Drug test ??

[FUnhouse]

So I just had a strange experience .
Went to a new doctor for pain management .
After a bunch of questions he asked me to pee in a cup .
I told him I could give him my drug test results for the hospital last month and they would be exactly the same but he insisted .

So here is the strange part . I fill the cup and give it to him he looks at it stares for a second and says
"you smoke Marijuana"

How the hell could he tell form just looking at it ?
Is this some new technology I am not aware of ?
Anyone ever have a similar experience ?
Maybe he was just fucking with me ?

 

[Magic9]

Did the cup have the test strip built in? If not, he just cold read you. Most people would just piss in the cup instead of offering up last months hospital results.

 

[FUnhouse]

@Magic9
I was thinking there was a strip on the cup but I didn't notice .
As far as the results I din't care if he knew that I "smoked" . That's why I offered up the old test , Just so another doctor would not do another unnecessary test .

 

[AlexisSmith67]

Maybe instead of reading tea leafs in a cup, your doctors reads what PEE LEAVES in a cup.... like Marijuana particles... HAHA???

 

[syrupy]

If he couldn't tell by your demeanor or a smell, it was probably good deduction on his part.

Imagine the doctor's point of view. At some discretion, he can pee test his patients. When he springs the cup on people, most will roll their eyes maybe but will do the routine. Any resistance to peeing, like saying your test from last month would be good, is a huge red flag that you don't want to be tested. When I read that, I thought "he's done drugs in the last month, or why else...?"

Now he suspects you will fail the test. I would guess the majority of folks that fail are testing positive for mj. So he comes out with the statement, and observes your reaction. Depending on what the Q&A beforehand was like, he might have suspected from there too.

Sounds like a Dr. Sherlock Holmes.

 

[FUnhouse]

@syrupy
I agree about the previous test but I said it without thinking . But that test would have shown the same thing ( actually any test for the last 20 years would have ) So I didn't care about it.
But the more I think about it i think there was a strip on the cup or something .

 

[syrupy]

@syrupy
I agree about the previous test but I said it without thinking . But that test would have shown the same thing ( actually any test for the last 20 years would have ) So I didn't care about it.
But the more I think about it i think there was a strip on the cup or something .

It sounds like you're mose honest than most people the doctor deals with, so he assumed your mentioning of the results was trying to duck out? I don't think there's a strip involved. From what I know, there's a pretty specific process and chain-of-command to prevent results tampering, even by a doctor or technician. The lid gets put on, and it's shipped off.

I bet there was no testing of that cup you peed in. The doctor just made his own kind of testing, which over time I imagine he's perfected. It's social engineering, not technology. P0lice like to use it.

 

[FUnhouse]

It sounds like you're most honest than most people the doctor deals with, so he assumed your mentioning of the results was trying to duck out? I don't think there's a strip involved. From what I know, there's a pretty specific process and chain-of-command to prevent results tampering, even by a doctor or technician. The lid gets put on, and it's shipped off.

I bet there was no testing of that cup you peed in. The doctor just made his own kind of testing, which over time I imagine he's perfected. It's social engineering, not technology. Police like to use it.

Sigh .. yeah your probably right . I didn't give up the information until the test came up but if he had asked I would have told him ... I think .
On that note I am sick of feeling like I cant tell my doctor . I think this is one thing that needs to change fast .
I had a friend who went to UCLA (fucking UCLA) for a heart procedure and said that he smoked occasionally for pain relief and they would not do the procedure . Long story short he Died could not get it set up anyplace else in time .
That scared the shit out of me and I have been very picky about what doctors I tell.
This has to stop .

 

[syrupy]

Sigh .. yeah your probably right . I didn't give up the information until the test came up but if he had asked I would have told him ... I think .
On that note I am sick of feeling like I cant tell my doctor . I think this is one thing that needs to change fast .
I had a friend who went to UCLA (fucking UCLA) for a heart procedure and said that he smoked occasionally for pain relief and they would not do the procedure . Long story short he Died could not get it set up anyplace else in time .
That scared the shit out of me and I have been very picky about what doctors I tell.
This has to stop .

Yo I agree, but the time isn't here yet. Sadly, once something is entered into a person's medical record there's no going back, and future doctors and insurers use the file as reference, which just reinforces what came before. It seems safer to keep the two separate, but it would be nice to come out of the closet. Till then, my docs know it's don't ask don't tell. Once they find out, they're obligated to note it. Plausible deniability is their friend, and sometimes ours too.

