Whether a patient is being mean and inappreciative or irritable due to depression is an important differentiation.
Àô What if their _meanness_ is a combination of disappointment and/or rage?
Àô What if they wait for hours in waiting rooms and see a difference in the way they, versus private patients, are treated?
Àô What if the accident itself was the result of under-trained co-worker(s) whom they believe should never have been performing the job?
Àô Or, worse, as in a patient this week reported, they have ample confirmation that their _accident_ was really sabotage at the hands of an envious or retaliatory co-worker.
Àô What if the accident resulted from faulty equipment or safety standards that they have reported numerous times and which are implemented as soon as they are injured.
Àô What if their spouse left, their children_s needs cannot be met, they are rapidly approaching bankruptcy, and their check, which is one-half their previous income, is arriving late, mileage checks not arriving at all, and they do not have viable transportation to their appointments.
There are many, of truly recalcitrant and anger-filled injured workers, but I am wondering if merely labeling them does much to improve the efficiency and accuracy with which we manage their cases.
I do not think we can dismiss them as solely or simply obstinate until they are examined, and we know what is driving their hostility_and a viable means to more effectively deal with them.