"When a patient’s story does not match up with the physical exam, we must accept the dissonance and take everything into account or else risk throwing away something our patient is trying to tell us." Medical student Rebecca Yanovsky recounts what she learned from a patient whose verbal account of her illness didn't match the physical exam findings--that doctors must listen with their eyes, ears, and heart. This essay was published in the Teaching and Learning Moments column in the September 2019 issue of Academic Medicine. Read the essay at academicmedicine.org.