Dangote

Tuesday, October 30, 2012

Patients Should Learn To Always Say The Truth - Dr Siri Dafe

I received this email from a medical doctor who read one of our recent posts about health issues and decided to shed more light on it. If you miss the first post please read it HERE.

I read a post here sometime back about a guy whose diabetic mum was given the wrong prescription that almost killed her and as a medical practitioner I feel the need to write this piece.

I have a rule when attending to patients and its simply "ALL PATIENTS ARE LIARS" no matter what you tell me I will still carry out the necessary test I want to before treating you. Now there are certain types of lying patients; Click to continue.


1) There are the patients who don't know what was done to them previously, so they cannot give you an accurate medical history such patients are usually uneducated, very elderly, or can't speak english or express their selves accurately. Such patients tell you "No" and "Yes" to every question but can't accurately say "I was treated for hypertension 3 years ago" I will advise the readers to always accompany such patients (Aged parents, grand parents etc) to the hospital.

2) There are the patients who know their exact medical history BUT will refuse to tell you for reasons best known to them. Such patients think they will be judged, are considering their social status or they are ashamed etc. E.g a newly married woman comes for medical check up as to why she hasn't gotten pregnant in 3yrs after marriage and she's asked if she's ever done an abortion before and she replies "NO" when the answer is "YES" now that could be the cause of her problem or it could be something else but she has made the Doctor rule out abortion as a possible cause and he's treating for something else. A mother comes with her Baby and complains of excessive stooling and she's asked what she's feeding her baby and she says "Fisocream or Cerelac" but she conveniently keeps quiet about the "Traditional mixture" her mother gave her to feed the Baby for healthy bones and teeth. So the doctors treat for something else.

3) There are the "Holyghost filled, tongue-speaking, fire breathing, over righteous christian" patients that will NEVER give you accurate medical history because they believe "If any man be in Christ he is a new creation OLD THINGS ARE PASSED AWAY and behold all things have become new". Yes! I am a born again christian so don't get me wrong at all, even though you have left your old ways PLEASE PLEASE when you find yourself in a hospital for whatever reason let the doctor know relevant medical history while you were a sinner.

4) There are the OVERSABI patients that will research all their symptoms online, come to the hospital, frustrate the Dr. Before the Dr says "A" they have said "B-Z" some even tell the Doctor what is the best treatment for them. Most times when you prescribe drugs for such patients they go back to wikipedia read all they can about the drug then on their own decide that the side effects for the prescribed drug is too much then they prescribe their drugs according to wikipedia that they think is best for them.


However there are very very few patients that will tell you as it is that are very open and believe their life comes first before any Past, traditional beliefs, titles etc. The aim of this post is not to insult any body but to encourage readers to always say the truth about medical history and never lie to their doctors because when you blame doctors its not entirely their fault most times. However if you know you were honest and still not satisfied with the treatment always seek a second and third opinion, being a doctor never made anybody perfect.

64 comments:

  1. Great job Doc

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  2. Dokky - ur head dey dia
    A word is enuff for d wise

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  3. Waoh dis is nice.im guilty too.my gp asked me yrs ago if I've had any pregnancy termination, before she even finished calling d full words I already shouted no. Alakoba somborri

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    1. WONU: ROTFLMAO! Naa serious Alakoba

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    2. Lol..my dear,I made that mistake oO..I told my gp everything see looks lmao! And then the foolish consultant went ahead to discuss my file with a student doctor,talking about my abortion..*cringe* God forgive me.

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    3. Well that student is going to be a doctor tomorrow.so get over it.if it bothers u so much dnt go to a teaching hospital.

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  4. very well said.

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  5. exactly, i have a friend who had conveniently forgotten about her smoking habits before being born again. when she had some trouble with her lungs, she kept denying until she was shown an xray and she could deny no more.

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  6. This is a honest talk.tanx my doctor.

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  7. This is a honest talk.tanx my doctor.

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  8. This doctor is saying the truth but I take exception to some things he said. I am pregnant and went to the doctor to complain of morning sickness,the guy reccommended Camoquine for me....on researching online,I found out that its dangerous for the baby in first trimester so what is he saying. Most doctors have reccomended drugs for pregnant women that ended up causing miscarriage for them like some Antibiotics. I don't blame him,we regard doctors as mini gods including the ones who doesn't even know anything...Maybe if they were graded in school it will help us to separate the weed from the wheat.There are lying patients and there inexperienced blockheaded doctors.....shikena.

