What do they typically test for?

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shannon1
Regular Member


Date Joined Feb 2005
Total Posts : 369
   Posted 10/11/2010 9:22 AM (GMT -6)   
Hello everyone, it has been a while since i have visited.  For update, i am a chronic pain patient due to RSD of left foot from an accident with a lawnmower. I have also just completed my 4th abdominal surgery in 18months.
 
I have been with my PM group for close to 10yrs now. Today i had my first ever urine test. Was just wondering what they actually test for? Are they checking to see if i take other drugs or what?
 
I really don't worry about it as i take my meds properlly, but was just wondering since i have never had one before. Hope u all are feeling ok today!!!!

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2317
   Posted 10/11/2010 12:00 PM (GMT -6)   
Hi Shannon,
Different PM's test for different things so the only way to really know is to ask your doctor. Mine gave me a page listing everything they test for.

take care,
frances

JNO2
Regular Member


Date Joined Jun 2010
Total Posts : 62
   Posted 10/11/2010 12:05 PM (GMT -6)   
They test for all kinds of drugs in your system. (pot, meth, cocaine, even PCP. Plus some I have never heard of)
I just had my first (surprise) drug test after I told the nurse who does the refills that I had a couple pills left from last month. (big mistake)
If you take your meds as prescribed and you don't use illegal drugs, you have nothing to worry about.
 

shannon1
Regular Member


Date Joined Feb 2005
Total Posts : 369
   Posted 10/11/2010 2:26 PM (GMT -6)   
Interesting, thanks guys....I am not worried at all, i was just wondering. I find it strange tho because i was not asked to confirm all the meds i take and i did "remind" them on my way out that i also take xanax, but they never outright asked me for like a list of all my meds. (they do not prescribe my xanax, tho they know i am prescribed from my gyn in relation to my surgical medipause).

Today's was surprise, i have been with them for 10 yrs and have never had one, so thought it was interesting to say the least....Im sure those have some people shaking in their boots!!!
Jan. 2009, complete hysterectomy, diagnosed stage 4 endometriosis & adenomyosis (age 36)
2003, dx moderate UC
2000, dx selective IGA deficiency w/ anti IGA antibodies
2000, dx Antipholipid Antibody Syndrome
1999-2009, chronic hemmoragic ovarian cysts, w/ partial ovary removal
1977, complete reconstruction of foot after lawnmower accident (chronic pain)
 
Meds
6mp 75mg, prednisone 40mg (just starting meds again)
percocet 5mg 3x day
potassium 3x day
 

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16283
   Posted 10/11/2010 2:31 PM (GMT -6)   
Shannon if you take any OTC meds you should always tell them about those. Sometimes certain OTC meds can cause the testing to come back all messed up. Whether asked or not for a list of meds, I did two tests with my last PM dr and I made sure they listed what OTC meds I was taking. Some testing will also show how much medication you have in your system. Drs do this to see if you are taking the meds as directed.
Moderator Chronic Pain Forum

Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9664
   Posted 10/11/2010 8:41 PM (GMT -6)   
Maybe start now to make a list of all the medicines your taking even vitamins and supplements
as those can actually interact with medicines. that way you just hand the list to them at your
next office visits. I have mine typed by my husband as he notices when I get medicine changes
and picks up on that better than me and he types faster too....
Hope this helps...I also type up a list of questions to hand to the doctor, it goes better sometimes.
(((((((((((((((((((((((((((((Shannon)))))))))))))))))))))))))))))))
so how have you been lately and what's going on with you?
Missed you.
Healing Hugz
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc (Lower Lumbar S1-L3 and Cervical C5,C6, C8 and T1), Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's, Ocular Migraines, mild carpel tunnel, ect.... "Would be nice if we could use the edit button in real life"...

