Hi everyone.. I really need your advice and input on a hard situation I'm in. (here it goes)I've been seeing my pain doc for almost a year and a half now. Never been urinetested or anything like that like I read most people have to do sometimes withtheir pain docs. They only had me sign a pain contract about a couple monthsago and that was it.Currently, I'm in chronic pain due to Crohn's disease, gastric ulcer disease,Fibro etc... I have tons of malabsorption problems, severely underweight andjust basically sick and weak in every way. I have been on the same dose of medssince day 1 of me seeing this doctor. I have had no increases/decreases becausemy malabsorption issues are so severe that every time I take a pill, it effectsme differently every time. I'm suppose to be on 5mg of Oxycodone 6 times perday.
Well to be honest, I do not take that much because I have a really lowtolerance and my system reacts differently all the time. I have never told mypain doc that I'm OK with taking less than what he is prescribing....and I haven't incase I were to lose myinsurance or anything bad were to happen, I would have left-overs.Well yesterday, he tells me at our monthly apt. that because of this wholeMichael Jackson bs, he has to have his office now testing all his patients acouple times a year starting real soon. He said I have such a squeaky cleanrecord and he feels bad for doing this, but he just needs to have back-up for meincase he would be investingated.. which I understand.My problem and I'm worried because #1. I'm not taking the dosage I guess Ishould be #2. My malabsorption issues might not show any drugs in me at all. #3. A lot of the time I am vomiting due to GI reasons, and the drugs probablycome up as well, and might not show on the test. It's a little too late to tell him considering
I have been with him at the same levels for over a year now.My questions are can anyone tell me if they have been urine tested and how longfrom the time you take a drug will it show in your urine?Also, Can you have small amounts of it and still be OK? I dont take anywhereclose to what I'm suppose to be at, but I do take what is right for me. Thereason I have not brought it up to him, is because I always save INCASE anythingwere to happen to me.. I will have enough... No, I'm not a drug-dealer. I'mgood and honest..Please help me because I'm so nervous and scared.Can someone tell me about urine tests? (by the way, i am severly underweight, don't have a lot of food in my system so I don't know if that takes into account as well )Sorry this is so long.. thank you all in advance!
Jenn I will share this with you as a FYI, yes the urine test can show the amount of medication, its always part of the testing, I have seen these reports before and whatever drug is in your system the numbers are there for the dr tro see. This is done by PM drs to see if the patient is actually taking their medication or not. I know someone else posted its more expensive to do this testing, I am not sure thats true, the point of testing is not only to see if other drugs show up but in a patient accepting rx's from the dr and not taking the meds is a good indication the patient is doing something else with their medication. This came straight out of the mouth of my former PM drs nurse. In 4 yrs I had to 2 urine tests. I saw alot of people tested in the clinic and I also saw alot of bawling and squalling over failed urine tests. I was shocked when my nurse shared this with me, but then her and I talked about all sorts of stuff,lol. I said how can people afford to see a PM just to get meds to sell. She said you would be surprised what patients will do to go thru to get medication, I had never thought of that. So, yes the amount of medication shows up.
PaLady gave you very good info. Above all being honest with your dr is the only way to go. When you start being dishonest, then you are setting yourself up to be eventually caught and given the boot. Once booted by a PM dr, it goes in your medical records and that follows you around and then no other dr will want to take you on as a patient. I too have crohns disease and have absorption problems relating to surgery because of the crohns. I do hope you have shared this info on your crohns with your PM dr.
I think like PaLady you know you are not following drs orders by not taking your medication as prescribed according to the directions on your bottle. I think this is what has you so worried, among other things. Whats with your fear of losing your insurance, is this something that is coming up in your future? The only way to know the expiration date on medication is if you are given the original bottle of medication. You are in a tough spot no doubt. So, if you have been stock piling for a year there is a chance some of your medication is outdated.
I would not say anything until it becomes an issue if it were me. If it comes up then you can try to explain again the absorption problem. But, I would not say it makes me throw up beecause no one is going to take medication over and over that makes them throw up.
Everyone metabolizes medication differently so there is no clear cut way to say how long this medication will stay in your system. I do know if your dr thinks you are stock piling your meds he most likely will either cut you off or put you on a mild pain medication with the thought your pain is not as bad as he thought it was.
Personally, I think your dr is over reacting with all the the publicity or he may just be using this as an excuse to incorporate drug testing in his practice if this is not something that was done before. The drug that has caught everyones attention on Michael Jackson at the moment is Diprivan which is a drug used for surgery patients given by IV only. This drug is to be used in a hospital setting only and now they want to know how he managed to get it and who gave it to him.
Like you, when my former pain mgt dr stopped doing pain mgt last fall, he said to me if all of his patients had been like me to deal with, his life would have been much simpler. He went as far to tell me that the new dr taking over my care was informed that I was an excellent patient. I took this as a compliment, but then I was there for 4 years as a legitimate pain mgt patient. I never had a problem with any of the rules his office practiced and I think most of us feel this way.
Try to calm down about this, you may be taking alot of it out proportion.
JD, usually they want these tests to find out if you're taking anything that you shouldn't be or NOT taking what you should be taking. Like selling your meds...If you are taking them on a regular basis, even if it's not all of the dose, you will be okay. I can understand why you are scared to say anything, so don't worry. I wouldn't say anything if I were you, one day you may need to take the dose you should and you might not have them....so don't worry.
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Post Lamenectomy Syndrome, Spinal Stenosis, DDD....
1999 Hemi Lamenectomy/2005 Spinal Fusion(L4-S1)
Methadone 120 mg. a day/15 mg. Oxycodone as needed(up to 4 x a day)
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