Doctors, what's the biggest case of ""faking it"" you've ever seen?
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"Taking trauma call during surgery residency, had a prisoner come in after a fight and claimed he couldn't move or feel his legs. All the CT scans and MRIs were normal, but we would shield his legs so he couldn't see them and poke them with needles and other sharp objects, with enough force to cause pain- he never flinched or moved his legs at all. He was diagnosed with SCIWORA (spinal cord injury without radiographic abnormality). He stayed in the hospital for a week, no improvement. Always had one guard with him. One night they were down in the lobby watching some television but the guard needed to use the restroom. The patient said, "where could I possibly go? I'm paralyzed!" Guard left him alone for two minutes. Patient last seen sprinting down the road, naked butt cheeks flapping in the breeze. Made it to a city four hours away by car before he was caught again. I have never seen anyone fake it so well. Truly playing the long con! "
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REKLAM
"We had a patient faking a seizure so my supervisor told one of us to get the "brain needle". The patient made a miraculous and swift recovery without intervention. "
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Dermatologist here Patient was convinced she had a melanoma and needed a biopsy and would need to be on workers comp I told her it looked like ink from a marker She demanded a biopsy I wiped the area off with an alcohol swab and showed her the ink and that there was no spot on her skin anymore She stormed out threatening to sue I'm just glad I cured her melanoma
+10
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"Obligatory not a doctor. I was an EMT and had a frequent flyer who rotated through various chief complaints, one which was complete blindness-- emphasis on complete. We did our duty, of course: got him on board, took vitals, BLS'd him to the nearest hospital. But we occasionally had a bit of fun with him. One of the blindness calls, we noted that he walked a rather narrow and windy path from his trailer to the rig without any issue. Once onboard the rig, when asked for his insurance card, he fingered through his wallet and fetched it from among a mass of cards without issue. When asked direct questions, he met our gaze and followed it when our heads moved. When I pointed all this out to him, his only response was to quickly look at something over my shoulder and stammer through, "N-no... I'm blind." "Ok, our mistake then. Off we go..." "
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"My EMT instructor told me he and his crew ran on a seizure call. Gets there, door's wide open, female patient is unconscious and buck ass naked. They start assessing her while one guy clears the house to make sure no one else is inside and get something to cover her. After doing an arm drop test and trying to check her pupils, they all figure out that she's faking her illness. However, their general policy was never to openly state that, but to just roll with it instead. In line with that, he starts to call for an ambulance to come take her to the hospital. When one of his guys says "Captain, she's clearly faking it." Then this woman, who is supposed to be unconscious and unresponsive, says "No I'm not." "
+10
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"Former scrub nurse. Patient was on the table having a minimally-invasive procedure, carrying on and asking for more and more versed and fentanyl. She was already maxed...she had a tolerance despite claiming to have never had narcotics before Suddenly begins yelling "I see the light! I see the light! Does anyone else in here see that light?! " 6'4" mountain of a man circulating nurse gets in her face and says," No! And neither do you! Now be quiet and let us do our job!" Patient calm, normal vitals and resting comfortably. "
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We had a pt on a 24hr EEG that we were almost certain was faking seizures. I saw a series of convulsions from her and they didn't look anything like tonic-clonic seizures I'd seen before. She had no postictal symptoms at all other than drowsiness. She kept asking for something for the seizures. Standard pr is to give Ativan. I called the doc, she reluctantly OKed 1mg. I asked the doc if I could push 0.9% sodium chloride instead. Doc said that was a fabulous idea. Next seizure, I flushed her IV. In the middle of it, the pt asked what I was giving her. Post-EEG analysis didn't show any seizure activity. Never had anyone in the middle of a seizure ask me what med I was pushing.
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Had a woman bring in a kidney stone she passed and said she was in agony with another stone. She ramped up the analgesic ladder until she was on opiates, pethidine most likely. All he scans came back negative and we had the stone she brought in analysed. It came back as being quartz, not a mineral that occurs in the body. When confronted with this fact she quickly left. 6 months later and I'd rotated to another nearby hospital. A woman came in with abdominal pain and I went to see her. We locked eyes and instantly recognised each others. I said nothing but she knew the jig was up and self discharged.
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Patient and a family member coming in stating that patient has epilepsy and needs benzos. While gathering basic history the patient starts having a seizure. Rolling on the ground, head shaking and feet kicking... I asked the patient if he needed any help during the seizure.. he responds back saying he is experiencing a seizure. Family member is obviously trying to convince me that patient is having seizures like this everyday and needs benzos. I kindly told patient and family member this is psychogenic nonepileptic seizures and he needs to see a psychologist for an evaluation. They had a hard time believing this condition and walked out.
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"I'm a doctor. I used to tell stories about things like this, but lately I've come to realize that many people who are "faking it" have a severe psychologic trauma (e.g. child sexual abuse) which is manifesting in physical symptoms, or some other bad cause for their factitious disorder. Even for the malingerers too, they're usually in a terrible place in life despite how much "fun" it is to read about their stories. We should treat both types of people with compassion and understand the circumstances that brought them to that place in life. (I totally had a patient who nearly killed herself injecting her own poop into her skin though, that was pretty wild.) "
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