Re: Lortab
From: Anna Meenan, MD (annam@uic.edu)
Thu Nov 11 19:27:06 2004
To Hank and Lynn and whoever else is interested: Unfortunately, my
copies of the contract I use are at my office, my scanner and I are at
home, and I am only working part-time now, so it will be a few days
before I can get it all together. In the meantime, try a google search
for "narcotic contract". The first link that comes up has a contract
that is even more comprehensive than the one I use (sorry, I tried to
make a link and couldn't make it work, it keeps taking me back to the
home page for the site---American College of Physician Executives).
During my search, I also encountered this interesting link to a posting
on a drug policy bulletin board:
http://www.drugpolicy.org/forums/index.cfm?fuseaction=read&forum=19&id=243&cid=7&mid=1049
Chronic narcotic use appears to be a huge can of worms that is only
getting bigger.
--
Anna Meenan, MD, FAAFP
At Thu, 11 Nov 2004, Henry Gregor wrote:
>
>Anna,
>
>Seconding Lynn's request....it would be great if you could put a contract copy as an attachment to a followup email. Thanks.
>
>Hank
>
>"Lynn D. Montgomery, M.D." <apgar10@montanadsl.net> wrote:
>Anna,
>If you can, either e-mail me or mail me a copy of that contract if you would
>Thanks,
>Lynn
>
>Lynn D. Montgomery, M.D.
>Maternal-Fetal Medicine, OB/GYN
>Rocky Mountain Women's Health
>2835 Fort Missoula Rd., Suite 304
>Missoula, Montana, 59804
>406-549-0978
>fax 406-549-0987
>e-mail: apgar10@montanadsl.net
>
>-----Original Message-----
>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Anna
>Meenan, MD
>Sent: Thursday, November 11, 2004 11:16 AM
>To: Multiple recipients of list OB-GYN-L
>Subject: Re: Lortab
>
>In family medicine, I see a fair amount of this in other contexts. I have
>adopted a narcotic contract for use in my office. I will not prescribe
>narcotics for more than two weeks unless the patient signs one.
>Incidentally, my orthopedic surgeon had me sign one the first time I came to
>his office for a consult, before he had ever prescribed anything for me.
>What it says if you haven't seen one is that the patient agrees to have meds
>prescribed by only one doc, will not call for early refills, will always
>give 24-hour notice for refills, will not call at night or on weekends for
>refills, will only fill Rx at one pharmacy, and gives permission for us to
>discuss their refill pattern with that pharmacist or any other pharmacist if
>we feel the need to, will submit to random drug testing to check for
>multi-drug abuse or diversion, and understands that we will discharge them
>from the practice immediately if they violate any article of the contract.
>Most abusers will walk out the door when they see the contract and that's
>fine with me. In the small town that I practice in, I think the word is out
>on the street that Dr. Meenan is not the one to go to if you want
>narcotics, so I am seeing less of it, or maybe they're just getting their
>narcotics via the internet. I seldom prescribe narcotics in pregnancy.
>
>Anna Meenan, MD
>
>At Wed, 10 Nov 2004, Lynn D. Montgomery, M.D. wrote:
>>
>>Listers,
>>I don't know if y'all are experiencing the same phenomenon as I, but it
>>seems that the current generation of pregnant patients is unable to
>>cope with pregnancy without the benefit of Lortab or its equal. I get
>>more calls each day for this than any other issue and pregnancy. I
>>have always been and continue to be quite hard line in this regard, but
>>it doesn't stop them from asking.
>>
>>Along those lines, how do y'all respond to a pregnant patient who is
>>complaining of "severe" pain, crying, mad husband, the whole works?
>>Lynn
>>
>>--
>>Lynn D. Montgomery, M.D.
>>Maternal-Fetal Medicine, OB/GYN
>>Rocky Mountain Women's Health
>>2835 Fort Missoula Rd., Suite 304
>>Missoula, Montana, 59804
>>406-549-0978
>>fax 406-549-0987
>>e-mail: apgar10@montanadsl.net
>>
