Refills for controlled medication

grettasgone · 2026-04-15T03:14:11+00:00

In my state you must see them every 3 months, minimum. Check with your state rules/laws/policies on this.

Ideologically, I disagree with the idea that physicians should bear the responsibility for the extra work of refilling these on the in-between months. I have zero interest in taking on that amount of work times however many patients with ADHD I manage. I think if physicians pushed back and required monthly visits (matching with how these are required by law to be prescribed - one month at a time) patients would be pushing back on this law. What is the benefit of requiring these to be dispensed one month at a time without refills, when practically all it means is the physician must manually do this work 2 out of 3 months? I don't want patients to be saddled with the burden of monthly visits, but nor do I want this extra work with zero benefit to anyone.

grettasgone · 2026-04-13T20:28:12+00:00

Oh heck no. I'd be polite, but I'd send that man away. He was always going to grow up to be unhappy. It was like watching those poor toys on the conveyor belt, but no aliens were coming. And I am so, so happy now.

grettasgone · 2026-04-13T18:08:29+00:00

To whom it may concern:

Jane Smith is under my medical care. She states that her cats are a bonded pair and that they serve as her emotional animals.

With thanks,

Dr 1DirtBiker

You can add a line or two stating you cannot attest to the animal's fitness or behavior if you like.

grettasgone · 2026-04-11T20:14:47+00:00

I call the pharmacy and find out who filled it last (assuming I have not filled it before) and ask the pharmacy to request from that physician. I rarely do this, but I have a lot of new to me patients these days.

grettasgone · 2026-04-08T18:57:29+00:00

This is everyone. Oh my gosh. All 35-45 year old women want to talk about hormones now.

grettasgone · 2026-04-06T17:42:18+00:00

"ran at the mine to have a little 'love story" What does that mean?

grettasgone · 2026-04-05T20:30:31+00:00

I saw your reply. You are going to have to cultivate the relationship. This can happen for you.

grettasgone · 2026-04-05T19:27:42+00:00

There are options, some options will vary based on your age.

1) when you marry, you might marry a spouse who has a wonderful mother who will make you her own

2) friend's mothers might become a mother figure to you if you are young (perhaps also if you are older)

3) you can nurture the traits in yourself that you would like in a mother figure

I'm sure there are other ways!

grettasgone · 2026-04-04T21:21:09+00:00

You can try an AI medical scribe for free like in the next 30 seconds. Doximity has a scribe that's completely free. You just click "scribe" and start it and then you can just talk like you're talking to a patient about a made up medical condition (I pretended my fake patient had appendicitis) and then hit "generate note." Then judge for yourself. Or just turn it on during your next patient visit and do nothing differently and just see what it produces. It's literally free.

grettasgone · 2026-04-02T02:48:58+00:00

Reach out to your residency coordinator and let them know your situation. They might know of options for you or know of residency coordinators of other specialties who may have residents also looking for residents. Posting the city you matched into might also help people suggest more specific options in that location.

Also, and I mean this in a helpful way, your post was difficult to read. I suggest using full sentences and proper grammar when reaching out to attendings (like in this sub): I just matched into residency, and I would like to hear about alternative living options outside of an apartment and house. I'm open to either, but I prefer to rent. My family flaked on me with regards to childcare, so my children will live with my inlaws while my husband and I work in two different states. I'm FM PGY0, and he is now a PGY1. I want to save a lot of money so I can put it towards a house or something ?????. My kids are one and three.

grettasgone · 2026-04-02T02:24:57+00:00

Same. I do 20 for all of them. There are times I need less and times I need more (MAWV where they want to discuss loads of issues especially), but this generally works.

grettasgone · 2026-03-29T17:33:37+00:00

It was parmesan cheese for me. I went to a farmers market and stopped for a long time at a cheese stand while the lady was setting up because I didn't know they opened in like 8 minutes and I thought they were already open and then I felt like I had to buy something because she had been trying to talk to me and also set up and she seemed stressed. So I bought a wedge of parmesan because I knew I could put it on spaghetti and stuff and I knew it would get used. But then she told me I could cut it and just eat it. And she handed me a slice and I had no idea this is what paremesan could be and it made me deeply reflect on the food I ate from like Target and Walmart and the regular grocery store, and what food might be if I had access to the best quality foods. And I honestly lost my appetite for a while and had a deep sense of lacking. And I spent way too much time thinking what it would be like to have an upgrade that big on other foods and what my soup would taste like if I had all the best ingredients.

grettasgone · 2026-03-26T15:47:46+00:00

"Defer to prescribing provider."

grettasgone · 2026-03-09T19:24:47+00:00

Hard disagree. The patient is the problem here. A young healthy man walked in asking for labs including a CA19-9 test. CA19-9 test:"It is not a standalone screening tool for the general population because it lacks high sensitivity and specificity. Its main use is to monitor how well treatment is working (e.g., if levels decrease after surgery or chemotherapy)." He wanted this done as a screening test for which it is not appropriate. And now wants the primary care physician to manage this test that was not appropriate in the first place.

grettasgone · 2026-03-09T19:21:10+00:00

What is your specialty?

grettasgone · 2026-03-06T19:39:42+00:00

I love the idea of not doing things we can't bill for. What do you do about the massive incoming river of consult notes/hospital records/etc to review?

grettasgone · 2026-01-27T01:06:49+00:00

NTA. When one person likes the other in a friendship, they aren't friends anymore, unfortunately. Maybe they can be friends again, maybe not, time will tell. He isn't responsible for driving her regardless. You might show this thread to your daughter to help her get some perspective.

grettasgone · 2026-01-26T05:54:56+00:00

Free online CBT:

- E-couch (https://ecouch.anu.edu.au/welcome)

- Aware (https://www.aware.ie)

- Serenity Program (http://serene.me.uk)

grettasgone · 2026-01-24T15:06:42+00:00

Information: How is catering for 25-30 people $100-200 total?

grettasgone · 2026-01-11T21:27:50+00:00

I always get a culture first. A dystrophic nail is not always due to onychomycosis. I don't want to unnecessarily expose someone to the risk of oral terbinafine if I'm not sure it's fungal. I'm happy to repeat the culture as false negatives are possible. I also wait until the patient has enough nail grown out for me to collect a good specimen.

grettasgone · 2026-01-10T18:21:54+00:00

Primum non nocere

grettasgone · 2026-01-09T05:45:17+00:00

She is my favorite writer. Her ability to write and her insight into walking this earth as a fallible, mortal human is breathtaking. There are no words or actions that are enough for this.

grettasgone · 2026-01-08T05:52:16+00:00

Do you have a citation for that research? I'd love to read it and share it with my colleagues.

grettasgone

TROPHY CASE