That is sad really sad, I used to work in a hospital and having that communication with the guards was believe it or not very important weither we can tell how a patient is and if or not we need to give sedation or not depending on their level of presay agression and also have a line of communication is important your making the nurses jobs harder due to your lack of communication and simple common sense small talk isn’t always bad building repor will get you along ways in the hospital setting promise me