Thank you for being you - your kindness will forever be remembered.  The gesture you showed me - reaching out when I was alone, meant so much to me.  You will be missed dearly.

I have many great memories of Nathan being Emily's cool older brother. I know hew was a great mentor to her and his beautiful soul will live on through his influence on her.

Nathan was one of the first friends I made at UW.  He asked if I wanted to be his lab partner.  We spent the next four years studying late at the library, eating wings to celebrate exams and becoming good friends. Nathan had a kindness that drew people in and made you feel as if you had been friends forever.

I only had the pleasure of meeting Nate a few times but he certainly made a great impression.  He was very kind, humble and easy to talk to.  I'm very sorry for your loss.

We remember meeting Nathan and Kristy at Starbucks. Nathan chatting with Julie and I, while this lovely girl hovered around behind Nathan, appearing to want to be introduced?? Apparently, Nathan had yet to tell his parents he was dating someone and was afraid we would let his parents know before he told them!  Or was it the fact that Kristy was his 'Don' at university and perhaps taking advantage of the innocent freshman?

Our years playing volleyball with Nate and the Waterloo Tigers were some of the most memorable and influential years of our lives.  We'll all remember Nate's positive spirit and relentless smile, and he'll be dearly missed.

I will always remember meeting Nathan at all the (volleyball) team parties your family hosted for us growing up.  He always treated us younger girls with kindness and patience.

Nathan was a fine young man.  It was my pleasure to have been able to work with him as his teacher and coach.  He lived to his best in all he did.  Praise God for the light he shone.  With love and prayers.

We remember special opportunities to cheer at OFSSA volleyball, as well as coffee between games.

Nathan was one of the kindest people I've ever met.  I'll always remember him as quick to smile with a generous heart. He will be dearly missed.

I had the honour of working with Nathan at CFFM, and will fondly remember him as a kind, caring and compassionate person who cared for others and lived his life to the fullest.  As a father to a child with a brain tumor, Nathan's courage will serve as a source of inspiration.

As a new resident at CFFM, it was a great pleasure to have met Nathan and interact with him over the last few months.  He was always smiling, always will to help, and was clearly passionate for life.  I cannot imagine your loss, but know he will be remembered by all of his co-residents.

I have many fond memories at the Roth house.  Although I did not know him well, I remember the feelings of love, joy and family in your home; Nathan was a huge part of that.  You are all in my heart often.

I had the pleasure of working with Nathan in clinic on several occasions and was surprised to see someone with such a great, happy attitude despite the rigors and pressures of residency. This was great to see and has stuck with me since.

I am Carolyn Fussand, I work in Blue Pod where Nate trained. We worked a few times together when he was away.  Nate brightened up our clinic.  He was always smiling. Always! I didn't know anything abut his diagnosis, and I think Nate wanted it that way.   He touched us all.  Our clinic is better off for having him in it. Praying for you

We committed to praying every single day for you.  Our kids prayed for Nathan every day, even though they didn't know him. Nathan taught us to HOPE and to live to the fullest

Nathan was such a class act at Rockway.  Luke loved playing volleyball with him, even though Nathan's play was the reason Luke got "promoted to the bench" near the end of the OFSAA run.

Will never forget the walk to Lola's (more like the epic journey)...Nate and Kristy forged ahead and Jessi and I weren't far behind...and then we all arrived in paradise!!  Wish we could go back to that day!

We are deeply sorry for your loss.  We will always remember watching Nathan play volleyball at Rockway Mennonite Collegiate.  His demeanor on the court defied his gentle nature off the court.  Our hearts ache for you.

You took such good care of Kristy (and everyone who was lucky enough to cross paths with you, even for a moment). I will forever cherish the tiny miracles I watched you perform with ease and purpose. Whitewater rafting, the pillow bug incident, helping Kevin through many ailments via texts... helping someone at Kiss and Cry!  I will miss you so so much.

So thankful to have known Nathan for even the short time. Thank you for letting me share in our care!

I have so many fond memories of our time working together at Grey Silo. Nathan always had a smile on his face and was a joy to be around.  He is forever in our hearts as one of the silo family.

Lots of fond, fun memories of our family travelling with the Roth family. Ski and board trips, NYC, Muskoka cottaging. Such an outstanding young man and such a profound loss!

I'll always remember Nathan as a friendly young man, so glad he and Allison got to know each other.

