When Safe Practice Makes You the "Difficult" NP

When you stop continuing someone else's unsafe prescribing, you are doing the right thing clinically. What follows is that you become, almost immediately, the difficult one in the building.

In Part 1, I described the panel I inherited and the 2 moves I made with it. This part is what happened next, the part nobody warns you about: pressure from patients, from colleagues, from staff who cannot prescribe, and finally from leadership, each of which makes the decision feel like a personal failing.

It is not one. It is what happens when a practice has been running on a prescribing pattern it never had to answer for, and someone finally stops carrying it.