********>^..^<********>^..^<********>^..^<********

White Beard
Forum Moderator


Date Joined Feb 2009
Total Posts : 3694
   Posted 10/11/2010 9:57 PM (GMT -6)   
shannon1
 
You might be surprised to hear this but they also test to see that the medication that they are giving you is in your system!  In the proper amounts! Because if it is not, then you might not be using the meds, and if your not using the meds then what are you doing with them????  I found that out one day when I first started going to my pain doctor, there was an older gentleman making a real fuss in the lobby because the Doctor would not refill his pain meds. The nurses could not calm him down or anything finally the Doctor came out, and he got really belligerent with the Doctor, told him he did not need the pain meds, because the last two urine test showed that he was not using them at all, and if he wasn't using them, then what was he doing with the meds he got???? The man shut-up and quickly left the building!!! So they not only check if you are abusing drugs, but also that your taking your meds! My pain doctor requires a urine test every refill, you come in and take the little brown bag and go and fill your cup that is in it, and come back out with your little brown bag with the filled cup in it, and they call your name and you bring it back and they ask you when was the last time you took your scheduled pain meds, and the last time you took your break through pain meds, and any other meds, and while you are there they put your label on the filled cup and then you initial several places on the form and sign your name and then you go back out into the waiting room and wait to be called back,  to see the Doctor, my doctor then ask you how you are doing and if there is any changes or anything and checks you over, and then dictates his notes in front of you and asks you if everything he said is correct.  If he ordered test you go out and wait for the nurse to call you and then they order up the test MRI , a speciality Doctor or what ever, if you have to have an X-ray or blood work they give you the forms and send you directly to the appropriate place in the building to get it done!  Then on the way out you stop at the pharmacy that is right there and pick up your meds! That is how it is done where I go anyway!
 
White Beard
Moderator Chronic Pain
After spending nearly 22 1/2 years in the USAF, I retired in Sept, 1991. I then went back to school and became a licensed RN in 1994, and I worked on Oncology and then a Med Surg Unit, I became disabled in late 1999 and was approved SSD in early 2002!-- DDD, With herniated Disk at T-12 and L4-5. C5-C6 ACDF in Sep 2009, C6-C7 ACDF in Mar 1985, Osteoarthritis, Ulcerative colitis, Chronic Pain, Fibromyalgia, Complex Sleep Apnea, and host of other things to spice up my life!(NOT!) Medications:Oxycontin, Percocet, Baclofen, Sulfasalazine, Metoprolol, Folic Acid, Supplemental O2 at 3lpm with VPAP Adapt SV I am White Beard with a White Beard!

shannon1
Regular Member


Date Joined Feb 2005
Total Posts : 369
   Posted 10/12/2010 6:43 AM (GMT -6)   
wow guys! They didn't ask me anything...just told me to go pee in the cup. I actually have a list of meds i take off/on and on an as needed basis, including a mulit vitiman, Biaxan(antibiotics), Nulev (anti spasmatic for UC), zolfran, gosh, im sure there are more....

no one did anything in front of me, i signed a sheet of paper and handed the nurse my cup. no one asked when i took my meds prescribed by them.

O well, thanks again for all the info!
Jan. 2009, complete hysterectomy, diagnosed stage 4 endometriosis & adenomyosis (age 36)
2003, dx moderate UC
2000, dx selective IGA deficiency w/ anti IGA antibodies
2000, dx Antipholipid Antibody Syndrome
1999-2009, chronic hemmoragic ovarian cysts, w/ partial ovary removal
1977, complete reconstruction of foot after lawnmower accident (chronic pain)
 
Meds
6mp 75mg, prednisone 40mg (just starting meds again)
percocet 5mg 3x day
potassium 3x day
 

Tirzah
Veteran Member


Date Joined Jul 2008
Total Posts : 2317
   Posted 10/12/2010 10:54 AM (GMT -6)   
Shannon, I wouldn't worry about it. Different docs test for different things. It's possible your PM might just be testing for illicit drugs. Or he might be testing enzyme levels to see if your liver/kidneys are being impacted by the meds your on. Or any other number of possibilities. It's possible that they didn't ask about your meds b/c they aren't testing for them.
My PM suggests bringing a typed list of meds (prescription or OTC pills) with to every visit. You might bring that with you at your next visit & can also ask what your PM tests for with the UA. Every once in a while there are issues with the tests but you have a good relationship with your doc so you should be able to sort things out one way or another. But most tests come back without any issues. And I know with my PM that he does different types of tests depending on his goals -- some are purely for medical reasons, some are because he suspects abuse & some are just CYA tests to show that he's being proactive [those tend to be the most extensive].

Screaming Eagle
Forum Moderator


Date Joined Sep 2009
Total Posts : 5005
   Posted 10/12/2010 11:34 AM (GMT -6)   
 
    Hello Shannon1!
 
      Just a very quick note here!
 
