Doctor consultation: Patient centered care?

You will not believe what can happen during a medical consultation if the doctor is not concentrated enough

Patient: Dr please am I ugly?
Doctor :“ you’re not ugly”
Patient : But everybody says I’m ugly !”
Doctor : “Listen , you are not ugly”
Patient :“ I know I’m ugly ”
Doctor : “You are a fine, strong looking man ”
Patient : “ I’m a woman ”
Doctor : Eiiiii!!, sorry madam.