Client has been getting 1 seroquel every day. After a while, the doctor decides 1 week at a time would be okay. The very first week the client gets a week supply, the client somehow manages to go through or lose 4 days out of the 7. Of note is that the client has substance abuse problems and seroquel is occasionally used on the street to achieve an "altered mental state".
Client comes to me and insists I should give the next supply early. I reply that 1 week supply was given out and the next supply will be given out in 7 days from the first supply. Client says her drug plan allows early fills. Which is true. However, this client is not exactly a responsible member of society (did I mention her drug plan is social assistance?) and I am uncomfortable giving out a drug which is very likely being diverted.
Client goes to see doctor. Doctor decides client can have the pills early, but back on the 1 day at a time schedule.
And the client wonders why.
Sunday, January 20, 2008
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