Hot take: as well as seeing smart, self-directed patients, doctors also see the ~15% of people who have an IQ below 85, and if clever people feel patronised by repetitive simplistic questions that’s an acceptable price to pay for less clever people getting advice they understand
everyone is dunking on this but this is also just how doctors talk in the uk i show up like "yea i have upper abdominal pain and i haven't had a bowel movement in days" and they're like "oooooh you say your tummy hurts and you haven't had a poo?" gets me every time