Airing uncertainty can be positive

EDITOR—Little et al say that doctors should be aware that airing their uncertainties might reduce satisfaction and empowerment.1 This conclusion is not really supported by their research because the positive approach statements dealt with the patient's problem and not the specific diagnosis. It is possible for the doctor to acknowledge uncertainty about a diagnosis or prognosis while giving the patient a clear positive message about what they can expect to happen, or what the doctor thinks they could do about the problem and what to do if things do not go according to expectation.

This safety net is likely to be perceived as positive by the patient, who may feel even more empowered as the doctor has clearly planned for the …