Clearly you’re not ok becsuse you’re seeing a doctor, but aren’t you supposed to be polite to the nurse? But then again the nurse is doing your intake assessment.
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“I’m about to find out!”
'Can’t be that good if I’m here."
Or, “better now that you’re here”
I do my socializing in the hallway on the way to the examination room for the appointment. We get down to why I’m there once I’m in the examination room.
Be honest about what’s wrong, that’s why you’re there. But in a polite way. “Well, my day started off well but then I broke my arm so I’m worse now.”
They’re partly gauging your delivery and seeing where your mental state is at. So, being coherent if possible is probably ideal. Beyond that it’s a matter of taste I imagine.