Blood testing vs urine testing

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Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 7/6/2010 9:10 AM (GMT -7)   
Okay all, I know this is probably a stupid question, however I would like to know something.  My doctor tells me that they do 4 urine tests a year for all their patients.  However.....I have already seen my 3rd one this year!  Just seems like everytime I go in they are handing me a stupid cup and that in itself is irritating!  I feel like I am being picked because long, LONG ago I did have a drug addiction, but that was in 1982!!!  It's now come back to bite me I guess.
 
Furthermore, I have had two blood tests this year for "levels" as the doctor says and I kinda wonder if they are not overdoing it with my poor little psyche!  I've gotten to the point where when I go in I ask if they need a urine sample from the very beginning cause if they don't catch me when I first walk in I always go to the bathroom before I go back to see my doctor.  Each time they have said yep!  I think I have only been in twice this year where a urine sample has not been asked of me.
 
It's frustrating because I know that with urine samples they only tell "what" the person is taking not how much is in their system.  Am I wrong in this thought?
 
I just hate this....I want to try the stim but it seems that WC is really being a pain in the you know what!  They are now stalling!!!  GRRRRRRRRRRRRRRR!!!!!!
 
Anyway.....I'm done with my whining now hehehe.
 
Hugs
 
Scarred
I live to "Tame My Pain!" 


Mrs. Dani
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Date Joined Jun 2009
Total Posts : 2787
   Posted 7/6/2010 10:17 AM (GMT -7)   
 
 
  Dear Scarred,
 
     It is always good to hear from you. I hope you are doing well these days and are able to enjoy your summer some what. I did learn about drug screening but it seems many factors come into play.
 
     For urine there is an inital "on-site" testing which tests for the "targeted chemicals", then depending on the results they are sent to a lab to be tested twice. The labratory is able to test the "levels" but, the on-site cannot test levels.
 
    How long ago the "drug or perscription medicine" used, it will show a inital "positive". Here is a web site that I learned all about it from. I hope you find it helps.
 
 
     It was so nice to catch up with you. I hope you can have a somewhat relaxing day. :-)
 
 
*hugg*
  dani
 
TWO roads diverged in a yellow wood
And sorry I could not travel both
And be one traveler, long I stood
 
Chronic Pain Moderator


Mrs. Dani
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Date Joined Jun 2009
Total Posts : 2787
   Posted 7/6/2010 10:19 AM (GMT -7)   
 
 
   ....and just between you and I, I find it very rediclious that they are STILL testing you. Seems like a waste of time at this point. You ve been with them for so long, you would think they knew you better by now. rolleyes
 
TWO roads diverged in a yellow wood
And sorry I could not travel both
And be one traveler, long I stood
 
Chronic Pain Moderator


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 7/6/2010 4:20 PM (GMT -7)   
Hi, Scarred,
I know it's frustrating, but it could be a lot of things. If your doc's office has a policy of testing everyone 4 times/year, they may be trying to get it out of the way with everyone's first 4 visits. You don't know if it's just you, or if everyone else is being asked. If I were you I'd try not going up to the desk the next time, and just go to the bathroom if you need to. If they ask you for a sample once you're back in the doctor's office, you have a chance to ask more questions - and they may also have to wait for you to give the sample. Of course, if you ask too much about whether this will be your last one, that may raise eyebrows and you may just get another test next time. But by going up to the desk in advance, you're just making it easy for them. Still, the doctor has a right to do that and it's not that uncommon with PM's.

Keep in mind addictions are very physical things, not just psychological. Just because you had problems decades ago doesn't mean your body has "forgotten". It means you are more susceptible because your body has already been addicted and it's the same reason most addicts have to stay away completely from drugs (including alcohol). However, with CP patients with an addiction history, doctors do have to watch for signs - including that the patient is taking meds as prescribed, etc. I know it's hard, but try not to take it personally.

As far as blood levels, is the blood work just for drug levels, or other things. I have blood levels checked twice/year because of having been on meds for other conditions that affect my liver. Add to that the CP meds now and I really want to know how all this medication is affecting me. So I consider that a good thing, so that any problems are picked up early.

