But the insurance and governmental intruders have finally grown too big to work around effectively. On Jan. 1, an elephant was placed in the exam room of every family physician. Elephants are messy.
Elephants crush people.
I will do as I think best in my exam room, document what is necessary and bill what I think fair. But elephants have a nasty habit of crushing people who don't watch out for them. I'm hoping someone out there knows how. Sometimes the patient problem is a problem patient. We must recognize, however, that some patients demand so much that they simply cannot rein in their rage, reason or recognize good care.