The average patient gets eleven seconds to explain why they came in before a physician interrupts. Not eleven minutes. Eleven seconds—about the length of that sentence.
Your prescriber adjusts the dose. Your therapist thinks the problem is anxiety, not dosing. Your child’s teacher reports the afternoons are worse than the mornings, and nobody has told the prescriber, because nobody asked the teacher. Each of these people is competent. Each is working from a fragment. And each of them assumes, quietly, that someone else has the whole file.