Doctors are trained to try to figure out what's wrong and fix it.  We're trained to make a plan and execute it, to do something.  But that impulse to order the next test, prescribe the next therapy or do the next procedure can harm our patients if it's done without consideration of the patient's goals.  That's particularly true with older frail patients whose quality of life is decreasing.  In our reflexive rush from symptom to test result to treatment, we may never stop to thin...