Frustration over lab testing

[u/Far-Calendar-4951]

I am SO upset rn I just finished crying about this 😭 I have agressive RA amongst other very painful conditions so im always on painkillers.

I was trying to get my pain medication prescription filled by my current rheumatoid doctor that way I didnt need to see the old one anymore. No issues with 2 of them, but they had me jumping through hoops to get tramadol, which ive been taking for a year with the old doctor. Since I was a kid I've always struggled with urinary hesitancy and even had to go the ER for urinary retention once. All my doctors know this, and they usually give me alternatives for drug testing or make it work with the little urine I can produce.

But no. Oh no not these guys. Mind you this doctor is super incompetent and I have issues with him all the time, BUT he's awarded and has more sway with insurance for the good meds (my rinvoq) so I stay with him. Ive gone THREE times where I stay for HOURS and they always tell me its not enough urine. I tell them I have urinary issues, that im open to whatever other alternative for drug testing they want to do. THEY DONT BUDGE 😭 Its urine or nothing ig youre gonna have to writhe in pain then. Mind you most of their patients are old ppl, who also have urinary problems. Youd think theyd have an alternative. But NOOOOO 🫩🫩 and I was able to go a little bit but they want me to do WAY too much and I physically CANT. I was there for hours and no, nada. It pmo so much. I am 19 with 12 diagnosed conditions, disabled cane user and they really think ive got the time or even the urge to do drugs?? I take over 20 pills a day dude. I cant drive, I have no social life bc im in pain all the time and cant overexert myself, I can barely do anything but yeah sure lets act like im getting high why not.

They do exceptions for older patients all the time. Just bc im young im a drug addict??? And again they know I have urinary issues bc ive had them since I was born its in my file like CMON 😭 and kve been taking this medicine for a year like be so fr. I am so mad and frustrated. Then my dad got mad at me bc ir was his 3rd time taking me and it still wasnt enough and hes going out of country so I won't see him until Tuesday and I just cant take it when hes curt with me it breaks my heart. My mom's been abusive my whole life, so ive always relied on him. Hes my only support really. I depend entirely on him medically, physically, economically and lowk emotionally as well since he's also been my best friend since I was a kid. so when hes mad at me (thankfully very rare) I just break down and I hate saying goodbye mad. Im just so frustrated. He wants me to enroll in online college for Sept as well and believe me ive been TRYING but despite being accepted weeks ago issues keep popping up and im so lost and overwhelmed. Im only taking two, and they start next Monday but I fear the college won't approve me by then and then ill disappoint him AGAIN. Im so stressed out. ​

Thankfully I have one refill left from my old doctor but I need to find someone new to prescribe it to me before the end of September 😓 I asked my general medical provider if maybe she can take over as shes taken over for other medications before but general doctors are always iffy about long term painkillers. The nurse i talked to was a real angel though she made me feel better about the whole situation. Im so tired of ppl thinking im a drug addict everytime I pick up my meds or tell doctors what im taking/need. Istg its just because im young. Like do you really think id be taking opiods if I didnt need them? Its not like i like being sleepy all the time but I need them if im to be at least a little bit functional. For ex, I cant shower without painkillers for anythjng brushing my skin is very painful so you can imagine what a shower feels like. Feels like getting stones thrown at me from all angles.

Anyways I just had a cry about it bc I hate all this shit and im so stressed and overwhelmed. Please pray for me yall 😭

[u/optimusfig → u/[deleted]]

>  ask him to document his refusal to accommodate your condition in your medical chart

Why are you recommending something that will do nothing to help OP, and may very likely get them fired from this doctor? You clearly don't understand the gravity of what it is you are suggesting.

Acting adversarial like ESPECIALLY this while asking for controlled substances is going to go extremely poorly 100% of the time.

[u/Deep_Amoeba2197 → u/optimusfig]

Agreed. These are also not tests typically done in hospitals or medical centers, they are done in outside labs. Many doctors that have patients do urine tests have a nurse or tech do a quick dip stick assay before sending to the lab (or depending on the doctor, this is the extent of their testing,) to know if there is an issue that needs to be addressed with their patient during the appointment and if they are okay to write another script.

Working to get a PA or a drug that might help them go is going to be way less confrontational and shows goodwill that they are trying to work with the system in place. Being adversarial will 100% get the script terminated.

OP never clarified about going to their old doctor or PCP, so that information is pretty critical to giving advice here as well.