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  • BDD Moderators: Keif’ Richards | negrogesic

I took a risk by being honest w/ my pain doc...

My last drug screen results showed this for oxy:

OXYCODONE CLASS ++POSITIVE++
Oxycodone 1103
Oxymorphone 196
Noroxycodone >6173
Noroxymorphone 75

Are the values listed in ng/mL? Won't they be able to tell my level isn't high enough if I haven't taken enough or any at all for the last week?

AHH LAWD I'm getting nervous! Leaving for the appointment in about 2 hrs...
 
516CAZ said:
UPDATE: I just got an appointment reminder for the pain doc that says my appointment is on THURSDAY, the 15th, which is the day I'm actually due to run out. Sooooooooo, I would have an empty bottle no matter what. I'm confused... Was this a mistake by the scheduler? Should I call them and point it out or keep quiet and show up on THURSDAY instead of TUESDAY??
Click to expand...

516CAZ said:
Firstly, I am not soliciting medical advice. I am just trying to see if anyone has any opinions on my doctor's train of thought...

Sooooooooo... I had an appointment with my pain doctor this past Thursday. I took a huge risk and told him I had taken some of my doses too close together because my pain has been extremely severe, and subsequently, would run out of my prescription early. He chastised me like a child, his voice raising at times. I told him I had hoped for a little understanding since he's known for a while about the extra pain I have been having from multiple untreated dental issues plus extra pain from my low back where I had major spinal surgery last year. Also, I've never had a problem with my prescriptions in all the years I've been going to him. It was immediately clear that this was a mistake.

In a condescending tone, he said he is making an appointment for me for this upcoming Tuesday and that I need to bring my pill bottle for a pill count and would be subjected to a drug screen at that time. He also had me do a drug screen before I left that day.

I wasn't thinking straight enough to ask what it is he is expecting of me at the Tuesday appointment. *I had already told him I would run out early. What is he expecting? Does he just want to see how much in the hole I am? Now, I'm just confused and anxious. Thoughts?


*FOR REFERENCE:
> I am prescribed 5 tablets/day.
> Today, the 10th, I have 6 tablets left.
> I have tried to taper down to 2/day, but the withdrawals are still happening any way. (Any coping tips are much appreciated!!)
> My prescription is scheduled to run out on the 15th.
> If I can continue at the rate of 2/day, by the time of my appointment, I will have just run out of my prescription. Thus, I will be showing up with an empty pill bottle.
> The appointment on the 13th is only 1.5 days before I am supposed to run out on the 15th.
Click to expand...
 
516CAZ said:
My last drug screen results showed this for oxy:

OXYCODONE CLASS ++POSITIVE++
Oxycodone 1103
Oxymorphone 196
Noroxycodone >6173
Noroxymorphone 75

Are the values listed in ng/mL? Won't they be able to tell my level isn't high enough if I haven't taken enough or any at all for the last week?

AHH LAWD I'm getting nervous! Leaving for the appointment in about 2 hrs...
Click to expand...
Well, you did tell them you were running low, so hopefully that supports your case
 
516CAZ said:
Won't they be able to tell my level isn't high enough if I haven't taken enough or any at all for the last week?
Click to expand...
no they won’t be able to tell…but that doesn’t mean their dumbass won’t think they can tell.

Literally all you have to do is drink a shit load of water and it will further dilute the sample and you’ll have lower values.

There are so many variables and it’s documented in the scientific literature that doses can’t be extrapolated from urine
 
I am so FUCKING angry that I drove the opposite way home for 35 minutes after the appointment... He was an even bigger dickface this time- totally unprofessional & unreasonable. We went back & forth for several minutes about why I may or may not be lying. I finally was like, "After all these years with no issues, do you REALLY think I'm abusing my Rx or trying to get high??" (Ok, I know I did a little bit, but it was minor & he can't prove it.) Many things were said/implied, but I'm still discombobulated & unable to recall everything at the moment.

He Rx'd me 2 weeks' worth of 5 mg, 4/day. Soooo, my normal is 75 mg/day, & now he's decreased me to 20 mg/day?? I said, "Consider, for a moment, that I am being truthful; won't that huge decrease cause withdrawals?" Dismissively, he said he'd Rx some meds for withdrawl. He left the room & came back with scripts for the oxy, 9 fucking Zofrans, & 12 fucking dicyclomines. I started to say to him that this was not going to be OK, especially with my co-morbidities, but HE FUCKING WALKED OUT when I was mid-sentence! I cannot believe I didn't fucking lose it.

I went to the MA's station & asked if there was someone in charge of the doctors that I could speak with re: this situation. A very nice supervisor listened to my account of last Thursday & today. They went to speak with the doctor, but apparently he was busy & rather short with her as well. She told me she would speak with him after his last patient, get ahold of his direct supervisor, who wasn't at the office at the time, & then follow up with me by tomorrow morning.

Even though he is kinda right about what happened, there is no way I'll concede or compromise. I will not be handled that way, & it is NOT OK to treat patients that way. He is KNOWINGLY precipitating withdrawals in a pain patient.

FUCK. FUCK YOU!
 
516CAZ said:
I am so FUCKING angry that I drove the opposite way home for 35 minutes after the appointment... He was an even bigger dickface this time- totally unprofessional & unreasonable. We went back & forth for several minutes about why I may or may not be lying. I finally was like, "After all these years with no issues, do you REALLY think I'm abusing my Rx or trying to get high??" (Ok, I know I did a little bit, but it was minor & he can't prove it.) Many things were said/implied, but I'm still discombobulated & unable to recall everything at the moment.

He Rx'd me 2 weeks' worth of 5 mg, 4/day. Soooo, my normal is 75 mg/day, & now he's decreased me to 20 mg/day?? I said, "Consider, for a moment, that I am being truthful; won't that huge decrease cause withdrawals?" Dismissively, he said he'd Rx some meds for withdrawl. He left the room & came back with scripts for the oxy, 9 fucking Zofrans, & 12 fucking dicyclomines. I started to say to him that this was not going to be OK, especially with my co-morbidities, but HE FUCKING WALKED OUT when I was mid-sentence! I cannot believe I didn't fucking lose it.

I went to the MA's station & asked if there was someone in charge of the doctors that I could speak with re: this situation. A very nice supervisor listened to my account of last Thursday & today. They went to speak with the doctor, but apparently he was busy & rather short with her as well. She told me she would speak with him after his last patient, get ahold of his direct supervisor, who wasn't at the office at the time, & then follow up with me by tomorrow morning.

Even though he is kinda right about what happened, there is no way I'll concede or compromise. I will not be handled that way, & it is NOT OK to treat patients that way. He is KNOWINGLY precipitating withdrawals in a pain patient.

FUCK. FUCK YOU!
Click to expand...

I’m sorry to hear how it turned out. cutting a dose by like 60% is not a taper. That’s a wall you’re jumping off.

These fuckers want buprenorphine patients not oxy patients so I wouldn’t take it too personally. He just trying to decrease his liability.

The DEA are the real bastards in all of this, they are the one pressuring him to throw away patients.

In my opinion there needs to be some sort of class action lawsuit. I don’t understand how it’s medically ok to just throw people into severe withdrawal. People kill themselves, have seizures and heart attacks, turn to fentanyl, lose jobs, some people kill their doctors even and then themselves. I cannot understand how this is acceptable practice in medicine. People at the DEA need to go to prison for this.
 
That's fucking awful. I could perhaps see their logic if they were just telling you that they wouldn't increase your dose, but I don't get cutting your dose because of this. It seems purely punitive, and for what reason? How can someone be so shitty to someone? Where is the desire to care for your patient? Horrible
 
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