I have treated fearful people since I first saw patients as a student. I increasingly became concerned with patient fear. Sedation was incorporated into my practice to improve the ability to see patients that were fearful. The cause of their fear became more and more relevant to me. I discovered that I needed to hire more empathetic employees and I needed to address my own empathy. I started to study empathy and soon realized that empathy in healthcare, or lack of empathy, was a huge issue. In my own office I adopted the practice of a new patient interview in which the focus was on the patients goals, values, and concerns. It was an epiphany. Far too many patients told me between tears that "No doctor has ever listened to me before.....ever. This is the first time." That impressed and distressed me. I knew that treatment outcomes were effected by the providers empathy. This was also supported in the medical literature that I was reading. What is your experience, either as a healthcare provider or a patient?