Got a letter today from Pain Management about a mutual patient that read, in part:
Patient has responded very well to epidural steroid injections and now reports that he is pain-free.
Great! Wonderful! Success! Gotta love those epidural steroids.
For the record, the patient is not being treated for any other pain syndromes. So I was at a loss to read further in the letter:
I have refilled vicodin 5/500, dispense number 60, 1 or 2 to be taken every 6 hours as needed.
Um, why are you refilling pain meds for a patient you’ve just said is pain-free? No mention of plans to taper (though he wasn’t on huge doses anyway), nor a note about just having the meds for PRN use in case of recurrence? Just a routine refill.
This is the kind of thing that gives pain docs a bad name.