We have a few asthma patients that just want their resue inhaller refills without visits or proper control. Got one right now as a matter of fact. Nancy wants this guy to get in and give us a visit and a spirometry but he hasn't returned our calls. Yeah, now we're your mother too, right? "Honey have you called your doctor about your asthma issues???" So we are trying to hold the refill "hostage" to get this guy to come in, but with asthma you're always a bit concerned to hold out because they might actually need it one night... People are just so messed up and manipulative. It just blows my mind sometimes the behavior I see in this office.