View Full Version : Sick of peeing in a cup


Hoshi
03-26-09, 12:41 AM
To get my first prescription of Adderall, the nurse practitioner wanted a urine sample to test if I was a druggie.

To get a refill, she wants a urine sample to make sure I test positive for amphetamines. :mad::mad:

I'M TIRED OF PEEING IN CUPS lol

somuchbetter
03-26-09, 01:13 AM
Wow, that doesn't even make sense to me. Am I missing something?

p4ge
03-26-09, 01:13 AM
I don't think that's anything to get angry about. Adderall is classified as having a moderate tendency for abuse, and many people have it prescribed so that they can sell it. Testing is important to maintain the integrity of the drug, which makes it so people that really need it are allowed to keep taking it.

Driver
03-26-09, 01:32 AM
Can nurses even prescribe drugs? Let alone drugs in the same schedule as Adderall?

firstdesserts
03-26-09, 02:45 AM
Can nurses even prescribe drugs? Let alone drugs in the same schedule as Adderall?


Here in the States an NP may prescribe under the supervision of an M.D.

firstdesserts
03-26-09, 02:52 AM
I'M TIRED OF PEEING IN CUPS lol

You might want to ask the NP why this is neccessary. The extra hoops and paperwork involved in Schedule II drugs would make me cautious too. Asking him or her about that may help your relationship and make things easier for all of us in the long run. It certainly helped to ask my doc.

FinallyAnswered
03-26-09, 07:34 AM
To get my first prescription of Adderall, the nurse practitioner wanted a urine sample to test if I was a druggie.

To get a refill, she wants a urine sample to make sure I test positive for amphetamines. :mad::mad:

I'M TIRED OF PEEING IN CUPS lol


LOL...give her a poop sample while you're at it....just tell her that you believe in being REALLY thorough.....:D

tlhengel
03-26-09, 09:44 AM
lol...give her a poop sample while you're at it....just tell her that you believe in being really thorough.....:d

lmao!!!

Hoshi
03-26-09, 10:15 AM
LOL...give her a poop sample while you're at it....just tell her that you believe in being REALLY thorough.....:D
Lol, I'll pass...
Yeah, so, yesterday... I couldn't pee. I had nothin'. So no meds... I have to go back this morning.
Did I mention she also had me sign forms saying that I would not change pharmacies, and say that I give them the right to get all the info from my pharmacy on what medicines I am taking?
I mean, I'm not getting meds from anywhere else (how could I? Lol, I'd need a REFERRAL! FROM HER! Lol), but I'm a bit weirded out by it. It also said that she could call me at any time and I'd need to drop what I was doing and bring the pill bottle in.

I'm getting soooo tired of being mistrusted when I've done nothing wrong. I don't even drink or smoke, much less do drugs. I don't even have so much as a speeding ticket. But every time I go back, she makes sure to let me know that she's watching me.

My mother has to take dexedrine for narcolepsy, and her docs don't treat her this way.
:mad::mad:
I'm getting fed up with having to be ashamed to ask for my refill or talk with her about the medicine.

firstdesserts
03-26-09, 12:22 PM
Uh. Sounds like it's time for a second opinion!

Hoshi
03-26-09, 04:47 PM
Been calling all afternoon. The only doc covered on my insurance that I can seem to find is not taking anymore TennCare patients for "2 weeks to 2 months"
And to make matters worse, the 30mg Adderall XR... I got it today. Took one about 3 hours ago.
My heart rate went up, and that's about it. I'm exhausted, sleepy (got about 10hrs sleep last night...bleh), and my brain is still fogged up. It's nothing like the IR. :( But what can I do? Nothing. Not a damned thing. If I tell her the dose is too low, she will probably call the cops on me, lol.
I feel like such a worthless piece of crap right now... here I am, the person who never cries, in tears because of this stupid lady and the meds...
I hate feeling so untrusted...and so powerless over the medicine dosage. She won't listen to any of my input.
But there's no one else.


Edit: Oh, and for some amusing info... out of the 15 or so numbers that were given by my insurance,
About 10 practice at the same facility that is known to not like dealing with Schedule II medication
3 places said they no longer had their own practice and that it was something else now. Or that they no longer take my insurance.
1 had no answer - a google search revealed he had recently been convicted of 2 counts of statutory rape. Wonderful.

Skepticus
03-26-09, 05:18 PM
Edit: Oh, and for some amusing info... out of the 15 or so numbers that were given by my insurance,
About 10 practice at the same facility that is known to not like dealing with Schedule II medication
3 places said they no longer had their own practice and that it was something else now. Or that they no longer take my insurance.
1 had no answer - a google search revealed he had recently been convicted of 2 counts of statutory rape. Wonderful.

Hi Hoshi,

Sounds like you're in a bit of a pickle. Can you go back to your insurance Co. and tell them what you have said above, and ask them to provide more alternatives perhaps. Tell them you need compassionate health care. If they are limiting your options, then they need to limit them to useful alternatives, other wise maybe you need an alternative health care insurer. Good luck anyhow, I hope you can turn it around.

