Just reviewed over 400 pages of medical records from Sonoma Family Practice out of Sonoma, CA. The two page “Consent form for Controlled Substane Therapy” is NOT signed by the physician and is NOT dated.
Multiple repeated pages regarding current immunization guidelines and other guidelines for diabetic testing and such, but guess what? NOT A SINGLE DRUG TEST was EVER given to the patient receiving 80 mg of Methadone a day!
Not a single EKG was on file for this patient either!
And everyone wonders why we got into this “opioid crisis” in the first place. Too many providers were giving pain medications out just like any other prescriptions: no tests; no questionnaires to document issues, risks, side effects, and more; no pill counts; no checking the state website to ensure no other prescriptions are being filled, etc. etc.
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Per a letter I wrote awhile back, I see that the Oregon PDMP is finally reporting the refills properly per my suggestion.
If they want to claim religious beliefs, then they need to be willing to pay the consequences of such beliefs too.
Pulled out some records to check some things and refreshed myself with something I had been meaning to post earlier but got distracted.
I find it amazing that so many clinics, especially pain clinics are ignoring the requirements of having pain agreements and Material Risk Notices with their patients.
Here is a letter that I sent to the Office Manager of Oregon Cardiology, located at Peace Health Sacred Heart Medical Center, by fax on 12-10-19.
