I was writing a big long post about a pt encounter, then I realized it was so long and full of jargon that only other ODs (or those with the condition) would get it.
"Hostile" pt comes in (front desk lady's term) and I see pt and try to soothe the ruffled feathers. Pt has already been seen for current symptoms by ophthalmology practice. Bunch of tests but no cause given and no treatment.
I do different evaluation, figure out the issue can be treated (at least partially) with glasses with prism (different type of lens for muscle misalignment). Pt says they never had any of this stuff done before by other docs. (Lots of docs don't like doing binocular vision testing)
They compliment my jewelry while I'm working to find the right prism for them.
End the encounter with pt telling me about their rodeo wild days when they were young and comparing bird skull jewelry (my earrings to their necklace)
I go out to the manager, set down the pt file and say "sorry, the "hostile" patient likes me, I'm their doctor now."
TL;DR: sometimes people are frustrated/angry because they need help and other's have failed them.
(pt could have been nicer but intermittent double vision can be scary.)