I once did finally lose it. The medical director, SNF, a real *****. Obnoxious, foul, and 'incompetent'. If you called this ***** a second after 5PM, he would cuss you out, insult you, and spend 5 minutes on a psychotic rant about 'calling me at all hours of the day and night', ad naseum. Couldn't stand him, and I made that clear. He made me want to vomit, not to mention he fancied himself quite the stud. Ick. Got a patient on Friday, came in the door at 5:05PM. Called this ***** for admit orders. In the middle of his rant, I told him "Either you are, or are not the doctor for this patient. Either you will, or will not give me admit orders- and if not? You need to RESIGN. I'm sick of you, every OTHER nurse is sick of you, and most of your patients DESPISE your arrogance. Now that I told you that- you can either give me orders, or not- and come what may, I do not need to work here. When I hang up, I'm going to the DON, to tell her what I just said to you- trust me, I'm not intimidated by you whatsoever. No more of this, period". He gave me the orders and slammed the phone down. I told the DON what happened. Nothing came of it- and his attitude changed BIG time.