Will I Ever Find Another PM after ONE False Negative???

[raelinmoon]

Oh my god!!!  I've been fighting with doctors since this past June. I've had chronic nerve damage since 2003. A doctor some how screwed up my surgery and I lost the complete use of my right arm for over a year. With some limited use, I've been on pain medication and sleep meds since. Been seeing the same doctors since and if I've relocated I made sure I was with the same doctors. I've always been  honest, upfront and even went down on my meds VOLUNTARILY!!! So last June I go in and have a typical urinalysis. Took my meds the night before AS I ALWAYS do. Well, I go back the next appt and she says there was NO Pain Meds in my urine! WHAT!! And of course she has discontinued seeing me. I've struggled since trying constantly to get another physician and EVERYONE keeps turning me down. I don't know what to do!

I could see if I had a history of fails, or doctor changes, or ANYTHING - But there has been no issues, ever!

[bbg231]

thanks it was only cause I found out when only taking pecocet and few other drugs you have to be tested for opiods not opiates cause your levels for opiates might not be high enough and if you were not tested for those opiods it can really ruin your life!! I urge people taking those drugs to make sure they are or were tested for the right drug.Still no apologie yet nor has he faxed my med pesrciptson hope to here from him tomorrow or I will be finding a new pain clinic

[sandee1818]

I am so glad you were vindicated! i would definatly ask for that apology:)

[bbg231]

Finally the lab found my meds in my system no more false alligatisons for me!! That doctor owes me a huge appologie!!!!! thank god

[gloraelin]

I'm not sure why Percocet wouldn't show on your Generic UA, since I've had a UA throw positive when I hadn't taken a percocet for three days.  That's really bizarre.

It's possible the lab tech just screwed up, since they're human and all, but I'm really sorry that your ex-doctor didn't think to re-test before dropping you as a client.

[bbg231]

If you google it or call any lab and ask the question if it will show up as an opiate  on any standard drug test it will not because it has different chemistry because it is a semi-synthetic opioid. most doctors and health professioals wont know this mostly people with a degree in pharmacology. I found most of the info in yahoo answers the question was how can a 5 panel drug test,detect oxycodone, and this guy Mathieu has alot of info on there about it VERY INTERESTING!!! And yes would love that article thanks so much!

[sandee1818]

Percocet is oxycodone. I am not sure which test you got but the standard urine test done at the office has a cut off level. This means they all have different levels in which they will detect the drug in your system. If you did not have enough in your system it wouldn't have shown up. I have several articles about false positives and research done on it in my journals you can show your Doctor if you like.
I will see if I can find a reputable article on the Cipro for you:)

[bbg231]

just found out there is a spreate test for percocet It wont show up on normal opiate drug tests its an opiod so I bet thats why I tested negative.I will be educating the dr. for all those who come after me!!!!!!!

[bbg231]

Is there somewhere on line where I can find out about the cipro this false  negative has ruined my life It took me so long to find the right doctor now this. Everywhere on line I look It says cipro causes false postives not negatives so please If you can find that info I despretly need to show my doctor Im not a criminal any link with that info would be wonderful cause come monday after my test comes back from the lab if its still negative I need to go into battle to clear my name! thanks so much sandee1818

[sandee1818]

I replied to your message:)

[sandee1818]

These are the drugs that will cause a false negitive.....

The reactivity of 13 quinolones (levofloxacin, ofloxacin, pefloxacin, enoxacin, moxifloxacin, gatifloxacin, trovafloxacin, sparfloxacin, lomefloxacin, ciprofloxacin, clinafloxacin, norfloxacin, and nalidixic acid) was tested in 5 commercial opiate screening assays from September 1998 to March 1999. In 6 healthy volunteers, we confirmed the cross-reactivity of levofloxacin or ofloxacin with these opiate screening assays. be positive, therefore some will and have failed these test.

[bbg231]

same thing happend to me today can't understand it now my dr, thinks I'm a liar I have only 5 days left of meds then none I was taking cipro can that cause a false negative?

[raelinmoon]

Thanks so much for the info. I will definitely go check the site and get in touch with her.

Thanks again :)

Raelin

[steve396]

Try getting a hair test kit and have the results sent to your doctor. Just a thought.

[steve396]

The LegaL SIde of Pain exists to help people like you and me who have wrongly been disconnected from the pm community.  There is as Ms. Bolen that you can call or email and she will get back to you.

I hope this helps!