Hoshi
03-26-09, 05:22 PM
Hi Hoshi,

Sounds like you're in a bit of a pickle. Can you go back to your insurance Co. and tell them what you have said above, and ask them to provide more alternatives perhaps. Tell them you need compassionate health care. If they are limiting your options, then they need to limit them to useful alternatives, other wise maybe you need an alternative health care insurer. Good luck anyhow, I hope you can turn it around.
I wish.
Beggars can't be choosers. I have Tenncare - it's enhanced medicaid.
When I turn 21 in November, I will be uninsured. :(

Skepticus
03-26-09, 07:36 PM
Sorry to hear about that. Things work differently in USA. In Aust. we have Medicare (govt. health insurance), but the choice of doctors we see is still our own. I guess private insurance is expensive too. I have never had to check it out. Good luck. ;)

ginniebean
03-26-09, 07:40 PM
I don't think you need to take this personally. There are so many students who are doing just about anything to scam some of these meds. They probably want to just assure themselves that you are taking them, that you won't sell them, and after a couple of months they should ease up.

firstdesserts
03-26-09, 09:09 PM
Yeah. Unfortunately, you don't have to have ADHD to take things too personally too often!

Hoshi
03-26-09, 09:17 PM
I don't think you need to take this personally. There are so many students who are doing just about anything to scam some of these meds. They probably want to just assure themselves that you are taking them, that you won't sell them, and after a couple of months they should ease up.
I wish that was the case. But she has made it clear that she won't ease up.
As in, she has told me she is this way, always. For everyone. The 30mg XR doesn't seem to work, I noticed almost nothing. It wasn't the same as the IR. The concentration just wasn't there. And there's nothing I can do...and this is supposed to carry me through to finals...
I'm so screwed. :(

I'm such a failure...seriously... geez. I just want to curl up and hide. I wish I didn't know I had ADD - I don't think it helped me any. I shouldn't have even pursued a diagnosis, it did me no good.

DarkCode
03-27-09, 07:42 AM
You should ask to speak to the MD in charge, and make a scene.

I'd be on my way out of the place as soon as they told me I had to pee in a cup to get my refill, much less my prescription in the first place. That's invading my privacy, anything I don't wish to divulge to them is my own business, not theirs. Sure, they are doing their job, but why am I required all of a sudden to submit to a *drug test* of all things to get treatment for a condition that I'm already recognized to be a sufferer of. Its sad that drug testing has invaded so many industries here in the United States, from random drug testing of students, requirement of drug testing for almost all people on probation, and the ridiculous over-cautious need for parents and employers to drug test everyone they are capable of. I hate the whole idea of drug testing. People are going to use drugs no matter what, if I smoke marijuana am I somehow less of a person? No. I'm the same as anyone else, sure, I might be stoned depending on when you run into me. But I've been smoking for years, and I've always managed to be a productive member of society as a result - because I've smoked (if I smoke even once or twice a week it prevents any incidences of depression, allows me to focus better, working out has never been so much fun, etc).

I'd call up your the insurance your under, file a complaint against the Nurse Practitioner (she's not an MD, and she does *not* make the f-ing rules). If I was ever told to do something by a nurse without the exact same thing coming out of the Doctor's mouth first, I'd tell her to get the Doc. Obviously, I'm not talking about every little thing (like getting IV's at a hospital, etc) but if I was told to pee in a cup to be drug tested, I'd be out of there quicker than you could imagine. I could care less about my doc knowing I smoke pot, its the fact that any trust is conditional of my passing of that test. Furthermore, if I'm going to go to a doctor and want to get the results that I want from treatment of any sort, I'm going to mention anything that is medically relevant - doing drugs can be medically relevant. But what if you used to smoke pot, and its been almost a month, but you go in and your doc tells you to **** in a cup. You fail the drug test, and might even get a false positive. They drop you as a patient as a result of the drug test - you can't fight it in court, your S.O.L. at that point. Its such a backwards thinking system. If you test positive for drugs it doesn't mean your automatically an addict, or some abuser, or that your going to take something your prescribed and sell it off to people. Much less, what if you go in for your refill and its been a couple days (you set your appointment for a monday) and its been 3-5 days since you last took the drug, you take a drug test, and the results come back without you testing positive for amphetamines, doctor refuses to refill you.

What about the 50%+ false positive rate on most dip stick and other urine drug test products. Even lab results can be far from on target. I've had to go to court in the past about a false positive for amphetamines when I was on probation last summer. I brought a doctor's note showing that I was taking psuedoephedrine for my allergies, and a document from the Center for State Courts showing that pseudoephedrine causes a false positive. Got out of there with my probation dismissed for $250 in the end - 9 months early, lol. But its the fact that false positives cost people money, can lead to jail time, can ruin people's lives in general. Far worse than drugs ever could. It takes just 1 false positive to destroy any credibility you once had.

---

Just finished reading some other posts in this thread. Your required to sign papers saying you won't transfer pharmacies and they have the right to examine all your prescription records? Along with being able to call you up and have you bring your pill bottle in? OMG. I don't even know what to say to that.

I'd be FURIOUS. I'd be so mad, I wouldn't know what to do. I'd probably break the woman's clipboard and walk out of there... after asking for a referral of course. lol

Just find any friends you might have that are connected to doctors. Talk to them, explain your situation, and ask if they can do you a favor. Have your current demon lady send over a referral, and become a patient for the new doc. But ask if you could either work out a way to get your refills and office visits in for a discount rate, whatever you can afford, or something, anything. I don't really know what I'd do if I was in your situation because I have Aetna insurance so I have access to almost every doctor here in Arizona. But man, I'd hate to be confined to a set list like you are. I think its time to cough up the money and get real health insurance for once, or start a job that gives you benefits that supplement your current insurance.

