Friday, April 29, 2005
The patients lose again: In the crusade against pain physicians, those in real pain are left hanging
"Since the doctor's arrest, KETV NewsWatch 7 has heard from several of his patients, telling stories similar to Hook's. Hook is a nurse, and describes Rosario as a good physician. She said Rosario did not push pills, and instead, often prescribed therapy for her."
As treating chronic pain is becoming a low-reward, high-risk field, fewer physicians are going to take the risk of prescribing chronic narcotics.
"Since the doctor's arrest, KETV NewsWatch 7 has heard from several of his patients, telling stories similar to Hook's. Hook is a nurse, and describes Rosario as a good physician. She said Rosario did not push pills, and instead, often prescribed therapy for her."
As treating chronic pain is becoming a low-reward, high-risk field, fewer physicians are going to take the risk of prescribing chronic narcotics.
Posted by Kevin |
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Comments:
While I can't comment on this specific case, I'd like to add the pain management community as a whole is trying to confront how difficult it is to employ opiods into chronic pain managemnet, as this CME activity shows in more space than I can accurately summarize:
http://www.medscape.com/viewprogram/3140
Even then, Dr. Kevin is right in that this is a tricky area from a medio-legal perspective. Abuse and addiction can occur outside the office pretty easily - heck I used to work in a pharmacy and saw first-hand how some addicts (with their affliction noted in their record) would try to charm their way into an extra refill.
It's unfortunate that fewer residents may fin themselves inclined towards this field, because as the population ages there will be a rising demand for pain treatment.
http://www.medscape.com/viewprogram/3140
Even then, Dr. Kevin is right in that this is a tricky area from a medio-legal perspective. Abuse and addiction can occur outside the office pretty easily - heck I used to work in a pharmacy and saw first-hand how some addicts (with their affliction noted in their record) would try to charm their way into an extra refill.
It's unfortunate that fewer residents may fin themselves inclined towards this field, because as the population ages there will be a rising demand for pain treatment.
this sounds eerily familiar. my GP was accused of over-prescribing meds. one of his patients, needing pain mgmt, had been given various pain meds. later, said pt. robbed a bank, was caught, and the investigators found the scripts in her duffel bag. she claimed she was so hopped up and overmedicated by her GP that she was not sane when she commited the robbery.
my GP had been previously investigated during his career for an ethical violation. he decided to give up his license over this one. even after 20+ yrs of practice, you can never afford to be careless.
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my GP had been previously investigated during his career for an ethical violation. he decided to give up his license over this one. even after 20+ yrs of practice, you can never afford to be careless.
# posted by 
: 7:24 PM
: 7:24 PM
