Inside a small, neatly furnished private room on the fifth floor of the Peter Munk Cardiac Centre, the subject is often broached.

“When given a 50 per cent chance of dying in the next six months, the advanced heart failure patients I speak to automatically think they are in the 50 per cent who will survive,” says Jane MacIver, Nurse Practitioner.

“They don’t think they are going to die. There is persistent optimism,” she says.

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