Me: So tell me about the chest pain.
Patient: It started when I was doing laundry. I got a squeeze in my chest, the pain moved to my left arm. I got dizzy and sweaty.
Me: Wow that is frightening! Do you have high blood, pressure, high cholesterol, do you smoke?
Patient: All that and my only sitter died 5 months ago from a heart attack. I went to a cardiologist a year ago and he said that I need a cath. The pain is so bad. I need an oxy or something.
Me: Oh I am sorry…Wait a minute, when I walked in you were on the phone. You told me that you were talking to your sister…
Patient: (angry face) Let’s cut the @#$% are you going to help me?
Me: No need to speak like this. I want to help.
Patient: Then give me a script for an oxy and I will leave. You will never see me again.
Me: No deal