For some reason, once doctor and patient are on a first name basis, something changes. It should be said, however, that with certain special patients, such an arrangement works well. Don't put words in a patient's mouth. Once you have asked a question, say nothing until the patient has had an opportunity to answer. Some will require a little more time to formulate their ideas, especially when their complaint is charged with emotion.
Doctors are frequently impatient.
Permit them to use their own words, enabling them to recognize their complaint if it is ever fed back to them. If a patient complains of pain in the tailbone and you record them saying coccyx, it may cause some confusion later on. It consists of taking the essence of what a patient has just said and use it as a preface to your response. I get up five and six times a night. Naturally, this is not done with everything they say, just use it periodically.