False negative drug screen

[colleen1212]

I am taking a low dose of Percocet 5-325 3x's a day, for chronic back and neck pain from a MVA. The problem is that even though I take it the way I should, I have had 2 negative drug screens.  What can cause this. Please help.

        colleen1212

[sorrysara]

thanks.  do you know what DABPM stands for?  

[philnoir]

A good question to ask your doc is why? If a treatment is effective and lowers your pain a few points, allowing you to function, why would you want to wean me off?

Many UDT false negatives and false positives are caused by physician ignorance of opioid metabolism and pharmcokinetics.

A real pain doctor -- one trained in a board certified pain management program -- will know how to interpret a UDT.

Find yourself a doc with the credentials DABPM.

[sorrysara]

now i'm worried.  i was researching a new PM doc online when i came across this site.  my current PM doc crossed an emotional boundary with me at my last visit.  usually, i see his physician's assistant, but was shuttled over to the Dr. last week.  he wants to wean me off the pain meds.  he triggered some sort of trauma with me, and i don't want to go back.  but, the new doc i've been referred by my psychiatrist was reported to have cut someone off because of a urine test.  i'm concerned about switching docs.  i'm not a drug seeker.  have been taking all meds just as prescribed for years.  at one point i had a "dirty" test with some med i'd never heard of before.  the PA said it was a pain med, but i definitely did not take it.  they didn't give me hard time as it was the first time there was a so-called problem.  but, after reading all this, i'm concerned about switching docs.  what to do?  what to do?  

i really feel for all of you.  it's outrageous.  even though i know i should take care of myself emotionally by leaving my current PM doc, i'm afraid to switch docs.  don't want to be labeled as "doctor shopping", "seeker", whatever.  they are in complete control over our records, our future.  it's crazy.  

so, my question is about "second opinions".  what's the deal with looking for advice from another doc?  how is this viewed?

thanks.

[JodyLew]

still kicking dug through drawers and found a few patches stuck in the box. they have now run out as well as b.t. meds. If I make it, will do, having severe chest pain, dehydration, massive weight loss, pain on top of pain, calling 911, going to hospital, I did start a complaint DOH, but too weak to fill all the way out, taking records to hospital in case I am stable enough to finish, they will help, if you can prove it and I can. post after stabilized. Sorry  Jodygirl

[philnoir]

Interesting comment -- although I don't have the energy to respond now -- I'd like you to post to a new topic, or perhaps two new topics.

The first about Ameritox -- the #1 UDT company in America.

The second about weaning off fentanyl -- very important, especially if you have other medical problems, like cardiovascular disease.

When I'm feeling better I'll have much more to say about this.

[JodyLew]

Erroneously, fired by doctor Louis Palermo Pain manager in Clearwater Fl.He is retiring and is now pt. dumping. Uses Ameritox Labs that destroys life. I was on Fentanyl patch 75mcg every 72 hours and oxycodone 15mg, hard enough to get filled, needless to say my uds showed up neg. for any meds so his office manager tells me. I got the results, the doc office refused to write or ask me what meds I have been taking besides rx, ie; OTC meds and most important 3 months in a row I complained of a drastic wght. loss, from 147 down to 97lbs. last check. The only thing Dr. Palermo had to say was that it looks good, maybe it will help your back pain. Geeze, Ty for following your hippocratic oath, and splitting your personality.  Obviously, I called the top toxicologist at Ameritox, before I found out what they claimed their drug monitoring was literally false admitted in lawsuit. The tox. is a female and she was very nice, I explained everything in detail and she told me she could re test for free now that she had my info, she would have to call the doctor for his approval and I was to return her call on Fri. at that time if Dr. Palermo would approve this we would discuss my meds and disease state and she would get it straightened out, I told her Dr. Palermo will not reply, I have tried everything to get this man to face me, return a call, anything? She said sounds like u need a new doctor! Really, his last day is June 20th of this year. I left off w/I wld call her back as we discussed.  After, painfully sitting for hours, I found so much negative press, lawsuits,kickbacks to doctors and worse yet dozens and dozens of patients with the same complaints as mine.  I asked my doctor the second they handed me a list of doctors that was their idea of a seamless transition, I started panic. I have lived here my whole life, I know some of the docs on the list that the pharmacy will not fill prescriptions for the others I know won't rx what I had. I have been burned bad and my name is now soiled b/c Dr. Palermo does not write down any new complaints unless it is a money maker, ie; ESI's,pain pumps blah blah. I was fired over the phone May 4, 2015, I called b/c the pharmacy only had 5 of the 10 patches I was prescribed, I told the doctor it happens all the time I have had to go w/o patch several times due to pharm game playing.
I was told by mylan patch manuf. you have to titrate down or I could die of a critical underdose especially if I run out of oxycodone, let me tell you, all I want is some pain relief and the right to the 4-6 hours a day where I could function, now I have no hours a day on my feet my pain is awful and panic along with rapid withdrawal is causing a major malfunction in my life. Any help w/a good honest pm and an attorney, I have the truth and I am sure many of his patients, the ones he hasn't dumped will run into the same problems. They are even denying me of all my records! It is not about $ on my side it is all about $ for the doc and lab. Jody Lewonas