about our initial conversations. They didn’tremember
them very fondly. “That one phrase that you
“It was kind of blunt,” her husband said.
her off a cliff.
hospital who has had thousands of these difficult
conversationsand isa nationallyrecognizedpioneerin
with patients and their families. “You have to
understand,” Block told me. “A family meeting is a
One basicmistake isconceptual. To most doctors,the
to determine what people want—whether they want
the facts and the options. But that’s a mistake, Block said.
overwhelming anxiety—anxiety about death, anxiety
finances,” sheexplained.“There aremanyworries and