"So it might also have happened to me -- had I been on the receiving end of your patient -- that he would have gotten a GOMER [4]-sticker and the connecting comments." I'm just curious: what if the ambulance staff were also having a bad day, or the person dealing with this wasn't very assertive, you could have a patient in clear need of treatment, left to suffer.... Most of us like to have a gripe about our jobs, but it's been my experience that in some places that attitude becomes toxic and instead of being a steam-vent to help deal with bad situations, actually starts to create them instead. At what point does the repeated consensus opinion that "some of our patients/clients/customers are tossers" start to cause serious failures, which affect the ones who are genuine and need help? (None of that is meant as a personal comment at/about you, just a general question.)