I remember Nathan as the sweetest, kindest little boy - he grew up on the street that I raised my own children on.  I knew he'd become a wonderful man.

I did not know Nathan as an adult.  But I do remember him as a child.  I remember thinking what a beautiful angel.  Will think and pray for you all.

I remember your beautiful smile behind the counter at Grey Silo. So very impressed with you and your proud mom and dad, I am sure were.  God Bless!

We remember this little grandson at Grandma and Grandpas house, with a hard hat and tools - they always were so proud of their grandchildren, and their achievements. We were able to see his graduation from Med School along with Mary and Marg - so nice.

So many great memories playing at WMB and Sunday School. Camp was always a great time and something where we could let louse together at.  Time spent at Rockway will always be treasured.  And finally working together at Grey Silo will be some of my fondest memories as we were growing up and coming into our own as men.  I wish we could play one more round of golf together.

Nathan was an extraordinary young man... so talented, so gifted and so humble.  He gave 100% to everything he tackled and lived life to the fullest.  May his life be and example to many!

We have fond memories of Nathan as a "bright little boy" when we were at Steinman Mennonite together!  Be assured of our many thoughts and prayers.  With Love

Best husband ever award! When Kristy was adventuring to Paris, France for work... Nate knew that she would see Eric and I.  Kristy was building her blogging empire, so sneaky Nathan messaged us to surprise her with the gift of  photoshoot in Paris for her blog -  with us!  Loved emailing with him as he sneakily wanted to be with Kristy overseas and made her smile...with an ocean between them. Best husband ever award! #bigupsNate P.S.  love you both so freaking much!

Nate was someone who was always very humble. I remember going to him and "bragging" about how I was thinking about signing up for a sprint triathlon and without judgement he would curiously ask me questions regarding the type of bike I was thinking of buying and he offered to help coach me re: swimming.  While doing all this, he never once mentioned his amazing swim skills or biking/running times.  He always encouraged others to be at their best and genuinely cared about their journey.  It was a pleasure and a privilege to be his classmate as a Qmed.

While I have many memories, one comes back this week.  Twelve years ago Rockway and Woodland met again in the D-8 final.  We (Woodland) took a 2-0 lead winning 25-23 and 25-23.  In the third set we jumped to a 18-12 lead and it looked like we had broken the (Rockway) Flames.  Then Nathan went to the end line and served his team back in the match.  In that moment he took the lead and they came back to beat us 3-2. While those two hours had no cosmic significance, they made for a great memory. We are so sad that we will not make more again. With love and admiration.

I became friends with Kristy when we worked at Maritz.  Neither of us had cars so we would take the bus or get rides.  Those trips were always full of laughs.  Once Nate picked us both up in Mississauga and drove us all into the city.  We all talked and I tried to make jokes, and Nate politely laughed and Kristy made fun of me.  It's a wonderful memory, one of life's small moments, but for me I always remember this quiet, cool, confident guy at the wheel and it is a memory I'll treasure.

I met Nate a few months ago, through my boyfriend Mike.  Nate knew I was interested in getting back to KW to live with Mike, and my 'in' was getting into the same Family Med program he was in.  He eagerly answered all by questions, showed me around the school and put in a good word for me with the program - which I know was well heard.  Everybody at that clinic and in that school respects Nate and everything he represents.  The kindness he has shown me, the friendship he has provided for Mike and the support he has given to other residents/physicians/patients is profound - and that opinion is from an outsider looking in.  We can all move forward remembering this positive influence he had on us all.

Nathan and I went to Rockway together and also went on the France/Germany exchange together. While I don't have a specific story about Nathan, what I remember about him was what a mature kind, respectful person he always was.  He was humble, so multi-talented, focused and secure - more than I can say for most high school boys.  I only wish I had known him better; I always admired him from afar.  He was liked by everyone and I don't think I ever heard a bad word about him.  He is remembered so fondly.

Kristy and Nate Thank you for sharing yourselves with us!  We love you dearly.

I didn't get to interact with Nathan much in the residency program but from my few interactions with him, you could tell he was a sweet, smart, gentle man.  Someone I aspire to be like.

Memories of Nathan as a youngster at the cottage at Port Albert. Enjoying the baking and good food served at our home.  He was always polite and easily loved.

