RT Journal A1 Larson EB, King J T1 “My mother was 67 . . . ” JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2012 FD August 13 VO 172 IS 15 SP 1132 OP 1132 DO 10.1001/archinternmed.2012.2568 UL http://dx.doi.org/10.1001/archinternmed.2012.2568 AB It is easy to focus on the physician's stark prediction about the urgent need for surgery. Making predictions like this is perilous and often humbling. This narrative especially speaks to the value of time and how we need to communicate with patients, find out about their preferences and values, find out how they interpret what we say. This is important for major surgery, of course, as in this example, but nowhere is this more important than for our older patients and their preferences for late life care.