its not taken seriously as DOCS bring money, I once was suspended without pay for 3 days because a doctor cursed me like i was pond scum, I told her she wouldn't talk to me like that , I laid the phone on the table people around me could hear screaming, when she quit screaming I picked up the phone to a dead line, my suspension was for unprofessional communications "i had hung up on a doctor, I challenged the HR to investigate it to ask witnesses, the HR lady said oh you mean there are witnesses, ..... yes was my reply, upon their investigation they gave me the one day off with pay as I had started serving the suspension, but still demanded i take probation as I didn't direct the doctor to my superiors, ( like I could get a word in edgewise) these occurrences are the norm in smaller cities throughout the south and midsouth..... I don't see this as much in the cities