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	<title>Comments on: Telling lies to your doctor, and how it can kill you</title>
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	<link>http://www.kevinmd.com/blog/2009/01/telling-lies-to-your-doctor-and-how-it.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/01/telling-lies-to-your-doctor-and-how-it.html/comment-page-1#comment-89237</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 16 Jan 2009 10:01:00 +0000</pubDate>
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		<description>Most of the doctors are social psychologists simply play to the tune of social condition.they make money by simply prescribing.Hence they won&#039;t cure you of any disease/the real docs are few.</description>
		<content:encoded><![CDATA[<p>Most of the doctors are social psychologists simply play to the tune of social condition.they make money by simply prescribing.Hence they won&#8217;t cure you of any disease/the real docs are few.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/01/telling-lies-to-your-doctor-and-how-it.html/comment-page-1#comment-89187</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Tue, 13 Jan 2009 05:20:00 +0000</pubDate>
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		<description>While it&#039;s true that as physicians we&#039;ve heard it all, *many* doctors don&#039;t hesitate to judge their patients.  Most of the time it&#039;s behind their backs, but sometimes it&#039;s to their faces.  I&#039;ve overheard lots of very inappropriate remarks from physicians.  Many physicians will immediately dismiss complaints from someone who has psychiatric problems or a history of substance abuse.  I&#039;ve been on both sides, as a patient labeled as a somaticizer (when I was a teenager, and there definitely was a psychological component, but eventually an EMG revealed severe carpal tunnel) and as a physician.  There are lots of insensitive docs out there.  While lying is never beneficial to a patient, I completely understand why people do it.</description>
		<content:encoded><![CDATA[<p>While it&#8217;s true that as physicians we&#8217;ve heard it all, *many* doctors don&#8217;t hesitate to judge their patients.  Most of the time it&#8217;s behind their backs, but sometimes it&#8217;s to their faces.  I&#8217;ve overheard lots of very inappropriate remarks from physicians.  Many physicians will immediately dismiss complaints from someone who has psychiatric problems or a history of substance abuse.  I&#8217;ve been on both sides, as a patient labeled as a somaticizer (when I was a teenager, and there definitely was a psychological component, but eventually an EMG revealed severe carpal tunnel) and as a physician.  There are lots of insensitive docs out there.  While lying is never beneficial to a patient, I completely understand why people do it.</p>
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		<title>By: nyc doc</title>
		<link>http://www.kevinmd.com/blog/2009/01/telling-lies-to-your-doctor-and-how-it.html/comment-page-1#comment-89180</link>
		<dc:creator>nyc doc</dc:creator>
		<pubDate>Mon, 12 Jan 2009 21:15:00 +0000</pubDate>
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		<description>Couldn&#039;t disagree with you more on this one. &lt;br/&gt;&lt;br/&gt;Any patient who&#039;s had psychiatric care will tell you that his/her medical complaints are dismissed as &#039;somatizing&#039;. Once most MDs know the psychiatry hx, the patient is no longer a person, but a &#039;crock&#039;, &#039;chronic complainer&#039;, &#039;overdramatic&#039;. &lt;br/&gt;&lt;br/&gt;Yes, people w/schizophrenia have lousy health habits, smoke and get bloated from the meds we give them. BUT - are those the only reasons their median lifespans are 55 yrs, full 20 years of potential life lost? Don&#039;t think so. &lt;br/&gt;&lt;br/&gt;I&#039;ve routinely gotten psych patients like this sent to my ER from psych holding w/asthma, DKA, perf&#039;d ulcer. They were triaged and abn&#039;l VS attributed to &#039;stress&#039;. Triage RN hears psych hx? Off you go to the mental health folks!&lt;br/&gt;&lt;br/&gt;Nope, psych pts can&#039;t win on this one. Neither will we ER docs or primary care docs, unless the stigma is cleaned up.</description>
		<content:encoded><![CDATA[<p>Couldn&#8217;t disagree with you more on this one. </p>
<p>Any patient who&#8217;s had psychiatric care will tell you that his/her medical complaints are dismissed as &#8217;somatizing&#8217;. Once most MDs know the psychiatry hx, the patient is no longer a person, but a &#8216;crock&#8217;, &#8216;chronic complainer&#8217;, &#8216;overdramatic&#8217;. </p>
<p>Yes, people w/schizophrenia have lousy health habits, smoke and get bloated from the meds we give them. BUT &#8211; are those the only reasons their median lifespans are 55 yrs, full 20 years of potential life lost? Don&#8217;t think so. </p>
<p>I&#8217;ve routinely gotten psych patients like this sent to my ER from psych holding w/asthma, DKA, perf&#8217;d ulcer. They were triaged and abn&#8217;l VS attributed to &#8217;stress&#8217;. Triage RN hears psych hx? Off you go to the mental health folks!</p>
<p>Nope, psych pts can&#8217;t win on this one. Neither will we ER docs or primary care docs, unless the stigma is cleaned up.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/01/telling-lies-to-your-doctor-and-how-it.html/comment-page-1#comment-89179</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 12 Jan 2009 21:14:00 +0000</pubDate>
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		<description>Hate to say it, but doctors do pass judgement on you ... very quickly.  Don&#039;t believe me ?  Go into your doctor, complain about back pain and ask them for pain killers.&lt;br/&gt;&lt;br/&gt;You will now experience what it feels like to be accused of being a junkie.  I do not personally lie to my doctor, but I could very easily see why someone would.  When I run out of my pain killers, it takes me a few weeks to build up the nerve to go ask for a refill.  Then spend the next week feeling like a criminal.  Hell, even the pharmacist gives me dirty looks.&lt;br/&gt;&lt;br/&gt;Its sad, but so true :(</description>
		<content:encoded><![CDATA[<p>Hate to say it, but doctors do pass judgement on you &#8230; very quickly.  Don&#8217;t believe me ?  Go into your doctor, complain about back pain and ask them for pain killers.</p>
<p>You will now experience what it feels like to be accused of being a junkie.  I do not personally lie to my doctor, but I could very easily see why someone would.  When I run out of my pain killers, it takes me a few weeks to build up the nerve to go ask for a refill.  Then spend the next week feeling like a criminal.  Hell, even the pharmacist gives me dirty looks.</p>
<p>Its sad, but so true <img src='http://www.kevinmd.com/blog/wp-includes/images/smilies/icon_sad.gif' alt=':(' class='wp-smiley' /> </p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2009/01/telling-lies-to-your-doctor-and-how-it.html/comment-page-1#comment-89177</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Mon, 12 Jan 2009 19:53:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2009/01/telling-lies-to-your-doctor-and-how-it-can-kill-you.html#comment-89177</guid>
		<description>If docs &quot;double or triple the numbers patients say,&quot;  doesn&#039;t that lead to misdiagnosis for the 87% who don&#039;t lie?</description>
		<content:encoded><![CDATA[<p>If docs &#8220;double or triple the numbers patients say,&#8221;  doesn&#8217;t that lead to misdiagnosis for the 87% who don&#8217;t lie?</p>
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