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Did you test postive for something else? Does he thing you're faking? I know that in my doctors office there is a sign on the wall that says: "If you're prescribed narcotics from this office you will be subject to random drug screening at no cost to you".....I think it's a fair policy, but I don't think the treatement that you receieve is appropriate.  I know that in my psychiatrists office any medication refill that you call in will take 3 days to fill/answer.  I don't know why, that's just there policy I guess.... I would consider looking for another doc....I know how you feel....I was dumped by my family doc since in was born when he found out I was HIV pos...all the sudden I became a narcotic/benzo seeker.....imagine that?......anyway best of luck.....

Ray

Remember: Just do it.. EVERY PILL  EVERY DAY

It can take several days to call in any perscription.  The request from the patient has to be complete (you would not believe the number of people who ask for a refill but don't even leave their name, let alone the name of the drug or the pharmacy phone number or their own phone number). The chart has to be pulled, the medication must be verified, the call made and the call documented.  Sounds like it should only take 5 minutes, right?  multiply times 10-20 scripts a day in a busy office and you get the picture.  Narcotics are especially troublesome since lower level practitioners even PA's and CNC's may not call in narcotics in some offices. 

A friend of mine, who has an HMO, said her doctor's office is charging $10 for every script they have to call in!

Make sure you call for a refill 3-6 business days in advance. Tell them what day you will be out of meds, and why you are calling for a refill and not being seen in the office (ie. "the doctor said she wanted to know if the medications were working and if they were lasting a full month, well they are working great, and I didn't need to use more than she prescribed for the month.") Call back in 3 days to see if it was called in, if it is not available at the pharmacy.  Most insurances will let you fill a presciption 3 days before you run out.  Some pharmacies will discard scripts that are called in but not picked up within a few days.  Try to get all your scripts in writing at each visit, so you don't need to call for refills.  I see all of my CII patients once a month anyway, and CIII patients who are on regular doses, as opposed to as needed doses come in monthly as well.  So there should be no reason to have to call in narcotics, more than occasionally for an unexpected problem.  Make yourself a super-easy patient for the staff to deal with, and it might stop the dirty looks.  Not that there is any excuse, but it happens.  Be the flowing water and not the great mountain.   

This definitely sounds like the nurse/and or receptionist is stereotyping you for whats considered "a user". It sounds like you are not having the same problems from your doc, but just that your doc is not stopping this rude behavior, even in his presence, correct?

I would wait until the nurse or whoever leaves the room, and it is just your doc and you. Then, jokingly (but nicely), ask if she is having a bad day. Most likely he will answer yes or no, then ask why. At this point you can say that she just seemed to have an attitude in her interactions with you, or that she was rude. Say "maybe it's just me, but _______". Then you can try to segway into she's always treated that way, or I don't think she likes me.

This way you are not offending anyone, or making yourself look bad if the nurse is a friend or family of the doctor. Maybe you just remind that nurse of an ex or someone in her past, and she is unknowingly transfering these feelings to you. She may not even realize she is doing it, but maybe later the doc can call her attention to it.

If this does not work for you, then you should approach her directly. As nicely as you can go up to her at the end of your appointment and ask if she doesn't like you, or has a problem with you. Make sure you don't have an attitude when you ask b/c you don't want her to get defensive, but maybe the two of you can get this figured out and build a working relationship, or friendship. Again, she may not even realize she is doing it.

Also, are you waiting until your meds are due, then calling for refills? As Dr. Lois said, most doc's offices take approx. 3 days to fill a request, so I would suggest calling 3-4 days early. If your meds are due on the 20th, call on the 16th for your refill, and tell them you just wanted to give them enough time to get it done before it is due.

I'm a social worker, not a medical professional. All comments and thoughts are simply my opinion and experience.