My Therapist Just Fired Me (maybe?), What To Do?
August 6, 2015 3:51 PM Subscribe
I am seeing a therapist for pain management. I called to cancel this morning because I had a migraine and was in no shape to go to my appointment. His scheduler called me back and said that I had violated a no show policy, and she’s going to have to talk to the therapist but I’m probably discharged from their clinic. I was unaware of such policy. I’m pissed, hurt and feel incredibly vulnerable. I’m not sure what to do next and could use some advice.
The longer story. I see a therapist that is part of an integrated pain management clinic at the local hospital. I started at the clinic 3 years ago due to chronic pain from fibromyalgia and a PCP that didn't know what else to do with me. The program involved seeing a therapist and a pain management MD. I ended up finding a doctor who specialized in fibromyalgia based on the previous therapist’s recommendation and leaving the MD side of the pain management program. But I stayed in therapy with him. He retired, and referred me to his replacement, still in the pain management clinic.
Who I adore(d?). Both therapists were good, probably the best I’ve been to, but the new Dr. was especially good for me. He challenged me when I needed challenging, and I felt we were getting somewhere, including his ability to get me to accept what was happening to me and to understand my limits.
Then there was the migraine this morning. I waited until about an hour before my appointment to call because I really wanted to go to my appointment. I had hoped I had given myself enough time for the medication to kick in. Instead, I was just groggy, nauseous and a world of hurt and so I called, fought my way through their phone system, and when I couldn’t get a live person, left a message with the scheduler. (I tried calling back three times because it really seemed like I should have spoken to a real person.)
She called back and left a message telling me that I was in violation of their no show policy because I canceled in less than 24 hours. Not only that, but she indicated this was my third no-show, and that after the second one, my therapist had indicated to her that they wanted to give me one more chance. She said she’d have to check with the therapist for sure and left the message at that.
None of this had ever been communicated to me before. I did have two other appointments I missed with this therapist. One, about a year and a half ago, I had a migraine again, and I’m embarrassed to admit I didn’t even call. So embarrassed that I didn’t call to reschedule for 4 months. I know, not good.
The other was about a month, month and a half ago. I was leaving when my car’s serpentine belt broke. I didn’t know that’s what it was at the time, I just knew I couldn’t turn the car properly and the brake warning light was on. (And I thought really hard about going to my appointment anyway. Now I know it was good that I didn’t.) I called the moment I got my car back in the driveway.
I’m not really sure what to do at this point. I’m frustrated, because I really like this therapist. and I’m frustrated that no one communicated a no show policy - in fact many of my doctors have been very understanding that sometimes I am unable to make it to appointments. This includes the pain management clinic, I had definitely called and canceled appointments on the same day (including last minute) with my old therapist, as well as the pain management MD when I was seeing her. Up until this point I thought it was not only no big deal, but some what to be expected giving the clients they treat. My previous-now-retired therapist made an offhanded comment once about their patients canceling a lot, which helped inform this perception.
I’m frustrated and unsure what to do. At the very least, I think it was really unprofessionally handled. What I got was a voicemail left from the scheduler that she thinks I’m out of the program but she’ll have to confirm with my therapist. That alone seems pretty poorly handled. Finding out there was a no show policy which I had previously violated and they already gave me a chance was kind of a slap in the face. I don’t know what I would have done differently, or could have done differently. But at the very least, had I known about it, this call wouldn’t have come as a surprise from left field.
I also think it’s really unprofessional that my therapist isn’t the one doing the firing (assuming that is the case). My understanding in therapy etiquette that the therapist speaks to and fires the patient and usually give a list of therapists as a suggestion for someone to take over that role.
But I’m upset for another reason. I haven’t called back yet because I’m really torn up at the moment. I can't see being able to change. Car troubles are going to happen again because I'm poor and have a beater. I'm going to have flares and migraines, and sometimes I'm going to miss appointments because of this. The only thing I could have done differently was call first thing this morning - and that wouldn't have helped since it's within the 24 hour window that constitutes a no show.
So this question is two-fold: What do I do about my situation and my therapy, and should I even fight to stay with this therapist considering this policy?
