Part 21: If It Was Unsafe, Why Refer Me to Someone Who Might Do It?

UC Davis Medical Center.This image is for critical commentary and public awareness. UC Davis Health is not affiliated with this website. Used under fair use for public commentary and accountability. Original photo via KCRA News.

In a series of MyChart messages dated May 13, 2025, Dr. Molly Davis at UC Davis Health, told me she could not increase my monthly oxycodone prescription beyond 180 tablets because doing so would be a safety risk. She cited concerns about tolerance, dependence, and the long-term viability of pain management. However, just hours later, she offered to refer me to a pain specialist outside of UC Davis who might prescribe higher-dose opioid therapy.

“I am concerned that increasing beyond 180 tabs per month would be setting you up for further tolerance… [and] would ultimately become a safety risk.” — Dr. Davis, May 13, 12:45 PM.If you want to read the thread, you can view it here:

“I can refer you to an outside pain management specialist with experience managing higher doses of opioid therapy to take over your pain management prescriptions.” — Dr. Davis, May 13, 10:21 PM

This contradiction calls into question the basis for denying my care. If an increase was truly unsafe, then referring me to someone who might provide that same treatment is clinically inconsistent. It suggests her refusal wasn’t rooted in medical risk but in institutional policy, personal discomfort, or liability concerns. And it reinforces what I’ve experienced all along: I’m not being denied because it’s wrong for me — I’m being denied because it’s inconvenient for them.

2 responses to “Part 21: If It Was Unsafe, Why Refer Me to Someone Who Might Do It?”

  1. News Avatar

    The situation described here is quite concerning. It seems there is a clear inconsistency in the approach to pain management. If increasing the prescription is unsafe, then referring to someone else for the same purpose doesn’t add up. This raises questions about the true reasons behind the denial. Why would a specialist outside the institution be considered a safer option?

    1. The Real Opioid Crisis, LLC Avatar

      Thank you — you put into words exactly what’s so disturbing about this situation. If UC Davis Health truly believed that increasing my medication was unsafe, they wouldn’t be referring me elsewhere to have it done. That’s not caution — that’s liability-dodging dressed up as patient care.

      This isn’t about safety. It’s about institutions protecting themselves while leaving patients to suffer. The pain management team even acknowledged that increasing my dose by 5–10mg would be appropriate — yet UC Davis refuses to do it. Why? Because the moment it becomes inconvenient or politically risky, they’d rather push the decision onto someone else than stand behind their own patient.

      It’s not medicine — it’s abandonment. And they know it.

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