Have we really thought about what we are offering them az a treatment? Is it simple to think about the best treatment of a disease? If we had it ,how would we liked to be treated? Does the patients understand how we are concerned about curing them? I think medical judgment and decision making is not merely using medical knowledge,It is putting a lot of factors in front of us and patient and suggest what to do . but I think it is not staight forward in many patients. So we need to share our idea.