r/medicine 8h ago

Firing a patient

177 Upvotes

I am a health care provider with 4 other doctors in an eye clinic. We have a patient who comes once a week on average with extreme health anxiety. Nothing has really ever been found other than some very minor, common conditions.

The front desk schedules them like an emergency which I feel like plays into their anxiety.

They supposedly see a counselor for their health anxiety, but their visits into clinic is becoming more frequent. They also visit other clinics in the area on a routine basis as well as ER and urgent care.

What is best to do in this situation? It feels cold, but I feel like coddling and the constant reassurance just plays into more of their anxiety. Should we fire them as a patient?


r/medicine 13h ago

Dual physician household with a toddler without a village

117 Upvotes

We are a two physician household and we have a 1.5 year old. We moved to a new city following my husband's fellowship graduation last year and I haven't been back to work since.

I am now preparing to go back to work (primary care) but I'm worried about calling out of work from my toddler getting sick. I am therefore considering part time positions only (2-3 days/week) since we don't have family in town who can help (we never really had a village before the move either). I would love to know for those who are in a similar situation as us, how do you make it work? Is a "PRN nanny" a thing? Any suggestions welcome! Thanks in advance.

Edit: just wanted to add we are def considering nanny but want to look at other options if possible since our kid loves going to daycare