Rude, offensive patients on the nose

The environment lends itself to edgy, in-your-face behaviour. Over the years I have learned to tolerate any number of eccentricities in my waiting and consulting rooms.

Lately, however, things have taken a turn for the worse. Swearing seems to have become de rigueur. As far back as 350 BC Aristotle warned “the light utterance of shameful words leads soon to shameful actions”.

And this is true in medical practice. Young people consider it okay to express symptoms or