{"id":18184,"date":"2019-04-24T14:12:59","date_gmt":"2019-04-24T19:12:59","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=18184"},"modified":"2023-03-03T15:41:45","modified_gmt":"2023-03-03T20:41:45","slug":"how-can-we-be-more-honest-in-the-exam-room","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/how-can-we-be-more-honest-in-the-exam-room\/","title":{"rendered":"How Can We Be More Honest in the Exam Room?"},"content":{"rendered":"

No matter how honest you are in everyday life, chances are you\u2019ve told a lie in the exam room. Maybe self-medicating with CBD didn\u2019t seem relevant to your visit, or you suspected you’d just get a lecture if you admitted that walking the dog is your main form of exercise. Or you reflexively shook your head no to a question about smoking because, c\u2019mon, you\u2019re not a full-fledged <\/span>smoker<\/span><\/i>. Regardless, you\u2019re not alone. <\/span><\/p>\n

In <\/span>two recent surveys<\/span><\/a> of more than 4,500 adults, researchers found that 60 to 80 percent of respondents have not been completely transparent with a clinician at some point. \u201cIt’s hard for any patient to admit things they might not be proud of,\u201d says lead study author Angela Fagerlin, department chair of population health sciences at the University of Utah and a Veterans Affairs research scientist. \u201cBut if your goal is to be healthy, it’s usually best to admit what you’re hesitant to say.\u201d<\/span><\/p>\n

Patients omit information and twist details about their health habits for different reasons. Here are some of the more common reasons for those white lies \u2014 with expert insights to help you stay honest during your next appointment. <\/span><\/p>\n

You don’t want to be judged<\/h3>\n

Among survey respondents, the most common reason for lying to a doctor was a fear of being judged or lectured. That\u2019s precisely why Mike Robinson, 53, a blogger in Santa Barbara, California, says he failed to disclose his medicinal use of cannabis oils to a new oncologist.<\/p>\n

Robinson was only seeing her for diagnostic work, as he\u2019d decided to fight his cancer with cannabis and decline other treatment recommendations. Still, he suspected the oncologist would judge his nontraditional treatment plan and push him to try chemotherapy, so he filled out his patient intake form without mentioning his physician-prescribed THC oil.<\/p>\n

Robinson\u2019s seemingly minor omission had a snowball effect. One thing led to the next, and he wound up with a 30-day coverage suspension for treatment noncompliance. If he\u2019d explained at the outset that he did have medicine, albeit not the traditional kind, Robinson says, he would have avoided the insurance drama: \u201cHad I just filled out the intake form without that omission about what I was using for medicine, things would have gone smoothly. Very simply put, lying to your doctor only hurts you.”<\/p>\n

\u201cIt\u2019s human nature to try to look good; therefore, it’s very easy to withhold information that we [perceive] as negative,\u201d says Dr. Setareh Alipourfetrati, a resident physician at Mount Sinai St. Luke\u2019s hospital in New York City. \u201cBut your doctors are only as good as the information they have. By holding back details, you\u2019re cheating yourself.\u201d<\/span><\/p>\n

With the rising use of shared electronic health records systems, seemingly minor lies can stick with you over time. \u201cThe data that you are not truthful about or hold back might be assumed as accurate by your future providers and in different settings,\u201d Alipourfetrati says.<\/span><\/p>\n

Think of your physician like a mailman, she suggests: \u201cYou don’t give the wrong address for your mail delivery just so that the mailman thinks you live in a better neighborhood. What you want is for your providers to deliver the best medical care tailored to your needs. To do that, they need to know you and your needs.\u201d Medical professionals can help patients by creating a trusting and equal environment in the exam room. \u201cI also always encourage and thank patients who [disclose] difficult-to-share information and tell them how helpful it is for me to know the truth,\u201d she adds.<\/span><\/p>\n

The idea that patients conceal unflattering details to skirt judgment is supported by psychological research. As social psychologist Lauren Howe explained in a piece for The Paper Gown<\/em><\/a>, her work suggests that many patients view doctors as judgmental because they assume healthcare professionals are beacons of healthy living. But that’s not the case: On average, doctors are in pretty average health.<\/p>\n

In the end, keep in mind that providers want to help. They’re asking questions to gather information, not to rate you. As Fagerlin puts it, \u201cThey see a whole spectrum of people and spend their time thinking about how to make you the healthiest you they can.\u201d<\/span><\/p>\n

