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tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/30/2008 6:24 PM (GMT -7)   
To all my fellow pain friends. Went to the University of Penn today to see my pain specialist after my appointment before making another appointment I was directed to another couple of rooms where I was asked for a Urine sample. My first reaction was to refuse but I take my meds as prescribed ( lately) plus I have always been quite cranky in my previous appointments so I agreed. I was today the center of attention with my "black eye" and how I got it ! ! Lotta laughter ! !

Any way my warning is that this Urine testing is becoming mandatory with Pain specialist's. I hung around for awhile and saw that everyone who came out with a script got tested. Everyone I saw had my same reaction and i overheard that my Specialists are conforming to new guidelines. It appears new Urine tests now are fast, cheap and accurate? I see it as yet another insurance company obstacle and more Government interference in our lives.

I am very anti fraud - but I saw today after reading up online about the new Urine tests that I very easily ( not to long ago ) could have gotten into a hassle over my medication. Hopefully it is my Doc's only doing this. Again i mention to stay on top of "pain" we have to stay educated. So sorry to be the bearer of more bad news. in the past I have been requested to get blood test's taken and had 30 days to get the blood work done I had no problem as I worry about the inpact on my liver and kidneys.
Quite frankly I do not like surprise's nor did my fellow patients today. Has anyone else joined the pee-pee club ??
Your friend in Urine testing, pain, depression, pill taking, cranky, tired, etc from N.J. Tom
Tom Lasko


~Cloe~
Regular Member


Date Joined Jul 2008
Total Posts : 125
   Posted 7/30/2008 7:35 PM (GMT -7)   
Hi tom,
I have peed in a cup 3x. I have been in chronic pain for five plus years. I do not mind the test, in my opinion they are checking to see if we the chronic pain suffers are not taking the meds and selling them or taking additional meds like street drugs or doctor shopping.
In my opinion it is for our protection.
But this is a bit off topic, I would like to see all medical professionals and pharmacists do weekly ua's as well.
This is the two professions that have access to abuse thus putting the blame on the ones who truly need them. Just my opinion. I am not implicating any one, but feel it would be a good employment procedure.
Cloe

tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/30/2008 8:16 PM (GMT -7)   
Hi Cloe: Thanks for Your reply. And I may be going off topic to but ---Do You count Your pills after picking them up at the pharmacy ?? on three different occasions I have been shorted and my wife and I went back to the Pharmacy and made things right except I am not allowed in the Drug Store any more ! Last time I was pissed and expressed my displeasure. Now my Wife counts them at pickup ! Wonder how many others are victims of Pharmacy mis -counts ??

In terms of checking my intake of drugs I prefer the blood test. But I'll betcha they ( Pain Docs ) busted a lot of people just by the looks on their faces plus the many questions they asked. I hung around to make sure I was not being singled out. I do not know about You but some days I take my meds at different times do to my weird sleeping schedule. If I read the new testing procedures could make me look like i am miss using my meds.? Perhaps I am wrong ? Plus No one told me ( My Doctor) that I would be Urine tested following my visit-- I felt like a criminal or maybe I am just a cranky painfilled tired, mixed-up, pissed off,...... but Your pain friend from N.J. Tom
Tom Lasko


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 7/30/2008 8:41 PM (GMT -7)   
Hi, Tom,
I was subjected to this with one pain specialist. I was asked to do it at the initial visit, and for several visits after. I was told every patient had to be asked so that they were not accused of discrimination. Funny thing is this was one of the Interventional Radiologists who only did high tech procedures - no prescribing. But I guess he wanted to make sure we weren't doing other drugs. I was initially upset when I got the explanation of benefits from my insurance and they did not pay for what amounted to a several hundred dollar test. When I called my doc and said there was no way I could afford it, they said not to worry, that they picked up the tab. I ended up leaving that doc because his staff was so rude, and always let things pile up so that I spent a lot of unnecessary weeks waiting for various procedures, etc.

So far, I've not yet been asked for a urine screen but the one prescribing is my neurosurgeon's office. It's surprising because they mail me scripts every month and never question anything. I have to see my PCP tomorrow about another condition and it's the first time since my surgery, and since I've been on daily percocet, so I am holding my breath they don't try to change anything or write my neurosurgeon saying I shouldn't be on all these meds, blah, blah, blah.

Sorry, a bit of a rant! But I think it varies with the docs office, and I don't think the urine screens are uncommon with pm docs. But it still makes you feel like a criminal. I have had to do them for employment purposes in the past, but just at initial hire.