I like my therapist a lot. I feel like he’s been the most helpful of any therapist I’ve seen before by miles, and I’m going through a particularly difficult time. I might be able to make the case to be let back in the program under the argument that no one ever told me of such a policy. But I also think it’s seriously unprofessional that the therapist himself did not speak to me about terminating my sessions. That, and the fact that the message left by the scheduler was kind of in limbo and if I see him again, I think that’s going to be hanging over me in an unhealthy way.
I plan on calling my therapist’s office tomorrow, but I have no idea what to say or do and would appreciate some advice. I’m scared of starting over with another therapist, but don’t really know how I can continue with this one. Is it wrong of me to think the way this was handled was really unprofessional?
The longer story. I see a therapist that is part of an integrated pain management clinic at the local hospital. I started at the clinic 3 years ago due to chronic pain from fibromyalgia and a PCP that didn't know what else to do with me. The program involved seeing a therapist and a pain management MD. I ended up finding a doctor who specialized in fibromyalgia based on the previous therapist’s recommendation and leaving the MD side of the pain management program. But I stayed in therapy with him. He retired, and referred me to his replacement, still in the pain management clinic.
Who I adore(d?). Both therapists were good, probably the best I’ve been to, but the new Dr. was especially good for me. He challenged me when I needed challenging, and I felt we were getting somewhere, including his ability to get me to accept what was happening to me and to understand my limits.
Then there was the migraine this morning. I waited until about an hour before my appointment to call because I really wanted to go to my appointment. I had hoped I had given myself enough time for the medication to kick in. Instead, I was just groggy, nauseous and a world of hurt and so I called, fought my way through their phone system, and when I couldn’t get a live person, left a message with the scheduler. (I tried calling back three times because it really seemed like I should have spoken to a real person.)
She called back and left a message telling me that I was in violation of their no show policy because I canceled in less than 24 hours. Not only that, but she indicated this was my third no-show, and that after the second one, my therapist had indicated to her that they wanted to give me one more chance. She said she’d have to check with the therapist for sure and left the message at that.
None of this had ever been communicated to me before. I did have two other appointments I missed with this therapist. One, about a year and a half ago, I had a migraine again, and I’m embarrassed to admit I didn’t even call. So embarrassed that I didn’t call to reschedule for 4 months. I know, not good.
The other was about a month, month and a half ago. I was leaving when my car’s serpentine belt broke. I didn’t know that’s what it was at the time, I just knew I couldn’t turn the car properly and the brake warning light was on. (And I thought really hard about going to my appointment anyway. Now I know it was good that I didn’t.) I called the moment I got my car back in the driveway.
I’m not really sure what to do at this point. I’m frustrated, because I really like this therapist. and I’m frustrated that no one communicated a no show policy - in fact many of my doctors have been very understanding that sometimes I am unable to make it to appointments. This includes the pain management clinic, I had definitely called and canceled appointments on the same day (including last minute) with my old therapist, as well as the pain management MD when I was seeing her. Up until this point I thought it was not only no big deal, but some what to be expected giving the clients they treat. My previous-now-retired therapist made an offhanded comment once about their patients canceling a lot, which helped inform this perception.
I’m frustrated and unsure what to do. At the very least, I think it was really unprofessionally handled. What I got was a voicemail left from the scheduler that she thinks I’m out of the program but she’ll have to confirm with my therapist. That alone seems pretty poorly handled. Finding out there was a no show policy which I had previously violated and they already gave me a chance was kind of a slap in the face. I don’t know what I would have done differently, or could have done differently. But at the very least, had I known about it, this call wouldn’t have come as a surprise from left field.
I also think it’s really unprofessional that my therapist isn’t the one doing the firing (assuming that is the case). My understanding in therapy etiquette that the therapist speaks to and fires the patient and usually give a list of therapists as a suggestion for someone to take over that role.
But I’m upset for another reason. I haven’t called back yet because I’m really torn up at the moment. I can't see being able to change. Car troubles are going to happen again because I'm poor and have a beater. I'm going to have flares and migraines, and sometimes I'm going to miss appointments because of this. The only thing I could have done differently was call first thing this morning - and that wouldn't have helped since it's within the 24 hour window that constitutes a no show.
So this question is two-fold: What do I do about my situation and my therapy, and should I even fight to stay with this therapist considering this policy?
