"Let me start by saying that I fully realize and acknowledge that this may not be a popular stance or position. It is based on my experience over the years and scientific evidence/studies. In no way am I questioning the validity of your previous or current treatment or your individual need for a specific treatment. All cases are unique and your experience is unique. My position in regards to use of opioids/opiates is simply my medical opinion, and there are certainly other providers with a differing opinion or approach to treatment. My goal in clarifying mine is simply to help you, the patient, locate and receive treatment from the most appropriate provider.

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Opioids/Opiates, also known as narcotic pain medication, are controlled substances used to treat pain. They work by mimicking natural substances made in our bodies. These medications can serve a necessary purpose at times, but can also lead to unwanted side effects and consequences when used long-term. While the medication is supposed to mimic natural compounds produced in our bodies, the use of these medications long-term or around-the-clock is actually unnatural to our bodies. The unnatural exposure to these compounds can lead to long-term effects that may actually worsen the original condition.

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It is our goal to provide the maximal relief possible with the least dependence on opioids/opiates as possible. We try to treat the underlying condition causing the symptoms directly to minimize reliance on possibly harmful medications long-term.

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In some cases, it may not be possible to avoid use of these medications long-term. Not everyone responds the same to treatment. We will never require you to undergo procedures to receive other treatments. We will never require you to repeat treatment that previously did not help.

 

We believe in a partnership with our patients in terms of their care. This partnership goes both ways.  The patient has to be an active participant in his/her care and his/her improvement. But I believe, that the physician/provider also should provide care with which the patient is comfortable and agrees. Given our philosophy on controlled pain medication, this may mean, at times, that our practice may not be the right practice for the patient. There is nothing wrong with this as both the provider and the patient should be satisfied with the treatment and care.

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I thank you for taking the time to read this lengthy opinion. If after reading this, you do not feel that we are the right place for your care, please let us or your referring provider know. We want to provide you help as best we can, even if that means providing you names of other providers that may be better suited for your care."