Why do we lie to doctors
"My father - a doctor, and I always thought that he discovered some great mystery about the human body that is not available to others - says 36-year-old Alena. - As a child, when I fell ill, my father began to question me, that hurts. And I'm afraid to tell him the truth: he suddenly discovered that my disease is dangerous? Any runny nose seemed to me a symptom of ailment. Until now, coming to the doctor, I am afraid to hear that the terminally ill, because she did not understand what was going on in my body. And everything is clear "to him. "All patients are cheated, or rather corrected reality, - the doctor and writer Martin Winkler (Martin Winckler). - What, of course, it does not prevent us to treat them unless attached to the "truth of fact", because there is more important though they - symbolic or emotional. " The main question - why people do that? Often, we allot the role of being a doctor standing over everything. A sort of magician and magician, who knows about our life and death is something that we do not know ourselves. At the same time, the judge, because he often acts as judge, letting us know that we behave "properly". "Undressed, some patients do not feel safe in front of the doctor and try to advance just in case" protection ", which can lead to different forms of simulation and lies, - explained the therapist Alexander Grigoriev. - While in fact the doctor only fulfills its function, is a leading therapy to help alleviate the suffering. " So, we happen to lie to the doctors, and we have at least five reasons that this push.
If we go to the same doctor as our relatives, we can feel that the doctor is steeped in family history is much deeper than we would like. That is why the 40-year-old Paul did not tell your doctor that visits an osteopath in parallel, to reduce pain in the neck. It is easier to be taken from her a prescription for anti-inflammatory agents than the "wound" good, but conservative expert in that it has successfully resorted to alternative medicine. Over time, the situation only gets confused: is much easier would immediately recognize that it is very osteopath manipulation helped him. "Patients experience to our liking - reflects the therapist Wanda Yakutik. - They seem to try to save us from his "wrong", afraid of somehow hurt our feelings or be against us "traitors". However, some patients do so because they believe that the doctor can neither hear nor understand them. And when it comes to the interaction between the classical methods of treatment and nutritional supplements, herbal remedies, essential oils, silence can be fraught with negative consequences for health. More than 60% of patients admitted to hospital because of the incompatibility of drugs, kept a secret from your doctor that taking dietary supplements. * Phytotherapeutist Bérengère Arnal-Shnebelyan (Bérengère Arnal-Schnebelen) recommends sure to discuss with your doctor all received drugs and supplements: "If any agent is of natural origin, that in itself does not mean that it is harmless and goes well with everything."
Because of shame
It is difficult to admit without embarrassment that you have, for example, athlete's foot, dermatitis, infection, or other minor problems intimate sphere. "And yet we both are here to listen to all - emphasizes Hope Zadontseva, cancers, Associate Professor Altai State Medical University. - For nothing happens outside the doctor's office - we are obliged to comply with medical confidentiality. It is not necessary to risk, ignoring their problems, or worse, to make the situation of infertility threats, while most of it is enough a course of antibiotics or capsules with an anti-infection, to deal with the problem. " Some women need to overcome the fear and admit that, in spite of the pregnancy, which is not very noticeable, they can afford to drink a little wine to relieve the tension. The same goes for smoking, which is hard to reconcile with the pill: it is not necessary to tell your gynecologist that you smoke only two or three cigarettes, when in fact - a pack a day. If you admit that you are not able to give up cigarettes, he may recommend a more suitable means of contraception. the title of doctor denies his moral right to blame the patient, his actions or habits. "With the doctor can and should negotiate - and negotiate with them about how to conduct the treatment," - emphasizes Hope Zadontseva.
For fear of
"One day, turning to the doctor with a severe pain in the back, I found myself on the fact that departed from the direct answers, trying to diminish, alleviate symptoms, - says 43-year-old Alexander. - Maybe I'm just afraid to be honest not only with the doctor how much to himself, afraid to admit that I'm sick. " Fear is difficult to control and often leads us to the ostrich position. Thus, the 59-year-old Maria, incredibly afraid that she will find the breast or cervical cancer, was not a gynecologist since the birth of his youngest son (who is now thirty). The fear of the result does not give a 25-year-old Anna to be tested for HIV and your doctor to admit that she had unprotected sex. The main thing is to remember first of all - if the fear paralyzes us and stops to operate, it can be life threatening. "If something is difficult to talk to the doctor, to which you are accustomed to, it is necessary to refer to another physician" - advises Hope Zadontseva. The output can always be found: in the case there is a risk of HIV infection antiretroviral drug, which must be taken within the first forty-eight hours. And if a woman has forgotten to take the pill, i.e. preparations intended for reception within the first three days following sexual contact, or, in extreme cases, the means received in the first eight days.
