I've seen many couples in my office, over the years, with very disrespectful communication.
More than once I've witnessed variations of the following exchange:
Wife #1: Tell the Doctor about your problem!
Patient #1: It's alright, everything is fine.
Me (directing a question to the wife): Is there anything you want to say?
Wife: He can't get it up anymore! It's like a limp noodle! Something has got to be done about it!
Patient #1(with his head down): Yeah, it's been a problem...
That's why the following recent exchange was so nice:
Me: Is everything alright?
Patient #2 (looking at his wife): Can you help explain things to the doctor?
Wife #2: Sure, Honey (looking at her husband and then toward me), his penis seems to have a short attention span lately, especially since he started on that new medication...
By the way, #2 had a much better outcome, with appropriate interventions for erectile dysfunction, than #1...I doubt you're surprised by that.
I wasn't surprised either.