OB-GYN-L Messages for November, 2004: Re: Contract Google Search

Re: Contract Google Search

From: Anna Meenan, MD

annam@uic.edu

Sat Nov 13 16:18:54 2004

Hank, you'll have to take all those sticky notes off your screen to see it.

Can also be found in the Nov/Dec 2001 issue of Family Practice Management, pp47-49.

So, FP's are useful sometimes, huh guys?

-- Anna L. Meenan, MD

At Fri, 12 Nov 2004, Henry Gregor wrote: > >Thanks for the response...BTW, don't spend a lot of time feeling sorry you couldn't make the link work, at least waste no sorrow on me. I'm one of those cyber challenged types who thought for a long time cut and paste meant put a small section of a sticky note onto the monitor screen. > >Hank > >"Anna Meenan, MD" <annam@uic.edu> wrote: >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." 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 >>>

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