My Case Manager at my Psych clinic asked me something totally inappropriate!

Angelwngs25 · Jul 24, 2015, 02:15 PM

Quote:

Originally Posted by lindamine

Angel....maybe you can get your Dr. to document your illness oficially so you wont run in to any problems at IOP. Then everything would be legit.Have you taken anything that would come up on urine test?

Recently? Yes. I took some Oxycodone last night for a really bad Migraine that was making my head hurt more from the light. But that doesn't mean I am a drug addict it is just the only thing that works for me for any kind of pain.

Jul 24, 2015, 02:22 PM

Quote:

Originally Posted by Angelwngs25

Recently? Yes. I took some Oxycodone last night for a really bad Migraine that was making my head hurt more from the light. But that doesn't mean I am a drug addict it is just the only thing that works for me for any kind of pain.

I don't think they are accusing you of being a drug addict. What you posted was they were asking you if you are taking meds that your doctors have discontinued. They are trying to figure out if what they are seeing is a psych problem, an illness problem, or a med problem. That is why they need to do the testing.

Angelwngs25 · Jul 24, 2015, 02:26 PM

Quote:

Originally Posted by amandalouise

angetwings you said in a post above...

They have all been officially diagnosed in my eyes. Just because the Lupus isn't officially in my file doesn't mean my doctor doesn't believe I have it. And the Fibromyalgia is officially diagnosed and it's in my file. It was diagnosed by a previous Rheumatologist.

just a bit of information you may not be aware of...

being diagnosed means its on the files.

anyone can believe they have anything, and any doctors can believe the person has something and thats ok.

I believe I have rhumatoid arthritis, my doctors say yes thats a possibility lets treat you for it. but its not on my files. why because I have not undergone all the diagnostic tests and the doctor has not placed it on my files.

what that means if if I tell people I have been diagnosed with this they can say no you havent, no matter how much I believe it and no matter how much my doctors believe I have it. I have not been diagnosed with it because I have not gone through the tests and its not on the list of what my diagnosis's are in my treatment files.

line in the sand right now its not a diagnosis its an ....assumption...with me, my treatment providers and legally.

now lets put this back in context of what you posted...you stated your doctors have not put it in the files but you believe and they believe you have these other mental and physical health problems...

guess what you can make these beliefs/assumptions that you and your treatment providers have about this into a diagnosis. example for lupus all you need to do is take a blood test. that will tell you and your doctors whether you have it or not. then it will be a diagnosis, not just a believe I have it kind of thing with you and your doctors.

hey heres a suggestion the program wants you to take a drug test right. well theres all kinds of drug tests. you can contact your treatment providers and tell them to add a test for lupus to a drug test that is done by blood work. or the next time you have to have blood work done to keep track of your medications ask them to test for lupus at the same time. one test and two things done at the same time.

Hey, I have already been tested for Lupus multiple times and I have come up Positive on the ANA blood test once and with a high sed rate. Meaning I have inflammation in my body. And I just got tested for all that again on Monday. So, yeah I will be getting those test results soon.

*Laurie* · Jul 24, 2015, 02:29 PM

Angelwings25, let's be honest, hey? It's pretty clear that you don't want to drug test because you prn the stuff. I don't care, I'm not your case worker or your med team...if you are hitting that oxy bottle 5 times/day it's irrelevant to me. I will tell you that you come off as guilty when you refuse the drug test, then get so defensive about stuff. As for your reactions being manic...I call BS. You're pissed off 'cause you don't want to be labeled an addict...you don't want to get caught. Just sayin'...this is what it looks like from where I'm sitting.

As for lupus I've run a high ANA since I was in my 20's, decades ago. My sed rate fluctuates. Been told I 'might' develop lupus...but maybe not. There is no definitive test for lupus at this time.

Jul 24, 2015, 02:31 PM

Angelwngs, what I don't understand is why you seem to be avoiding the comments and questions directly related to the drug testing issue. Why is it such an issue for you? That defensiveness about it probably sets off alarm bells with your care team in itself.

*Laurie* · Jul 24, 2015, 02:45 PM

Quote:

Originally Posted by lolagrace

Angelwngs, what I don't understand is why you seem to be avoiding the comments and questions directly related to the drug testing issue. Why is it such an issue for you? That defensiveness about it probably sets off alarm bells with your care team in itself.

I agree. Angel, you might consider lolagrace's assertion. If you are avoidant toward your team the way you have been on this thread, that is cause for them to be suspicious. Put yourself in thier shoes. How would you feel about your behavior if you were them?