But it's ok to vent! I know it all feels so invasive. Sometimes I feel so naked (and I don't mean physically) in so many ways, but our urine and blood are kind of personal things! Plus for many of us there's so much financial stuff out there in the hands of so many people....I used to be a private person. I'm getting more desensitized now because there's nothing I can do about it; I need the help and that's that.

Hugs,

PaLady

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13451
   Posted 7/6/2010 4:56 PM (GMT -7)   
Its maxed bag for sure. But, I would not go to the bathroom first because if they want a sample then you are going to have to sit there and drink water so you can go again. My prior PM dr had big signs in the bathroom-do not go until you have checked in, lol. Place could get pretty packed people sitting around drinking water so they can do their duty.

I know you feel like they are picking on you, but they really are not. Try not to let it get to you gal, thats small potatoes compared to some of the crap we have put up with.
 

crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & psoriasis and psoratic arthritis. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 17 different daily medications. Intrathecal pain pump implanted June 05.


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 7/6/2010 7:35 PM (GMT -7)   
Scarred,
Mine does 4x/year also. He does 3 in a row and then one random one. Hell, I don't know who on earth fails the darn things. It seems to me that any idiot would make sure to take the right amount of medicine for a few days before their appointment. I think the whole thing is just dumb & insulting, but we don't get a vote.
Are you just angry or are they charging you an arm & a leg? If it's the cost, a lot of these companies will waive their fees if you can't afford them.
Otherwise, I agree. The whole process is stupid. I have to drive over an hour to get to my PM's so I'm not about to drink a bunch of water before getting in the car. I arrive with an empty bladder. My doctor's been pretty cool about it (his staff, not so much). I wish they would ship addicts and people who abuse their meds off to a private island so the rest of us could live in peace, but I don't think that's too likely to happen. Or better yet, maybe we could all just go live on a private island & the druggies could live in the tornadoes & scalding heat & blizzard snow storms. devil hee, hee, hee.

hugz,
frances

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/6/2010 9:35 PM (GMT -7)   
Frances,
I'd pick the island, too! :-)

Funny how my comment to Scarred about going to the bathroom in advance was said from such a subjective place, as I'm one who can piddle at the drop of a hat!

PaLady

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 7/6/2010 10:21 PM (GMT -7)   
Maybe I can put a different spin on this, my Pain Doc requires a urine sample from every one on every prescription refill visit! and one of the big things they are checking for is to see if you are even using the medications. They want to see the meds in your urine! Because if it is not there, then it means you are not taking your meds and if you are not taking your meds then you must not need them, and then what are you doing with them? This is a major problem for pain doctors and clinics. Scarred at first I was insulted and irritated by having to give a urine test, I am no druggy and I resented the implications that it has even signing the contract. But when I witnessed this older man come in an just raise the roof in the waiting room because the pain doctor would nolonger refill his prescription, and finally the Doctor himself came out and tried to calm him down, and he got even louder, it is then the Doc said he did not need the pain meds because he had not been using them for the last three months, and then he asked what he was doing with them. This older gentleman , quickly shut up and exited the premises, I mean he was gone really fast. Then the nurse looked at all of us and said that is why the Doctor wants the tests! Well it makes allot of sense to me, and now I go in and they hand me the brown paper bag, and I take it with a smile and head for the restroom. I am glad they do not do the urine tests the way they did the random drug testing in the military, because, when you gave a urine sample in the military someone had to watch you and they had to see and verify that, that urine sample left your body and went into that container! To me, the only thing worse than having to give the urine sample, was to be tasked with being the one to have to spend the day observing and verifing the process! That additional duty, was reserved for the senior NCO's, and in my later years of my career I got tasked with that extra duty twice! Nothing like spending the day watching and verifying that men are peeing into containers! How would you like to be tasked with doing that? That was one additional duty that all the senior NCO's dreaded and hated!

