dr discharged me saying i've been on pain mgt so long and my urine was not strong enough for opiates, please help

Well I dont know what you can really do but this is definitely the right site to help you with your situation. I am sure by the end of the day there will be more than a few people giving you first hand advice or experiences.

for a new doc, get all your charts and stuff[medical records] and find a new one u like. at least in a big city they are a dime dozen, the worlds not gonna end, get it taken care of asap so u dont run out. wait then u could call your friend.lol a joke, but i would if i had to, beats the w/ds. this happens to so may people just poke around the threads, your not alone, but this is the us and you still have some rights, right? good luck and take care

You have the right to receive copies of your medical records.

I would go back this physician's office and inform the office staff that you are requesting personal copies.

Generally if the records are going to another practitioner they will not charge you however, if they are for your personal records they can charge a certain amount per copy.

If you have a large file it can get quite costly but you do have a right to obtain them

1ST GO TALK TO SITE MANAGER OF PAIN CLINIC HE/SHE MAY HAVE OTHER TITLE EXECUTIVE OFFICER,HEAD WINNIE ETC,    2ND WOULD ASK FOR COPIES OF MY LAST 2 OR 3 LAB RESULTS AN REVEIW, WOULD DO THIS AS I M SPEAKING WITH SITE MANAGER, JUST GUESSING IT S PROBABLY A ISSUE OF LO CREATNINE, THEY THINK YOU WATERED YOUR TEST DOWN, [NOW IF THIS IS NOT THE CASE] IF THEY SAY ITS LO CREATNINE THEN YOU SAY IS NT THAT A SIGN OF KIDNEY DSYFUNCTION, ASSUMING THATS THE PROBLEM, 3RD YOU NEVER TOLD US THE NAME BRAND OF THE MEDICATION , THIS IS VERY IMPORTANT AS THERES RECALLS GOING ON, ESP. IN NEW ENGLAND AREA, IF MEDICATION IS A PRODUCT OF KV PHARMICETUICALS OR ETHEX CORP.OR RANBAXY OUT OF INDIA THERE IS REASON TO BELIEVE ITS INEFFECTIVE,  4TH WOULD ASK SITE MANAGER TO HAVE DR PERFORM OBSERVATION TEST, THIS IS WHERE YOU GO IN AN TAKE YOUR MEDICATION  PERFERRABLE THE SAME LOT AS YOU WAS ON ,IN FRONT OF DR OR 2 NURSES OR WITNESSES AN WAIT 3 TO 4 HOURS DEPENDING IF IT WAS INSTANT RELEASE OR EXTENDED, HAVE BLOOD DRAWN, HAVE DR DO A CHEM. 14 TEST ON BLOOD FOR OPIATES, AN ORGAN FUNCTION AS FOR KIDNEYS, IF THEY SAID LO CREATNINE WAS A WATERED DOWN TEST, THEN ASK A NURSE TO GO IN WASH ROOM WITH YOU, IF THEY GIVE YOU THE OLD EXCUSE AS WE GOT TO TREAT EVERYONE THE SAME AS WE DROPPED OTHERS FOR NOT ABIDING BY THE CONTRACT, TELL THEM YOU DON T WANTED TO BE TREATED NO BETTER THAN ANY OTHER PATIENT THAT IS CONCERNED WITH A INEFFECTIVE DRUG OR POSSIBLE KIDNEY DSYFUNCTION, IF THEY STILL DON T WANT TO TALK OR DO NO TESTS  5TH  TELL THEM YOU RE FILING A COMPLAINT WITH THE STATES DEPT. OF HEALTH PROFESSIONALS AN YOU RE NAMING THE CLINIC AN THE DR.    IF IT COMES TO FILING A COMPLAINT IT CAN BE DONE BY SIMPLE WRITING A LETTER THE ADDRESSES CAN BE FOUND ON THE WEB SITES, WOULD SUGGEST YOU CALL AN CONFIRM THE ADDRESS PLEASE INCLUDE ALL DOCUMENTATION AS LAB RESULTS AN DR REPORTS     IF YOU PROVE ITS A INEFFECTIVE PILL THEN NOTIFY YOUR PHARMACY [ YOU MAY WANT CONTACT THEM 1ST TO FIND OUT IF ANYONE ELSE HAS INQUIRIED ABOUT A FAILED DRUG SCREEN]  THEY IN TURN CAN GIVE YOU INFO AS TO THE LOT NUMBERS AN THE WHOLESALER AN THE MANUFACTOR WHO SHOULD BE CONTACTED FOR POSSIBLE DAMAGES IF YOU PROVE INEFFECTIVENESS     THE FDA WILL WANT A BAD MED ALERT CONTACT THEM AN THEY WILL SENT YOU A FORM YOU GIVE THEM ALL INFO PLUS DOCUMENTAION AS THE PHARMACY, THE WHOLESALER, THE MANUFACTOR, THEY WILL ALSO WANT A DESCRIPTION, OF COLOR , MARKINGS, AN HOW OFTEN TAKEN, THE PHARMACY WILL GIVE YOU THE LOT# AN THE WHOLESALERS ADDRESS AN PHONE #, I M ON HERE NITELY IN YOU NEED MORE INFO I HOPE THIS HELPS AS I M GOING THRU THE SAME THING

