Me: “Okay, I’m just going to give you some paperwork to fill out.”

Patient: “Paperwork? Again? I fill it out every single time I come here!”

Me: “Well, it looks to me as if the last time you were seen here was over four years ago.”

Patient: “So what? Nothing has changed since then!”

Me: “Alright. So, do you still have [type of medical insurance]?”

Patient: “Oh, no. I uh, switched insurances. Oh, and I moved too.”

Me: “So there have been some changes in the last four years? Then you’ll need to update your paperwork.”

Patient: *snatches papers from my hand* “Well obviously things have changed. It’s been four whole years since I’ve been here, you know!”