(In the UK, doctor appointments are generally booked in advance, although there are a few reserved for people who phone on the day for emergencies. The phone rings.)

Me: “Good morning, medical centre.”

Patient: “I’d like to make an appointment with a doctor, please.”

Me: “Okay, if it’s urgent, I can fit you in today, or if it’s not urgent I have an appointment in two days.”

Patient: “I don’t know if it’s urgent or not.”

Me: “Okay, well, if you give me a brief idea of what it’s concerning, I can help you decide.”

Patient: “It’s private. I’ll only discuss it with a doctor.”

Me: “Okay, fair enough. So, did you need an urgent appointment or can it wait a few days?”

Patient: “I’ve told you I don’t know if it’s urgent or not!”

Me: “As I’ve said, if you give me some idea of what it’s concerning—“

Patient: *interrupting* “It’s private! I’m not telling the receptionist!”

Me: “That’s fair enough but then I need you to tell me whether or not it’s urgent.”

Patient: “How many times?! I don’t know!”

Me: “Okay, I’ll give an example. If it’s just something like a sick note–”

Patient: *interrupting again getting increasingly angry* “I don’t need a sick note!”

Me: “It was just an example to help explain the difference between urgent and non-urgent appointments. If you don’t tell me which you need, I can’t book you in.”

Patient: “Well, how am I supposed to know if it’s urgent or not if you won’t tell me?!”

(They then hung up without ever having booked an appointment, or even given their name. I guess it wasn’t that urgent after all.)

(This happens when I am just 17 years old. I get a summer job, one of my first jobs ever, in a retirement home serving coffee and tea in the public living room during the afternoons. This interaction happens with one of the residents. She has Alzheimer’s but I do not know that at the time, and it is one of my first times interacting with someone in that condition.)

Elderly Lady: *very politely* “May I inquire if it is possible for me to stay in the same room one more night?”

Me: *a bit confused, since she lives here* “Um, this is not a hotel, so your room is yours, of course.”

Elderly Lady: “No, I booked a room here and I would like to pay for one more night’s stay, please.”

Me: *still confused* “But this is a retirement home; you live here.”

Elderly Lady: *suddenly a bit shocked and looking around* “Oh, my gosh. I am so sorry; I am in the wrong place! I will go to my sister’s house and stay with her tonight. Thank you.”

(With that, she walks out of the building and leaves me very confused and worried! I realize that this lady does not seem to have a full grasp of the present or reality and I go to find a nurse. I am worried the lady will get lost or injured. The nurse laughs and knows who I am talking about. She says that the lady will come back eventually by herself, as usual. I continue with my tasks but am still worried. When I am almost done with my shift, who would walk in but the elderly lady from before! I immediately walk up to her.)

Elderly Lady: *very politely* “Excuse me. I cannot seem to locate my sister’s house. May I inquire if it is possible for me to stay in the same room one more night?”

Me: “Of course, madam. Your room is ready for you; it is the same room as usual. You are welcome to stay as long as you like.”

Elderly Lady: *enormous smile on her face* “Why, thank you, miss. Such good service. I always enjoy staying here.”

(With that, she happily went to her room. I was so relieved she managed to come back. There was no benefit or point in arguing with her and trying to make her understand her circumstances; it would only make her feel scared, confused, and miserable. I felt that that would just be mean.)

(A friend of mine has had problems with a stomach ulcer for some time. Today it’s causing a lot of pain, so he goes into A&E to get it checked.)

A&E Receptionist: “Since you haven’t been to the hospital with this problem for over a year, you need a referral from your doctor in order to be seen.”

(He then leaves, but sits in the car still in the hospital car park to phone the GP.)

GP: “Well, I can refer you, but if the pain is that bad you need to phone [non-emergency urgent care line] to get an appointment straight away.”

(He phones this number and explains all of the symptoms.)

Call Handler: “With the symptoms you’ve explained, you need to be seen straight away. We’ll send an ambulance on blue lights to you now.”

Friend: “I’m in the hospital car park; I can walk to A&E from here.”

Call Handler: “No, absolutely no walking there. We’ll send you an ambulance.”

Friend: “I’m in the hospital car park! I don’t need an ambulance!”

Call Handler: “With your symptoms, you must be transported to the hospital via an ambulance. It’s not safe for you to get yourself there.”

Friend: “I can see three ambulances from here! I can go and over and sit in one if it makes you feel better!”

(They did eventually consent to allowing him to walk the 50 feet back into the hospital himself.)

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(I work at a sleep clinic work with people who have sleep disorders such as apnea and Hypopnea. These disorders, in a nutshell, make a person stop breathing or breathe so shallowly the oxygen in their blood is affected like with apnea. And I get this almost every time I’m working when I put CPAP on a patient!)

Patient: “Excuse me, miss? I can’t breathe with this thing on!”

Me: *after seeing them stop breathing for almost a minute* “Well, you aren’t breathing with it off, either.”

(I am a trans guy, currently at the doctor’s office for an ear infection. The person I’m seeing about it is the nurse practitioner, our practice’s head nurse.)

Nurse: “Are you sexually active?”

Me: “Yes.”

Nurse: “Is there a chance you could be pregnant?”

Me: “Nope.”

Nurse: “I know your partner is male; you could be pregnant.”

Me: “I’m not.”

Nurse: “Just because you think you’re a man, that doesn’t mean you can’t get pregnant.”

Me: “Not pregnant.”

Nurse: “You still have female anatomy. Quit pretending you don’t. All you people are like this, thinking you can’t get pregnant because you think you’re not a girl. I’m giving you a pregnancy test.”

Me: “I had a hysterectomy last year; my medical records are in front of you.”

Nurse: “That doesn’t matter. You people are all like this. I’m giving you a pregnancy test.”