"Patient Abuse" is a sketch from the final episode of Monty Python's Flying Circus, "Party Political Broadcast". The sketch is among the few not entirely written by members of Monty Python, and is notable for its considerable amount of black humour. It was co-written by Python Graham Chapman and his friend Douglas Adams, later known for creating The Hitchhiker's Guide to the Galaxy.[1] Mind-boggling bureaucracy is a recurring comic theme of Adams' work.