Scene: 20-something year old punk, high out of his mind and sporting a deep stab wound to the left thigh, refuses to cooperate during a trauma exam.
MD: "Do you have any pain - stop moving! - do you have any pain when I push here?"
Pt: "Yo, man, what's with all these questions? Can't we have an intellectual conversation or something?"
At which point we stopped the exam, brought some coffee shop chairs into the trauma bay, and began to discuss themes of fatherhood and identity in James Joyce's Ulysses.