As the other posts, we fire the patient for the behavior listed including repetitive cancellations. We send them a discharge letter so it formally becomes part of their record. Some go nuclear on social media as we have close to 5,000 fans on our site worldwide. At first I was concerned, but then realized that it tells others that we will not tolerate it. So the ones that want a lap dog will go elsewhere. It does seem that in the last 4 yrs we have seen a marked increase in bad behavior. I wonder if it has to do with the age demographics of the patient changing and we are seeing the wave of entitled & selfish thought process hitting our clinic.
