Why not ask them at the beginning of the appointment if they have Uncle Rico over them mountains sunset shirt? For example if you ask what brings them in today and they say “eczema” then you can ask “anything else?” Do this before diving into whatever eczema questions you’d normally ask. Patients are already nervous to speak up and when the doctor is rushing through a 10 minute appointment it’s awkward to just blurt out something unrelated. Also it feels rude to interrupt your process so we wait until we are given a chance to speak.
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At some level, the patient has to assume some level responsibility for Uncle Rico over them mountains sunset shirt. Asking if there is any other problem before taking information and beginning treatment at the explicit problem the patient is there for seems to be putting the cart before the horse. I think asking at the end of the appointment if there are any other concerns is probably the best place to do it, but when your secondary concern is something that even to a layman appears to be of much greater importance than your primary concern, you should’ve probably scheduled an appt specifically for that