A very polite and courteous 30 something year-old woman in a wheelchair would come see me once a month for a refill of her pain medications. (lets call her MJ). I inherited MJ from another doctor on the staff so I never really had a detailed history of her pain and overall situation. She was relatively pleasant towards me and would usually spend a few minutes talking about her two sons, aged 6 and 8. She had a diagnosis of chronic back pain and anxiety and would usually receive Percocet and Xanax each month. ( I never asked her medical history which is my fault. I just continued prescribing in the same pattern her other doctor prescribed.)
One Monday morning a member of our staff called me aside, pulled out her iPhone and showed me multiple pictures of MJ at a dance club (without a wheelchair) having a great old time with her girlfriends, dressed up in heels, dancing all over the place, drinking and such!
I felt like a fool and also had to laugh. I enjoyed our monthly visits and did not look forward to confronting her.