(I work as a speech therapist. While I mostly work with children, I have a handful of adult patients with brain damage. As most of them aren’t able to walk, I visit them at home. All of the patients have fixed appointments once or twice a week. After some recent changes, I end up with an awkward schedule — driving from one end of the town to the other, back and forth — that makes me lose about two hours a week due to driving. I plan to coordinate this better and ask all of my patients if they are okay with different times and/or dates. It works well with everyone at first. I talk to one of my patients, a senior citizen, whom I visit every Monday and Wednesday.)

Me: “I plan to change my weekly schedule. Would it be okay if we moved Monday’s sitting from 11:00 to 13:50?”

Patient: “Well, the physical therapist is there until 13:45, so it should be fine.”

(On the next Monday, I arrive at 13:55. The physical therapist is still with her.)

Me: “Oh, am I early? I am sorry. I thought you two would be done by now”

Physical Therapist: “Oh, no, we still have 15 minutes left. We always have until 14:10.”

Me: “I’m sorry; I didn’t know that. [Patient], we need to reschedule our Monday’s appointment.”

Patient: “Huh? Why? I thought it would be only once. I figured we could cut the therapy a bit shorter today and go back to normal next week.”

Me: “I’m afraid I can’t do that, as I already gave that time to another patient. I am so sorry that I didn’t make it clear that the change would be permanent. My schedule is packed, but what about Tuesday, 11 o’clock instead of Monday?”

Patient: “I am at the daycare on Tuesdays and Fridays”

Me: “That isn’t a problem for me. We have lots of patients in day care. I could visit you there, if that’s okay with you?”

Patient: “Yes, let’s do this.”

Me: “Okay, so now, instead of Monday, I will visit on Tuesdays every week.”

(With everything being clear, we start practicing. On Wednesday I visit her as always, reminding her of our new permanent appointment once again. The next Tuesday, I drive to the day care facility to find her completely surprised, but not by the fact that I showed up there today.)

Patient: “Where were you yesterday?”

Me: “We’ve moved the appointment from Monday to Tuesday. That’s why I’m here today.”

Patient: “Yes, we talked about you coming here on Tuesday, but I didn’t know that meant Monday would be cancelled.”

Me: “We have to have therapy twice a week, so instead of Monday and Wednesday, we now do Tuesday and Wednesday.”

Patient: “Ah, I see.”

(We go on normally. Everything works fine for two weeks, until I get stuck in traffic one Tuesday morning and don’t make it to her. I call her to let her know. The next day, I visit as usual.)

Patient: “Where were you on Monday? I thought you’d be here on Monday.”

(I start explaining again why I can’t come in on Mondays and how we moved it to Tuesday.)

Patient: “But I thought that would be only once. I didn’t know you wanted to come to the day care every week. Every time you come, I miss out on the games and quizzes we do there.”

Me: “I am sorry, but that’s why I asked you if it’s okay before I actually changed the plan. I don’t have many options left right now.”

(I feel bad for her, as I obviously didn’t explain it to her properly, so I explain it again and make extra sure she understood what happened. Finally, I offer to sacrifice one of my lunch breaks to make room for her.)

Me: “The only open appointment would be Thursday at 11:30.”

Patient: “No, that’s not possible, either. Can’t we do Monday, 11:00?”

Me: “As I already explained, I am on a huge tour and can’t be back before 13:30, which won’t work because of the physical therapy. Is there something else you do on Thursdays?”

Patient: “No, it’s just so inconvenient. Why can’t we do Monday?”

Me: “Because I asked you if we could change the time and date. If you had said no, I wouldn’t have changed anything. But I did, and your old appointment is no longer available. What would be a more convenient time for you?”

(Surprisingly, Monday at 11 was still the only time she was willing to agree, so I had to re-reschedule about ten patients, and now I’m back to my old awkward plan.)

(I am the strange one in this story. I have just woken up after a colonoscopy and my mind is still a bit fuzzy, but I still don’t know what drove me to do this.)

