I'm really over you

To my most recent frequent flier-
I understand that you have anxiety. I understand that you do have true medical problems. I understand that you get upset when your wife gets mad at you and you decide to "show her how much she makes me hurt" so you tell her you have chest pain. I do NOT understand why you think that you must call an ambulance and go to the hospital for said chest pain at least 2 times a week. Do you not think that we notice that you are almost always sitting on your back porch waiting for us? Do you not think that we notice the liquor bottles in the trashbag beside your chair? Do you not think that we see that you're outside in your pajamas, doing a crossword or sudoku puzzle? Do you not think that we hear the "fine assh*le!" from your wife everytime that you open the door as we are leaving to go to the hospital to tell her that you have to go be seen for your "chest pain"? We do. We notice ALL of these things. We also know that you are completely abusing the system. We realize that you go to the ER, get a 12 lead done by them, you demand phenergan and dilaudid (for your horrible 20/10 pain of course!), and then demand a sandwich because you're hungry. Can we do anything about this? Of course not... and our management won't step up to the plate and tell you to cut the bullshit because your VA insurance pays the bill since you complain of chest pain. Instead, we are just running you multiple times a week (the most I've seen him in one week was 5 times!!). There aren't any other ambulances for about 15 miles to respond to our area if somebody else needs help. Like recently when we had a car fall off the jack it was on and land on a little boy. Guess what? We know that kid. We know his parents. His mom used to work for us and a lot of us went to her baby shower and saw him on a pretty consistant basis until she switched jobs recently. When did this happen? When we were transporting you AGAIN! to the hospital... for the third time in the past 4 days. Your lack of concern when you heard the radio traffic and I told you that a car landed on top of a small child REALLY pissed me off. So, no, we really don't give a damn about your bullshit. You're right too.... they really are tired of seeing you at the hospital and wonder why you keep coming in for the same complaint. They also aren't happy that you refuse to follow up with the doctors they recommend you to because you claim that you don't have money for gas to get there.