In Alexander v. Knight, 197 Pa. Super. 79, 177 A.2d 142 (Pa. Super. Ct. 1962), the Superior Court of Pennsylvania, an intermediate appellate court, declared that physicians "stand in a confidential or fiduciary capacity as to their patients." Alexander, 177 A.2d at 146. In that regard, the court continued, "they owe their patients . . . a duty of total care; that includes and comprehends a duty to aid the patient in litigation, to render reports when necessary and to attend court when needed." Id. That duty also includes, the court asserted, "a duty to refuse affirmative assistance to the patient's antagonist in litigation." Id.