I honestly think more patients should be discharged from practices. We have a low threshold for doing so. It is a two way relationship, and there are plenty of other doctors they can see. One of my best teachers once told me, 5% of your patients will cause you 95% of your headaches. He wasn't referring to their medical complexity, but their mental issues complicating their treatment. If you can weed through those patients, your life will be much easier. Sometimes personalities just don't match. My two cents.
David Lee, MD
IM
Dallas, TX
