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Discharge for lack of medication ( crazy)

Treedoc14TTreedoc14 Posts: 1
edited 12/30/2015 - 9:06 PM in Lower Back Pain
Just wanted to say hello to everyone. My name is Steve,I was released from pain treatment yesterday,for lack of medication in my urine sample? This is totally crazy,I can hardly function with out my meds and they tell me I don't have any in my system.I had a liver transplant 21/2 years ago and drink 2-3 gallons of water a day the doctors said this would not change my urine levels. So they dismissed me. I am surely not lying about taking my meds and don't know what to do. Just venting I suppose,if anyone has ran into this same problem,I would like to hear from you and how you handled it.

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Welcome to Spine-Health


It would be very helpful if you could provide us with more details. So many times we read about members who have different tests and they all come back negative. The more clues and information you provide, the better chances in finding out what is wrong,

Here are some questions that you should answer:

  • - When did this first start?
    - Was it the result of an accident or trauma?
    - What doctors have you seen? (Orthopedic, Neurosurgeon, Spine Specialist, etc)
    - What Conservative treatments have you had? Which ones?
    - What diagnostic tests have you had? And their results (MRI, CTScan, XRay, EMG, etc)
    - What medications are you currently using? (details, dosage, frequency, etc)
    - Has surgery been discussed as an option? (If so, what kind)
    - Is there any nerve pain/damage associated?
    - What is your doctor’s action plan for treating you?

Providing answers to questions like this will give the member community here a better understanding
of your situation and make it easier to respond.

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Everything that is posted here is based on personal experiences and perhaps additional research.
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What could be good for someone could spell disaster for another.
You should also consult your doctor to better understand your condition and the do’s and don’t’s.




It is very important that new members (or even seasoned members) provide others with details about their condition(s). It is virtually impossible to help another member when all the details we have are
I’ve had this for years, it hurts, I cant move my shoulder – what could this be, what treatment should I get?

Diagnosing spinal problems can be very difficult. In many ways its like a game of clue. Especially, when the diagnostic tests come back negative – no trouble found! Then its up to the patient and the doctor to start digging deeper. The doctor is like a detective. They need clues to help them move along. So, you as the patient need to provide the doctor with all sorts of clues. That is like it is here. Without having information about a condition, its impossible for anyone here to try to help.

Specific comments :


Personal Opinion, not medical advice :


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--- Liz,Spine-Health System Moderator
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Comments

  • Wow, Steve. That is astounding! It never ceases to amaze me how chronic pain patients are treated.

    I am wondering if you could get in touch with your transplant doctor and let him/her know what is going on and if this would be something they would expect to happen. Also, keep your PCP fully informed. Finally, get a referral to a new pain doctor, preferably one that is in private practice, not with a pain clinic.

    Let us know what you decide to do.



    Scoliosis and other problems at every level.

    2013: C-5 to C-6 ADR
    2014: C-5 to C-6 fusion/revision of failed ADR
    2014: Total hip replacement, right

    Cancelled multi-level fusion - fear being more crippled and in more pain.
  • As prescribed, on a regular basis, they should show up in the testing. A liver transplant wouldn't cause the meds not to show up. The metabolites of the medications are excreted by the kidneys.
    The truth is that almost all pm doctors would dismiss a patient who shows too much or too little of prescribed medications in their systems. It's the reality we all face when being treated for chronic pain in today's environment.
    As far as what to do, is to try to find a new pm doctor and be prepared to have them ask for your records from your previous doctor. They may ask about the failed urine screen so you need to have an answer for them.


  • SpinSpinSugarSSpinSpinSugar Posts: 15
    edited 01/04/2016 - 2:58 AM
    This is not crazy. It's normal procedure they have to fallow by state law. If you get pain meds, you have to take them as prescribed. If you don't, it means you are selling them or take large doses every few days or holding them for bad days. Next time, 3 days before you visit take the pills as prescribed.
    I design your spine
  • dilaurodilauro ConnecticutPosts: 10,045
    you are talking less or taking more of your doctor prescribed medications, you need to discuss this with the doctor.

    My pain medications are written as PRN, so basically even though the upper limit is 6 pills a day, there have been many days, where I need only 2 or 3. Then there are times (right now) that I have taken 7 or 8. But all of that is discussed up front with my physiatrist, we review it and she approves the plan or we work on another plan.

    But if you dont discuss things like this upfront and get approval, you might easily be subjected to what just happened to you.

    Communicate - that is so very vital
    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
  • Hi Treedoc. I find this interesting because the same exact thing happened to me. After three spine surgeries, my surgeon was the one who was in charge of my pain medication and muscle relaxants. He was very "generous" and gave me whatever I wanted. My preferred blend was Norco 10/325 6/day and valium 5mg as needed. This is what I was taking for about 4 years or so.

    Then I got a new job and had to change health providers and could not see my surgeon any longer. So of course, my new doc wanted to get me off all medication. So the first day I saw him, still on the meds mentioned above, he required that I take a urine test. Oddly, neither the Norco or the valium showed up in my system. It was the strangest thing, but it's the truth and I was surprised. Of course, it wasn't a matter of letting me go for not taking medication, but none of the docs could figure why this happened.

    Just to let you know, I did get off all of the pain and muscle relaxant medications in about six months. Now I have a new doctor again and a neurosurgeon who both believe I should be on pain meds if I feel I need them. I'm back on a small amount, max 15mg/day, but I take one day off all meds a week to keep my tolerance. I'll never take 60mg/day of pain medication again.

    Take care,
    Cath
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