A chart note that a discussion has taken place concerning all of the major complications is helpful. Providing patients with appropriate literature which gives details is eminently sensible. Involving spouses and relatives in these discussions is important where appropriate. It is difficult to overstate the importance of good communications after a complications has occurred. Full and frank discussion of the complication and what it means should take place as quickly as possible.
Communication is important, apologies are risky.
We all feel bad when something like this happens. Conversations should be measured and appropriate, using exactly the same tones as if you are discussing a positive outcome. From my examination and the tests, it looks as if we have a perforation. You remember that we discussed this. We welcome your comments.