Hello, I appreciate Stefan's review of the book. I intend to buy several copies and share it to my coworkers in the NICU as well as the PICU. Although family choices are considered first in most cases, all of the medical team members' decision - making process to provide and continue care remains an agonizing task. I agree that more work is needed to develop a "Threshold Framework" to guide us in the care for these fragile patients.