This is the email I received from Jacho (notice the spelling
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Jacho has some articles on their website about pain management if you do a search for pain. They are vague in nature in that studies are underway or have been done.
I agree that pain management is important. It is very subjective on our part and unless we are in the patient shoes, how do we know without asking. Speaking from an ER standpoint, most people come to us in pain and want relief.
There is a portion of our population that abuse the system. Drug seekers in particular. I had a patient change the refill number on a prescription and tried to fill it. I now chart how many refills we wrote to cover my self and the doc. I could sit here and write all kinds of situations, but you too know of stories.
I would hope Jacho addresses this more. We should be allowed to keep a record of repeat offenders of narcotics and pain medicine. Hey, if sex offenders are posted on websites, let's post drug seekers on the website. May be a bit extreme...