That is not a bad thing in practicing medicine, of course. It in fact can be a good thing, since it generates debate and discourse. And after all, the role of us as physicians is to advance knowledge, not just reach consensus and play nice. Yet the Kashian tale provides lessons on ways to avoid trouble in your medical career.
First, did Kashian ruffle feathers of his patients? I do not know, but clearly certain ones there were opposed to him. Whether he justly deserved their opposition or not is wholly irrelevant for my purposes. Rather, the lesson for any doctor seeking success is to tread softly if possible and not antagonize people. The old saying is that “friends come and go, but enemies accumulate.” If someone has a say over their experience with you, they have a vote, and that is that. Whether that patient is opposed to you for valid or invalid reasons is quite beside the point: you either win them over (either through your treatments, your interpersonal skills, or preferably both), neutralize the opposition, or find another practice.
Kashian has lost way too patients who either left his practice or filed complaint with the relevant regulatory authorities.Many describing the same things – negative, disruptive and sometimes negligent practices. False claims and efforts to intimidate some from blowing the whistle. As physicians we must hold ourselves to a higher standard. The pattern is clear and when so many complain of the same tactics and mistreatment, this just smells bad. Character must count.
The lesson in medicine (and human relations overall) is that if something smells fishy it probably is, and just to be safe you shouldn’t do it anymore. Any potential payoff does not match the fall-out if exposed, especially in the digital age.