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Pain Management Community

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Still confused

by babydm29, Jun 28, 2008 07:13PM
I went to my PCP on friday and he told me that the urine drug test that he did the other day on me also came up NEGATIVE. I dont understand this. Im taking the pain pills that he (my PCP) gave me. Vicodin10/325 4 times a day. 6 hours apart, the flexeril 3 times a day and the vistaril, 3 times a day. My PCP is stumpped and so am I . I also went to a chiropractor on friday and he did a exam on me and told me that my RSD now spread into my left sholder and arm. So not only is it in my right leg and foot I now have it in my left sholder and arm. I have NO PM dr cause he refuses to see me. I dont know what to do. The paper work that my ExPMdr gave me when I picked up my records on friday stated that I could be seen there until I was able to find anouther dr. But when I told them I wanted to be seen they refused to give me an appointment. I also told my ExPMdr that I wanted something for withdrawls on friday and AGAIN he said to me ,"your not going threw withdrawls cause your tests came back NEGATIVE". I really think its f*cked up because my PCP even said that what Im going threw is withdrawls. Like I said my PCP is stumpped on why my test came back negative he knows that I take my pills. He even talked to my ExPM dr and that didnt even work. Im going to have to goto my PCP on monday and show him all the paperwork that my expmdr gave me cause so much of its untrue. Im in sooo much pain and I cant get anyone to help me. I called anouther PMdr and he refuses to see me cause I was on Methadone for the pain and Im going threw withdrawls from it. Im going to end this now Im in too much pain to be sitting here.
Thank you all for listening to me.
Again is anyone here from or near SULLIVAN COUNTY. IN NY STATE???????
Member Comments (58)

by sandee1818, Jun 28, 2008 08:02PM
Dr. Ali Davachi
21 Mill St
Advanced Medical
Liberty, NY

You can try this one he also has a office in middletown.
http://www.ucomparehealthcare.com/drs/new_york/pain_management_physicians/

Here is a web site that has the pain mgmt Dr's in your area.
Did he PCP have any ideas as to why these negative results keep occurring?

by sandee1818, Jun 28, 2008 08:35PM
The cutoff level for methodone is thre hunred ng/ml. These levels are reviewed and updated to conform to new data on drug dev, new data,  tech and testing statictics.
Methodone will be in your sysyem in as little as 2 hours and remain 2-6 days.

Another option is hairconfirm it is a hair analysis which will tell evey drug used within three months. Now if your willing to prove your taking your meds ( or were) get this at home test and take it to your PCP and have him do it so he can confirm itis your hair being analyzed and then when you get the results you will have undeniable proof you have been taking your meds. the test is $75.00.

This ONLY a suggestion!

by sandee1818, Jun 28, 2008 09:15PM
I wanted to add that having three ( right) false negative results is very rare if not impossible so something is going on here. Besides the fact that you need pain management you also need to find out what is causing this. I did a little research on it and am continuing to do so as it interest me why this is happening to you. Please don't give up find out why and keep looking for some help. It seems like your PCP is helping you , you do have at least one advocate so have him help you try and figure this out. I have never used the hairconfirm and to be honest it is for abuse and a test to check for it. In your case I guess you could say your looking for the abuse, to confirm what you have been telling the Dr's all along and you will have proof right there in your hand. Results are back in 48 hours or less.

by babydm29, Jun 29, 2008 08:15AM
To: sandee
thank you sending me a link to a dr in my area. Im gonna check it out. I know that it is strange that these test keep comming back negative. I know that I sound like a lyer now cause this rarely ever happens if ever. I will look into getting that hair test that you are talking about cause I really need to prove to Pm that I was taking my meds. Like I said my PCP believes me and he is on my side. I dont know if I will ever go back to my old PM again cause of all the stress and agrivation that he has caused me. Im tired of crying and tired of the pain But I am going to fight this cause I know deep in my heart that I am in the right here and Im doing everything that I was told to do. I am going to go now and look at that web sight that you gave to me. Thanks again.

