Someone asked “Doctors, what do you want your patients not to know?” If you come in with knee pain and I listen to your heart, I'm just going through the motions. I really don't care what your heart sounds like. I really don't want them to know that I think that of them, but I do all day long. #18 In an opt-out state, your nurse anesthetist may be so green, yet "supervised" by a surgeon, that they don't know the diff between a fiber optic bronchoscope and a colonoscope.