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    1. Ehehen
      I see dem.
      One of the "over sabis'".
      Lolz

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    2. Ehehen
      I see dem.
      One of the "over sabis'".
      Lolz

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    3. ALL drugs are potentially harmful in pregnancy but Camoquine and chloroquine are still the best recommended in the first trimester. Nt many pple use the chloroqunine thou cos of the CQ resistant malaria. But these 2 drugs are still safer than other ones in yr first 3 mths.

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    4. ALL drugs are potentially harmful in pregnancy but Camoquine and chloroquine are still the best recommended in the first trimester. Nt many pple use the chloroqunine thou cos of the CQ resistant malaria. But these 2 drugs are still safer than other ones in yr first 3 mths.

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  9. Very true,bt wat appen wen d doctor is alredi eyeing d patient and den ask her embarassing question?

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  10. Good one doc thanks for the info

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  11. Very well written, and very true,

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  12. When I was about 15 or so ,I discovered I had four lumps in my both breast. In my second year in the university,around 18,I went to a doctor to have it checked out bcos of the numerous stories I heard about cancer and because my mom also had lumps removed from her breast though they found out it is not cancerous. The doctor after vigorously pressing my full boobs recommended I go for surgery to remove them while toasting me at the same time....E don see ripe Boobbi. Well I ignored him and decided that I will wait until iv had my kids before removing it. I had the lump until when I was much older and got disvirgined....nna eee those lumps dissapeared vuuuuuuuuuum. What is the connection between sex and lumps. Now I just have one lump remaining in one breast which I pray it dissapears on its own or I remove it after iv had my kids. Well that's my story.

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    1. Sit down there in your stupidity, you hear? Continue using marathon sex as cure for lumps in your breast o. You better draw your 2 ears and see a competent Doctor about that lump before its too late. What has having kids got to do with anything?

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    2. Sorry the lady that has lumps in her breast, is your name zainab and you went to UNiLAg in sciences? Stayed in new hall? Lived in shomolu around lady lark?if its you then you should know who I am by now..

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    3. Exactly.kip waiting for it to resolve.U were lucky they were benign,until one actually becomes cancerous.smh

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    4. Heeeeheeeeeeeheeeeh.I laugh like Ladun

      LIB has reunited Anon 8.22 and the guy that popped her cherry.

      Bia jare Keneth, are you interested in helping with melting the last lump? Your sperm is performing wonders. You might start selling it in commercial quantities soon


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  13. Well said Dr. God bless you.

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  14. yes Dr, u are on point. It med mi remba dos days during biology classes our teacher will alws say it countless dt dere re 3 pple u shud neva lie to: a priest, ur doctor n ur lawyer. I wonder y pple lie to der doc wen dere health is at stake 4getn dt its wat u told u dr dt he gonna blive n work wt. Doctors re nt magicians....

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  15. I think I fall under group 4....hehehe

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  16. Very good post. Thanks DOC

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  17. Doc, u said all patients are liars n I say most doctors are foolish n selfish. Imagine going 2 c a doctor n trying 2 tell him ur past medical history n ur allergies and he tells u he is not interested in dat, d only tin he is interested in is wat is currently wrong wit u. Wat do u hav 2 say about dat?

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    1. Oversabi, not every past is related to the present,u might have bin too forward wit ur past med history.imagine asking some1 what is wrong wit u 2day and he says I broke my leg 5yrs ago...no sense @ all in it

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  18. Tootally agree with this post!

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  19. I admit that there are quite a number of substandard practitioners among Nigeria medics.
    .
    But my observation is that when controversies arise regarding the quality of care given to patients, the Nigerian Doctor is almost always never given a fair hearing.
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    Doctors are not magicians. The accuracy of diagnosis has a direct relation to the complete details & accuracy of the patient's medical history.
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    When a patient deliberately withhold vital information from the doctor, and expects him to figure things out himself. Its unfair to both parties.
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    Again, the sophisticated diagnostic equipments that are routinely deployed for patients' use in the US are often unavailable here, and these guys have to make do with what's available.
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    We need to put all these into consideration if we want to be objective and fair in our criticism of medical practice in Nigeria.
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    My 2Cents.
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    #by the way, I'm a doctor, currently practising in Lagos.

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  20. Well, it is actully right for a patient to disclose medical history b'cos it also help the doctor in drug prescription. For example, if a patient have Ulcer, d Doctor have to know the best prescription dat suites the patient.

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  21. I totallllyyyyyy agree.

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  22. u re right doctor,tnks

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  23. its good know, i hate to lie but some doctors can be real pricks and i might lie to a doctor just to avoid taking injections hehehe

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    1. Aint u a sweet mumu?

