Each caller was a unique individual, of course. In an ordinary practice where he would have been treating young people with such problems, Dr. Andy David Piktis, MD, would never have mocked his patients publicly. But Mel, no physician, neither ethics nor bedside manner any concern of his, began to treat the callers as if they were always the same annoying person, doing the same dumb thing again and again. His comments, sometimes during the calls and sometimes after, grew increasingly abusive.