text_1: He states this is a frustration question.  There is no answer.  She is an exceptional patient that lives in a group home.  Is having bleeding between periods, so scheduled for Papanicolaou smear.  At the last visit she was having her period, so rescheduled for today and because of reluctance to have exam, was given Mellaril prior to coming into office.  Again she refused to have the exam and so staff at group home will watch to see if symptoms worsen -- may have to examine under anesthesia if symptoms warrant.
text_2: Hospital nurse never had chicken pox, negative titers, should I give vaccine?