Answering questions with a generalized sound that may or may not be a yes is all well and good with your friends or family because they know you.
It will never be appropriate when dealing with a doctors office. They need real words and not grunts. If you do make the unfortunate decision to do this then do not get upset with them for having no bloody clue as to what you meant your grunt to be interpreted as.
It implies that you have no respect for the person you are supposed to be talking with. Especially if you are chatting away with the doctor in front of them just prior to doing this.
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