I have a patient whom I inherited who is a chronic pain patient who recently wrote me a 4 page letter saying that I did not understand her and that she did not appreciate my "threatening" her by not refilling her full month's prescription of Lortab after she repeatedly rescheduled her MRI that I had ordered. She gets migraines and is unable to leave the house. I ordered the MRI in advance of a pain clinic referral which cannot be scheduled until her MRI is complete. Her 4 page rant clearly demonstrated dissatisfaction of my treatment of her. She mentioned she was going to get an Attorney to write a letter to the xray facility who also told her they would not reschedule her if she missed another appointment. Can I fire a patient like this who is clearly high risk? I really feel like the doctor patient relationship is compromised.
