She just sat there and listened — what else could she do? Did he really think it was the first time she had heard this? Was the rehearsed monologue supposed to elicit some sort of epiphany? One of our pre-clinical instructors told us a story about how she went to the doctor’s office to get a refill, only to receive a 20-minute lecture about her weight by a resident. She walked out of the office both irritated and empty-handed, her refill not completed: “I know I need to lose weight!” But, at that juncture, and in that manner, she felt it simply was not the appropriate discussion.