Your only other choice would be to just give this woman an earful and report her to every person above her, including the insurance company. Shes running a drug rehab clinic from the looks of things, not a place where you should be getting treated for ADHD. This is why I'm against going to see regular MD's rather than Psychiatrists for my Adderall - they always got some bias that they *have* to impose upon you. If you ever were able to take a picture of her, I'd love to see what this woman looks like that she's being this ridiculous. I would not be surprised at all if there was sand in some places, or a stick popping out the backside.

scarygreengiant
03-27-09, 08:35 AM
To get my first prescription of Adderall, the nurse practitioner wanted a urine sample to test if I was a druggie.

To get a refill, she wants a urine sample to make sure I test positive for amphetamines. :mad::mad:

I'M TIRED OF PEEING IN CUPS lol



Don't blame the nurse practitioner. Blame the LOSERS who abuse ADHD meds. THEY are the ones who make life more difficult for us.

aj373ku
03-27-09, 09:44 AM
First off calm down! Did you ask why you had to give a urine sample or are you making asumptions that it is a drug test?

I also have to give a urine sample every time I get a prescription. The Doctor does it to screen for side effects of the medication. Protein in the urine is a sign of high blood pressure. He also test signs of any liver problems.

As far as the other stuff....seems a bit excessive to me. Remember your Doctor works for you. If he/she is not helping then fire them and move on.

Hoshi
03-27-09, 04:10 PM
First off calm down! Did you ask why you had to give a urine sample or are you making asumptions that it is a drug test?

I also have to give a urine sample every time I get a prescription. The Doctor does it to screen for side effects of the medication. Protein in the urine is a sign of high blood pressure. He also test signs of any liver problems.

As far as the other stuff....seems a bit excessive to me. Remember your Doctor works for you. If he/she is not helping then fire them and move on.
They told me.
The first one was to make sure I wasn't doing drugs.
This one was to test for amphetamines in my system.
It's not that I'm worried about them finding anything out - because I don't smoke weed or do any drugs. I don't even smoke/drink. It's just...she treats me like a criminal.

I'm starting to wonder if I should have even tried to get treatment...I'm not sure it's worth it. It makes me feel like a horrible person, and like I'm horrid for using the medicine. :(

Also, I've yet to see any MD in charge. On the prescriptions she gives me, it has a place for a signature for the "overseeing physician" - but there has never been a signature. Maybe they don't need one here in TN?

DarkCode
03-27-09, 04:39 PM
Call ahead of time, and make sure your next appointment is with the MD - not the NP.

Demand to see him. And if they refuse, then report them.

andyum
03-27-09, 04:54 PM
FWIW, I had a blood test and an EKG done before my doctor prescribed me ADD meds. And, he has been my doc for many years and this is the first time I have been prescribed medicine (other than an antibiotic) of any kind. So, it was not like I had given him any reason to be concerned. Getting blood work done is always a good idea and he told me he wanted to establish a baseline so we can monitor any changes that could potentially arise.

I have no reason to believe that you have been anything less than honest with your NP about your use of legal and/or illegal drugs. But, we do know that there are many who are not necessarily honest with their medical professionals. Use your meds properly to establish trust and hopefully the NP will let up. It does sound like he/she may be overly sensitive so it could not hurt to ask to meet with the doc to explain any concerns you might have.

Ruby85
03-27-09, 10:39 PM
I've never been asked to give a urine sample and I've never been asked to sign forms, and I've never been forced to take XR instead of IR. None of this sounds right. Is there really no other doctor you can go to? I know it's hard with poor insurance, but there must be other options for you. I can't believe that there is only one doctor in your area who accepts your insurance. You shouldn't be treated like that. :(

KillZone
03-28-09, 10:11 PM
I don't think that's anything to get angry about. Adderall is classified as having a moderate tendency for abuse, and many people have it prescribed so that they can sell it. Testing is important to maintain the integrity of the drug, which makes it so people that really need it are allowed to keep taking it.

Abuse level for Adderall is very low. I don't get why it is such a big deal. Lots of things are over hyped to be called addicting, but really they aren't.

Hoshi
03-29-09, 05:02 AM
Abuse level for Adderall is very low. I don't get why it is such a big deal. Lots of things are over hyped to be called addicting, but really they aren't.
I honestly don't know how people get addicted to Adderall. But then again, I really hate taking anything that impairs my judgment...which means I have no desire to do illegal drugs, drink, or so anything like that. When I had my tonsils taken out when I was 16, my mother had to force the pain meds down my throat, lmao. I put up such a fuss about it... I'd rather be in pain than take pain medication. 2 years ago, I had my wisdom teeth out - I took like 5 of the 60 hydrocodone pills. I threw away the rest. Oh, and I *refuse* Nitrous Oxide... no matter how much dental work I'm getting done. I was fully awake and aware for my wisdom teeth extraction. I can't figure out how in the hell people get all giggly and call NOX "happy gas".
It just isn't my thing...never has been. For once, being a weirdo is a good thing. :cool:
If she looked at my records, she'd see this kind of behavior all through my medical history. A year ago, I had surgery on my eyes (muscle issues), and they wanted to give me Versed before surgery. I refused it since it was just pallative and not needed - it was a Children's hospital, because that was where the specialist worked. They were used to giving it since the kids were normally scared or nervous (they called it "Happy Juice" LOL). It turns out it was good I didn't take it - I had a very difficult time waking from anethstesia.

