I had a urine test back on 7/5; evidently now in my state they randomly check patients at pain management centers. I 'failed' my test because it came back without any medication in it.
On the day of my appointment, we did a quick update; we talked about my physical therapy, my upcoming facet block, and my experience with illness recently. He then asked me about my medication (I take Lortab 7.5 twice daily). I assumed he was asking me when I needed a new prescription; instead he told me I had to do a urine test.
I told him I was currently getting over a sinus infection (a really bad one). My pain level was much higher than normal 8.5/10, it's usually 7 or 7.5. I explained that I thought I was having a reaction with the antibiotics so I hadn't taken anything recently. He asked how many days I'd been off it. I told him, "A couple of days at least, my stomach was really hurting me." He said, "Ok, it's still in your system." He told me they'd take me back to do the test and then we'd finish up.
I think we spoke for barely 2 minutes wherein I covered 3 months of my life, including illness, info about my injuries. It was shorter than a normal visit and I thought I'd see him after (I had several more questions).
Long story short, someone from their office called me a week later and told me the test showed no drugs in my system - they were now required to drop my dosage from TWO Lortabs 7.5 to ONE a day on the next prescription.
Cut it in half, in other words.
I explained to the nurse(?) on the phone about the situation. I explained that I TOLD him about my reaction. She went back and asked my PA if I'd told him about the illness,antibiotics, etc - he remembered but he said he hadn't understood how long I'd been off them. She also told me that it didnt matter he remembered because they 'can't change the chart now." She also tried to argue with me about a reaction between antibiotics and pain medication. As I wasn't about to argue with a stranger over the phone over my 4 day bout of constipation and severe stomach pain, I told her I'd make an appointment to see him.
Anyway, I see him tomorrow and hope to at least get some questions answered. I've been a patient there for 5 years, have done probably a dozen or more facet blocks, 4 RFL procedures, some epidurals, and at least a half dozen bouts of neck physical therapy in addition to 12 months of shoulder physical therapy.
I'm really worried about dealing with chronic pain with only half the medication.
Thanks to anyone who spent the time reading that, I didn't mean to ramble so long.
Any advice or insight would be very helpful.