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    2. Aint u a sweet mumu?

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  24. While I agree with the Dr. Siri Dafe; I will still like to say "That's his practice"... How many doctors today still run tests before handing over anti-malaria tabs.... Some of this doctors are just after the money.. They make you rant and rant about what you feel is wrong and they treat you based on your symptoms. How many times have people been treated for Malaria and Thyphoid whereas it's something else they have? I was been treated for Stomach ulcer for months until I changed hospitals and was told I had Appendicitis - I got to the hospital at about 5.30pm on the day and was operated on at about 6.00am the following day 'cos the appendix was about to rupture... I can go on and on about bad experiences with doctors. Doctors should learn to be like Dr. Dafe.

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  25. Thank u sooo much for ths post doctor,a problem shared is half solved,most patients believe that doctors are witches n wizards n so shld knw there problems,it doesnt work dat way,for that last post about d DM woman that was given a wrong drug,naaa,it doesnt work dat way,i dont believe it,someone is jux trying to tarnish the image of Nig doctors,mind medicine is also psychological,u must believe in ur doctor and whateva advice he/she gives,no two ways about dat

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  26. Doctor, you are in the wrong profession and I pity your patients. A patient comes into your office and before she opens her mouth, you assume she's a liar! SMH

    Why would I lie about my malaria symptoms, about my baby's high temperature or his constant stooling? Especially when I've not used any traditional mixture? What lie did Gani tell that led to his been treated for something else for years when the poor man had Cancer all along?

    Check yourself. Stop consoling yourself with your mantra of "there are very very few patients that will tell you as it is that are very open and believe their life comes first before any Past, traditional beliefs, titles etc". I hope it helps you sleep at night.

    I bet you studied in Ukraine!

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    1. Pls. Who's fighting with you.
      Typical Naija person, always angry.
      Am sure u in TRAFFIC. Or u did not find OKADA.
      Take it easy with the anger o. Don't gan kee yasef.

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    2. Yes.all patients are liars until proven otherwise.U hvnt seen it so shut up.

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    3. Yes.all patients are liars until proven otherwise.U hvnt seen it so shut up.

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    4. Dear ist poster,speak for urself!a lot of mothers lie to deir Drs!dey either hold back d truth cos dey dnt want to b blamed or exaggerate symptoms to gain sympathy.speaking from a Dr's perspective..

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  27. beentheredonethat30 October, 2012 11:11

    well doctor you may have a point...but if you assume all your patients may be possible liars, then its possible you'll make wrong assumptions. some doctors in nigeria are very complacent...an example, i went to a hospital on allen avenue and complained of an excruciating pain on my ankle, the doctor did not bother to examine the leg but told me off and this was after i had used ibuprofen, or when i complained of scary palpitations and the doctor told me 'that is normal' what is normal about that? people drop dead every day and i had to insist on an ECG. we ought to know our rights as patients,and like i believe work hard so you can afford to pay a doctor that will actually listen to you and care. not one that thinks because you are from an HMO they will treat you anyhow. #enuffsaidabeg

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    1. Lol.so hw did ur ECG help u?mschew.have u ever heard of white coat hypertension and of course people have palpitations when they are sick probably afraid of the diagnosis. Pls in nigeria doctors do not send u for test they feel is not necessary to reduce cost.

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  28. @beentheredonethat,wots wit HMO in dis matter?kai,sum ppl can like 2 chat shit....Ode park well jor...Ogbeni

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    1. A lot has to do with HMO abeg, they are more money conscious than wellbeing of their enrollees, most of them would refuse to pay for tests conducted and some would insist on getting approval before anything can be done to patients, eventually may not even give approval for necessary tests to be conducted. I was recommended for a CT scan of d chest when a lump was found in an xray but it took almost 4months to get approval that what was seen in d xray was artefacts. It took another 2months to get approval to see a cardiothoracic surgeon. I've had it really bad with HMO

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    2. If you don't know the relationship between being on an HMO and complacent Doctors, youare the Ode. Mumu like you!

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  29. Doctor, I believe you. I fall in the category of the oversabi patient. I google all the symptoms of whatever I feel is wrong with me and go to the hospital with a pre-conceived notion of what is wrong.

    So while the doctor is talking, I am busy disagreeing in my mind. LOL! We have to let doctors do their work! Sometimes, Google can let your mind run riot. My five year old child had a headache and by the time I was through with Google, I was convinced it might be a brain tumour! Thank God it wasn't though.

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  30. @ Anonymous 12.04, beentheredonethat actually has a point.