 

[Madcap79]

It sounds like you're mose honest than most people the doctor deals with, so he assumed your mentioning of the results was trying to duck out? I don't think there's a strip involved. From what I know, there's a pretty specific process and chain-of-command to prevent results tampering, even by a doctor or technician. The lid gets put on, and it's shipped off.

I bet there was no testing of that cup you peed in. The doctor just made his own kind of testing, which over time I imagine he's perfected. It's social engineering, not technology. P0lice like to use it.

I have had my pee tested in front if me with a strip after an accident at work. Luckily it was off site and I could down a couple liters of water before arriving. I walked in, they gave me a cup, I peed, came out and she put the test strip in and said 'You're good' and I walked out. I had smoked the night before. I have a fairly low tolerance so that may help me. I've passed multiple times and smoked the night before. Most of the time the specimen was just shipped out but the one time they tested it right in front of me. Just adding a life experience I had to the convo. Haha.

 

[Magic9]

Most doctors offices and ERs just do a quick EMIT test in the office. If they don't make you watch while they label and tape it, then make you initial the tape and bag, they generally aren't sending it off anywhere. The only time they send it off, is if there is a possibility that they will need to do the MS/GC test after failing the initial EMIT.

 

[grokit]

I had a friend who went to UCLA (fucking UCLA) for a heart procedure and said that he smoked occasionally for pain relief and they would not do the procedure . Long story short he Died could not get it set up anyplace else in time .
That scared the shit out of me and I have been very picky about what doctors I tell.
This has to stop .

So in a mmj state, by coming out of the closet and getting legal you're giving up your right to get life-saving heart surgery? Or was your friend's usage status "recreational"? Would ucla's reaction to mj usage been different if your friend had a doctor's mmj script/recommendation/certificate whatever?

 

[Chill Dude]

Refusing to perform a heart procedure at UCLA medical because of cannabis use. That makes no logical senses to me. I wonder what the reasoning was behind that decision? That just sounds ridiculous to me...

So I just had a strange experience .
Went to a new doctor for pain management .

Now was this a pain management clinic or was it just a general practitioner. The reason I ask is that pain management clinics have come under enormous scrutiny from the DEA. I've heard if you test positive for MJ they will automatically refuse to accept you as a patient. That's unfortunate, as a lot of doctors have had much success in treating moderate to severe pain with a combination of opiates and MJ. There is absolutely no contradictions with administering both drugs simultaneously. In fact, recent studies have shown that pain patients treated with both oxycodone and MJ, needed only small doses of oxy for pain relief as compared to the oxy only group. That said, it makes absolutely no sense to refuse pharmacological pain treatment to MJ using pain patients. These are the patients that would be less likely to abuse opioid drugs.... But, you know, the DEA policies are archaic to say the least....

 

[syrupy]

I could see how they might refuse the procedure, especially if it's expensive. Like when there's a liver up for transplant, they prioritize people who's liver got messed up by transfusion before a raging alcoholic. If there's only so many resources for the procedure, they'll have to exclude someone...

 

[t-dub]

You can get a new liver in China for $100,000. That includes airfare, hotel, and burn-phone.

 

[Chill Dude]

I could see how they might refuse the procedure, especially if it's expensive. Like when there's a liver up for transplant, they prioritize people who's liver got messed up by transfusion before a raging alcoholic. If there's only so many resources for the procedure, they'll have to exclude someone...

No, I get the fact they have to exclude people for certain procedures. I also think not giving a liver transplant to a current raging alcoholic is certainly reasonable policy. What I don't get is why an MJ user would be excluded?? Will an MJ user somehow not have as good of an outcome as a non user? I'm just trying to understand their reasoning. An alcoholic would have a high probability of ruining his new liver, but would an MJ user undergoing heart surgery be a high risk of a negative outcome? Seems strange to me...

 

[grokit]

In fact, recent studies have shown that pain patients treated with both oxycodone and MJ, needed only small doses of oxy for pain relief as compared to the oxy only group.

