Prognostication: Principles and Practice is a straightforward, deeply thoughtful book that poses a vital question: Are we helping our patients live well, or just helping them live longer?

Written by Dr. Bernardo Gutierrez following five decades in medicine, this book presents a remarkably human approach to treatment, particularly in relation to aging, critically ill patients, or difficult decisions. It offers a brief, four-step prognosis approach that helps doctors assess life expectancy, understand functional decline, and make decisions in line with a patient’s actual quality of life. Still, this is not just another clinical manual. It is both a field guide and philosophy. It talks about the hard stuff, when to stop aggressive treatment, how to speak honestly with families, and why “doing everything” isn’t always the kindest option.

Whether you’re a physician, caregiver, student, or someone navigating care decisions with loved ones, this book brings clarity and heart to the moments that matter most. It’s not about giving up. It’s about knowing when enough is enough.