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Confused about pain management help help help!!!!

Nikieholz24NNikieholz24 Posts: 1
edited 03/26/2015 - 8:52 PM in Pain Management
I started pain management in january. I just went back 2 days ago in had been prescribed oxycodone 7.5s im 26 yrs old in have artrist in my lower back 2 bulging disc torn ligament and pinched nerves. My problem is i hurt myself pretty bad over the weekend and needed more meds so i Took acouple of my old hydrocodone i had at night with my oxycodone to control it so i can sleep. But when i went 2 days ago they said last time that i was getting tramadol which i was from md doc before sending me to pm doc but in 2 days in between i was switched from hydrocodone to the tramadol in pm doc said that not to take no other med except what im prescribe which is understandable. So before he said this i took my drug test in hoping that it wont show up the hydrocodone i took 2 days before i went in my question is am im pretty much going to get discharge if there is or what should i be prepared to say to cover my butt bc im seriously not trying to get introuble or try to jump the system in do not break my contract. Do they send ever urine sample to the lab bc i peed in a cup a 12 panel drug test wouldnt they have caught it then and the test i took 2 months ago instead of telling me about the tramadol in hydrocodone this visit do they send all urine samples to the lab Also if i do get discharged am i pretty much out of luck to get another pm doc . The sad part is when i inrolled at pm doc they were moving so fast in i never got to look at one line of the contract before signing nurse kept on saying sign hear sign hear sign hear in handed me my drug test and maybe me pee with taking them papers to the bathroom i mean thats how quickly this process was moving. but i did a at home drug test a 10 panel cup in tested negative for opiate and positive for oxycodone will the lab get a better result then the cup


  • LizLiz Posts: 7,832
    edited 03/26/2015 - 8:52 PM
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    Spinal stenosis since 1995
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  • Unfortunately, you may be discharged from your PM doctor. I'm a little confused by your story. You were prescribed oxycodone but took some old hydrocodone? Then you were prescribed tramadol? Either way, you may be discharged. I would consider discussing it with your PCP so you can get a plan together. At this point, you really shouldn't try to cover it up. I would be honest with your PM doctor. Say you didn't fully understand and you regret the decision.

    Unfortunately for you, PM contracts are taken very seriously. Nine times out of ten, a patient will be discharged for violating it. Often, PM doctors will send urine to a lab for confirmatory testing. This protects patients from false positives and allows doctors to see everything. I would not aim to 'cover your butt'. In my opinion, honesty is the best policy. Just be honest with your doctor that you made a mistake and go from there. Like I said, discuss with your PCP and come up with an action plan.

    I also want to add that you may not be out of luck with finding another doctor but that doctor may be very reluctant to prescribe narcotic medications to you. Overall, this is one of those times to say 'yeah, I screwed up. I was confused about the contract and I want to fix it'. The relationship between doctor and patient is much like a romantic relationship. Trust is key. If you're honest, it will rebuild that trust of the PM office decides to keep you as a patient.
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