I like my therapist a lot. I feel like he’s been the most helpful of any therapist I’ve seen before by miles, and I’m going through a particularly difficult time. I might be able to make the case to be let back in the program under the argument that no one ever told me of such a policy. But I also think it’s seriously unprofessional that the therapist himself did not speak to me about terminating my sessions. That, and the fact that the message left by the scheduler was kind of in limbo and if I see him again, I think that’s going to be hanging over me in an unhealthy way.
I plan on calling my therapist’s office tomorrow, but I have no idea what to say or do and would appreciate some advice. I’m scared of starting over with another therapist, but don’t really know how I can continue with this one. Is it wrong of me to think the way this was handled was really unprofessional?
It sounds like even if you were able to continue seeing this therapist, you'd be unhappy. Whether the clinic was unprofessional is irrelevant, because they aren't going to suddenly become more accommodating of your need to miss some appointments. Talk to your therapist and get a referral to a new one; like love and marriage, I promise that this therapist isn't the Only One whom you'll click with.
posted by serelliya at 4:19 PM on August 6, 2015
posted by serelliya at 4:19 PM on August 6, 2015
The scheduler isn't the ultimate decision maker here, it is the therapist. No show policies are there to protect the provider. If you are holding an appointment for someone is chronically not showing up, you are losing revenue. That being said, you need to talk to the therapist directly. My guess is that given the fact that this has been over a period of over a year, and that there have been legitimate emergencies/medical situations involved, your therapist will understand. I agree that it would be a nice gesture to offer to pay for the missed session. Try not to worry until you have more information. Also? If the therapist does decide to terminate your work together, by the code of ethics, they are also responsible for ensuring you are able to find alternative care elsewhere. Abandoning a client is not ok and would put their license in jeopardy. So if the absolute worst happens, they will help you find an alternative.
posted by goggie at 4:24 PM on August 6, 2015 [1 favorite]
posted by goggie at 4:24 PM on August 6, 2015 [1 favorite]
Is this a program being subsidized in some way? If so, it may be very competitive and they might have a waiting list.
posted by quincunx at 4:27 PM on August 6, 2015
posted by quincunx at 4:27 PM on August 6, 2015
Response by poster: I don't know if any of the program is subsidized. It's not for me. The only think I can think is that my therapist did say once "You're here by your choice, most people I see don't want to be here." I think it has something to do with therapy being required for the medical part of the program, but I stopped that part when I went to the recommended specialist outside the clinic. I do want to be there because shit, why wouldn't I? I had a major upset in my life, and I need help coping.
I am fairly certain I was given no such rules. Because I was given a bunch of rules regarding being in the clinic, and this was not one of them. I have abided by those rules because they made them clear they are important. I'm not entirely convinced this isn't a new rule from when I started going here; I guess I'll know more when I call tomorrow.
This clinic is part of a larger healthcare group, and while they ask for 24 hours notice canceling, do not have any sort of "if you cancel, you have to pay a cancel fee or similar". I've in a couple cases dragged myself in to different doctors when I was really not doing well and been told that look, you don't have to try so hard, next time call and reschedule. Different doctors, different specialties, but all under the same umbrella. Maybe they can't charge for missed appointments as part of this health group, and that's part of the problem? I'm speculating though.
posted by [insert clever name here] at 5:00 PM on August 6, 2015
I am fairly certain I was given no such rules. Because I was given a bunch of rules regarding being in the clinic, and this was not one of them. I have abided by those rules because they made them clear they are important. I'm not entirely convinced this isn't a new rule from when I started going here; I guess I'll know more when I call tomorrow.
This clinic is part of a larger healthcare group, and while they ask for 24 hours notice canceling, do not have any sort of "if you cancel, you have to pay a cancel fee or similar". I've in a couple cases dragged myself in to different doctors when I was really not doing well and been told that look, you don't have to try so hard, next time call and reschedule. Different doctors, different specialties, but all under the same umbrella. Maybe they can't charge for missed appointments as part of this health group, and that's part of the problem? I'm speculating though.
posted by [insert clever name here] at 5:00 PM on August 6, 2015
So, knowing how other medical clinics work, there's sometimes the official cancelation policy and then the one your individual provider chooses to follow. Knowing your background in more detail than the scheduler, he's aware of extenuating conditions. So it may be something and it may be nothing: the scheduler may have just gotten a lecture about rescheduling no-shows and over compensating, confusing you with another patient, or half-remebering a conversation.
