RT Journal A1 Rokey R, Rolak LA, Vick G, III T1 NO pretending not to know JF JAMA JO JAMA YR 1989 FD March 3 VO 261 IS 9 SP 1276 OP 1276 DO 10.1001/jama.1989.03420090040013 UL http://dx.doi.org/10.1001/jama.1989.03420090040013 AB To the Editor.—  Regarding the article "No Pretending Not to Know,"1 we feel that Dr Brown, as a consultant, has made an error in judgment by revealing unfavorable diagnostic and prognostic information to a patient who directly asked him the results of an examination that he had just performed. He defends his revelation as justifiable because to do otherwise and "lie" would be improper, and "it was what any physician would have done." We would not have done so.Dr Brown obviously is aware of the traditional arguments against such revelations because he enumerates them by admitting that he is not the patient's primary physician, not familiar with all the details of her case, not knowledgeable of almost any of the events leading to his contact with her, and not aware of who, if anyone, will discuss the results and implications of this test with her. He feels that