There has been a lot of great discussion of how to weigh the risks and harms of ongoing opiate prescription in our patients. Can we apply these concepts to the patient in the case? Based on what is written, what are the benefits for this patient? The harms? Are there any red flags that may signal concerning behaviors, and, if so, how do we incorporate these into our assessment? Do we think this patient has an opiate use disorder? We may not have enough information to answer these questions - if you think this is the case, what additional information would you want were you his care provider?
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