- Joined
- Jan 27, 2007
- Messages
- 568
- Reaction score
- 140
How do you guys handle people coming in asking for narcotics or benzos? I'm still a resident in training and I've been trying to figure out how to avoid unpleasant experience with those manipulative drug seekers with borderline personality.
I've once said No straight up to their face, which made the patient storm out of the room swearing at me. Another time, a patient came in for acute visit to I&D an abscess and wanted to discuss his/her chronic pain at the end of visit. This time I tried to be a little more empathetic and offered them to make another appointment to discuss his/her "chronic pain. Then the patient suddenly decided he/she needed "something" for the abscess that was just drained. As soon as I told the patient to try OTC Ibuprofen/Tylenol, he/she was trying to make me feel guilty by saying, "So you just cut me open and don't care if I'm in pain?!" Then he/she again proceeded to storm out of the room. How can I be more diplomatic or avoid all these BS encounters all together? Any tips?
I've once said No straight up to their face, which made the patient storm out of the room swearing at me. Another time, a patient came in for acute visit to I&D an abscess and wanted to discuss his/her chronic pain at the end of visit. This time I tried to be a little more empathetic and offered them to make another appointment to discuss his/her "chronic pain. Then the patient suddenly decided he/she needed "something" for the abscess that was just drained. As soon as I told the patient to try OTC Ibuprofen/Tylenol, he/she was trying to make me feel guilty by saying, "So you just cut me open and don't care if I'm in pain?!" Then he/she again proceeded to storm out of the room. How can I be more diplomatic or avoid all these BS encounters all together? Any tips?