Page 1 of 5 12345 LastLast
Results 1 to 10 of 45

Thread: Failed urine test. Now what?

  1. #1

    Failed urine test. Now what?

    So my urine tested positive for cocaine during my appointment with my pain specialist this morning. I haven't touched it in over 3 weeks so I'm really surprised... and bummed... and consequently pretty pissed at myself that I let this happen. In the 7 or 8 years I've been seeing this doctor and acing his tests, there's never been any reason for suspicion or distrust, so I'm pretty sure, at present, that he's giving me the benefit of the doubt that it was a false positive. He did however tell his admin to "send it in to the lab".

    My understanding is that the lab can perform a more stringent analysis and is far more accurate... as in, if the lab says it's positive, it's positive... not false positive. Is all that accurate?

    Assuming the worst and the lab does report back positive for coke, is there a standard protocol for what my Doc will do? I'm thinking, the next time I talk to him about this topic, I should stop denying and admit to "trying" it once a few weeks back. Will he request a hair sample? If so, he will learn that it was not an isolated incident. He will also see that I smoke weed and engage in other party favors such as MDMA from time to time.

    I realize that all ties with all this fun stuff must now be severed. I am fully capable of and have no objections to doing this.

    Anyone have any ideas regarding what comes next when the lab results come back? Suggestions for how forthright I should be regarding my usage of the aforementioned substances? Do I need to act sad and remorseful or will just being myself, admit to making poor decisions, vow to end it all effective immediately... yadda, yadda....??

    I know there's nothing I can do about at this very point in time, so I'm trying not to freak out too badly. But I think I would feel a lot better if I knew what to expect next, good or bad. As such, any insight, wisdom and/or guidance would be greatly appreciated.

    And I don't mean to sound dick-ish in saying this, but if you plan to respond so that you can pass your judgement on to me, inform me of how stupid am or anything along those lines, I'll thank you to kindly keep it to yourself. I'm a big boy and well aware of all that... and know there will be consequences to face.

    Thanks in advance!!

    *************************************************************
    *** c4/c5 incomplete *** Injured in Summer 2003 ***
    *************************************************************

  2. #2
    Senior Member Oddity's Avatar
    Join Date
    Oct 2008
    Location
    Virginia Beach, VA
    Posts
    3,589
    Blog Entries
    1
    Just be yourself. You're obviously bothered by having been busted, but adding falsehood on top would only compound your problems at this point. Trying to "game" them won't help, IMO. I would personally let the test speak for itself, and would not add anything else to the permanent record, by way of "confession". No way out but through.
    "I have great faith in fools; self-confidence my friends call it." - Edgar Allen Poe

    "If you only know your side of an issue, you know nothing." -John Stuart Mill, On Liberty

    "Even what those with the greatest reputation for knowing it all claim to understand and defend are but opinions..." -Heraclitus, Fragments

  3. #3
    Senior Member lynnifer's Avatar
    Join Date
    Aug 2002
    Location
    Windsor ON Canada
    Posts
    19,320
    Tell him you're attending NA meetings. And maybe try one?
    Roses are red. Tacos are enjoyable. Don't blame immigrants, because you're unemployable.

    T-11 Flaccid Paraplegic due to TM July 1985 @ age 12

  4. #4
    Suspended Andy's Avatar
    Join Date
    Jun 2003
    Location
    Chicago IL
    Posts
    9,722
    I'd think whatever else you have floating though your system has nothing to do with them checking if you are taking the opiates or selling them. None of their business I think

  5. #5
    There really isn't anything that gives a false positive for cocaine. Cocaine gets metabolized in the liver to Benzoylecgonine. It's the latter that sticks around awhile longer in the body and it's what the lab will be testing for. Did you and your doctor sign a "pain contract" for scheduled medications?
    If your lab urine test is positive for metabolites of cocaine, your Pain Medicine doctor may choose not to prescribe you opiates.
    Last edited by 2drwhofans; 03-24-2016 at 07:10 PM.