    When a patient comes in from an HMO, the sort of treatment (attitude and otherwise)they receive is usually totally different from a cash paying patient. We complain about this all the time in my office.

    Most hospitals feel HMO's simply pay meagre monthly capitation so the attitude of their staff towards patients from HMO's can be condescending! Even the doctors kind of shoo you off so they can attend to "cash cows" in their opinion. I know there are limitations as to what is covered by an HMO but I feel the doctors even go below the minimum!

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  31. Nigerian patients can't be truthful and the doctors have stopped giving a damn.

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  32. Ola bAby and Anon 30 October, 2012 13:06, hahahahahahahahaha. You guys are hilarious.

    In every situation, there are always at least two perspectives.

    #TeamGoodPatient baby :-) even though I almost always never ever complete my medications.

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  33. For those of u who go to google to browse ur symptoms, il advice u to also treat urselves since the treatment is also there. U feel u can read in 10mins what a doctor spent 6yrs or more to study and dts just to graduate, after that additional 6 - 10 yrs to become a consultant? All this sweat doctors go thru is to give you, yes you, quality health care. Well, in medicine, there is something called differential diagnosis and its d doctor's job to decide which particular illness it is, not d nurse, not d pharmacist, not d chemist or the lab technician coz they dont study those things in school buh the doctor. Plus in arriving at a correct diagnosis, history needs to be accurate, past medical history, family history, social history and the rest. So the next time a doctor is clerking you, make sure u answer the questions truthfully and stop asking them how those questions are important. I'm sure if some patients improve on their attitudes, medicine in nigeria will improve significantly.

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  34. Dr Siri, I love your honesty i am a Breast Cancer suvivor, i total agree with what you have said atimes the reason alot of patients find it hard to tell the truth is because they think they would be judged.

    As regards the women, telling lies about having abortion that is not far from the trust they want their husband to fill they are holly than though, the mothers giving herbs that happens alot am not a Dr but coming from my back ground i do not ever tell my Dr a lie i know the Lord , works through you guys so i let Dr play the perfect role towards my getting better

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  35. Dr, i must say you generalised the matter but not everyone is guilty of the crime. Another is reason is sometimes the cultural up bringing of the patient also a few Dr. tend to discuss their patients health matters in public by mention ( oh mr and mrs so and so have an austic child) so people find it hard to open up at personal issues

    Also religion plays a bad and good role they do not like to confess to having any medical issue , i have my treatment abroad if my Dr ask questions and i do not tell the truth when i go a CT SCAN, the entire thing shows up but for Christ sake why tell a lie it makes matters worse

    sometime patients do not tell the truth because they think if they make to many complains the bill will increase i think thats a stupid way of thinking but i guess each to he's own .

    PATIENTS TELL THE TRUTH AND SAVE YOUR LIFE SO YOUR FAMILY CAN LOOK FORWARD TO HAVING YOU LIVE LONGER

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    1. U hav the right to sue any Dr who discusses ur case wit d public.dat's unprofessional nd shldnt prevent u from giving an accurate/truthful history to ur Dr.Not all Drs do dat..I speak for myself

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  36. I guess am one of the I too sabi which is indeed bad but to an extent some Doctors are to blame especially when they are not sure of what is wrong and they refuse to do test as if na their money.
    My hubby has to scream that he wants to undergo test everytime he sees the Doc bcos they just hand out anti malaria drugs like its candy. Its really bad.
    A lot of people have died bcos necessary test are not carried out. And yes I am not ashamed to say I google every drug they prescribe. Just taking precaution noni

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  37. I'm so guilty of no 4.... I remember when I got preg and the doctor asked if I had been pregnant before, my husband told him yes and I had an abortion before... When I went to have my baby in the US and I knew the new doctor would ask the same questions so I tried to get my sister out of there but she won't hear of it. In fact she became very vicious! When the doctor asked, I lied immediately.... Didn't even think about it, but I later wet back to tell her at the next appointment. *covers face*

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  38. lmao at no 3
    afi holy ghost filled na
    this cracked me up jere
    about that abortion thing, walahi no human being can make me divulge the correct numbers but like docky said " Old things have passed away......." yiiiimu!

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  39. Doc you try. So on point man though some of us can be pretty daft! (asin doctors)

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  40. YOU ARE VERY ONPOINT DOKI, BUT SOME DOCS CAN BE STUPID AND ANNOYING ,THEY NEVER ALLOW YOU FINISH YOUR EXPLANATION BEFORE THEY SHUT YOU DOWN ,AND TREATS HMO PATIENTS LIKE SHIT ,GOD IS WATCHING ALL DOES DOC THAT DOES THAT

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