You’re embarrassed<\/h3>\n

Our bodies do weird things. It can feel awkward or downright mortifying to tell a healthcare provider about incontinence or painful sex, or any number of health issues we\u2019d rather keep between us and our browser histories. It\u2019s probably not surprising that, according to the surveys, being embarrassed is the third most common reason for keeping doctors in the dark.\u00a0<\/span><\/p>\n

But even if you can\u2019t bear to look your physician in the eye as you describe that disconcertingly fragrant rash, try to remember that <\/span>doctors see patients with all sorts of conditions all day long<\/span><\/a>. \u201cThere is nothing they haven\u2019t seen, so it\u2019s unlikely they would be fazed by your symptoms,\u201d says <\/span>Ryan Howes<\/span><\/a>, a clinical psychologist in Pasadena, California. \u201cThey want to help, but if they can’t see [your issue] or don’t know about it, then they can’t help.\u201d<\/span><\/p>\n

If the prospect of openly discussing a problem makes you nervous, Howes suggests explaining that to your doctor: \u201c\u2018Something like \u2018I get so nervous at these appointments and have a hard time talking about my symptoms\u2019 is likely to be met with words of understanding and reassurance from your doctor.\u201d<\/span><\/p>\n

If you really don\u2019t want to talk about something during an appointment, tell your doctor you don’t want to answer that question today.<\/span><\/p><\/blockquote>\n

You could also write down your symptoms or concerns at home, bring the list with you and simply hand it to your doctor. \u201cYes, they will probably ask follow-up questions,\u201d Howes says. \u201cBut once the main issues are out in the open and you see their concern and professionalism, it will be much easier to talk.\u201d<\/span><\/p>\n

And if you really don\u2019t want to talk about something during an appointment, Alipourfetrati suggests being upfront. Tell your doctor \u201cyou don\u2019t want to answer that question today,\u201d she says. \u201cThis will prevent them from documenting inaccurate information or making incorrect decisions. It will also make them realize that this is a sensitive topic for you that they should address tactfully in the future.\u201d<\/span><\/p>\n

You don’t want to hear the truth<\/h3>\n

Beverly Friedmann, 30, a website content manager in New York City, told her doctor about most of her symptoms, including joint pain, fatigue, weakness and, despite daily workouts, minor weight gain. But she left occasional hair loss off the list, fearing that something serious was going on and hair loss would be the tip-off. \u201cI worried it could be a sign of something related to fertility,\u201d she says.<\/span><\/p>\n

Friedmann\u2019s doctor (accurately) diagnosed her with hypothyroidism. The condition was treated, but her symptoms didn\u2019t fully abate. When she still didn\u2019t feel 100 percent better a year later, she finally brought up the hair loss, prompting her doctor to run more tests and discover a vitamin B12 deficiency. \u201cThe delayed treatment resulted in other symptoms that were more severe in nature,\u201d Friedmann says. \u201cIn retrospect, honesty would have saved a lot of time.\u201d<\/span><\/p>\n

Sure, it’s scary to find a lump or experience a new type of pain. Howes notes that acknowledging a frightening symptom or condition out loud can make it feel more real. \u201cBut you won’t get anything done by ignoring it,\u201d he cautions. The sooner you have an accurate diagnosis, the sooner you can treat the issue. <\/span><\/p>\n

You’re a people-pleaser<\/h3>\n

It’s not uncommon for patients to want their doctors to like them, says Fagerlin. \u201cYou think you will get better care if you say what you think they want to hear.\u201d <\/span><\/p>\n

But you\u2019re not there to score points. For the sake of getting the most out of interactions with healthcare providers, try to resist the urge to pad the truth or automatically agree with everything your doctor recommends. <\/span><\/p>\n

\u201cWe have this idea that in order to be the world’s best student or employee, that means top performance or straight A\u2019s,\u201d Howes says. \u201cIn the world of medicine and psychology, though, being a great patient means being completely authentic and disclosing everything.\u201d <\/span><\/p>\n

It\u2019s understandable to regard physicians as authority figures. But you\u2019re ultimately in charge of your health, so think of your doctor as your teammate instead. When you work together, you\u2019re more likely to get the best-suited and most effective care.<\/span><\/p>\n

\n

Ready to book a doctor’s appointment? Visit Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"

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