When new patients come for the first time their expectations are high, and its up to me to meet those expectations starting from our 1st encounter. I always do a through medical history and exam for them, which is why the first visit is usually the longest. I listen carefully, and let the patients talk.  This way my exam results along with what the patient has told me will give me a great starting point for a road map for an effective treatment plan I create for them. They appreciate that. They also appreciate that I, the doctor, am listening, a complaint I often hear from patients.