Nammu · Jul 24, 2015, 03:21 PM

After seeing a couple of your threads around the site it looks more like you are trying to get us to agree you have x, y and z diagnosis. We can't do that. We can't confirm or deny any diagnosis. People here have said your case managers question is not inappropriate. You seem to want to argue and keep looking for an answer your not getting. I'd say this is your BPD that needs some reality checking.

amandalouise · Jul 24, 2015, 03:27 PM

for those questioning the diagnostic process of Lupus....yes lupus can be diagnosed with a blood test. the test that diagnosis lupus looks at white blood count, number of antibodies, blood clotting. basically the same things it looks for when for example diagnosing HIV. lupus is a disease that is in the category of immune diseases. which means the same blood tests that detect immune diseases can detect lupus. I know this because a family member was just recently diagnosed with this and that was the process that he was diagnosed through. times are changing. as we know more about diseases and mental disorders the diagnostic processes change too, this is how my location diagnosis Lupus and other immune diseases...through blood work. other locations may have other standards they go through. but this is how it is where I am located.

*Laurie* · Jul 24, 2015, 03:38 PM

Quote:

Originally Posted by sidestepper

... You seem to want to argue and keep looking for an answer your not getting. I'd say this is your BPD that needs some reality checking.

I agree.

Eternitiy13 · Jul 24, 2015, 03:51 PM

Quote:

Originally Posted by Angelwngs25

Hey, I have already been tested for Lupus multiple times and I have come up Positive on the ANA blood test once and with a high sed rate. Meaning I have inflammation in my body. And I just got tested for all that again on Monday. So, yeah I will be getting those test results soon.

A lupus diagnosis requires that you meet a certain set of criteria. You need to meet 4 of 11 criteria to be considered for a lupus dx. Docs are reluctant to dx without almost absolute certainty since:
1. You will never remove that from your medical records, thereby effecting the possibility of affordable life insurance, health insurance etc.
2. There are over 80 autoimmune illnesses and they all mimic each other. It is EXTREMELY difficult to diagnose.

People without lupus can have a positive ANA. High sed rate can be caused by an infection or cancer for example. So a lupus dx is not like being tested for high cholesterol.

cakeladie · Jul 24, 2015, 03:53 PM

Quote:

Originally Posted by sidestepper

After seeing a couple of your threads around the site it looks more like you are trying to get us to agree you have x, y and z diagnosis. We can't do that. We can't confirm or deny any diagnosis. People here have said your case managers question is not inappropriate. You seem to want to argue and keep looking for an answer your not getting. I'd say this is your BPD that needs some reality checking.

I also agree.

A Red Panda · Jul 24, 2015, 06:07 PM

Holy explosive reactions Angelwings! There is absolutely no need for being rude to people - don't blame your diagnosis for your behaviour. You have to click send - try rereading what you write before clicking it.

Drug tests are standard when on a lot of medications. They're easy to abuse, and even if they aren't being abused it can still have negative impacts on your body and mind - so they test. Refusing to take a test is probably one of the biggest red flags you can give to people. If there's nothing to hide.... then why refuse?

With painkillers it's easy to overdose and abuse them without fully noticing, because they can make you dopey. And abusing a drug tends to increase your tolerance, making you need more. So it's important to regularly test, just like you regular get blood tests.

And if you have something where your doc and you think you have it - but it's not on file and officially diagnosed? Then you shouldn't have any prescription medications for it really.

They also need to try to somehow make sure that you're not selling the prescription meds.

Also - no one says that they're a drug addict. There's always an excuse or reason as to why someone takes meds outside of how they're prescribed. Addictions develop slowly, and often the person who is addicted has no idea that they are. What sort of treatment team would they be if they weren't checking to make sure you weren't developing an addiction? It doesn't mean that they think that you ARE, it just means that they're taking care of you and doing their job.

As for being angry that they're talking about you? That's kinda ridiculous. That's part of their job. If they're a treatment team, then they need to communicate.

Angelwngs25 · Jul 24, 2015, 06:16 PM

Here...let my Fiance tell you the truth from his own experience with me. And if you don't believe it's actually my Fiance feel free to request to have a Skype call with him he will tell you himself that I am not doing Oxycodone or drugs in general inappropriately.

Fiance John:She doesn't do drugs and never has. She is just unattentive and constantly tired due to the fact she doesn't sleep at night like she should. Her doctor thinks she has Lupus and she is diagnosed with Fibromyalgia.

Jul 24, 2015, 06:21 PM

Quote:

Originally Posted by Angelwngs25

Here...let my Fiance tell you the truth from his own experience with me. And if you don't believe it's actually my Fiance feel free to request to have a Skype call with him he will tell you himself that I am not doing Oxycodone or drugs in general inappropriately.

Fiance John:She doesn't do drugs and never has. She is just unattentive and constantly tired due to the fact she doesn't sleep at night like she should. Her doctor thinks she has Lupus and she is diagnosed with Fibromyalgia.

Angelwngs, this such an immature way to respond. You still haven't responded to anyone's suggestion that drug testing is just part and parcel of treatment. You still haven't explained why you have such an extreme reaction to the mere questions and concerns from your treatment team. Are you hearing anything any of us have said and/or suggested? You are really avoiding everything pertaining to your original post. I don't understand that.

A Red Panda · Jul 24, 2015, 06:25 PM

No one has said that you ARE.

But your treatment team need to make sure, and the only way they can do that is through tests. Because addicts will sound the exact same as non-addicts when they say "I'm not abusing drugs". They can't trust words, just the test results.

