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Avatar universal

what will happen im innocent

Ok so about a year ago i developed bad lumbar back pain and i had no insurance so i saved $300 to make an appointment with a painmanagement dr he came in and said since you have no insurance theres not much we can do for you.i said ok next option i used marijuana very concervativly to just get to sleep at night so i can get a good sleep and mute some of the pain and it worked great i used it illegally yes but not abusive so i applied for anthem insurance and i got it approved 2 months later so i discontinued marijuana so i can seek proper pain mangement legally.so i saw my primary care dr and he prescribed hydrcodone 5/325 so i was off marijuana for a week and a half because i want everything legitimate. So i went monday and he refilled my hydrocodone and then a nurse comes in with a urine sample container i had said i cant go yet can i come back they said ok so this coming monday i have to go test and my concern is marijuana stores its active ingredient in fat cells and can potentially last in your system for 30-45 days but i quit using when my insurance was approved now im scared as heck they'll send me packing even know im complying with the medication management agreement that i signed what should i expect will they boot me even tho im complying with the rules?im really scared i dont know whats going to happen it sure would be bad for me and my family
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547368 tn?1440541785
There are several Chronic Pain Associations that are attempting to change things and fight for our rights. Goggle them - and join - but don't leave us. These Associations will welcome your passion - and goodness knows we need passion.

I think it was Phil that said something like - one day some smart, new, energetic lawyer- (maybe looking to make a name for him/hersef)  will take a Chronic Pain Patient's case when they are thrown from PM unjustly - and things will change.

I hope I live to see that day!
Helpful - 0
Avatar universal
I know, it would be great if pain patients and Drs could ban together and fight this. Everyone it just too afraid to do that though. I honestly think many Drs would rather not be bothered with pain patients and prescribing medications. They're scared too because they're being watched.
That's why I said we need to sign petitions and write our representatives.
We should have rights because we do pay taxes and we do pay our Drs to treat us. This sure did change though when these laws took effect.
I agree with you about what you said. If you have proof on an MRI that you have a problem and you're in pain then why in the world would you sell your meds when you desperately need them?
Today is Wed so you've seen the Dr. Did they do a urine test and if so have you gotten the results back yet?
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Avatar universal
I agree perfect answear but if everybody in the states protest and come together as one big mob if you will so to say then we the people will win theres more citizens than government officals and we all know how much money they like if we say nah keep it then it might change but theres to many people that are afraid to stand up and say hey this is crap but if everybody stood up to them you just never know.
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Avatar universal
You can use pain patches any where at any time. My husband has back problems and he uses the over the counter pain patches several times a week. Try different ones to see which ones work best for you.
It's so sad and frustrating that things are the way they are with these laws. Here you are needing pain relief and you would rather stay in pain then have to deal with a clinic. I know there are many people like you who will suffer needlessly.
I do agree that exercise and other things can help with our pain but sometimes it's just not enough. If you do decide to quit your medication I truly hope all the natural things you will be doing will be enough to control your pain.
I think most of us know that the abuse of pain medications is so much less than alcohol or street drugs. Yet, many chronic pain patients are treated with disrespect and like criminals because we need pain medication.
Complaining about it will get us no where. Of course it helps with our anger about what's going on. We have to do whatever we can do though, and that includes signing petitions, if you're lucky enough to find any, and writing to our representatives. As the old saying goes, the squeaky wheel gets the oil.
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Avatar universal
It maybe protocol and requird but at the same time its insalting like there insisting that your putting them on the black market i mean really if you have an mri and it shows that you need treatment whats the deal here i dont understand why people would take vicodin for fun? Ive never felt a high or euphoria from it i dont understand alcohol is way more dangerous why is that legal here in wisconsin theres more alcohol realated crimes/deaths than opiates and thats statically documented and alaska is even worse for alcohol.my mom said she doesnt understand either shes in painmanagement and said that vicodin never gave her a high or euphoria and that they didnt test her until 6 months after her first appointment
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Avatar universal
I probably can if i can figure out what naturaly makes the pain go away light exercise,weight loss,a craft or hobby for the mental part heat and ice help but its not like you can tape a heating pad to you and walk around town but i dont know if weight lifting can make it better or worse
Helpful - 0
547368 tn?1440541785
It's a tough decision - but I do understand it. I have thought the same but know I cannot function without pain management. After years I'm on the lowest doses I've ever been on - but still am subjected to all that a Pain Contract entails.

