Looking for some Pain Management advice

[Robmac1226]

I am seeing a new PM Dr only because my previous PM Dr uses a company for UA testing that charged me $942 after my ins paid their portion and they were in network. The new Dr uses a different company that will only charge me $129. On my 1st appt the new Dr kept me on the same meds, Norco 10/325, 4 per day & Morphine 60mg, 2 per day. The 2nd month she stopped the Norco & gave me Oxycodone 10 mg, 4 per day & continued the Morph. The 3rd month she cut the Percs to 3 per day & gave me a UA test. My questions is this: I am afraid I will be kicked out of PM because I took a few of the Norco's I had left over during the 2nd month & forgot to tell the Dr. I had to work 2 double shifts in a row because a co worker had a family emergency and this caused a great deal of extra pain. I couldn't take extra percs because I would run out, so I took 2 Norcos on Friday & again on Saturday. The following Monday was my Dr appt when I took the UA. I do not do illegal drugs and had no other meds in my system but what I am prescribed. My PM agreement says nothing about this senecio or even if they give you one chance or not. I've been reading a lot of post so I've seen that some PM Dr's give people one chance. Any advice or info would be appreciated. I am so worried I am going to be kicked out and left with no medicine. Thank you for taking the time to answer my question.

[philnoir]

There's quite a few of these posts about controlled substance agreements and urine tests in the past few days.

Read replies to these other posts -- there's advice there from a few of us.

In summary -- honesty is the best policy.

[BetterGetBetter]

I can't give advice because I'm not a doctor (don't have enough patience). So, here's what I would do if I were in your shoes.

I would bring the Pain Contract with me on my next visit. If the doctor starts out with, "Unfortunately I have some bad news... we found Norco blah blah blah," I would simply explain how I was still having considerable pain, maybe my body isn't used to the oxycodone yet, etc., and then, like you said, point out that the Pain Contract didn't preclude this particular situation.

I would probably get the Contract, now, and put it in my wallet, so it doesn't look all fresh and new for the Doctor Visit Day (I wouldn't want to convey that I was feeling guilty about something I shouldn't be feeling guilty about by specially bringing in the Contract that day, out-of-the-blue).

That's what I would do.

I'm taking your post at face value. If your pain contract didn't address your situation (or was worded so convolutedly that it didn't make sense), I can't really find fault with what you did. Now, if your contract somewhere says that you must *only* take what you are *currently* prescribed, or if you broke your contract somehow, that's a different story.

I would only tell the truth, be straightforward and honest, and hope for the best.