Breaking Bad Newsintermediate
Treatment Is No Longer Working
Tell a patient their current therapy is not controlling the disease.
Practice this out loud, free
No account needed. We email you a link, then you talk by voice.
The situation
I am the treating physician. Imaging shows progression despite several lines of therapy. My patient has been very invested in this regimen. I need to explain the results honestly, discuss pivots or trials, and hold space for disappointment and fear.
Who you will be talking to: Demanding Advocate
They may push back, deflect, or try to change the subject. Stay grounded in your main point.
What tends to work
- Stay focused on the specific issue — don't let the conversation drift
- Listen fully before responding
- Name what you need clearly and concisely
One way to open: “I want to talk about something important, and I'd like us to work through it together.”
Say it out loud, then see what you said
Reading about a hard conversation is not the same as having it. You talk to an AI counterpart by voice, like a phone call, and afterwards get a scorecard that quotes your own words: what helped, and what to try next time.
More healthcare scenarios
- Delivering a Cancer DiagnosisTell a patient their biopsy results came back positive for cancer.
- Receiving a Cancer DiagnosisYour doctor is about to deliver serious biopsy results. Practice advocating for yourself.
- Notifying a Family of a Sudden DeathDeliver the news that a loved one has died unexpectedly in the hospital.
Dialoque is a practice tool for communication skills. It is not medical, clinical or legal advice. Read the disclaimer.