Thank you for inviting us/me into your families.  I was so honoured to meet Nathan when he was only six, through Pam. Immediately, I knew he was someone special - cool, calm, athletic, so caring, which became stronger over time.  Always engaging and helpful.  Nathan, as he was just becoming a doctor, was the first to help with Bennett.  My heart goes to all Roth and  Guthrie families and friends.  With love

I will always remember Nate's kind soft-spoken ways.  He was so smart and passionate and provided support to those around him.  He always provided well thought out opinions in our med school discussions and will be sorely missed by the entire Qmed class.

On our China trip, I especially remember the trek up the Great Wall and it was so hot, a drop of water evaporated quickly.  I always admired Nathan's kindness and athleticism and on that day we were both winded.  My thoughts are with you all.

I will always cherish the memories of Tigers and Rockway Volleyball.  You were a great athlete, student and person.  You are an inspiration and your memory will live on.

I am a tutor with the residency program.  Though I did not know Nathan really well, his caring, positive and humble presence touched me when I did interact.

He was the kindest, handsome older brother to Emily!

Loved working with you at the hospital and being a small part of your life.  It was an honour to know you.

I remember Nathan helping in the kitchen along with the rest of the family to produce a delicious meal - and always with his medical books nearby.

Nate was one of the residents in the KW Family Residency program which I'm an Admin for.  He was one of my favourite residents and I could always count on him to brighten my day.  I will miss him very much.

As a long term teacher at Rockway I had the great gift of seeing many outstanding young people make their way through high school. Nathan was outstanding and easily comes to mind as a young man on his way to greatness! I was Nathan's science teacher and track and field coach. I recall his friendly smile and remember him as an excellent student.

Nathan was the first baby I had ever held and he took my 10 year old heart.  We would play lego for hours, eat Baa Ba's banana chocolate chip muffins, put on the tool belt and fix things like his dad.  I am so lucky to have shared so many birthdays, holidays and time with Nathan and his family.  Always in my heart. Love you!

Nathan was one of the most genuinely kind people I knew.  No matter the circumstance or what he was doing, he was smiling.

Great memories, conversation and fishing @ Nabaquasi. Rest in peace my friend!

We remember that as the only one with and older brother in our friend group, Emily had to be very protective of Nathan from her friends! We always admired the close relationship that Emily and Nathan had.  All our love!

I didn't get to know you well, but you made my Kristy so happy, and that's enough for me to love you! xoxo

We will miss your beautiful kind, thoughtful, quiet, funny, respectful and loving self.  A very special human being - one of kind.  We love him.

I only got to be around Nathan a handful of times but I know how great of  guy he was, from how much Emily loved him.  He would do anything for her and loved her so much. Love you all!

It was such a pleasure and an honour to meet and work with you in Clinic! Your gentle soul and smile will be missed!

Nathan, I always felt so lucky to be paired with you for our family pool games.  You always gave me tips and walked me through a few shots.  You're so kind hearted.  Love Always

I know it was a long time ago, but I will always remember the Kitchener Ranger games your dad (uncle Dennis) took us to on Friday nights, and  we always ate to much pizza.  You were always smiling no matter the circumstance. I will always remember that.

Nathan... An inspiration to all.  An awesome example of how to live to the fullest! Forever in our hearts.  We love you!

I will always remember your competitive spirit, your easy smile, and your capacity to care for and be kind to others.  You will be missed and never forgotten.

Nathan would always be counted on to make everyone in his presence feel welcome.  He was truly one of the kindest souls I have had the pleasure of knowing.

When we think of Nathan we remember an extremely handsome man, an amazing athlete. Strong with will and strong in purpose.  (And we forgot super smart!) With Love

I was a classmate of Nate's in Medical School. I remember him always for how I never saw him in a bad mood.  Regardless of how stressful or anxiety provoking a situation was, Nate seemed to handle it with his usual calm, stoic, and confident self.

A million great memories on the court, as teammates and friends with the Tigers.

I'm sure going to miss that beautiful smile.  The world has a great loss with you gone.

Nathan was such a caring and kind man.  Someone I looked up to and inspired me. And the best big brother to Em.  I will miss him dearly. Lots of love!

Nathan, you are an inspiration to all of us. I don't think you would be comfortable hearing that but it is true. You have been an incredible example of what it means to work hard, pursue your passion, and live life with joy and love. I am so thankful to have known you and am so proud of everything you accomplished in almost thirty years.  We will miss you always!

