Science
When discussing tapering a patient's opioids due to lack of benefit and apparent harm, she continues to request a higher opioid dose. She states her pain is so severe she's unable to get out of bed most days. She angrily says if you don't increase her dose, she's going to report you to the board of medicine for abandoning her. How will you respond to this patient's response to your plans for an opioid taper?