“Your time is up”. Timing conflicts in transitional healthcare

The objective of this clinical case commentary is to illustrate a specific limit in the timing of transition from pediatric to adult medicine in the healthcare context of severe, multiple disabilities. The discussed case regards a girl who suffers from permanent disability, whose pediatric care team has decided not to transition to an adult healthcare setting. A thorough analysis of the reasons justifying the pediatric team’s choice underlines the fact that in this case (and similar cases as far as the clinical condition of patients is concerned), transition is not in the best interest of the patient because the conditions for transition are not met.