And seriously, bringing in someone else to say things for you? When no one has actually called you an addict? Honestly.... grow up a little bit. You're ignoring all of the valid things that people are saying, and sticking to responding to things that people aren't even saying.

"thinks she has Lupus" is not the same as "is diagnosed with Lupus". That's what we're saying. Unless your doctor has it as a full-diagnosis on your file, then they shouldn't be giving you prescriptions for it. That said - if you have it, I hope they can get it confirmed to be able to help you as much as they can.

*Laurie* · 07:46 PM

Angelwings, you're behaving in a childish way. I believe you know what your answers are, and carry them within you. Use those answers now, rather than regret later. Know what I mean? Your team is just doing their jobs. Your PC friends are being as honest with you as we can be. Now the ball is in your court.

Perhaps you need to take a break from whatever you're doing and take a walk, or watch a movie...something to unwind.

doyoutrustme · Jul 24, 2015, 06:54 PM

The lady doth protest too much methinks...

lizardlady · Jul 24, 2015, 07:13 PM

Quote:

Originally Posted by PoppyRoad

I'm somewhat on the fence about the whole drug testing thing. Since when did medical professionals blur into law enforcement? It seems to me that any adult deemed competent should be responsible for the medication, whether prescribed or self-medicating, s/he takes.

I have never self-medicated in any way, so maybe I'm naive but....seems like the whole anti drug abuse thing is a lot more about politics than it is about practicing good medicine. And, as most of us know, a medication that is 'the latest designed med' today can suddenly become the scourge of the medical profession tomorrow (witness benzos).

However, if I was asked by my MD, case worker, etc. to take a drug test I would comply just to prove cooperation.

PoppyRoad, it can be a safety issue rather than medical professionals acting as law enforcement. It's not about checking to see if the patient is using illegal drugs. They can want to test the patient to be sure there are no dangerous drug interactions or excessive doses going on.

*Laurie* · Jul 24, 2015, 07:45 PM

Quote:

Originally Posted by lizardlady

PoppyRoad, it can be a safety issue rather than medical professionals acting as law enforcement. It's not about checking to see if the patient is using illegal drugs. They can want to test the patient to be sure there are no dangerous drug interactions or excessive doses going on.

I understand that. Perhaps I wish we could all be as well-informed and proactive in being responsible for our own care as most of us here on PC are

Jul 24, 2015, 07:49 PM

Quote:

Originally Posted by PoppyRoad

I understand that. Perhaps I wish we could all be as well-informed and proactive in being responsible for our own care as most of us here on PC are

Unfortunately, many aren't so doctors have to be cautious. (And I'm not certain PC members are that much more responsible with their meds than the general population. Lots of people messing with their meds here on PC. It's a common problem.)

cakeladie · Jul 24, 2015, 08:15 PM

Also when taking any meds they need to make sure your liver kidneys etc are not being harmed

Angelwngs25 · Jul 24, 2015, 08:28 PM

They specifically told me they wanted to test me to see if I was abusing Oxycodone. That's what pissed me off! I do not want to give into there ********. The Nurse didn't want to test me to check and see my levels of stuff so they know what they can or can't give me. She looked me in the fu***** eye and told me she thinks I am abusing Oxycodone. I was ****ing pissed, and practically told her to go f*** herself.

Jul 24, 2015, 08:35 PM

Quote:

Originally Posted by Angelwngs25

They specifically told me they wanted to test me to see if I was abusing Oxycodone. That's what pissed me off! I do not want to give into there ********. The Nurse didn't want to test me to check and see my levels of stuff so they know what they can or can't give me. She looked me in the fu***** eye and told me she thinks I am abusing Oxycodone. I was ****ing pissed, and practically told her to go f*** herself.

They have to verify what you are saying. We keep telling you that, but you seem to not understand that. If you are anywhere near as volatile with your healthcare givers as you are here, I can see why they have concerns.

What you can do to allay their concerns is let them check and verify. I don't see why that is so difficult. Perhaps in the future you might consider responding this way: "Feel free to verify what I am saying with a drug test. I want you to understand I am being truthful and I am certain the testing will verify what I am saying." Could you perhaps do that?

Nammu · Jul 24, 2015, 08:48 PM

Quote:

Originally Posted by doyoutrustme

The lady doth protest too much methinks...

As the man said.

It could be that your BPD is reacting to what you think is an unfair statement of fact, ie we observe there is a problem we suspect you are Not using a drug as prescribed so we are going to ask you to take a test and rule that out.

It could be something else but in any case your best option is to return to IOP and work it out. The fact is they were open and above board by telling you exactly what they thought and what they wanted. That should be a taken as sign of respect becouse they could have easily said we want to get a blood test for x but tested you for oxcodone.

*Laurie* · Jul 24, 2015, 09:17 PM

Ahh...I'm done with this thread. I've posted everything I have to post regarding this issue.

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My Case Manager at my Psych clinic asked me something totally inappropriate!

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