When Dr. Delos "Toby" Cosgrove started his career as a cardiothoracic surgeon in the 1970s, he found that the doctor-patient relationship was essentially a one-way street. "The doctor was the repository of information," says Cosgrove, now the CEO of the Cleveland Clinic. "The patients came to you, you told them what they should do and they generally did it." By the time Cosgrove was ready to hang up his scalpel—he stopped operating last December—the basic equation had changed dramatically.
Like the conscientious pediatricians they are, Perri Klass and Eileen Costello keep up with the ever-evolving vocabulary of childhood dysfunction. They know all about autistic spectrum disorder, sensory integration dysfunction, pervasive developmental disorder, Asperger's syndrome and more.