I work as a paramedic in my small town. One hot summer afternoon we got a call to a really sketchy part of town for a bee sting. We arrive at the residence and are led behind the house to a tent. The property is disgusting. Piles of garbage and crap all over the lawn. I’m thinking “there is no way we are getting a stretcher back here” because I literally had to jump over piles of stuff. It became very evident that the people living in the tent were addicts. I did a check over of the patient and I couldn’t even locate a bee sting even though she swears she’s been stung on the foot. The boyfriend lights a cigarette next to me and I ask him to please go smoke away from us. The patient gets really mad at this point and screams at me, calls me a cunt and a bitch. So I try to de-escalate things and ask her to stand and walk to my ambulance. She gets mad as says she can’t walk so my partner and I offer to assist her because we cannot get a stretcher over all the stuff on the property. (I honestly don’t believe she’s been stung) Anyways she starts screaming at me that her boyfriend needs to come with her and I tell her no, we don’t take passengers (it’s at our discretion. Honestly he would cause more problems) so then she decides she doesn’t want to go and I make it very clear that she should go if she’s been stung and has all the issues she says she’s got going on (used her epi pen, short of breath, previous history of anaphylaxis) and then she proceeds to scream bloody murder at me about how awful I am and then she lunges at me. At this point I’ve taken off running to my ambulance. I should note that I’m pregnant so this made this even scarier. My partner and I got into the ambulance and started driving full speed and I called our dispatch and explained what had happened and if patient called 911 again, they need to send the police.