Quantcast

Subscribe to:
POZ magazine
E-newsletters
Join POZ: Facebook MySpace Twitter Pinterest
Tumblr Google+ Flickr MySpace
POZ Personals
Sign In / Join
Username:
Password:
Welcome, Guest. Please login or register.
October 01, 2014, 04:43:39 PM

Login with username, password and session length


Members
Stats
  • Total Posts: 640698
  • Total Topics: 48668
  • Online Today: 241
  • Online Ever: 585
  • (January 07, 2014, 02:31:47 PM)
Users Online

Welcome


Welcome to the POZ/AIDSmeds Community Forums, a round-the-clock discussion area for people with HIV/AIDS, their friends/family/caregivers, and others concerned about HIV/AIDS.  Click on the links below to browse our various forums; scroll down for a glance at the most recent posts; or join in the conversation yourself by registering on the left side of this page.

Privacy Warning:  Please realize that these forums are open to all, and are fully searchable via Google and other search engines. If you are HIV positive and disclose this in our forums, then it is almost the same thing as telling the whole world (or at least the World Wide Web). If this concerns you, then do not use a username or avatar that are self-identifying in any way. We do not allow the deletion of anything you post in these forums, so think before you post.

  • The information shared in these forums, by moderators and members, is designed to complement, not replace, the relationship between an individual and his/her own physician.

  • All members of these forums are, by default, not considered to be licensed medical providers. If otherwise, users must clearly define themselves as such.

  • Forums members must behave at all times with respect and honesty. Posting guidelines, including time-out and banning policies, have been established by the moderators of these forums. Click here for “Am I Infected?” posting guidelines. Click here for posting guidelines pertaining to all other POZ/AIDSmeds community forums.

  • We ask all forums members to provide references for health/medical/scientific information they provide, when it is not a personal experience being discussed. Please provide hyperlinks with full URLs or full citations of published works not available via the Internet. Additionally, all forums members must post information which are true and correct to their knowledge.

  • Product advertisement—including links; banners; editorial content; and clinical trial, study or survey participation—is strictly prohibited by forums members unless permission has been secured from POZ.

To change forums navigation language settings, click here (members only), Register now

Para cambiar sus preferencias de los foros en español, haz clic aquí (sólo miembros), Regístrate ahora

Finished Reading This? You can collapse this or any other box on this page by clicking the symbol in each box.

Author Topic: How do deal with someone you know is faking being HIV +?  (Read 4164 times)

0 Members and 1 Guest are viewing this topic.

Offline Coffeechick88

  • Member
  • Posts: 431
How do deal with someone you know is faking being HIV +?
« on: December 20, 2006, 05:56:32 PM »
Well, the title is self explanatory.  There is the this guy who I met a while ago who is one of our frequent flyers in ER and comes as an outpatient.  He always talks about how he has  found out he has HIV and Hep C about 2 years ago.  The problem is, I know he doesn't have either one of those.  He usually likes to come when I'm around--maybe because I don't know a lot of people who have HIV and not a lot who really can relate to me, and I was nice to him for that reason (didn't disclose my status to him) and paid attention to him--anyway, he usually comes when I am working.  They always order the HIV and Hep C tests and a few times a CD4, so basically he asks for me to draw his blood and I also am the tech, so I perform the tests.  The thing is, he is always negative.  He doesn't have any conditions that make him immunosupressed and he has CD4 1000 to >1500 and every test for Hep C, HIV, viral load for HepC and HIV all negative.  I have tried to distance myself and stay professional to him, and since HIPAA is there, I cannot tell him that I perform his labwork and I know that he is full of shit.  I definitely think he has mental issues going on as well.  Anyhow, he is well known and everyone who works with him hears him talk on and on about his HIV and Hep C, though not everyone knows it just isn't the case--a few do though.  It's just he has taken a liking to me and I am not sure how to make him go away.  It is common for patients to like certain people to draw their blood and wait on them and such, but I feel that I am partly to blame for him keeping up his charade.  Is there a way to deal with this without letting him know that I am on to him, since I cannot legally do that anyway?
« Last Edit: December 20, 2006, 06:12:23 PM by Coffeechick88 »
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Cliff

