Guys, tell me if I'm getting bit repetitive here. I just thought I would share a story from my clinic today. I get a consult request from an (ex) pain doctor :"please take over scripting for a reasonable patient of mine who was previously addicted to Oxycontin and is now on the Fentanyl patch. I have recently lost my opioid license." This consult screams bogus (i.e. how is this a reasonable pt to be on Fentanyl if they were addicted to Oxycontin ??), so I call this guy. It turns out the patient is taking 500 mcg (yes 500) of Fentanyl Q 2days. I have absolutely no intention of seeing this person, but ask him if he does patch counts : a big pause "Uh, no. I trust him". Really, you trust an Oxycontin addict? Unfriggin believable.