Announcement

Collapse
No announcement yet.

Failed urine test. Now what?

Collapse
X
 
  • Filter
  • Time
  • Show
Clear All
new posts

  • #31
    Originally posted by gjnl View Post
    I don't take the responses here as saying, "I'm better than you." Rather I take them as saying that you have more work to do to own your predilection toward drug use in a more global sense than just this one incident with your doctor for which you are seeking to make amends. To those of us who have responded in a manner that you have found offensive or off base, we see you looking narrowly at your problem as how to patch things up with this doctor, not what we perceive as the broader scope of what well may be a life long pattern of drug use/abuse and how you intend to stop the harmful, recreational use of drugs forever.
    I don't agree with most of this as a whole, but you are certainly entitled to your opinion and to interpret my words as they makes sense to you. Please try remember though that your view on a topic (such as recreational drugs), that obviously makes sense in your head and seems to be the right thing for you, is not the only view in town and it's definitely not the only *valid* view in town. My frustration/irritation surfaces when someone has themselves SO convinced that their way is the only way and that it can easily justify the judgements passed and all of the other stuff that comes along with it... in their heads, they feel well within their rights to condemn and then dictate a complete stranger's behavior. For me this goes across the board. Neither the subject matter nor the context have much bearing on the degree to which my mind is blown every time I see, experience or even catch wind of this happening.

    I''m not offended by any of these responses. But I am absolutely entitled to feel one way or another about them being valid or off-base. If you see my view as narrow, it's because I'm intentionally keeping the scope reeled in as it pertains to my original intent for posting. If, for example, someone stated that the right course of action was to shave my head, steal my doctor's dog and head for the hills because the dog would be the next best thing to opiates, I'd engage immediately because, in my estimation, it is within the scope I'm trying to maintain. So sure, you can see that as a narrow view if you like, but since i'm seeking a certain "type" (for lack of a better word) of info and blatantly requested the omission of other "types", in terms of obtaining the info seek, the only stance on the depth and breadth of my view that will affect the final outcome is my own.

    *************************************************************
    *** c4/c5 incomplete *** Injured in Summer 2003 ***
    *************************************************************

    Comment


    • #32
      Advice for your original topic:

      It's out of your hands at this point. If your Doctor has been in the pain field for a long time, he's already heard every defense and excuse for substance abuse. He cannot prescribe controlled substances for someone he now knows is using illegal drugs. There's no wiggle room here.

      Best guess for a best case scenario-

      Your Pain Physician calls or writes to tell you that they will continue to treat your pain but only with non-controlled substances. In addition, he may require that you begin seeing an addiction specialist. If you agree, fine. You may be able to re-gain his trust after time. If you don't agree, he'll give you a list of other legit Pain specialists in the community. A legit Pain specialist will want to see your prior medical records.

      Best guess for a worst case scenario:

      You will receive a certified letter in the mail from your Pain specialist's office outlining the reasons for termination of care. He'll need to offer you access to your medical records and may agree to provide "emergency" care for 30 days from the termination date.
      Last edited by 2drwhofans; 03-26-2016, 05:16 PM.

      Comment


      • #33
        Originally posted by daveh0 View Post
        Not a single one of my indiscretions were an act of self-medication. I don't feel it necessary to defend or give insight into the decisions I made as I did not post seeking anyone's personal beliefs on the matter. If any of that info would be factored into a response containing advice for my original topic that you wish to share, let me know and I'll answer anything as specifically as you like.
        No judgement here... Just thought if it was for pain relief that your doc wasn't doing his job.
        Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

        T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

        Comment


        • #34
          Originally posted by lynnifer View Post
          No judgement here... Just thought if it was for pain relief that your doc wasn't doing his job.
          Ah gotcha. Nope, he's got me dialed in pretty well... acceptable balance of relief vs zombie

          *************************************************************
          *** c4/c5 incomplete *** Injured in Summer 2003 ***
          *************************************************************

          Comment


          • #35
            Ya you made a mistake whether one time or chronic I don't know only you can answer that question. It's water under the bridge at this point. Your pain Doc is going to do whatever he has to, follow the protocols put in place to keep him honest and in business. I don't know anything about you or him and I am not judging but my guess is if it's going to get the Dr in any kind of trouble he doesn't need your business and will cut you lose then report it in your records. As far as how you deal with it the truth is probably the best. I had a Quad friend years ago who used cocaine on a regular basis who also had heart trouble and when ever he went to the ER one of the first things he told them was that he abused cocaine on a daily basis. They didn't judge him, they knew how to treat him with the information he provided and they always tried to get him help.

            Good luck

            My .02
            ^^(A)^^

            Comment


            • #36
              That's the way it should be. I tell the health care worker what drugs I use (or abuse) and they use that information to help me. Finally, some sanity.

              Is it only people that have not experienced pain or social stimigatization that profess to be holier than thou? I wonder. Would I be a jackass if I had not experienced? I would like to think the actual experience is not required.

              Comment


              • #37
                DaveH0
                Just curious about something. Do you have any trusted, close friends who do or do not use coke, with whom you could, or have, discussed this? You seem very bright, literate, and know that the many posts here at CC are from "virtual acquaintances", with very interesting responses.
                What advice or suggestions would your real-life friends give you?

