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- Sep 20, 2016
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In the last year, I have seen a decent number of patients from the 18-25 year age range with literally zero objective pathology that appear to be unable to tolerate any non narcotic medications for their "pain" state.
Of course, I immediately drug test them and send them to our psychiatrist while telling them narcotic medications are NOT a good solution for this problem (zero of them have gotten ANY scripts from me for any pain meds).
Most of these patients UDS's are positive for Methadone, Benzos, THC, etc with zero prescriptions.
The funny thing is the PARENT is always very angry looking while seemingly DEMANDING me place these patients on narcotic medications.
Even after dirty UDS findings, the parents seem to have a hostile attitude towards me when I suggest PT, psychiatry and non narcotic methods of treatment (almost never injections either).
These interactions never seem to be long term pleasant with most of these patients just discharging themselves from my practice (presumably shopping around for other docs).
What is up with the parents? You would think they would demand NON narcotic methods of treating these patients but I usually see the opposite.
Incidentally, these same parents will go on TV and blame the bullied/foolish doc that gave these kids a narcotic medication if they get a sucker to do it and say the doc got the kid "addicted" to the narcotic medication and that is why he/she overdoses despite their clear history of misuse of medications (mostly illegal).
I think we have to be honest that alot of the parents are playing part of this game with the narcotics either in an attempt to sell them, abuse them with the kid, etc. I can't think of any other reason I see these parents who are so gung ho on getting narcs for a perfectly healthy younger person.
Of course, I immediately drug test them and send them to our psychiatrist while telling them narcotic medications are NOT a good solution for this problem (zero of them have gotten ANY scripts from me for any pain meds).
Most of these patients UDS's are positive for Methadone, Benzos, THC, etc with zero prescriptions.
The funny thing is the PARENT is always very angry looking while seemingly DEMANDING me place these patients on narcotic medications.
Even after dirty UDS findings, the parents seem to have a hostile attitude towards me when I suggest PT, psychiatry and non narcotic methods of treatment (almost never injections either).
These interactions never seem to be long term pleasant with most of these patients just discharging themselves from my practice (presumably shopping around for other docs).
What is up with the parents? You would think they would demand NON narcotic methods of treating these patients but I usually see the opposite.
Incidentally, these same parents will go on TV and blame the bullied/foolish doc that gave these kids a narcotic medication if they get a sucker to do it and say the doc got the kid "addicted" to the narcotic medication and that is why he/she overdoses despite their clear history of misuse of medications (mostly illegal).
I think we have to be honest that alot of the parents are playing part of this game with the narcotics either in an attempt to sell them, abuse them with the kid, etc. I can't think of any other reason I see these parents who are so gung ho on getting narcs for a perfectly healthy younger person.
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