So Keith, I find you calling Australian ATC "the pedants society" offensive in the extreme. I don't get to choose which rules I comply with. Every thing I say, click on the computer, and write down is recorded and can be used against me. Can you please let me know which rules you disregard and which airline you fly for so I can avoid it in the future.
Keith, Australian ATC is full of this type, unable to decipher a message from a pilot who's first language is not English. The common sense solution is to declare the medical emergency for the operation concerned, put it in the label and go to the flow. I was willing to defend my actions 'because it was recorded and could have been used against me'
In the end I couldn't stand this garbage and left.
Regarding his or her last sentence (sanctimonious crap) reply to them with:
'Let me know which sectors you control, I can then avoid them when I have a medical emergency and my passenger won't die because you're too worried about being nailed for not responding in the 'ICAO way'