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Re: Pain MedicationFrom: Joanne Bulley, MD (jbulley@cheshire.net)Mon Jul 17 19:05:03 2000
At Sun, 16 Jul 2000, Geffrey Klein, MD wrote: > >I want to do a little survey.. > >The answers are obviously individual to the patient in question, but >in general, what does everyone give as a prescription and quantity >for pain relief on discharge for the following: > >1) vaginal delivery >2) cesarean section >3) abd hyst >4) vag hyst > 1) (when I did them... 85-98) ibuprofen (OTC or Rx) rarely T#3 2) (ditto) ibuprofen (OTC or Rx) T#3 or Percocet 3) ibuprofen (OTC or Rx) and Darvocet, T#3 or Percocet 4) ibuprofen (OTC or Rx) and Darvocet or T#3 Depends on what works for her in the hospital... Now for my rational for giving the Rx for ibuprofen: Frequently one 600 or 800 mg ibuprofen tab IS cheaper that 3-4 OTC ibuprofens. Some of these folks are paying out of pocket. And for those that get ONE bottle of prescription med through their insurance, we have usually already saved the insurance over $300 by sending them home in the evening of the first post op day . Didn't she just have surgery and isn't it reasonable to let her have the Rx stuff? Also - if it is cheaper to buy ONE 600 Rx pill than THREE 200 OTC pills - then it still comes out cheaper for the total health care costs to the nation if she gets the Rx and only pays the co-pay... I am wearing my asbestos suit for the rebuttals... Joanne
-- Joanne Bulley, MD Keene, NH, USA
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