This case may represent one of the common problems faced by clinicians involved in treatment patients with chronic pain. There appears to be a growing number of patients with a sense of entitlement, which manifests itself in requests to medications to address a plethora of problems. They often resist, if not resent, suggestions for lifestyle changes, (eg, exercise, diet, smoking reduction, use of nutritional supplements, stress management, etc.). They perceive and prefer pharmacological therapy (ie, chemical coping). This helps to dissolver them of any responsibility for the problems and encourages iatrogenic dependence on the medical system. Sometimes writing a prescription is the most efficient way to end on office-based consultation. This approach, however, may be detrimental to the patient in the long run.
Common issues in the hetero-epitaxial seeding on SiC substrates in the sublimation growth of AlN crystals