Dear Dr. [Scrivener],
Because of my chronic daily headache, I cannot get out of bed most days, so I cannot work and am now applying for disability. Can you fill out my paperwork?
Oh, and I need to reschedule my appointment with you next week because I’m going on vacation to the Caribbean. Even though I just told you I am bedbound and cannot work, I am still able to deal with airport security, cramped airline seats, and sitting out in the tropical sun sipping pina coladas on the beach. Can I get an early refill of Imitrex tho?