The Power of Words in Serious Diagnoses

Effective communication is essential when delivering serious diagnoses, says Robert Den, MD, a radiation oncologist in Philadelphia. Physicians may encounter several patients daily with serious illness, but each diagnosis is deeply personal and new for the individual. Compassionate communication includes listening, being present, and avoiding harmful language. A paper in Mayo Clinic Proceedings outlines "never words" to avoid—such as “there is nothing else we can do” or “you have X months to live”—as they can cause emotional harm and diminish patient trust. Physicians like Den and others emphasize honesty without overpromising, sitting at or below the patient’s level, using supportive body language, and avoiding condescending phrases like “everything will be okay.” Words matter greatly, and patients remember how news is delivered long after treatment. Medscape data shows most doctors value ethical communication and self-care. Ultimately, avoiding blame and vague reassurances while offering support and clarity builds stronger rapport and improves patient care.

Hochwald, L. (2025, April 30). What not to say to patients with serious illnesses. Medscape. https://www.medscape.com/viewarticle/what-not-say-patients-serious-illnesses-2025a1000agp