While we really did not know Nathan very well we were still heartbroken to hear of his passing. As we heard the many wonderful tributes about Nathan at the service we felt like we grew to know him better and were not surprised by the quality of the life he lived. Dennis and Lori you should feel very proud of the son that you raised and knowing you it didn't surprise me to hear the details of Nathan's life and how he lived it for other people because I see so many of those same attributes in the way you have lived and continue to live. As the old saying goes, "The apple doesn't fall far from the tree." The fruit of your lives was quite evident in the love that was expressed by so many people about the relationship they had with your son. He blessed many lives and even in his passing that impact will continue to be felt.

The characteristics that stand out to me when I reflect on time spent with Nate are: athletic, friendly, easy going and disciplined. One story that reminds me of his discipline (and athleticism) is from a North Nestleton summer weekend. Nate and Kristy (and Guy and Debbie) organised amazing themed parties full of games. One year after the formal activities, but before dinner, Nate and I played some side games including frisbee and chipping (golf). During the chipping competition, even though it was a casual atmosphere, I remember clearly that Nate had a perfect swing. He kept his head down through every motion. My form was not nearly as textbook. I'd like to blame the beers, but in reality it was more Nate's focus and always going about his activities with the right discipline and form for optimal result. Even in my beer fuelled state I remember improving my form (keep the head down through the swing) because Nate's actions encouraged me to be better. It's common for me think about that day when I'm on the golf course. Nate's discipline and athleticism made me better in that moment and stays in my mind even when he isn't there in person. This memory will live even stronger in my mind from this point forward. Lots of love.

Nate never ceased to amaze me, especially in his athletic endeavours. This past August both Kristy and Nate joined my team to compete in a fundraising event called Cycle for Carley. The challenge was to ride 2km uphill on a stationary bike as fast as you can. My team nominated me to start off and Kristy to follow. Both Kristy and I completed the task in 3 minutes and 30 seconds, a time we were proud of as we were huffing and puffing to catch our breath. Nate climbed on the bike and while barely breaking a sweat completed the 2km challenge in an amazing time of 2 minutes and 20 seconds. Nate's time rivalled some of the best riders to compete that day.

It's memories of Nate like these that inspire me to push myself in all athletic challenges.

Nate and I first met in medical school, specifically we were in the same clinical skills group. It was our first real experience learning how to "doctor" and it was both terrifying and fun at the same time. It was apparent early on that Nate already had a strong dedication to the patients he would one day be treating. I admired his calm and friendly approach when we met with real patients and it was obvious they felt very comfortable and at ease with him. He had a quiet leadership style that was so effective and I often felt myself trying to model. He never seemed to do things for praise or recognition, but I hope he knew the impact he had on others around him. I know Nate faced many challenges over the last few years. It is hard to imagine what he went through. Despite this, he always showed optimism, dedication to his work and excitement about his future. My thoughts go out to his family. I hope these shared memories on how he touched others allows you to reflect on the joy and love he brought into your lives.

I was fortunate enough to get to know Nate well ever since we first met in medical school. There isn't just one memory I can pick that defines our friendship. Instead I look back and remember countless laughs, time spent travelling, euchre games, and expertly stuck golf shots.

Nate had an amazing approach to life. He was able to stop and take time to enjoy the special moments with friends and loved ones, but also ready and willing to take on any challenge that came his way. His opinions were greatly respected and you always had to be ready for one of his signature witty jokes that would have everyone around in hysterics. He was one of the most polite and caring people I have ever met, and I will cherish the time that we were able to spend together.

Nate was one of a kind. A great doctor and an even better friend. He will be dearly missed but never forgotten.

I had the great pleasure of working alongside Kristy for 3+ years. In that span, I got to hear her gush over Nate many times. I remember thinking, "Okay so this guy is smart, funny, athletic, handsome...and oh ya...a doctor." He sounded too good to be true. But when I finally did get the chance to meet him, he certainly lived up to the hype. In my few encounters with Nate, he was very positive, humble, kind, and just easy to talk to.

It's evident based on the stories I've read and photos I've seen these past few days that Nate touched the lives of many.

My thoughts are with Kristy and the rest of Nate's family during this difficult time.

Dear Kristy, I am so sorry for your loss. I hope that you find some comfort in the many happy memories you made together, building a beautiful life filled with love and adventure. You and Nate's family, and friends, are in my thoughts.

