This episode dives into the real-life evolution of the doctor–patient relationship through the eyes of a senior physician. Dr. Alex Lickerman shares how decades in medicine have shaped his approach to balancing authority and empathy while moving toward more relaxed, genuine conversations. He also explains why building trust with patients matters more now than ever, especially in the face of widespread patient misinformation. He reflects on moments where taking the lead, sometimes what might feel paternalistic, can help families make difficult, life-and-death decisions with clarity and compassion. The talk touches on the unique skills needed to care for patients at the end of life. Along the way, you will hear honest takes on the quirks and frustrations that come with the job.