Did you forget that this required drug screen is custom and usual practice. I had the same requirements as you when I began with a new PMP. I don't have a tattoo on my body.  It's just policy.

Good luck - If you can do without opiates it's best you don't take them.

Peace,
~Tuck
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Avatar universal
So after thinking all day and night im going to taper off these vicodin and just take my celexa and valium as needed i take 4 a day so im going to do a week with just taking two then the next week just taking one then the next week just taking half then the next week bye bye its just not worth the headache with these doctors id rather be in pain so thats my decision
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Avatar universal
Ive also been thinking of just saying heck with it and dealing with this chronic pain and going back to the gym i was a very avid weightlifter my max bench press was 345 pounds and squat was 625 and minor league football player with a championship ring and a 235 average bowler then when i stopped all that because of the time with my kids and this nagging pain started coming all this pain medicine is worse than most things heres a question that their might be no answear to why not just ban it and come up with a medication that does the same thing thats not narcotic with the same exact effects?if police have laser and infa red detectors and the zog government has atomic bombs then surely they can copy cat the effects without the dangers
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Avatar universal
Well its because im well educated and i know the constitution and civil rights im a white civil rights leader in my area and im friends with many politicans and lawyers so i know the whats going on but i feel uncomfortable going to this place so after my test im going to request to be transferred to a different facility they nurse was stuck up and rude and in other words called me dishonest i said if i was dishonest i wouldnt have hade my pastor right me a letter and i wrote a letter of the truth so because of that rude nurse i have ever right to go else where
Helpful - 0
7721494 tn?1431627964
I have to agree -- it is a bunch of crap.

Opioid contracts, urine tests, etc. are part of what's called Universal Precautions, a concept borrowed from infectious medicine.

The assumption in Universal Precautions is that every patient is a potential source of contagion, and likewise with pain management, every patient is a potential abuser.

It has nothing to do with medicine, and everything to do with maintaining cash flow.

I deal with pain medicine every day -- have done so for years.

You, have been involved for less than 1 month, and you have figured out the truth behind Universal Precautions.

Wow!
Helpful - 0
Avatar universal
So i wrote my doctor a letter because these people never return phone calls unless it benefits their behalf collecting insurance info etc... Ive noticed that these clincs just want to line their pockets full of cash they really dont care about us it seems theres alot of bigitory ive talked to over ten friends and family and said the profiled me covertly i belive that but for the good news i got a call saying if im positive then so be it but 6 weeks down the road im not then im out so im happy that their trying to work with me and not pass the buck but the logic for them is if we lose him as a patient we lose his $$$$$.now what really is disturbing is in the medication management contract that it says its ok to drink alcohol with valium and vicodin its says that its ok really?!?!?! Thats a bunch of bs its common sense that its NOT ok to drink while taking those medications it says moderate alcohol is ok moderate could mean ok a 4 pack of malt liquor which to me is not moderate i think in the contract it should say alcohol use could be potentially hazardous while taking these medications but the contract encourages its usage what a bunch of crap
Helpful - 0
7721494 tn?1431627964
It's gonna be OK. Really.

