re: Why Are All the Doctors Leaving Comprehensive Pain Management in BR?

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Great in theory, but PCPs are not wanting to prescribe either

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Only because there is a Pain Mgt. specialty now that will take over the responsibility. If there were not, they would do what they did for decades prior. The PCP, ortho specialist, internal MD, or whoever was handling the care of the patient would prescribe. And they did so understanding that it was the exception to use heavy opiods for every day chronic pain. They understood the danger in creating an addict. They treated the actual problem, not strictly the subjective pain complaints.

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Pain management is an actual need that does not always go away and does not involve dope addicts. Problem is that physicians don't know how to tell the difference because they cannot relate to constant pain that cannot be fully fixed.

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It's a need if they would do what they promised, which was to wean patients off of heavy pain medication and teach them coping mechanisms outside of those heavy meds. Instead, using non opiods and lifestyle changes, encouraging them to gradually become more active, develop behavior to get them out of the depression that comes with extreme opiod use, etc.

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Problem is that physicians don't know how to tell the difference because they cannot relate to constant pain that cannot be fully fixed.

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Yeah, right.

Pain Mgt. doctors are the ONLY ones that can relate to pain.....Sorry, it's not the fault of all other doctors EXCEPT miraculously Pain Mgt. doctors who supply endless supplies of pills.

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Maybe they need clinics within the damn pharmacies that will dispense as needed. Then they can control supply and work towards restricting outside sales.

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Not saying that's a bad idea at all. But finally recognizing the danger of chronic pain med abuse, and how many people are unable to function in any productive form because of the addiction, is a start. Many of these Pain Mgt. Clinics have created addicted, depressed zombies that cannot function in the real world, and live day to day chasing their next pain fix to bring them to a minimal baseline. It's sad. I see how it destroys good people every day.