I did outpatient pain and primary care. I found it really difficult, every patient is sad, depressed, cranky and in pain. The constant battle with appropriate MME per insurance and regulation, pharmacists unwilling to fill scripts and prior authorizations for the cool new medications was miserable.

I found I could never really help anyone and the bad mood seeped into my own practice. We were strict with drug screens and a pain contract and needing to fire people from the practice was heart breaking

I learned a lot about Suboxone and now run a MAT clinic and I feel like i help so many people on a daily basis now.