I have to agree with the last post by you. I also would rather say something to someone than to pretend that there isn't something wrong with taking more of your meds than you are allotted each day, running out early, "loosing" a prescription or going to multiple doctors/dentists/ER's for additional pain meds or ignore obvious red flags that can ultimately jeapordize any future treatment of their painful conditions and in the tidal wave of onslaughts against opiod treatment for chronic pain in the mainstream media, wind up putting each one of our continuing ability to maintain treatment in jeapordy.
One of the things that first attracted me to this forum a couple of years ago, was the no tolerance stance that it took when it came to not following the rules of opiod treatment. For me personally, I have far too much at stake to do anything that might jeapordize my ability to continue recieving the medications that I need to function. Things have changed here, and while I still love this forum and the people in it, I don't post as often anymore because I can not /will not ignore obvious red flags in someone's posts. Especially when it comes to repeated red flags.
It doesn't help the person who is misusing their meds, no matter what the reason is, and it doesn't help anyone else who comes here and reads posts about patients who do abuse /misuse their meds, unless there are posts that discuss the ramifications for doing that.
Sometimes it is not so much about managing pain but feeding a need to misuse the meds and that leads to many problems, for the poster and for all of us who don't misuse them.
My doctor, even after all of the time that I have been his patient would dismiss me and any other patient in a heartbeat for not following the contract. I would expect no less of him.
It is not a right that we have to be treated for pain, it is a gift that we have doctors who are willing to put their licenses, and livelihoods on the line to treat us. It is up to us, each of us to respect that willingness and to work with our doctors to reach a manageable amount of pain relief and to follow the directions given to us on the bottles and by our doctors if we expect to keep recieving the treatment that we are currently recieving.
just my opinion.