dudette10 it really depends what I do when the trust isn't there. In some cases I have been so far into a procedure/process I just close my eyes and hope, other times I have looked for options for someone I trust. Sometimes the intimidation factor or the dispairity in the power dynamic casues me to just take it. This is just so much more personal than any other interaction we will ever have with anyone other than perhaps our family or maybe even just our spouse. Providers will ask questions that I would not discuss with anyone other than perhaps my wife, not even my kids. That is a trust issue, I can tell 3 doctors the same thing, they may or may not all three give me the same answer, but I will bet I will have a differnt level of trust depending on how it is delivered and how I feel about them. I had to have elective surgery, my insurance required a second opinion, I felt so much more comfortable with the Dr who was providing the second opinion (the same opinion), I asked them if they would do it. Why, the 2nd took a little more time, asked me a couple more questions, provided me a couple of options to think about, and acted as if he cared what I thought. The first basically said, this is the problem as I see it and this is what you need to do schedule it with the woman at the desk. It was minor surgery to him, I had questions I needed to ask, he was trying to get out the door. I was sitting on the table, naked from the wasit down with that stupid piece of paper they call a drape wrapped around me, he is standing in the doorway with the door open trying get through my questions to get to the next patient. Even though skill wise he came more highly recomended, I didn't trust that he really cared that much. What builds trust in my eyes, I have to feel you know what you are doing, while I will read up on the proceedures, what is involved, risks, etc. I will have to eventually put my trust in the fact that you know what you are doing skill & knowledge wise. If you make me feel that you care about me, if you care what I think, if you act like the personal aspects of this, my comfort (emotional not just physical), my modesty, my concerns are valid, and make even a resonable effort to determine those I will likely trust you care enough to do what you can to take care of my physical side. Now if you come in drunk, drop stuff all the time, forget why you are there, none of the other stuff will cover it but that builds trust. I think in general that is why nurses rate better than Dr's, they take the time, do the things that makes me feel like they really care about me rather than the procedure. I can't tell you as much about an appendix as I can spandex so I have to trust you have the knowledge, how you will apply that knowledge...I will get a feeling on how you act.