If it helps you to relax this evening, I'd make an outline if some of the points you made and that you'd like to make in a discussion tomorrow. And keep in mind, the discussion isn't just to get you're way back in, but for you to determine if you can still work with them.
So you need to find out if this policy applies to you (maybe you're right and it's new or it was waived for the pain patients?) and if so, is there any flexibility that works for both you and the clinic. Maybe you can take appointments in a low deman slot (if there is one) or pay for no-shows. And to prevent any distress in the future, you need to make it official, so you're not anxious about getting fired as a patient at some point (unless you are OK with it, of course).
And if they don't play ball or blow you off, then you ask for a referral for a new therapist who can have flexible scheduling. It sucks that they're bungling the transition for you, because you really should have been made aware of the situation ahead of time and given the chance for a smoother transition And I'd write a letter to them about how disappointed you are in how they handled it (if it's necessary).
posted by ghost phoneme at 5:10 PM on August 6, 2015 [2 favorites]
If it helps you to relax this evening, I'd make an outline if some of the points you made and that you'd like to make in a discussion tomorrow. And keep in mind, the discussion isn't just to get you're way back in, but for you to determine if you can still work with them.
So you need to find out if this policy applies to you (maybe you're right and it's new or it was waived for the pain patients?) and if so, is there any flexibility that works for both you and the clinic. Maybe you can take appointments in a low deman slot (if there is one) or pay for no-shows. And to prevent any distress in the future, you need to make it official, so you're not anxious about getting fired as a patient at some point (unless you are OK with it, of course).
And if they don't play ball or blow you off, then you ask for a referral for a new therapist who can have flexible scheduling. It sucks that they're bungling the transition for you, because you really should have been made aware of the situation ahead of time and given the chance for a smoother transition And I'd write a letter to them about how disappointed you are in how they handled it (if it's necessary).
posted by ghost phoneme at 5:10 PM on August 6, 2015 [2 favorites]
I would call the director and say you're confused, because you had a legitimate reason for cancelling and you had not been informed of nor given a copy of the cancellation policy. I would throw in that you had expected there would be a cancellation fee.
posted by Chaussette and the Pussy Cats at 5:13 PM on August 6, 2015 [11 favorites]
posted by Chaussette and the Pussy Cats at 5:13 PM on August 6, 2015 [11 favorites]
24 hour cancellation policies are pretty standard, but all that usually means is you have to pay for some or all of the appointment if you don't make it, for reasons mentioned above. But kicking you out after 3 missed appointments in what, a year and a half? That seems crazy to me. Yes it sucks and is unfair for providers to lose revenue, which is why they still charge. But life happens and people have to cancel for all sorts of reasons all the time.
posted by sillysally at 6:40 PM on August 6, 2015 [5 favorites]
posted by sillysally at 6:40 PM on August 6, 2015 [5 favorites]
I used to work in a clinic and had to inform patients of our no-show policy as well as make these calls to inform them that they had violated the no-show policy. The only patients who were ever truly discharged from the clinic were patients with a long and ridiculous history of no-showing on short notice as well as being disrespectful, rude, disruptive to other patients, and occasionally violent. I don't know your clinic, but I would bet that if you're polite and contrite when you call tomorrow you will not be discharged from the clinic.
posted by telegraph at 6:41 PM on August 6, 2015 [4 favorites]
posted by telegraph at 6:41 PM on August 6, 2015 [4 favorites]
I always thought that no-show policy meant that you had to pay for the appointment if you cancelled within 24 hours.
posted by radioamy at 8:46 PM on August 6, 2015 [1 favorite]
posted by radioamy at 8:46 PM on August 6, 2015 [1 favorite]
I think you should send an email to the attention of your therapist (not a phone call). Tell the therapist in much briefer terms what you've said in your post about how much you value them as a therapist and how sorry you are for the missed appointments. Offer to pay for this missed appointment. Basically grovel but don't put them on the spot by doing so by phone - an email gives them time to think it over before replying. Good luck.
posted by hazyjane at 10:57 PM on August 6, 2015
posted by hazyjane at 10:57 PM on August 6, 2015
Yes, find a way to schedule a session to talk directly to the therapist. At the very least, having a "closure" session is usually called for when possible based on counseling ethics. Even if you are fired, it gives you a chance to talk about the whole experience. If you aren't fired, it gives you a chance to share your feelings and figure out a plan for going forward.