Doctor: “How do you feel?”

Me: “Are you Mickey Mouse?”

Doctor: “No, I’m not.”

Me: “You’re lying. Hi, Mickey!”

(I feel more awake and realize what I just said.)

Me: “Oh, my God. I’m so sorry. I don’t know why I said that.”

Doctor: “That’s okay. That’s not the weirdest thing I’ve heard today.”

(My baby was born with a congenital heart disease and required many cannulas and blood draws in the first four weeks of her life. Nurses would try, and then call upon doctors — neonatologists and consultants — and everyone struggled. They would all talk about how small her veins were and how hard it was when she squirmed and cried as they stuck her over and over. The worst part was, when she had a cannula finally inserted, she’d often rip it out within the next couple of hours. After three open-heart surgeries, her last lots of blood are being taken to give us the all-clear to go home.)

Me: “Just be aware, everyone else who has taken blood has had a lot of trouble.”

Young Phlebotomist: *draws blood efficiently and quickly, first time* “All done.”

Me: “Oh, wow! Everyone else has had such trouble; they keep saying she’s got such small veins.”

Young Phlebotomist: “Of course she has small veins. She’s a baby!”

(I work in a children’s hospital. Like most hospitals, we have a code system for emergencies. In our hospital, Code Pink is missing child — either patient, or sibling or friend visitor. We are responding to a Code Pink involving a teenager girl — here after an attempted suicide — who has gone missing from her room. Part of the response is that everyone needs to stay where they are when the code is issued, while the nurses search every room in their unit and allied health professionals man the doors between units. I’m an allied health professional, so I’m guarding the door between two units. It’s also right before visitors are supposed to leave for the night. Several visitors come to me, trying to leave to go home.)

Me: “We’re searching for a missing child at the moment, so please return to your child’s room until we notify you that our search is completed.”

Most People: “Oh, absolutely. I hope you find them quickly.”

Man: “Well, I’m tired, and I’m going home.”

Me: “I’m sorry, sir, but you cannot leave right now.”

Man: “Well, I’m leaving.”

Me: “With all due respect, no, you aren’t. Even if you get past me, no one is coming in or out of the hospital right now.”

Man: *starts to push past me* “I’m leaving.”

Me: “You will be stopped at the main door by security, anyway. We need everyone to stay where they are.”

Man: “I’ll get through security, too.”

Me: “May I remind you that security has pepper spray and tasers? Sir, I’m sure you can imagine that we take a missing child very seriously, and security is not going to play games with you.”

(He dejectedly went back to his room. For those worried, it turns out that the girl’s “friends” were trying to break her out of the hospital. She was 17. They were 18. They made it to the train station outside. They got charged with kidnapping.)

(I am in the waiting room of an OBGYN office I’ve never been to before. It is the only one in the area that is in my HMO insurance network. It’s late morning; appointments are not meant to be longer than 20 minutes, so I am planning to attend classes afterwards. When I walk in, I’m told that there is an extremely long wait time, even though we all have timed appointments — and are actually meant to be seen at that time. Though every hospital and office in this entire HMO company has a policy that if a patient checks in more than 15 minutes late they lose their appointment, obviously no equal rules have ever applied to providers being penalized for lateness. I have waited an hour already. Another patient, who is waiting for the same doctor, is sitting next to me with her newborn baby.)

Patient: “Oh, yeah. It’s aaaaalways been this way in this office for as long as I’ve been coming here. They’re aaaaalways extremely behind schedule.”

(This is not reassuring; since she’s got a baby, one can assume she’s been a patient with frequent appointments here for at least nine months.)

Patient: “Yeah, that’s why I’ve always made sure to get the very first appointment super-early in the morning. That’s absolutely the only way to get out of here on time. I just couldn’t manage it today. Oh, but don’t worry; I’ll be super-quick with my appointment, only five minutes. So you all won’t have to wait too much longer!”

