Announcement

Collapse
No announcement yet.

Failed urine test. Now what?

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

  • Failed urine test. Now what?

    So my urine tested positive for cocaine during my appointment with my pain specialist this morning. I haven't touched it in over 3 weeks so I'm really surprised... and bummed... and consequently pretty pissed at myself that I let this happen. In the 7 or 8 years I've been seeing this doctor and acing his tests, there's never been any reason for suspicion or distrust, so I'm pretty sure, at present, that he's giving me the benefit of the doubt that it was a false positive. He did however tell his admin to "send it in to the lab".

    My understanding is that the lab can perform a more stringent analysis and is far more accurate... as in, if the lab says it's positive, it's positive... not false positive. Is all that accurate?

    Assuming the worst and the lab does report back positive for coke, is there a standard protocol for what my Doc will do? I'm thinking, the next time I talk to him about this topic, I should stop denying and admit to "trying" it once a few weeks back. Will he request a hair sample? If so, he will learn that it was not an isolated incident. He will also see that I smoke weed and engage in other party favors such as MDMA from time to time.

    I realize that all ties with all this fun stuff must now be severed. I am fully capable of and have no objections to doing this.

    Anyone have any ideas regarding what comes next when the lab results come back? Suggestions for how forthright I should be regarding my usage of the aforementioned substances? Do I need to act sad and remorseful or will just being myself, admit to making poor decisions, vow to end it all effective immediately... yadda, yadda....??

    I know there's nothing I can do about at this very point in time, so I'm trying not to freak out too badly. But I think I would feel a lot better if I knew what to expect next, good or bad. As such, any insight, wisdom and/or guidance would be greatly appreciated.

    And I don't mean to sound dick-ish in saying this, but if you plan to respond so that you can pass your judgement on to me, inform me of how stupid am or anything along those lines, I'll thank you to kindly keep it to yourself. I'm a big boy and well aware of all that... and know there will be consequences to face.

    Thanks in advance!!

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

  • #2
    Just be yourself. You're obviously bothered by having been busted, but adding falsehood on top would only compound your problems at this point. Trying to "game" them won't help, IMO. I would personally let the test speak for itself, and would not add anything else to the permanent record, by way of "confession". No way out but through.
    "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

    "Even what those with the greatest reputation for knowing it all claim to understand and defend are but opinions..." -Heraclitus, Fragments

    Comment


    • #3
      Tell him you're attending NA meetings. And maybe try one?
      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


      • #4
        I'd think whatever else you have floating though your system has nothing to do with them checking if you are taking the opiates or selling them. None of their business I think

        Comment


        • #5
          There really isn't anything that gives a false positive for cocaine. Cocaine gets metabolized in the liver to Benzoylecgonine. It's the latter that sticks around awhile longer in the body and it's what the lab will be testing for. Did you and your doctor sign a "pain contract" for scheduled medications?
          If your lab urine test is positive for metabolites of cocaine, your Pain Medicine doctor may choose not to prescribe you opiates.
          Last edited by 2drwhofans; 03-24-2016, 07:10 PM.

          Comment


          • #6
            Originally posted by 2drwhofans View Post
            There really isn't anything that gives a false positive for cocaine. Cocaine gets metabolized in the liver to Benzoylecgonine. It's the latter that sticks around awhile longer in the body and it's what the lab will be testing for. Did you and your doctor sign a "pain contract" for scheduled medications?
            If your lab urine test is positive for metabolites of cocaine, your Pain Medicine doctor may choose not to prescribe you opiates.

            Gotcha. I've heard that certain antibiotics can cause a false positive. Myth?

            So since the sample *IS* going to the lab, after showing positive on my doc's 8-panel (or maybe 10, idk) kit, is it pretty much a certainty that the lab will also test positive for the metabolites or is there a hail mary of a chance that it comes back clean?

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

            Comment


            • #7
              Originally posted by daveh0 View Post
              Gotcha. I've heard that certain antibiotics can cause a false positive. Myth?

              So since the sample *IS* going to the lab, after showing positive on my doc's 8-panel (or maybe 10, idk) kit, is it pretty much a certainty that the lab will also test positive for the metabolites or is there a hail mary of a chance that it comes back clean?

              Myth:

              http://www.ncbi.nlm.nih.gov/pubmed/1843030

              I'd always try to hope for the best. That said, lab tests are much more sensitive than the dipstick tests done at the doctor's office.

              Comment


              • #8
                Cocaine metabolites can be fat stored for up to 6 weeks, so it is not that surprising that you tested positive 3 weeks after you last used.

                (KLD)
                The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

                Comment


                • #9
                  Originally posted by SCI-Nurse View Post
                  Cocaine metabolites can be fat stored for up to 6 weeks, so it is not that surprising that you tested positive 3 weeks after you last used.

                  (KLD)

                  Wow. I thought I was being safe (based on my intel from the good ol' Interwebs - haha) with 3 weeks. In all honesty, that window has not failed me, until today, on more than a few occasions. But I digress....

