In practice … presidential physicians have lied, often blatantly. Ross McIntyre, Roosevelt’s first White House physician, continually characterized his patient’s shortness of breath — from congestive heart failure — as a sinus problem. The most egregious lie, perhaps, was one of omission. When Paul Tsongas was running for president in 1992, his hematologist confirmed his patient’s history of lymphoma but not that the disease had recently recurred and thus probably was incurable. Tsongas died two days before what would have been the end of his first term in office.