PHARMACIST STEVE

A pain level above 5 on the 1–10 scale is commonly associated with a significant impact on a patient’s ability to perform personal care and daily activities.

• Pain rated 6–7: This range typically indicates moderate to severe pain that starts to interfere significantly with concentration, mood, sleep, and the physical ability to carry out tasks like bathing, dressing, grooming, or moving around. Many patients with pain at this level will report needing to rest more often or finding personal care activities much more difficult.

• Pain rated 8 or higher: At this intensity, most patients find it extremely hard or sometimes impossible to manage self-care without assistance. The pain can severely restrict physical capability and even make attempts at self-care distressing or unsafe.

For chronic pain management, providers often use a threshold of greater than 5 as an indicator that pain is not being adequately controlled and is likely interfering with quality of life and daily function, including basic personal care. Regular pain above this level usually warrants reassessment of the pain management plan to prevent further decline in independence and function.

The above is from perplexity.ai and apparently what I have stated many, many times. Pain at 5 or below is most likely tolerable and pain > 5 is a torturous level of pain.

If I was a pt under these circumstances, I would with a word processor, generate a letter including these graphics and if your practitioner is on a electronic health care system – LIKE EPIC with “my chart”. Send it to the practitioner via an attachment to the message system that is typically available.

I would also take a picture of the letter or the name of the letter as it is attached to the email. I would also check back every few months to see if it is no longer on your medical records. If you suffer some of the issues listed in those graphic, especially premature death – the practitioner can’t say “I didn’t know”.

Causing a pt harm, is often considered malpractice and medical errors are the third highest reasons for death, but if the pt has warned the practitioner that the pt is intentionally being put at harm because of the prescriber’s neglect. That maybe more than just your “garden variety” malpractice. 

This is were the HYPOCRITE OATH comes into play, they put themselves out as a “healer”, but they know that they are not with some disabled pts.

Just remember there are entities out there that are using our laws, to deprive pts from the medically necessary medications. Pt are going to have to try and find some law firms that will defend disabled pts from being discriminated against. You are not the only one in a practice and if the practice is owned by a large hospital system, most likely it is someone from the E-suite or legal that is behind your denial of proper treatment.