Was the scheduler new to the clinic? I work in psych and a ton of the pain management clinics in this area are pretty strict about not missing appointments. They want patients to comply with treatment structures because it aids in avoiding medication abuse. They also carry a lot of liability regarding overprescribing, etc. So....the clinic may have a policy but you haven't been a patient they really enforce it with, or the clinic has a new boss who is changing things. I have a feeling that the scheduler was being a little overzealous in applying the no show policy. Maybe he/she was simply new and trying to do everything by the books? Maybe someone higher up was pushing more compliance with the policy? Have a chat with the therapist....at the very least some sort of closure is called for here.
posted by MultiFaceted at 11:55 PM on August 6, 2015 [1 favorite]
Was the scheduler new to the clinic? I work in psych and a ton of the pain management clinics in this area are pretty strict about not missing appointments. They want patients to comply with treatment structures because it aids in avoiding medication abuse. They also carry a lot of liability regarding overprescribing, etc. So....the clinic may have a policy but you haven't been a patient they really enforce it with, or the clinic has a new boss who is changing things. I have a feeling that the scheduler was being a little overzealous in applying the no show policy. Maybe he/she was simply new and trying to do everything by the books? Maybe someone higher up was pushing more compliance with the policy? Have a chat with the therapist....at the very least some sort of closure is called for here.
posted by MultiFaceted at 11:55 PM on August 6, 2015 [1 favorite]
Response by poster: Hal_c_on, nope, I did not consider others who didn't get that spot because that spot isn't open. I appreciate all the reasons I might be charged for it, how missing it costs them missed revenue. But I do not see how I'm displacing others as that slot was gone the moment I made that appointment 4 weeks ago. That spot doesn't exist as schrodinger's appointment slot; if it did, they'd double book.
I wanted to say something because I really dislike that logic; I'm not taking anything away from other patients. I've been on waiting lists, and rarely am I called with enough time to act. I don't consider the time of the call as someone else depriving me of a an opportunity; at best it's an opportunity I could not take advantage of. If I were to think that way, by that logic, any appointment I have is depriving someone of their chance to get in. Which I guess is actually true, but I can't really do anything about it.
My complaint, once again is that there was no no show policy explained to me. I can't comply with something I don't know exists. The healthcare company that operates this office and many others I go to do not have a cancel policy. This clinic before being under the care of this new therapist had been understanding of last minute cancelations in the past. The clock apparently started a year and some change ago.
The complaint I have is that I was broadsided by a policy I was unaware of. All the reasons to have this policy makes sense. I would argue that they don't fit with a population that experiences chronic pain and would expect more flexibility, but accurately said above, that means I probably won't be happy continuing my treatment here. Regardless: it was handled poorly. I had a moment of crisis over it, which if I understand correctly, is not something that mental health providers (or their office staff) should be casually doing.
If someone had done what telegraph's office does and told me the first and second time that my cancelation was part of a policy, at least I would have know what to expect. And when my car had trouble and I canceled, that time I did speak to a real hooman and got no indication of a problem (and at this point, I was supposedly at the point where they discharge people.) I spoke with my therapist at the next appointment because I both wanted to apologize directly and explain how excited I was to figure out what the problem was myself. Not a mention from anyone.
Yesterday was part two of the migraine, so I did not call the clinic back. But it gave me a lot of time sitting in a dark, quiet room to think about what would have been different had I known this was an issue. One, I would have at least prepared myself for the possibility, but two, I would have probably only been going once a month and set up medical transportation. I could afford it at that frequency and that way, there would be no issue of my car breaking down. And it wouldn't matter if I felt so bad that I couldn't drive and medication side effects wouldn't matter. That's just one thing I thought about... Never mind possible just finding a therapist with more flexible rules.
I'm sure I'm shadow boxing a bit here. I guess we'll see what Monday brings.
(And no, the scheduler was not new.)
posted by [insert clever name here] at 10:37 AM on August 8, 2015 [1 favorite]
I wanted to say something because I really dislike that logic; I'm not taking anything away from other patients. I've been on waiting lists, and rarely am I called with enough time to act. I don't consider the time of the call as someone else depriving me of a an opportunity; at best it's an opportunity I could not take advantage of. If I were to think that way, by that logic, any appointment I have is depriving someone of their chance to get in. Which I guess is actually true, but I can't really do anything about it.
