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#725685 - 07/09/08 02:39 AM
Re: Pain management drug screen
[Re: XNorcoX]
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HappyClam
Newbie
Registered: 02/28/08
Posts: 47
Loc: PacNW
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he will know if you had been taking the valium.
i hope you have a script 
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#725704 - 07/09/08 03:51 AM
Re: Pain management drug screen
[Re: HappyClam]
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Lynx4
Veteran
Registered: 08/08/07
Posts: 539
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Yeah, I wouldn't worry about the percocet, since it has the same narcotic as oxy40's, but the valium could be a problem. I don't know what the procedures at your clinic are, but many have the 'one strike you're out" policy because of the DEA breathing down their neck.
I've sat on a table at my PM clinic and listened to an entire conversation between my doctor and another patient. She had taken a Tylenol 3 for a migraine but wasn't scripted it by the clinic. She begged and pleaded, said it was only 1 pill, her mom gave it to her, etc. and all my doctor said was "Sorry, you know the procedures. If you have any other problems you are to tell me, not take medicine from someone else" and they kicked her out.
So if they do the standard 5 panel, the benzo will probably show up since you took it the day before. It depends on whether it was the only benzo you'd taken in a long time, how active you are, etc. etc. Occasionally people slide by because there's not enough of that benzo left in the system for Labcorp to pick up (which is the testing facility of choice in my state for virtually everything!).
My clinic tested down to the 0% mark, meaning that any amount in your system was checked for, whereas most places test down to like 30%.
Good luck and let us know how it goes. If they find the valium you may be able to talk your way into staying since you've been there so long. It all comes down to whether you were the 'perfect patient' and never asked for early refills, or constantly asked to upped your dosage, etc.
Cross your fingers for me because I'm going to my doctor next week and I'm going to ask for an increase. I've been on the same dosage for 6 months and it's not working anymore....
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#726720 - 07/10/08 10:49 PM
Re: Pain management drug screen
[Re: pbird]
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patient2all
GRAND Pooh-Bah
Registered: 05/16/02
Posts: 3408
Loc: usa
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Man, PM clinics are stricter than parole officers
So true!
I know guys more on probation than parole and they can get 2 dirty tests and just get a lecture.
It's sick and twisted, more so for parolees.
We get sick and are treated like felons.
People who commit crimes, admittedly many of the 'crimes' are just drug offenses and get a better break. Why? Because they jails are jammed with folks whose problem is substance abuse. They can't fit no more in jails and prisons so they cut the probationer a break or two.
Less sure about parolees. My cousin, whose father commited suicide when he couldn't deal with MS, his mother became a sorry alcoholic, he dropped out of 6th grade, in state prison by 17....
Haven't heard from him in a while.
His main problem was substance abuse, no treatment ever offerred, just jail and prison.
He's not a bad or evil guy either.
------
The US drug policy has to change just as much as the attitude toward chronic pain patients.
----
My cousin never caught a break.
I was told by a wise Doctor that there was nothing I could have done to prevent my sorry state of unrelenting pain.
Just bad DNA....
---------
And we have to worry that we can enjoy liveable lives though we've done nothing wrong 
You are so right!
---
Don't want to sound like a Shill, but even if NNCIP is not in your state yet, pre-sign up for free. No obligations. NNCIP is our best shot to be taken seriously in general.
I was proud when their Doctor called my jerk PCP (not to check up on me, but to question a med I take for MD). My PCP sees a 'drug seeker' and tells me 'At your age and in your condition, you have to expect to be in pain'. I'm 51, slim and trim I did nothing to deserve my fate!
However, I can just imagine the look on his face when he gets this call from a Doctor associated with the National Center for Chronic Intractable Pain 
Like maybe my PCP has been misjudging me.....
NNCIP is our best hope -- *not* an OCS with a fancy paint job! They take it seriously. In fact, I was speaking with one of their top executives who was completely unfamiliar with the OCS concept. NNCIP has big plans and the business acumen to start a new trend in treating chronic pain. They are so, so far from a 'pill mill'.
I find now that when I go for diagnostics, etc. I'm treated with a respect I never experienced before. The only downside is that I'm worse off medically than I thought 
No one ever picked up on that before.
I'm no Shill, just telling you about what I believe is the beginning of our future.
Good luck!
patient2all
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#728245 - 07/15/08 04:03 AM
Re: Pain management drug screen
[Re: patient2all]
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onetimedeal
Banned. Offering meds...