Be cool but stay groovy.
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Avatar universal
Ive never in my life have ever used or seen methamphetamine,heroin,cocaine,Lsd never ever i never even drink ever or smoke ciggarettes when i went in on 8-3-15 i signed a contract and he gave me my prescriptions and they took forever and i had my two year old with me and before i left the nurse said i need a urine sample i said i cant go and i was honest and i had to get to my work because im the opener and so i filled the prescriptions then the nurse called me the next day and with my co worker retired from bad kidneys and my other guy moved out of town and my grandfather hadthis bussiness since 1974 so yeah thats the truth
Helpful - 0
547368 tn?1440541785
You're not being profiled. When I returned to WI for a few months and had to see a new PMP I was required to take a Drug Screen before he would even RX an opiate for me - even though I had a ten year history with the clinic of compliance. It's just protocol.

They will be more interested in future drug screens. What you did before you signed the contract or came to them is not what they are most concerned with - unless it shows some nasty street drugs - like Heroin or Meth.

You sound like an honest person to me, doing the right thing - your PMP will see that. Honest I think you'll be fine.

~Tuck
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Avatar universal
But really how fair is that you quit something because you want to do the right thing im basiclly going to talk to him monday when i take the test the truth and my pastor even typed a letter tonight to bring to the dr. I take my meds as prescribed i dont sell them or give them to friends since ive signed to medication management contract ive complied with every rule my concern is that he will send me packing even tho ive been honest and followed all rules since signing the agreement
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Avatar universal
Well the concern is that i used it conservatively and i quit the day i was accepted for insurance then i make the appointment and they right away want to drop this test on me i think its only fair to prove yourself first it almost seems like my doctor is profiling me because im. Only 29 and maybe because my arms are tattooed up but i have been seeing this dr for ten years
Helpful - 0
547368 tn?1440541785
Hi **,

Welcome to our Pain Management Community. I'm glad you found us and took the time ti post.

It sounds like you have done everything right. As Phil said, "Don't worry, be happy." I too think you'll be okay.

The more sophisticated tests can tell to some degree how long it's been since you smoked. Did you tell your PMP that you use to smoke?

If it comes back with some mj metabolites you can honestly tell them you use to smoke but no longer do.

I think someday, in the not too distance future most states will legalize medical mj. All eyes have been on Colorado. What other states are seeing - and looking for is the state taxes and other revenue legalizing has brought to the state - as well as how it's effected the legal system.

Twenty-three states and the District of Columbia currently have laws legalizing marijuana in some form. Twenty years ago I never thought I'd see it - and I've never been a pot smoker. I just thought we'd never get law-makers to see the benefits, all around.

I do understand your concern. I always follow my contract and take only what I am prescribed and I still get nervous when they say "Drug Screen." So I do get it.

I hope you'll let us know how this turns out for you. Again it's my bet you'll not have a problem. I wish you the best and will look forward to hearing from you again.

My Best,
~Tuck


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Avatar universal
I signed the medication management contract 8-3-15 it stated no marijuana cocaine etc.... But like i said i have been off it before i signed the contract i wish testing can show days of usage
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Avatar universal
Thanks now i can sleep at night monday i go but i believe honesty is the best answear to everything thanks for the time to reply
Helpful - 0
7721494 tn?1431627964
They may not even be testing for MJ, and if they are, there's no telling what levels of metabolites they are looking for. You could be very well under the lower limits of the test.

These are not yes/no tests -- they are usually very sophisticated chemical testing of drug metabolites at levels from 1/10000 to 1/1000000 of a liter, do don't worry.

If you do show some metabolites, they will be low and probably undetectable.

But even if you do test positive, many states have medical marijuana laws now and pain doctors are well aware of the benefits of CBDs in their ability to help with sleep.

So -- don't worry, be happy.
Helpful - 0
Avatar universal
I'm not exactly sure how long marijuana will show up in the urine. We have other members here who will know. If they say yes, it will show up, then you have to be honest with your Dr and explain that you used it before you signed the contract to help control your pain and that you have not used it since you started pain management.
I hope everything works out for you and I'm glad you were finally able to see a PM Dr. I'm sure one of our other very knowledgeable members will be able to answer your question.
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