I understand what you're talking about. I've been an ER nurse for ten years and I can't stand to see my co-workers having bad attitudes. Whether we believe the pt is sick or not is not our job. If the pt is in the ER, then treat them. If you (nurse, docs, etc) don't believe they have a valid reason to be there then tell them respectfully. For instance, I've heard doctors tell the pt that " in the future, this is something you may consider going to your doctor about." Or I've even told pts, "We can treat you tonight, but your doctor will be able to give you what you need better because he will keep close eyes on you and your health." The point is that we (nurses, docs, etc) are not judges, but caregivers. And if we don't care then we should be in another line of work.