Help me prepare for a very difficult conversation.

Here’s one thing to be ready for: if she is of a certain age, the doctors have already consigned her to the waste bin. I bet before you can say anything, he/she will be clucking about a Do Not Resuscitate order, so, don’t abide by the doctor’s judgement. Doctors can only give you a general guess, and my experience is that they are generally wrong, on life or death matters. If you want your aunt to live, let the doctor know way in advance that that’s your irrevocable decision. DO NOT ASK FOR HIS OPINION! You tell him. If you don’t believe that the patient should be given a little ‘over-and-above’ help, the doc will be way ahead of you, on that score.

Best wishes,
hh