Doctors do "Google" their patients. In fact, the vast majority of physicians I know have done so. To my generation, using a search engine like Google comes as naturally as sharing pictures of our children or a recent vacation on a social networking site like Facebook. But it surprises me that more physicians don't pause and think about what it means for the patient-doctor relationship.

医生们确实会“谷歌”他们的患者，至少我认识的大部分医生都这么做。在我们这个年代，使用谷歌这类搜索引擎和在Facebook这类社交网站上分享子女或旅行照片一样，都是顺理成章的事儿。但是，让我感到吃惊的是，许多医生在“谷歌”他们的患者之前，从不停下来想想这种搜索将会给医患关系带来些什么。

What if one finds something that is not warm and fuzzy? I recently read about a case in which a 26-year-old woman went to a surgeon wanting to have a prophylactic double mastectomy, citing an extensive history of cancer in her family. However, she was not willing to undergo any work-up, and her medical team noted several inconsistencies in her story. When they searched online, it turned out she had set up multiple Facebook accounts soliciting donations for malignancies she never had. One page showed her with her head shaved, as if she had already undergone chemotherapy. The surgeons immediately decided to halt her care.

万一医生们搜到一些不那么温馨或失真的信息呢?我最近读到一个病例，说一个26岁的女士要求医生给她做预防性双侧乳腺切除手术，因为她的祖辈中很多人有患乳腺癌的病史。但是，这名女士拒绝接受任何检查，而且她的医疗团队注意到她关于家族史的叙述中也有几处自相矛盾的地方。当医生们在网上搜索这名患者时，他们发现她注册好几个Facebook账号，谎称自己有恶性肿瘤来募集捐款。在其中的一个页面上，她甚至贴出自己剃光头发的照片，装成进行过化疗的样子。此后，医生们立即停止了对这名女士的“治疗”。

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