I think this is crazy!! I know what it is like to live in pain, meds don't take it all away,but they do help, so for us that need the pain meds it is important. I wondered if maybe you drank grapefruit juice, green tea, or cranberry juice, I was told by my dr. that being I do drink these for my kidneys, that I should not drink ALOT of it or even everyday, it weakens the meds. That dr. sounds like a nut. There is a simple urine test that is either positive or neg, for drugs and then a more complicated screening to tell how much and exactly what drugs you take, if you are showing positive for the drug how can he say you aren't taking it......he needs to be reported, ASAP...

woodstock......You are right, PM clinics HAVE wised up but she is intitled to her records. THEY ARE HER RECORDS!! I haven't dealt with PM clinics for awhile so maybe the patients aren't allowed to go get their own medical records anymore which I don't agree at all. But who am I to say, right? I like your name "woodstock." I live in a city named Woodstock! Well I don't really have anymore suggestions for the OP, nicegirl. But I'm sure someone on here will come up with something for the poor girl. What happened to her is unfair. But who said life is fair, right??

Have a great day everyone...........KK

I had run out almost a week earlier than I should have one month because of losing quite a few of my pills in a container i carry with me.  needless to say I went through the-sickness for a week, I know some people would say I should've contacted/gone to the Dr. but with all the abusers/dealers in Florida I did not want to take the risk of him assuming I was doing either so I just toughed it out but i always save one for the day before my appointment for screening reasons incase of emergencies (also had some stolen when i had a party another time), took it, and had a urine test done that appointment and nothing was said about the quantity of opiates in my urine.

My point being, and this is obviously at the Dr's descretion but I believe some, such as mine, tell me to take as little of my prescription as possible, but gives me what he does INCASE i'm having that bad month.  so therefor what shows in the sample may very from month-to-month.

I believe they must give you time (30 days) for you to find another doctor. They can not just drop you and leave you. They have an obligation to treat you for at least one month after discharging it. AND NO PAIN CONTRACT OR PAIN AGREEMENT CAN USURP THIS LAW. Sorry doc. Just a side note though, having a "friend" who is like that... I would say look at that situation...closely... For all you know, she is under investigation and they saw you or heard of you and contacted your doctor. Sort of the "show me your friends and ill tell you what kind of person you are"... NOT BEING JUDGEMENTAL AT ALL BY THE WAY. They have a right to discharge you for ANY reason but, they MUST allow you 30 days to find another DR. Sorry Doc.

The ONE time that I was discharged from pain mgmt was for "RECEIVING" a prescription for pain meds from a dentist, mind you that I didn't have it filled, and I don't know how that pain guy found out, but he did and I was promtply discharged from his office. So that should tell all of you just how picky they are about these things....I was also seeing a psychiatrist, that said he couldn't treat me as a patient anymore (after almost a year) , and practically flat out told me that I was a drug addict for taking xanax, that he frequently prescribed, without me asking. Granted that i've been taking xanax for a long time now, due to a terminal medical condidion, and other things that had happened in my life.  He just couldn't grasp that someone with a terminal medical condition could benefit (clearly) from this medication, and no other doctor had ever withheld from me, thinking that I was a drug addict.  I was never dishonest with him about anything including marijuana useage. But he could still not see he light.......Maybe he just didn't want to prescribe, or, because I was a medicare patient, or maybe he just didn't like me telling him that I thought that I benefited from it, I dunno, but good riddins buddy. My PCP who is aware of everything I take and do medically is more than willing to prescribe it for me, along with pain mgmt meds...Thank god for her, she has done more for me, and listens more than he ever did. And he was supposedly a specialist in treating people with HIV..He was nothing but an #&^#*&#, and I'm glad that I don't have to see him anymore. It really x*#&s when you see a doctor and they label you a drug addict for taking meds that they prescribed...It's kinda like a catch 22 with them.....Good luck....Ray

