Me: "What brings you in today?"
Patient: "I need refills on my pain medications."
Me: "It says here that your doctor referred you to a pain clinic for these a year ago."
Patient: "Yeah, I just don't like my pain doctor."
Me: "Why is that?"
Patient: "He switched my oxycodone to this new medicine. It's still oxycodone, it's just not the same."
Me: "Oh, you mean he switched you to Oxecta?"
Patient: "That's the one."
Me: "That's the new version that's supposed to be abuse resistant."
Patient: "Yeah, those things are impossible to crush, not like my old ones."
Me: "You aren't supposed to crush oxycodone. Ever."
Patient: "Well, I only did it when I was mixing myself a drink."
As a side note: I recently read a study that showed that introducing tamper-resistant oxycodone into the general population did not change the percentage of people abusing drugs, it just made them switch to harder stuff to get their high, even heroin.