I'm new here, obviously and in need of some advice.
Sorry this is going to be long.. to explain the situation.
I have a history of neck and lower back pain, but didn't try to get treatment until..
Last March I ended up in the ER because my lower back pain got so bad while I was shopping that I couldn't bend and I was getting shocking pains going though my body that made it very hard to find my footing so that I could stand, I've never felt that shocking pain before but I have had some intense pain in my lower back after standing and/or walking for a fairly short amount of time.
At the ER, they decided to test me for kidney stones.. did a urinalysis and it came back that I had a UTI. So the PA prescribes a anti-bacterial med and vicodin. I asked him why he didn't do an x-ray, I want to find out what's wrong with my back.. his answer was that's what the pain med is for.. Idiot.
I went to my PCP and her PA ordered an x-ray of my back.
Results.... she said spondylosis in my neck and lower back.
She ordered an MRI of my lower back. Results.. I have a herniated disc L5-S1.
I was referred to a neurologist that after I explained my symptoms of my neck and lower back, he said I should be checked for fibromyalgia. I had to insist that he order a MRI of my neck. He didn't do a very good exam so I asked my Pcp to be referred to another Dr that did do an extensive evaluation and ordered an EMG. The MRI of my neck came back that I have three herniated discs in my neck and spinal cord impingement.
In the mean time, I was prescibed percocet. I had to take a tox screen first because they wanted to make sure I wasn't taking any street drugs. For the first three months I was told to take one a day when needed for pain. My neurologist called my PCP and suggested that she give me an extra dose because it was wearing off and most of my day I was in pain. She did give me two a day and a lecture, told me only to take it when I really needed it and had me sign some half -Edited pain contract that she didn't give me a copy of.. now, she had told me several times she didn't like to prescribe pain meds and at one point she said I needed to see my neurologist for all things concerning my back. My neurologist saw it another way, and wanted my PCP to prescribe my meds.
Anyway.. I went in for a refill and saw a PA I had never met before, I took my urine test as usual. Well she came in and told me that she couldn't prescribe the meds because my urine came back negative for opiates. I basically told her that the test is bogus and that I had been taking my meds. She didn't want to hear anything from me and basically called me a liar without saying the words.
That was in Oct.. I had just signed a contract the month before because of the extra dose of percocet. The contract was signed in Sept and it's for three months.
I again said that I've been taking my meds and I don't understand.. Then she said that my urine was a little diluted. I asked if we could wait and I could take the test again. She told me no because my urine has never tested positive for opiates. I was shocked.
My PCP never mentioned anything about neg opiate result or diluted urine. Never said to me, maybe I should come in, in the morning instead of giving me a 2pm appointment.. never suggested maybe drinking less. She never ever told me to take the meds not missing a dose. She said take only when I needed them. However, my last prescription read twice a day. Every question I asked the PA answered with I don't know and it's policy. I walked out.
I did write a letter to my Dr asking some very specific questions and haven't heard back. Along with other questions I asked what my specific test results were and what test they used.. I asked if the test was oxycodone specific.. I asked if she sent it to the lab at the hospital for more senitive testing. I asked if she had my urine tested to see if it was really diluted. I asked why she would prescribe to me if she thought something was wrong with my urine sample or test. I also asked why she had me sign a contract and gave me medication if she thought I was already breaking it. She could have said something or refused me meds after the first neg test, second or third.. but instead had me sign a contract?
I also asked for a copy of my contract because I never got one. The PA had told me I could go to my neurologist, but when my neurologist called the office they said something to him to make him change his mind about prescribing to me.
I have not gotten an letter with an answer to my questions and a copy of my contract like I asked and I don't know why.. don't I deserve an answer? If they are going to call me a liar.. don't I deserve to understand why?
OK.. so now all I can do is sit on my backside and the symptoms have continued to get worse. I got my EMG and there is nerve damage. I don't have the results in hand. I was just told that the EMG showed nerve damage and I should see a surgeon.
I will never go back to my PCP.. She did refer me to the surgeon, I'm just waiting to get an appointment.
I'm afraid to go to this neurosurgeon because, what if my Doctor tells him that I didn't take my meds?.. it's a lie. I'm apprehensive about finding a new PCP because of this too.
Has anyone ever gone through this? I'm not a drug user, and this is the only time I've ever been prescribed pain meds except for childbirth and tooth extractions.
I'm so confused and stressed out.. in pain and have to wait to see another Doctor that I am so afraid will not take me seriously. I'm afraid that my PCP will prevent me from getting the treatment I need too. At least when I did have medication I could at least go shopping or do my dishes.. so many simple things that I took for granted before I can't do now.
I'm just going on and on at this point... Thanks for reading. Any advice? Can someone tell me why I would test negative when I was taking my medication?
Post Edited for Inappropriate Language by Authority Memberhaglandc