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snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/13/2010 6:06 AM (GMT -7)   
I all,
 
  I saw my PM dr on 9/2 and scheduled a follow up for 9/30, however, I just recieved a call from his nurse and she said he wants to see me earlier, on THIS wed. 9/15. I asked why but of course she didnt know...
Any ideas why he would want to see me so soon??
Thanks
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

Tirzah
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Date Joined Jul 2008
Total Posts : 2284
   Posted 9/13/2010 6:34 AM (GMT -7)   
If you've had any tests done recently it could be to discuss that.
Otherwise, my best guess would be that it's a meds check.

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/13/2010 7:15 AM (GMT -7)   
The onl "test" I had done was my urin drug test.
So not sure... Do they call you in for an appointment to go over results of that or actually make another apt for another random test??

Now I freakin out.... lol
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2284
   Posted 9/13/2010 10:55 AM (GMT -7)   
Could be to discuss results, could be for another one.

Why are you freaking out?

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/13/2010 11:55 AM (GMT -7)   
I have nothing to hide, but I am the kind of person who freaks out at just about any type of meeting. I just always think the worst...
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

straydog
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Date Joined Feb 2003
Total Posts : 13481
   Posted 9/13/2010 12:01 PM (GMT -7)   
As long as you know you have done nothing wrong I would not get too worked up, thats not good for you anyway. Sure, it is is a surprise to say the least but I think you will be ok. One thought perhaps is on the day of your drug testing had you taken any OTC meds before having the screen done?

Try to not worry so much, I feel sure if it were something that has the drs concerned you would be seen even sooner. Take care.

Susie

MIKEL99
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Date Joined Feb 2010
Total Posts : 914
   Posted 9/13/2010 12:56 PM (GMT -7)   
Try not to read anything negative into this my friend , I know its hard but it could very well be good news too (I'm praying that it is !) Try to keep calm , if you have questions for the doctor , make a list so you don't forget anything .Best of luck dear friend . Mikel
HIV+. meds - epzicom, Kaletra . oxycontin as needed , indothemiacin . hip replacement surgery done !!! Staples out , a little redness , adjusting and hoping for the best .

Mrs. Dani
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Date Joined Jun 2009
Total Posts : 2787
   Posted 9/13/2010 4:13 PM (GMT -7)   

 

   Dear Donna,

     No worry! Going in early can be a good thing. You already have a full plate, so no need to weight down your busy work load with unneeded stress! It could just be something simple he may have forgotten or he might want to try something new. You never know.

*warm 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
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Retired Mom
Veteran Member


Date Joined Feb 2010
Total Posts : 1753
   Posted 9/13/2010 4:27 PM (GMT -7)   
Perhaps the Dr. wants to schedule a vacation and doesn't want his/her patients to be without meds while he/she is gone. If you know you did nothing wrong before your last UA and you aren't concerned about findings on another one since you follow protocol, it could be simply that the UA showed that you weren't metabolizing some of the meds correctly or that there is something showing up as questionable in your system. I know that my UA's are really in depth and show everything that you have taken. Somehow they also show the Dr if you are metabolizing the meds correctly. I have no idea how, but I know we discussed this. There is also the possibility that they want to do a liver pannel or something like that because of certain meds you are on or that they found their files are out of date for pain contracts and want to have them all re-done correctly by a certain date.

Most often, we worry for no reason at all. The receptionists who call us generally know nothing or won't reveal anything if they do. It could honestly be just about anything that would make them up an appointment by two weeks. If they had said come in TODAY, then I would be more concerned, but they gave you a couple of days notice. Again, unless you have had a problem with taking too many/too few or the wrong meds, there should be nothing to worry about.
Retired Mom

Hello~Kitty
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Date Joined Jun 2005
Total Posts : 610
   Posted 9/13/2010 10:27 PM (GMT -7)   
Surprise doctor visits ould mean alot of things. Mostly it could be something in your urine test like other's have said, and they wanna go over the results with you. If they asked you to bring in your meds, it could be a count, also sometimes they do random UA tests and maybe your name got pulled up (it's usually always random and is nothing personal). Sometimes people who abuse their meds will make sure that their urine is clean at appointment time and think they can abuse during other times, so maybe they just wanna make sure that your still following the rules. If your UA test did come back for something positive that you didn't take, then ask for a retake or a blood test, or maybe it showed that their is too little meds in your system and they need to check how your metabolizing......or like others have said, your doctor is leaving on vacation, or maybe your doctor found out some new treatment that could be good for you and wants you to try it....

