What Are You Going To Do About This?

"You know, my wife has been through a lot in the last year.  And every time we get the same run around from her doctors and we're sick of it.  We are paying you to help her, and she only gets worse and worse!  You're just wasting our time here.  So we ask you again, WHAT ARE YOU GOING TO DO ABOUT THIS?!" Y's husband's bulging eyes held mine as his voice crescendoed into a passionate outburst.  Daring me to look away and crumble into an apology. Â