White Beard

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 7/7/2010 3:04 AM (GMT -7)   
Thanks everyone! Your stories have made me feel a lot better! Yesterday was another one of "those" appts. But it would seem that I was not the only one having to take a cup so to speak. I think that it is just embarressing to have to do this, but I can understand totally. They just want to make sure that I am taking my medications. And I am. I've never gone over my totals and I would never be tempted by this cause I know the consequences of abusing my medications.

Had a talk with the nurse and she told me that they still have not heard from WC about the stimulator, but that when they do it will go pretty fast once I am approved. Uggg the wait is killing me!!!!! My tens unit is being abused, I use it every day and it seems to help a bit to bring the pain down. Brought my meds with me, as I do every appt and they had my refill on my Kadian for me that I had called in a few days before. So the nurse counted out the remainder of my old meds and set me to refill next week. Seems I never have any extra of those bad boys! But that's fine by me.

I agree that all those who are abusing should be sent of to some island! Maybe give them only bread and water to eat as well LOL!!!!!

Hugssss

Scarred
I live to "Tame My Pain!" 


flower123
Veteran Member


Date Joined Apr 2009
Total Posts : 856
   Posted 7/7/2010 3:11 AM (GMT -7)   
Whitebeard, I'm laughing so hard!

Wow. Every visit. That's a lot.

Scarred,

My PM does it randomly. I always get embarrassed having to go in a little cup to make sure that my doctor knows my levels are okay. They send the tests off for the special testing (GC/MS) where they can check exact amounts of everything. I always worry that mine will get mixed up with someone elses. The girl who writes the medications you take on the form didn't have one of my dosages right!!!! It was a non-narcotic, but come on! I looked at the form and watched her write the correct dosage and I checked all of the medications on the form.

Also, they didn't put my name on the bottle in front of me. It was labeled with a number that I believe matched the number on my form. I didn't check that, because I didn't want to seem paranoid.

Sorry for going on and on...I guess that my point here is that these tests seem to cause many of us a lot of stress!!!


I'm sorry that you feel like you're being picked on.

Hugs,

Flower

Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 7/7/2010 6:40 AM (GMT -7)   
Hi All,
 
This post made me really laugh.  I was the only female parole officer in my office for a LONG time (several years ago now) and had to watch the UA's EVERY time there was a female in for a test.....you only THINK it's bad for the men....ahahahahah.....be the woman!!!  None the less, I don't mind giving my little test to the Dr.  I've given tests for 20 years for work to make sure I wasn't using and now at the PM to make sure I am.....It's kind of ironic, isn't it?  It seems that I was always given a test immediately after I was released from a hosptial stay.  I never tested positive for anything questionable though.  I have given hundreds of these things myself and thank God that part of my career is long ended.  Yuck!!!  And I have seen every imaginable way for people to try to fake these things.  I understand why they test! 
 
Honestly though, my PM actually sends the tests out to test exact amounts of meds, types of meds, and something about how they metabolize in your system.  It's actually kind of complicated because my last one showed that I wasn't taking my xanax cr as directed.  I ALWAYS take my xanax and NEVER miss it.  I even took a copy of the results to the psych who gives me the xanax and told him what was going on and that we may want to watch how I metabolize this drug.  He had no question about me taking my meds.  That's one of the things that I kind of freak on.  My meds are taken exactly as they are prescribed (unless I have been given permission to take them as needed). 
 
 
Retired Mom


butterflyrose
Regular Member


Date Joined Apr 2010
Total Posts : 34
   Posted 7/7/2010 9:28 AM (GMT -7)   
Hello everyone,
The pm I was seeing before I fired her was taking samples too. The only thing is Medicaid will not pay for them, so she tried to billme for it even tho they told her not to. One test I had to take I was not able to go because I was having a problem of not being able to go. I tied for 4 hours drinking I don't know how much water I could not go , and I kept telling her to call my Ur. Dr , finley she gave up with an attiude.

