I hope I can get some assistance with this dilemma. I am currently assisting a person dealing with PTSD , neurological and physical truama and a lot of the pain associated with being a victim of a gay hate crime. For the past year and a half, he has been on several medications for depression, pain, sleep and for symptoms associated with PTSD anxiety and nightmares. Recently, he was asked to submit a urine sample, and his test came out negative for the vicadine that he was taking "as needed", and was accused by the nurse and the doctor for "selling his medication" and not taking it as prescribed. Now, 6 months earlier, this same man being accused of selling his medications, returned 3 prescriptions to the previous Dr. (she no longer works there) because the medications were not working with the other medications he was on. The Dr. informed him that he was a liar, and that he was not going to treat him because if he was taking the medications, then he would test positive. I saw this person approximately 1/2 in my office, shaking, crying and wondering "what he did wrong?"This doctor does not realize that this victim of a hate crime who suffers from PTSD, was just re-victimized, and sees nothing wrong with what he did.
Now, my question is, I know that this person takes numerous medications, and I informed him that he should go to his primary and discuss the situation and ask for both another urine and blood test. He managed to do so the following day, and was administered the tests, but was denied another referral from his primary doctor for another pain management specialist. The Cl is on disability, so does he have a choice, or can he seek another clinic/doctor without the referral? Second, I know that this Cl takes his medications, but for some reason, the vicadin, anti-depressants and sleep meds did not show on either test, or than the "obvious" of not taking them, which in his condition is not likely, could there be a reason for this?
Any assistance in this matter would be greatly appreciated, as I would like to assist this CL in the best manner possible
Respectfully,
Think4u62