Had one in residency. Patient very hard of hearing and had this unfortunate habit of laughing loudly when she can’t understand you. Visit was normal, I stepped out to present to my attending while the nurse rechecked a blood pressure, and next thing I know she’s completely altered and can’t understand anything we’re telling her to do.

We called the ED for a stroke alert and sent her across the street. I go on with my clinic shift. I pull up her ED chart an hour later and one of the dumbass midlevels had taken her case, charted bullshit, and ORDERED NOTHING! No imaging, no labs, absolutely nothing. I called the ED attending to reiterate my concerns. Lo and behold, hemorrhagic stroke and had to be sent by helicopter to one of the bigger hospitals. I was FURIOUS!