Patients Who Lie to their Doctors

I’d like to share an open secret about my day job. Patients lie to their docs. Patients lie about how often they exercise, how much they smoke and drink, and whether they’re taking their medicine. And, as a respiratory therapist, I hear people grossly underestimate the severity of their symptoms. The other day, I saw a man hunched over, gasping at a rate of thirty, yet declaring his breathing was fine. I humored him, but I wrote up the true findings on his chart. And, when I’ve had bad bronchitis, I sat in the doctors hunched over, and telling my doc my breathing was fine.
Howcumzit? Breathing is a basic function, and when that goes sour, everything in your life feels wrong. When you get sick, your job security and insurance coverage are on the table. People fear the doctor might judge them, so they try to appear at their best. And so the fibs start coming, and sometimes with serious consequences. Example: a diabetic binges on sweets, comes to doctor with a grossly high sugar level, and lies about his transgression. The doctor beefs up the insulin and sends the patient into low blood sugar and insulin shock.
You may wonder how all this can relate to writing. It bears chatting about my day job because most of the medical background in my books came from that job. Including the lies patients tell their doctors.
In my book Dark Side of the Moon, protag Becky told the Employee Health doctor a whopper when she got her physical for to work at Betsy Ross Hospital. She knew she had blood irregularities, and so did her family doctor. But no self-respecting Employee Health doctor will clear someone for work with undiagnosed blood cell abnormalities. So Becky got her family doctor to fudge the lab report. I would bet all the balloons in my home, and fatten my collection by betting, that she didn’t say squat about telekinesis to the employee doc. Dr. Hoffman figured out the score when she got pregnant, and alas, he acted like a jerk.
Lying to doctors can be a useful tool in your fiction, and may help you explain how people who are “not right” end up in responsible jobs. Imagine this: You work as a nurse on a floor of 50 people, and your boss hires someone who is incompetent. Perhaps she skips treatments and starts blowing up at people. The character has a history of psychosis, and lied about it on her application. Perhaps she knows something incriminating about the head boss. The stage is set for later, if she does get canned, for the woman to show up on the premises with a shotgun.
So have fun with the lying tool, and let your characters lie to their hearts’ content. But in real life, if you’ve been naughty, ‘fess up to your doctor. Your health (and your writing, as a consequence) will be much better for it.

What the Workshop Conference Leaders Don’t Tell You.

I’ve been editing NTD magazine for some years and recently branched into publishing novels. Most of the truisms apply: show, don’t tell, be scarce with adverbs and passive voice, go for the action verbs, and ditch anything that doesn’t belong to the story. With the submissions I get, I run into a lot of little things that workshops leaders don’t discuss. And so, buckaroos, I’m adding my two cents to the pot.

I hate sloppily typed manuscripts as much as any other editor, but I will factor in the differences in software, i.e. Vista and XP. A lot of submitters are using Vista while I stick by my trusty XP, and the manuscripts come through with weird symbols. Suggestion: if you use Vista, consider sending the file as an RTF. RTF will agree with most programs. The font my submission comes in doesn’t matter so long as it’s readable (keeping in mind I’ve got 54-year-old eyes). But you don’t want to keep changing fonts as you work on your manuscript, especially in Word. Why? Because Word is temperamental. I once worked on a manuscript that had been reformatted several times and ran into big issues with Word – big gaping spaces between paragraphs. The road to Hell in Word is paved with reformatted documents, by gum.

A couple of months ago, someone queried me for book submissions, and I requested a synopsis. I never heard from that writer again. It is true the synopsis will demonstrate one’s writing ability, and gives the publisher an idea if he or she would want to spend the time on that book. It also gives the publisher a snapshot view of the story and serves as a road map when requesting or choosing a cover illustration. So if you send a badly written synopsis, you may end with an illustration you don’t like.

“ Sadisms”  are the sorts of thing that make me want to close down my computer and run to the nearest balloon store. He “ commented, rejoinder, exclaimed, opined, observed, gasped, etc.”  What happened to “ He said?” Okay, “ said” can get mighty monotonous, so go with the dialog tags.

Examples:

  • Mary gasped. “ Helen, what are you doing?” 
  • Harvey yanked Rich by the collar.” C’mon!” 
  • Anne smiled and pointed to the Mylar butterfly.” Oh, look at the
  • balloon.” 

I find I have a tendency to use “ to be”  verbs, which deflate the punch from the manuscript. Better: action verbs, the kind of words that catch the eye.

Exercise: go through your draft, and see how many “ to be”  verbs you can find. Then substitute with an active verb and appreciate the difference. On that note, I think I shall go through mine, eliminate all the “ to be’s”  and then head for the adverbs for good measure.
Zombies provide grist for Harold Kempka's Blue Plate Special.

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