The Relational Medicine Project Is Growing. In 2014 We Published Our Practice Framework ""Relational Medicine — Personalizing Modern Healthcare: The Practice Of High-Tech Medicine As A Relationalact"" . Building On This Foundation, We Now Present A Cutting-Edge And Fully Developed Single Case Recording Analysis Of Consecutive Encounter Interactions In A Dramatically Accelerating Life-And-Death Decision-Making Situation In The High-Tech Medical Practice Of Advanced Heart Failure During Which Practitioners, Patient, And Family Face Multiple Uncertainties As The Decision-Making Process Unfolds And The Patient'S Condition Deteriorates. We Show How A Multi-Professional Team Including A Cardiologist, Cardiac Surgeon, Critical Care Unit Nurse And Fellows Discuss Life-Prolonging Options With Their Patient And Family. We Make Visible The Essential Roles Of Each Multi-Disciplinary Team Member In Helping Frame For The Patient And Family What Is Going On And The Changing Options While Attending To The Patient'S Person-Soul-Mind-Body-Hood. In Bringing Different Data, Perspectives, And Facets Of Understanding To Bear, This Book Offers A Novel Approach To Studying High-Tech Medical Care Grounded In Federica Raia'S Relational Ontology Framework Of Understanding Everyday Practice. Using A Micro-Ethnographic Data Analysis And A Participatory Research Strategy, We Unravel A Heretofore Unrecognized Universe Of Practice Themes And Present Suggestions For Medical Education And Training Aimed At Continuous Practice Improvement.