Dr. Stephen Workman, an internist in Halifax, Nova Scotia, has reflected on what doctors should and shouldn't say when patients are dying. When he senses that death is possible, he says to patients: "You could die during this hospital admission. Is that something you've been thinking about?" He might follow up with, "What have you been thinking, and what are your expectations?" He thinks doctors should not say that a patient is failing to respond to treatment; rather, they should say that the treatments are not working. It is the treatments that fail, not the dying patient (New York Times, December 20).