Also, guys...there is NO MD. There is only her. I have never seen anyone else there but her, and his sig has never been on anything. Anywhere. There has never been a mention of a MD, and no MD is listed by my insurance that works there.

DarkCode
03-29-09, 10:13 PM
Also, guys...there is NO MD. There is only her. I have never seen anyone else there but her, and his sig has never been on anything. Anywhere. There has never been a mention of a MD, and no MD is listed by my insurance that works there.

That doesn't sound right. But she has to have a DEA number to prescribe. She's using someone else's DEA number that means.

Call up the DEA and report the woman ;) Ends one problem - her. lol

Ruby85
03-29-09, 10:20 PM
I agree with DarkCode. Seriously, you should be seeing an MD (a real one), and one who does not treat you like a criminal. I don't care if Adderall does have a high abuse profile. That's irrelevant. You shouldn't feel like you're walking into a prison when you go in for health care. I think you have every right to be angry. She's not giving you any respect.

scarygreengiant
03-30-09, 01:50 AM
That doesn't sound right. But she has to have a DEA number to prescribe. She's using someone else's DEA number that means.

Call up the DEA and report the woman ;) Ends one problem - her. lol

Dude, have y'all been living under a rock? It's totally legal for nurse practitioners to prescribe. I used to work at a place where the nurse practitioner prescribed medications. I don't get why people are surprised by this. I mean I can see why people would be put off by her IF she had a nasty mean attitude, but there's nothing "shady" or "illegal" going on here. Worst case scenario is b*tchy nurse. Nothing that the DEA will be interested in.

http://en.wikipedia.org/wiki/Nurse_practitioner

RedSkittles
03-30-09, 02:21 AM
sue their as*** :D nice way to make a quick profit. (and freedom)

RedSkittles
03-30-09, 02:23 AM
wtf? i didnt even no meds worked on nonadders. eccept maybe ritalin. isn't that like-- really dangerous??

scarygreengiant
03-30-09, 02:31 AM
wtf? i didnt even no meds worked on nonadders. eccept maybe ritalin. isn't that like-- really dangerous??

Yep they affect non-ADHDers. Maybe the non-ADHDers don't get as much benefit from it as we do but there is some benefit or else it wouldn't be so popular on college campuses. When I was in college people would pay $5.00 per pill! And it went up to $10.00 per pill during exam time! :mad: And THAT is why drug tests and strict regulations do not bother me one bit.

ozchris
03-30-09, 02:44 AM
If it's her policy for prescribing stimulants - IMO fair enough.

I'd be feeling much differently about this if she did it to some people and not others. IF she does it to everyone at least it's fair. Maybe she has had bad experiences with previous patients abusing/selling.

I do believe it's important for doctors and patients to have a certain amount of trust between them. This drug testing isn't that bad though.

ADD people have a higher rate of drug abuse than average and it can really mess with treatment. If I had to take a test to get my meds. I wouldn't take drugs, which is a good thing. Mind you I don't really take drugs these days anyway.

The other thing is people abusing and/or selling stimulant meds are more likely to get caught out because you'd think they would do other types of drugs as well. This is a good thing.

I can understand why you're upset about this but just remember you can change doctors if you want. Peeing in a cup is kinda fun anyway :) and it doesn't take long.

chartreuse
03-30-09, 05:08 PM
Don't blame the nurse practitioner. Blame the LOSERS who abuse ADHD meds. THEY are the ones who make life more difficult for us.

I have to disagree with this.

From everything Hoshi has said, that NP is way, way beyond any normal concern a provider might have that the drugs are being used properly. There's no justificiation whatsoever for her to be assuming that he's guilty when he hasn't done anything wrong. The things he is being required to do are NOT standard practice.

It sounds more and more to my like the NP should not be seeing ADD patients at all, as she apparently has some severe issues when it comes to prescribing certain types of drugs. Her paranoia is out of control.

Also, I have to point out that taking a certain drug does not constitute probable cause to assume that they are going to abuse it/sell it/whatever. One's health care provider should assume that you're innocent (and treat you accordingly) until they have some actual reason to believe you've done something wrong. The behavior of others is simply not relevant here.

Hoshi
03-30-09, 06:08 PM
Blah... sorry for the drama, guys. There's pretty much nothing I can do at this point. There is no other doc for me to go to, no psychiatrist...so I'm pretty well stuck. It's not really the drug tests that bother me...it's feeling like I can't ask her about concerns. I started the 30mg XR last Thursday...and I think I'm going to stop taking it very often until it gets nearer the appointment and the probable drug test. I wish I could make an appt with her to tell her what isn't working, but I know it will not help. I tried it once...she basically said "we'll get it worked out eventually" and left the room.

I don't know how the 20mg IR worked fine, but the 30mg XR doesn't work right. Sometimes it helps me concentrate some...mostly it just makes me have a lot of leg cramps (which I never had before), makes me feel sad all the time, tired, exhausted.... and for the first time in my life, I started having panic attacks. I'd never had one before...but it's the only thing I could think of. When I looked it up...sure enough...precisely what it was.

