How do you react when patients say "No, Doctor". This is always a big question…
It’s Maddening: “Doctor Denied Patients Unnecessary Opioids. Their Complaints Hurt Her Career”
So when my kids were very young, they learned from an early age the following question: What is it called when you cry when you don’t get your way? Answer – manipulation of course. Same goes when being told “no.” Somehow, a subset of the population never learns this and they become afflicted with what Hazelton (2) calls “King Baby Syndrome,” the childish traits seen in people who have reached adulthood without acquiring emotional maturity. In the article titled above, a physician, trying to do the right thing, became a victim of a mass king baby syndrome campaign against her when the masses didn’t get their drugs. She’s fighting back though with a lawsuit against her employer who became the key enablers in this campaign against her. She further describes how the system fosters complicit prescribing to quiet the masses amongst physicians and exploits physician compassion. Afterall, who wants poor reviews? But if you think about it, it’s manipulation. “Give me my drugs or I’ll give you a bad review” is the message out there and king babies know it.
“… emergency physicians are faced with a steady stream of patients seeking opioid medications,” “When confronted with such patients, it is often not medically appropriate for the emergency department physician to prescribe or administer the requested pain medication, including where the medication may not comply with the course of treatment developed by the patient’s regular physician.”
Some patients retaliate against the doctor by filing complaints and leaving poor reviews.
The article then goes on to describe physicians were required to achieve certain patient satisfaction scores, and scores were closely related to the physician’s willingness to prescribe the drugs. The overarching intent was to “increase its profits so that … its executives and physicians would receive higher bonus compensation.”