I can remember somebody telling me to watch it. But I couldnt remeber the name. So yes, I will go get that soon. Your right we do need something done about this so called AMERICA and its HELTH. I know hundreds of people that were ill at some point in their life I mean (bad off, like go to the hospital asap) but didnt because they were affraid of the cost. Ill give an example; my sister's husband's mom went to the same doctor I did and was percribed 6 pills of oxycodone 10/325 for pain. Im not sure what pain she had. But she had to go throu dialysis once a week, she had soooo many things wrong with her. COPD, emphysema, and still smoked. Well her kids lived so close to her, but treated her so bad. I felt soo sorry for this woman. I stoped by to see her on my way back home (8monts ago) and her own daughter was cussin her while she lyed in the bed. This woman Lost her life because of the treatment she got from her kids. She ask to be taken to the hospital. NO ONE, not her daughter, or her WIFE!! Her son wasnt home or I know he would have in a heart beat! When she was alive. She divorsed her husband 10 yrs. or so ago. and he drank himself to death. Well ended up shooting himself. She lived with the gult in her heart  for so long. I helped as much as I could with her meds. I would buy them ever so often when I had the money to do so. She didnt have any income. Her daughter owned the appartment complex where she lived and stayed there for free. IMO she would have been better off in a nursing home. I have so many hospital bills that have went to collections. A friend told me that if I didnt pay the hospital bill in 7 years, that they would dissapear. Is this true?

Why do people feel that health care should be free?  You think your taxes are high now...?

Personally, I have no issue with providing for myself and my family.  I don't feel as if I should be obligated to also support other people who, for whatever reason, cannot afford their own health care.  I don't believe that is a selfish statement.  I've earned every dime I own.  I'm taxed heavily already.  I pay my own way and donate to causes I see that are worthy and meaningful to me.

We want less government!  No, wait, now we want more?  Which is it?  Be careful what you wish for...

LOL..it does make one quite insane sometimes...That's why phones now have a ringer silence..No the government can't look at one's medical records unless it's for workmen's comp or something like that....Thank god for at least some privacy...And T-bone...does it count when one is sick (not by his own fault), that he can't work, and can't pay the 2000+ dollars a month for prescriptions, and thousands and thousands of dollars for labs and such...Why shouldnt' we all be able to enjoy the comforts of universal medical care...like i said earlier, most other countries in the world have universal health care...even some of the poorest countires in the world. I know that when I worked, I paid my taxes...and probaly a few other peoples now that i think about it, paid my social security, paid for my and my families healthcare insurance. Now that I can't work and I only live on what little SSD I do get, I can't really afford much of anything else. It just doesn't seem fair. And I certainly wouldn't have minded paying a little more in taxes for something such as universal health care....Beats most of the stuff we pay taxes for now anyway...Just seems like a better way to spend money.  Also, NO, I don't think we need more government, actually quite the contrary, less, but more sensible focused government...Quality, Not Quantity is my motto..esp when it comes to the federal government...Thanks, Ray

if a bill collector calls my home , i ll talk with him/her, ask who they are, they will tell me, then tell me you owe ,$$$$$, to sent it to them, i tell them, that i don t owe you , i owe the hospital, an i, ll pay them when , i can, they tell me they take me to court, i give them the directions to the magistrates office, you only obigated to pay the person that you indebted too,      1 time after a horrible nite the phone rang at 8 am sharp, it was a bill collector wanting me to pay a bill that i truly meant to pay but i was not a happy camper that morning, My wife an i keep a gallon jar with some silver an pennies for hard times basic pocket change that accumilates i told collector i would got to the business office an make a payment,  my wife placed every penny in plastic bag, an i took it to the business office of the hospital, the lady asked me what i want to do, i told her the collection agency called me an told me that if i did nt make a payment the hospital was going to shut down, an that i got there as soon as i could with every last cent in the house, she asked how much you got, i said i don t know that i was in such a hurry fearing the hospital was gonna close i did nt count it, she asked me if i would help, i told her my hands were hurting an i felt i could nt grip a coin, she started counting, after 5 min. another lady comes out, then another , then another, then the supervisor comes out an asks whats going on i told her the same story, she turns in 3 seconds her face blood red goes inside hall an i hear a door slams HARD she reappears 10 min. later an tells me the next time i bring change to take it to the bank for counting or have it pre-rolled, i told her i would ve this time but the collection agency told me if i did nt get them a payment the hospital was gonna shut down, after all the counting my bill was credited $24.00, now it took 4 accountants 20 mins, to count $24  I say that  4 accountants working at least $10 a hour, you tell me did they make money

Paying as much as I have out of pocket and still owe for medical bills I would be more than glad to pay15% in sales tax to be in a medical system like Canada's!

they sent reg. letter, an told her Dr. would continue to see but would not write no narcotics, after our episode she think twice i believe in getting to the truth

I did not read all the posts here so I apologize if I am repeating something already said.

