May 28th, 2015
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Too Much Information The Ethics of Self-Disclosure New admit, the page reads. 14 y/o F r/o IBD, needs c-scope.In person, the patient is spunky, sassy, filling the team's day with joy. She dreams of professional dance, being en pointe under the bright lights. She is a fair sprite, ghostly pale after months of bloody diarrhea. After answering our questions, she declares that the hospital isn't such a bad place and hunkers down with aCake Bossmarathon on television and several liters of prep.Watching her is a painful reminder: I am recently post-op myself. My own admission page would read, 30 y/o F w/ pain, +SIRS. After several surgeries, I saw the gastroenterologist, who, 1 month and several liters of prep later, reported, Looks fairly normal. I'll biopsy it, though, since your case is weird. Could be Crohn's. I wait in diagnostic purgatory, pending the pathologist's report.But this patient's case is clearer: Absolutely textbook, the fellow calls from the OR. In recovery. Should be up soon.Soon thereafter, she is waking up, ravenous. She chomps down on chicken tenders. So, what's up? she asks between bites.Tears burn in my eyes as I tell her the truth, the first bitter pill she will have to swallow. The colonoscopy was abnormal, and this isn't her last, as she'd hoped, but the first of many. Tears flow down my cheeks now; I pause and apologize, joking about what a crazy old woman I've become. She laughs politely, but s

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