Flew a woman tonight, bleeding all over the shop. Smelt of sh!t, p1ss, and looked as though she hadn't had a wash in ages............... Then I remembered that I'm a Helivac pilot and that she had been knocked over and eviscerated.
Things aren't always what they seem. Could be that your pax was in dire straits and just needed to get back home for treatment without being able to afford a medevac. There is always a reason for the way that people present themselves.
Try not to be too judgemental, it may be difficult to deal with, but it's not forever. It may just be that you made her day and brightened up her very sad and painful life. We aren't all lucky enough to be able to afford or to be afforded POD healthcare.