[Verse 1]
Sitting with a patient, pain scale at a nine
Got to lay the table out before I co-sign
Risks and benefits, not a monologue — a dialogue
Informed consent is the bedrock, not the epilogue
Tell 'em opioids carry weight like a legal brief
Sedation, constipation, tolerance underneath
Addiction risk is real, don't sugarcoat the data
Set the expectation now or pay the price later
Function over euphoria, that's the target metric
Goals of care defined so the plan stays symmetric
If they push for escalation, don't just fold and yield
Explain the ceiling, name the reason, hold the field
[Chorus]
Dokumentiere alles — write it down, lock it tight
Rationale, the MME, the monitoring in sight
Schreib den Plan — document the why, not just the what
PDMP before you prescribe, don't skip that stop
Kontrolliere, reguliere — controlled substance law
E-prescribing mandates, no exceptions, no withdraw
Dokumentiere alles, every visit, every call
If it isn't in the chart, it didn't happen at all
[Verse 2]
MME — morphine milligram equivalents — do the math
Ninety milligrams a day and you're on a flagged path
Conversion factors lurking where the dosing gets dense
Methadone ratios shifting — gotta stay immense-ly careful, non-linear pharmacokinetics bite
Document the calculation, show your work tonight
Risk stratification scores, the ORT, the DIRE
Urine tox, prescription monitoring — build the file higher
Not paperwork for paper's sake — it's proleptic care
Anticipating future audit, future claim, future snare
Proleptic: acting on what's coming, not just what's here
Every note a shield and compass simultaneously clear
[Chorus]
Dokumentiere alles — write it down, lock it tight
Rationale, the MME, the monitoring in sight
Schreib den Plan — document the why, not just the what
PDMP before you prescribe, don't skip that stop
Kontrolliere, reguliere — controlled substance law
E-prescribing mandates, no exceptions, no withdraw
Dokumentiere alles, every visit, every call
If it isn't in the chart, it didn't happen at all
[Verse 3]
DEA Schedule II means no phone refills allowed
Electronic Prescription for Controlled Substances — state law now crowned
EPCS systems need two-factor, don't bypass
Hard copy rules in some jurisdictions, read the statutes fast
PDMP — the Prescription Drug Monitoring Program — query first
Before you touch that pad, check who already quenched their thirst
Multiple prescribers, overlapping fills — red flags bloom
Document you checked it, document the room-for-doubt consumed
Treatment agreements, signed and scanned, not just implied
Aberrant behavior triggers — note each one inside