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Re: a sit you a shun for your commentFrom: DoctorJoe@aol.comThu Mar 15 21:29:52 2001
In a message dated 3/15/01 9:07:28 PM, kdew@bellsouth.net writes: << I had a patient call yesterday, 3/14, who had a vulvectomy done by a gyn-onc on Friday 3/9, to whom I referred this patient. She had taken 50 Percocet 5 mg and twenty ativan (? mg) since the surgery. She wanted to come to my office to get a refill on the Percocet (in KY this must be written). She was offended, nay, pissed off that I was such an unreasonable SOB (her words) for not wanting to refill the Rx without first speaking with the surgeon who did the procedure. I have refilled prescriptions for patients in similar situations but always after the operating doc's office calls first. What do you guys/gals do? >> So what's the timeline here? 50 Percocet 5, which is 1/2 the full-leaded strenght, right? Over about a week? So that's say 25 10's in 7 days... roughly 3-4 a day. That's not terribly much, from what I have seen. However, I'd wonder what is going on with her incision(s). What's the pain from? I'm not all that familiar with pain from a vulvectomy, but if it's all a big raw area, she MAY actually need MORE medicine. But I'd certainly like to actually SEE it before making a decision. Or else the SURGEON WHO DID THE SURGERY needs to care for his post-op problems. (We used to call that the "Frankenstein Rule" = You create the monster, you take care of the monster.) Joe P.
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