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Killing hope: Doctors reveal their everyday struggle

  There is a moment, as Dr Alex Koefman looks into the eyes of his patients and tells them their life is ending, when an ever-so-subtle spark of light goes out. A neuro-oncologist and spinal surgeon at Greenslopes Private Hospital, in Brisbane s south east, Koefman regularly informs patients of devastating, incurable diagnoses, dashing future hopes, dreams and aspirations. He described the moment when the light in some patients eyes was unplugged . It s an extraordinary thing to tell someone, Koefman said. Patients are usually fairly well at the time and it is hard for them to comprehend that in six to 12 months they are going to be dead.

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