I say that because these are difficult patients. They have often been rejected by their families, have had bad experiences with medical care and they come to you fully prepared for you to join the long list of people who's about to disappoint them.
Lo digo porque estos son pacientes difíciles. muchas veces son rechazados por sus familias y tienen malas experiencias en atención médica y vienen preparados para agregarnos a la lista de gente que los va a decepcionar.