Agreed, it's ridiculous and makes no sense. I'm only on mild opiates by choice but without mmj they would be stronger and more frequent, and statistically I would also have a greater chance of an opioid-related death. I need both but would give up the pills if I had to choose, because mmj has other benefits besides straight pain management like helping me with my stress response and appetite/nausea which is all related. There's a great book called outside the pill box; I feel fortunate that my doc has this philosophy, also because my state sets a pretty low mmj bar (may benefit for certain conditions inc chronic pain).

 

[syrupy]

No, I get the fact they have to exclude people for certain procedures. I also think not giving a liver transplant to a current raging alcoholic is certainly reasonable policy. What I don't get is why an MJ user would be excluded?? Will an MJ user somehow not have as good of an outcome as a non user? I'm just trying to understand their reasoning. An alcoholic would have a high probability of ruining his new liver, but would an MJ user undergoing heart surgery be a high risk of a negative outcome? Seems strange to me...

Oh I get you now. I agree it's screwy, but I'd guess those kinds of rules are made at the insurer level where dollars are at stake. Probably because there's links between smoking and heart disease, combusters of tobacco and mj are lumped together. Negative lifestyle choice that statistically leads to earlier death and higher health care costs along the way. Sorry, we'd rather treat that cute eight year old girl who's never had anything harder than cotton candy. Its sad when patients have to compete for health care.

 

[FUnhouse]

Now was this a pain management clinic or was it just a general practitioner. The reason I ask is that pain management clinics have come under enormous scrutiny from the DEA. I've heard if you test positive for MJ they will automatically refuse to accept you as a patient. .

This was actually a pain management doctor but not specifically a clinic , I have been to both .
I have not heard about this DEA thing but this is the first time this has even come up at pain management .
I also take no opiates as they are not effective for me (which is good and bad ) so the MMJ is the only med I take for pain control for very bad nerve problems in my neck and disc problems in my back. So i don't have to worry about the addiction .

RE the UCLA thing I don't know all the details but it just freaked me out . And this was about five years ago so I wonder how things have changed ?

You can get a new liver in China for $100,000. That includes airfare, hotel, and burn-phone.

Link Please

 

[t-dub]

Link Please

Lisa Ling did this for Nat Geo . . .

 

[CarolKing]

I know if a doctor gives out opiates in Wa state it's mandatory for the patient to have to give a urine test. They also want to know that you are taking the opiates and not selling to somebody else. It's just not to see if your taking other drugs.

 

[lion]

Very interesting conversation so far...and here is my dollar's worth. Regardless if some States allow for MMJ and States such as Colorado and Washington have recreational usage as well. It is still illegal in the eyes of the Feds...they can go into any state which allows usage and confiscate all and arrest everyone as well. They can go after all Doctors and Nurse Practitioners prescribing permitted usage and they can go to jail/lose their license to practice medicine and write scripts. The DEA and FBI(here in the MidWest)have been visiting Pain Mgt. Doctors and clinics and checking all records and "urine drops" done on patients. If you test positive for illegal substances they can close down the clinics or Doctor's Practice and make life difficult for all involved. It can get very expensive quickly for Doctors to hire legal council to represent them in court/in front of review boards for their licenses.....remember this is their job and life and they do not want to lose their livelihood over prescriptions being abused or patients failing drug tests......


Now granted, so far the Feds have been lenient in most states but who's to say what the Feds can do or not do.....now smokeable's(now I do not partake everyday only when the pain is unbearable) are bringing me relief from chronic pain but so are the pain meds and I have been on them for over 25 years. I can not afford to lose my Pain Mgt. Doctor of over 18 years over MMJ. Also I do not want to be the person who jeopardizes his livelihood......

Finally, the Feds have the Doctors so scared that they will not write scripts for pain meds and will send you to a Pain Mgt. Doctor to handle opioids and such!!!

 

[DieHard]

@FUnhouse
They definitely have cups with a multi-panel "preliminary" test strip built-in along with a temperature strip.
I go to a similar doctor and I had a discussion about it. No legal MMJ here. They test quarterly by law. Looking for what they are prescribing to you. My doctor told me I had to stop with the MJ. I was already an established patient. I asked him if he was going to refuse to continue to treat me if I did not stop. He stammered about the LAW. I said it helps my back pain. He said he has nothing against it at all it is just the law. It has not been an issue since. I notice the only test checked off on the paperwork for lab testing is opioids. They don't find what they are not told to look for.