  • Member
  • Posts: 2,645
Re: How do deal with someone you know is faking being HIV +?
« Reply #1 on: December 20, 2006, 06:00:42 PM »
just do your job, if he wants to walk around pretending to have HIV that's his problem.  If a few people know, it sounds like he won't have too many chances to fake it anymore.  People gossip.  Like wildfires.

I wouldn't worry about it and I would not change how you interact with him (strictly professional).  He may be the suing type.
« Last Edit: December 20, 2006, 06:03:34 PM by Cliff »

Offline Longislander

  • Member
  • Posts: 2,486
Re: How do deal with someone you know is faking being HIV +?
« Reply #2 on: December 20, 2006, 06:01:22 PM »
maybe next visit, you can have a Dr talk to him
infected 10/05 diagnosed 12-05
2/06   379/57000                    6/07 372/30500 25%   4/09 640/U/32% 
5/06   ?? /37000                     8/07 491/55000/24%    9/09 913/U/39%
8/06   349/9500 25%              11/07 515/68000/24     2/10 845/U/38%
9/06   507/16,000 30% !          2/08  516/116k/22%    7/10 906/80/39%
12/06 398/29000 26%             Start Atripla 3/08
3/07   402/80,000 29%            4/08  485/undet!/27
4/07   507/35,000 25%            7/08 625/UD/34%
                                                 11/08 684/U/36%

Offline aupointillimite

  • Member
  • Posts: 3,229
  • FUS DO RAH!
Re: How do deal with someone you know is faking being HIV +?
« Reply #3 on: December 20, 2006, 06:04:18 PM »
More than likely, he's got Munchausen syndrome.  The bane of the medical profession...

The only thing you can do with those people is refer them to a therapist. 

Doctors can't stand these people because they needlessly take resources from an already strained system...
Your tastebuds can't repel flavor of this magnitude!

Offline newt

  • Member
  • Posts: 3,885
  • the one and original newt
Re: How do deal with someone you know is faking being HIV +?
« Reply #4 on: December 20, 2006, 06:06:30 PM »
Refer him to a leukaemia specialist
"The object is to be a well patient, not a good patient"

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #5 on: December 20, 2006, 06:07:03 PM »
I think more people may be figuring it out.  I definitely can't talk about it--HIPAA and all and I don't start gossip since that is not something I'd want to do to me.  I just hope if I distance myself such as have someone else go draw him and not drop everything to go to him and be just professional and only draw him if I am not busy, as if I am not obviously changing things, hopefully it will work.  It just makes me so uncomfortable to go along with this--the guy needs help, but again I cannot be the one to suggest that to him.  Sigh, I just tend to let people involve me too much in their problems!  If only I was good at being professionally distant--precisely the reason I have gone in the lab profession and research and such and not more patient oriented jobs.
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #6 on: December 20, 2006, 06:09:43 PM »
More than likely, he's got Munchausen syndrome.  The bane of the medical profession...

The only thing you can do with those people is refer them to a therapist. 

Doctors can't stand these people because they needlessly take resources from an already strained system...
I definitely think that is what he has.  The problem is he goes to different doctors.  Sometimes he has an order from one of our infectious disease doctors, another from one of the clinics affiliated with the hospital, and then there is ER--where there may be a different doctor each time.  Those who see him the most are the ones who realize it, but doctors don't always talk to each other so then each time his need for attention is fed.
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Cliff

  • Member
  • Posts: 2,645
Re: How do deal with someone you know is faking being HIV +?
« Reply #7 on: December 20, 2006, 06:12:49 PM »
Buy HIPAA doesn't prevent you from referring him to a doctor based on what you know, does it?  His medical records are still safe and confidential.  A doctor/administrator who could check things out and ask that he seek mental health attention the next time he's in or perhaps ask him why he keeps testing for STDs so much, when they are always negative.

