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Pastimes : Don't Ask Rambi

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To: Ilaine who wrote (42237)	11/19/1999 5:57:00 PM
From: Jacques Chitte	of 71178

Right. The bolded part shows that there are no de jure hoops. As Gaugs attests however, there is trepidation among docs to prescribing the stronger opiates. (opioids.) The only way past this in my experience is to 1) find a doctor who has the courage and inclination to work with pain patients and 2) never let go of that gem of humanity. Develop a relationship with her such that mutual confidence of legitimate need is established. This of course requires finding a doc who isn't one of these super conservative prescribers. Tough dialog in the prescribing physician's head ... "do I look out for my safety against litigation, or the other guy's pain?" Novel legislation like IPTA is shifting or upsetting that dialog ... not alwys in a salutary manner. It's not a problem that lends itself to formulaic fixes (no pun intended, natch); there will never be less of a demand for attentive, involved and humane doctors minding the smack locker. ...I am grateful to be in the care of a doctor who doesn't trivialize my migraine pain experience.

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