Patient advice

I have a mid-60 year old patient with remote IV drug abuse, HIV and previous lumbar laminectomy still having low back and leg symptoms. Has failed all non-opioid meds, LESIs, MBBs, SI joints. Is currently doing a spinal cord stim trial but not getting a lot of relief and seems to be heading in the direction of a failed SCS trial. At last visit leading up to the trial, patient’s partner put a lot of pressure on me to prescribe an opioid and that it is terrible to have to see patient deal with... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums