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[quote=Anonymous]I can see why this would make you uneasy.  I think if she is willing to get a letter from her doctor that is encouraging.

Here is what would reassure me from a physician:
- is he/she the prescribing physician for this medication for the entire time she has been on it?
- can physician assure you that the medication is being taken as prescribed, in a way that is supervised and tracked over time?
- is there anything about her physical condition (whatever is causing the chronic pain) and her medication usage that in any way makes her unable to perform the basic requirements of the job, which include: supervising small children alone for extended periods of time, driving small children regularly in her car, having to potentially react quickly (child falls, darts into traffic) or in an emergency situation (child has allergic reaction, brreaks a bone, etc...)

It is true that use of painkillers for chronic conditions is quite different that use of painkillers for getting high or by someone who is struggling with addiction.  Someone who is using medication appropriately does not have escalating need, should not have serious side effects, and can be on maintenance medication for decades.  (I know this from experience with a parent with chronic medical conditions.)

I think it's worth some additional due diligence OP, but I also think the way the nanny was very upfront about it, and not hiding anything, is positive.[/quote]

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