There are labs that quantify your drug screen results and report that the amount of drug in your system is either consistant or inconsistant with what you are supposed to be taking.  We use one of these labs by the name of AMERITOX.  I have had a few people come back low or not detected who are otherwise very reliable and when I question them closely about how much they are using they report skipping doses if they are not having pain.  If you took your last dose at 10 pm and have a drug screen at 10 am but haven't taken your first dose of the day, you may be low.    Also percocet (oxycodone) is metabolized at different rates by some people.  Some people are fast or ultrafast metabolizers depending on how many copies of a certain gene they have in their DNA. 

Personally, I think discharging a person for one out of range drug test is over-reacting.  Explain what happened to your next doctor and I am sure you will find someone to give you another chance.  

Shame on your friend who is abusing the system and creating and promoting addiction. 

I support universal government sponsered health care, just like medicare.  You pay in your taxes, you get the benefit.  I see it as a way to control greedy health care providers and decrease overhead for the honest conscientious ones.  The mish-mash of health care services that we have now, and paying for people who get sick because they have not gotten preventive health care is I believe in the end more costly than a universal single party payer would be.  

I get the feeling Dr. Lois doesn't feel a patient has the right to his or her medical records and if it wasn't for state and federal laws she and many other physicians would not allow the patient to see them at all.

Thankfully, however there are such laws and most of the time a physician can not prevent you from accessing YOUR own records. There are a few situations where a provider can limit your access. IE; Mental Health records

While many medical providers feel that the records are their property it is still your personal information. There is a grey area here but many courts have sided with the indivdual and not the medical provider when it comes to who they actually belong to

This is off topic from the OP's post, but I want to step in to defend Dr. Lois. She has helped me on many of my posts and I think she offers us all a view from a different perspective. We all see our pain from our view- the pain patient's view. She is able to give us the doctor's view. Unfortunately I think a lot of people displace their feelings for their own Pain Management Doctors or other healthcare providers on her. I don't think Dr. Lois was trying to say patient's don't deserve a copy of their records; I think she was just trying to inform people that the laws on that vary from state to state. She was trying to save someone the embarassment or trouble of going into their doctor's office and demanding their records and saying, "You legally owe me a copy of my records." especially if this isn't the case in his/her state. I'm not trying to put words into Dr. Lois' mouth, but I'm pretty sure her post was trying to say something like,  'make sure you check the laws and regulations of your state before you act upon any information.'

I USE HAS A SLIDING FEE SCALE AS MY WIFE HAS NO INSURANCE, THEIR  POLICY OF FAILING 2 DRUG TESTS AN ITS THE DOOR WHEN I RAN THE 3RD TEST INDEPENDANTLY AT A REPUTABLE SITE AND STILL WAS GETTING NEG. READING, THUS IT MADE THE Dr. OBILAGATED TO CHECK SPOUSE FOR POOR KIDNEY FUNCTION OR EFFECTIVE MEDICATION,  SOMETHING STILL FISHY,  CLINIC BILLED FOR DRAWING BLOOD LIKE $150 BUT THEY NEVER SENT IT TO NORMAL LAB FOR ANAYSIS,  THE DR TOLD US HER KIDNEYS WERE FINE, AN DRUG WAS IN HER SYSTEM,  I WILL KNOW SOMETIME THIS WEEK BY PICKING UP PAPERWORK FOR SENDING OFF FOR REIMBURSEMENT, IF THERE S NO LAB SHEET, THERE S GONNA BE 1 UPHAPPY CAMPER,  WIFE CALLED THIS MORNING WANTING MED UPPED BY 1 7.5 HYRO A DAY DR. REFUSED, SHE WAS ON HYRO10/650 QID, NOW LORTAB 7.5 3 TIMES, DR ALSO CHANGED OUR APPOINTMENTS FROM MAY 5TH TO JUNE THE 11TH, I TOLD HER NURSE WE COULD DEAL WITH APPOINTMENT CHANGES AS LONG AS MEDS ARE REFILLED UNTIL THEN

I learned a trick with those people. Ask them for your chart because another doctor wants to see it and you'll bring it back after you see him.  They just don't want the hassle of standing by the copier going through the whole thing for an hour. If you do it, they're thrilled. Then copy it and give it back right away, and every time you go in, ask for a copy of that days' visit.

When they tell you you can't have your MRI or xrays, tell them you will pay for the copies (they're a little expensive) or, ask to borrow them. They have to give them to you becasuse they are yours. It's a matter of going to the storage room, looking them up, bringing them out, and signing them out. Big hassle. So call the day before. I've had to get a little firm with the people I deal with, but it just turns out that it's all a matter of making their job easier.

Good luck

I FOR SURE THAT SOMEONE THAT SPENT 8 YRS OF HER LIFE DEDICATED TO KNOWING MEDICAL TREATMENT WOULD KNOW MEDICAL LAW AS WELL, I FIND DR. LOIS S POST S EDUCATIONAL AN APPRECEATES THE TIME SHE SPENTS WITH US,