@im.nurse.liz: Do I like making people upset? Absolutely not. And for a long time, I messaged back and forth about everything. Until it took up all of my evenings. And hours out of my weekends. And I had to start implementing boundaries so I didn’t rage quit: again 🫠. I absolutely get it from a patient perspective that appointments are hard to get and make it to and they’re expensive. And with every ounce of me I wish it wasn’t that way. But doing work ups over messages, isn’t sustainable. It’s unpaid labor. And it will burn you out in no time. So boundary up. Prepare to get some heat, and repeat after me. “I want to give this the time it deserves, please schedule an appoijtment” and “I would love to, but unfortunately i can’t”. How do you handle this?? Would love tips! Because I still get sad when they get mad. #nursepractitioner #primarycare #inboxmanagement #healthcareworker #howhealthcareworks

Liz | Family Med NP
Liz | Family Med NP
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Region: US
Monday 29 December 2025 22:41:55 GMT
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lordtyrion2018
Lord Tyrion :
MyChart should have an automatic message that pops up after the 2nd reply back to patient that says if the first response wasn’t want you wanted to hear call the office and make an appt
2025-12-29 23:02:14
236
ellyyykayyy
Elly K :
Primary care PA here - the messages/my chart are the main reason I will probably be leaving PC. Which stinks bc it’s such an important field, it’s such a lost cause. If you don’t respond quick enough, you get a 0/10 review
2025-12-30 21:05:29
85
heartnurse86
Nurse Monica :
As a RN who handles these patient messages daily…I wish someone would tell my upper management that the back and forth is too much!
2025-12-31 00:44:07
144
coal7028
Coal702 :
Make a quick phrase. "I'd be happy to discuss this with you in clinic or via telehealth, please call and schedule at your convenience." And educate your staff to use it.
2025-12-30 21:49:42
67
shelbeewhited3
Shelbee Whited :
Ahhh MyChart is the worst sometimes. Especially when the spouse messages on their own “John needs all his scripts refilled.” 🤦🏻‍♀️
2025-12-30 03:43:52
17
appleuser68624456
appleuser68624456 :
I forward to my MA or nurse and say “ needs to be seen” and keep it rolling. They will be able to explain this to the pt and get them scheduled. I give very little time and effort to things that I don’t have to. Too many other things to do.
2025-12-30 00:28:47
76
priorityyouhealth
PriorityYou Health Center :
The administration expects more and more of the provider without compensating them. I will not do it. It’s a liability. And I don’t work for free
2025-12-31 02:00:53
33
asantarelli1324
Andrea Michelle :
I had a patient message in on Christmas Eve at 6:30pm (our office closed at noon) asking for antibiotics, and the. Got a second message two days later yelling at me because she ended up in the hospital with pneumonia. Like ma’am, expectations 🙄
2026-01-02 21:01:36
6
asleep_again
Asleep_Again :
I recently learned how to billfor these. If a patient initiates the message and you order anything from it and they’re not seen within that week you can bill an E visit.
2025-12-30 18:01:08
8
wheels4972
Wheels :
When they close with “or do I need to schedule an appointment?” 🫶🏻🙌🏻👏🏻🙌🏻
2025-12-30 17:49:46
21
msdeeds85
Megan :
Our office policy is as follows: “If you are wanting to speak with the provider and get any medical advice, an appointment is required for documentation purposes.” “Any new medications or doseage change requires a visit for medical advice and documentation”. My provider’s do not answer any messages via the portal. They are too busy seeing the patients in person.
2025-12-31 01:34:43
51
champagnemami212
Bee :
These patients are out here sending novels in mychart!
2025-12-31 15:13:27
40
emac2011
Meg :
as a MA,who thankfully the boss listens to me, I refuse to set up pt messaging. do I hate 20 voice mails every hour? yea. I really do. but pts messaging their provider is an absolute NO in my book.
2025-12-29 23:36:51
10
amysieweke541
Siewekegirl :
How long is the wait to see you? I find myself in the conundrum often that I don’t have open appointments for weeks. Then on top of that, they outsourced our phones and it is like playing the telephone game so they do the MyChart messages to make sure that I get the message they want conveyed. COVID opened this Pandora’s box and it just won’t close. It is definitely going to be what will end me in the long run if I can’t figure it out I’m afraid
2025-12-31 02:17:39
5
nailarojas
Naila :
I work in specialties and our patients thinks we’re urgent care and can do everything for them. I really wish I could but it’s just not possible.
2025-12-30 02:53:58
19
metmay08
metmay08 :
That messaging system is meant for canceling an appt or double checking your time, simple questions. Not actual healthcare.
2025-12-31 04:47:42
29
user4961544856744
shark23 :
Mychart is not email but patients dont get that- killing my joy and is the reason for my early retirement -we should be able to charge for mychart messages like lawyers do
2025-12-31 20:09:07
4
beverlygriercarte
Beverly Grier Carter :
100% and what really gets me is when they get mad for having to come in. What other business can you just call, get service(s) and not have to pay??? None. None. None.
2025-12-31 05:33:11
5
caitlinvanston610
caitlinvanston610 :
I work in specialty as a secretary & totally feel this. All the people call in just wanting you to message the doctor about any & every little thing it’s WILD!
2025-12-30 23:38:56
7
nikole2890
Nikole :
“I really want to give this the time it deserves, please make an appointment”.
2025-12-31 16:43:57
7
rtwhasgh
Red Shrt :
99421, 99422, and 99423. They aren’t a lot per time, but it adds up and makes it clear that your time isn’t free. Also helpful to track so that you can justify staff to assist
2025-12-31 00:55:20
7
adcnm9247
Ashley :
can confirm I own my own practice and I give away so many services because I feel bad. I hired other people to do it and its so much better now
2025-12-30 22:51:22
5
moon.child.2345
Moonchild 🌙 :
As an EHR analyst, I would highly recommend that you work with physician leadership to develop an organizational or practice policy about how to manage these. For example, “according to the policy, medication, lab, and radiology orders my accompany a visit (in person, virtual, or both); also I would say there should be a max number of messages that a provider can reply to per visit scheduled. So you can answer 2 messages after a visit. This will help implement something in the EHR to mirror that
2025-12-30 18:11:18
9
np_afterhours
DJ CARM 🎧💜🌙🫶🏼 :
The portal blurred the line between work and personal time. 17 years of experience taught me: no messages after 5 PM—boundaries matter. 💜
2026-03-09 01:13:43
1
nimomnp
NimomNp :
yep boundaries are important
2026-02-16 07:05:25
2
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