Has anyone else noticed an increase in the last month or so of patients who are being denied pain meds or having the meds decreased? It seems like many many many of my patients have pain med issues and they call me, cry to me, beg me to help them. I have called doctors when I felt they were needed but most have been denied. So many of my patients have a drug abuse history and I am pretty sure that a lot of them are seeking, but it seems to me that with gaping wounds they would need meds. I feel like my hands are tied, especially when they have signed narcotic contracts, to help them. My visits have ended up being all about a shoulder to cry on while they cry to me about how someone broke in and stole their meds, they have been to 6 ERs in the last month, they won't have meds to cover them for the weekend, etc.
I HATE it. I have spoken to my supervisor and she said to just clearly state that my hands are tied. But it doesn't make it any easier when I am in their home and they are telling me they are going to buy narcotics off the street.
Just a rant. Ugggh.