Most of my patients are pretty old and therefore pretty deaf. Or else, they are dysarthric (slurred speech). In any case, communication is not the easiest thing in the world. My default is to come into a room talking as loud as possible, to the point where rare patients with normal hearing will ask me why I am yelling so loud.
It seems like lately, I've been cursed by janitorial staff while I'm examining patients. I'm trying to communicate with the patient, and all of a sudden, someone will come in to very, very noisily change the trash bag. Yesterday at work, it seem like every patient I saw suddenly needed their trash bag changed. Then I went to a different floor to escape, and the same guy was changing all the trash bags there too. It was like he was following me!
I don't know what the right etiquette is in that situation. I don't want to keep that guy from doing his job, which is an important and not particularly glamorous job, but I also need to be able to do mine. But I don't want to be the arrogant doctor who won't let the staff do their work.