Online Miss Philicia

  • Member
  • Posts: 24,141
  • celebrity poster, faker & poser
Re: How do deal with someone you know is faking being HIV +?
« Reply #8 on: December 20, 2006, 06:15:54 PM »
Odd behavior.  I can only imagine what other things he does around town.
"Iíve slept with enough men to know that Iím not gay"

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #9 on: December 20, 2006, 06:17:05 PM »
Buy HIPAA doesn't prevent you from referring him to a doctor based on what you know, does it?  His medical records are still safe and confidential.  A doctor/administrator who could check things out and ask that he seek mental health attention the next time he's in or perhaps ask him why he keeps testing for STDs so much, when they are always negative.
Well, I think the main reason the tests are duplicated so much is the multiple doctors he always sees and if they do not know about the other doctors, they aren't on to him.  I do not know if he even has one constant doctor.  I will have to check with our privacy and compliance officer to see if there is anything I can do.  They are sooo cautious about HIPAA--you can get in loads of trouble even if you accidently disclose something.  
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Cliff

  • Member
  • Posts: 2,645
Re: How do deal with someone you know is faking being HIV +?
« Reply #10 on: December 20, 2006, 06:19:20 PM »
Well be careful, but your compliance officer should know what to do.  Good luck to you (and to him).

Offline marco23

  • Member
  • Posts: 392
Re: How do deal with someone you know is faking being HIV +?
« Reply #11 on: December 20, 2006, 06:21:49 PM »
You've gotten some excellent advice so my advice now is - TO SMACK THE SHIT OUT OF HIM! Well, it's a good thing you've had some posts with good sense and since they've done that, next time.........SMACK THE SHIT OUT OF HIM AGAIN AND WITH NO WITNESSES... oh, okay, well...it's a good thing you had some excellent advice before.    ;D
Don't hide your hurt, pain and feelings inside..for they will harden your heart.

Offline aupointillimite

  • Member
  • Posts: 3,229
  • FUS DO RAH!
Re: How do deal with someone you know is faking being HIV +?
« Reply #12 on: December 20, 2006, 06:22:03 PM »
Those who see him the most are the ones who realize it, but doctors don't always talk to each other so then each time his need for attention is fed.

They're also probably passing him off onto everyone else.  They don't want to deal with him, and I can't say as I blame them.

Munchausen patients just go from doctor to doctor... practices can "fire" patients or refuse to see them for things like this, I believe.
Your tastebuds can't repel flavor of this magnitude!

Offline thunter34

  • Member
  • Posts: 7,314
  • His name is Carl.
Re: How do deal with someone you know is faking being HIV +?
« Reply #13 on: December 20, 2006, 06:23:38 PM »
I think that sound like the best call.  This is a surreal read here!  Seems that surely this needless waste could be stopped properly without breaking any codes.  I will say that someone who acts like this DOES need some kind of attention...just not the kind he's getting this way.

Good luck!
AIDS isn't for sissies.

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #14 on: December 20, 2006, 06:24:55 PM »
You've gotten some excellent advice so my advice now is - TO SMACK THE SHIT OUT OF HIM! Well, it's a good thing you've had some posts with good sense and since they've done that, next time.........SMACK THE SHIT OUT OF HIM AGAIN AND WITH NO WITNESSES... oh, okay, well...it's a good thing you had some excellent advice before.    ;D
hahaha.  There you go.  "Oh, why does he have that broken nose?  He had that when he came to ER--they didn't write that on the chart, Doc??????"
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline ChaplinGuy

  • Member
  • Posts: 236
  • Eat my left foot
Re: How do deal with someone you know is faking being HIV +?
« Reply #15 on: December 20, 2006, 06:27:44 PM »

This is sad, but I've witnessed it before with other diseases. In fact, I dated a girl in college who told everyone she has Hodgkins, only to find out (when she never showed any symptoms and claimed one day out of the blue she was "cured") she was making it up. I think for most who do this it's for attention - there is a real sense of community and belonging for some in here, so I can understand why people without a group or friends or family might cling to that.

