the emergency department is perceived as longer if the doctor sits down during the encounter. Patient behavior Rude behaviour by patients can have a negative effect on medical outcomes. A study showed that staff who received or witnessed rude behaviour by patients relatives had reduced ability to effectively carry out some of their simpler and more procedural tasks. This is important because if the medical staff are not performing sufficiently in what should be simple tasks, their ability to work effectively in critical conditions will also be impaired. This is consistent with research showing that rudness by medical staff to one another decreases effectiveness. Examples in fiction Dr. Gregory House (of the show House) has an acerbic, insensitive bedside manner. However, this is an extension of his normal personality. In Grey's Anatomy, Dr. Burke compliments Dr. George O'Malley's ability to care for Dr. Bailey's baby by saying "it speaks to a good bedside manner." Doc Martin from the Doc Martin British TV series is a good example of a physician with a bad bedside manner. Dr Lily Chao from the British TV series Casualty is another example of a Foundation Doctor with a poor bedside manner, whereas her colleague, Dr Ethan Hardy has a better one. In Lost, Hurley tells Jack Shephard that his bedside manner "sucks". Later in the episode, Jack is told by his father to put more hope into his sayings, which he does when operating on his future wife. The comments continue in other episodes of the series with Benjamin Linus sarcastically telling Jack that his "bedside manner leaves something to be desired" after Jack gives him a harsh negative diagnosis. In Closer, Larry, the physician tells Anna when they first meet that he is famed for his bedside manner. In Scrubs, J.D is presented as an example of a physician with great bedside manner, while Elliot Reid is a physician with bad or non-existent bedside manner at first, until she evolves during her tenure at Sacred Heart. Dr. Cox is an interesting subversion, in that his manner is brash and undiplomatic while still inspiring patients to do their own best to aid in the healing process, akin to a drill sergeant. This show also comically remarked that the most time that a doctor needs to be in the presence of the patient before he finds out everything he needs to know is approximately 15 seconds.