I fail to see why using 'higher level' terms is symptomatic of a lack of ability. Perhaps the first doctor felt that "idiopathic self-limiting condition" gave you the most succinct and explanatory description. Perhaps it does so for him, and he would consider "it gets well on its own" a poor statement because it does not explain or teach as much as the previous one. My point being, that people will use what ever terms come naturally to them to explain their project. If you had to describe something, and there was a 5 syllable word that exactly explained it, you could use that, or perhaps you could use 4 or 5 sentences of 'lower level words' and still not have fully explained it.
We could go even further in this analyzation, and say that perhaps the first doctor respected you and your intelligence, so he used advanced terms that precisely defined the problem, where as the 'top surgeon' did not feel the same level of respect and felt he had to "dumb down" the explantion for a "lay man".
Or of course, i could be wrong. But people use whatever language they feel comfortable with, unless they are making a deliberate effort to reach a different level, either higher or lower.
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