Honesty May Not Always Be a Doctor’s Policy


Is your elderly loved one's doctor being completely truthful with you? Are you sure?

A new study, led by researchers from Harvard Medical School, indicates that some doctors refuse to tell their patients the whole truth, and nothing but the truth.

Results showed that at least one out of every ten doctors surveyed had lied to a patient in the last year alone. Lies can include everything from neglecting to disclose a financial interest with a medical device or pharmaceutical company to omitting the fact that a medical error was made during the course of a patient's treatment.

But here's the real shocker: most of the nearly 1,900 doctors who participated in the survey said that it was important for physicians to be honest with their patients when it comes to things that may influence their outcome of their health care.

What could compel a physician to be less than truthful with their patients?

Tanvir Hussain, M.D., a cardiologist and adjunct professor of bioethics at the Pepperdine University School of Law feels that, though the reasons can be varied, malpractice lawsuits are often at the heart of a doctor's decision to lie or withhold certain information from their patients. "Fears about professional livelihood are a major driver of the problem," he says.

When it comes to admitting mistakes, Hussain says doctors need to be careful because, in certain states, apologies can be used against a doctor if they are sued.

Medical students are often taught that lawsuits lurk around every corner, jeopardizing their future in the field. It may seem like overkill to an outsider, but Hussain's tenure as a law school teacher has only served to emphasize the constant warnings he received as a medical student.

He says that simply being named in a lawsuit can have serious professional implications. A physician's malpractice rates are sure to increase in response to an accusation. And, if a doctor is able to clear their name, medical boards will often continue to be suspicious of them and hospitals can refuse to hire them.

Another reason a doctor may not want to discuss a medical mistake is that it may not have actually been their fault. Physicians are often tasked with informing a patient of a mistake that was beyond their control. Psychologically, this can be extremely unpleasant someone who is endeavoring to provide the best possible care for their patients.

Nearly two-fifths of the doctors surveyed in the Harvard study said that they didn't think that their patients needed to know about a physician's connections to medical device and pharmaceutical companies. According to Hussain, this figure reflects a current division in the medical community between those who think a doctor's relationship with outside companies affects patient care, and those who don't.

As of right now, there are no rules governing the disclosure of such information to patients.

Hussain points out that there are viable ways to handle such admissions, such as including the information on a patient's paperwork, but, he thinks that dealing with verbal disclosures could be tricky. "If the alternative is to open every patient introduction with, ‘Before we start, I should tell you this pen is from Pfizer, my coffee mug from Merck, Abbott provided lunch for the office today, and I got a grant from GlaxoSmithKline last month,' I think anyone (patient or physician) would find that impractical and disconcerting."

Ultimately, Hussain feels that the majority of doctors won't allow their relationship with a certain company influence their care decisions. However, he admits that some information regarding a doctor's connections should be made available to patients.

A white lie here and there may not have an impact on the quality of care a senior receives, but, as Hussain points out, a pattern of untruthfulness can indicate that a doctor has a potentially dangerous personality. A physician who is comfortable with lying to their patients may be more likely to take risks that could prove dangerous to their patients.

Spotting a fibbing physician can be nearly impossible, so Hussain recommends that caregivers try and obtain copies of a senior's medical records. This can make it easier for you to obtain a second opinion if you feel that your elderly loved one's doctor is withholding important information.

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Drs do lie or at least do not always tell the whole story. There are many reasons for this. Sometimes they themselves don't want to admit the truth or dash the patient's hopes. They are really bad about giving a terminal diagnosis and frequently over estimate the length of time a patient may have to live. Is this fair or honest? of course not but most Drs are in the healing business and see loosing a patient as a personal failure. Patients need to be given choices and the time to prepare for death if that is possible and it often is. Time that can be used to put affairs in order, to make peace with others and most importantly time to say their good byes. Unfortunately it is often left to a nurse to answer the question "Am I dying? How long do I have?" having this knowledge often makes the end more peaceful.
To address the ethical side of full disclosure in the article. I can't as there is a pervasive lack of ethics all around us. Everyone is trying to cut corners to survive but fortunately there are still people out there who really care and do the right thing.
For Cleogin. You are in the early stages of grief from the death of your mother and the causes you perceived. Please consult a mal practice lawyer and they will guide you on the way to get at the truth. They probably won't charge for the first consultation. go to someone you know and trust and if necessary they will refer you on to someone they trust. when you are calmer write down everything you personally observed when visiting your mother in the hospital and find a councilor and grief support group. your feelings and anger are perfectly normal but it is important to be able to move on through the grieving stages which are different for everyone. I hope you will continue to let the group know how things are going. your experiences are helpful to others who have or are having similar experienced
I am having a horrible experience from a hospital in Pa. I have contacted patient advocate and every personnal, I can think of there, asking questions about medications, that were given to my Mother, without my knowledge. The medication given, made her lethargic and still more was given until her heart just stopped. The last person I spoke to about it, promised to get me the info on WHY, the meds were given to her and for what reason. She spoke to my Mom's doctor with my questions, and then I receive a call telling me, after talking to the dr. that she was done, he did what he was suppose to do and would not be dealing with me anymore. When I asked her, was she the same lady I talked to the other day, because, she had commpassion and caring until she talked to the Dr. She then told me, that she was not going to listen to my verbal abuse and she was going to hang up and that is what she did, while I was still talking. They know, that I have found something wrong with her care, and that she died of being over medicated. Talk about lying and covering up! I am in alot of distress, on how I lost my Mom and need help, dealing with the lying pathetic people, at this Pa. hospital. Any suggestions?
docs must get worn out with idiots armed with a stack of records that they havent a clue about and a jawfull of crap they read on the internet and in a frame of mind to argue medicine. docs job isnt to teach medicine to patients. also they arent going to give you a multifaceted diagnosis to go home and worry yourself and your patient to death with. they only disclose whats necessary.