Any of the options that lead to dismissal, always brings up the following issue. What if it is a patient that you would simply not want to lose. In fact, you just could not bring yourself to dismiss that patient. The patient with Dermatomyositis or Mitochondrial disease that you have followed for 14 years. Or just the family that you love. Sure, fair is fair, but it simply is going to come up. I suppose since, by definition, I am that close to them, I could call them.
Here is where you need to take off your rose-colored glasses. It is obviously a one-sided love affair if your patient does not care or respect you enough to value the 14 years of marvelous care you have given their child and to pay you for those services.
