Beth Eaby-Sandy, MSN, CRNP of University of Pennsylvania discusses patient conversation management and the "I hope but I worry" phrase. This phrase is universally used. Doctors or clinicians can use this phrase in order to be very open to patients at the same time set their expectations on what is the reality of their disease. This is not a phrase for serious illness conversation, but can be used every day with the patients. With the I hope phrase, doctors can align with the patient, especially on the treatment process. The I worry phrase refers to what is realistically going on with the patients disease.