It's symptomatic of a larger problem, and he needs to get help.

Offline Alain

  • Member
  • Posts: 680
  • I am.
Re: How do deal with someone you know is faking being HIV +?
« Reply #16 on: December 20, 2006, 06:38:01 PM »
Don't get involved, this guy might be a lot sicker than you think he is.

If the front line people, doctors and nurses who have the ability to do something about it, don't

I would just leave it alone. Basically you are not to know.

Just me.

Offline AustinWesley

  • Member
  • Posts: 815
    • HIV Discussion Group on Myspace!
Re: How do deal with someone you know is faking being HIV +?
« Reply #17 on: December 20, 2006, 06:57:53 PM »
More than likely, he's got Munchausen syndrome.  The bane of the medical profession...

The only thing you can do with those people is refer them to a therapist. 

Doctors can't stand these people because they needlessly take resources from an already strained system...

I agree with Beers!

Here's a link to Munchausen Syndrome:   http://www.emedicine.com/emerg/topic322.htm

This guy clearly has mental issues and is taking advantage of the system.   There have been bizarre cases where people have actually poisoned others for the attention they get.    I would quietly alert whoever the intake people are and steer clear of this guy.   He needs psychiatric help for sure!
Diag. 3/06  Infected aprx. 2 mo. Prior
Date        CD4   %      VL
4/6/06     627    32    36,500     NO MEDS YET!
6/7/06     409    27    36,100
8/23/06   408    25     22,300
1/2/07     354    23     28,700
2/9/07     139    30     23,000  Hep A Vaccine same day???
2/21/07   274    26     18,500 
3/3/07    RX of Truvada/Sustiva Started.
4/5/07    321     27      Undectable 1st mo.  
5/16/07  383     28    Undectable 2nd mo.
8/10/07  422     32   UD <48 on new scale!

Offline jntmax39

  • Member
  • Posts: 81
Re: How do deal with someone you know is faking being HIV +?
« Reply #18 on: December 20, 2006, 07:02:03 PM »
Wow that's sick,can't  you red flag him like they do with addicts who abuse the system?

Offline AustinWesley

  • Member
  • Posts: 815
    • HIV Discussion Group on Myspace!
Re: How do deal with someone you know is faking being HIV +?
« Reply #19 on: December 20, 2006, 07:04:57 PM »
They're also probably passing him off onto everyone else.  They don't want to deal with him, and I can't say as I blame them.

Munchausen patients just go from doctor to doctor... practices can "fire" patients or refuse to see them for things like this, I believe.

Again Beers is correct.   I used to work for a health insurance company for years.   Occasionally, we'd run across claims from a paitient like this and get complaints from the various providers.   From the insurance company's standpoint we were able to cancel some of these people from the plan if they failed to comply, whether it be to stop their behavior or fail to seek an independent psychiatirc specialist.    One we had was really bizarre as he claimed he was in line as a transplant paitient.   He managed to con several providers into believing this and the claims ran into the hundreds of thousands of dollars.    Our fraud department was allerted, but because he was independently diagnosed with some form of muchausen's we were unable to cancel him.   Ultimately, he ended up in prison as I recall for unrelated fraud and then the prison medical system took over.    
Diag. 3/06  Infected aprx. 2 mo. Prior
Date        CD4   %      VL
4/6/06     627    32    36,500     NO MEDS YET!
6/7/06     409    27    36,100
8/23/06   408    25     22,300
1/2/07     354    23     28,700
2/9/07     139    30     23,000  Hep A Vaccine same day???
2/21/07   274    26     18,500 
3/3/07    RX of Truvada/Sustiva Started.
4/5/07    321     27      Undectable 1st mo.  
5/16/07  383     28    Undectable 2nd mo.
8/10/07  422     32   UD <48 on new scale!

