Suffering patient

All right, today I had this talk with a migraine patient. For the record, I've been following her for over 5 years, and at every visit she tells me that her headaches have gotten worse from her last appointment (why she stays with me I have no idea).

Dr. Grumpy: "How are your headaches?"

Ms. X: "Oh, they're awful. They've gotten worse."

Dr. Grumpy (looking at chart): "At your last visit you told me they were constant and daily. How has that worsened?"

Ms. X: "They're now even MORE constant and MORE daily."