One thing is certain though: I never ever take it for granted that a patient likes me. More than once I've found that the patient that was all hearts and flowers and cooperative with me yesterday is defiant and lobbing chairs at me today. So I approach each day--and often, each and every interaction with the patient period--as though I don't know where I stand. And I also stand a little further back than I can think they could throw that chair. It is much safer that way.