I tested ++ for THC and Im very scared

Perhaps you could ask your doctor for something like Suboxone just to get through the withdrawals and while you try to find another doctor. I know that's the policy at my pain management clinic; if you have a dirty UA they will put you on Suboxone until you find another clinic. Some on here have said that suboxone helps with their pain too. I'd hurry up and find another doctor quickly.

not to put you down or sound mean...  choices are made when you start a PM regimen.. including a PM contract..  that said, first I wish you the best in finding an another Dr to help you but........  choices is the key work (not here to banter just advice).  Just a short story ...  I had a recent bout with insomnia and my wife offered (well I think it was more of her going crazy dealing with me) one of her Xanex or Ambien to help me, all in good intentions on her part, I was miserable with lack of sleep but I said no because of my PM contract and UA testing.  My PM has a sign in the waiting room that states a UA is adminstered every 2 months or at random.  Two days after that night was my reg. visit and was hit with a random UA.  My choice not to take her meds was not because of upcoming PM appt. but because I will not risk breaking my contract and lose the trust I have with my Dr and most of all, lose my pain management.....     again, wish you the best to help...    good luck

I am the Marchman Act coordinator in Miami and I know a bit about drug screening.  I am confused about the pot and the drug test.  I am of the opinion that if you don't smoke pot on a regular basis, smoking a joint with others at a party should not show up in your urine three days later.  Let me just clarify that before you all jump on me.  I was told by the professionals in the medical field that pot will stay in your system for up to one month (if smoked on a regular basis) that could be daily hourly, or every other day.  What this tells me is that you have beed smoking all along and just got nailed by a surprise test.  Am I correct to assume that?  That being the case, you may run into this problem with all of the other PM Docs that you will deal with if they drug test you radomly.  For those of you that aren't aware of the Marchman Act: Marchman Act is the same as Baker Act only it applies to substance/alcohol abuse. I 'm sorry to be such a downer about this but I have screene kids that smoke pot once a month and they don't show at all on screens unless they smoked it in the past 24 hours.

 I guess what I'm saying is that if you were smoking on a regular basis, you were sort of asking for this and sooner or later, it was going to happen.  I wish you the best of luck with your search for either a Dr. to treat your pain or someone to get you through this awful period you're about to face.

Smoked just once it can stay in the system for around three days, maybe a little more maybe a little less.

I've seen situations where an individual will smoke weed and test negative on a saliva test an hour later. Your mileage may vary!!!

with smoking weed, is it's stored in your fatty cells.  So if you're a relatively thin person, that might help if a person slips up and takes a little amount of pot.  But it would hang around in your system a bit longer if you're on the chubby side. 

Anybody in pain management treatment should know the rules about street drugs:  Don't use them!  It's not worth what you have to go through in having to find a new doctor that will accept you.  Best of luck ~ Theresa

it showed up as 2.3 on a 300 cutoff, I asked the lab how long had she smoked since the test, I was told that it appeared to be about 2 weeks ago, as the postive results were showing just enough presence to be caught.

You smoke the Jane, You are the blame.

Woodstock

I have a referral to see a PM on the 14th, and I smoke almost everyday as an adjunct to my pain meds and to help with sleep.  I am thinking of quitting until the 14th, and getting one of the detox shakes, but still taking my usual regimen of meds (Oxycodone-APAP 10/325mg 3 x daily, Carisoprodol 350mg 2 x daily, and 1 x 2mg Clonazempam at bedtime).  I am not here to cause a political firestorm, but I have been therapeutically using cannabis for the last 10 years (with California Dr's reccomendation to prove it).  I use a vaporizer, and never smoke the product.  I am concerned because I do not wish to give up my current medical regimen or have a "black spot" on my medical records because I use cannabis.  Also, although it might not make a difference, the pain specialist I am seeing here in GA is of middle-eastern descent, and I know for a fact (having had a Persian girlfriend for over 5 years) that most middle-eastern people (doctors included) tend to overlook a positive test for marijuana as long as you are upfront about your usage and the therepeautic value you derive from it.  One of the main reasons I got my card in California was so I DIDN'T have to up my dosage of opiates, since the cannabis potentiated the effects of my night-time meds.

I have no criminal record, and I don't want this to become an obstacle in my treatment.  I'm hoping the doctor will be understanding, or if the policy is set in stone.  I am a responsible adult that has gone through ???$* with my back, and I hate to resort to high-school type tricks to talk to my pain doctor.  I just want an honest discussion...I don't drink (save for the obligatory glass of champagne on New Year's), exercise 6 days a week, and have a great job.  I know that if I no longer receive any PM help, I will be lost.  Has any other responsible adult been in my shoes?  Should I play it safe with quitting and doing the detox-shake?  Should I call the office and ask if they are even going to do a drug test (I am going on referral of my PCP of the last year).  Any advice would be much appreciated!