My complaint, once again is that there was no no show policy explained to me. I can't comply with something I don't know exists. The healthcare company that operates this office and many others I go to do not have a cancel policy. This clinic before being under the care of this new therapist had been understanding of last minute cancelations in the past. The clock apparently started a year and some change ago.
The complaint I have is that I was broadsided by a policy I was unaware of. All the reasons to have this policy makes sense. I would argue that they don't fit with a population that experiences chronic pain and would expect more flexibility, but accurately said above, that means I probably won't be happy continuing my treatment here. Regardless: it was handled poorly. I had a moment of crisis over it, which if I understand correctly, is not something that mental health providers (or their office staff) should be casually doing.
If someone had done what telegraph's office does and told me the first and second time that my cancelation was part of a policy, at least I would have know what to expect. And when my car had trouble and I canceled, that time I did speak to a real hooman and got no indication of a problem (and at this point, I was supposedly at the point where they discharge people.) I spoke with my therapist at the next appointment because I both wanted to apologize directly and explain how excited I was to figure out what the problem was myself. Not a mention from anyone.
Yesterday was part two of the migraine, so I did not call the clinic back. But it gave me a lot of time sitting in a dark, quiet room to think about what would have been different had I known this was an issue. One, I would have at least prepared myself for the possibility, but two, I would have probably only been going once a month and set up medical transportation. I could afford it at that frequency and that way, there would be no issue of my car breaking down. And it wouldn't matter if I felt so bad that I couldn't drive and medication side effects wouldn't matter. That's just one thing I thought about... Never mind possible just finding a therapist with more flexible rules.
I'm sure I'm shadow boxing a bit here. I guess we'll see what Monday brings.
(And no, the scheduler was not new.)
posted by [insert clever name here] at 10:37 AM on August 8, 2015 [1 favorite]
Response by poster: Following up, it all turned out okay, they pointed out that this had always been their policy, but people had been taking advantage of it and due to the number of people that needed to be seen, were starting to enforce it. I still wish they had handled it better, like "Hey, just so you know, this is happening" after the first time.
I've been diligent about making sure I go to appointments, even though I had to cancel one less than 24 hours in advance, I called the night before, left a message, and called first thing that morning and confirmed they got it and it was okay. I even forgot the appointment time about two weeks ago - it was at 11am, and I normally see him at 1pm - so that's when I showed up at the office and my stomach just dropped when they pointed out my mistake. It all was fine though, it just happened their 1pm canceled.
On the other hand, they changed the medical transportation price, so instead of $15 round trip, it's now $80 round trip. If my car fails, I can only cancel at the last minute.
posted by [insert clever name here] at 3:42 PM on December 11, 2015 [1 favorite]
I've been diligent about making sure I go to appointments, even though I had to cancel one less than 24 hours in advance, I called the night before, left a message, and called first thing that morning and confirmed they got it and it was okay. I even forgot the appointment time about two weeks ago - it was at 11am, and I normally see him at 1pm - so that's when I showed up at the office and my stomach just dropped when they pointed out my mistake. It all was fine though, it just happened their 1pm canceled.
On the other hand, they changed the medical transportation price, so instead of $15 round trip, it's now $80 round trip. If my car fails, I can only cancel at the last minute.
posted by [insert clever name here] at 3:42 PM on December 11, 2015 [1 favorite]
I'm glad to hear it turned out ok (and I agree with you that they should have handled it better). Is it possible to do a Skype or phone session if your car fails? Even if it's not possible, asking your therapist about it at the next session might help further demonstrate how hard you work to respect the policy, so you only cancel when absolutely necessary. As a general rule most clinics are understanding about necessary cancelations, and recognize that some people will have more of those than others.
posted by ghost phoneme at 9:04 AM on December 12, 2015
posted by ghost phoneme at 9:04 AM on December 12, 2015
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Furthermore, you say you were unaware of this policy, but I would be very surprised if this was not explained in whatever paperwork you had to read and sign when you first started going to this clinic. I do not think they handled the situation unprofessionally; the scheduler returned your call promptly, let you know that you were in violation of their cancellation policy, and said that they were going to look into the matter further. Definitely call back and see if you can straighten things out with the therapist, but I think a big part of the straightening is going to involve you paying for the missed session.
posted by kitty teeth at 4:17 PM on August 6, 2015 [7 favorites]