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Clinicians regularly share with patients bad news ranging from the catastrophic ("You have a terminal illness" or "There has been a death in the family") or serious ("You have an ulcer" or "You should take medicine regularly for your blood pressure") to the merely inconvenient ("No heavy lifting for a week" or "With this chest infection it will probably be at least a few more days before you start to feel better"). Patients frequently harbor stories about physicians who deliver unpleasant information in a fashion that seems uncaring or unnecessarily frank. We know how our patients dread hearing bad news
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