I’m not a doctor but in health care; my worst patient has severe BPD and makes vile threats about going off her medication if someone doesn’t talk to her right away, because despite being on it for decades suddenly she’s making up some bullshit side effects, and what it really is is her trying to hint she’s going to commit suicide, since that’s what many of them do. She’s obnoxious to all of us and has no consideration for how she treats anyone, she’s just a screaming black hole to pour attention into. BPD is a very difficult personality type to work with, but at least some of the younger ones have some insight at minimum of their condition, the older ones are rather more malignant and like to terrorize people to satisfy their destructive urges. They’re super hard to treat too.

My funniest patient story I’ve heard (not my patient but an ER story) is about a guy who for some reason set the ball of a trailer hitch on fire and jammed it up his ass, and then came in and tried to hand this shit covered burned ball to the clerk at the window while announcing he needed treatment for his finger and ass burns. Wildest ER story I’ve ever heard in my career.