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Questions for the experts here at Spine-health

NoisySocks635NNoisySocks635 Posts: 1
edited 09/24/2015 - 10:52 PM in Pain Management
I see this is a very busy place, so I will do my best to be brief.

1. Does Lasix ( diuretic used by patients with edema - CHF ) dilute UA readings in regards to amounts? Can it affect presence results? ( give false negative reading )
2. In a pain management setting, is the doctor behooved to put the patient under contract?
3. In a pain management setting, is the doctor responsible for making sure that the patient is given "the rules" of pain management? ( the do's the don't, and the what happens if's )
4. What is proper protocol for "firing" a patient who has failed their first UA?
5. If a chronic back/neck surgery pain patient is also an ill, depressed, new cancer patient, is the doctor obligated to work with the patient in regards to non-compliance issues ( one failed UA screen 8 months after starting PM ) ?

Thank you. I look forward to your replies. I may have more questions by then as well.

God bless!


There are no experts, no one at Spine-Health is a formally trained medical professional so not permitted to give medical advice. Everything that is posted here is based on personal experiences and perhaps additional research



  • LizLiz Posts: 7,832
    Please take the time to read this post and refer to it when you have questions

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    Liz, Spine-health Moderator

    Spinal stenosis since 1995
    Lumber decompression surgery S1 L5-L3[1996]
    Cervical stenosis, so far avoided surgery
  • asked to sign, it is the patients responsibility to read the document thoroughly and be sure they understand it before signing it. Ask any questions you may have before handing it back to the staff.
    Most pain contracts spell out the circumstances under which medications will be provided and what actions will result in dismissal clearly in the contract.
    As far as dismissal for failing a urine screen goes, that is typically spelled out very clearly in the contract that failed pill counts, or compliance testing failures will result in immediate dismissal once the results are recieved. Most send a letter dismissing the patient from their care, a few may call the patient.
    Lasix would not cause a failed test to my knowledge, if meds were being taken exactly as prescribed.
    No doctor is obligated to bend the rules for any patient, regardless of their circumstances.
    A few might give a second chance, but in today's environment, most will not, regardless of the length of time that someone has been with the practice.

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