On behalf of the students, staff and faculty of the Michael G Degroote School of Medicine Waterloo Regional Campus our most heartfelt sympathies at this time of immense loss. Nathan distinguished himself each day as an extraordinary and caring man. He was a gracious teacher to our undergraduates and a kind soul with each breath. We weep with you and will carry his and your journey in our thoughts.

I don't think I ever saw Nate with a inkling of negativity. He was always smiling, always positive, always kind and always willing to lend a helping hand. He was the epitome of being a team player both in class and in whatever intramural sport he was playing (which was many!). He worked hard, always offered help when he could and never said a bad thing about anyone. He was always a friendly face in and outside of class - the kind of guy that you trust, and would want as your own doctor.

Nathan was the kindest person I knew. I had the absolute pleasure of working alongside him at UW Recreation where he epitomized what it meant to be a student leader. He was patient, intelligent, and always with a smile. Nathan never complained, worked harder than most, and was a mentor to many, and a friend to even more. It is a rare thing to have a student become a friend, and I was blessed that he considered me as such. We are still in shock and disbelief.

As a coworker of Kristy's, I didn't know Nate well, but I did see the way Kristy's eyes lit up whenever she spoke of him. I loved her pure giddiness the day she showed up with her Starbucks cup proclaiming she was (FINALLY!) engaged, the way they called each other "buddy", and how she so openly discussed their love and life. I knew Nate had to be something special as someone as special as Kristy, had chosen him.

As I said, I didn't really know Nate, but over the course of these past few days I have helped put this website together and in that time I have grown to really understand just how amazing he was. I have read story after story, looked through picture after picture, and through so many tears, had time to reflect on how much impact he had on so many people in too short of time.

May his memory be a reminder to all of us to be our best selves every single day. Be kind, work hard, share love, and live life to the fullest.

Kristy - I'll never forget the way that you and Nate looked at each other on your wedding day... your shoulders shaking with excitement, his face in a permanent grin. It was such a beautiful day for two beautiful people. I wish peace and comfort to you and to the rest of Nate's family.

On behalf of the Chief of Staff Office at Grand River & St. Mary's General Hospitals, I would like to extend our deepest sympathies to you at this time. Although our interactions were limited, it was always a pleasure interacting with Nathan. Nathan was a kind, and respectful physician and young man. Thoughts and prayers to Nathan's family and friends.

Dearest Lori, Dennis and Emily, We are so so sorry to hear of the death of your wonderful son and brother Nathan. I remember many a lovely coffee afternoon Lori hearing about Nathan and his many many accomplishments. Such a loss to you and the world. With all our love at this terrible time.

My thoughts and prayers are with you at this time. May God's love help you through this tragic time.

Our family has such fond memories of Nathan, especially on the soccer field at Rockway! What an incredible athlete he was, and what an inspiring person. We send our most sincere condolences.

We have for the 15 years we have known Nathan, so respected and admired his calm, determined, committed and highly generous way of living his life. As a dear member of our son's close circle of friends Nathan inspired and supported in ways that are now going to be so deeply missed. Such a sad and tragic loss to our community. We add our prayers of love and support to the clouds of others praying with and for the Roths.

Dennis and Lori, Emily and Kristy,

Nathan's passing has deeply impacted our entire family and we grieve with you.

We have always remarked to each other about what a polite, soft-spoken and kind young man Nathan was. We have many memories of Nathan spending time with our son, and watching him play soccer among other sports at Rockway. Such a talented athlete and all-round wonderful guy - we grieve with you and will keep you in our thoughts and prayers.

Warmly,

I had the pleasure of being Nate's supervisor for his rural family medicine block in Fergus in the spring. He was an excellent physician and had such a kind and gentle demeanour with patients. He spoke so warmly of his time spent with family on the west coast and also of his new home he and Kristy were enjoying together. Please accept our most heartfelt condolences.

On behalf of the faculty and staff at the Queen's University School of Medicine, please accept our sincere condolences. Nathan was very highly regarded by all who encountered him during his four years with us, and we are profoundly saddened to hear of his passing. You have lost a loving husband, son and brother, his classmates have lost a loyal and inspiring colleague, the world has lost a caring and committed physician. Please take some solace in the knowledge that his gracious nature and strength in the face of the adversities he faced will not be soon forgotten and will continue to inspire us all.

So sorry to hear of your terrible loss Dennis and Lori. Our thoughts and prayers are with you and your family at this time.

