This incident occurs in Social Security Hospital, Lahore during my clinical day on 20 February 2014 in the medical ward. A 58 year old lady was sitting on bed number 08. She looked very tense and worried. She complained of burning and chest pain. His medical diagnosis was gastroesophageal reflux disease (a condition in which stomach contents flow backward from the stomach into the esophagus). She came here after being treated in different hospitals. This hospital was his last hope. At 9am, a consultant came to examine her and referred her for an endoscopy (endoscopy is a non-surgical procedure used to examine a person's digestive tract), which she had already undergone. The doctor in charge of this patient did not properly explain to the patient why he wanted to repeat the test. This test was expensive and the patient was poor. She can no longer afford such an expensive test. The patient and her family members were very worried and tense. Even the nurse on duty behaved badly and did not listen when the patient and her family member asked for help. I feel terrible because no one is educating and counseling the patient on why she had to repeat the same test. She thought her illness was incurable and that the doctors wanted to discharge her. I feel sympathy for the patient and her family members, as they were very innocent and uneducated. . They were from a very poor family and could not afford more expensive tests. Communicating effectively with patients and their families is the key to providing quality healthcare. Patients, who understand that their providers do not accept their health problems, do not understand their treatment option, increasingly feel... middle of paper ...... not only psychological, but also sociocultural , environmental and political. -economic characteristics of a disease and its treatment and its impact on patients and their families. (McCabe and Timmins, 2006). If a patient does not understand the implications of her diagnosis and prevention or treatment plans, an untoward event may occur. The same applies if the treating physician does not understand the patient or the cultural context in which the patient receives crucial information. In fact, breakdowns in communication between healthcare providers and the patient are the cause of this incidence. Frank, J. and Frank, J. (1991). Persuasion and healing: a comparative study of psychotherapy (3rd edition). Baltimore: John Hopkins University Press. McCabe, C. and Timmins, F. (2006). Communication skills for nursing practice. Palgrav: MacMillan.