Board Addict
Registered: 07/15/08
Posts: 375
Loc: NOT GOOGLE
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I'm going to see a pain specialist tomorrow. I have a lot of pain when I walk due to torn ligaments I received in an accident A YEAR AGO!
I have recent MRI's that still show significant damage. I also, since I worked for a furniture removal company, AND the crappy version of UPS, beginning with a big "F" (don't want to promote a crappy company), they worked me to the bone, lifting 70 and 80 lb packages up and down stairs, by myself, I have bad back pain. I did almost 4 years with those companies. With regular use of efedra, it gave me the energy, but at 150lbs myself, I was overexerting my lifting capabilities.
What do you think the doc will prescribe me tomorrow? I HATE hydrocodone. It gives me a headache, so I will refuse a script for that right away, and I take 30mg's of pammy every day, morning, evening, and night.
How do they work, these pain specialists?
_________________________
The signpost on the road to hell reads: Heaven, straight ahead ~>
Don't bother to google me, why would you anyway?
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#728247 - 07/15/08 04:13 AM
Re: Pain management drug screen
[Re: onetimedeal]
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onetimedeal
Banned. Offering meds...
Board Addict
Registered: 07/15/08
Posts: 375
Loc: NOT GOOGLE
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xxx drug alteration discussion and discussion on how to use prescription drugs in ways they were not intended to be used is against our posting Rules xxx
Edited by Melody (07/28/08 05:54 AM)
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#729436 - 07/17/08 04:17 AM
Re: Pain management drug screen
[Re: onetimedeal]
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Lynx4
Veteran
Registered: 08/08/07
Posts: 539
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In my experience with a PM clinic, they gave you a drugscreen that had to be completed within 24 hours or you were booted from the clinic.
On the forms I had to fill out, they asked what medicine I took, but did not ask where I got it from. Although all of mine was from my PCP, they didn't ask. They simply said "What medicines are you currently on?" and that was it.
I would never tell a PM specialist I was getting my medicine off the street or anything like that. If you are new to a PM clinic, be straight up with what is in your system. Usually they drug test you to see if you're telling the truth and to make sure there isn't anything like cocaine or heroin in your system.
The doctor told me on the first visit that the initial drug screen was just to see if what you wrote down on the paper was correct. After that, if your screen shows anything other than what you are prescribed many will kick you out with no second chances.
But it depends on what clinic you go to. Mine was very strict and started out with very low doses of medicine and moved up from there. I had 5 drug screens in probably 2 years.
I guess some clinics don't test at all, but I think many try to cover all their bases now and test you the first time to see what's in there.
In your case, I believe you admitted you took the medicines without a doctor's prescription? In my case, they simply didn't ask. They only wanted to know what was currently in your system, and my doc said, in a joking way, "no more street drugs or anything like that!". I laughed and told him I'd never taken street drugs and I was way too old to start now.
I do take one medicine right now that isn't scripted to me and that's Soma/carisoprodol. Only because Flexeril does nothing.
Good luck in finding another clinic. When you fill out the paper work, see if it asks where you got your medicines. If not, simply don't say anything. Let them look over your MRI and all that and decide what they want to do. But don't say you got them off the street because there's a good chance they won't do anything for you after that.
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#729899 - 07/17/08 04:40 PM
Re: Pain management
[Re: nitemoon]
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onetimedeal
Banned. Offering meds...
Board Addict
Registered: 07/15/08
Posts: 375
Loc: NOT GOOGLE
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I had the same problem with my prescription with hydrocodone.
I got very bad headaches from it, but not from the oxy!
Wonder why that would be!
I think you are right. Just thinking about it, if they know that you have easy access to prescription drugs, they will be more hesitant prescribing something of the same nature.
The guy even said to me, we don't want to kill you if we give you a prescription.
Maybe THAT'S what I did wrong.
Well, next time I will go in and tell them;
I have pain here, and here... I've tried this and that, with a prescription, here's my docs number, they check, get verification, actually, I still have the empty bottles... I just can't let go ...lol
Lets see what happens.
Next appt: monday @ 5pm. i will post the results, the same day if they are bad, or the next day if they are good
u know 
_________________________
The signpost on the road to hell reads: Heaven, straight ahead ~>
Don't bother to google me, why would you anyway?
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