A pensioner found herself back in court after she was accused of making hundreds of abusive 999 calls, including one demanding to be taken to bingo.
90-year-old Lena Taylor was convicted of making nuisance calls to the emergency services in July. She received a two-year conditional discharge.
But Taylor was at North Tyneside Magistrates again this month, accused of making yet more abusive calls.
The court heard that the pensioner, from Churchill Street, Wallsend, made more than 400 calls to the North East Ambulance Service between July 14 and August 30, putting a great strain on resources.
During one of the incidents, another caller - reporting a baby who had stopped breathing - was held in a queue.
Prosecutor Bethany Jendrzejewski said there had been 420 calls to 999 and 103 to the 111 NHS number.
Mrs Taylor's telephone calls are aggressive in nature and trust staff are repeatedly being abused, insulted and sworn at. And this is causing distress to staff.
Ms Jendrzejewski said these incidents were having an impact on the emergency service's ability to deal with other callers.
Taylor, who came into court using a walking stick, pleaded guilty to a malicious communications offence.
In mitigation, solicitor Mark Harrison said his client, who lived alone and was vulnerable, needed an appropriate care package to help her and suggested that a mental health assessment should be carried out.
She had not committed any offence prior to her 90th birthday.
He also said Taylor was now considering moving into sheltered accommodation.
Magistrates adjourned the case until November 2 to allow pre-sentence reports to be prepared.