Others here have also said they had trouble with being shorted with scripts and have started counting them before they leave. You know we wouldn't be such PIA's if we were treated with dignity and respect!

PaLady

tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/31/2008 6:13 AM (GMT -7)   
Hi Pa Lady: Thank You for Your reply and support. After "pondering" all night I feel ( today) that I overreacted with my post.
I have been in a major flare up and while trying to keep up my attitude positive each minute that goes by drags me into being downright cranky.
                As You are aware I hate with a passion people who fake pain or injuries or sell their medications and mandatory tests is a great way of getting rid of abuse ( i think ) .  Many times I mess up taking my meds due to my sleep patterns or simply being forgetfull so i guess there are times where my drug levels would be high to low ? 
               Sad news is people in my Support Groups are suffering from "bad results" of their Urine test's and are being cut off or forced back to their Doctors for either re-testing or sent to a shrink for evauations for abuse ! ! !  This information is flooding my email box !   I hope that this is just something they are doing here locally  ? ? but now I have my alarm clock set and have my added another burden on my wife to time my medicine taking !
               I feel like everyone in this group as Family and this could be a nightmare for some of us  for  if I was cut off :
 "enough would be enough" I should have worded my post differently I guess  but I wanted to warn everyone   Tom
Tom Lasko


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 7/31/2008 8:46 AM (GMT -7)   
Tom;

I too am one of the fortunate ones as to not having to take a UA since my very first visit with the Pain Doc. But that could all change soon as this move and all could be a real pain in the bum so to speak with the constant UA's. I am really not worried about it that much as I take my meds as prescribed and do not fear that they will cut me off. But somewhere in the back of my mind it does worry me as I too someday's forget that I have already taken a Percocet for the pain an hour before and will do the same thing as you. Hubby has had to take over the pain meds as far as dishing them out so that I won't forget to take them or won't go over the alloted amount and I too feel as though I am burdening him with this. He picks up all my meds and I count them when he gets home to make sure that there all there. If not I call the pharmacy and they go through their count and tell me yes or no as far as whether I got the right amount.

It's silly really, but I have been shorted a few times, but they usually tell me we owe you XX amount and that they didn't have enough in their stock to fill it completely. But as long as it works out in the end...that's all that counts right? I am on a first name basis with everyone in the pharmacy which makes it easier for me as far as who I need to speak with about the shortages and my Pharmacy orders their supply for my refills two weeks in advance before it is time to refill. Of course so do I......I am required to call my pain meds in 10 days in advance and I usually am pretty good at doing that but sometimes I too forget and will call them in 4 days in advance forgetting that its 10 days. In which I have to sneak into my extra supply just to make sure I have enough to cover for the days that I am short.

Until my next post..........yours in pain

Scarred
HEALTH ISSUES: Herniated discs at S-1-L5, L5-L4, L4-L3. Two level fusion (2000); one level fusion (2002); Revision at L4-L3 (2003). Diagnosed with Failed Back Syndrome, Permanent Nerve damage and Chronic Pain

Medications:

Kadian, Lexipro, Percocet, Temazapim, Lunista, and Robaxin.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/31/2008 8:48 AM (GMT -7)   
Tom,
Not a problem. We all get cranky, myself included, and being able to vent is what this forum is all about!

It would be terrifying to me to have a doc do urine screens who didn't understand that medicaiton levels may vary because I hardly ever take my meds precisely at the same time. But they're ordered 'prn' every 4-6 hrs. and that's what I do but I push to wait until after noon to start taking them or I'd never have enough. And my pain levels worsen throughout the day, so that makes sense for me. I'm still taking them as prescribing, but my levels would vary greatly if tested at differnet times during the day. I'd much prefer bringing in my bottles of pills and let the darned doc count em up, although I'd want them to do it while I was watching!

PaLady
p.s. for Scarred & Tom - I have taken to writing my meds down as i take them. I live alone so I have to. Think about it as if you lived alone, and that may help you figure out some strategies so your spouses don't have to take that on. Just a thought.