Warm regards,

[raelinmoon]

I just wanted to thank everyone for their thoughts and help. It truly means so much. I am still searching for another PM. Once I do finally find another physician who cares about the treatment of their patients I will definitely discuss the blood test vs urinalysis. If I had to I would rather pay the difference to have it done and not have to ever deal with this issue. I will keep you posted on any progress.

Again, thank you from the bottom of my heart.

~Raelin

[Mollyrae]

Sorry that this has happened to you. I am finding that the 60%+  of patients Tuck has mentioned is very accurate. I have been with MH for about 2 years now and the amount of members that have this problem is a lot.

There must be a better way of testing. In fact, it may prove to be better to ask that a blood test be provided in place of the urinalysis. It is much more accurate. The only down fall of the blood test would be the cost. In my eyes, the cost is worth an accurate test.

When you find a good replacement Doctor, explain what has transpired and ask him/her if they feel comfortable in using the blood test instead of the urinalysis.

Just a thought.
Good luck and best wishes,
Mollyrae

[flower12345]

Please don't give up looking for a doctor to treat you. There ARE great doctors out there, but it sometimes takes time to find them. Do you know what the doctor put in your file? Do you have a copy of your records from that doctor? It's so sad that things like this happen.

Hugs,

Flower

[raelinmoon]

Hi Karen,

Thanks for your response.  I'll try to answer all your questions hehe. I used to be on a high dose of Kadian (with morphine),hydrocodone,&  clonazapam. This was when I was with the same medical group but different doctor. Never had any problems. I changed to a new doctor when they opened a location that was closer to my home but same practice. I decided to go on less meds cause I was trying to get back to work fulltime and didn't want to take all that while trying to work. So, I've only been on Hydrocodone 7.5 and Ambien CR (to replace the clonazapam).  

I took my meds the evening before. I try not to take it if I have to get up early and drive. Then take my next dose when I get home. I took it that evening at 9pm right before bed like normal. I didn't ask her to retest, and the more I've read here I guess I should have. I'd just never had it happen and was stunned. My husband had a fit when I  got home because I didn't put up a fight about it. I just didn't know what to do or even why it happened.

I've tried several doctors and most have gotten referrals from this doctor. Some say I was on a good plan and they don't understand why she's sending me to them (and won't schedule and appointment) others say they just won't accept me (giving me no other information). As for the pain now, I've lost time from work cause I can't make it through my days and I'm back to barely an hour of sleep nightly. My anxiety continues to worsen the longer I struggle with the pain and turn downs from doctors.

I've just always trusted doctors and even after the injury to my arm for some reason continue to do so. I mean I understand why these doctors have to be careful but it is leaving those truly in need of  help out of help.

To Tuck - thanks so very much for the encouraging words. I hope that some doctor will eventually take me in. It is so frustrating since I've had no issues in all these years of my PM. I will definitely keep you posted on my search.

Thanks again! :)

[Tuckamore]

Hello and Welcome to the Pain Management Forum. I am so very sorry to hear about the results of your failed drug test. Unfortunately this happens to many chronic pain patients for a variety of reasons.

Urine drug screens are know to be problematic. They are statically prove to be as high as 60%+ inaccurate. There has to be a better way but until there is one we are all at the mercy of false results. Usually it is human error that causes these errors.

I have not know someone that has failed one not to find another PMP. So I encourage you to continue searching. It is always time consuming....which leaves you in suffering until you can locate a PMP that will see you. My heart goes out to you.

I know it must be very difficult but please do some thinking outside the box and look for PMP out of your area. I hope you will keep in touch and let us know how your search is progressing. We'll look forward to hearing from you. I wish you the very best.

Take Care,
~Tuck

[designgyrl0112]

So what you are saying was this was the first time they had gotten a negative ua.  May I ask what kind of medication have you been on?  The reason why is because this forum is finding out that there have been quite a few people that have been testing negative for medication.  Did you not take the pain med the morning that you got drug tested?  Was there a specific reason why you didn't take your doses that day?  Maybe that is the reason why it didn't show any.  Maybe you take a low dose and because you didn't have it in you that morning it tested negative.  

Have you been trying since June to find another pain doctor?  What have you been doing for your pain meds that you were taking and your sleeping meds?  Have you found anyone yet?  Did you ask her to take a blood test, or retest your urine again?  And how many pain doctors have you tried going to?  Have you been to some other doctors and they refuse to see you, or just refuse to write you for pain medicine?  You may need to see the doctor for awhile before they will start writing pain scripts again.  Some doctors it takes trust and time to build up before they will allow that.  Anyway, I hope you find another doctor soon and I hope to hear from you.

Take care,

Karen