I liked that clip! Seriously, doctors do fire difficult patients. They send out letters stating that they are unable to meet the patient's needs or that they have too many patients and will forward files to the new gp.  Phrased nicely.    Forgot to add that to my post.  Random fun fact...doctors used to add FLK to the medical charts of some children. It meant funny looking kid and referred to children who looked, well, funny or off. I have no idea why this odd acronym popped into my brain.