When was the last time you had a really truthful conversation with your doctor? Yes, all the glasses of alcohol, the frequency you really eat healthy foods like vegetables, the number of times you’ve tripped or stumbled.

A smattering of surveys over the last ten years or so reveal a consistent picture: over a quarter of patients say they sometimes lie or omit telling the truth to their doctor.

Sometimes the reasons are because the patient feels embarrassed or doesn’t want to be judged for poor health choices. Sometimes people feel rushed, forget or think that the problem isn’t something that the doctor can help with.

Falling is a case in point. People fall at every age: trip over the cat, a crack in the curb while out running, but falls increase alarmingly over 65, with the chance of injury high on the list.

95% of hip fractures are caused by falling

A stumble can be a warning that should be heeded and yet when asked at their annual check up about falls (Medicare requires doctors to ask all patients over 65 about falls and fall risk), many fail to mention one.

Sometimes that’s because it resulted in no great pain or injury and has been forgotten about. Sometimes because it can feel like such an ‘old’ or frail thing to have done and people are afraid of being labelled, or losing their independence. But we should be making note of falls and stumbles so that when the doctor asks, we can answer honestly.

20% of falls end in serious injury or brain trauma

Falling isn’t about being old, but it is sometimes a warning that a bigger fall could be on the way.

Typical interventions can include physical therapy to strengthen muscle weakness or improve flexibility, referral for an eye exam or a number of other actions that won’t leave the patient labelled as old. A fall doesn’t mean you have to use a walking aid, but keeping quiet about it might.

Take the chance to also discuss over the counter medicines and supplements you might be taking and ask your doctor to review your medications. Be an empowered patient and help your doctor keep you healthy and independent. And maybe tie a bell to the cat.