  6. #6
    Quote Originally Posted by 2drwhofans View Post
    There really isn't anything that gives a false positive for cocaine. Cocaine gets metabolized in the liver to Benzoylecgonine. It's the latter that sticks around awhile longer in the body and it's what the lab will be testing for. Did you and your doctor sign a "pain contract" for scheduled medications?
    If your lab urine test is positive for metabolites of cocaine, your Pain Medicine doctor may choose not to prescribe you opiates.

    Gotcha. I've heard that certain antibiotics can cause a false positive. Myth?

    So since the sample *IS* going to the lab, after showing positive on my doc's 8-panel (or maybe 10, idk) kit, is it pretty much a certainty that the lab will also test positive for the metabolites or is there a hail mary of a chance that it comes back clean?

    *************************************************************
    *** c4/c5 incomplete *** Injured in Summer 2003 ***
    *************************************************************

  7. #7
    Quote Originally Posted by daveh0 View Post
    Gotcha. I've heard that certain antibiotics can cause a false positive. Myth?

    So since the sample *IS* going to the lab, after showing positive on my doc's 8-panel (or maybe 10, idk) kit, is it pretty much a certainty that the lab will also test positive for the metabolites or is there a hail mary of a chance that it comes back clean?

    Myth:

    http://www.ncbi.nlm.nih.gov/pubmed/1843030

    I'd always try to hope for the best. That said, lab tests are much more sensitive than the dipstick tests done at the doctor's office.

  8. #8
    Cocaine metabolites can be fat stored for up to 6 weeks, so it is not that surprising that you tested positive 3 weeks after you last used.

    (KLD)

  9. #9
    Quote Originally Posted by SCI-Nurse View Post
    Cocaine metabolites can be fat stored for up to 6 weeks, so it is not that surprising that you tested positive 3 weeks after you last used.

    (KLD)

    Wow. I thought I was being safe (based on my intel from the good ol' Interwebs - haha) with 3 weeks. In all honesty, that window has not failed me, until today, on more than a few occasions. But I digress....

    Any thoughts on how to proceed? Should I try to get in front of it and try to call my Doc tomorrow to come clean... before the lab results come back? Or will it likely not matter? I am very aware of the fact that there are some serious consequences about to crash on me. At this point, it is what it is - I'm owning this and will have to deal. BUT I'm really concerned about being dropped as a patient and having the reason sticking out red-flag-style in my chart. I have legitimate pain issues that are mostly unbearable without the plan my PM Doc has me on. I don't abuse the opiates, I don't sell them or give them away... blah, blah, blah. I guess I'm just wondering if I should act now or sit back and take what is dealt to me (hopefully with the option to plead my case at some point regardless). Any thought one way or the other?

    *************************************************************
    *** c4/c5 incomplete *** Injured in Summer 2003 ***
    *************************************************************

  10. #10
    Your profile says you are 40. If I were your doc, I might be willing to give you a pass if you were a lot younger, but....40?!?! I think you have a whole lot of suck'n up to do to your doc to make him ever trust/believe you again. Man up to being 40 and get your act together. I was injured in 1982 at age 36, C6/7 complete, I know pain, I know depression, I know all of the trials and tribulations, but I don't do/never have done coke, I don't do/never have done illegal weed, I don't do/have never done any other party favors. Time to get the act together. With your doc, the chips will have to fall where they may.

    All the best,
    GJ

Similar Threads

  1. Urine Sample Re-test
    By Scott C4/5 in forum Care
    Replies: 4
    Last Post: 01-23-2014, 12:06 PM
  2. Urine Test/Kidney Infection
    By DOREEN in forum Care
    Replies: 1
    Last Post: 07-27-2008, 01:20 AM
  3. Urine Protein Test: a Tipoff to Kidney Transplant Rejection
    By Max in forum Health & Science News
    Replies: 0
    Last Post: 05-19-2004, 10:34 AM
  4. Urine test to spot Alzheimer's
    By Wise Young in forum Cure
    Replies: 2
    Last Post: 06-26-2002, 09:02 AM
  5. Awesome urine test strips for home
    By Jeff in forum Care
    Replies: 2
    Last Post: 04-19-2002, 04:05 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •