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Bioethicist Travis Rieder says none of the doctors who prescribed him opioids taught him how to safely taper his use of the drugs when he wanted to quit. 'The patient is the [hot] potato,' he says. 'Everybody had a reason to send me to someone else.'

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your telling a drug dealer that you want to be sober

We have these kind of patients on our floor all the time. We’ll start them with ketamine and dilaudid and then taper them down to oxycodone and tramadol before discharge. We also use muscle relaxers such as Flexeril. It’s not always just the physician, good nursing care can

Because they don't want you to quit

I’ve been prescribed opioids and all kinds of other pain meds after surgery. It really depends on the individuals mental state/capacity

When my step-dad stopped accepting drug-rep calls & stop referring as drug reps wanted, he lost about 25% of his patients to other doctors who played the drug-rep game. Thankfully he had enough good will to pull through without much harm, but other younger docs not as lucky.

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