these people are brain dead.
The problem is, so are 80% of the medical staff I talk to.
"Why didn't you tell me that?!?!" [accusing glare]
"I DID. TWICE."
Also, they care about nothing but the dollar. I was discussing test results with my ear/nose/throat doctor, and at the end, he stood up and started feeling my neck and throat. It was really strange, and I didn't realize until later that it let him bill the session as an examination for triple the cost. I complained to the insurance company and they told him to stop playing the fool.