Thanks, fellow pharmers!

have you though that maybe working out 6 times a day is making the pain worse since you take all that medicine for your pain? I say this because you sound like you want to get off of it. Maybe if you dont work out as much, you will need less medicine because you wont strain yourself which in turn makes you NEED your meds.

I agree with oneir. Back in CA when you had the prescription for cannabis, you probably could find a doctor who was more sympathetic to you using it. I believe in Georgia (am I correct that this is where you are seeing a doctor now) only allows patients with cancer or glaucoma to have medical marijuana and the laws around it are very strict. Therefore, your card in CA probably won't do you too much good with your doc in GA. My suggestion would be much like oneir's in that you should probably mention it to your doctor if they ask or are given a urine test. I mean, they are going to find it and some doctors will automatically dismiss a patient without even allowing them to explain things if they have a dirty UA. You wouldn't want this to happen. So, if you say something to your doctor first he/she will at least know why it's in there. May I ask how long you've lived in GA? If it's only been a short period of time youc an tell your doctor that you will probably test positive for cannabis since you were legally prescried it there, but now since moving to GA you don't anymore. Like oneir said, you should definitely stop before your appointment so you're not off the charts ithe levels of THC in your urine. Are you willing to give up cannabis to receive pain killing medications? You may end up being faced with this situation. I'm not sure what the accountability of a doctor is in GA if you have cannabis in your system when you are on scheduled medications. Your doctor may have his/her hands tied. You're in a sticky situation, but honestly I think that being upfront with your doctor is the best policy. Even if you're not given a UA on your first appointment (I wasn't) don't rule them out for future visits. I wasn't given my first UA until I'd been on pain meds for like 5 months I think. At that point your doctor would probably be upset if you hadn't mentioned it by then, especially since it's not legal to use in GA as far as I can tell. Hope this helps.

I would take less pain medication when I had my prescription for marijuana a few years back. It increases narcotic efficacy yet does not potentiate it like grapefruit/juice.
Sometimes I really wish I can have a bowl of some skunk when I'm layer out in pain and sick and ready to vomit.

Thats good Norcal...since you have a backup I would mention it to the doctor in your first appointment whether he mentions a UA or not. That way if you end up having a test down the road it doesn't come as a surprise to him. If he will not accept anyone who smokes pot for any reason then you may want to try to find another doctor or you may consider sacrificing one for the other. Thats a cost-benefit analysis you will have to do yourself. The way I see it its better to find out now what his stance is on it than wait until 6 months down the road and get suddenly dropped from the program...

My thoughts exactly, oneir...I do have "backup" in case of a dry spell or whatever so I can at least get up and move around, but when your insurance "policy" against having issues with a PM doc is only 20 Percocets that you've stashed away on the days the pain wasn't that bad, that's only about a week's worth of meds.  Since I last posted, I have found out through a co-worker that all non-referral patients without previous history to the PM doc in question get the standard 9-panel UA; however established patients that are referred with the proper paperwork from a reputable PCP are not hassled - just have to sign the contract stating they can test you if they suspect diversion / pill counts / etc.  This makes me feel better, since my case is backed up (no pun intended) in triplicate from 3 doctors, including a spinal surgeon, my old PM doctor from California, plus my new PCP here in Georgia.  I don't plan on bringing up the cannabis use unless specifically asked about illicit drugs; in other words, I'm not going to offer up information that doesn't need to be offered up (except to internet strangers such as yourselves  )

Thanks everyone for your insight and reply; hopefully there are some doctors (PM or not) that read this thread.  We, as patients understand the federal government puts strangleholds on you and you are not recognized enough for biting the bullet and saying "I don't care if there is extra scrutiny; I'm a pain management doctor and I will uphold the hippocratic oath, even if it means extra scrutiny and extra hoops."  Personally, I can't thank you enough; I just hope that you also see the therapeautic use of cannabis as complimentary to pain management - it has helped me lower my amount of meds from 60mg oxycodone per day to only 30, and I couldn't be happier.  It's sad that doctors can recognize this fact, but our government simply cannot and will not accept it.

I'm sorry Nor, but I question your need to see a Pain Management doctor.  With your 6 day excercise regimen and ability to cut your meds in half, all by yourself......why bother?  CP's are under such scrutiny because of patients that don't follow the rules.  And I'm as sad as the next one is about having to make choices between doing illegal drugs (in the state where you are now living) and obtaining medical care, but it is all part of growing up...............