Post Edited (PAlady) : 7/31/2008 9:51:23 AM (GMT-6)


bubsykitty
Regular Member


Date Joined Jul 2008
Total Posts : 23
   Posted 7/31/2008 9:09 AM (GMT -7)   
Most UA's just test positive or negative if the drug is in your system or not. They don't test for the AMOUNT itself. It is possible to do so, but that would be a blood test and it is much more expensive than just a simple + / - urine test.

kara487
Veteran Member


Date Joined Mar 2008
Total Posts : 637
   Posted 7/31/2008 9:54 AM (GMT -7)   
Tom, it happenned to me before the pharmacy shortened me 24 pills and ten on my other  script. I had to do the pee test at my old pain dr . Now I see a othropedic spine surgeon for my back pain  .I have not been asked to be tested.

Porteyoz
Regular Member


Date Joined Apr 2008
Total Posts : 33
   Posted 7/31/2008 1:19 PM (GMT -7)   
I too have been tested w/ a urine drug screen...2 years into being a patient at my pain management dr's ofc. I was never tested until I started seeing the new dr...I went in for appt like normal and then they said "by the way, before you leave we need a urine sample to send for drug testing"...I was shocked and nervous (my husband is a long-term smoker of marijuana..over 20 years we've been together)*we've been together since 15 years old!* now, we have a 14 year old son,10 year old son and 4 year old daughter* but this is his "drug of choice"..ANYWAY, he smokes in bed right next to me and blows it towards me...I've smoked it many years ago, but don't choose to now, but I was soooo worried about it showing up in a drug screen. well, fast-forward to my next appt all the while thinking this would be my last appt....he NEVER even MENTIONED IT at all! That was a few months ago and have not been asked for another one...I thought for sure it would show up...but I guess not! I do know that a urine screen cannot detect "levels" as far as when you take a dose/missed a dose...that would be a blood test and would be very expensive as the other reply said... 

tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/31/2008 7:03 PM (GMT -7)   
bubsykitty said...
Most UA's just test positive or negative if the drug is in your system or not. They don't test for the AMOUNT itself. It is possible to do so, but that would be a blood test and it is much more expensive than just a simple + / - urine test.
Hi Kitty: my understanding is that what a lot of us here in the N.J / Pa area are being subjected to a"New" type of Urine testing causing problems all over. My wife went to our family doc and asked him about the Urine test and he informed Her that Urine testing has been greatly updated to include all types of information on drug usage. it also depends on the medication and what the Pain Management Group's are seeking to find out. all I know to date there are very many unhappy pain soldiers in our area right now.
Tom Lasko


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/31/2008 7:18 PM (GMT -7)   
Tom,
This almost sounds like it could be a legal issue - if people are being cut off from pain meds just becasuse of this new procedure - and perhaps it's not being implemented accurately....I don't know. Maybe worth talking to that attorney you know?

PaLady

tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/31/2008 8:14 PM (GMT -7)   
PAlady said...
Tom,
This almost sounds like it could be a legal issue - if people are being cut off from pain meds just becasuse of this new procedure - and perhaps it's not being implemented accurately....I don't know. Maybe worth talking to that attorney you know?

PaLady
I was forced offline to answer a phone call from one of our RSD members who recently was tested following day she gotta call and now has to see a therapist who specializes in drug abuse ! ! this member feet have shrunken from muscle loss and is in a wheelchair She like us messes up on Her meds and when She has a extra pill will take the extra pill on a bad day ! I spent five minute talking twenty minutes listening to Her cry. She cannot go back to Her pain Doctor until She gets a report from a therapist !!!! She is out of pain medicine-- any advice ? ? Lawyer's years of litigation who can afford them
unless we get a class action going and that takes years and chance are we are taking on the Federal Government who will spend million rather than pay one thousand dollars to settle a claim. I am a little mad- real mad-- gotta do my homework so glad I for once got by since I was on new meds Kadian and morphine sulfate for b/t pain and took them almost always as directed. This Ladies pain doctor i visited one time for a consult and thought he was a fruitcake who was in medicine for the money. Keep Ya posted. Your friend in N.J. Tom
Pa Lady-- Note: I will be in Slippery Rock this fall we have a vacation home there- we rent it for the summer to pay for it. Do ya know Slippery ??
Tom Lasko


tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 7/31/2008 9:34 PM (GMT -7)   
Pa Lady: talk To Ya when time gets closer. Iam appearing in downtown Butler doing my Disco thong dancin. Then go'in to Heinz field look at the crowd and the parking lot and then hobble to a local speakeasy and watch the game in comfort. Tom
Tom Lasko


