And you wonder why doctors are hesitant to treat pain

Well they should be hesitant to treat pain when it is so obvious that someone is faking but tell me how that is fair to people who are geniunely in pain? Or, do you just assume everyone is faking and have no concern whatsoever that you have not met with satisfactory treatment where these people are concerned?

Do people need to start bringing MRI reports and pictures, and all such reports when visiting an ER to prove chronic pain?

It has generally been my experience that pts in severe pain ask for “pain medicine.” Even doctors, nurses, or chronic pain patients (think sickle cell disease) don’t care what as long as it helps. They may have comments afterwards, but not before.

Pts who have secondary gain issues demand specific doses of specific drugs on their schedule. This is a very different interaction than people who are just knowlegable or otherwise empowered discussing their case with the doctor; it is about someone demanding a specific treament. It is similar to a patient demanding antibiotics for a cold; the question of “how can you abdandon me, everyone else helps me except you” is always brought up. The interaction is so fake that it almost reads like a script from a play.

There is a big difference between working with the health care team and trying to fool them.

Besides her pain, clearly the woman is ill of something else other than what she’s feeling at that time. If she’s a regular, can’t she reported to someone who handles such cases?