                  Any thoughts on how to proceed? Should I try to get in front of it and try to call my Doc tomorrow to come clean... before the lab results come back? Or will it likely not matter? I am very aware of the fact that there are some serious consequences about to crash on me. At this point, it is what it is - I'm owning this and will have to deal. BUT I'm really concerned about being dropped as a patient and having the reason sticking out red-flag-style in my chart. I have legitimate pain issues that are mostly unbearable without the plan my PM Doc has me on. I don't abuse the opiates, I don't sell them or give them away... blah, blah, blah. I guess I'm just wondering if I should act now or sit back and take what is dealt to me (hopefully with the option to plead my case at some point regardless). Any thought one way or the other?

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

                  Comment


                  • #10
                    Your profile says you are 40. If I were your doc, I might be willing to give you a pass if you were a lot younger, but....40?!?! I think you have a whole lot of suck'n up to do to your doc to make him ever trust/believe you again. Man up to being 40 and get your act together. I was injured in 1982 at age 36, C6/7 complete, I know pain, I know depression, I know all of the trials and tribulations, but I don't do/never have done coke, I don't do/never have done illegal weed, I don't do/have never done any other party favors. Time to get the act together. With your doc, the chips will have to fall where they may.

                    All the best,
                    GJ

                    Comment


                    • #11
                      What is the issue? Is there a safety issue mixing cocaine with opiates? Why do doctors care if you take cocaine or MDMA? Please tell me the doctors are concerned with patient well being.

                      Comment


                      • #12
                        Ok, I'll start by saying that I appreciate your response and agree that I've got my work cut out for me and I'm fully prepared to man up and get it done.

                        BUT this... really?

                        Man up to being 40 and get your act together. I was injured in 1982 at age 36, C6/7 complete, I know pain, I know depression, I know all of the trials and tribulations, but I don't do/never have done coke, I don't do/never have done illegal weed, I don't do/have never done any other party favors. Time to get the act together.

                        "i", "I", "I"... that's great that you do your thing and are pleased with yourself enough to compare your practices to someone else's who you've never met and know next to nothing about and all but stand up on that soapbox and dictate others' behavior. Thanks but no thanks. I feel there are very few people in one's life that are "allowed" to instruct them to "get the act together". Sadly, for me, random internet posters are pretty close to anchoring end of the line.

                        I'm not going to defend any of my actions because this is not what I started the thread fo. It seems ridiculous to even begin to go down that hole in response to someone who knows nothing about me, the substances in question or any aspect of my mindset/reasoning.a

                        Anyway, I'm not trying to start any sort of back and forth on this matter... and DEFINITELY not in his post. As i stated in my original post, I'd like to keep all that out of this thread so that the actual issue can be discussed unobscured by the judgement and lectures.

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

                        Comment


                        • #13
                          Cocaine + opiates = speedball

                          High abuse potential. Lots of celebrity ODs with this combo.

                          Yes, lots of risks and warning bells to your Doc with this one.

                          What are you doing?

                          Go see your doc, and talk it out. Don't try to lie/hide. Talk it out.

                          Comment


                          • #14
                            Originally posted by hlh View Post
                            Cocaine + opiates = speedball

                            High abuse potential. Lots of celebrity ODs with this combo.

                            Yes, lots of risks and warning bells to your Doc with this one.

                            What are you doing?

                            Go see your doc, and talk it out. Don't try to lie/hide. Talk it out.

                            Couldn't agree more. And I would never mix....
                            Anyway, thanks for the encouragement to talk to my Doc. At this point, I'm not trying to hide anything. It's not my style in the first place - I completely panicked in the moment today and denied... if i had a do-over....

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

                            Comment


                            • #15
                              Originally posted by daveh0 View Post
                              Ok, I'll start by saying that I appreciate your response and agree that I've got my work cut out for me and I'm fully prepared to man up and get it done.

                              BUT this... really?

                              "i", "I", "I"... that's great that you do your thing and are pleased with yourself enough to compare your practices to someone else's who you've never met and know next to nothing about and all but stand up on that soapbox and dictate others' behavior. Thanks but no thanks. I feel there are very few people in one's life that are "allowed" to instruct them to "get the act together". Sadly, for me, random internet posters are pretty close to anchoring end of the line.

                              I'm not going to defend any of my actions because this is not what I started the thread fo. It seems ridiculous to even begin to go down that hole in response to someone who knows nothing about me, the substances in question or any aspect of my mindset/reasoning.a

                              Anyway, I'm not trying to start any sort of back and forth on this matter... and DEFINITELY not in his post. As i stated in my original post, I'd like to keep all that out of this thread so that the actual issue can be discussed unobscured by the judgement and lectures.
                              Sorry, I just came back here to remove my comments. I have two friends who will most likely die of cancer within the month. I was reacting to your, "I'm sorry for myself" comments.

                              Mea Culpa,

                              All the best,
                              GJ

                              Comment

                              Working...
                              X