Eastern bloc 1980's vintage shitlording. I heard this from my parental unit, who's a doctor. When she was just fresh out of school, in the eighties, her department was headed by a Dr. K . He was in his seventies, and gave no fucks. His attitude was: I'm going to die soon anyway, why should I worry about atomic war -lot of scare-mongering back then because of  Reagan and Pershing rockets. Or lung cancer?  I survived Nazis, the war, being an insurgent medic - why should I worry about anything?  Once, during the doctors' round, a female patient complained about something. Perhaps that doctors or nurses attentive enough. Some sort of BS complaint anyway I was told. Doctor K. bent down, started flicking(?) the patient's fat rolls and said: "Miss, we aren't miracle workers here.." Then got up and continued on, puffing on his cigar and left junior doctors to deal with the fallout.  Age has its privileges I guess.