My ex girlfriend was a medical student (now resident), and she also did not give a crap about my IBS. I also learned that most of the interactions we have with doctors are scripted and they are taught to respond in certain ways. Empathy is taught, but doesn mean it real.

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Yes if my players try to use knowledge the character might not know I have them roll knowledge checks that is what they were for in 3.5. You see how much you know about a particular monster. If they roll really high then you can give them as much information from the MM as you think there roll amount should give them.

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