Offline Eldon

  • Member
  • Posts: 2,664
Re: How do deal with someone you know is faking being HIV +?
« Reply #20 on: December 20, 2006, 07:06:52 PM »
Hey Coffechick88...

In this situation, the best thing that you may want to do is refer him to a specialist of some kind. When he goes to the specialist, have them reveiw his current set of lab results with him.



"Don't Give Up, Don't Give In... Cause it is ALL within you to WIN!"

Offline Oceanbeach

  • Member
  • Posts: 3,565
Re: How do deal with someone you know is faking being HIV +?
« Reply #21 on: December 20, 2006, 10:29:52 PM »
I had an uncle once who spent years trying to get on disability because he liked the attention he got with each and every possible disease.  When A doctor told him there was nothing wrong with him, he went to another doctor.  He once announced to the family that he had Hiv (not HIV but Hiv).  He saw a headline in a newspaper.  When some cousin told him how HIV was spread, he claimed the doctor made a mistake and searched for another doctor.  He did this most of my life and never found out we called him Uncle Deadbeat.

When I was diagnosed with AIDS, I was put on Norvir.  The doseage was 6 pills, three times each day.  The pills were worse than the symptoms.  I bet with a months supply of Norvir, your patient would go away.  Have the best day
Michael

When Uncle Deadbeat died, the cousins put his ashes in place they would never forget.
« Last Edit: December 20, 2006, 10:33:46 PM by Sonomabeach »

Offline AtomicA

  • Member
  • Posts: 156
  • that's Famous with an F
Re: How do deal with someone you know is faking being HIV +?
« Reply #22 on: December 21, 2006, 01:12:56 AM »
I don't know how this medical system bru-hah ha works, but is there even the slightest chance that he actually believes it? I mean he keeps coming in for these tests but who gives him the results? He'd have to be pretty freaking stupid to not think that the people drawing the blood and doing the testing would never figure it out... telling your friends and family you have HIV for the whole drama and sympathy of it is one thing but telling the medical community - the one group of people who can clearly call you on your bullshit - sounds really REALLY weird.

has he ever explained why he keeps coming in for the tests? does he claim they were ordered by a refering doctor? are you able to call the doctors who order these tests and let them know what's going on? I know that in alberta no tests can be ordered without a doctor to order them and the results are always sent back to that doctor, who is supposed to tell the patient. But if this guy is going from doctor to doctor does he ever actually get any of the results?

is it possible that maybe once, years back his results got mixed up with someone elses and he was told he had HIV and Hep C and just never followed up or something?

Offline Boo Radley

  • Member
  • Posts: 1,252
  • Not a "real man" and damn proud, mithter... FAB
    • Animal Rescue New Orleans
Re: How do deal with someone you know is faking being HIV +?
« Reply #23 on: December 21, 2006, 01:39:46 AM »
More than likely, he's got Munchausen syndrome. 

I have that.  I've been taking HIV meds for the ultimate thrill they provide.

I didn't ever have Hep B either but the 3TC cured it anyway.

To be serious for a moment -- is HIPAA so meddlesome that you cannot be told this man's status from a doctor or lab department the next time he shows up?  That's insane, but he sounds shy of a few bricks too.

Boo
String up every aristocrat!
Out with the priests and let them live on their fat!





Everything I do, say, think, excrete, secrete, exude, ooze, or write © 2007 Sweet Old Boo, Inc.

Offline RapidRod

  • Member
  • Posts: 15,288
Re: How do deal with someone you know is faking being HIV +?
« Reply #24 on: December 21, 2006, 05:23:03 AM »
Coffee, when I worked the ER, Squad or Bird I was given some very special advice.

1. Be courteous.
2. Be professional
3. Most of all, don't fucking talk to them anymore than you have to. *



* If you talk and are nice, you'll see them every damn shift that you work. I believe anyone that has spent time working in the health care field can associate with that.

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #25 on: December 21, 2006, 06:52:46 AM »
I don't know how this medical system bru-hah ha works, but is there even the slightest chance that he actually believes it? I mean he keeps coming in for these tests but who gives him the results? He'd have to be pretty freaking stupid to not think that the people drawing the blood and doing the testing would never figure it out... telling your friends and family you have HIV for the whole drama and sympathy of it is one thing but telling the medical community - the one group of people who can clearly call you on your bullshit - sounds really REALLY weird.

has he ever explained why he keeps coming in for the tests? does he claim they were ordered by a refering doctor? are you able to call the doctors who order these tests and let them know what's going on? I know that in alberta no tests can be ordered without a doctor to order them and the results are always sent back to that doctor, who is supposed to tell the patient. But if this guy is going from doctor to doctor does he ever actually get any of the results?

is it possible that maybe once, years back his results got mixed up with someone elses and he was told he had HIV and Hep C and just never followed up or something?
I thought of that possibility--that perhaps some incompetent person mislabeled a tube, but he should know by now.  I know some doctors don't follow up on anything, but not all and to only go to doctors that don't follow up on anything, that seems like a statistical improbability.
« Last Edit: December 21, 2006, 06:59:15 AM by Coffeechick88 »
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #26 on: December 21, 2006, 06:58:13 AM »
Coffee, when I worked the ER, Squad or Bird I was given some very special advice.

1. Be courteous.
2. Be professional
3. Most of all, don't fucking talk to them anymore than you have to. *



* If you talk and are nice, you'll see them every damn shift that you work. I believe anyone that has spent time working in the health care field can associate with that.

I think that is good advice.  It was easier to do that when I was an EMT (I did that then and went to college for clinical lab science and virology at the same time)--I worked in a really busy ER, always some sort of shooting going on, and I didn't have time to really talk to people much, but then I moved on to the lab--my first job we had absolutely no patient contact, and this is the first job I had where I actually had to deal with people more--a smaller place where they don't always have phlebotomists do do your draws for you and not as busy.  So I guess you can say I am a relative newbie to all of this.  I am very bad at staying around and talking when the patients start (especially the old people who probably never have anyone to talk to).  I think that is at the root of my problems.
« Last Edit: December 21, 2006, 07:19:47 AM by Coffeechick88 »
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Basquo

  • Member
  • Posts: 3,259
Re: How do deal with someone you know is faking being HIV +?
« Reply #27 on: December 21, 2006, 08:39:26 AM »
Coffeechick, sorry for the blank there, having network problems.  You keep mentioning HIPAA; I just want you to know thatas long as you don't discuss his lab results casually, you're okay. I'm the Compliance Officer for my hospital so I deal with stuff like this every day. If you are involved with his treatment, and doing your job, there's no reason why you shouldn't know his tests results. He can't get you HIPAA-wise for knowing something that's part of your job.

The more pertinent issue is whether or not it's the scope of your job to have the discussion he needs or to give him a referral to another facility or a psych doctor, etc. If it's not, then tell your supervisor you'd prefer not to be involved with this patient's care. Say that he creeps you out.

And thanks for spelling HIPAA correctly!

Best,
Basquo

« Last Edit: December 21, 2006, 08:48:45 AM by Basquo »

Offline Iggy

  • Member
  • Posts: 2,435
Re: How do deal with someone you know is faking being HIV +?
« Reply #28 on: December 21, 2006, 08:52:39 AM »
.

« Last Edit: January 09, 2007, 11:56:00 PM by Iggy »

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #29 on: December 21, 2006, 10:33:22 AM »
Coffeechick, sorry for the blank there, having network problems.  You keep mentioning HIPAA; I just want you to know thatas long as you don't discuss his lab results casually, you're okay. I'm the Compliance Officer for my hospital so I deal with stuff like this every day. If you are involved with his treatment, and doing your job, there's no reason why you shouldn't know his tests results. He can't get you HIPAA-wise for knowing something that's part of your job.

