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" ... If a patient were gasping for air, tired and cyanotic, it would be absurd for a physician to walk into the room, put a hand on the patient’s shoulder and ask “How are you feeling?” It would be more preposterous still to ask the patient “What can I do about your shortness of breath?” And, finally, it would be totally beyond the pale to sit down and announce “One of my college friends had a neighbor who was short of breath and it seemed very difficult.” ... "