Dennis and Lori: We have absolutely no words and are heartbroken for you both with this tragic loss.Praying for all of you.

Emily, Lori and Dennis... It's been many years since we played ball together. When we read about Nathan's horrible tragic accident, the years melted away and we remember him playing with our son, Bryan, while the girls played ball. We offer you our deepest condolences during this painful time in your lives and hope you find strength in all your memories of your wonderful and kind brother and son.

Our sincere sympathy as you mourn the unexpected loss of Nathan.

Dennis and Lori our hearts ache for you. We remember Nathan as such a pleasant young person. We send our deepest sympathy and prayers for your comfort.

So saddened to hear this horrible news. Know that your family are in my thoughts and prayers.

Hugs,

My heart aches for you at this very sad time. Nathan accomplished so much in his very short life. I hope that the many happy memories will help sustain you. Please accept my sincere condolences.

I can honestly say that Nate was one of the most special people to ever enter my life. It’s impossible to think of just one story that can describe what he meant to me as a friend, but when I think back on all of the memories we shared, I can’t help but smile. Nate was so positive, encouraging and supportive to everyone around him no matter what the circumstance. He was a rock amongst our group of friends - constantly looking out for everyone and always ready to jump to action or help at a moment’s notice. He was a true friend, an inspiration and I will forever be a better person for knowing him.

I did not know Nate very well, but I interacted with him and incidentally observed him throughout medical school. It strikes me how decent he was. I cannot recall a single instance where Nate was mean or cruel, even in jest. He seemingly had within him a well of kindness that never exhausted even during the ugly times inherent to training. To my eyes Nate lived without malice, and the world is lesser in the absence of his grace.

Sending my deepest regrets and condolences to Nate, Kristy, and the rest of the family.

I remember Nate best as our ultimate frisbee captain. We were such a formidable group during our Qmed years, and I don't think I could have asked for a better captain. He was always on top of things for the team and was always happy to offer a ride to the field on west campus. Nate wasn't one to make a scene - he always led with calm assurance and he was an incredible frisbee player. He definitely saved me on the field numerous times! In Ultimate, there is often a recognition of players who embody the Spirit of the Game - someone who is competitive but respectful, and someone who is eager to help those who need a little help. He was definitely someone who fulfilled those roles on the field, and likely off the field too. You are and will be very much missed, Nate.

Regards,

What I remember most about Nate is his huge and ever present smile. In clerkship, no matter what rotation he was on or how tired those around him looked, he still had a big smile on his face as he greeted the world head on. Running into him in the hospital would always be a refreshing and uplifting moment -- sometimes it was the biggest smile I would see all day.

Nate and I met in residency. We actually lived in the same building. We became good friends very quickly, likely because of our proximity. We biked to work together when the weather was nice, we played volleyball in several beach and court leagues, and we enjoyed getting together as a group for beers for time to time. We spent a lot of time together, all things considered. I thought of him as a kind, gentle and considerate person. I was always struck by how he lived his life to the fullest. He persevered for years despite his illness, maintaining friendships, activities and his education. I was always impressed with how hard he would push to reach his goals; I can only imaging how challenging it would have been to stay focused.

I'll miss having him around. Our team doesn't feel that same without him and the passion he brought to the court. My heart goes out to Kristy and his family - he was taken away too soon. I'll always remember him.

I didn't know Nate well except for the joy he shared with life through Kristy. I have one favourite thought that may help everyone through this time and that is just to move forward as much as we can no matter how much we all stumble. No one can make sense of what has happened or why, but we need to keep focused on what may lie ahead both for Nate and especially for Kristy.

Ends and beginnings - there are no such things.

There are only middles.

Robert Frost

Fondest thoughts,

Nate was a wonderful and supportive friend. The better I got to know him, the more I appreciated what a great person he was. He was kind, loyal, generous and treated everyone he met with the utmost respect. Nate was also an amazing doctor. During clerkship, I witnessed an encounter between Nate and an elderly patient that he went to assess. She began to ramble on about her life and held his hands. He could see how lonely she was; he encouraged her to keep talking about her childhood and her family. He sat with her for almost half an hour, just to give her the opportunity to talk. He was so patient, compassionate and caring and that was very evident in the way he interacted with his patients, family and friends.

We will remember Nate fondly; he will be dearly missed by everyone who had the opportunity to meet him.

With love,