(It’s nice of her, but we’re all already extremely late, anyway. I’m pretty appalled that a woman with a newborn is being made to wait around like this for well over an hour; luckily, her baby keeps on sleeping. I also wonder, if this office always runs severely late, why don’t they at least warn patients when we make our appointments? Many patients go up to ask the nurses several times what is going on with the excessive wait time. From overhearing them, it becomes clear that at least half a dozen of them are waiting for the same doctor I am, who appears to be the main cause of waiting-room congestion. The nurses seem extremely practiced at politely fobbing us off while giving non-answers about why this is happening or how much longer it’ll be, as well as pretending to be helpless and confused themselves, while giving off the heavy impression that this is actually all “business as usual.” I’m extremely unhappy; there is no end to the wait in sight, and it’s clear I’ll miss my classes. In other circumstances I’d just leave, but I am there because of suspicion of a uterine tumor and absolutely need to have tests done. Most people resign themselves to waiting, except for one young woman, who checked in 20 minutes after me, and keeps on whining to the nurses over and over. After waiting less than an hour, she starts going towards the exit door in showy slow-motion, while she declares extra loudly to the entire room that she’s leaving since she must get back to her job. I feel extremely skeptical of this, as she is dressed very unprofessionally, even by the standards of the most casual minimum-wage job, and has multiple large, prominent facial piercings.)

Nurse: “Oh, no! No, Ms. [Whiny Patient], don’t leave!”

Whiny Patient: “Oh, I absolutely have to get back to work! There’s no way I can stay here any longer!”

Nurse: “If you wait just a moment, I’ll go right away to ask the doctor if she can accommodate you sooner! Just wait right here!”

(The nurse goes inside the medical office, and comes back within two minutes to call the whiny patient in to be seen by the doctor immediately. I am shocked, as I know this girl was in line behind me, and there’s still at least one other person in front of me, as well. I go up to the nurses again.)

Me: “Excuse me, but I believe that young woman who just went in is seeing the same doctor as me, and several other people here.”

Nurse: “Well, yes, she is in with [Doctor].”

Me: “Did you really just call her in ahead of all of us, including those that were here first?!”

Nurse: “Well, yes. You see, she is in a very great hurry to get back to work. So we just had to see her now. [Doctor] did her a favor and managed to squeeze her in sooner.” *without appearing to realize the actual obvious meaning of that sentence*

Me: “Oh, my God, really?! [Doctor] did her a favor and squeezed her in?! What you’re actually saying is you talked Dr. [Doctor] into seeing her sooner, at all of the rest of our expense, without even consulting us! Neither [Doctor] nor any of you lost anything by doing this! You all just chose to steal several other people’s time for your own convenience of not having to explain the reason behind the patient’s appointment cancellation after she’d already showed up and paid for it! Wow, I wish I’d thought of getting up, whining a lot, and loudly threatening to leave; apparently it would have gotten me seen a lot sooner, too!”

(Even besides me, there were very good odds that some of the other patients also had to get to work — no one was even asked. But we all acted like adults and dealt with it instead of making a loud fuss to skip ahead of others in line. The nurse and doctor just decided that since we didn’t throw up a fuss, it automatically meant our time was worthless compared to [Whiny Patient]’s, and could be taken away from us with no notice. [Whiny Patient]’s appointment was not quick in the least. By the time she left, and then they finished with the other patient ahead of me, I was called in a whopping hour and 42 minutes later than my scheduled appointment time. While [Doctor] seemed likable and competent in person — once I finally got to see her — I couldn’t help questioning both her character and her competency in my head through the entire appointment because of the unprofessional mess with the waiting room.  After leaving there, since they’d already ensured I would fully miss all my classes that day, I went straight up a couple of floors in the hospital, to the Member Services department– where they saw me very promptly, even with no appointment — and submitted a complaint face-to-face with a nice, attentive employee who typed up everything I told him. I made sure to tell him every detail, including the 1:40 wait time and the long-time patient who told me that the OBGYN office always operates this way. It’s been several years, and I have never gone back to that office.)