I have gotten to the point to were I just go with the story and don't ask as too many questions. It's not worth it to fight for the real deal if it is not going to change the outcome. But the surgeons wanted the truth. They told him there was no way he was naked working on a ladder and fell onto a flashlight. Then they (inappropriately) told him they would not remove the flashlight without the truth.
Reluctantly...the patient replied "Look doc...I am a lonely old man." That was enough to satisfy the a** surgeons.
Patient and flashlight recovered well.