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(Sigh) I failed my PM drug test

I received a letter today discharging me. Let me explain......I have been seeing this pm Dr for about 4 years. Also, I had been to the ER for pain from an ovarian cyst. I didn't request any pain meds from the ER Dr since I had my oxycodone and am under a contract. I was in extreme pain for about a week from the cyst. Anyway, I told him about the ER visit , and that I received morphine. What I didn't tell him was that I took 4 hydrocodone that he had prescribed me last year 2 days before my appointment INSTEAD of my oxycodone . First of all, I didn't know he was going to drug test me, second, he had prescribed it to me. I know what you are going to say....try explaining it to him. I didn't get the impression that that was an option.....the letter was mailed to me certified mail. My questions are 1) do I need a referral for a new pm Dr if I have my records. 2) Can I get my records from my now former pm Dr? 3) Can my Chiro refer me to someone? Let me add that I have never failed a drug test from him until now, & I don't abuse my meds. I'm scared now.....I truly need my meds & feel like I will be treated as a drug addict from now on because of this :(


  • He wasn't that great. Convenient though, I'll have to drive 30+ miles for anyone else.
  • EMS GuyEEMS Guy Posts: 915
    edited 04/13/2013 - 10:14 AM
    you may have a tough time finding another PM or at least one that will give you narcotics. You may have a better chance of working with your Primary Care Provider who knows your medical history to get you a new PM.

    Good luck.

    Several Epidurals, L4-S1 360 ALIF, Numerous Facet Joint Injections, RFA x2
  • dilaurodilauro ConnecticutPosts: 9,832
    Failing a drug test, a screen or even an agreement regarding pain medications is going to be a long lasting Bad Spot on your record

    Dont know how to even to get that removed.

    Almost every doctor I know, that if they were approached about the need for additional medications or doing something out of the prescribed plan could adjust to it. But by NOT telling him what you did in the medical environment would put you as

    - Drug Seeker
    - Not willing to comply with medicines
    - Lying about their intake

    None of that will sit well. I do not know how and if you can turn that around.
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • I take everything I read on the internet with a grain of salt, but there are so many stories like this. If your story is on the up and up, then I would send the Doc a certified letter respectfully explaining the situation. If nothing changes, I would make sure the next certified letter to him was from your attorney stating you will file a law suit for damages and a complaint with your local state's medical licensing board. Don't be a victim. You can fight back respectfully through lawful processes already in place.
  • Jmhar68... I am being honest. I had thought about sending him a certified letter explaining the situation & asking him to reconsider the discharge ,and that I would be willing to come in for a follow up drug test and pill count. I also thought about adding that if he would not reconsider, that I would expect to be able to pick up a copy of my records from him if I hadn't heard from him within a certain time frame. My PC Dr is the one that sent me to him 4 yrs ago as he was not willing to handle my pain management. Would I have cause to threaten a law suit since I was under a contract with him?
  • I would love to find another PM Dr. He isn't very understanding. When I would tell him I didn't think my pain was managed, he wouldn't agree to increase my meds or change them. I have been on the same dosage for four years.....does he not think my body has become adjusted to this dosage? I think my MRI speaks for my pain, & I am unable to have surgery as I would lose my job when I wouldn't be released to lift the required 80+ lbs required. I can get by with the meds, but there are many times I can't do basic day to day chores if my back is worse, or I have over exerted myself. I also have trouble sleeping most nights both from pain & the fact that I suffer from ADD. He was never willing to prescribe anything more than a muscle relaxer, so I'm forced to take OTC sleeping meds. I work 48 hrs a week on my feet, lifting 20-40 lbs frequently, often 60-80lbs. I suppose I could have surgery and go on SSI......Is that what I'm expected to do?
  • DaffydolphinDaffydolphin Posts: 98
    edited 04/14/2013 - 1:48 AM
    For almost any reason. I would still send a non threatening explanation by certified mail, in hopes it would be included in any records he might send out and soften his own notes about you. But, it is going to be difficult to find any PM Dr. who will knowingly Rx narcotics just to mask pain so you can continue doing a job or activity that is only going to continue or increase your pain.
    Severe DDD, Severe neural foraminal stenosis at 2 levels, moderate canal stenosis at 2 levels, significantly impaired left shoulder & arm function. Chronic moderate compression fracture at C6.
  • In my opinion, I believe it is inhumane to withhold pain relief in legitimate cases from anyone. As the others have pointed out, contracts allow them to do whatever they want. This includes unilateral power to ruin people's lives by putting a mark on their permanent record. The fact they alone have the power to prevent someone from getting enough pain relief to remain a productive citizen is truly unbelievable. Checks and balances need to be added to the process to prevent abuse of power and ridiculous rules.

