"Sometimes it's the patients with elegant clothes and three kids who call a week after a filling and say they need pain medication. That's when my radar goes up," says George Kivowitz, a dentist in New York City and Newtown, Pa. Insisting that the patient come in to be re-examined usually ends the conversation, he says....Sometimes it's a guy in a 3-piece suit and sometimes it's guy who says "dude."
"I always ask a patient, 'How are we going to show that this intervention has helped?' " says Scott Fishman, president of the American Pain Foundation who wrote a widely used guide to responsible opioid prescribing. "The person who is just trying to get opioids will say, 'Ah, later, dude' and go somewhere else."
July 5, 2011
"Even When Patients Describe Pain in Vivid Detail, Doctors Have Few Tools to Determine What's Real."
How is a doctor supposed to tell who's for real and who's a drug abuser/reseller?