"Firing" may have been a poor choice of words. Any physician can send a 
patient a letter informing that person that the MD (or practice) can no 
longer provide care for that person. Because this particular patient had 
been so difficult and confrontational during her prenatal (and post partum 
care)and was unwilling to go along with the guidelines the practice felt 
were necessary for the safe care of her and the baby, and because this 
person gave all the physicians and CNM's in that group a hard time and 
because she had been so difficult for all of us nurses to care for, the 
practice finished her PP visit and wrote her a letter telling her that 
they would no longer care for her and that she would have to find a new 
physician(s).

Around here, if a patient is non-compliant, a physician has the right to 
terminate care. 

I guess the point might be that both the medical professional and the 
client are accountable.
Betsy Riedel RNC, IBCLC

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