I've had 3 today. It makes no sense - like, I was waiting for my appt with my Adviser. Basically, all I do is hand her the schedule I made out for the next semester, she looks it over and gives me my registration code. I've done it several times, and it's not even the least bit stressful... but I was in the waiting area....and suddenly, I felt like I HAD to leave. I had to get out...and for some weird reason, tears welled up in my eyes. I started sweating and my mind was racing....it was everything I could do to keep my seat. I felt like I was losing my mind and I felt sooo stupid. A few hours before that, I had a small quiz in math. Nothing too major. This panic attack was so much worse than the one I had in my advisor's office. I was shaking like a leaf and had trouble writing. I couldn't control it. My fingers went numb and my hands went white and felt as cold as ice. I wanted to get out of there...or curl up and cry.

I have NEVER felt this way in my whole life. Ever. EVER. But even if I told her about it...how would that help? She wouldn't prescribe me IR until the 25th of next month, and even then it would still be 1 a day. Chances are, she'd freak out and think I was hunting for Xanax or something, but to be honest...even if a doc prescribed it to me, I would not take it. I wouldn't even fill it. I REFUSE to take stims to get me going and "downers" to help me slow down. I don't like taking medicine, to be honest, and taking one, then another to negate the previous' drugs effects... I'd feel like a druggie. Even if it's OTC medication! I don't even take otc cold meds when I'm sick or tylenol unless I have the headache from hell, which is pretty much never. Even my family knows this - and thinks I'm silly to prefer toughing out a fever or headache instead of taking a Tylenol. I remember having quite a few arguments with my mother about me refusing to take the hydrocodone when I had my tonsils out. It came down to me clamping my jaws shut while she tried (and failed) to shove it in my mouth. :D

Juuuust to make it clear, I know some people have to take xanax and all that for panic issues and whatnot, and I don't think of them as a druggie or anything. Just me. Weird double standards, I guess.

I feel...so tired. Physically exhausted. Mentally exhausted. From head to toe, I feel...*bad*...tired...just BLEH.
In fact, I'm going to go take a nap now, lol.
Sorry for the whiney drama. I really should stop complaining.
I guess I just let it out here because in real life, I don't like to tell even close friends or family about medical stuff, or especially how I *feel*, lol.

Grapple
03-30-09, 11:35 PM
My mother has to take dexedrine for narcolepsy, and her docs don't treat her this way.
:mad::mad:
I'm getting fed up with having to be ashamed to ask for my refill or talk with her about the medicine.

Why don't you explain this to your mom and have her accompany you to the pharmacy during a normal visit (or schedule one with her) and have a sit down 1v2 talk about why exactly she feels that you should be treated this way. Explain to this lady the importance of you not being able to discuss the medicine because you feel and are treated like a criminal and will be cut off from your treatment.

If this lady has any sense of reality and does not live in some estranged delusional bubble then she should understand that you feel your treatment would be compromised if you discussed the medication with her when she treats you this way.
If she starts being ridiculous your mother will be there to calm everything down and keep her in check to make sure nothing bad will come of it.

At any rate, what I see is a violation of your privacy... I have never heard of anyone having to do drug tests for medication that has been prescribed by a doctor. If it were me I would get another doctor, even if it means driving 30-45 minutes to go. Not because I would be scared of what comes up in my pee, but just for the fact that there is no reason. Unless you were convicted of a drug charge your not telling us about :rolleyes:!!!

ozchris
03-31-09, 12:30 AM
I wish I could make an appt with her to tell her what isn't working, but I know it will not help. I tried it once...she basically said "we'll get it worked out eventually" and left the room. One of the (few) things I've learned is if something doesn't work the first time, try it again, then once more before giving up :) If its really important then try more than this. She might have been having a bad day. Seeing doctors at around 10am in the morning or right after lunch is usually when they're at their best IMO

If she's only giving you one IR tablet a day then you could always break it in half and take two doses to spread it out. Or ask for a lower dose tablet to take twice a day. Don't decide the medication works or doesn't the first couple days you start taking it, give it a little while so you can judge it properly.

Try not and draw conclusions from the unspoken stuff she does, it's sometimes easy to think someone means something when they don't.

About the drug tests - it has nothing to do with her thinking you're a druggy! It's just her personal rules. Please don't take it personally, if she does it to everyone she treats for ADD then it's fair. Talk to her about how it makes you feel, maybe you can work something out.

Take your Mum along for the next appointment. Just to have some support and maybe she could remind you if you forgot to mention anything. When I was younger I found this very very helpful. The doctor will take you more seriously and the support + reminders of forgotten points is priceless! Even if you're around 20yos I don't think that makes you too old to do this.

Try not to be in too much of a rush. This is sometimes very hard for an ADD-er but it'll help. Even though you don't have the meds worked out properly yet, you're no worse off than beforehand. If you know you have ADD even that can help a lot.

Bring in a small pad of paper and a pen for your next appointment. It helps to write things down so you remember and it makes you look like you're serious about this. Note down the stuff you want to discuss in your appointment, write down what you want out of treating your ADD.

-Try exercising more every day.
-Really try and focus on having a balanced diet and drinking plenty of water.-
- Make sure you get around 7 hours of sleep a night.
- Read 'delivered from distraction' lots of good stuff in that one/

These things can help so much. I noticed once I started doing all this stuff my medication worked about twice as good.

-Try taking omega 3 and a multivitamin daily.
-Use your diary like it's an extension of your body! write down everything and have a calendar at home with due dates and all your plans.
- Wake up the same time each day, go to bed the same time every night.
- Write down what you want to get done every day. Make yourself a time table for when you're not at school.

