Should I discuss clinical findings at the exam visit or wait? Wait, in almost every case. At the diagnostic visit you cover findings only in the broadest terms. What the patient needs to hear is simple: yes, you have some serious problems, but the good news is I believe I have solutions we can talk through next time that will really take care of this. That is it. If you dive into the clinical detail now, you damage the presentation and the patient's decision making before you have even built the case for it. There is one exception. If you sense [...]