Madame-the meme is funny to those of us who are dealing not with well informed "determined" patients. It's the Diabetics that come to the ER in DKA and a Pepsi in their hand and argue with their plan of care or well meaning family members who think webMD or a Google search trumps their provider's knowledge. If you feel someone is inappropriate state your case. But it's a fine line between advocating and arguing.