Has this ever happened to anyone else??

gginna
gginna Member Posts: 15
edited June 2015 in Pain

I know I already posted about my pain management doctor but when I saw her on Thusday you won't believe what happened. I felt I needed to start a whole new topic to tell about this. The appointment was going rather smoothly I am uncomfortable talking to this doctor I feel like I have annoyed her cause I won't do some ciliac nerve blocker thing she wants me to do. I feel like she has an attitude towards me. I am comfortable with all my doctors except this one. Anyway after seeing doctor she goes to write prescriptions and leaves me alone in another room. The nurse comes back in and says she needs a urinalysis. That was fine too except I didn't have to pee so I drank some water and continued to read magazine. I got a call while I was there an emergency had come up at home I live like 1 1/2 hours I had to be back at hospital tomorrow so I figured I could just do urinalysis then. See I'm not understanding the whole urinalysis thing. Didn't think it was any big deal I would just do it tomorrow. When I arrived the following day I gave the nurse my urine had a seat in examination room. All my vitals were good that's when Round 1 began? Now for the next 1 1/2 hours I'm interrogated by this doctor like I'm a criminal. She proceeds to ask me if I was taking my oxycodone yes she just checked my urine she should know this. Was I taking my ms cotin like I said before this doctor makes me feel very uneasy. I told them yesterday that yes I took it I did take it up till 4 or 5 days ago I don't like taking all these pills and decided I could taper myself off them. I was doing a good job too. The doctor freaks out about withdrawals and I told her I had not had any withdrawals I was still taking the oxycodone. Then she starts asking me the same questions in a different way each time to see if I was lying to her. Lying to her about what? She tells me I have been dishonest which were not my intentions when I was tapering myself off the morphine. I was dishonest when I said I took it and wasn't. She question me like the police would I was really insulted. She asked me if I was doing illegal drugs I'm like you checked my urine wouldn't you no. She would question me then leave the room I was in and Come back like 10 min later like she had went in front of a whole panel of judges or something. I have never felt so uncomfortable in my life. I tried to explain to her that I didn't feel comfortable with her to talk about my health I felt like I had annoyed her because I didn't want to do some nerve blocker thing to control my pain. I told her I was afraid she was gonna take my morphine prescription and I I wanted to no I at least had a prescription I could fill just in case I decided to be in lots of pain. Also doctor tells me that she is going to taper me off all my pills can't stay in pain management forever. She cut my morphine in half the dosage. Then shorted me 60 pills in a month of oxycodone. Also told me I would be discharged from there within a month or so. How can she do this my pain was manageable threw my medication. My condition is stabilized at the moment but I do have pain that was controlled just fine with my meds. I don't know what to do I don't like the way I was treated by this doctor she kept saying I'm just trying to figure this out figure what out just don't get where this doctor is coming from and the importance of this urinalysis that you fail basically cause of the drugs they are prescribing you. I mean any drug test I ever took to get a job you are suppose to pass it I'm still confused about this. The doctor went as far to tell me I was acting suspicious cause I left and didn't take urinalysis. I didn't think it was that big of a deal I had an emergency I was coming back the next day I told the nurse I was leaving. Has anything like this ever happened to anyone I'm am so confused and insulted here by the way I was treated?






ou

· Share on FacebookShare on Twitter

Comments

  • Freygea
    Freygea Member Posts: 300
    edited May 2015

    I am really sorry this happened to you. There are people unfortunately that go to pain management and are dx with chronic pain because they know what to say, they then take the meds and sell them and make a large profit.

    This is as bad as a problem as someone who takes more than prescribed and then ends up abusing the med. Due to these 2 problems ,pain management doctors are required by law to check urine samples to ensure meds are being taken as prescribed. Your doc sounds a bit suspicious by nature and is now panicking because your urine sample is not matching what the result should be to fit her medical records.


    You could talk to her and let her know you can provide the meds to show you have been reducing the pills on your own and not in any way selling them. I know this sounds really silly but she will probably feel pretty silly once she sees you are being completely honest with her.


    I really think pain management doc should explain all of this on a person's first visit. They really should explain that one cannot refuse a urine and they have to wait in the office until they can urinate or must get clearance from the doc to leave in case of an emergency.


    I hope you can talk to her and she will see she has been concerned for no reason. Just remember her med nottes ,your pain rating scales and your urine result have to match or she can get in trouble.

    · Share on FacebookShare on Twitter
  • gginna
    gginna Member Posts: 15
    edited May 2015

    I understand what your saying it was never really made clear to me why I had to take urinalysis I didn't realize they wanted to c if I had my medication in my system. This is my third pain management doctor from the same place I been going to and I was never treated like this doctor has treated me. Personally I think this doctor should go into another area of practice cause stressing out your patients that already have the worst disease in the world is just mean. I got enough stress without her adding to it. I understand there's people out there getting rich off selling pills and until you just said something about it I never thought about it. I don't understand why she would think I was doing anything like this if this is what she was thinking

    · Share on FacebookShare on Twitter
  • gginna
    gginna Member Posts: 15
    edited May 2015

    Also I don't no how long morphine stays in your system but it had only been a few days I hadn't taken one she never said the morphine didn't show up in my urine it was when she asked me if I was taking it that's when I told her I had not

    · Share on FacebookShare on Twitter
  • leggo
    leggo Member Posts: 3,293
    edited May 2015

    I think your pain management doctor might also be concerned about liver damage. Long term narcotics are likely going to cause irreparable damage, which might be why she's suggesting the nerve block. Even Tylenol has the capability. Besides what Freygea mentioned, she probably doesn't want to be responsible for causing you further pain, and believe me, a sick liver is painful. A urinalysis would be the easiest way to tell if you're getting too much to metabolize. I don't think her motives are sinister....just trying to keep you safe. JMHO.

