"By the way, Doctor, what is this spot on my cheek?" "Oh, there's only one more thing, Doctor." "While, I'm here, I want to tell you about the pain in my right foot." "Oh, I almost forgot, I have this lump on my back (left wrist, or right leg, or left eyelid, etc.)"
""Oh, I passed out last month." "I'm having the palpitations again. Do you remember that we discussed them before (actually, five years ago)"
Many patients (about 60% by my conservative estimate) add these comments after the family physician has completed the engagement with the patient for the problem for which the visit was scheduled. They realize that we do lots more than deal with simple problems. We diagnose and treat thousands of diseases and conditions. We enjoy it.
It's part of the challenge of being a generalist. We know a lot and people appreciate it. They may not appreciate that they have to pay more for additional problem. It seems that people get excited as they realize how much we can help with their "odds and ends" problems. We get excited, too, but it's often more because of getting behind on the schedule and having fleeting feelings of disappointment about not staying on time and having the next patients wait too long.
That's part of the Generalist practice. People and problems. Problems and people.