Any change in medication since you've failed?
This is the second test with the same doctor. I've been seeing him for a year now. I failed July then August. I've never failed with the other doctors before. If I wasn't really taking my meds, I would have taken it after the first failed test. I'm not stupid. I can't understand why it's not getting detected.
A blood test, though more expensive, is more accurate.
Have you passed these tests before -- this is so we can assume it is not a metabolic problem.
I have demanded a retest and apparently it is the second one. I asked to do a retest with a different lab and he wouldn't. I went to a different lab and had my urine tested on the same day. Waiting for results now.
When I joined this forum, one of the first posts I responded to was to a person in the same situation as your's. I would like to offer up the same answer, I hope it helps you. I am not allowed to "give advice" because I'm not a doctor or a professional; rather, this is what I would do if I were in your shoes:
I believe time is of the essense, so what I would do is to immediately find out the name of the company that manufactures the drug test. A doctor, nurse, or billing agent at your Pain Clinic should be able to come up with the company name. Then, find out who the company's CEO is (if you're good on the computer, you can do a 'google search.' Otherwise, have a family member or friend help you look up the name and address).
Then, handwrite a calm, truthful, descriptive letter (expressing what has happened, how much pain you are in, how difficult it is to be put in this situation, etc.) to the CEO at the Company, and send the letter via Certified Mail (with the green cardboard thing attached at the post office so it stands out).
ATTN: CEO's name
Name of Company
PO Box 222whatever
City State 00000
Because nowadays almost all mail is computerized and printed on a printer, I think it is super-important that you actually *handwrite* the letter AND the handwrite envelope, too! Sending a handwritten letter via certified mail will bring all kinds of attention. If your handwriting is bad or shaky, that's even better (seriously!). Do the best you can.
The sqeaky wheel gets the greasin'.
Copy the letter on a copy machine and send the copy to your Pain Doctor (and be sure to send the original to the CEO at the company).
I wouldn't be 'threatening' or rude, or anything, just be yourself -- a pain patient in severe pain, and you need the Company and your doctor to contact each other and get to the bottom of this *right away* because of your complications, and that you are so worried you hope that you don't have to go further and consider contacting governmental medical oversight authorities and agencies, etc. (and that's why you need to hear back from them within X number of days).
I believe a handwritten letter showing up at the Company's office will bring the attention you desire. There are a lot of helpful people in this world. There will surely be some helpful people at the Company, and hopefully this will work out for you. A big company like that will have a panel of scientists who are well aware of the possibilities of false negatives, and, further, they probably have some 'extra special secret' tests they can do that will reveal exactly what medications you have been taking. I would think in this day and age, they could even tell what *flavor* of soda you had that day, if they wanted to!
At the very least, it may be the best demonstration of your sincerity. They will really notice the time and trouble you took to do this, and I would be very, very surprised if nothing good came of this.
Good luck, please let us know what happens.
Jerry,
Demand a retest.
Urine tests of opioid metabolites can be wrong for reasons stated in the following papers:
http://www.wardelab.com/22-2.html
http://www.hodsdon.com/wiki/uploads/Main/21083064.pdf
http://www.annclinlabsci.org/content/37/4/301.full