How do you manage patient expectations?

Every so often, I may get a referral from a PCP as their patient gradually became a chronic opioid user for various conditions I wouldn't necessarily prescribe opioids for. The expectation that I run into often times revolves around the patient coming with the idea they will be getting opioids from me (at equivalent dosing or higher), but unfortunately what they are met with is optimizing non-opioid options along with the offering to down-titrate opioids. Understandably, this is often met... Read more
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Pain Medicine Source Type: forums