Throughout our training, physicians are repeatedly reminded that we may not inform anyone of a patient's diagnosis, prognosis or treatment plan without their consent. Of course, in emergency situations, especially when the patient is unable to communicate, immediate family members are generally an exception to that rule. But even when informed by non-patients (e.g. friends or neighbors) of their medical problems, physicians are understandably reluctant to pass along such information to others.
Patients, on the other hand, vary widely in protecting their own confidentiality. Some like to discuss their medical diagnoses with friends, family members and anyone who will listen. We often encounter them in waiting rooms, relating their varied problems over the phone (sometimes in speaker mode) or to the person sitting next to them.
Unfortunately, these individuals are also inclined to ask others about the reason for their visit. This is when patients need to understand their personal right to privacy and may choose to withhold that information. Indeed, this may pertain to communication with friends and family members as well. Medical confidentiality is a personal choice that must be respected.
