Episode 25: Lying in medicine with Dr Nicole Yap

In episode 25, Steve Van Aperen and Bradford Oakes explore lies, deception and the relationship between doctors and patients, joined by Dr Nicole Yap, an oncoplastic surgeon specialising in breast cancer surgery and reconstruction.

The episode begins with the hosts swapping travel and airport stories, from Brad’s Tasmania gig near Devonport to Steve’s shock at Sydney Airport coffee prices. Their banter moves into observations about comedy audiences in Melbourne and Sydney, with Brad suggesting Sydney crowds can be more inclined to heckle while Melbourne audiences are more theatre-oriented.

Dr Yap explains her specialised field. After training in plastic surgery and general surgery, she developed expertise in cancer treatment and reconstruction, particularly breast cancer surgery. She describes the possibility of helping patients through a cancer diagnosis while preserving, or even improving, how they feel about their appearance after surgery.

Nicole shares an early career story of being unexpectedly left to perform a series of appendectomies after her consultant was delayed by a television appearance. Initially nervous and relying heavily on her notes and an experienced theatre nurse, she successfully completed several procedures, gaining confidence and becoming increasingly focused on the quality of the scars she left behind.

The central conversation examines why patients conceal information, even when honesty is essential to their care. Dr Yap discusses patients who deny smoking despite clear evidence, and explains how nicotine can seriously compromise blood supply and surgical outcomes, particularly in reconstructive breast procedures. She also highlights the importance of asking patients specifically about weight-loss medications such as Ozempic, Wegovy and Mounjaro, which can create risks during anaesthesia if undisclosed.

Brad shares his experience of being delayed for a procedure after revealing he had recently had COVID-19, despite mentioning it in assessments. The discussion turns to medical staff recognising deception, including “doctor shoppers” seeking drugs and prisoners pretending to have symptoms to leave custody.

The episode also considers when doctors may soften the truth. Both Steve and Nicole describe delivering difficult news to grieving families with care and compassion, framing death or serious illness gently to reduce distress. They distinguish these “pro-social lies” from deception used for personal gain.

Throughout, the conversation balances humour with insight into human behaviour, confidence and trust. Dr Yap’s stories reveal how doctors navigate skill and treating people at vulnerable moments.

LINKS

Book Steve Van Aperen as your next keynote speaker: Click here

Get coached in stand-up comedy with Brad Oakes: Click here

Learn more about Dr Nicole Yap: Click here

Learn more about Fool Me Twice by visiting www.foolmetwice.com.au

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