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Aug 5, 2023Liked by Alyssa Burgart

As a patient and physician, I thank you.

I’ve had good experiences, but more bad. I tried to make my patients’ experiences good.

There’s a power differential between staff and patients that’s clearly recognized when discussing abuse and harassment; the same applies to pain. Patients have more reason to hide pain than show it. We need to believe patients and treat them. Many of them avoid care they need because they are so traumatized by not being believed and not being treated. In pain medicine, there has always been negligible diversion of medication once you are at legitimate patient level, but the legitimate patients are the ones paying the price.

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Absolutely. Our practices are so often grounded in power and reactionary thinking, rather than getting to root causes and allowing for nuance.

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I don’t blame Narxcare on physicians-that’s complicated-and they’re under the same microscope with a lot to lose. Patients with progressive disease are just trying to make it through days dominated by pain. Do you see options?

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I am very pleased to see the pushback on women’s health that’s been missing in pain care and keep waiting for it to translate. Thank you so much for covering these issues.

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