I sympathise with all subscribers whose doctors do not appear to be really listening to their patient's problems.The reason why they do not 'listen' or hear, is because they are not trained to be anything other than general practitioners. This leaves a huge gap in their knowledge corpus and why patients who research their problems in depth often know a lot more in a specialised area than the doctors themselves. This is why doctors refer patients almost systematically onto a consultant in an area, that may or may not address the patient's medical needs. In short, the role of the GP is administrative. They no longer care physically in terms of attending to patients needs beyond the convention of prescribing drugs. When was the last time a doctor examined you for example other than taking your blood pressure and moreover, when was the last time he could diagnose a condition with certainty without interdisciplinary support? There needs to be a paradigm shift in attitude and a total reconceptualisation of the role of the GP to enable doctors to search beyond the conventions in treating their patients, to see both themselves and their patients as active particpants in a type of action research which advances medicine from the inside.i.e. the patient's perspective. Joined up thinking is what is required across all areas of medicine to provide paptients with the information they are entitled to. It is high time that interdisciplinary practice at surgeries is implemented, so that patients can have direct access to specialist advice and not waste their time trying to educate their GP about their condition, about which they know much more.