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 7/31/2008 9:48 PM (GMT -7)   
Tom,
Sorry to hear about your friend. Maybe the legal route will be good for the long term. As far as the short-term, perhaps she could call the psych & let them know she needs an emergency appointment. Honestly, it might be even better if someone else calls for her. That way the psych can't start making snap judgments about why she's in such a hurry. If an family member or advocate called on her behalf, they could explain their concern for her having to wait to refill her meds, offer testimony about her being responsible with her meds & express more urgency than she could get away with without seeming suspicious. If the psych can quickly clear her to return to her PM, perhaps that would be the quickest means to the end. Once she has an appointment, maybe she could call her doc & let him know when the appointment is (hopefully it's real soon) & ask if she could get enough medication to last until the appointment.
Also, I wouldn't have her mention anything about the suit to her doc or the psych. Unfortunately, I've seen people interpret that as manipulative & use that as one of the criteria for labeling someone an addict. It would probably be best if she got herself cleared through psych first, then get some meds to last for a little while & switch to a new doc before saying anything about a lawsuit.
I know it can be frustrating &/or humiliating to go through that, but I also have seen that sometimes the psych can turn out to be your ally and get the treatment program back on track. The one I had to see years back ended up talking my PM into upping my meds. I didn't even feel like I needed an increase at the time. I certainly wasn't asking for one, but he saw things from a different perspective and was better able to communicate to my PM what was going on -- which was surprising to me since my PM picked him. He also turned out to be helpful in getting me on a better schedule with my meds so it all turned out for the best.
Hopefully your friend lucks out & finds someone who can do the same for her.

mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 8/1/2008 8:03 PM (GMT -7)   
Hi Tom,
I've been very lucky. Both times that I have been in pain management, I have not been subjected to a urine screen. I have offered to take one , several times in fact, but have never been asked to or had my offer of taking one accepted.
I do know that my PM's office tests people all of the time. I also know that they have caught many diverters through the testing. I also never have had to sign an agreement/contract for pain meds. Why? I have no idea, actually but that's been my experience.
I have been there on mornings when they are getting the 8:30 am phone calls from pharmacists and doctors offices regarding patients getting multiple scripts , or doctor shopping. Been there when they have cut off other patients as well and it is never a pleasant experience to witness, because usually those that are being cut off are not happy about it. nono
I know there is a new company out there that many offices are using that tests the urine sample in a lab, that gives a level in the urine. They ask when the last dose was taken and it averages out a normal high and low for a particular drug and then gives that patients number. If a patient falls under or over that average, it flags that particular outcome.
I also know that the same company also tests for other drugs like cymbalta, lyrica, pregablin ( neurontin), along with the narcotics, so they can check far more drugs than just narcotics.
The bill is outrageous from my reading others stories about it, but the company supposedly has a number the patient can call, which offers a discounted "fee" for the testing.
As far as whether I would be offended or not........no, I wouldn't. I'm an honest pain patient, I try to take my meds as scheduled, if anything, I may miss a dose once every week because I finally fell asleep for the first time in a few days....but I figure that I am no better than any one else and if that is what makes my doctor confident in prescribing my meds for me, then so be it.
Sandi
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..


tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 8/1/2008 9:06 PM (GMT -7)   
Hi Sandy thank You for Your information on the company You are aware of. My understanding is the test I took costs a whole $ 35.00. Perhaps Wal Mart is doing Urine testing ? All i know id they are destroying a lot of people in pain. Guidelines maybe to harsh ?
Tom Lasko


ryand
Veteran Member


Date Joined Dec 2007
Total Posts : 639
   Posted 8/2/2008 8:32 AM (GMT -7)   
Wow, this is a scary topic, isn't it? It's one of those issues where it unfortunately seems like many of the people who ultimately suffer are not the ones who should. That small percentage of pain patients who are "pretenders" faking their way into our world with deviant intentions have put us in this position and sadly there are bound to be some true CP patients who pay the price. In some respects, I almost feel sorry for the doctors in that regard. I can't imagine how someone could fake the constant pain, but then I think about how we all work so hard to fake feeling fine... I think it must be hard for the doctors to know how to weed out the riff raff. In another thread someone said they'd rather see 10 people who didn't need meds get them than 1 person who needed them go without, and I'm inclined to agree, but with the way the government is targeting doctors these days I imagine our docs have to worry about their livelihood with every prescription they write. Scary.

