Consider these questions: Has Tyler managed this situation well?
How could he have managed it differently?
What is at stake if Tyler simply accepted Jayden's friend request?
What is at stake if Tyler had simply ignored Jayden's friend request?

Tyler managed the situation as best as he could. But, in reality, he could just accept the friend request to contact him. But doctors don't always want to get too close to their patients because if they do; if something happens to their patient, they won't be allowed to treat them as its 'too personal'.

If tyler accepted his request, he could be taken off of jayden's doctor.

If he ignored it, no crying and tears would have come from Jayden, he would just be a little hurt that Tyler ignored it.

50% i think

explanation:

because the early people found out about it.