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I have a patient who has out of

control HTN, Lipids, and non-infectious hepatitis, who does not come back for

f/u, is threatening (I could sue you), bullying, etc for the past 6 months. He

lives half the year in Az and the other half in Michigan. He want his medicine,

with no f/u labs and has accused me of single handedly increasing overall

health costs. His wife and son are also patients and are great. She has called

me, and is concerned that he refuses to see a MD in Michigan, and that he is drinking more. My messages

are unanswered. I have already told him 3 months ago he needs to see an endocrinologist

because of his HTN, lipids and liver issues.

So do I discharge him (I’ve never

done this before). And what do I say?

Family Practice of sdale

Az

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