So I had a patient - in a 20 minute slot of course - come in for a VA physical to evaluate her for disability for shin splints and flat feet. This person was 22 so I thought it was silly, but not outrageous. Then I saw the VA requirements. So I went through the physical's requirements with this girl who was 9 months pregnant with an EDC 7 days away and said, "So I'm evaluating you for your shin splints and flat feet... and they want me to do a breast exam, a pelvic exam, a rectal exam... oh and draw labs and do x-rays on you. Yes, we're not going to do any of that today." So I mentally gave the VA the finger and figure they'll either send her back - by which time she'll be postpartum - or get their own doctors to do their crack head physical... I will say, though, that making a 9 month pregnant woman do the duck waddle was somewhat amusing however - unwise, perhaps, but amusing!