OK, guys let me see if I can help.
1. Establish rules with every pt. and not only must the pts comply, but so must you. Don't break your own rules.
2. Apply these rules to all. The gov. and DEA likes it when everyone is treated the same.
3. Don't ever, EVER, EVER prescibe controlled drugs to friends,family,staff, or neighbors. If it's an emergency, produce a formal clinic chart and document.
4. DON'T actively fire pts from your practice based on medication issues. Simply say that in your opinion controlled meds are not in their best health interest. Give them a lifetime supply of naprosyn. They'll fire themselves.
5. Random urine test ALL.
6. You wouldn't argue with pts concerning which anti-hypertensive to use, so why debate them about controlled meds.
7. CAUTION. There are ALOT of weeds out there. Keep looking for the roses. Pseudoaddiction is real. Don't pass an improperly diagnosed pt onto someone else.
