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false negative drug test

I am in need of advice please. My pain doctor has stopped my percocet due to a total of 3 negative urine drug tests over 5 months. I assure you that I have been taking the prescribed medication. I keep a record for each day and times that I take my meds. I am unable to get anyone in pain management to hear me. What is the next step for contesting false negative drug tests?


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  • Jennifer,
    It is highly unusual that there would be three negatives in 5 months, if you were taking the medications as prescribed. Is the testing done right in the office or is the sample collected in the office but then sent out to a lab?
    I am assuming that you have a contract with the doctor, and that he has dismissed you?
    Since the doctor continued your care , after the first negative test, he should have told you that a further negative test would result in your dismissal or that it was spelled out in the contract, yet there was a third instance ?
    What did the doctor tell you about disputing test results? Or what options for further treatment?
    I am afraid that you are in a pickle, given that there is not just one test that you failed but three.
  • Sandi thank you for your time. I have signed a contract and the only time my doctor said anything to me about the failed tests was after the 2nd test failed. He acted like it was no big deal and had me do it again. Never once mentioning that I was in danger of being kicked out of the pain mngmt program. I wasn't able to speak with him after the last appt. I did talk with one of the nurses and she was rude and told me to get a lawyer. They collect the urine in the office and it goes to their lab.
    Thanks sgain :)
  • In all of the contracts, it spells out the consequences of a test failure. In most cases, it is an outright dismissal from the doctor's practice, and contacting your primary care doctor and pharmacy, and possibly any surgeon that you may be seeing.
    Unfortunately, the normal course is that the patient gets dismissed right away, so you were lucky in that he kept you after you failed the first time, since most PM doctors do not.
    Your only option at this point, is to find another doctor, and hope that he is willing to take you on. What are you in pain management for? What condition?
    Don't be surprised though if it is very, very difficult to find another doctor willing to take on your care and prescribe you pain medications.
    What do you mean it goes to their lab? Do they have a lab in house- meaning in the office itself or they send it out to a lab that they use to do their testing? Was it a screen test or a gc/ms test? GC/MS testing is also called gas chromotography/mass spectrometry.....this is the testing that most PM doctors use these days. It is almost unheard of that there would be a false negative using this kind of testing.
  • You are telling us they tested and found no trace of the prescribed dosage? Or inadequate concentration?
    Or do you meant hey found a dirty test? Either way, three is hard to swallow.
  • I was not told a thing regarding how or why the tests were negative, just sent a letter stating that I was being dismissed after the three tests. I keep a running log/notebook of all my meds and times and how much I take. I am allowed up to 4 percocets a day and sometimes I take less. Hard to swallow indeed, which is why I need to contest this mess.
  • jenniferg1010jjenniferg1010 Posts: 4
    edited 09/12/2013 - 2:17 AM
    I had a tri-level spinal fusion a year and a half ago which made my condition much, much worse.
  • sandisandi Posts: 6,343
    edited 09/12/2013 - 9:24 AM
    and you were taking less , that would explain why you tested negative. However, since you have three failed tests, the dismissal is not something that you can contest at this point. You should have told the nurse doing the testing when she asked you when you took your last dose, exactly when you did, and that you aren't always taking the amount prescribed per day. The doctor should have reduced your dosage if you did not need to take the full amount you are allotted daily but would only do that if you told him that you didn't need it.......so they assumed that you were taking the meds as prescribed, but you weren't and then failed three tests.
    The only thing that you can do at this point is to find another doctor but I do think it is going to be very difficult, given this isn't just one test, but three.......
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