Sunday, June 21, 2015

Don't Lie -- Especially not to your doctor

A patient came in for a routine gynecological exam. The test results came back and showed that the patient had early cervical cancer. The Doctor informed the patient of the difficult situation.  The patient then confessed that she already had a cervical cancer diagnosis. But she had come to the Doc to confirm the diagnosis.

Image result for guilty dogsThis situation frustrated the Doc.What if the test results had come as a false negative? Who would the patient believe?  Doc strongly believes that this is not a game of who is right or wrong. If the patient does not tell the truth, how can the doctor help the patient to best of his or her ability?  On the other hand, the patient may not have been attempting to play any games, but is understandably just worried as to whether or not the diagnosis is true.  It's more of a confirmatory test, not whether she has it or not.

Regardless, don't attempt to lie and always tell the Doc everything.  Like lawyers, Docs have a inviolate patient/doctor confidentiality and is prohibited from revealing any information about a patient to anyone.

8 comments:

  1. yes it is true.But the patients are suspicious about the labs that conducts the tests and they feel if inform the lab results doctors may conclude it to the suspected disease.this is also the problem with doctor patient relationship.Either they don;t have a trustable doctor with whom they have such relationship or they think some doctors are not competent enough.
    But I think this is a physiological situation of a patient where she is shocked with the positive cancel result and expect some miracle with retest and proceed for further

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  2. To be diagnosed with anything is terrifying. And not everyone seeks a second opinion. But should you want one, it is best to be upfront with the second physician because it could be fatal for you in the long run.

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  3. The Doc may be right to feel that much worry for his patient but he cannot blame the patient for not being forthcoming either. The patient may still be in denial of her previous diagnosis or just the fact the she's sick.There is, sometimes, even the feeling of shame especially when patients learn their diseases.

    Rapport and more so, trust needs to be established between this patient and the Doc for better treatment outcomes.

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  4. I think every person should have a second opinion when it comes to a cancer diagnosis. I would have told the doctor however. I don't know why the doctor was mad.

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  5. The patient here is hopeful that she might have a negative diagnosis. Seeking a second opinion is something she could only do for herself. Doctors should have an open mind for that and do what is best instead of being frustrated.

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  6. Maybe that is the patient's way to confirm if the previous tests are also true. If it is evident, it will show up to the results anyway.

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  7. This patient simply wanted to know whether her diagnosis was accurate and it was her way of getting a second opinion. If the results came back negative then the patient could have told this doctor that she had a cancer diagnosis from another doctor.

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  8. Doctors should be more patient and understanding when treating their patients. Yes it is frustrating for them but showing any negative emotion towards the patient might make their patients feel offended or scared and avoid hospital check-ups in the future. It is normal for patients to ask for second opinion, however, it is their responsibility to tell the truth but because this might affect their diagnosis

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