Even when their names and identifying details are disguised, patients must give consent to have their case histories written about or discussed with others, and many are reluctant to.

因为当医生想要写下病人的情况或与他人讨论病例时，即便已对病人使用化名和身份细节伪装，也仍需先得到病人的同意，但病人们通常对此要求感到为难。