The editor emphasizes two critical points in reducing opioid prescribing – the creation of a urologist-patient link as well as the collaboration of urologists, emergency providers and patients. By taking ownership of stone patients, urologists have the opportunity to play a powerful role in directing stone management. We often are consulted on patients with urolithiasis who have already presented with multiple trips to the emergency department (ED) and were previously discharged with narcotic prescriptions with or without nonsteroidal anti-inflammatory drugs or medical expulsive therapy (tamsulosin). Improved partnership with our ED colleagues will promote education on stone management and establish the urologist-patient link with an aim to minimize opioid prescribing.
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