TY - JOUR T1 - REason, hope, and brain injury AU - Riggs JE Y1 - 1997/02/01 N1 - 10.1001/archneur.1997.00550140007002 JO - Archives of Neurology SP - 119 EP - 119 VL - 54 IS - 2 N2 - The chances for a meaningful recovery are nil." How often do we, as neurologists, find ourselves uttering this or a similar phrase to family members of a patient who has sustained a serious brain injury? Our training, our experience, our reason allows us to say little else. However, how often do we consider the hope-crushing impact of our statements?"Hope springs eternal." The power of hope is reflected in our cultural sayings. Some physicians have long recognized the importance of not extinguishing the last glimmer of hope. Charles Darwin,1 in his autobiography, relates an insightful incident concerning his country physician father, Robert Darwin. Dr Darwin and another physician were consulted on the same case. The other physician correctly predicted the fatal outcome of the patient's illness. Dr Darwin assumed that he would never again be consulted by the patient's family. Much to his amazement, however, it was the other SN - 0003-9942 M3 - doi: 10.1001/archneur.1997.00550140007002 UR - http://dx.doi.org/10.1001/archneur.1997.00550140007002 ER -