Jackson S Rules

Jackson’s Rules

1. If something doesn’t make sense it doesn’t make sense for a reason!

2. Set limits and stick to them. Say no more than you say yes. A quick American fix isn't always best.

3. If you suspect addiction, be honest/direct/nonjudgmental and ask if the patient feels they’ve lost control and wants a referral for help. You'll be surprised at how often people accept.

4. Treat everyone the same, people without addiction never offended by jumping through those hoops. Anger is a BIG red flag.

5. Always ask what meds they took and when they took them BEFORE announcing they will need to give a random urine sample.

6. Time spent up front will save you DAYS of time and headaches on the back end. Discuss expectations and exit strategies (if expectations are not met) BEFORE you prescribe ANYTHING.

7. Chronic pain patients who show up late (without calling) is a red flag: Don't allow it. Structure and consistency is key to managing pain and, incidentally, personality disorders.

8. Try not to use the word "pain." Focus on FUNCTION. Chronic pain is rarely "cured." Function can drastically change despite persistent pain, and this is what defines quality of life.

9. Ask about sleep. It is often a good, non-threatening segue into questions about "distress," ie anxiety and depression, without using those loaded words.

10. The patient is the one with the disease. You cannot help people who do not want to help themselves. And that's ok.

Always remember, pain is in the brain. All that hurts doesn't necessarily need or respond to opioids.