Small-town ER doc: "Yeah, I have a transfer for you."
Me: "Why do they need to be transferred?"
ER: "Well, they have a pneumonia."
Me: "Are they intubated?"
ER: "No. Their sats are normal on room air."
Me: "Then why do they need to come to us? You guys are a hospital, right?"
ER: "Yep. Their primary care physician didn't want to round on the patient so he demanded we transfer."