I am one of the fortunate ones who has never had to do a UA or blood test (except during a clinical trial I did). I don't think I'd be too worried about it if it happened as I take my meds exactly as prescribed, but like PaLady I have some that are PRN and those might vary a bit in my levels. I would hope that the doctors would take that into consideration when they read the results though. I would be upset if such a test were required and then not covered by my insurance, though. That could get prohibitive quickly. Even if the tests were only $35 a pop, with my fixed income I just don't have an extra 30 or 40 bucks laying around every month.

I wish there was an easy answer for this - a way to weed out the diverters and druggies and ensure adequate treatment for those of us who are truly suffering and have a medical need for the medications. This is actually one reason why I wish more of us had access to the pain pump technology. It seems like a good way to fix a lot of these problems. It is supposed to provide pain control with smaller amounts of medication so that patients have fewer side effects, and of course it would be impossible to divert those meds or take them faster than prescribed. I know the technology isn't perfected yet, so it isn't a perfect answer, but maybe someday we will get there. I can only imagine how wonderful it would be to not have to live tethered to the medicine chest any more!

Ry

tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 8/2/2008 9:33 AM (GMT -7)   
 Hi Ry: Your post is right on target. I posted it as a topic so others could have a chance to get ready. I live in a area where there a bunch of teaching ( University Hospitals) and perhaps I hope we are part of some kinda study ? yet again.  I lot of us have been cut off-- my Angel's were watching me @ last month and I was a good boy where normally i screw up like crazy with the times I take my pills even though all i take is pain medicine and I have a hard time with that--- the people forced to PAY and go to a therapist take way more pills than i--- for all kinda stuff. Makes me filled with rage when i think about my friends suffering. Next Pain doc appointment I fully intend on having a deep conversation with the Doc's for a lot of the people they cut off were my friends who i refered there and i am taking this personally.  I admit that once in awhile on of our group members will show up clearly having taken to much medicine or had a couple of cocktails before coming and we handle this with what i believe a lot of grace and wait till the following day and the closest friend to that person will have a chat ( only) advising that there are dangers in taking to much or drinking / mixing alcohol with drugs. again thanks for Your post ! Gotta go have a couple ? of martini's to smooth my soul !  God bless ya, your drunken, always mad at somthin, crazy, painfilled, friend, Tom
Tom Lasko


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 8/2/2008 6:16 PM (GMT -7)   
Hi Tom,
Ameritox or something along that line is the name of the company doing that testing, if that helps anyone. I did some reading on their website, and it is a bit frightening since it advertises itself as a way for doctors to protect their practice first and foremost, and does testing for many things that you wouldn't expect an ordinary drug screen to look for.....
I do understand your feelings about your friends and pain management Tom. I would hate to think that someone in pain can not be treated properly for it as well.
I have seen both sides of the fence when it comes to PM. The abuse side of it, far too often, even with legit pain patients, and those who just abuse the system period to get drugs.....it's scary and it's sad. I have seen those who come into the office limping and groaning, and then see them outside, with a huge smile, walking across the parking lot to their cars, and the limp and grimicing is all gone. I've been there, when someone who is obviously taking too many of their meds, comes in, cursing and swearing because they "ran out" or "lost them", or "someone stole them", and the doctor won't replace them.
I understand it from the point of view of the patients, but I also understand it from the point of the doctors as well.  Those who do abuse their meds, create problems not only for themselves but for every other patient in that office.
I know that some PM's have contracts that are strict and they do not tolerate any deviations from their contract, and I know others who will have some flexibility in their contracts and their interactions with their patients.....
There has to be a balance, in being able to treat patients who really need pain meds, and preventing those who abuse the meds from getting them.
I don't know what the answers are, but I can see things from both sides.
Sandi M
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 8/2/2008 6:36 PM (GMT -7)   
Since we are talking about drug screens and about what that new company is testing for, I found a link to a sample "report " they give on a patient and to the website. I have nothing to do with this site, or company, so I think that it is okay to post these links......
Just so that you can see what ehy do with the urine testing and what kind of results your doctor can get from them.
Sandi
http://www.ameritox.com/filebin/Report%20for%20Website.pdf this is the link to a sample report. According to the website, they not only test for those things that you are prescribed, but for other things that you aren't....under the guise of looking for contra indicated drug interactions, and conflicts.
http://www.ameritox.com/pages/_rxguardian/2.php This is the website. You have to go around and do some reading from the various links but this is really interesting.
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..


