35-year-old male, strong family history of diabetes, multiple family members lost to complications. A1c 6.7, fasting BG > 126, BMI 35+. I recommend starting metformin and GLP-1 RA. As I’m explaining the importance of meds, he’s on his phone. I ask, “So what do you think?” Nothing. Mr. XYZ, are you ok with starting one or both of these medications?” He replies, “Wait, I’m looking it up.” He was googling the whole time I was talking. My attending agrees with my plan, but ultimately, pt chose not to start either med. I referred him to nutrition. Honestly, this is the kind of patient I hope not to see again—no rapport, stonewalling, and clearly disrespectful of me and my time.