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Came to the eye Dr with an inflammation. He asked if I fell asleep with contacts in. I said no. He asked again to see if I mean I didn't fall asleep with contacts just last night, but maybe do occasionally fall asleep with contacts in.
He was certain that that's what happened and tried to make it easy for me to "confess" to a bad habit about contact lenses usage.
I told him I don't own contact lenses. That I used them in college, tried dailies, monthlies, different manufacturers, and just really really didn't like them. So I only wear glasses. I think that's when he finally believed me and went to think of other possible causes for my inflammation. .
There is definitely a power imbalance between people and their doctors, which is why some folks might struggle to tell them the truth. Studies have found that even in the early 1990s, around 85% of patients concealed or lied to their physicians. Mostly, it seems they were fudging the truth out of embarrassment, especially around younger male doctors.
Over time, this behavior hasn’t changed much, and nearly 60-80% of Americans admit they still aren't entirely honest with their doctors. It seems like younger people are more likely to hide information, especially when it involves their drinking and smoking habits, as compared to older adults.
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And no....you did not slip & fall.
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My favorite was asking someone how much he's currently drinking and he told me that he stopped drinking a long time ago. He was in his bedroom, sitting on his bed, surrounded by bottles of beer and liquor. Some half empty, most empty, some glasses with leftover beer and what not. So I asked him how to explain the "late on a Saturday night bar tableau," and he said oh well that was just one time because it was just my birthday. I had to explain that I'm looking at his chart and his birthday was like 10 months ago.
Folks often think that lying to their doctor won’t make much of a difference, but what they don’t understand is that their clinicians need the truth so that they can make an accurate diagnosis. Researchers note that when people want timely, reliable care, being forthcoming is the only way to get it.
Sometimes, patients and their doctors hide things from each other, thinking the truth will only complicate matters. These fibs may not seem important on the surface, but they can distort how the situation appears to the physician and put the patient at risk. That’s exactly why both parties should apply honesty to their relationship, rather than hiding things out of fear or embarrassment.
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As you’ve probably noticed from this list, patients tell fibs about the craziest things, and the BCMJ mentions that one of the most common lies folks tell is about their exercise habits. Older folks were more concerned than those under 35 about showing off their fitness levels to doctors.
On the other hand, young people tried to hide their bad habits like smoking or drinking, out of fear of embarrassment. The most common reasons for these falsehoods are fear of not being taken seriously by the physician, worry about discrimination, or feeling judged for the way they live their lives.
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Not telling the truth to a doctor can have unintended consequences, and the Health University of Utah explains that it could lead to the wrong medication or diagnosis. That’s why this denial, either about the severity of their condition or about what led to them having to come to the doctor, can impact the treatment that follows.
This embarrassment about telling the truth might last only a short time, but physicians urge folks to be as honest as possible because of doctor-patient confidentiality. Folks who still don't know how to open up to their medical professionals can bring a family member or friend for support during the consultation.
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If people aren’t willing to open up to their physician, the doctor should take matters into their own hands and determine whether the patient is telling the truth. According to Roswell Park, it can be difficult to know if someone is holding back, but medical professionals should listen to their gut if they feel what they’re hearing is a fib.
They should also ask probing questions about exercise and daily habits and watch for hesitation before the person answers. Sometimes “guilty” body language, like fidgeting, avoiding eye contact, or changing the topic, can also signal that they are not revealing everything.
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Also, if you have a CPAP, don't lie and say you use it more than you do. We can literally pull the data so you're just wasting everyone's time.
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It seems bizarre that people might tell so many lies to their medical practitioners, but sometimes it's also because the other person is difficult to talk to. That’s why Angela Fagerlin advises doctors to have a better bedside manner so that they seem more approachable and make folks feel comfortable around them.
This can be done by practicing empathy and active listening when a patient is talking so that they feel heard. Instead of reacting harshly or making judgmental statements, it might be best to take a more neutral approach. This change in behavior can help build greater trust and collaboration between people and their physicians over time.
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I feel like a lot of people don’t want theirs or their friends or family members dog to have an “official” bite history.