Abstract
A postcardiac surgical patient developed cardiac tamponade the night before his scheduled discharge. There is no report about the patients' feelings and thoughts while they are struggling to report their unexplainable symptoms. He reported his discomfort to clinicians but was not readily understood. He attributed such miscommunication to his communication skill and blamed himself. He thought it must have been wrong to have such symptoms. He wanted to apologize to clinicians for not being able to report his discomfort understandably.A patient with acute symptom onset may experience both physical and psychological pain due to the symptoms per se and to limitations in communication. Such patient's experience may be explained by the common-sense model developed by Leventhal. Clinicians need to be compassionate to the patients who are struggling to report their unexplainable symptoms.
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