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9 White Lies You Need to Stop Telling Your Docs

If you're not telling the whole truth (and nothing but the truth), you could be harming your health
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The lie: 'I've never done coke.'
Also heard: "I don't do drugs."

Why you should 'fess up: Your doctor isn't your mom or dad. Lying about your recreational drug use puts you in an extremely dangerous situation if you're undergoing surgery and could signal a deeper, underlying drug problem that could potentially spiral if your doctor is prescribing addictive medication.

Recreational drugs come in two categories these days: legal (think prescription painkillers) and illegal (think cocaine). If it's legal, you may "forget" to mention that you were prescribed Oxycontin for an injury and maybe took the drug for a bit longer than medically required. "If I know a patient has had substance abuse issues in the past, I'm more likely to avoid medications with addictive potential to keep the problem from spiraling," says Alabama-based Dr. Saundra Dalton-Smith.

If you dabble in the illegal variety, your doctor isn't going to rat on you and have you arrested. On the flip side, if your doctor doesn't know you smoke weed or occasionally do coke, surgeries and anesthesia become dramatically more dangerous and risky. "Patients who are not actively on a drug like cocaine may still have organs effected by chronic drug use. This could mean needing different drugs during an operation to control blood pressure and cardiac arrhythmias, but if the anesthesiologist and I don't know that, it's extremely problematic," says Doft.

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The lie: 'I'm not taking anything.'
Why you should fess up: As harmless as it seems, that herbal supplement designed to boost energy, improve your memory or make your skin glow may contain ingredients like caffeine or green tea extract, which can conflict with other medications you're taking, says Agarwal. Example? St. John's Wort. This herbal supplement is used to treat depression, anxiety and tiredness, but it also makes other prescriptions like birth control and anti-rejection drugs less effective. If you're leaving this out, you could be setting yourself up for unwanted pregnancies and botched organ donations.

Certain supplements and over the counter meds also interfere with surgical procedures. "Aspirin, ibuprofen and certain vitamins, like fish oil, will make you bruise more easily. Use of Accutane in the last year can even affect how you heal and whether we should wait on performing a procedure or not," warns Doft.

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The lie: 'I'm just here for a checkup.'
Also heard: "Everything's fine. Nothing new."

Why you should 'fess up: You made this appointment for a reason, and expecting your doctor to be a mind-reader wastes time and increases your chances of your problem getting worse (or, at least, not better). Doctors have heard it all -- if you're there because you're depressed, exhausted, have no sex drive, can't sleep, etc. -- welcome to the club. According to Smith, the most common issues people are shy about discussing are loss of sexual libido, fatigue, anger, depression, anxiety, and fears they may have something like cancer or heart disease.

"People will say they don't have a specific concern and just want a check-up, but 70 percent of the time, they actually have something that's been troubling them and they are praying I will be able to magically tell them the answer to questions they haven't been bold enough to ask me," says Smith. "If you can't talk about these things with your doctor, who are you supposed to talk about them with?" If it's that much of a struggle to open up to your doctor, it's time to find a new one you feel 100 percent comfortable with.

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The lie: 'I've been following the instructions on the bottle.'
Also heard: "No, I'm not taking anything," and "Just birth control ... "

Why you should 'fess up: Your doctor may inadvertently overprescribe or take you off a medication because they think it's not working, when in reality, you're just not taking it correctly. Instead of digging yourself a deeper, potentially life-threatening hole, you need to admit your poor pill-taking habits.

"When cholesterol numbers are still high and the blood pressure is not improving on therapy, my first question is often "Are you taking the medication as prescribed?" Many people are ashamed to tell you they forget and miss pills regularly, so rather than fessing up they just lie," says Smith. Ironically, this attempt to save face often leads to patients being unnecessarily over-medicated. "If a low dose of the medication does not work, most doctors will increase to a higher dose, which may not be necessary if someone is not taking the medication regularly."

Omitting other medications you are taking regularly because they may seem unrelated to the specialty can be just as dangerous. You're probably OK letting your OBGYN know that you're birth control, but what about everything else? You may be embarrassed to admit that you're anti-depressants, but Dr. Hal Danzer, co-founder of Southern California Reproductive Center, says these are especially important to bring up because when taken during pregnancy, selective serontonin reuptake inhibitors (SSRI) such as Prozac, Zoloft, Celexa and Lexapro can increase the likelihood that a baby is born with septal heart defects.

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The lie: 'I don't have any piercings.'
Also heard: "Only my ears are pierced."

Why you should fess up: "If a patient is undergoing surgery and electrocautery (passing currents through a metal wire to generate heat) is used to control bleeding, the current can run through a metal piercing and fry that skin ... oops," says Dr. Barbara Bergin, an orthopedic surgeon in Austin, Texas. Earrings are noticeable enough, but if someone is having knee or shoulder surgery, there's no need for nurses or doctors to examine certain, uh, obscure body parts. "Please just take out your piercings and leave them at home, or remember to say 'yes,' when the nurse asks you if you have any body piercings," says Bergin.

BY ERICA SMITH | JAN 13, 2015 | SHARES
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