I was once on the other side, so to speak. In early 2000 I was very sick and we didn't know why. I couldn't keep anything down and was in a lot of pain and we didn't know why. I was having to get IV fluids a minimum of 3x per week just to keep hydrated! Unfortunately, my tests were coming back negative so we didn't know what was wrong. This went on for almost 3 years!! My doctor finally asked if he could consult with the in-house psychiatrist to see if she could pick up on anything we might be missing. I told him to go ahead if he felt she might be able to provide some answers. In the meantime, I had to quit my job because I wasn't able to continue working when I was constantly in the clinic getting IVs, etc. My disability attorney sent me a copy of my medical records and I read that the in-house psychiatrist diagnosed me with munchausen syndrome. I was flabbergasted! I spoke with my PCP who said he felt it was an error and asked me to see her for one visit. I did, and when I did, I mentioned to her that I knew that "someone" had made this assessment without ever even seeing me. [I had never even met this person before]. She told me that [and I quote], "a munchausen diagnosis cannot be made without seeing a patient and thoroughly evaluating him or her a minimum of 10-15 times". This being the case, I asked how this diagnosis could've possibly been made on me when I had never in my life seen the doctor who made the diagnosis and she said it couldn't. It was impossible. Well, the damage was already done. Since it was written in my permanent medical file, my reputation was mauled. From that point on, everyone who read my chart believed that I was faking my illness to get attention and everything that I treated for from that point forward, I was treated like I was faking everything! [For what it's worth, we did discover about 4 months later that I had a very severe cholecystitis with both acute and chronic inflammation, and I ended up spending 7 days in the hospital with a bad infection after it was removed. Afterwards, I was fine.] I have since moved out of that area and I refuse to give any of my doctors here access to that medical file because of that munchausen diagnosis that was written in it. My own PCP didn't treat me the same after she wrote that in there. It's a diagnosis that you have to be 100% sure about or you could really end up hurting someone.