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Old 08-29-2008, 01:35 PM   #1
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Pain Clinics

I've heard pain management clinics drug test you before even evaluating you\ seeing you for an appointment. Is this true? Im having my first appt next week for back pain...

 
Old 08-29-2008, 02:28 PM   #2
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Re: Pain Clinics

Yes, many do....This establishes good patient intentions right off the bat. In PM, you'll find testing all over the place. Some don't test @ all. Some test a lot, but most have "random" testing...Usually 1-2 x per year. Most of the testing are simple UAs. Some do cheap "dip stick" testing, however. Then, if any issues surface, they send the specimen off for a regular UA. Dip stick testing is very cheap, thus, this is why some use it.

If I were be so bold to throw out a generalization, I would say that GPs rarely test while PM clinics almost always have some type of testing program. From my perspective, I'm very much in favor of testing because it weeds out those seekers and diverters who threaten good access to PM. I realize random testing won't catch all of them, but it does catch a lot. It's designed to "surprise" people and thus give a really good indication of what the patient is about. If you are a honest patient, you have nothing to worry about.

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Old 08-29-2008, 04:43 PM   #3
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Re: Pain Clinics

Ex...Amen, and AMEN!

 
Old 08-29-2008, 08:42 PM   #4
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Wink Re: Pain Clinics

I was seen by my PM Dr. without having to 1st be tested, but I was tested before he gave me my meds. I have been with him for a year now and have had 2 random tests. So, I am assuming that he does them every 6 mo. or so. I agree that it is well worth the 5 min. inconvenience, to know that I am able to go to such a clinic with specialists that understand chonic pain and treats me like a patient in pain and not just another patient.

Lorie
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Old 08-30-2008, 07:29 PM   #5
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Re: Pain Clinics

Quote:
Originally Posted by lfoster21 View Post

I agree that it is well worth the 5 min. inconvenience, to know that I am able to go to such a clinic with specialists that understand chonic pain and treats me like a patient in pain and not just another patient.
I would be in favor of routine blood test @ every appointment....Make it standard operating procedure....After they take your temp, pulse, and blood pressure, they could give you a quick stick and draw some blood...Maybe 30 seconds worth of time.

Some form of testing @ each and every appt would certainly weed a lot of folks out and let the PM Docs concentrate on those who follow the rules. Personally, I think it would help the whole industry! The "trickle down" effect would be huge.

Regards,

Ex

 
Old 08-30-2008, 07:52 PM   #6
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Re: Pain Clinics

Ex, think this is what is going to happen in my PM. I agree that it's a good thing. The dr. can relax a bit knowing that his/her patients are taking meds as prescribed.

Last edited by Confused089; 09-10-2008 at 08:54 AM.

 
Old 08-31-2008, 09:08 AM   #7
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Re: Pain Clinics

i know for certain that all of the UAs i have had at my pain clinic are not free by any means. shortly after every UA(i am tested randomly but every single year) i get the bill from the hospital they send the UA to for analysis. i think the last bill(from last year) was like 83 bucks for something like that? i just had my yearly at my last visit and am waiting for my bill to come here at anytime now. while my ins co will pay for pay other labs or UAs ordered by my docs fully,the pain clinic UAs for some reason are paid differently by my insurance. have no clue as to why,they just are. does anyone else have this same issue with their PM UAs vs other UAs/labs? just doesn;t seem right to me but this is how my ins co handles them. i have just been repeatedly charged for every single one done thru my PM. marcia
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Old 08-31-2008, 10:19 AM   #8
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Re: Pain Clinics

Marcia, I think it's very unusual to have *free* UAs for patients.

Last edited by Confused089; 09-10-2008 at 09:22 AM.

 
Old 09-03-2008, 04:49 PM   #9
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Re: Pain Clinics

When I received the EOB from my insurance, the bill sent to them was for over $700. Dont remember what the adjusted amount was, was a long time ago.
Shannon

 
Old 09-04-2008, 04:04 AM   #10
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Re: Pain Clinics

In general I would be encouraged if a PM clinic requested a UA on or before the first visit. This would indicate to me that the clinic is not a shot mill, that they do prescribe something other than anti-depressants and anti-convulsuants. I'm not opposed to the use of those types of meds, they are very helpful as PART of PM for many people, but if a person has horrible reactions to them something else needs to be considered. If it would get rid of the possibility of addicts/diverters and allow for opiates to be considered for any PM paitient that needs them, I also would be more than happy to have blood drawn at every visit.

Feelbad, The cost difference is probably because it was sent to the hospital rather than your insurance provider's preferred lab. If we use the ins preferred lab the cost to us is zero, if we don't it costs us a lot.

Tigg.

 
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