tom inpain
Regular Member


Date Joined Jul 2008
Total Posts : 239
   Posted 8/2/2008 8:20 PM (GMT -7)   
Hi 123: thanks i am over-tired right now but many thanks and i will read them right after i "try" and sleep. This post from You is one of the things I was hoping that someone would know about and would advise all of us. I believe this new testing will be done nationwide so i am trying to warn my fellow pain friends to watch their usage. Again thank you, Your friend in pain and the life it gives you, Tom
Tom Lasko


mrsm123
Veteran Member


Date Joined Dec 2007
Total Posts : 1228
   Posted 8/2/2008 8:41 PM (GMT -7)   
You are welcome Tom . I'm a little tired myself tonight. Been dealing with a lot of pain and little in the way of rest lately.
I was surprised that they test for alcohol, benzodiazepines, and things like tegretol, neurontin, lyrica, even anti depressants and ritalin, not to mention that they can test for nicotine as well.
I do believe that you are correct, since this type of testing is being touted in the latest in PM practice management.
The doctor can add any other specific panels outside those he prescribed for you, so you can be tested for a multitude of things. The good thing is that it does have a system for quantifying amounts for prn meds, I know PA lady was concerned about that earlier.
Sandi M
PLIF/TLIF Fusion w/Instrumentation L4-5 Spondololysthesis L4-5.Laminectomies L4-5, foraminal stenosis L3-4, L4-5, L5-S1, herniations L3-4, L4-5, L5-S1, central canal stenosis L3-4, L4-5 and L5-S1
POST OP CES 3/30-06
Neurogenic Bladder and Bowel, bilateral numbness legs and feet
Revision for failed Back surgery, pseudoarthrosis L4-5, hemilaminectomies L3-4, L4-5, L5-S1, bmp added to revision fusion, replaced two bent screws that were reversing out of vertebrae - August 2, 2007
On going back pain and neuropathic pain, failed back surgery, consult for scs, decided not to do that at this point.
Adhesive Arachnoiditis also......just what I didn't need..


ReactiveConstellationNE
Regular Member


Date Joined Dec 2005
Total Posts : 256
   Posted 8/3/2008 4:07 PM (GMT -7)   
Don't get too excited about "pump technology." Like a lot of "treatments" out there these days, these are being pushed not because they're so great for patients, but because they bring lots of money and reduced complications (DEA attention etc) for the docs themselves.

Lots of people are now regretting being suckered/pushed/bullied into having pumps installed.....a vast majority are now having to have the pumps cut out of them and are back at square one because the #1 supplier, Medtronic, recalled most of their units due to potentially LETHAL catastrophic failure or any one of a huge range of subtler failure conditions which could rob patients of effective relief without any way for the patient or the managing doctor to know!

Pumps are extremely dangerous, a classic cop-out, and a cash cow for the pharma-tech companies.....but for most patients, they are far from the best possible solution.
Conditions: Reactive Arthralgia/Reactive Constellation, Chronic Pelvic Pain Syndrome, Sacroiliitis, Costochondritis, widespread Tendonitis, severe back pain & spasms with numerous spinal problems, barely able to type anymore due to severe full-body runaway inflammation, and on and on. Typical daily pain levels exceed 8.5(!)

Medications: Methadone, Dilaudid, Oxycodone, Marinol, Cesamet, Lidocaine Patches, Flexeril, Zanaflex, Soma, Desipramine; many herbs & supplements.


Previous medications: Oxycontin, Opana, Fentanyl patches, Kadian, Avinza, MS Contin, Lortab, OxyIR, Baclofen, Testosterone (oral, patches, gel), Cymbalta, Lyrica, Neurontin, Amitryptyline, every NSAID known to man, Prednisone....and many, MANY more.


Pamela Neckpain
Veteran Member


Date Joined May 2008
Total Posts : 1821
   Posted 8/3/2008 6:28 PM (GMT -7)   
I take Methadone. It's difficult to get another med to work if you have dental work
or some other type of painful situation on top of your chronic pain.
I asked my pain doctor about that. He said, "If you have dental procedures done
you can always take extra Methadone."
Wow! I thought that "extra Methadone" might be the end of you. You might go
to sleep and never wake up.
Anyway, apparently the pee thing is not the rule here in California. (not yet)
Marijuana is legal in California. I had a certificate for buying it but it didn't work.
What if your pee showed that you had smoked it? Would the federal government
get involved? It is against the law according to Federal regulations.
Pamela Neckpain
Oh, I hate Chronic Pain. Medics don't like us much. Same with friends and family. We complain. We hurt.
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