I promise you, if you take the advice above it will help! Medication is just a small part of it IMO. If you implement all this stuff you should tell your doctor about it, it'll show even more that you're willing to do your part in the treatment.

Don't apologize for the drama, most of us have been in similar situations :) It's good to let it out and this is the perfect place to do it.

and remember: DON'T PANIC! :p

(wow long post. please try some of this stuff and let us know how it goes. ADD-ers can be unstoppable once they make the 'disorder' work for them :))

elizabethbdn
03-31-09, 12:45 AM
I have never heard of anything like this before. When I am pee tested for work I just give my boss a letter from my psychiatrist that I take prescription meds and I will pop positive for amphetamines. You should not have been subjected to that!!!!!!

Hoshi
03-31-09, 03:42 AM
I don't think I'm reading too much into the things she does... when she prescribed me adderall, she first thing walks in the room and *YELLS* at me about how I'm asking her for speed, how she thinks I'm going to sell it, and how her brother is a drug addict and that it "****ed up" her family.

To make it clear, I am not annoyed by the drug tests because I don't want her to know about something I'm taking. I don't do drugs or anything - I don't even smoke/drink. She just makes a big show about it every time and her and now the nurses there also give me a suspicious look.

Oh, and I tried splitting the 20mg IR in half several times, didn't do much of anything.
And she wont prescribe me any IR (IF AT ALL) till 26th of next month, meaning during finals. I'm pretty well screwed and am going to lose my scholarships. :(
Oh, and I will run out in May while I'm still in Ireland, taking classes.

I don't even care anymore. I should have never even tried to get help for it. It's done nothing but make everything WORSE. I give up.

scarygreengiant
03-31-09, 06:24 AM
If this lady has any sense of reality and does not live in some estranged delusional bubble then she should understand that you feel your treatment would be compromised if you discussed the medication with her when she treats you this way.

Hey, the lady is human too. Maybe she is jaded. I work in the health field, granted I'm just a lowly case manager. But I've been lied to many times by clients and patients. It's easy for doctors, nurses, social workers, case managers, etc to get jaded.

It sounds like both you and the NP are hostile and stubborn and you feed off of each other's negativity. That is not going to get you anywhere. Try to develop a better relationship and hopefully she will be able to see that you are sincere.

scarygreengiant
03-31-09, 06:25 AM
Oh and I have a friend who takes Adderall for ADHD and she also has to pee in a cup. Those are just the rules at the clinic she goes to. Don't take it personally.

DarkCode
03-31-09, 07:58 AM
Hey, the lady is human too. Maybe she is jaded. I work in the health field, granted I'm just a lowly case manager. But I've been lied to many times by clients and patients. It's easy for doctors, nurses, social workers, case managers, etc to get jaded.

It sounds like both you and the NP are hostile and stubborn and you feed off of each other's negativity. That is not going to get you anywhere. Try to develop a better relationship and hopefully she will be able to see that you are sincere.

The moment you walk in, your your own person. Your not necessarily like any other previous patient a doctor or nurse has had. If your first impression is honest, and straightforward, and your not being overly-demanding, or insensitive to what the doctor's opinion may or may not be, then why in the hell should this woman have the right to go about bringing this person down a level?

I don't care who this woman is, what she's dealt with in the past, or what other patients she has, it does not matter. What matters is her effectively treating this patient, and this patient only when she has an appointment with them. If she is not doing her job, and decides to insult and harass the patient, that's ethically wrong. She has to maintain certain ethical standards for all patients. If you've done nothing to make her suspicious, then why does she need to be? This is not a case of a drug seeker in an emergency room trying to say they need pain killers for a paper cut, so why treat it as such? The woman is beyond ignorant, and brings personal bias into the practice of medicine - she fails to uphold the standard of care that we've all become used to. I don't care how much of a bad day this woman might have had, or whatever, her emotional situation is not ever relevant to this patient. If she can't fulfill her duties, she does not deserve to be there seeing patients.

The problem that happens for people on terrible health insurance is that they get dragged into these mad houses with doctors and nurses similar to this woman. Morons practicing medicine with a vengeance. So she's been lied to before, whoopty-fing-do, its not this person's problem, nor anyone else's, except hers. It doesn't matter what the typical patient is that this woman sees, because what if your quite different? Should you still be treated like everyone else despite your unique nature? No. The thing that gets lost in modern medicine is the personal touch, the bond between a patient and doctor. You don't have the same thing where back in the day you'd see the same doctor for everything and know them your entire life. That doesn't happen anymore. As I said, until this woman sees any reason to think otherwise, she should be open and direct, accepting and nurturing. She should be a medical professional first, and a skeptic last. She's not on the clock because she's there to judge you, she's on the clock because you have an ailment and she's got the answer. Be it a prescription medication shadowed by a black box warning, and stigma because of its "amphetamine" name, or what have you.

I've always been a person to voice my own concerns and opinions the moment I'm in the doctor's office if I don't agree with them. But when they are wrong, they need to be corrected. Take this case for example, the woman is essentially treating this patient like a criminal. She's putting aside the normal guidelines for prescribing the drug, and replacing it with her own. Shes saying that 1 IR dose per day is sufficient? Where in the hell is this woman getting her information? Tell her the moment that you see her: a) XR causes terrible side effects, b) the IR dose only lasts 3-4 hours, 1 per day, at 20mg compared to 30mg, does not equate to a single XR dose, c) she needs to treat you with more respect (no yelling, no nonsense, and to hell with the personal stories about addiction in her family, its not relevant), d) that she is your only option (this is the informal fallacy of "appeal to pity" so I hate saying it) and she needs to start treating you, instead of making you jump through hoops to show her that your entitled to a medication. You have a ailment, your recognized to have it, and you've been previously prescribed medication to treat it, what in the world is her problem with continuing that same treatment?

