<International Circulation>: What we are really talking about here is what is important is that you have good communication between doctor and patient.

　　《国际循环》：那么，我们在这里真正讨论的是医生与患者之间的沟通有多么重要？

　　Dr Wenger: It is a patient’s values system rather than the doctor’s values system. The doctor is responsible for presenting the facts – what can this do， what this can’t do. Then the patient decides what they want. This is so much more important at an elderly age because survival benefit can be very modest. But there are the patients who are really sick and say they would do anything as long as you can stop them going back in and out of the hospital and they are willing to take chances for that.

　　Wenger博士: 这是患者的价值体系而非医生的价值体系。医生只是负责把事实呈现于患者面前——什么可以如此做，什么不能如此做。这时由患者来决定他们想要的是什么。这在老年患者中更为重要因为生存的获益可能能少。但是有的患者真的病情严重而且他们表示他们愿意做任何事情只要你能让他们不再因疾病而反复入院，他们很愿意获得尝试治疗的机会。