So what is the purpose of coming in?

I think some times people do want help, but in times, especially if it's an elderly or someone who has responsibility or someone who don't want to be a burden or even someone who is just scared, they don't want to know what is wrong and are easily overwhelmed. Because it might mean many things. Like them needing more and feeling they might burden another, or them having no means to solve things even if they do discover the problem. Like finding out might take more time when they think there are more important things, things they find more important than their own health maybe. Most of the times, that is being needed by someone else. If you look at it that way, it can get sad. But that is human.

So I'd recommend kindness. I understand we don't always have patience to give. In my case, I am not in the health department, but when faced with someone elderly in real life, I imagine what if it's my most precious person. I would want someone to help them out. So I try to do the same, if I can.

I have been ordered to have a CT lung scan because I had bronchitis. I dont want the IV contrast. Sounds a bit over the top for me.

My daughter works part time in a doctor's office. Sometimes she is so drained by the stubbornness (and bitterness) of folks who have spent a lifetime not taking care of themselves.

Were you offering colonoscopy or what? 😅 That's what I'd decline as well.

The side quest we didn’t sign up for. You’re just trying to do your job and they make it impossible sometimes.

Send them packing. They`re wasting time you could be with someone who needs and wants help.

Maybe they didn't want to do it but somebody asked them to go in. So they can say they went in.
Guessing their insurance covers their copay?

I just want you to tell me by looking at me!

Maybe they were afraid of the test or really finding out the true issue.