I see the pmr doc @ 3:15 im off of my meds cause of drug screen from second hand smoke.im a nervous wreck can someone tell me what i should say.ive been crying all morning cause im over whelmed & ive run out of options i was n a major car accident & i have degenerative bone desease, plates & rods anxity ,panic attacks & a lesion on my brain where i suffer from migrains.what & how do i talk to the dr.about meds without her looking or thinking im some kinda junky.right now i cant think & im a mess.i just feel its going to go all wrong & i just cant handle withdrawls.shes a woman so just maybe shell have some sympathy but im not feeling good about this im scared half to death.i stay n the bed all the time from pain and i have no life.always in surch of meds for pain and withdrawls i cannot keep living like this.i pray so hard but i need a break thro.help someone please!
I've never been in your situation, as far as having to go to a pain management doc--so anything I say here is just what I feel (common sense-wise) might help you through this.
Do you have anyone who could go with you--is that allowed?
When I was at my worst, pain-wise and brainfog-wise, my husband went with me to my Endo. Long story, which you don't have time for now, but he was there to witness what the doc said, and to validate me.
If not one is allowed into the apptmt. with you, at least get someone to drive you and 'be there' for you before and after!
Try to do some deep breathing and slow your heart rate down. Do you have any CDs of New Age music you can play in the car?
MAKE A LIST before you go, of everything you want to talk about--so you won't get off track. The more coherent and 'stable' you can appear, the better the doctor's response to you should be!
I'm not saying that you shouldn't show her your pain, but just don't appear to be 'bouncing off the walls' while you are there. If she's never met you before, she hasn't nothing to judge you by, and might think that this extreme state that you are in now is how you always are.
Again, I don't know anything about pain docs and clinics, so please forgive me if what I am suggesting sounds silly or stupid.
From an outsider's point of view, I am just trying to give you some perspective.
My very best to you, and please let me know how it goes.
Sincerely, mary madhatter
Jaypee, just tell her what you said here. Tell her what your background is-what happened, how the pain started, the intensity-describe the pain. Let her know what things you are not able to do and how it has affected you activities of daily living. Try not to ask for specific pain pills. You can tell them what you have tried in the past and what has worked and what didnt. Try not to focus on pain meds only. Be open to other options. I'm not sure why you have to be off your meds due to second hand smoke? Urine drug screens wont give you a false positive if you have breathed second hand marijuana smoke. The amounts for a positive are set to be levels you can get only if you smoke marijuana yourself. Levels you get breathing second hand will not be enough to give you a positive result for marijuana unless you drive around in a small vehicle with Cheech and Chong! So dont worry about that. Let her know your pain is bad enough to keep you in bed a lot.
Be open to trying physical therapy and other treatments. Most PM's wont treat with just pain pills. They will want to try other avenues too so be open to trying those even if you havent had much luck with them in the past. This will prove to the Dr you are wanting pain relief not just pain pills. Good luck!
I would like to hear how things went with your new doc. Although, it is true that you cannot fail a urine drug screen for inhaling second hand smoke. If you honestly did not partake in any marijuana use, then possibly some other type of medication caused the false positive. I do not know if it is true or not, but I have heard that if you take large amounts of naproxen (OTC Aleve or rx anaprox or naprosyn) then it can register as mildly positive. My husband was taking 1000 mg per day of naproxen and our doc told him that he showed a slight trace of tlc on his urine drug test, but it was not enough to be considered a positive drug test. He basically said that it was slightly more than zero and that many people show a tiny amount of thc on urine drug screens and that is why you have to have more than 50 ng/dL or something like that to be considered a positive. His level was like 0.10. The doc did not confirm or deny that the naproxen could have contributed to it.
So, I hope things went well for you and that they have been able to help you with your chronic pain! Please let us know how it went!
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