Another article, this time from the New York Times, about the ongoing battle over pain management:
But to researchers who study deceptive patients, there is no such thing as a blatant red flag. Deception is notoriously difficult to spot, as Dr. Beth F. Jung and Dr. Marcus M. Reidenberg of Cornell University, document in a new survey of the literature. They note, for starters, an experiment showing that even police officers and judges — ostensibly experts at detecting fraud — do no better than chance at detecting lying.
Doctors are especially gullible because they have a truth bias: they are trained to treat patients by trusting what they say. Doctors are not good at detecting liars even when they have been warned, during experiments, that they will be visited at some point by an actor faking some condition (like back pain, arthritis or vascular headaches). In six studies reviewed by the Cornell researchers, doctors typically detected the bogus patient no more than 10 percent of the time, and the doctors were liable to mistakenly identify the real patients as fakes.
I am not so sure about the "gullible doctor" part. From what I've seen, too many doctors (and nurses) are quick to assume drug-seeking behavior. And I can't tell you how many times I've heard nurses say they won't give another dose of narcotics based on the fact that the patient fell asleep.
Like I've said before, if we don't do something, you will probably spend your final days in unrelenting pain, surrounded by healthcare workers that will call you a drug addict to your face.