Very helpful. Especially the seeing them every three months. That is where I want to get to. No, just automatically come in every month and pick up your script. These were just for those who could be trusted. Yes, I know.... but, I mean kids with leukemia or severe Crohn's.
Even though, I want to do what we do with ADHD meds. Every three months with three scripts. We use a stamp. Of course, MaineCare has to make it even more difficult. They only allow 15 days on any new ADHD script. So, if you are going along every three months, but then change to 30 mg Vyvanse instead of 20 mg, they only get 15 capsules for the first month. Which means a 15 day, 45 day or 75 days f/u. But, what makes it worse, is you always have to stop and think, "Will the 15 day supply take them into the next month, hence the necessary stamp of don't fill before..... or not.
I was mainly looking for 1 month, two months or three months mandatory visit for narcotics. Looks like you do three with opiods.
Hope that helps. We avoid taking new non-cancer chronic narcotic patients. As you know, the pendulum has swung and now "consensus" seems to be patients should just suck it up, take tylenol and do yoga, etc...
So, true. In the past, it has always been treat with narcotics, they do well, then refer them to pain management (sorry any pain management doctors), and they change to alternative medicine. It either doesn't work due to unbearable pain or because they were diverting it, either way, they show back in my office. I prescribe Norco. Pain goes away or diversion restarts. Then a week later get a call from the pain doc stating I ruined the plan.
Totally understand the pain doc. It's just that they come to me and sit in front of me in pain or incredibly acting mode. Anyway, at least we will be able to use the law as the
reason.
As to pendulums, look at the CT scan. When it came out and was perfected, it was the best thing since sliced bread. Now you can have massive internal injuries, and the risk of radiation will overrule it. I know, that is an exaggeration, but it has really become more and more difficult to get a CT.
