Admin: "Your patient satisfaction score dropped." Me: "I told four families bad news that week." Four of these. All of them real. SEND this to whoever fights this queue with you. Admin: "Your patient satisfaction score dropped." Me: "I told four families bad news that week." Admin: "The survey doesn't have a field for that." Me: "I know. I looked." The satisfaction score. There is no box for the week you spent saying the hardest sentences in medicine. Insurance: "Denied." Me: "It costs four dollars." Insurance: "Denied for four dollars." Me: "You spent more than that denying it." Prior auth on a generic. Somewhere there is a spreadsheet where the review costs more than the medication, and the spreadsheet has been approved by four people. Scheduler: "The next new-patient slot is May." Me: "May of what?" Scheduler: "...I was hoping you would not ask." New-patient neurology access. The answer to a scheduling question should not require a follow-up question about which calendar year. Payer: "We're clawing back a visit from 2024." Me: "On what grounds?" Payer: "Documentation didn't support the level of service." Me: "She had a stroke." Payer: "We'd need that documented." Me: "It's the first word." The retrospective audit. Two years later, a letter arrives to explain that the emergency was insufficiently described.