Now this is what I do not understand they want and demand these test. They do not want blood test to see what the meds are doing to you system. My bf was taking naspren and when we got his blood test for his thyroid it came back his kidneys were not filtering and the med was posing him. We showed the test to her and she injored it. It took an ER dr. and another DR to tell him it was the naspren doing it. He stop taking it and now back to normal. In the mean time he was coming up neg on his test and they were threating to cut him off. He has the same Dr. I did. I am going to try to change him to anoth PM soon.

Take care butterflyrose

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 7/7/2010 5:29 PM (GMT -7)   
WB-
Which is worse, to be suspected of being a drug addict or to be suspected of being a drug dealer? I understand that it happens. One of my dimwitted downstairs neighbors got kicked from their pain clinic for selling their oxy. No worries, though, the spouse still was able to sell theirs & the idiot who was kicked from the clinic quickly found someone else to write the same script.

So I stand by my statement that the only ones really hurt by these tests are the legit patients who can barely afford their doctor's bills. And just try negotiating with the testing companies for a workout plan. I never ever mind proving that I'm using my meds as directed, but it is a hassle & the rates that they charge are crazy expensive (400-600/test b/c they're out of network & I don't have the option of choosing a testing company that is in network)!

Flower-
I don't leave until my name is written on the bottle. But as for not listing all your meds, I've dealt with that before (even though I'm required to bring a type-written list of all meds from all doctors and dosages to each & every appointment and I give a copy to the UA people). It sends a report to my PM saying "Frances showed positive for Dilaudid in such-and-such-amount even though she's not prescribed it." My PM quickly sorted it out -- I just hadn't needed a refill of it for a few months because I was doing better. It's a PRN med & I only need one every couple weeks. He was totally fine with it & wrote on the report that I use as directed.

Fortunately, the insurance company only gets a copy of my dx, not the results of the UA. But Heaven help us if they ever figure out a way to get their hot little hands on the UA reports (they're trying to figure out ways to do that now -- some are already succeeding). You know they will use it as yet another excuse to deny payment. :(

merrygirl
Veteran Member


Date Joined Jun 2007
Total Posts : 702
   Posted 7/8/2010 8:00 PM (GMT -7)   
I have to pee in a cup at every visit and randomly they send it for further testing. I tested positive for extacy once and they had to send it out to be tested again and it came back negative.
Chronic Lyme Disease,Fibromyalgia, CFS, PCOS, sleep apnea, hypothyroidism, type 2 diabetes, bulging discs to name a few


Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 7/9/2010 11:41 AM (GMT -7)   
You know I don't think, after reading all your posts my friends, that the UA process is that clear. It is so sad that they cannot get the information correct. I'm in fear of testing positive for things that I did not take and it upsets me to know that you all have had the same problems. I happened to look at my paper once and it said somewhere on the top the words "Fentanyl". I wondered if they might be testing for this, but it was strange that they would even think that I was taking it.

Anyway, never got to peak at the paper again so I don't know.

Hugss

Scarred
I live to "Tame My Pain!" 


Hello~Kitty
Veteran Member


Date Joined Jun 2005
Total Posts : 610
   Posted 7/9/2010 1:33 PM (GMT -7)   
I do not mind UAs at all, but I only see my doctor every 3 months. Actually I like doing UAs to prove that I don't do anything at all, but he always still asks me if I drink, and I always have to remind him that I never have and never will drink, not even a little sip as I dont like the taste of it. And I completly understand that they're just trying to cover themselves by weeding out all the patients who don't take their meds as prescribed or take ones that are not prescribed, actually at my last appointment he told me that I'm one of his 6 patients that have a perfect track record, meaning I pay my bill at every appointment, never come in early or call ask for early refills, perfect UAs, which makes me proud I guess. But I ALWAYS write my name on the UA bottle, and I make sure the nurse takes it and dont leave it in the bathroom as I'm sure it would be easy for them to confuse it for someone else's test.

