Patients don’t always stick to the sole reason for their medical visit. Especially pediatric visits. A good scenario that is not too uncommon is when a mother brings in her son for a follow up visit to determine if his ear infection (otitis media) has subsided with the antibiotic regiment that was prescribed. However during the recheck she has questions about some behavior she is seeing in her son that leads her to believe he may be ADD (attention deficit disorder) and the physician has a counseling session with her that discusses options and risks involved, possibility of medications and other forms of treatment that takes about 25 minutes. The …