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    Urine tests and pain specialists
    An_242367 posted:
    When I posted my frustration with the urine test/pain md issue I never thought I'd get such a response! At least I don't feel alone anymore. For the record, I had my first pain doc for about 10 years. No urine tests. I told him I wanted to switch to something that would get out of my bloodstream quickly. I'd been prescribed another medication that could conflict with the first. The pain doc agreed and gave me IR (instant release) instead of time release. A situation then arose where I had to take the second medication. I decided just to deal with the pain. But when I went to pick up the pain medication I was asked to take a urine test. If the doc had asked me if I'd been taking his meds lately I'd have said no. The only thing mysterious was why was I out of pain meds when I'd taken a hiatus from them. I thought I must be taking more when taking them and not realizing it. Well, the doc discharged me without ever talking to me again or responding to my letters. I truly didn't know what I'd done wrong. Two weeks later I found my wife was putting the pills in quarantine because she did not approve. Mystery solved. Still, you'd think he'd have talked to me. It took me almost a year to get another pain doc. This one lasted two months. Passed the first test. But for the second test I had a 9:15 appointment but had to give presentations at work from 7 a.m. to 9 a.m. I took half a dose at 5 a,m., so the medication would be in my bloodstream but I wouldn't be at all loupy. Then I took the full dose around nine. Result: You have the meds in your system but they are not fully metabolized. So this guy discharged me without even a month's prescription to go on, as did the first doc. I practically begged this guy to let me take another test but he wouldn't hear of it. The bottom line seems to be most doctors are init for the money and their precious license. They should have gone into some other business and let some people with a trace of empathy into their profession.
    _swank_ responded:
    If your doctor was in it for the money then he would keep you as a patient and not worry about your drug test. But yes, of course, everybody goes to work for the money, you and me included. Nobody works for free. Your doctor's income and livelihood are totally dependent on him keeping his "precious" license so he must protect it at all costs. The Feds can be a very scary bunch. I came to realize this when my doctor told me a very scary story about them showing up in his office and bullying the crap out of him. And he is not someone running a pill mill. He is very reputable in this area. The feds showing up had nothing to do with any patients but a urine test sent through the mail. After that I have a new found respect for the crap he has to deal with.
    RhartleyJr responded:
    I lost my job and health insurance. My pain management doctor of 5 years refused to see me because I had no insurance and would not be able to afford his worthless procedures that cost 1700.00 a pop. No procedure no pain meds. I have spinal stenosis. He is nothing but a greedy doctor. But they all are because I could not find anyone that would treat me without health insurance. By the way I lost my job because I told my boss that I may be out of work for a while because I hurt my right hand and my back was getting worse. It is a cruel world when you lose your health.
    annette030 responded:
    As a licensed, although not working, RN, I would also do anything legal to keep my license. It was how I got a job and paid my bills for many, many years. A specialist MD has at the least 12 years of schooling, and education costs invested in his MD license, far more than a nurse.

    Both when I gave drug tests, and when I have taken them as a patient or employee, the person giving the test always asked when my last dose of medicine was and how muck I took. That is required when one fills out the form that comes to send in with the urine sample.

    One way to make sure you take exactly what is prescribed is to write down the date, time and dose each time you take a dose. I use a simple check off chart, and save the charts in a folder, at least for several months. I also count my pills once a week when I fill my weekly pill box. Another safe guard. Everyone develops their own system.

    Best of luck, I hope things work out for you.

    Take care, Annette
    Taoskier replied to _swank_'s response:
    I know what you're talking about. A manager at another pain clinic told me the feds made the rules stricter the very month this MD let me go. I think he could have talked to me about it though. I mean, he probably forgot, but he prescribed an instant release med precisely so that I could get it out of my bloodstream in case I had to take another med (I didn't think I could handle both). And that's what happened. I got an email New Year's Eve saying I probably wouldn't have a job in the spring. I needed to take stress medication and I didn't want to take it with the pain med. Seems reasonable to me, but the MD in question will probably never know.
    Taoskier replied to RhartleyJr's response:
    The health care system in the U.S. is absurd. If you haven't seen it, go see the movie "Sicko." Then move to France. Good luck.
    An_242367 replied to annette030's response:
    Thanks for your response. But as I said to someone else, I understand that the feds are getting stricter and stricter. Anyone who's tried to buy the dreaded pseudoephedrine knows that. Anyway, on New Year's Eve I got an email basically saying I was out of work for the spring. I had to take stress medication at this point. I'd told the pain MD that I could not take meds for pain and stress at the same time. He agreed and told me that's why he was giving me an instant release pain med, so it would quickly leave my bloodstream if I had to take another medication. Well, that's what happened. If he would have at least talked to me about it I'd have been okay. But instead he sends a registered letter (dotting his legal i's) with all my records and informing me that I'd broken some part of our agreement (I still don't know what part that was). A lot of MDs think they're better than others. Well, they're not. They're just people. And this particular person is also a coward (not for being afraid of losing his license but for being afraid of meeting me face-to-face).

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