 Take the case of a person whose spouse died many years ago, but they keep forgetting that. So if you remind them of that fact, they're gonna re-experience the grief and be traumatized by that. So in this case, they value the relationship with the spouse, but there's no point in telling them the truth and having them respond to this retraumatization. That's not facilitating their autonomy in any way. But compare that with what might look like a similar case where they have dementia and now at this point, someone that they still care about has died. Now, if you're focused only on their comfort, you might think, okay, there's no point in telling them that this person died. They're gonna forget it, but suppose that they're not in proximity, they were not in proximity with this person, so they're not gonna find out unless you tell them, right? So if you're only focused on their comfort, you might think there's no point telling them. But if you are still thinking of them as a person with autonomy who can respond to facts in their life appropriately, then there would be reason to tell them even though it might be upsetting to them. I'm curious if everyone else, does everyone else agree with that assessment and that distinction? A woman in our caregiver group did tell her husband that his brother had died and the next day he thought he had been told that his mother had died because he was back in his life. And depending upon the value and the importance of the information or the change in the family or the situation, you just have to remember that they're not possibly gonna retain the facts, but where you're gonna tell them's gonna trigger an emotional response. And that emotional state of mind may stay with them for quite a while. It may reappear a week later. We don't know. So then it's weighing your values once again as to what's the priority here? Or do you wanna trigger a certain emotional reaction to information that may be important for you to tell within your family but really how important is it to your loved one at this point in time? Those are the questions we talk a lot about in our groups. The philosopher Cecilia Bach who's written extensively on lying believes that lying very easily becomes a habit and that lying to prevent distress can lead to lying for convenience. There can be a slippery slope. She believes that is a mistake to think that the happiness of persons with dementia is all that matters, which we've talked a lot about, and that the effect lies have on the person doing the lying are important as well. What do we think about that for these kinds of cases? I think people with dementia are not necessarily quote happy. So the question I find not, I would have to reword that question because I don't think we're seeking happiness for happiness sake here. It's deeper than happiness. What about the issue about that? The fact that doing this can both lead to changes in the people who are doing this, that this could be damaging whether it's for caregivers or loved ones or clinicians, especially given the professional relationship that once you start down the path of saying, I think Marina, when you were talking to her, you talked about fiblets and that it's common to use fiblets when talking to these kinds of patients and that that's something that is endorsed professionally. So, but once we go down that road, does that get easier to do for non-demented patients? Does it go down a path where it changes you in different way in your relationship to the truth, which I think is what Cecilia Bach is worried about. She says, belief in the importance of telling the truth is very fragile and if lying becomes accepted, social trust can quickly erode. So what do we think about that risk that we have when we go down this pathway? I think it's a good point and it really illustrates that these are not clean questions. These are messy situations. They are not easy. It is hard on the caregiver to tell these things. So many things about this are whole situation are hard on the caregiver. Seeing the change in their loved one and then having to now kind of where they've always told the truth, now they have to bend it in order to be kind to the person they love. That is very, very hard and so, but things do get easier with practice and that could be a problem potentially. I don't see that happening very much in practice to be very honest that I've noticed that caregivers then become habitual liars in other settings of their lives. I don't see that happening, but on the other hand, I could see that if you're not mindful of it, you could be telling untruths to your loved one with dementia even when it's not necessary to do so. And if you're not careful or mindful of it, not that a caregiver has the energy to be careful and mindful all the time because it's an exhausting job.