When I worked in the United States, I had an exchange with my American counterparts, and they were amazed when we talked about the Chinese preoperative conversation signed by the patient’s family, which seemed incredible to them. U.S. federal law states that patients have the right to know their condition, that doctors cannot hide it for any reason, and that a patient’s right to know about his or her illness will allow it to fully organize the rest of his or her time and deal with the will of the estate and related matters. Due to the differences in cultural backgrounds, values and ways of thinking between the East and the West, and for historical reasons, there is also a great difference in the perception of “bad news”. Ms. Liu was diagnosed with stomach cancer and will have surgery next week, “How do I talk to my mother about the surgery next week?” Her daughter was afraid that her mother would not be able to face such a harsh reality. Almost all families with cancer patients are facing such a problem. According to statistics, there are 1.52 million new cancer cases in China every year. In other words, 1.52 million families in China will suffer the heavy blow of the bad news of “cancer” every year. Whether to tell patients the bad news or not is a real problem faced by families, physicians and nurses, which is related to thousands of families. I told Mr. Liu: “Mr. Liu, your condition is not as simple as you think, but it is not as bad as we expected. agree?” Ms. Liu readily agreed to the surgery. Afterwards she told me, “From the first conversation you had with me, I already knew my condition, and when I was able to face the tumor, both my daughter and I were much more relaxed instead.” Another example: Mr. Chen, who had colon cancer, always thought he had colon polyps. When the doctor suggested chemotherapy after surgery, Mr. Chen muttered away: I heard that chemotherapy is only needed when you have cancer, so Murphy ……, a nurse trained in medical ethics, made the following explanation: “Mr. Chen, you have intestinal polyps, but there is A part of the lesion pathologically does not look good, in order to prevent this lesion from developing further to malignant, the doctor wants you to chemotherapy.” One sentence made Mr. Chen both understand his condition and deliver a bad news to the patient. I don’t know, when people face the tumor frankly, the original pressure has turned into the motivation to overcome the tumor. How to tell bad news to patients is also an art. We have learned in our clinical work that there is a difference in the ability to bear bad news, and many psychologically healthy tumor patients have a much stronger tolerance for bad news than people expect. Delivering bad news to patients gradually may be more beneficial to clinical care. Healthy psychology results in recovered patients. Patients: Eliminate fear and face reality In people’s imagination, when hearing the bad news of cancer, most patients will faint, or cry like a fountain and suffer from pain, or lose all their thoughts and lightly seek for a short life. Careful analysis is first of all the misconceptions and insufficient popularization of tumor knowledge. At present, a large part of cancer can be cured, but the word “cancer” is too harsh and too straightforward. Patients would rather say their lesions are “not so good” than equate themselves with cancer. From a psychological point of view, a weak signal stimulus that is short and repeated is more acceptable than a fast stimulus. This requires that the patient be told the bad news gradually. In fact, many patients are half-awake and half-aware of their condition, so they are “confused” at the time! Once the fear is allayed, they can face it calmly and rationally with all kinds of bad news. I believe more patients will not be afraid of “cancer” in the future and will no longer be afraid of talking about “cancer”.