Because you do not want them to think you're crazy. Also, do NOT put on that hospital nightgown, no matter what they say.
Mind Hacks gives us another perspective on patriarchal norms for female appearance. Don't run out to the convenience store without brushing your hair, make sure to always dress well, or else you'll be taken for a CRAZY LADY! And you wouldn't want that to happen.
Oh, never mind. We already know all teh wimminz is crazy anyway.
Mind Hacks post found via this David Dobbs post.
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See, I would be concerned about anyone wandering around outside in a hospital gown simply because they're not comfortable. I mean, they're open in the back! It's how they make you stay put at the doctor's - no one wants to wander about looking for a nurse to ask why they've been waiting 30 minutes when the whole world can see your polka-dot undies.
Pjs and unbrushed hair? That just says "college student" or "frazzled parent". That's totally cool.