The whole area of the potential distrust between patients and their doctors can also be deeply rooted in linguistic habits. In the past, perhaps, there was more of a power relationship gulf between the "expert" doctor and the patient who was given all kinds of signals of how to behave and acquiesce to be a "good patient". In more recent times, doctors often put things in their patient Notes like "patient denies pain at such and such
location", no so much because that's what the patient actually said, but sometimes because it will help cover someone's liability if something undiagnosed raises its ugly head at a later date.
There is a very nice related discussion in this paper about
the language still used when doctors talk about
a patient using the terms COMPLAINT, DENY, and FAIL. And the author makes a pretty good case for trying to abolish those terms from compassionate, healing communications and relationships between doctors and patients.
"There Is No Denying It, Our Medical Language Needs an Update"/www.ncbi.nlm.nih.gov/pmc/articles/PMC4507913/
Dx Nov 2013 Metastatic Prostate Cancer at Age 65
Numerous Bone Mets and Lymph Nodes, PSA 5,006
ADT Lupron + Zometa, PSA Nadir 1.0
Resistance after two years.
Short rechallenge Casodex.
Oct 2016 Provenge
Dec 2016 Start Xtandi, PSA 95
Sep 2017 Xtandi PSA Nadir 1.2
Nov 2017 PSA 1.7