Many ill people are in the state of denial. My experience is with people with dementia. Take my mother, who is now deceased, went around for over a decade keeping her stroke or "brain bleed" a secret. Changing doctors did not help but could not be avoided. So, when I was not around, she was getting a whole lot of eye exams, and they could not figure why she could see very well sometimes, and at other times, had hardly any vision. And she would collapse or fall now and then. The hospital said she fell because she was tripping on things each time. As time went on, I had to stick with her through everything and listen to all the garbage from the physicians at the medical school, until they finally let her see a neurologist and get some scans. That proved that all my volunteer hours of devotion were paying off. Why does it have to be that way? The patients privacy must be respected, and the doctor's have their HIPPA regulations. And somebody in between cannot eat, because he/she has to care for some one who "can do all their ADLs" (meaning there is nothing wrong with them) when they really cannot sign a form, cannot pay a bill, cannot cook, cannot find a bathroom, cannot make a bed, cannot take a bath, cannot tie sneakers, and sleeps with clothes on.