I'm not sure why, but my traffic seems to have picked up lately. What that also means is that people are reading and commenting on old posts. (Thanks, folks.) Here's a recent comment by Dr. Sissy (no blog link; start one and I'd be happy to send you some linky-love) on my post about identifying drug seekers in the primary care setting:
Any advice for a new FP? The narkies are coming out of the woodwork. I offer referral for counseling, hospitalization, pain management and physical therapy, along with NSAIDs, tramadol and other lower risk meds and watch them leave in a huff.Yes, I do have some advice: keep it up; you're doing exactly the right thing. Here's why:
After I'd been in practice for only a few years, I saw a patient for a non-drug-related problem (bronchitis or something like that) who mentioned as part of her medical history that she was an active heroin addict. I looked up at her and told her point-blank I wouldn't prescribe any narcotics for her. Here's what she said:
Oh, I know. The word is out on the street: don't call Dr. Dino. No drugs to be had there.My honest reaction was to swell with pride! That's obviously why the narkies were leaving me alone. Stick to your guns; once you establish your reputation, you're home free. By the way, I told the patient it was the nicest thing anyone had ever said about me. She didn't leave in a huff, either. Maybe someday, when she's ready, I'll be the one she comes back to. In the meantime, I treasure the reputation I worked so hard to achieve.