True. I think maybe something like you can ask, in a complex case or an appropriate setting « hey, I’m your treating physician right now- you need to trust me and I need to know everything »

Someone coming in for a wart is not the same as someone coming in for general anesthesia. Agree that pt often have no clue that me knowing they don’t have an appendix and gallbladder is pretty important in an abdominal pain consult and knowing they take Viagra (which they always omit) is pretty important if I’m gonna give you nitro.