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Pretty much.
It’s like a fever in cold climates makes doctors think you’re sick, but a fever in hot climates make doctors think you’ve got heat stroke.
Doctors are TRAINED to see what is the most common, first. When you see hoofprints? Think horses. Not zebras. (Or vice versa).
So they treat/rule out what’s most common… first.
Only after what’s most common as been disqualified, do they look elsewhere.
I’ve had half a dozen opiate-audits over the years. They last about 6mo. Zero meds. Lots of specialists. I’m always found to be massively UNDER prescribed, for what’s wrong with me. (A lot.). It’s an abnoxious assumtpion, and time consuming, but I’ve been through it enough times it doesn’t bother me. Which FREAKS OUT half the pros I’m seeing. Yes. I want them. No I don’t have them. Meh. Shrug. Is not typical addict behaviour. I’ve been on opiates on & off since I was a kid. There are WAYS to break the addiction potential. I use those ways. So all of my audits? Find me as massively UNDER-medicated. Rather than “correctly” medicated, or over medicated.
((At which point I have to fight NOT to be upped in my dose, delivery, or opiates of choice. LeSigh. I know it dings my docs to not be “correctly” medicating my issues, but under medicating… but it effects/affects ME less than if they’re found to be over medicating. So I’ll go for under, and the minor ding for them, rather than the cut off & major ding. AKA I “should” be on a transdermal patch or pain pump? Can f*ck right off. There is ZERO way to avoid physiological addiction with those options. And? Those drugs f*ck me up, whilst my preferred does not. I’m also on 5-8 point restraints post-op because of how WACKY stronger opiate make me. And often referred to audit when I don’t refill my pain meds post-op. DUDE. I’m fine 3 days of around the clock, a week or three of taper.but most people? Refill. Early. So I trip the algorithm. Meh. I’ve been on opiates, off and on, most of my life.))
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