Fifteen years of this and the function column is the only one that changed anything for me. Also, one page of history, printed, handed over at the sta…

You have two changes at once here. You cannot attribute anything until one of them moves.

I would stop trying to convey how bad it is and start saying what you want them to do.

A plausible mechanism is not an outcome, and this class is the textbook example.

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.

Worth asking what specifically was measured. Pain scores move with mood and function does not.

Half of what people describe as tolerance is a change in the underlying condition, and the two need different answers.