Thanks for the response. The past 24 hrs has been a roller coaster. I was told this morning I was not perfect. I never thought i was....He has been in practice for 3 years and been through 8 people all that have been fired for various reasons. There is no structure in the office, no policy no procedures nothing. He is anal retentive on his charting and it has taken it s final toll on me. I have to get the full description on the pain the location of the body part, dermatomees, and if I get it wrong i get lectured for 25 minues. He does not understand patients will tell nurses one thing and the doctor another. We have gone head to head.We were going to do a procedure and asked if I had given Valium. No, the patient was alone and did not have a driver. I was ordered to give it to her, I refused. The doctor said well I am the patient 's advocate. I told him well so am I , and she has no drive and it is isa safety issue now. Still refused. HE gave it to her. I have started to update my resume I have had it. I can not eat, unable to sleep.