It is always a dilemma, having doctors from different countries we all have different approach, in general, I think it is always good to maintain an open frank discussion, if it is not completely clear then to tell as it is. I remember many complaints that later come are because the patients felt that it was not enough conversation and often not in time. Yes, your example is one of the commonest and it was so often that either doctors's side or patients's side was for keeping the information away from patient. That is why it is one of the hard talks. Thank you for your reading.