Like ""First cause no harm" also requires a conservative approach. Thus, aggressive treatment is not often the first approach taken. And, sometimes, the doctor may not notice something if you do not point it out...so it is incumbent upon you to point it out. Also, if you feel the doctor has overlooked something...or not taken it seriously enough...then engage your doctor to ask him/her why they are taking the approach they are...instead of another approach. Or why they feel something is not a concern...when it IS a concern to you."