• David A Fishbain, John E Lewis, Jinrun Gao, Brandly Cole, and Rennee Steele Rosomoff.
• Departments of Psychiatry, Miller School of Medicine, University of Miami, 1400 Northwest 10th Avenue (D-79), Miami, FL 33136, USA. d.fishbain@miami.edu
• Pain Med. 2009 May 1;10(4):722-9.

ObjectivesThe objectives of this medicolegal case report were the following: 1) present details of a chronic pain patient (CPP) on chronic opioid analgesic therapy (COAT), who diverted her opioids and was terminated from treatment, and subsequently committed suicide; 2) present both the plaintiff's and defendant's (the COAT prescriber) expert witnesses' opinions as to the allegation of medical abandonment of this patient and other allegations; and 3) based on these opinions, to develop some recommendations as to how pain physicians can minimize their medicolegal risk when termination of the physician-patient relationship is warranted.MethodsThis is a case report of a CPP treated by a pain physician who demonstrated aberrant drug-related behaviors and required large doses of controlled-release oxycodone.ResultsDifferences between the plaintiff's and defendant's experts' opinions are presented by utilizing the COAT literature. Options for avoiding allegations of abandonment are proposed.ConclusionsTo avoid and protect themselves against potential abandonment allegations when termination of the physician-patient relationship is warranted, physicians are advised to consider following the outlined procedures.

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