There's another point I should mention.Finding out that one of your patients has a terminal illness, that's going to take a long while to kill the patient. Watching the patient become more and more debilitated over the passage of time, Cancer, ALS, liver failure whatever is tough to watch and deal with. You do find yourself bending the rules frequently for the patients behalf.Conversations become how the present is going, never about the future, unless the patient wants to bring it up.