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

Re: Contract Google Search

From: Anna Meenan, MD

annam@uic.edu

Mon Nov 15 17:05:57 2004

-- Anna Meenan, MD

At Mon, 15 Nov 2004, Henry Gregor wrote: > >Yup, I'd better watch it. BTW, got the links info and appreciate it very much. I hope the AAFP will allow us OBGYN types to subscribe. Looks like a great resource, and should be helpful for many of the out of specialty questions that so often come up. > >Hank > >"Anna Meenan, MD" <annam@uic.edu> wrote: >That's funny, Hank. But be careful. Too much humor will get you in >trouble with el, even if it is Friday. > >Anna 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" 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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