    Let me give you an example I am faced with currently. I took my 13 year old dog to the vet a few days ago because she has painful arthritis. The vet prescribed Tramadol and then wrote a refill script and said I would need to get it filled at a regular pharmacy from now on. So on Monday when I see my Doctor, I will show the script to him and he will be reasonable about it because he is not lazy. He takes an active interest in my well being and knows I am not drug seeking. However, it will not end there. When I try to get it filled at the pharmacy, they will see that it is from a different doctor, will not care that it is from a vet, flag me as drug seeking and cut me and my dog off of pain meds we both desperately need to function. I cannot begin to describe how offended I am by this.

    Now, getting back on topic. Physicians are human and make mistakes just like you and I. If they have made a mistake, then respectfully address that with them. Get your primary care physician involved if needed. Exhaust all reasonable options and then only if absolutely necessary, seek legal counsel. Have you looked up this physician on your state's medical licensing board web site? Sometimes it is a revealing experience.

    Finally, I don't know what condition causes you to need pain relief, but I'm sure you already realize you may need to consider other employment options either where you currently work or elsewhere. I can't tell you what you are expected to do. When I am faced with a difficult decision where emotions may be colliding with intellect, I write down the pros and cons of every option I have. This allows me to see clearly and make the right decision.
  • dilaurodilauro ConnecticutPosts: 9,832
    It would be much less of a threat if you just talked it over with the doctor. As someone said, we all make mistakes. Then having a one on one would allow of this to come out.

    Doctors do not hold back medications for patients who are in the need for them. Today, doctors need to establish justifications for providing narcotic pain medications. This means, that in their best medical judgement, including clinical observations and other diagnostic tests IF and WHAT the patient needs in terms of medication. There is a lot that goes behind that. So when you are ready to talk with the doctor be prepared to discuss everything.

    Hopefully, this will work out for you... It might not be easy,
    Ron DiLauro Spine-Health System Administrator
    I am not a medical professional. I comment on personal experiences
    You can email me at: rdilauro@veritashealth.com
  • I have checked into it. It would protect me while I was off, but upon returning to work, I would in the end have to be released to lift the required weight. If not, I would eventually be fired for not being able to preform what is required. I've seen many in my company that have had back trouble, most have been older & closer to retirement. They have worked with them & put them on disability until (a couple of years) they could retire. Since I am only 44, it will be at least 10 years before I can retire. I have 2 children to proved for & my job pays well, especially in this rural town.
  • While I am not an expert I believe that the standard drug tests given in the office cannot distinguish between opiates. The confirmation tests and some of the more expensive tests can. Also, if this doctor prescribed the medicine that you took you really need to talk to him if you haven't already. Also, if you are willing to submit to a pill count which I assume is your oxycodone, why did you take the hydrocodone to begin with? Go to his office, with or without an appointment and bring all of your medicine.
  • sandisandi Posts: 6,343
    edited 04/15/2013 - 6:48 PM
    The problem that you have is that you took medication that may very well been prescribed to you at one time, however, you took it and it is not a part of your current treatment plan. You said that you took hydrocodone that was prescribed by him over a year ago, two days before your visit with him. YOU broke the contract. It is not that you went to the ER and got morphine, it is that you took it upon yourself to take meds not currently prescribed to you, so he was well within his rights as your doctor to dismiss you.
    In almost every contract out there for pain management it says very explicitly that you are not to take meds not currently prescribed as part of your treatment plan without talking to/clearing it with him first..You do not have a legal recourse, so threatening to sue him is going to get you nowhere but further will prevent any doctor from taking you on as a patient.
    Yes, they have to provide a copy of your records to your next doctor, since many PM offices require the records to come directly from the previous treating physician, so you are going to have to explain to any new doctor what happened.
    I'm sorry but if you have been in pain management for four years , you must've been aware that you taking those vicoden was not allowed. No matter what reasons you felt were the basis for doing it, none of that matters when it comes to compliance. Whether or not you knew that you were going to be tested is irrelevant, testing is supposed to be random for a reason......unannounced and comes when you least expected it.
  • brandysue50bbrandysue50 Baldwinsville NYPosts: 46
    edited 03/27/2015 - 11:45 AM
    I was take off of oxycodone 5mg from a spine and wellness clinic because I was short 16 pills. They said they will NEVER give me them again. I've been on them since the first time I've went there 4 years ago myself. I went there again yesterday and they want me to go to a psycharatrist. I've never failed a drug screen in my life and they punish me. I was taking 1 1/2 sometimes 2 as prescribed. But the max was 6 for the day and I went over by 1. :(

    Syracuse NY
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