my former doctor

I'm really struggling again lately with trust issues surrounding my former family physician. I've always thought that he's a really good man and an excellent diagnostician. When my partner first told me about her addiction struggle, she told me that she'd been taking the pain pills for over a year and that she didn't even remember what they were originally prescribed for. She told me that she often took them to "deal with" a child in our home and that she hid the pills from me. She said that she was really scared, because her father was an alcoholic, and she knows addiction runs in her family. She said that she was taking substantially more than what was prescribed, that she kept asking for (AND GETTING) refills sooner and sooner, and that she had to sometimes pay cash for them because insurance wouldn't pay for them. She said that she'd tried to stop on numerous occasions, but couldn't. She asked me if I would hold her pills for her so that she could wean herself down.

I told her that I could not hold her pills for her, because it would be unhealthy for me, and that I could not be the sole keeper of this information for the same reason. I told her that I'd like for us to go together to see our doctor, who'd been prescribing the meds. I asked her to go to the pharmacy and get a printout of what she'd taken in the last year, which she did. We brought the printout to the doctor and, with much prompting, she shared with him all of what she'd shared with me.

The doctor told us that it was ok, that some patients used prescription narcotics all of their lives and that he was currently using them for his back. He suggested weaning her off and LITERALLLY patted me on the head and told me "it's not so bad."

After he left, my partner burst into tears and said that she thought he was going to send her to rehab. I wanted to believe our doctor, and I did. I convinced myself that I'd been overreacting. Meanwhile, my partner used substantially more than he prescribed in the first few days, and decided pretty quickly to reach out for help again. She was told to check herself into detox, and she did.

I've felt really betrayed by this doctor. I can maybe understand him being careless with how often she was getting refills, and she freely admits that she lied to him about symptoms, but I spelled it out for him and had her bring him a copy of what she'd been taking, and he still blew us off. My partner says that it was her doing, and she really trusts him. We argued for a long time about going back to him, and she finally agreed to go to a new doctor. I told her that I had trusted him with what's most important in the world to me, and that I feel like he betrayed my trust. She also acknowledged that part of her wondered if he'd give her pain pills again.

That was over a year ago. I've struggled with whether to confront him, because, at best, I think he was ignorant and other patients might be struggling with addiction without his knowledge. I wonder if there's denial going on on his part, and part of me wonders if he's got his own addiction struggles. I get overwhelmed, though, and do nothing, other than working out an agreement with my partner that we'd change practices and find a new doctor. In the last month or so, the issue has come up twice. She's not feeling confident in our new doctor's skills and really wants to go back to the old one. I do think that the old doctor is probably a much better diagnostician (in every area other than addiction) than the new one. I don't know if I could (or should) try to work through my issues with him. And I'm feeling guilty for not confronting him, because I do wonder if my not speaking up might have kept others from getting help.

I'm really struggling with being able to trust my own judgement. It was really such a blow because I trusted this doctor so much for so many years, and when he literally physically patted me on the head and told me that it wasn't so bad, it was like he was telling me that I don't really know what I know. Then, when my partner keeps saying that she wants to go back to him and that she trusts him more than the new doc, I start feeling all crazy again. I start thinking that maybe I should turn myself inside out again and agree to go back to him, or at least tell her that it's ok with me if she doesn't honor our agreement not to.

My big questions are about trust- Can I trust me? Could I or should I try to work through my trust issues with the doctor? But then, the related question is if I do trust me, what do I do about it? I've never seen him since the day he patted me on the head, and I've never addressed directly or indirectly what I think he did wrong. I thought about reporting him to the state licensing board at the time, but I didn't trust me enough to do it. I don't want to destroy the man's career. I would like to do what I can to bring about growth/education/change. It's feeling very similar to the struggle I've faced when considering reporting possible child abuse. But at least I know that system. I don't know anything about the state licensing board or any other way I could encourage this man to respond differently the next time he's faced with possible addiction. Input is welcome.