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I work as a primary care doc in Florida (everyone's favorite pill mill state).
I have a patient who is seeing a "pain management" doctor in the next county. He is receiving his pain meds from this doctor for a condition that, in my opinion, shouldn't be giving him that much pain. He refuses to see the (non-pain management) specialists that I have advised him to see. We also have no records documenting that he even has this condition.
He did show me the prescriptions that he is getting from the "pain doctor". He gets over 200 8mg Dilaudid tablets every month, as well as Percocet, Valium, and Ambien. The state database shows that he sometimes gets early refills (not sure why - we don't get any consult notes from the "pain doctor").
My question is....should I report this "pain doctor" to the Board of Medicine? Can I be liable if the patient, God forbid, overdoses - could his "pain doctor" point to me and say that I knew about it, didn't do anything about it, and so I'm complicit? What should I do, besides document document document, to protect myself and my office staff?
And I keep calling him a "pain doctor" because he's actually board certified in a completely unrelated field.
Thanks for any help.
I have a patient who is seeing a "pain management" doctor in the next county. He is receiving his pain meds from this doctor for a condition that, in my opinion, shouldn't be giving him that much pain. He refuses to see the (non-pain management) specialists that I have advised him to see. We also have no records documenting that he even has this condition.
He did show me the prescriptions that he is getting from the "pain doctor". He gets over 200 8mg Dilaudid tablets every month, as well as Percocet, Valium, and Ambien. The state database shows that he sometimes gets early refills (not sure why - we don't get any consult notes from the "pain doctor").
My question is....should I report this "pain doctor" to the Board of Medicine? Can I be liable if the patient, God forbid, overdoses - could his "pain doctor" point to me and say that I knew about it, didn't do anything about it, and so I'm complicit? What should I do, besides document document document, to protect myself and my office staff?
And I keep calling him a "pain doctor" because he's actually board certified in a completely unrelated field.
Thanks for any help.