Post Edited By Moderator (Chutz) : 6/19/2008 1:45:16 PM (GMT-6)
Hi Jenn, I also have always signed a contract with the 2 different pain docs I have been with. They are supposed to benefit both the doc and the patients but I have heard of some that only benefit the doc so I would read yours carefully. I second the idea that you have your doc add an addendum with the issue of your malabsorbtion. That way there is no confusion anywhere. I was happy to sign mine. I have never been ua tested and I have had surgery numerous times under pain management and I have had no trouble with making sure I am covered properly. All docs are different and as long as you have open communicationwith yours and follow what he says, you should have no problem.
You wanted to know if anyone other than the doctor's practice would find out if you were dismissed?
I know that the contract that my PM doctor uses says that they have the right to trade information with your pharmacy, other doctors ( which means your GP, and any doctors you might request that they forward your records to), so the answer to your question would be yes, they would all know. I've been there when they have called other doctors involved with a patient that they have dismissed for not taking their meds or having a dirty screen. And it says clearly in that contract that if you are dismissed, they will only forward your records to another doctor, they will not release them to you.
If your contract has that release about information on it, or something similar then those things could happen to you too.
If you are taking one less a day, that might not be a big deal, but if you are prescribed 6 a day and you are only taking one, then your best option might be to tell your doctor that you don't need so much medication since you are trying to cut back or feeling better than you were.
If they do serum levels or quantatative tests, then they will show what your blood plasma levels are, and if you are below the threshold, then you might be in trouble and accused of diverting if you can not produce the correct amount of meds......
Urine tests don't do quantatative amounts but have a minimal amount that they will detect, and if you fall below that, you will show a negative screen.....which will lead to being dismissed from most PM offices.