I don't understand people sometimes, everything could be so straight forward, and yet they will still fail to see the big picture. This woman is a classic example of it. There's no man behind the curtain that's running the show, there's no mask being worn, there's just the patient sitting there afraid to voice their concerns because her attitude toward them is disrespectful and unprofessional. If she's going to be unprofessional, file a complaint with the insurance company, etc. Make your voice be heard no matter what. Stop sitting idly twiddling your thumbs thinking that if you speak up she'll shun you out of existence. There is never a better time to speak up than the moment you see the woman walk in the door. Take charge of the conversation, begin with something like "I have my share of concerns to address, and I would appreciate you listening to them and discussing a solution to them with me". Make yourself be part of the decision making. The idea of bringing a list is a great one. If you are having problems with anxiety around her, or in general, practice what you are going to say a couple times a week in the mirror before bed. Make, for damn sure, that you don't walk out of another appointment going "damnit, why did I even do this?" That mentality doesn't get you anywhere, it makes things worse.

Be confident, assertive, and more professional then she will ever be. Don't go in there with your head down thinking that your stuck in a terrible situation and that there is nothing you can do. The last resort is always the status quo remaining unchanged, and far too often people are afraid to change it when its dutifuly necessary to do so. Make this woman listen!

That's all I have to say on this matter.

hetware
03-31-09, 08:16 AM
I don't think that's anything to get angry about. Adderall is classified as having a moderate tendency for abuse, and many people have it prescribed so that they can sell it. Testing is important to maintain the integrity of the drug, which makes it so people that really need it are allowed to keep taking it.


My first response was 'As long as they remain respectful ... ', but quite frankly, having to pee in a cup for anything bothers me. To me, I have more right to privacy in the chemistry of my own body than in my home or papers. The latter two are worth dying for.

I don't have a good answer because I understand the problems of abuse.

scarygreengiant
03-31-09, 08:34 AM
The moment you walk in, your your own person. Your not necessarily like any other previous patient a doctor or nurse has had. If your first impression is honest, and straightforward, and your not being overly-demanding, or insensitive to what the doctor's opinion may or may not be, then why in the hell should this woman have the right to go about bringing this person down a level?
It doesn't matter what the typical patient is that this woman sees, because what if your quite different? Should you still be treated like everyone else despite your unique nature? No. Of course every patient should be treated as a unique individual BUT you're forgetting about being fair. That's why it's important to have some standards for everyone. Maybe the clinic has rules about doing routine tests for people using controlled substances. If that's the rule then everyone taking a controlled substance should be expected to pee in a cup. What is she supposed to do for Hoshi? Make an exception because he seems like a nice guy? Think about how unfair that would be. So, if someone "looks" like a druggie they'll be required to pee in a cup but because Hoshi "seems like such a nice guy" he doesn't have to take the test? Many employers do drug tests for all employees. Think about the uproar that would ensue if employers only did drug tests for "some" employees while making an exception for the ones who seem "nice" and "straightforward". Helloooo, discrimination lawsuit.


If she is not doing her job, and decides to insult and harass the patient, that's ethically wrong. I agree. My response was based on the "peeing in a cup" issue. That was before I read the part about her brother being a drug addict and YELLING at the guy. Now THAT is unprofessional and wrong. I don't have a problem with drug tests though.


She has to maintain certain ethical standards for all patients. Exactly.In some cases that means doing drug tests for all patients taking controlled substances.


So she's been lied to before, whoopty-fing-do, its not this person's problem, nor anyone else's, except hers.
Wow, way to look at the "big picture". The problem is that it's human nature to take things too personally rather than look at the bigger picture. Don't be so arrogant.

So if she's been lied to before it would be logical to take some precautions to minimize risk. If someone stole something from your house because you left the door unlocked you're going to be more careful about locking your door, right? Same concept here. Health care providers have been lied to and scammed many times so they need to take precautions.


Be it a prescription medication shadowed by a black box warning, and stigma because of its "amphetamine" name, or what have you. It's listed as a Schedule II controlled substance because of its potential for abuse. Therefore, doctors and nurses need to take precautions.


"I have my share of concerns to address, and I would appreciate you listening to them and discussing a solution to them with me". Make yourself be part of the decision making. The idea of bringing a list is a great one. If you are having problems with anxiety around her, or in general, practice what you are going to say a couple times a week in the mirror before bed.

Be confident, assertive, and more professional then she will ever be.Good advice. The patient should be assertive but not arrogant.

firstdesserts
03-31-09, 03:43 PM
And she wont prescribe me any IR (IF AT ALL) till 26th of next month, meaning during finals. I'm pretty well screwed and am going to lose my scholarships. :(
Oh, and I will run out in May while I'm still in Ireland, taking classes.
I don't even care anymore. I should have never even tried to get help for it. It's done nothing but make everything WORSE. I give up.

