My standard is that doctors listen to patients, which they don’t do because they don’t respect them. They think they’re all knowing, incapable of mistakes, and let their personal biases rule. Every doctor I’ve been to has struggled to listen.
I have never expereinced a doctor that doesnt listen to their patient. However most dont take everything the patient says at face value.
Processing, weighing, and interpreting what patients say is a fundamental part of their job. Sifting through crappy data and figuring out what is relevant.
Severe auto-brewery has been documented on the order of 20 times in the history of the western world. Thats why it is worth publishing a paper about, and why doctors dont suspect it, and might not even know about it.
How many people have have gone to the doctor and lied about their alcohol use? 6 nines is 1 a million patients. There are probably more nines than that.
Listening is not an impossible standard.