Do you provide chronic pain in patient coverage

[Shouldawouldacouldas]

Do you get consults from your hospitalists to see chronic pain patients who happened to be admitted for some thing else? Many primary care and even hospitalists do not want to write narcotic prescriptions. It is not rare for my group to get the "Dr. X wants you to come see this patient and give them a prescription before they leave the hospital today" consult.

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[Gas you down]

I say no to these requests

 

[Velefunt]

No, we don't receive nor accept these sorts of consults; Then again, we don't provide an inpatient chronic pain service.

 

[deleted162650]

These sorta reqs do not happen at either of the places I work. Even in residency where we had a formal pain service we did not write Rx's at discharge. We managed pain issues in house but d/c meds were to be handled either by the surgeon/Hospitalist or per the pt's outpatient chronic pain doc.

 

[Shouldawouldacouldas]

We have an outpatient pain practice so we don't mind covering our own patients. However, enough of the requests are not about our patients.

 

[lunaire]

If they consult on a patient with chronic opioid use, we follow clinically and typically write for a 3 days course, and d/c the patient with instruction on getting a chronic pain doc to get proper long term follow up.

If they just consult us on day of d/c, we say no thanks.

 

[Man o War]

They want it but have not come up with a subsidy yet, so no. It would be a huge $$ loser for our group.