My friend's grandmother-in-law, at 94, has refused her son's pleas to make a routine doctor visit. "'Why should I go to the doctor?'" my friend recalled her exclaiming. "'They don't know anything anymore. You used to go to one doctor and he told you what was wrong and what to do about it. Now all the doctor does is draw vials of blood, order tests, and then tell you to go to another doctor.'"
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No longer can one doctor "know everything" (not that any doctor ever did). Nor do doctors have the training and expertise to perform the myriad tests and procedures that did not even exist half a century ago and that have helped to extend quality years of life for so many.
The doctor-patient relationship has changed, too. Doctors are less likely to be paternalistic and patronizing. Patients are more likely to be knowledgeable about symptoms and ailments, and the two are more likely to be partners in the patient's care.
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