Monday, January 07, 2008

Seriously

I'd just like to say that I'm, well, I'm searching for the right word to describe my feelings towards a certain pain management doc. The one who told my patient, perhaps the most difficult patient I've ever had to deal with, the one with a fragile ego and chronic pain and a sense of entitlement and probably borderline personality disorder, the one I spent two weeks getting stabilized on a pain management regimen while an inpatient, told this patient that "methadone is a drug for heroin addicts." So now the patient is back, refusing the one drug that got him out of the hospital, and I guess I really want to transfer all of his pain to the idiot pain management physician.

Sigh.

1 comment:

tmu said...

wow. this is mind boggling. i agree with your conclusion. I am so sorry. Maybe she will turn around again.

i recently had a pt. taking massive amounts of inconvenient morphine, who refused methadone because of previous drug abuse and the attendant connotations. It took a LOT of talking to get the pt to try the very real benefits of methadone. Methadone is a wonder drug for certain clients.

tmu