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Ok, Im new here and have no idea where to post a question about docor abandonment??

D

daddygurl

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Joined
Sep 4, 2013
Messages
1
I've been seeing the same doctor for my pain meds for over 2 years and yesterday walked in for my scheduled appt. and was told I was no longer a patient of theres so please leave. They said I failed a urine test that tested positive for morphine which is impossible. My doctor just put me on MS contin last month and the urine test was over 2 months ago. So now I am out of all my meds, Percocet, Soma, MS contin, Xanax, Tramadol and my blood pressure meds. The girls at the front desk say I cant speak with him at all. Isnt there some kind of law in Florida about abandoning a patient without giving them a 30 day notice and enough meds to carry them for 30 days till I can at least find another doctor. Which by the way will be impossible because I was self pay with this doctor because I don't have insurance. I know its going to be pure hell without my medication and just going cold turkey from all them may even kill me. I don't know what to do???? By he way he has been my family doctor for over 4 years but started with the pain meds when I seriously hurt my back and have really bad arthritis. Any Advise before I start having seizures?? :? :?:?
 
Hi daddygurl,

Unfortunately there are other things that can cause a false positive for opiates.

False-Positive Results

Although immunoassays are very sensitive to the presence of drugs and drug metabolites, specificity and accuracy varies depending on the assay used and the substance for detection.2 This limitation may result in false-positives from substances cross-reacting with the immunoassay. Positive results seen on immunoassay need to be confirmed using the more accurate GC-MS, the forensic standard. The DHHS detection limits reduce false-positive results, but do not eliminate them. In 1998, the cut-off for opiates was raised from 300 ng/mL to 2000 ng/mL to avoid false positives from poppy seed ingestion. However, these more stringent requirements can lead to false-negatives and many laboratories continue to use the lower value for detection. For example, detectable levels of cannabinoids after ingestion of hemp-containing foods with immunoassay have been reported. Levels of cannabinoids in these samples, however, were not detectable with GC-MS. Passive marijuana or cocaine smoke inhalation has never been documented to achieve detectable urine concentrations in adults, however, passive cocaine smoke inhalation has achieved detectable levels in pediatric cases.

GC-MS is very accurate; however, it is not without problems in drug detection.2 As mentioned earlier, heroin and hydrocodone are metabolized into morphine and hydromorphone respectively, and GC-MS may identify the metabolites rather than the parent compound. Selegiline is metabolized to l-amphetamine and l-methamphetamine, isomers without central nervous system stimulation. Neither immunoassay nor GC-MS can differentiate between the l and d isomers and a positive result for amphetamines will be found; an alternative test, chiral chromatography, may be needed.

Many prescription and nonprescription substances have been reported to cross-react with immunoassays and cause false-positives.2 Most have only been documented in case reports. Table 3 lists substances reported to cause false-positive results using immunoassay. This list may not include all potential substances. The frequency of false-positives varies, depending on the specificity of immunoassay used and the substance under detection. Immunoassay results for cannabinoid and cocaine metabolites are associated with very few false-positives while immunoassay results for amphetamines and opiates are associated with a higher number of false-positives.

Drugs that can cause false positives:

Opiates:
  • Dextromethorphan
  • Diphenhydramine
  • Fluoroquinolonesa
  • Poppy seeds and oil
  • Rifampin
  • Quinine

http://dig.pharm.uic.edu/faq/2011/Feb/faq1.aspx
Click to expand...

That seems rather negligent of your doctor to cut you off with no further word from them. I'd challenge the result (if indeed you were clean) and find myself a new doctor as soon as you could.
 
Here is the link to state licensing boards.. this is who you should contact in your state if you are in the states to find out what options are available and how you go about doing this. Its time for Dr's to step up and deal with the many additions and physical dependence to drugs the cause. And it is dangerous for you to detox all this without help.. we just had someone check in after the same thing happened, no same meds, but getting cut off.. she ended up in cardiac Icu for a week to the tune of a big danger to her health and lots and lots of dollars.. doctors need to step up and help a patient deal with addictions and dependencies that the medications they prescribe cause. Seems like way to many of them will whip out that script pad over and over and then when a patient gets into a little trouble with an addiction or multiple addictions to the medications that they have prescribed for a long periods of time in crazy combinations and really large doses.. then they get all mad and uppity when their patient develops an addiction or dependence and the problems associated with that are seen. Then the patient is called a drug seeker.. and shunned.. Looks to me like Dr's conveniently washing their hands when suddenly more than a twenty minute appointment to right out six meds and collect hundreds of dollars. Then the dr is such a piece of shit that they hide behind their staff and act like they had no part in this.. c'mon you guys are so full of shit.. whats the good of making a substance be administered by a dr if when a problem comes up they place all the blame on the patient and offer no help.. would we as patients be just as good off and have allot more money in our pockets if we could just get a script from the pharmacist in a limited supply after diagnoses.


sorry about the rant but if you want to get the dr where it will influence them first give a request into the clinic or office for your complete medical records and by law in the states they have to give them to you and then after you have these you can make a formal complaint or whatever the procedure is with the state licensing board.. >here<

I would check with a hospital about a proper detox as i think you may need it:\
 
I think that is a little overkill /\...how do you figure? No need to cause her anymore anxiety.

OP, I had the exact same thing happen to me in Florida. I'm curious, did you ever sign any type of pain management or narcotics contract? If so, it will spell out in the contract what exactly their policy is when something like this happens. Also, is he the only doctor in the practice or is it a group?

Unfortunately there iis no law against him doing this and it sucks but it usually ends up workingg against the patient not the doctor. Some contracts or doctor's policies state that it is an immediate cut off (though if they had already known that you had failed the drug screen would have been nice to give you a little notice..not as you are walking in the door), some provide for a super fast, like 3 day taper and some (but few I have seen) will provide you with 30 days worth til you can find a new doc. Now with that said, unlawful and un-ethical are 2 different things. Most people would agree that it is not ideal to be cut off of everything like that but in Florida especially you will find very little sympathy regarding these things. I'm speaking as a long time chronic pain patient and as a nurse for 20 years.

First, I would call or go back up there (be careful with this, since they asked you to leave and told you you were no longer a patient they can actually call the police for trespassing) and request for them to at least give you a 30 day supply of the non narcotic meds such as for your blood pressure.

Second, I would write a letter to the doc himself requesting a chance to speak with him and remind him about the urine test and talk to him about a false reading. The tests are fairly frequently wrong. It sucks cause he does not have to acknowledge that. A letter is slow but once his staff decides your done it is very difficult getting past them to him.

It definitely wouldn't hurt to contact the state board and file an ethics complaint I just wouldn't want you to get your hopes up. The thing is though if they begin to see a pattern with complaints then it might make a difference.

Good luck girl and feel free to PM me.
 
^. Missmeyet?,

I think you may have missed the Xanax in the OP. depending on dosage, that could be a very serious situation. Also the BP meds are no joke. The rest of your advice is great. I just figured maybe you missed the Xanax part, as we all know benzo WD can be dangerous.
 
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