Lie to get a prescription for the medication (eg antidepressants or sleeping pills) or a hospital - with the doctors familiar. "This game with medication does not pass in vain for health - says Wanda Yakutik. - In the long term, this leads to problems with the liver, heart and thyroid gland. " Trying to get sick - it would seem, does a harmless lie. But in fact, the habit pretend likely indicator of existing problems, rather than a means to solve them.
from a desire to attract the attention of
Who among us has not at least once as a child pretending to be sick not to go to school? 39-year-old Joan still feels awkward because abuse the trust of school doctor, when she was 12 years old: "I pretended to menstrual pain that does not go to physical education, as well as it has been all too often, the doctor seriously worried, thinking that I do not have to order a cycle. " "These repeated complaints can serve the purpose of getting some side benefits: to attract attention, to avoid an unpleasant activity, regain its lost place in the family," - said Alexander Grigoriev. Those who know of a habit to invent, it is necessary to understand this behavior is all the more dangerous that the doctor needs to know the truth, to make a diagnosis and appropriate treatment. A key factor in this become a trusting relationship. And, of course, a sense of tact. Listen, weigh every word, to share knowledge, share emotions, doubt, weakness, somewhere just nod, take the hand, to be near ... And maybe the best doctor - one who wants to tell the truth?
* "Actualités reproduction humaine" .The Lancet, 2000.
Fairness for Health
"Fear makes a man lie to himself, - says Olga onkopsiholog Rozhkov, Avon consultant charity program" Together Against Breast Cancer ". - But to overcome it - not only in our power, but also in our common interest. " "In my work with cancer patients, I often encounter situations where people refuse surveys deceive doctors, their loved ones. Not so long ago to see me there came a woman 42 years - her illness has passed in the last stage of the treatment and does not budge. She had to tell ten-year son that he left an orphan (it so happened that she had no relatives). She herself was a child, when he lost his mother with a history of cancer. And only his destiny after death of her husband saw in the care of her son, the fear of losing it overshadowed everything else. For a long time she closed her eyes at the obvious signs of progressive tumor, for which, it is likely she had a genetic predisposition. "If I had the opportunity to" rewind the film "back - regretted it, - I would have behaved very differently." What are the reasons for this behavior, which is sometimes irreversible consequences? First, we often have to deal with not worked psychotrauma. For example, when a person is faced with a serious illness close and made to a conclusion: "Rooting scared patients are not wanted." The psyche includes self-defense mechanisms and forces of consciousness perception of disease symptoms. Such people often neglect their own needs, setting the priority needs of their families and children. Without resorting to the time doctors are not doing preventive maintenance, he forgets that his illness could be a drama, not only for himself but also for the family. Second, for such a reaction may be social fears, myths, in which the sick person - an outcast, which threatens the loss of work, family, friends. Do not believe sometimes (by the way, undeservedly) and the ability of domestic medicine, bowing before foreign. Third, for such behavior lies and poor knowledge of methods of prevention, diagnosis and treatment of various diseases. I often encounter with the general conviction that the cancer - a death sentence. Although 90% of malignant tumors identified early, treatable, confirmation of this is statistics. The frankness with himself is no less important than the sincerity in his conversation with the doctor. It can help in the diagnosis, to create the conditions for the treatment, and whether we are healthy, depends largely on us, on our attention and love. After all, this kind of love is always reciprocal. "
Jerome Grupmen "How to think the doctor?" Eksmo 2008.
As doctors evaluate the information that patients inform them? What information shall take into account, setting the diagnosis? Why make mistakes despite the fact that the management principle of "do no harm"? This reflects in its unique book, Professor at Harvard Medical School (USA) Jerome Grupmen.