                Comment


                • #38
                  Originally posted by Dlevy View Post
                  That's the way it should be. I tell the health care worker what drugs I use (or abuse) and they use that information to help me. Finally, some sanity.

                  Is it only people that have not experienced pain or social stimigatization that profess to be holier than thou? I wonder. Would I be a jackass if I had not experienced? I would like to think the actual experience is not required.
                  Knowing the risks, but still deciding to use, then soliciting advice (from a community that deals with the fallout of people acting like you) on how to best avoid or minimize the consequences, was the jackass move. Do what you like, to be sure, but this kind of fallout is just part of the natural consequences. Take it and move on. (Someone once told me if an addict is happy with what you're telling them, then you're probably enabling them. True 'dat.)
                  "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

                  "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

                  Comment


                  • #39
                    Originally posted by Oddity View Post
                    Knowing the risks, but still deciding to use, then soliciting advice (from a community that deals with the fallout of people acting like you) on how to best avoid or minimize the consequences, was the jackass move. Do what you like, to be sure, but this kind of fallout is just part of the natural consequences. Take it and move on. (Someone once told me if an addict is happy with what you're telling them, then you're probably enabling them. True 'dat.)
                    Yep, addicted to coke and pain killers. What is a person to do?

                    Comment


                    • #40
                      Just to add to my prior post I had another close friend from childhood who was AB but got involved in an altercation. He ended up in the hospital for a few days and was cut up pretty bad. Before they released him they decided he needed surgery to repair his hand. He didn't tell them he used cocaine, marijuana and and drank a fifth of vodka every day. Bottom line is the put him under for this "simple surgery" and they could not wake him up. Honesty is the best when dealing with health care providers, they will understand and are there to help.



                      Originally posted by Dlevy View Post
                      That's the way it should be. I tell the health care worker what drugs I use (or abuse) and they use that information to help me. Finally, some sanity.

                      Is it only people that have not experienced pain or social stimigatization that profess to be holier than thou? I wonder. Would I be a jackass if I had not experienced? I would like to think the actual experience is not required.
                      ^^(A)^^

                      Comment


                      • #41
                        What risks? Death? Jail?

                        I think you confused me with the original poster. I have no clue what "risks" you are referring to. I also have no idea of what you mean by "fallout". Before I got hurt I didn't drink hardly at all much less take a pill or smoke weed. I am in so much pain and life is so awful now I will take or do anything for even a temporary respite from the misery. Do you think SCI brought out the true addict in me and exemplifies my weak character?

                        You speak in jibberish.


                        Originally posted by Oddity View Post
                        Knowing the risks, but still deciding to use, then soliciting advice (from a community that deals with the fallout of people acting like you) on how to best avoid or minimize the consequences, was the jackass move. Do what you like, to be sure, but this kind of fallout is just part of the natural consequences. Take it and move on. (Someone once told me if an addict is happy with what you're telling them, then you're probably enabling them. True 'dat.)

                        Comment


                        • #42
                          Originally posted by Dlevy View Post
                          What risks? Death? Jail?

                          I think you confused me with the original poster. I have no clue what "risks" you are referring to. I also have no idea of what you mean by "fallout". Before I got hurt I didn't drink hardly at all much less take a pill or smoke weed. I am in so much pain and life is so awful now I will take or do anything for even a temporary respite from the misery. Do you think SCI brought out the true addict in me and exemplifies my weak character?

                          You speak in jibberish.
                          Considering the OP has been seeing the same pain management doctor for 8 years and never had a positive drug test before makes me think these folks hollering junkie/addict need to back up and rethink. Perhaps some people should consider consulting a dictionary for a definition before throwing words around that don't make sense?

                          Just for general knowledge not you specifically Dlevy:

                          For the record, if you take an opioid, you have an opioid use disorder because opiates are no longer considered appropriate treatment for pain because of the risks of overdose. There are no more abuse diagnoses in DSM-5. Unfortunately, opiates have to be increased with time and tolerance develops. SAMHSA set the stage for everyone who needs an opiate for chronic pain to have opiate use disorders.

                          Do you consider yourself Palliative? As in Palliative Care? Read the new guidelines carefully.

                          Opiate use disorder is now a Mental Health diagnosis. So think about what that might mean if a person needs a background check for purchase of a gun or a job or anything else you consider private. In order to conceal/carry, you might have to check a box you may otherwise not want to check because of chronic pain.

                          Mental Health stigmatization just got a little broader because you have a spinal cord injury. So lecturing the OP is pointless at this point IMHO.
                          T12-L2; Burst fracture L1: Incomplete walking with AFO's and cane since 1989

                          My goal in life is to be as good of a person my dog already thinks I am. ~Author Unknown

                          Comment


                          • #43
                            Just to wrap things up, it turns out that being honest with my doc was the best route... no surprises there. Long story short is that I have not been dropped and continue to be treated with the same meds as before. For this I am quite thankful and consider myself extremely fortunate. I could have really effed things up for good. I'm not going to re-open this ridiculous can of worms by going into too much detail regarding the conversations that took place behind closed doors, but if you feel the exact details would benefit you in some way, feel free to PM.

                            *************************************************************
                            *** c4/c5 incomplete *** Injured in Summer 2003 ***
                            *************************************************************

                            Comment


                            • #44
                              Thanks for the follow-up.

                              Comment


                              • #45
                                Good news!
                                Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

                                T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

                                Comment

                                Working...
                                X