Hopefully someone with more experience will come along but, being a pain mgt patient myself, the short answer is no, you have no recourse. A doctor can legally dismiss a patient for any reason, as long as it’s not discriminatory; if you signed an opiate contract with this clinic, I’m certain it states that you can be dismissed for a failed drug screen, among other things. You could ask your PCP for a referral to another pain clinic, but they will ask for your records, and if your current clinic put the reason for your dismissal in your record, it could be very difficult to find another clinic to prescribe medication to you. Once you ask for and receive your records, look them over and, if the drug test results are in there, add a letter of explanation, stating what you’ve said here. I’m really sorry this happened and I believe you, but the “opiate crisis” has created a climate where doctors will dismiss a patient at the first sign of non-compliance, out if fear that the DEA will come down on them if they don’t. Again, sorry, and good luck.
Did the MA recall the urine test being left in the bathroom to be able to back you up? It sounds like whomever was also giving a urine test may have switched urines... if he/she can verify that there was another patient right after you also providing a urine screen, and can compare that patients results and the ones reported as yours, and the other test shows YOUR meds, in proper doses, and the results attributed to you as containing her/his medications, aside from the heroin, you may be able to at least be given the benefit of the doubt. It should not be hard to PROVE IF the Med tech recalls the incident, to check the other patients results to what are prescribed. They can look at the schedule to find out who the other patient was, their results and check the results.
Most PM patients are not taking exactly the same meds, at exactly the same doses.
If the 2nd person was prescribed clonazepam, along with the other drugs that showed in your test , that would prove there was a mix up, intentional or accidental.
How long ago did you take the test? You could do a hair strand test which would prove you never used heroin or clonazepam, to back up your assertion.
I've tested positive for cocaine and was put on probation, having to go in every 2 weeks. Number of UAs didnt increase but suddenly no one would fill for this nurse. I requested my records and was going to get a referral from my family doc but she did refer me to another clinic. My contract says we can be dismissed for no reason at all. The new place has not gone over them it seems. But the contract says go directly to family doc so you don't suffer horrid withdraw. Good luck. Please write back.
Most primary doctors do not treat chronic pain these days, so you were fortunate in yours doing so.
At this point, your best option is to call your insurance company or go to their website and look for pain treatment centers. A physiatrist, physical medicine and rehab physician may also be an option.
Did you do anything about requesting the hair strand testing? If not, the odds of getting your primary to reconsider are slim to none.
You will have to explain the failed test, so when you find a new doctor, maybe the MA might provide a statement to back up your concern abouta mix up. It's better than nothing.
I would caution you though, be prepared for a new doctor to be wary of prescribing opiates or benzos for a long period of time, and if they do, at a much lower dose.
Yes, it seems your oncologist might be able to help, if not with pain meds yet, at least methadone or the other withdraw meds. When my nurse over prescribed in December, and no one would fill, I was suck the entire month in withdrawal until my next appointment. I still plan in using her, for my suffering and for her over prescribing. I walked into a methadone clinic, who made me leave as I wasnt a client. My new pain clinic explained there is a year wait.
On suing..I cant see the words I'm typing after a certain point.