Ofra Eshel was invited to review and discuss Joseph Aguayo’s book, Introducing the Clinical Work of Wilfred Bion (Routledge, 2023). After reading the book, she decided to focus on what she discerned as the complex relationship and the significant gap between Bion’s theoretical and clinical work, as documented by Bion’s own writings from the critical years of his move to LA (1967-1968), and during his later years, particularly in the last two years of his life a decade later. Her presentation focuses on two of Bion’s own analytic case descriptions from 1967 in Los Angeles and 1968 in Buenos Aires, and on the account of the Brazilian analyst Junqueira de Mattos of his analysis with Bion over the final two years of Bion’s life — while comparing them to a close reading of Bion’s radical theoretical-clinical writings during those years. These detailed accounts allow a textual investigation of Bion the theoretician versus Bion the practicing analyst, particularly highlighting the significant and disturbing gap between them. Eshel attempts to offer a possible explanation and understanding of this gap, and especially of Bion’s long road towards intuiting the patient’s suffering.