My parting words to the caregiver during a home health visit was, " don't forget to call the office for any increased SOB or any falls, even if there no injuries" to which the CG replied, "well that's just common sense, I'm not stupid!" I explained that we always review home health safety education and 1st call procedure with our patients and caregivers. To which she replied," well, you can just take your education and leave" Gotta to love trying to help people that are mad at the world. The kicker is she said she pastors a church, I'm thinking hmm, The Church of Hell!