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I'd have asked for one. Are you sure he wasn't just some random bloke waiting for an appointment who crept into the office?
You jest or maybe not BUT..years ago..in the late 70's I had occasion to visit a large mental hospital (not as a patient) I don't think they call them that now do they, if they still exist ?...and as I drove to the entrance where there was a small painted roundabout on the ground a man was directing traffic..mainly cars. It was quite a busy place and I slowed down wondering what he was doing..or rather why. He signalled for me to park in a nearby slot. Anyway, I did that, got out of the car and walked the 15m or so to the entrance at which point out came a doctor.. and yes.. wearing a white coat...who spoke kindly to the man, caught hold of his arm and took him inside. I told matron (I think she was a matron)about it and she said he was a patient and liked to direct traffic. A couple of year later I watched the wonderful film 'One Flew Over a Cuckoo's Nest (1975) and immediately thought of this patient.