      As you know, many of the PM's and PCD are being looked at by the goverment agenices, and this may remove many of the red flags that the authorities are looking for during aduits of their facilities. I would imagine, that if they provided proof, that they are checking their Pateint's on a random or regular basis, it might take some of the guess work out of the equation, and relieve the PM's or PCD's of such.
 
      You should not have to worry about this, and in fact, it might be a plus in the long run, to know that your PM or PCD is up to snuff, and on the look out for fraudulent Pateint's.
 
     We had a rotten PM in this area of which I live, and cost many a Pateint's a lot of heartache, when he got popped for misuse in perscribing pain meds. In the end some of his Pateint's lost their lives to this carelessness.
 
     My PCD now requires me to sign a contract with him, and I have no problem in giving a urine sample to be tested.
 
      You have recieved many good answers above....all of which are valid reasons in my opinion.
 
      As long as you are taking your meds as perscribed, and not taking something illegal, you should have nothing to worry about.
 
        Take care,
 
       SE wink

Post Edited (Screaming Eagle) : 10/12/2010 11:37:20 AM (GMT-6)


Stac/Catz4
Regular Member


Date Joined Feb 2010
Total Posts : 358
   Posted 10/14/2010 6:33 PM (GMT -6)   
This just happened to me a few months ago! I had never been tested and after 3 years with them...Boom! I was really tripped about it because I thought they thought I was not taking my meds properly. At any rate I agree, write down everything you take!! Give it to them and make sure they make a copy, put it in your folder and give you back the original signed and dated by whoever you gave it to. You really need to be safe on these because they will cut you off in a heartbeat! The PM I go to had me sign a paper saying they did this and they have the right to call me at any time to come in and let them count my meds (the ones they give me). My first drug test they came back in the room and said, "Is there anything you need to tell us?" I was like...NO, and she told me I came back positive for Marijuana!!! Heck I'm a child of the 60's and 70's....then I would have been guilty! But at 51, no that lost my interest when I was young and decided I really didn't like it! Anyway, I take a medication for IBS called Protonix and apparently that drug shows on an average drug screen a false positive reading! I was mortified! They sent it off to be tested and of course the Protonix was the culprit. I've had two more since and what they told me was that the DEA had really cracked down on PM's all over the country. Don't worry about it, but please take that one piece of advise and be sure to get it signed and dated on their copy too!
Take Care,
Stac/Catz4
Stac/Catz4
DX’d-Syringomyelia C-1 to T-1, DDD, Diabetes Type II, Migraines, Chronic Muscle Spasms, IBS, Panic Disorder, ICC, Hypothyroidism, Bipolar Disorder, Fibromyalgia. Emergency surgery for ruptured bowel in '05 w/colostomy and takedown in '06. Frozen Shoulder and Torn Rotator Cuff in Left Shoulder. Surgery for shoulder recently, now in Physical Therapy.

MsBunky
Veteran Member


Date Joined Jan 2010
Total Posts : 1097
   Posted 10/14/2010 7:49 PM (GMT -6)   
Shannon, a question that's a bit off topic here...you say your doctor prescribed Xanax for you for your surgical menopause...do you mind my asking "why"? What is it meant to do?

I've been dealing with several issues that I'm thinking are likely related to surgical menopause (mine happened in Feb. 2007) so I'm interested in what others are taking/experiencing.

thanks,
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

shannon1
Regular Member


Date Joined Feb 2005
Total Posts : 369
   Posted 10/22/2010 3:38 PM (GMT -6)   
stac/catz
 
wow! what a story...that is the kind of thing i worry about because i do take so much medication off/on due to all my other issues. As a matter of fact, i also take protonix (sp).  I take my meds as prescribed and do not do any illegial drugs, so im not really "worried" per say, i just keep thinking, "what if" something weird showed up. It's also been 10 yrs since i signed my pain contract and honestly couldn't even tell u what it said anymore...lol
 
 
@msbunky
i had my hysterectomy Jan 2009. I am on hormone replacement, but have had a horrible time trying to find the right fit for me. I am only 38 so we do feel it's important to have replacement.  My gyn prescribes xanax for me when my hot flashes/mood swings get out of hand. I tend to feel very anxious and can't sleep, and really just want to crawl out of my own skin. The xanax does help (some) with all of that. One script can last me a few months as i just take them "as needed". Hope this helps. Surgical medipause (and my hyster) are the hardest things i have ever done in my life).  there is a great ssupport site called hystersisters that u can check out and they have soooo much info.  Good luck
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