Just being your medication in with you to show them that you have what you should have, and just in case, write a list of EVERYTHING otc and prescription that you took around that time, maybe something you took made your UA show back up positive for something that you didn't do. I have a list saved on my computer from another sight that shows everything that can make a UA show up positive for illegal or not prescribed drugs, it's a HUGE list. If you doctor says there is something there, then ask me and maybe I can e-mail the list to you so you can look up everything you took...

Just stay calm, if you did something wrong then you would of gotten a letter explaining. Just take a deep breath, and remind yourself that your doing everything your suppose to so nothing should be wrong...

-kitty
DX-Pancreatic Divisum, Rheumatoid Arthritis, Fibromyalgia, Myofascial Syndrome, Migraines, Allergies W/Asthma, Depression W/Anxiety/Panic disorder, Lower back Disc issues

Jim1969
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Date Joined Jul 2009
Total Posts : 2042
   Posted 9/13/2010 11:18 PM (GMT -7)   
Retired Mom's thinking about you doctor taking a vacation or leaving town at the end of the month for some other reason is as likely as anything....maybe even more so.

A lot of doctors end up taking vacations this time of year, and also there are often medical seminars in the fall as well. It is a good time to do these things, generally speaking, as the school rush for physicals and shots are over and cold/flu season hasn't started yet. I know this is with a PM but I am speaking of the medical field in general.
2 confirmed herniated lumbar discs. Spinal Arthritis. Spinal Stenosis, diabetic peripheral nueropathy.

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/14/2010 6:06 AM (GMT -7)   
Thank you guys for all the info, I am feeling a little better now... But I am still thinking it might have something to do with the UA. I had no idea how in depth they were... Maybe it was the OTC cold medicine I took or something...? If there is something wrong, or whatever, I will DEFFINATLY ask to have another one done!! But your right, no sence in worring myself over this when I cant do a thing about it right now anyways.... I guess I will just save all my anxiety for tomorrow, right b4 the apt. lol
Thanks so much guys!
This is why I love you all!!
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/14/2010 10:50 AM (GMT -7)   
So they just called to confirm the apt. and asked me to bring my meds. So a med check... What happens with that??
I think I "might" be one short, but not sure till I get home & look....
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

Post Edited (snobrdgrl321) : 9/14/2010 12:11:03 PM (GMT-6)


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13481
   Posted 9/14/2010 11:35 AM (GMT -7)   
Donna if you took an OTC cold medication before this screening, by all means take that with you to this appt . Very good chance it messed up the screening. Usually when a UA is done they ask what medications you take including OTC. Sounds like they will do a pill count.

Take care.

Susie

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/14/2010 12:39 PM (GMT -7)   
Ya, they are going to do a pill count. She just told me to bring my meds.
What happens with that??
I think I "might" be one short, but not sure till I get home & look....
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2284
   Posted 9/14/2010 4:56 PM (GMT -7)   
I wouldn't panic over being short one pill. Talk to your doctor. Maybe he has some suggestions about how to prevent that from happening in the future.

It is very important to follow the rules to keep both you & your doctor from getting in trouble, but PM's usually aren't in the business of playing "gotcha" with their patients who are typically very good & make a tiny mistake.

All I can say is "be honest, be honest, be honest". Trying to cover something up or make up excuses will only lead to trouble. If you're short, fess up. Apologize. Don't let it happen again.