The more pertinent issue is whether or not it's the scope of your job to have the discussion he needs or to give him a referral to another facility or a psych doctor, etc. If it's not, then tell your supervisor you'd prefer not to be involved with this patient's care. Say that he creeps you out.

And thanks for spelling HIPAA correctly!

Best,
Basquo


On our first day of compliance training--she gave us a quiz as to how you spell HIPAA.  This woman really does everything she can to put the fear of God into us--I guess that is a good thing from the hospital's stand point.  Ironically, she is a rather gossipy woman and is someone in charge of privacy things, but that is another story.  So by what you said, I don't think I can do anything more than just saying, "I'm busy" when he comes by or asking someone else to take over.  Basically, my job--I do run the tests, sometimes it is when it is only me in the lab or I'll do it to be nice if there ends up being a backup.  I do often talk with doctors about results, what they mean, what the best tests to run instead of what they ordered, that kind of thing.  But since you said the scope of my job, that would probably mean I can't really do much.  Would that mean I can tip off one doctor about a previous visit?  It is really hard for the Doctors to know for various reasons--especially the ER doctors who don't really have anything to go on.  So I guess if I were allowed to tell the doctor what he had done a previous ER visit, I'd have to let him/her decide what to do.  But it seems to me, these doctors just want to make him someone else's problem.
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline GSOgymrat

  • Member
  • Posts: 5,031
  • HIV+ since 1993. INTJ
Re: How do deal with someone you know is faking being HIV +?
« Reply #30 on: December 21, 2006, 10:52:32 AM »
This problem isn't that unusual. We have a guy who comes into the psychiatric hospital regularly who insists he has tuberculosis, even though he has been told repeatedly he doesn't.

Offline Andy Velez

  • Global Moderator
  • Member
  • Posts: 24,771
Re: How do deal with someone you know is faking being HIV +?
« Reply #31 on: December 21, 2006, 11:00:25 AM »
You've been thoughtful and understanding about dealing with this guy. But you don't have to take on the burden by yourself. There's some kind of pathology going on with this fellow. Until you know better what's going on I wouldn't disturb that by being confrontational in any way.

I suggest that you speak to whoever is on staff whom you think is appropriate. You don't even (initially) have to identify the person by name. Discuss what the general situation is and ask for advice/recommendation.

Keep us posted on how this goes.

Cheers, 
Andy Velez

Offline bear60

  • Member
  • Posts: 4,104
Re: How do deal with someone you know is faking being HIV +?
« Reply #32 on: December 21, 2006, 11:16:47 AM »
I agree with Andy and Basquo.  And I add:  If this person is harmless ( he is not hurting  himself or others) I think you should stay out of it and save yourself the stress.  Absolutely: talk to a doctor or supervisor but I mean "why bother" comes to mind.
Poz Bear Type in Philadelphia

Offline Coffeechick88

  • Member
  • Posts: 431
Re: How do deal with someone you know is faking being HIV +?
« Reply #33 on: December 21, 2006, 01:58:35 PM »
I would do better in my life if I didn't let people drag me into their shit.  Yes, normal people would be 'why bother with this wacko' but I tend to go overboard for people.   :(I think part of it is that he is wasting everyone's time and resources of the hospital for his little fake illnesses, that part is annoying, plus it's just a little creepy and weird.  I do realize that by talking to him and being too nice rather than doing only what I had to, I really brought this on myself and led to him being attached to me.  I will just have to stick to my guns and have other people serve him when he asks for me and only be professional.
Lucas James is here
Born 6-14-08 at 1233 am
8 lbs 14 oz, 22 in long

Offline Ihavehope

  • Member
  • Posts: 1,366
  • Yes, I'm a cry baby, AND WHAT?
Re: How do deal with someone you know is faking being HIV +?
« Reply #34 on: December 21, 2006, 02:09:44 PM »
Hey CoffeeChick

When i was diagnosed with having the HIV virus, my life changed in a dramatic way. It is a serious illness and for someone to pretend to have it and make a mockery of it, consciencely or unconsciencely makes me wanna smack this son of a b......

