Balu’s failure to do what he himself states should be done……. ![]() ![]() Balu’s recordkeeping is so haphazard that a critical document (the Narcotic Noncompliance Documentation Report completed in April 2016) was not produced until December 2016. The outcome? The Board orders a weaning from Claimant’s current high level of opioid usage, with the following observations: What were the meds? Oxycodone, 90 mg daily (6 daily), Flexeril and Ambien, plus Lidocaine creamĬo-morbidities? Obesity and 1 kidney (the kidney situation precluding the use of NSAIDs) So what was the diagnosis? Bulging discs at multiple lumbar levels (isn’t a bulging disc a clinical variation of normal?) This case highlights an ongoing script for high-dose opioids which was non-certified by Utilization Review-quite remarkably, for an individual who was working heavy duty carpentry work. ![]() Brokaw is a pain management expert who has recently enjoyed his share of victories in the credibility contest. This one comes to me from my dear one, Bob Richter, in his finest hour, along with DME doc Dr.
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