Let me make a couple suggestions:
#1 Remember federal and state Narcotics laws and regulations are not always the same. The more stringent law trumps the other. Just because federal may say you can do something, your state may disagree.
#2 Don't think of narcotics as a uniquely separate type of medicical practice. If a patient demands a higher dose of Coumadin Just because they want it, You would not give it to them unless it was clinically indicated. If you think narcotics are not medically indicated, don't prescribe. Are you ever bullied to prescribe antibiotics?
#3 legal or not depending on your locale, post-dating narcotic prescriptions is not a good idea.
#4 physician's disagree with other physicians all the time about patient care.That's normal. Why should controlled drugs be any different? Always do what is clinically indicated. What others think of your practice habits is not important, as long as you stay above the law and provide appropriate medical care.
#5 It's perfectly okay to show some patients the front door to your office, Particularly the part that allows them to leave.
Nate
