Of course, the key in all this is the relationship you establish with your patients. In my case, building relationships with my patients encourages them to more freely discuss anorectal concerns and allows me to regularly perform necessary exams. Since I’ve created my own clinic, I also have the “luxury” (I would call it the responsibility) of maintaining a flexible schedule. Many practice settings accommodate same-day or urgent appointments, but I can assure you that patients with anorectal complaints offer a unique expression of urgency when they call with colorful phrases to describe their pain. My referral coordinator, schedulers, and triage nurses can reach me anytime during the workday; I even see patients during non-clinic time if I’m available and it is appropriate. I know that not everyone can implement this practice the way I can, but putting patients first is part of providing quality care—and it often requires flexibility.
At the very least, I encourage you to read the CE/CME article that sparked this commentary. Incorporate the techniques into your patient care when someone presents with anorectal discomfort. In short, be willing to look. You never know when you might save a life!