What does it mean to be taking care of patients with end stage illnesses, an internist knows this better than anyone else. We are entrusted with these decisions everyday in a hospital, yet how many times has someone walked us through what we should truly be doing and saying? While Palliative care offers that solace of help, as Internists we are the first line of communication with the patients and their families. This expects an understanding of Palliative care which I decided to explore through HemOnc for the Internist. With Dr Nagpal and Nancy McCool we introduce the challenges and concepts of Palliative care in this episode.