I have been following the sight for about 1 year and after reading thur Robin's messages I had to reply..
I worked in the long term care field in social work during 1980's when Joint Commission came on the scene and mandated proper pain management for every human being as a right.
I worked with alzheimer's residents who never had there pain managed s/t their inability to verbalize their pain needs, this increased their agitation, created addition confusion, issues with bowel and bladder and quite often their pain was evident on their face (non verbal) we were taught that ever human had a right to live pain free (as much as a possible goal) (and they were placed on behavior modifying medications when pain was the source of the issue)
and it is a quality of life issue, the circles of pain faces were implemented 1-10 verbal and not ..for a facility, MD's office , pain management, hospital to become Joint Commission certified they had to adequately provide pain management..
what a full circle we have come: when humans are treated worse than a dog (who would never be left to suffer, as they should not) I am hugely concerned with the doctor;s just stepping back on this quality of life issue because it is not easy,,what about do no harm..
the risk for addition with chronic pain patients is a minimal risk but we are told time and again risk for addition is the reason we are made to suffer in pain..okay really..when people have real pain they do not misuse their meds..
I have stood on my head (which isn't easy with my conditions) to be complient with medication management and my pcp manages pain at request of PM once they closed..I am 46 years old and what will happen if my pcp leaves retires ect..
will I be up against what Robin is::I already have been met with descrimination from pharmacy..and other MD who do not have a clue of the road I have traveled ..including all of the other interventions I have attempted,,I see a huge lack of education over the last 5-6 years and there are addicts there will always be addicts and so that means I am at fault.
I think it is time for the chronic pain patients to say enough,, and demand the care that we are so deserve..I am looking into the American Pain Association and to see what can be done..i say enough.
this is my opinion and no doctor bashing is intended..