I get worried too, though. The very first time I came up short was the first month that my PM implemented a universal testing policy. I totally panicked. He asked me what happened, how much I had in my system & what I was going to do to keep it from happening again. I had a few extra tests for a while, but now things are back to normal.

It's up to each PM how to handle those kinds of things, but usually honest patients who make a one-time mistake are shown mercy. Conversely, I've yet to see someone get caught, lie about it & come out okay. Just take a couple deep breaths, be completely honest & trust your PM to show a sliver of humanity. If this is your first mistake and s/he freaks over one pill, you're probably still okay to find another PM -- though you should expect to be watched a bit more closely.

take care,
frances

Mrs. Dani
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Date Joined Jun 2009
Total Posts : 2787
   Posted 9/15/2010 9:17 AM (GMT -7)   
 
   Just a quick note to say that I hope every thing goes okay today! *hugg* Let us know how it went when you get a chance.
 
*warm 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
Mail

damgalnuna
Regular Member


Date Joined Aug 2010
Total Posts : 77
   Posted 9/15/2010 10:40 AM (GMT -7)   
Just wanted to let you know that I'm thinking of you and to let you know that I wish you well at your appointment today. Be sure to let us know how it goes.

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/16/2010 6:11 AM (GMT -7)   
Back from my Apt.
 
I am SOOOOO confused!
 
First off, let me tell you I take 45mg moraphine 2x aday and have vicodin for breakthru
 
Ok, so, they did the pill count and ALL was perfect!
YEA yeah
 
BUT, apparently my UA came back with methadone in it and ZERO moraphine...??? What the HELL?
How is that even possible????
 
So, I told him I will take another UA on the spot and of course they did but have to wait till the 30th on that one.
 
Also, he now wants me to go to an addiction counslor??? Why?? My UA was WRONG. And I know he will see it when this one comes back (unless another wierd mess up) but he just started lecturing me on the spot. I guess thats what they have to do, but how do you think I feel now being labled an adict and I havent done anything??? He DID say that the one thing goin for me was that I personally asked (months ago) to get off the OxyContin and drop the perc's down to vic's.
 
Just so frustrated & ready to give up.
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

Post Edited (snobrdgrl321) : 9/16/2010 7:14:19 AM (GMT-6)


MsBunky
Veteran Member


Date Joined Jan 2010
Total Posts : 1097
   Posted 9/16/2010 6:29 AM (GMT -7)   
Donna, I'm sorry that this has turned out to be a slightly bigger issue now. If you gave them another sample right then, should they not get the results within a day or two, if ordered stat? I'm sure it would be normal, and your doctor would realize you don't need to see an addictions counsellor.

Even if you do still have to go see one, I'm sure before the first visit is up that the counsellor would know you're not in need of their help, and that would be the end of it.

Please don't give up. I know you must be frustrated beyond measure, but try to hang in there. You need to keep your pain treated and I don't think you really want to try and find another doctor to handle your file, do you?

Good luck Donna...I'm praying this all turns out just fine for you, and you'll have everything back to normal soon.

Hugs,
Pam
DX: Fibro, Severe Myofascial Pain, Chronic Pelvic Pain, Surgical Adhesions, IBS, IC-PBS, Carpal Tunnel (both wrists), FAI, Reynauds, Opthalmic Migraines, Drug Related Hot Flashes, Physically Unable to Vomit due to Nissen Surgery, Extremely tiny and scarred veins (hard start for IV's)

Meds: Oxycontin, Tramacet, Cymbalta, Cesamet, Flexeril, Clonidine plus Vitamin D + Multi daily

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13481
   Posted 9/16/2010 7:00 AM (GMT -7)   
So very sorry to hear what has happened. I am sure sure you were just floored. However, since the UA did come back as it did the dr for many reasons, must counsel his patient as a CYA type thing. My PCP was the dr that put me on Fenytanil patches and he said ok, by law I have to advise you of the risks of using this drug and went into his song and dance about addiction and blah, blah, blah. But regardless he said the law requires them to do that. Not only that, this could very well be his own protocol and as a patient you can refuse to go but then you would have this mess hanging over your head and another PM dr would not touch you. So, knowing what you do, go see the addiction specialist and get that out of the way. I am quite sure they will realize there was a huge error somewhere. The fact that you asked to lower your meds says a lot and he remembered you doing it so that is in your favor too.

