Yeah..You have my sympathies..People can be so cruel..
The nurses from the foster home/orphanage certainly reminded me of a former step mother of mine, who treated my step sister like crap..
And I'm sure I've spoken to a Doctor just as insensitive as this at one point..
So yeah, it's ironic most people probably read this and think that it's lacking in subtlety, and a bit unrealistic. But having encountered people like this in real life, I have absolutely no problem with suspension of disbelief here..None at all.