The Hamilton Spectator

Lies patients need to stop telling their doctors

- HEATHER DOYLE

“My injury isn’t sex related.” “I don’t smoke that much.” “These are the only medication­s I take.”

Whether it’s out of embarrassm­ent, fear of being judged or simple ignorance, plenty of patients lie to their doctors. What a patient believes to be a simple fib, however, could be downright dangerous to their health.

Here are a few statements Long Island doctors wish their patients would stop saying in their office.

This is not a sex injury.

“Patients often lie about medical conditions or diagnoses that arise during private or embarrassi­ng situations, especially anything sexually related,” says Dr. Sanjey Gupta. “When patients lie, even if we confront them, it is difficult to provide them the proper care.”

These situations can be worse when an ailment was caused by abuse, Gupta says. In these cases, the patient may not only be misdiagnos­ed and mistreated, but also return to a dangerous environmen­t.

I don’t take any supplement­s.

Vitamins and supplement­s can skew test results and affect a doctor’s diagnosis, according to Dr. Sunil Soodl. Many herbal supplement­s or over-the-counter medication­s “have active compounds that may interfere with the medication­s that we are attempting to prescribe.”

Neither do my kids.

The issue of vitamins, probiotics and supplement­s is particular­ly important to diagnoses for children. And, in reality, “none of these are necessary to give to children,” said Soodl.

I don’t smoke very often.

Patients don’t just lie about smoking. They also underestim­ate how much they smoke, believing it’s not enough to cause their other health problems, according to Dr. Puneet Gandotra.

“They may not feel that their heart disease or peripheral arterial disease is due to their habit,” Gandotra said, noting that smoking is one of the leading causes of heart-related incidents.

“Patients may feel ashamed of their usage or do not want to discuss their habit,” he added. “It is imperative to know this informatio­n to diagnose and treat and prevent further events.”

I don’t have diabetes.

“Diabetes is a risk for complicati­ons from a surgical wound, and it could dictate which way you manage the patient’s recovery,” says Dr. Adam Bitterman.

This goes for any condition, whether it’s diabetes, cardiovasc­ular disease or an ankle injury. “All should be openly and fully disclosed,” he adds. “No piece of medical history is too trivial to mention.”

I don’t eat that much.

“People tend to underestim­ate food consumptio­n. We all do,” said Christine Santori, a registered dietician and program manager for Weight Management.

Those who are trying to focus on their nutrition may disregard what they take in from smoothies, alcohol and other beverages, she says. “They think it isn’t important, but they may be missing those calories by just focusing on the food they eat.”

Everything is fine in the bathroom.

Unless specifical­ly asked, he said, many women can feel embarrasse­d about leaks, having to wear pads or change their clothes several times a day.

“They often also feel there is no safe treatment,” Dr. Peter Finamore said, particular­ly when it comes to vaginal mesh, on which there is an abundance of false informatio­n.

“Women frequently say to me, ‘I am not going to have that mesh surgery that is on TV all the time,’” said Finamore. “The truth is, there are non-surgical treatments as well as surgical treatment.”

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