Patient has no PCP and is seen in an UC with acute symptoms. Workup reveals findings concerning for cancer and is referred to specialists. Is followed by both Onc and Surgery for now found metastatic cancer and undergoes therapies and surgery with complete resolution of cancer. Throughout this process Onc has been steadily up-titrating pain medications to include multiple high dose opioid and non-opioid agents.
While still frequently following the patient Onc says they will no longer write their pain medications and they need to find someone else to do it, thus they end up at a PCPs door.
I imagine this may not be an all too uncommon scenario but, while I've experienced turfs like this in the inpatient world, in the outpatient world its new and quite astonishing.
Has anyone come across this and how did you handle it? Does this constitute "abandonment" in some way on the specialists side? Thanks for your help!
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