I would fire them. Of course I fire patients all the time because basically when I was in residency I had to see everyone no matter what and many times the patients would be nasty to me or the staff. That equaled a bad work environment. Now that I'm in practice myself, I keep an awesome work environment. If someone is even remotely nasty to me or my staff they get the walking papers. Plus Bert, you can tell them they can go and see the person who replaced me at the Walmart clinic! I would scan the letter into the chart too Bert.

lol, I remember in residency when a patient's mother kept riding me hard because her son had mono and was fatigued and I wouldn't do anything about it. Since I couldn't dismiss her, I decided it was time to have a frank discussion about good old American free market economics. I said, " Mam, I'm not sure if you know this or not, but we live in America which is build upon the capitalist system of free market economics. That means that if you are not happy with the care your child (who I think wasn't even a child, he was like 19 so your man child) is receiving from me, you are free to take your business elsewhere. I know that if I were not happy with say, the way my barber cut my hair, I would not go back there, I would go somewhere else." Oh man, she turned sooo red and was pissed! lol Of course the son didn't seem to care at all, he was staring at the wall probably dreaming about going home and playing some video games. Did she leave? Nope, kept coming back and calling and complaining about his mono.