Bert -- I don't get the drift of that post
Is is a gentle satire?
Sounds like EPCS is hardly worth the effort.
Since we don't live in New York (what a disaster that must be!) I just continue to print controlled substances prescriptions and give them to the patient --

"Medical homes" are not for the faint of heart. If you are in a small practice, and are honest, it is just not possible to do it -- at least, not and come out financially better off. Too much busywork and impossible computer "communication" requirements. And there is nothing in the program that really helps patients or makes me a better doctor. Not in Oregon, anyway.

I am madly scrambling to get all my chronic pain patients off controlled substances. The new paradigm since the CDC "guideline" is pretty clear. Patients who take pain meds are either criminals or victims of criminal doctors who push drugs.


Tom Duncan
Family Practice
Astoria OR