- Joined
- Jan 26, 2008
- Messages
- 267
- Reaction score
- 88
Hi I'm doing my waiver in FM in a urban underserved population area in midwest
It seems like there are a lot of people asking for pain meds, you would think thats no big news but it seems many of them have severe problems with back/shoulders/hips and have gone through several surgeries.In other words they do have genuine reasons to be in pain.Now officially our clinic has a policy of not giving longterm narcotic meds but where do I send these people ? they have no insurance and even those with medicaid have few doctors willing to see him.Pain clinics here only do interventions and do not give pain meds at all.In other words they have no where to go except the Community health center.
Some doctors here refuse pain meds to everyone regardless of the cause or their history.It seems a little harsh to me but on the other hand you never know who is abusing those meds.Once I caught a guy who had no opiates on this tox screen even though he was still getting pain meds from me I stopped his meds but my medical director intervented and asked me to give him for 2 more months.I'm frustrated what should I do, I want to help them but if they violate their pain contracts I also want to deal with them harshly to avoid diversion or abuse but my medical director overrides me.
Any suggestions please
It seems like there are a lot of people asking for pain meds, you would think thats no big news but it seems many of them have severe problems with back/shoulders/hips and have gone through several surgeries.In other words they do have genuine reasons to be in pain.Now officially our clinic has a policy of not giving longterm narcotic meds but where do I send these people ? they have no insurance and even those with medicaid have few doctors willing to see him.Pain clinics here only do interventions and do not give pain meds at all.In other words they have no where to go except the Community health center.
Some doctors here refuse pain meds to everyone regardless of the cause or their history.It seems a little harsh to me but on the other hand you never know who is abusing those meds.Once I caught a guy who had no opiates on this tox screen even though he was still getting pain meds from me I stopped his meds but my medical director intervented and asked me to give him for 2 more months.I'm frustrated what should I do, I want to help them but if they violate their pain contracts I also want to deal with them harshly to avoid diversion or abuse but my medical director overrides me.
Any suggestions please