    · Share on FacebookShare on Twitter
  • beergirl
    beergirl Member Posts: 334
    edited May 2015

    My MO has been prescribing pain meds from the beginning (2008), even though I have told MO that I only have pain occasionally and take pain meds occasionally. I have not had a urinalysis since before cancer diagnosis. Now, MO is insisting that I take Tylenol #3 every morning. MO also really wanted me to take anti-depressants and anxiety meds. I don't. I really think I need to get a different MO

    · Share on FacebookShare on Twitter
  • leggo
    leggo Member Posts: 3,293
    edited May 2015

    Funny you should mention that beergirl. That is seriously one of my pet peeves. So many doctors think if you're in pain, you need anti-depressants. It's like you can't convince them the two don't have to go hand in hand. Not that I want to go toe to toe with someone with a medical degree, but I really don't buy that whole "anti-depressants will help with pain" crap. Highly over-prescribed in my opinion. NOBODY is going to get me to take them, which is weird for me, because I'm usually a pretty easy-going patient and make a concious effort to not rock a doctor's boat.

    · Share on FacebookShare on Twitter
  • beergirl
    beergirl Member Posts: 334
    edited May 2015

    Leggo, my beef is the MO wants me to take anti-depressants and pain meds. I am not depressed, nor am I in pain - except sometimes from arthritis in my fingers and knees, which gets better in warmer weather. Also, I do not believe anti-depressants will help with the pain. I don't have a medical degree, but I do speak my mind and ask a lot of questions.

    · Share on FacebookShare on Twitter
  • beergirl
    beergirl Member Posts: 334
    edited May 2015

    Leggo, my beef is the MO wants me to take anti-depressants and pain meds. I am not depressed, nor am I in pain - except sometimes from arthritis in my fingers and knees, which gets better in warmer weather. Also, I do not believe anti-depressants will help with the pain. I don't have a medical degree, but I do speak my mind and ask a lot of questions.

    · Share on FacebookShare on Twitter
  • leggo
    leggo Member Posts: 3,293
    edited May 2015

    I completely agree with you. It really bugs me that doctors' first thoughts are depression... like they get paid bonuses or something for prescribing anti-depresants. Good for you for speaking your mind. It wasn't easy for me to say no to a doctor's authority, but I did it.

    · Share on FacebookShare on Twitter
  • gginna
    gginna Member Posts: 15
    edited May 2015

    Thanks for the input ladies this whole situation has stressed me out and I don't usually get stressed out. In reply to Leggo my doctor took me off the meds I used to take that had acetamenophin in them I asked my pain management doctor that I had before the one I have now to do it cause I was worried about liver damage. I do have pain it comes and goes my tumor is on tissue that is In between my liver and pancreas. The last time it started growing it inflamed my pancreas by pushing on it which gave me pancreatitis and put me in the hospital for a month. I still have stomach aches from his. My whole thing is if it works why you gonna change it just like right now my chemo is working so why change it same way with my pain meds they work why change?

    · Share on FacebookShare on Twitter
  • leggo
    leggo Member Posts: 3,293
    edited May 2015

    Oh gginna.....pancreatitis, that's awful! I didn't realize. I'm so sorry. Knowing that I have no clue why you'd get grief over some pain meds.

    · Share on FacebookShare on Twitter
  • beergirl
    beergirl Member Posts: 334
    edited May 2015

    Bonuses? Pharmaceutical sales people hand out Vegas trips and cruises like every day is a gift-giving holiday/

    · Share on FacebookShare on Twitter
  • watermamma38
    watermamma38 Member Posts: 7
    edited May 2015

    I have ever heard of a Pain Management Dr drug testing a cancer pain patient. I strongly recommend filing a complaint. Can your MO help you out with meds? If not, find another pain specialist Asap. Can I ask what state you are in?

    · Share on FacebookShare on Twitter
  • gginna
    gginna Member Posts: 15
    edited May 2015

    I am in the state of Florida

    · Share on FacebookShare on Twitter
  • watermamma38
    watermamma38 Member Posts: 7
    edited May 2015

    Aha. Florida has made cancer patients go through heck for pain control. This has nothing to do with you. Google it, it's a major issue. Shameful what the State puts patients thru. I am so sorry.

    · Share on FacebookShare on Twitter
  • april485
    april485 Member Posts: 3,257
    edited June 2015

    I go to pain management (and have been a patient for years for something other than my BC) and I have to do the urine sample tests (randomly) twice a year or more if they feel it is warranted. They are looking for a specific level of the drug(s) prescribed so that they know you are not diverting (selling) them as they have to answer to the DEA for every failed urine test. This was all explained to me at my initial meeting and I had to sign a paper that I am willing to do this as well as bring in my pills for a random count anytime they ask me to (have never been called to do this) so for me, I am not at all surprised. If I fail, according to the paper, it is grounds for immediate dismissal from the program. They are very strict with this and rightly so imho.

    I guess that doctor could have gone about it in a kinder way but if she did not see what she was looking for, she is required to question you about it. Once I "flunked" years ago (it did not show up!) and they had me come back and it still was not there but they soon realized they had the threshold too high on the test for the small amount of medication I was taking. Also, if they write "as needed" on your script, you can always tell them that you did not need it that few days and you are within your rights so check what it says on the bottle. If it is written to take every 4-6 hours (not as needed) then they expect to see it there.

    Hugs and hope you figure this out.

    · Share on FacebookShare on Twitter

Categories