Negative Test - False Accusations

[think4u62]

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

[sandee1818]

Hi,
  I am sorry I have not got back with you sooner. I have looked for the article on McVee labs and 't seem to locate it. I see you made a mistake and it is Aevee labs.
The oxycontin is just oxycodone in an extended release formula so it is essentially oxycodone. The test would show oxycodone for Oxycontin.
I know there are some doctors who are arrogant but there are those who genuinely care about their Pt's well being too.
Do not give up. You need to be looking for a new PM doctor before you run out of medications. Try and make them last as long as possible.
I will help all I can:)

[sandee1818]

Avee Laboratories, Inc. 14440 Myerlake Circle Clearwater, FL 33760. Office: 866.928.9877. Fax: [phone] ...
You could try calling the lab and tell them the situation and see if they can offer any assistance.

[jaciv]

Then why did this test show up neg. for oxycodone? I don't understand. Thats why I wanted to know because I'm not understanding why he said I showed neg. thank you could you explain has to why then this could happen neg when oxycontin shows up the same has oxycodone? It is one of those tests that shows up everything in your system or so he said. Thanks for all your help.

[sandee1818]

From what you have told us , yes this test shows everything that is in your system. I can not tell you why the oxycodone did not show up in your system. I am sorry.
This is an all to common problem as you see from the numerous post just here in our community. These test are not fool proof. The test you had is the more extensive one but that does not mean it is infallible. There could have been a mistake in the handling of the specimen at the doctors office or even the lab. Humans are not perfect and can make mistakes.
When you had the test done did you initial the specimen cup that it was yours and sign the slip that says what you took that day?
When you have a test done you should...
1) see the nurse seal the cup and then initial it.
2) sign the paper that says what medications you took
3) watch the nurse seal the contents for the lab.

[jaciv]

No I did not intial anything. I seen the doctor take my med. sheet and put it in a plastic bag along my u.a. I did not sign anything having to do with this. Just seen doctor take it out of the room. I don't know where it was put after that. The only time I have put my inital on anything as been a blood test and that was not put on the blood sample just on a piece of paper. Thank you for all your help you have all been so much help to me and I greatly appreciate it. Forgive me If I sent you a message regarding this. I had to take my dog out and when I came back in it was on the home page. Hope I didn't send you two of these.

[jaciv]

I hope you can give me some sort of answer. A person I know uses oxycontin plus breakthrough meds. She takes 40mg oxycontin threes times a day and five I think she said oxcodone. I cant answer this question  because I dont know anything about it and I'm having my own problems finding pain doctor. I told her I would see if I could find an answer for her. She said she woke up at one am  due to pain and took a oxycontin. then when she got up later she took 2 more. she didnt state what time it was. Then she took one more before her doctors appointment which she said was at two thrity. She had a blood test done that day   guess for how much was in her blood. She said she had forgot she had taken the one early in the morning. Sorry this is so long but she is worried her test will show up for taking two much of her meds. Can you help me with some kind of answer for her. She is driving me and herself insane.The medical assitant told her it was for a vitaim D test but she doesnt believe that. Thank you and hope you can help her. I am still trying to find a doctor. It is not easy when you have been labled as a person who sells their meds.