Thursday, May 12, 2016

A family physician duped by a patient on chronic opioids

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A woman in her mid-thirties with a terrible limp and a past surgical history in the dozens became my patient two years ago. Her prosthetic left leg served her well, but her right leg was moving awkwardly because of advanced hip arthritis and a formerly shattered ankle.

She was on long-acting morphine and short acting oxycodone. Her Social Security disability insurance didn’t cover the long-acting form of oxycodone.

She told me several times how much she hated being on narcotics, but they kept her functioning. She was able to do her own housework, and she was taking classes in medical coding and billing.

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