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What is Lucy's likely prognosis? What is the treatment goal, and how likely are we to attain it? If the proposed treatment does not work, what is plan B? This quadrant clarifies the medical situation and seeks to highlight the harms and benefits of any proposed intervention. Doctors should feel on familiar territory here. The ideal scenario is that the medical team, after reviewing the situation, agrees on the clinical "ought." Of course, in reality, the medical situation may be messy, with various unknowns and disagreements..
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