Defending my diagnosis against a patient who was never mine

This account was submitted by a healthcare provider and de-identified before publication. Details that could identify a patient or practice have been removed, and it is shared with the provider’s consent.

What was posted

A long, angry review named specific symptoms and declared that I had "gotten the diagnosis completely wrong and refused to listen."

What actually happened

No patient in my practice matches the account, and the described condition is not something I manage in the way the review claims. The impossible bind is that I cannot publicly say "you were never my patient," because under HIPAA even that statement acknowledges a relationship I would be confirming or denying.

Impact

New patient scheduling slowed for a stretch while the review held the top spot, and my front desk started hearing "I saw a bad review" from callers. It is genuinely disorienting to feel your reputation erode over a fiction you cannot even name as a fiction.

Steps taken

I reported it and was left defending my competence against an encounter that, as far as I can document, never took place. I told myself steady, real care would eventually outweigh it, and mostly it has, but the powerlessness stayed with me.

Reported impact on this provider

Declined New PatientsEmotional Distress

Three others reported Emotional Distress

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He Refused the ER—and His Family Believed We Sent Him Home

Pt with chief concern of urinary retention. He had obvious evidence of head trauma on exam (abrasions and a black eye if I recall…

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Hate Symbols, Threats, and a Restraining Order

There was no demonic events during hospitalization.

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She Requested an Unnecessary Exam. I Couldn’t Explain Why I Refused.

The patient requested an exam that was not appropriate for her age. I declined to perform the exam she requested.

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