I walked out on my first patient last night. The guy was being a complete A-hole, refusing to answer questions in a constructive manner, refusing to get in the bed, to change into a gown so he could be examined, being a complete jerk to the nurse etc etc. I tried playing the empathetic listener for a bit, just let him vent for a minute or two, expressed my sypmpathy for his plight and willingness to help and what not, but that made no difference. So finally I was just like “Sir, I don’t appreciate your attitude. W’e’re doing our best to help you as much as we can, but you are being a hindrance to your own care right now. So I’m going to leave for a little bit. While I’m gone, I want you to think about if you want our help or not. If you do, I expect your cooperation when I come back. If you don’t want to cooperate, you are free to leave” And then I just walked out. I’ve never done something like to somebody in my entire LIFE, haha. I was all nervous walking away down the hall, waiting for him to start pitching a fit. But he didn’t. When I came back after seeing another patient, he was much more cooperative, and we got him successfully treated. Yay.