But you shouldn't be upset about it, you have to remember that these doctors are doing their jobs, and since they are not with us 24/7 they dont know what we do with our meds. These doctors would get in HUGE trouble if they just trusted someone and they overdose and die, it comes back on the doctor who ends up in prison for murder, so they are required to do these tests, and I also think the doctors that do it more often probably do it cause they've been burned to many times by patients trying to abuse. But as I've said in the past, if they had more options for people who abuse pain meds, then it wouldn't be such a problem, so til something is figured out for them, I don't think they'll be going anywhere, we have to remember that they have a chronic disease like most of us do that require treatment just like our chronic pains do. So we should give the doctors a break and just do what they ask, as I really doubt they're just picking on certain people.

-kitty

Carmen~*~*~Chronic Pain Moderator

DX-Chronic Pain due to two freak car accidents, Pancreatic Divisum, Fibromyalgia, Asthma, Depression w/anxiety, Migraines, and Kids!!!

Meds- Suboxone 16mg for pain, Cymbalta 60mg, prilosec, Zyrtec, ProAir inhaler, and the best medication is my puppy, kitty, and 5 guinea pigs!!!

 


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 7/10/2010 10:01 PM (GMT -7)   
HK-
Do you have to pay for yours? After I start my new job in another month, I will have to pay $260 out of pocket for every test. That's the reason why I'm so irate. Plus, I am worried that my insurance company will get their hands on them.

I don't think most people realize how much of their medical record is viewed by people. When I was (mis)diagnosed with MDD, it went on my medical record. My insurer started denying my pain meds saying they would worsen the depression (ironically enough, it was the anti-depressants that were actually worsening my "depression" because I had a thyroid disorder & they were slowing down my thyroid). So I had to cover my pain meds out of pocket for 8 months while waiting to sort all that out. I didn't have the money, so I put it on credit cards -- which I can't pay b/c my pain meds were $1500/month. I even had to fight to get them to cover my Lyrica, but they did cover that -- just not the narcs.

Then, part of the fine print in my employment contract says that they get access to all my health records including mental health, substance abuse & HIV status (yes, I knew what I was signing, but I had already been with the company for over a year & it was a condition of employment). It made it's way down the food chain to my boss' boss & then to my direct supervisor. It made my work life a living hell. My boss would make cute little comments about to me. Everyone hated being supervisors in my department so the deal was that they each only had to serve a one year term. So over time, 4 different supervisors found out about the (wrong) dx, plus the middle manager & head of department.

I'm glad you've had nothing but good experiences with the tests. But there are legitimate reasons to resent them. If the tests were free & just between me and my doctor, I say "test me any day of the week". But they are very expensive. Yes, I will have some money (if I walk the mile to work), but I was planning on using that to pay off my medical debt from 3 years ago. Sometimes we are tested twice a month -- if I show up for injections mid month b/c I'm in pain. That's $520 -- because again I am required to use an out-of-network U/A provider.

I'm glad that these tests allow my PM to keep his practice open, but with the cost of the U/A, that means that sometimes when I'm in serious pain I will have to do without treatment solely because of the huge cost of the U/A testing. That's why I am so unbelievably furious with the idiots who abuse or allow others to abuse the meds prescribed to them! The dimwitted addicts/dealers don't lose out. They just go find another clinic. My doctor loses the ability to care for his patients the way he'd like & the patients lose access to some medical care.

He says he feels really badly, but that it's not just the idiot patients who ruined it for us, but also some idiot doctors -- like one around here who eventually lost his license after prescribing (no, I'm not kidding) 108 oxy a day to one patient, who (no surprise) died of an overdose. No, this is not urban legend, it made the major papers. articles.chicagotribune.com/2008-04-11/news/0804101462_1_fatal-overdoses-highland-park-prescriptions Supposedly these tests are (well, the ones around here, anyways) also supposed to show that the doctor isn't prescribing such a ridiculous amount that the patient has a huge amount floating around in their system -- though I'm not really sure anyone would survive til their next visit taking 90+ oxy a day. I do know some malpractice insurers quote that case as a reason why doctors have to test so frequently -- sometimes multiple times per month.

So, I get it that there are multiple reasons to justify these tests -- I just wish those justifications didn't exist. :(

-frances

PS -- Isn't there some way we can get the addicts/dealers to have to pay for our tests? That would be nice.

