The quality of the patient–physician relationship is important to both parties.
The relationship is one that is built in terms of mutual respect, knowledge, trust.
This "angel" –companion- can have different shapes, and his presence can be felt more or less clearly, but is constantly giving messages in the interview, which becomes a triad, and his presence can be an aid to the diagnosis and treatment.
Some cases about the presence of a companion in the primary care consultation are presented: the partner companion, the companion who comes in place of the patient (absent), the intrusive, the observer companion, and the sick one.
Visit for more related articles at Journal of Community Medicine & Health Education The companion of the patient is his "guardian angel".
She or he may seem to play a secondary role, but sometimes is the main actor.
But why do the GMC and the media take such an interest in a relationship between two apparently consenting adults?
The answer lies in the unique nature of the doctor-patient relationship and the power imbalance in that relationship.
In this situation it is important that the family doctor is careful and be aware of the "guardian angel" of each patient, in order to "make the invisible, visible".
Patients may be vulnerable—for example, those who have mental health issues or who see doctors at difficult times in their lives, such as during illness or bereavement.
Also, during a medical consultation, patients confide sensitive and personal information to someone they may have only just met, and doctors can ask a complete stranger to undress so that they may examine them.
The family members are the most frequent companions of patient in the office, and therefore we have to create a model of practice, for all patients, family oriented.
A second adult, usually the husband or wife or parents who accompany the patient in the office, is always important and deserves the attention of the doctor.