Try not to beat yourself up over this, yes it is very aggravating and even makes you mad, but all you can do is move forward. What is the procedure of the handling of the urine sample in his office? Is your name printed on a label and then stuck to the bottle or what? Who put your name on the bottle. These are things you need to think about in the event bottles got switched in his office. If that happened then someone is going to show up with with Morphine in their system and not Methadone. I think I would have to call the drs office and ask if that happened.

I hope you can get this all straightened out. Take care.

Susie

damgalnuna
Regular Member


Date Joined Aug 2010
Total Posts : 77
   Posted 9/16/2010 7:04 AM (GMT -7)   
That is very strange that it could come up with a level of zero. Perhaps the lab messed up when running the test, or mixed up the samples, or something like that. Or is it possible that the test was done right before it was time to take your next dose? Though even if that was the case, I'd think it'd still show a little bit in your system. But these really are just guesses, since I don't have experience with this. My doctor hasn't had me do UA's yet. The strongest med I take right now is Vicodin, so perhaps they usually don't do this until you switch to something more powerful.

I'm so sorry you're having to go through all this. You don't need all this stress on top of the pain you already have. I'm sure they will figure out that this is all just a big mistake.

snobrdgrl321
Regular Member


Date Joined Jul 2009
Total Posts : 278
   Posted 9/16/2010 10:42 AM (GMT -7)   
Funny you ask about how the UA is handled

I go in bathroom with the nurse. She hands me the cup. NO NAME ON IT. Just a stickr that showed the temp. Then I go and hand it to her. She takes it back in the office & I have to go in waiting room for about 10min then she says I can go. I dont know what she is doing with it durring that time, or when it gets sent out to a lab.....

Very Strange!!
Donna
Tethered Spinal Cord~1.5x1.2 cm spinal cord cyst at L5/S1  (Lumbar Laminectemy completed 9/10/09)~Scolosis~Migrains~Leg Deformity~Foot Deformity~Knee, Hip, Back, Neck Pain~Severe Depression~Insomenia~DDD~Artheritis (Spine)~Spinal Bone Spurs~NEW: Herniated Disc T5/T6 
"I'm not going to vacuum 'till Sears makes one
you can ride on"
~Roseane Barr~
 

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2284
   Posted 9/16/2010 10:59 AM (GMT -7)   
Do you check the markings on your pills? I've been given the wrong pills in the past -- and morphine & methadone in doctor's scribble can look somewhat similar. Plus even if they read the script right they could have gotten the pills confused. As some dosages, the pills are both round and white with a score mark down the middle.

You can type in the name of your brand/generic and "pill identification" in a Google search to find out what your pill dosage is supposed to look like. I'd check the ones in your possession. At least make sure you currently have morphine pills in your possession.

Plus Susie's info about making sure you label the container before leaving it is very important. They're usually unlabeled when I get them, but I make sure to seal & sign it before going back to wash my hands. I don't care if they give me a hard time; it's just too important for them to get things mixed up.

I will say that it's not the worst idea to go to the addictions counselor. That person can be a good advocate for you. My first PM was sure I was faking the pain to get the crappy Ultram that he prescribed. He gave me fake shots & sent me to a pain psychologist/addictions specialist. The psych guy actually defended me to the PM -- told him that I had no indications of an addictive personality & seemed like someone who would benefit from more treatment. When he found out about the PM giving me fake shots he told the PM that if he did that again he would report him to the ethics board b/c there were more responsible ways to determine if someone is really in pain. So I guess I'm of the opinion that you can visit the addictions guy & explain to him your situation, how you take your pain meds, how you feel about your pain, etc.

good luck!
frances
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