I'm curious as to whether these are long-term patients who have a new bright idea, relatively new patients, referrals, escapees from urgent care and the
ER, or what. One assumes they have some experience causing them to be distrustful of doctors in general, unless they have a legitimate issue with understanding or a spouse who just does not accept the patient's version of the story. I can sympathize with the patient who has to explain a fairly complex decision making process to his/her spouse and who got the general gist of the visit but not the crucial details. I have a few such patients where the spouse is much swifter medically than the patient and who really needs to be part of the process, but who also has a full time job and can't make every visit. In that case it is not a lot different from the wife coming in because she is sure the husband minimizes his symptoms and the recording issue would not be about me at all.


David Grauman MD
Department of Medicine
Commonwealth Health Center
Saipan, Northern Mariana Islands