Bert,
I didn't see your note, hope my note to Leslie clarifies it. Without wanting to get judgemental, I was trying to question why a philandering patient causes a reaction.
As a specialist, about 15-20% of my practice is lost every year, and has to be replaced with new patients and returning old patients, so I don't see a need to reject them. It is common for me to see patients after long intervals. Some can't afford specialty care, some get better, some have bigger problems than their arthritis, some travel to a bigger city or the universities, etc..
I see chronic pain and fibromyalgia patients and much prefer the autoimmune disease patients, so I am not perfect by far. If I don't want a patient back, I send a letter to formally discharge them, and I have had my share of discharged patients.
Dan
