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Roxann Rokey, MD
Baylor College of Medicine The Methodist Hospital Houston

Loren A. Rolak, MD; G. Wesley Vick III, MD, PhD
Baylor College of Medicine Houston

JAMA. 1989;261(9):1276.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

Regarding the article "No Pretending Not to Know,"¹ we feel that Dr Brown, as a consultant, has made an error in judgment by revealing unfavorable diagnostic and prognostic information to a patient who directly asked him the results of an examination that he had just performed. He defends his revelation as justifiable because to do otherwise and "lie" would be improper, and "it was what any physician would have done." We would not have done so.

Dr Brown obviously is aware of the traditional arguments against such revelations because he enumerates them by admitting that he is not the patient's primary physician, not familiar with all the details of her case, not knowledgeable of almost any of the events leading to his contact with her, and not aware of who, if anyone, will discuss the results and implications of this test with her. He feels that . . . [Full Text PDF of this Article]

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