What are you supposed to say? How are you supposed to react? How do you break bad news to your patients and their families? What do you do when you know there is no chance of improvement? These are the things that you don’t learn in medical school. You learn about diseases, medications, and treatments, but not the best way to educate your patients. I learn that ‘I don’t know’ on a daily basis. You try and fail. One day you realize you should have been more straight with the patient, but when the next patient comes around, that doesn’t work.