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3610
   Posted 7/11/2010 8:29 AM (GMT -7)   
Frances I fully understand why you feel the way you do, and believe me I do not like the system any more than you do! It isn't right! There are also many many casuses, for it, besides the abusers and idiot doctors. And like you said about your different supervisors, that was not right either! The sad thing is that people like those supervisors, will go on and become idiot bosses some day, and there employees will surely pay the price! I guess there is no perfect system, and I am sure we all have our likes and dislikes with it, but really what can we do? but "grin and bare it" oh we can force the system to change, but the hard part is changing people and their attitudes! In the mean time at least we can, come here and vent about it, which by the way I am so thankfull that we do have places like this to come to and vent our frustrations about this type of thing! It helps! and it helps hearing other peoples perspective on the subject.

White Beard

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 7/11/2010 9:22 AM (GMT -7)   
Thanks, WB. I'm glad for HW too.
I think the biggest thing I feel I can do is to educate people. Yes, it's annoying b/c I feel like I shouldn't have to explain myself all the time, but what can I do? Fortunately, my job right now is in the education industry [I left that crazy place where everyone was talking about me] & the people here (well, except for HR) take 5 minutes to do a bit of research before jumping to conclusions. What a concept, right?

But the cost is just really a hardship. It's a catch 22 because if I walk the mile to work (plus a mile back) it aggravates my pain, but if I don't walk I can't afford the U/A testing even once a month. about the only way that will change is by demanding that the malpractice insurers find a way to improve their actuarial formulas. There is plenty of data out there about identifying addicts but not nearly so much about dealers and even less about idiot doctors (yes, there are a few other reasons, but testing a patient who has been on a stable dose for 7 years seems like complete overkill). My prescription insurance company has gotten a little bit around the idiot docs by saying that C2's will only be covered if prescribed by either a licensed pain management specialist (who completed a pain fellowship) or an oncologist. Unfortunately, Medicare & the largest private insurer in IL have yet to adopt that policy. But I understand that too could potentially cause issues for people [there are tons of PM's in my area, but most of them gave themselves that title & have little training in meds or many interventional techniques -- typically they specialize in only 1 or 2 types of treatments and most don't have DEA licenses; these "PM's" would not qualify under the rule my insurer requires b/c they did not complete a pain fellowship, though without a license it wouldn't much matter].

I think besides educating the ignorant people in the public & demanding changes in actuarial standards, we need to lobby for real pain management specialists. But who has the energy to do all that? I'm just worn out trying to handle my own pain. But I would like the system to change. That would be a good start. Then I'll keep working on educating all the dimwitted people out there who judge first & find out they were totally wrong years later (I'd eventually like to work professionally in advocacy for CP patients -- maybe writing for prof. journals but also working with the media to change perceptions of CPer's). But until then I just need to figure out how the heck I am going to come up with all the money to pay for the U/A (which, as it turns out is double the cost of my doctor's bill, after insurance). GRRR! So aggravating. Like I needed one more challenge in my life. :(

Sorry. Guess partly I'm so tired b/c my epidurals didn't really help on Friday. I waited 2.5 hours to be seen, then was given the wrong thing [which caused pain in a whole new part of my body] and then finally got the right epidural but it doesn't seem to be helping. I like my PM but Friday was just a lousy day. I just feel like things are stacked against me. I keep fighting & I am making progress but it seems like each time I'm finally getting some momentum, something else comes up and sets me way back. First it was the PT. Now I'm facing these astronomical U/A costs. What's next?!

PA & I are going to live on a private island that's only for people with CP who don't do anything dumb. cool We're gonna have free access to all the best doctors & alternative medicine specialists & therapists & researchers & everything. And the food is gonna be so healthy & tasty. And there will be an electric fence out in the water (hey, it's my dream & if I want a waterproof electric fence I can have one!) that will ward off anyone who could possibly ruin our little paradise. Any CPer's and their family & friends who aren't troublemakers would be welcome to come live on the island. No drug-stealers, though. Oh, so nice. Sunny days, air conditioning & everything one could want. Well... I can dream, can't I? :)

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 7/11/2010 10:46 AM (GMT -7)   
Dream on, Frances!

