Mrs. Concern: "You see my Mom for back pain, and it's still pretty bad."
Dr. Grumpy: "I've tried a couple things, but she wasn't happy that they all made her sleepy."
Mrs. Concern: "Yeah, but you really need to call in something strong for her pain, regardless of how sleepy it makes her."
Dr. Grumpy: "Is she worse today?"
Mrs. Concern: "No, but if her pain doesn't get better she can't watch my kids tomorrow."