Someone who told me that I now need to think about ME more than ever. Those we love and care about come second and the world comes third. Therefore IGNORE him. Don't even look at him if possible because he is full of bad energy and we need less of it in our lives.

Happy Holidays.
Infected: April 2005
12/6/06 - Diagnosed HIV positive
12/19/06 - CD4 = 240  22% VL = 26,300
1/4/07 - CD4 = 200 16% VL = ?
2/9/07 = Started Kaletra/Truvada
3/13/07 = CD4 = 386 22% VL ?

Offline gerry

  • Member
  • Posts: 522
  • Joined AM Feb 2003
Re: How do deal with someone you know is faking being HIV +?
« Reply #35 on: December 21, 2006, 10:29:47 PM »
Would that mean I can tip off one doctor about a previous visit?  It is really hard for the Doctors to know for various reasons--especially the ER doctors who don't really have anything to go on.  So I guess if I were allowed to tell the doctor what he had done a previous ER visit, I'd have to let him/her decide what to do.  But it seems to me, these doctors just want to make him someone else's problem.

You should check with your HIPAA compliance officer.  I wouldn't think this would be any different from, for instance, the pharmacist tipping off a prescribing doc about a patient that is trying to fill several narcotic medication prescriptions from different docs over a relatively short period of time.  Having said that, HIV test disclosures are more sensitive because, like mental health, drug abuse, and STDs, they're part of the so-called "superconfidentials."  So you need to be very careful with what you do with this knowledge.  Also, even if this is allowed, do you want to be the one to break this to the ordering doc?  You might find yourself in a situation where this guy might want to retaliate against you if he found out you blew the whistle on him.

Quote
I will just have to stick to my guns and have other people serve him when he asks for me and only be professional.

I think that's the safest thing for you to do.  If all else fails, "miss" 2 or 3 pokes the next couple of times and apologize to him and say you're not having a good day and get someone else to draw him  :D

Offline aupointillimite

  • Member
  • Posts: 3,229
  • FUS DO RAH!
Re: How do deal with someone you know is faking being HIV +?
« Reply #36 on: December 21, 2006, 10:38:53 PM »
You might find yourself in a situation where this guy might want to retaliate against you if he found out you blew the whistle on him.

I'm afraid I'm really unknowledgable as to HIPAA laws... but I've read a bit of unofficial medical literature written by docs who confront Munchausens (and I still think that's what this guy is) about what they're doing.

It seems that a lot of them flare up ("how dare you disbelieve me?"), get really mad, and then go on to another doc to begin the cycle anew.  They're not the type to go for lawsuits... the role of being a patient is comforting to them, and I'm (in my lay status) unaware of any legitimate trials against medical professionals brought by Munchausens.

But I would think it's the responsibility of whatever office, clinic, or hospital he's using to flat out tell the patient, "You are negative for the diseases you keep coming in for.  We know what you're doing; here's the number to a therapist." 

And coffeechick, you're really just feeding what he needs by engaging him vis-a-vis his fake illness.  People like this require attention from medical professionals for their sense of well-being; giving it to him only reinforces his behavior.  It's a for-real psychological problem... in the DSM-IV and everything. 

Of course, that doesn't make it any less annoying or ridiculous... 
Your tastebuds can't repel flavor of this magnitude!

 


Terms of Membership for these forums
 

© 2014 Smart + Strong. All Rights Reserved.   terms of use and your privacy
Smart + Strong® is a registered trademark of CDM Publishing, LLC.