Physician or Vending Machine?
...some patients feel ‘gypped’ if they don’t leave the office with a prescription. And respond with a bad review on the patient satisfaction survey.
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Self-Disclosing
…with any helping relationship, I think it’s best to restrict self-disclosure to situations where you believe it will advance the goals of treatment.
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Doctors and Alcohol Disorders
Definite progress has been made, but there are still plenty of examples of people who fall through the cracks in the healthcare system.
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Prescription for Violence
I heard one man exclaim in a packed hospital waiting room. “It’s her damn job. She took an oath.” I was struck by his sense of entitlement. And I could envision how, enhanced by withdrawal and desperation, it could turn violent.
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The Pill Pusher’s Tale
Smaller government is not always better government. It shouldn’t take a major health crisis to remind us.
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Maradona’s Last Chance?
His attending physician seems to have attempted to address alcoholism before, with little or no success. This may represent a last chance.
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Medical Relapse Trap
That is not the doc’s fault, and frankly, it isn’t really James’, either. It’s what happens where addiction rules. If not at that moment, then the next.
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Opioid Evangelism
It’s these outdated attitudes towards addictions that enable the healthcare professional to ignore important information provided by the patient.
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In the News: Pain Pill Busts
Think physician practices and pharmacies and specialty clinics who began with a lucrative sideline that may now be their main source of revenue.
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The Pain Patients’ Dilemma
In the past, we’ve flung opioids at the problem, and haven’t developed alternatives.
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In the News: Update on Prince
The real solution would have been for Prince to have received treatment for his drug problem, which by this time was a far bigger issue than his somatic pain.
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Myth or Not?
Too many doctors worry about “those people” showing up in the waiting room. They don’t particularly want to be known as a resource for the addicted.
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Opioid Vulnerability
There’s no blood test, no scan to aid diagnosis. Knowing intellectually that one in ten will succumb is very little help; it has no practical value in terms of predicting an individual outcome.
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