by mcclos10, Jun 29, 2008 10:33AM
To: babydm29
For your own piece of mind I would buy a urine test at the drug store and do it myself as well.  The urine tests used to screen for Hydrocodone levels which is the drug you have in the Vicodin 10/325 is the one you will want to make sure to get.  You have to read the boxes carefully as they don't all screen for that drug.  They aren't very expensive and then you will have the ability to urine screen yourself once and see how the test comes out for yourself.  If it were me I would do it just to make myself feel better and have the piece of mind.  I really feel for you becuase this has to be getting very frustrating for you.  I would ask for the hair test as well or buy one like sandee said.  I agree that at least you have a doctor on your side and you do have some medications so although that isn't as good as it can be you do have something.  I have been written scrips for methadone many times by primary care physicians is your PCP still not willing to help you until you find a new PM?  I know that they may not deal with those drugs all the time but are they not willing to make an acception based on your tough circumstances?

by babydm29, Jun 30, 2008 12:45PM
To: all
Thanks to the websight that you sent to me on here I found a new Dr. I goto him on Weds. I hope that all goes well Im scared and worried all at the same time. I havent had to go to a new dr in 5 years.. I worry about it cause I dont know what is going to happen or what they will do... Am I just being a Chicken or is this normal. I have never felt this way about going to a dr before??? I really hope that they help me. and dont turn me away. I will keep you all updated on what happens.. Thanks again all of you for being there for me when I needed you all.
Donna

by mcclos10, Jun 30, 2008 12:58PM
To: babydm29
You have a more hopefull tone today and that is good.  I am sure just having that apt. coming up on Weds. helps a lot.  I am always nervous to see a new Dr.  I think that is very normal.  I think some of being nervous stems from the fact that we often know going into the doctors apt. what it is we want to get out of it or accomplish.  To me the nerve wrecking part is not knowing whether or not the new Dr. will meet our needs the way we hope.  I wish you the best of luck and try to take it in stride.

by babydm29, Jun 30, 2008 02:56PM
Im trying.. Im still in alot of pain well thats a givin cause I dont have meds that work.. I need to find some kind of pain med that works really well for RSD and I have tried alot of them and the only one that really gave me any kind of relief was the methadone. I dont know if the new dr that im going to on weds. will give me that or not. I dont even know if I should say anything about that.. I know that this pain is threw the roof and I know that I will have RSD the rest of my life I just want comfort from this pain that I cant seem to get right now.. My old PM dr wanted me to go for the SCS and I thought about it for a while and then I decided against it. I heard alot of horror stories about it. I think that I am now in the middle of stage 3 with this RSD.. Well Im gonna go try and relax for a little while I will be back soon.. Again thank you all for listening to me. And being there for me.

by Toomanyadvil, Jun 30, 2008 04:01PM
Hi babydm

I'm happy you were finally able to get an app. I think n=mcclos is right. We hope that the DR will meet are needs and are afraid well walk out dissapointed.
I still get nervous to go to my PM DR sometimes because I'm worried I'll have to leave feeling helpless to do anything for myself and having to rely on someone else for help. When pain gets to the point of visiting a PM its frustrating to know its no longer in your hands. At least for me.

My advice would be to just write the beginnings of a pain journal. Exactly how it feels, what can or cant you do. Maybe your pain is worse at different times.
It will help you make sure you dont forget something(I do that all the time)
and just be honest. Be honest about what is going on and why you had to leave your other PM. The DR will apprciate your honesty instead of having to read it from your records.

I will be thinking of you and hoping the DR meets your expectations and then some. Please let us know how it goes:)

TMA

by sandee1818, Jun 30, 2008 04:55PM
I am glad my research helped you. I know your nervous but hang in there and tell the new Dr everything that has happened because you don't want to end up in this boat again.
I wish you good luck and hope your appt goes well!

by ACHILDOFGOD, Jul 01, 2008 02:11AM
wow i've been reading this from the beginning and just wanted to add how sorry i am for you that this is happening.  you know those of us with chronic pain go through enough on our own,with having guilt feelings about having to live on drugs without a doctor enforcing negative feelings like that.  one suggestion i have that i havent seen mentioned is counseling.  i have a psychiatrist that i see twice a month that i deal with my pain