Posted on July 22 2011 by Beau Herz

Why Doctors Tell Each Other White Lies

When I was a medical student, I worked with a doctor who lied. One day, she lied by ordering a kidney-stone CT scan on a patient she thought had appendicitis.

Let me explain. I was working in the emergency department with this physician (let’s call her Dr. Fibber) when a young man came in with belly pain. The man’s story and exam were classic for acute appendicitis: over the previous six hours, he’d had worsening pain that had begun around his belly button and moved to the lower right part of his abdomen. The patient had many other findings that not only suggested appendicitis but also discounted other potential causes of abdominal pain. Dr. Fibber called the surgeon, who examined the patient and agreed that it was most likely appendicitis but requested a CT scan of the abdomen to be sure.

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