20 April 2011

Bad Patient Day

Out sick - yet again - earlier this week (as an aside, my immune system is shot in this new job/setting/frequent acutes). Back today, only to be sort of, well, bummed by my patients.

Message from a wife of a 25 year old who said that he was abusing the anxiolytics I prescribed him (as a bridge along with his SSRI initiation).

Sixty-some year old female patient who gave one of our nursing staff "attitude" when asking about an Rx to be mailed - and to close her conversation, my patient stated "bang bang" and hung up the phone.

Narcotics. Everywhere today. I am becoming more and more aware of this narcotic issue and I HATE it. Everything is dumped on family medicine - want more meds? Not me, go to your family doc.

Now I am getting a medication agreement on everyone. Hello, I'm your new doctor, please sign this agreement. Me - who delayed getting her DEA until the last possible moment because I despised that so-called privilege... am now becoming more and more paranoid about narcotics. Is it me, as the new doc, just a ton of patients doctor-shopping, oh she's so nice! Patients I trusted.

Who knows. Tonight I'm both disappointed and annoyed. Too much of my energy is spent on trying to determine who is legitimately in pain and who is drug-seeking. Did I really go into medicine for this?!


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