Cases of Conversations - HolisView Solution

Case 1 — How does a patient feel after being diagnosed with HCC?

Patient Demographic
49, Male, 69 kg
Personal income: 3K per month
Urban residence medical insurance
Complication: Hypertension
ECOG: 3 | HCC tumor type: C
Current treatment: Sorafenib 400mg, bid (from Aug 2012)

Conversation Focus

How does the patient feel after being diagnosed with HCC?

🎤 Audio Sample 1: Patient's emotional response to HCC diagnosis [/mp3/coc-1.mp3]

What is the main reaction after the patient took Sorafenib?

🎤 Audio Sample 2: Patient's reaction to Sorafenib treatment [/mp3/coc-2.mp3]

Case 2 — How does a physician persuade a patient to accept chemotherapy?

Patient Demographic
38, Female
Disease history:
• Gallbladder surgery
• 2 cycles docetaxel chemotherapy
Current purpose: identify cause of severe back pain
Current suggestion: possible liver metastasis, MDT involvement and initiation of chemotherapy recommended

Conversation Focus

How did the physician persuade the patient to accept chemotherapy when she showed low willingness?

🎤 Audio Sample 3: Physician-patient conversation on chemotherapy decision [/mp3/coc-3.mp3]

Case 3 — How does a physician introduce targeted therapy to a patient?

Patient Demographic
65, Female, 52 kg
Family income: 10–15K per month
Urban residence medical insurance
Complications: Hypertension, Diabetes, Liver damage
ECOG: 3 | HCC tumor type: C
No prior treatment for HCC

Conversation Focus

How did the physician offer and introduce targeted therapy to the patient?
What did the patient care about regarding targeted therapy?

🎤 Audio Sample 4: Physician introducing targeted therapy [/mp3/coc-4.mp3]