Q:

How do you handle or recommend handling patients who never do 
what you ask, don't keep appts., complain about everything, and then 
seem disgusted that they aren't better after 2 adjustments?  It 
seems lately half my practice is this way....and it gets very 
frustrating. Thanks for your help!

A:

Thanks for the e-mail. With the problems you described .. I would get 
rid of these patients .. they should be few and far between. Since 
this has recently been a problem for you .. you must reevaluate the 
way you consult with them and do your report of findings. If a 
patient sees value to what you are providing they will be more apt to 
follow your directions. So .. what do you say .. how do you introduce 
them to their problem .. what is said about your solution .. is money 
introduced too soon as well as a schedule? If you care to sit down 
with your computer and write exactly what you would ask at a 
consultation and ROF .. just assume it is a low back patient .. I will 
review it any give you my opinion. In a professional atmosphere .. 
there are no inmates running the asylum .. you are in charge. Thos 
few you let go .. if there are more than a few .. it¼s probably you at 
fault

Have a Great Day

Dr. M

By the way ..if you have my Smart Start Book review chapter two 
which concerns consultation and chapter three which concerns 
report of findings