Lyric discussion by x.dysfunctional.x 

Patience Worth is apparently a ghost that communicated with a woman, Pearl Curran, through an Ouija board. After a while though Patience could communicate with Curran through her mind. Curran would write down what Patience said and create books and poems.

There are a few lines in this song that indicate it's about them...

most appartent is -- You read it in my letter, “Patience worth is dead” -- which is a headline from Curran's obituary.

prairieghosts.com/pearl.html

A more credible link would be en.wikipedia.org/wiki/Patience_Worth with the emphasis here en.wikipedia.org/wiki/Patience_Worth.

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