It means I'm doing something against my better judgment.

John: Oh, I gotta run. Already late.
Marlena: Me too. I have a meeting.
John: You don't sound too excited. Difficult patient?
Marlena: Difficult? Um, that's not quite the word. And no.. it's not a patient.
John: What does that mean?
Marlena: It means I'm doing something against my better judgment.


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