Sometimes these refusals are couched in terms of a physician's conscientious beliefs or appear to be attempts to encourage behavior the physician deems desirable. This could cause loss of jobs for those employed there, loss of income for the physician, loss of reputation and possibly loss of licenses or certifications. This type of issue should definitely be handled behind closed doors and preferably when the office is closed and no patients are there present to witness it at all. The physician and the office manager knows that their discussion have been in a better place to discuss. The patient should not have been able to overhear their conversation because they can report it. If the patient reports what had happened the medical office can
