"Duh" was about the most appropriate descriptive word I could think of, too, indigogo. This is a no-brainer, but maybe we have this old adage at play. My mother used to say- "If you keep telling something over and over (even if it's not true), pretty soon others will believe it."

So let's say it again and again and again - LISTEN TO THE PATIENT; YOU JUST MIGHT LEARN SOMETHING ABOUT HOW TO BETTER TREAT THEM!

Peg