I think that giving your doctor an ultimatum by saying that you're gonna go buy narcotic pain killers over the internet if he won't give you the scrip will guarantee that your medical chart will get one of those bright warning stickers saying DRUG SEEKER-OPIATES and then you'll be very lucky to get a handful of T-3s if you're in a car accident ... and they'll enter a treatment code for suspected drug abuse that'll go into the Medical Information Bureau if you use health insurance for the office visit. The doctor might also order a tox screen and he can refuse to treat you again if you refuse that test.
Doctors usually get upset if someone says their sibling or parent who has the same condition shared some pills. Ordering from the internet? Fuggeddabboutit. They don't want to know and you don't want to mention it. Like most social constructions, the doctor-patient relationship is about control. Buying your own drugs without a prescription challenges that house of cards.
Trampy
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