PaLady cool

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13451
   Posted 7/11/2010 12:21 PM (GMT -7)   
Keep dreaming Frances, I enjoyed the visual I had of this island, lol. You are right about the costs of the urine screening. My former PM dr ordered screening on the pump patients 2 months in a row before closing his practice. I am assuming to make sure everyone was on the straight and narrow before sending us to the new pump dr. He used a lab out California that charged around $1040 to do the screening. I nearly fell out of my chair when I got the EOB from my insurance company. Of course, they paid just minimal on the bill. That was just nuts as far as I am concerned.

My new pump dr does not do screening or contracts. In all my years of getting PM care I have had two screening done and it was the ones I mentioned above. I like WhiteBeard witnessed many, many people screaming and hollering over the results of their screenings.

I sure hope you get to feeling better soon, you were doing so well before.
 

crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & psoriasis and psoratic arthritis. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 17 different daily medications. Intrathecal pain pump implanted June 05.


flower123
Veteran Member


Date Joined Apr 2009
Total Posts : 856
   Posted 7/11/2010 12:50 PM (GMT -7)   
Do people with insurance like Blue Cross/Blue Shield, AETNA, etc., have to pay for their urinalysis tests? I have never had to pay for a test, and I wonder if my doctor bills my insurance. My doctor said that if I ever got a bill, to absolutely not pay it. Ameritox is used at my PM practice. My doctor is very good about making sure that patients don't pain ridiculous amounts of money for medications, and it breaks my heart that you have to pay for your UA. That's so wrong.

Can I PLEASE come with you to your island? It sounds GREAT!

Hugs,

Flower

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13451
   Posted 7/11/2010 12:58 PM (GMT -7)   
Flower, I had BCBS when my testing was done and they paid little on the bill and yes they tried to bill me. It was Ameritox and no your PM dr cannot bill for the screening, only the company doing the screening can. I sure recognized their name, thanks for posting it.
 

crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & psoriasis and psoratic arthritis. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 17 different daily medications. Intrathecal pain pump implanted June 05.


Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2279
   Posted 7/11/2010 3:47 PM (GMT -7)   
Flower,
If I go to the single provider that my insurance company approves they will write off like 98% of the cost & pay most of the rest. I would pay $17 to an in-network provider offering the same service. But they bill $900 -- seems like pretty much all of them around here do anyways. Then it's up to the clinic to try to negotiate to get the testing company to write down the remainder due after insurance pays. The very small practices basically have no pull.

Susie,
The funny thing is that my PM doesn't have any sort of pain contracts. He doesn't see the point because many people don't read them, a lot of people fight about the details & the people who are going to cheat on their meds cheat on them anyways. He says that there are a lot of behavioral indicators to show whether someone is taking a lot more or a lot less of their meds. It's even more obvious if they are oversedated. He did seem to catch a lot of people even before the U/A's who were either abusing their drugs, not taking them or adding on street drugs (that was the most common). In a sick little game, patients in the waiting room would place gentlemen's bets on how loud a particular patient would start shouting 5 minutes after they were called in. It was always pretty clear when they were on street drugs -- even to those of us with no training at all. My PM's office could test for street drugs with a rapid result test -- who would even agree to take one of those things if they knew they had been taking crack?! They would scream & shout and try to explain how it was perfectly reasonable to try to "augment" their treatment with crack. Yeah. Brilliant.

Oh my word, I definitely need to spend some time on my imaginary island. :P

Scarred_for_life
Veteran Member


Date Joined Jul 2008
Total Posts : 1559
   Posted 7/12/2010 6:57 AM (GMT -7)   
You know its funny that you should meantion drs. that abuse the system. Here in KS there is a doctor that is currently on trial for 11 patients that od'ed in medications that he and his wife prescribed. I just cannot believe that there are drs like that out there in the world. They should all be rounded up and kick them out of the country LOL!!!

Hugssss

Scarred
I live to "Tame My Pain!" 

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