A cause can stand in a real productive relation to its effects without sharing any intrinsic property with them, as efficient causation does not require a common attribute between agent and patient.

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Patient(in causal relationships): The thing that is acted upon or changed by an agent; the receiver of the action.
Real productive relation(in metaphysics): A genuine connection between two things where one actually brings the other into being or changes it, rather than just being associated with it.
agent(Economics terminology applied to medical ethics): The party in a principal-agent relationship who is instructed to produce the good or service on the principal's behalf — in the medical context, the doctor
cause(Philosophical definition of causation requiring both sufficiency and necessity of the cause relative to its effect): An event or state of things such that (a) if it happens or exists, the effect must happen or exist even if no further conditions are fulfilled, and (b) the effect cannot happen or exist unless the cause happens or exists.

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