A confusing change in clinic clinician

Setting: A specialist review

The usual doctor is absent. A covering clinician has the record and can conduct the planned review or discuss rescheduling constraints.

Task

Explore the concern behind this opening: I told my whole story last time. Must I start from the beginning again?
Clarify the patient perspective using an appropriate follow-up, such as: Which part of the previous discussion would you most want me to understand without making you repeat everything?
Explain the supplied information and its limits in manageable sections.
Explore practical barriers and agree a workable next step from the supplied options.
Check the patient understanding and identify any unresolved question.

A confusing change in clinic clinician supplied information

The usual doctor is absent. A covering clinician has the record and can conduct the planned review or discuss rescheduling constraints.
I have the previous consultation summary and proposed review plan. I can briefly explain what I have read, then you can correct anything important or add what has changed.
Having the notes does not mean I know every detail of your experience. I will not claim to remember a conversation I was not part of.
We can clarify that distinction in today's discussion and record your current understanding. The option remains to be discussed rather than treated as an agreed decision.
After we review the record together, we can agree which decisions need attention today and which can wait for your usual clinician.

Fictional scenario information supplied for exam communication practice only; not medical guidance for real patients.