When it comes to kids with cancer, Taylor Swift gets very emotional. According to Taste Of Country, in a new sit-down interview conducted by YouTube trends manager Kevin Allocca, one question by a fan caused Swift to tear up while sharing a sad story.

When Allocca read the question “Has a fan ever made you cry?”, Swift held her breath as she struggled to find the words. “Yeah … you know, for me, it’s never going to be OK, no matter how many times I see little kids with cancer,” she said. “At no point do you ever become accustomed to it. At no point do you ever just brush it off and say, ‘Oh well, there’s another kid who’s dying.’”

She continued slowly, her voice now trembling: “Over the years, I’ve toured in these places and you see a little girl who’ll come through and she’s so full of life but she’s lost her hair. And then you come through a year later and you’re like ‘Hey Lexi, how are you doing?!’ And she’s like ‘Oh, I’m doing good!’ And her parents update you. Then you come through a year and a half later … and she’s not there.”

You can see the rest of that interview here.