The Americans with Disabilities Act (ADA) pertains to students like us. If you have an evaluation, take it to the Dean and ask what ADA means for you. If he/she does not know, find someone who does and get the two together! The emotions you are going through are very understandable, but not helpful. Your 'failure' so far is only that you have not yet been satisfied. When you accomplish satisfaction it will benifit everyone like you who comes after you.

Keep us posted!

elizabethbdn
03-31-09, 06:46 PM
What state are you in? You should be able to go to a clinic even with the insurance you do have. I am in California so it might be different but I have medicaid and my doctor has to do a prior or a Tar for my adderall. I am interested to know where you are because where I am there are many places who see uninsured for like 30 bucks an that would include the prescription and yes i did this and got my visit and my adderall for 30 bucks. Please let me know what area and I can give you some places that are professional and reliable some low cost, some no cost and they do treat ADD and ADHD and prescribe these meds. Let me know Thanks and get back to me

KillZone
03-31-09, 09:49 PM
I honestly don't know how people get addicted to Adderall. But then again, I really hate taking anything that impairs my judgment...which means I have no desire to do illegal drugs, drink, or so anything like that. When I had my tonsils taken out when I was 16, my mother had to force the pain meds down my throat, lmao. I put up such a fuss about it... I'd rather be in pain than take pain medication. 2 years ago, I had my wisdom teeth out - I took like 5 of the 60 hydrocodone pills. I threw away the rest. Oh, and I *refuse* Nitrous Oxide... no matter how much dental work I'm getting done. I was fully awake and aware for my wisdom teeth extraction. I can't figure out how in the hell people get all giggly and call NOX "happy gas".
It just isn't my thing...never has been. For once, being a weirdo is a good thing. :cool:
If she looked at my records, she'd see this kind of behavior all through my medical history. A year ago, I had surgery on my eyes (muscle issues), and they wanted to give me Versed before surgery. I refused it since it was just pallative and not needed - it was a Children's hospital, because that was where the specialist worked. They were used to giving it since the kids were normally scared or nervous (they called it "Happy Juice" LOL). It turns out it was good I didn't take it - I had a very difficult time waking from anethstesia.

Also, guys...there is NO MD. There is only her. I have never seen anyone else there but her, and his sig has never been on anything. Anywhere. There has never been a mention of a MD, and no MD is listed by my insurance that works there.

Okay!? I doubt you got you're wisdom teeth pulled without something. Anyways just because you like something it doesn't mean you're addicted. NO2 is cool I'm not going to lie. I had to get NO2 for my teeth being drilled and I loved it I was basically in another world not quite what salvia is like but still kinda amusing.

jeffpuffer
04-01-09, 07:16 AM
This is absolutely ridiculous. I would not only cease to see the NP, but would tell him/her to f*ck themselves as well. If you had a history of drug abuse or drug selling, I could *maybe* understand it, but as of the way you described it, it's unfathomable.

It's one thing for a doctor to give you a urine test for the purpose of monitoring your health (ie protein levels), it's another thing completely for them to give a urine test for the purpose of treating you like a child. Honestly I would tell the nurse next time that if he/she isn't comfortable prescribing a CII to a patient, then he/she should turn the patient over to a real doctor. If you don't give her reason to suspect abuse, then there's no reason she should treat you as though you abuse drugs. It'd be the same as police pulling over every car on the road without reason, just to see if every driver had a BAC of 0.

Edit: and the reason you probably had a very difficult time waking from sedation during your eye surgery is because they probably had to over-load you on painkillers since you refused the Versed. Usually for out-patient surgeries they give a mixture of a benzodiazepine (Verzed) and a pain killer (fentanyl)... the goal in mind being that the combination of the two drugs will put you under and take away enough of the pain that it doesn't bother you. Both are fentanyl and versed are short acting drugs, which means that you can be up and ready to leave in a matter of minutes after the procedure is done. Refusing the versed means they would probably need to change the fentanyl to something else to put you out, since the window between death on fentanyl and unconsciousness is very very small. If they had to use morphine to knock you out, they would need a lot more than is necessary to just get rid of pain, and waking up from that would take some time. hence your problem recovering. Next time please don't refuse meds on the basis that those meds are "abusable". You only make it harder for the doctors to make you comfortable enough to do surgery on, as well as endanger yourself by making it necessary to use an extremely high dose of one certain drug. Yeah they use Versed to make people relax, but once they're ready to start surgery, the dosage is increased and that relaxation turns into a very safe unconscious sedation with amnestic properties, not to mention that it also relaxes your involuntary muscle movements, which was probably what doctors wanted during your eye surgery... but you refused it and increased the chance that you would have an involuntary muscle twitch and cause a permanent eye problem (example: your eyes twitch and the doctor cuts a nerve). Versed is definitely abusable... but you'd never be able to get it on the street or have it prescribed since it's only found in hospitals, and they don't even make it as a pill, it's only available as an oral syrup or solution for IV injection. You can't get it at a pharmacy etc etc. I understand you don't want to get addicted to meds, but meds prescribed and taken at correct dosages for the right length of time are hardly addictive for the user. The problem of drug abuse comes from people who take the meds for fun, and not for a prescribed reason. EVEN if you found an addictive medicine, say Vicodin, to be fun while you had it, that doesn't necessarily mean you'll be fiending for vicodin when your prescription ran out. People who SEEK OUT the meds have problems. Others don't. Please don't be a moron and refuse medicine that the doctors deem necessary.

Hoshi
04-01-09, 01:36 PM
Edit: and the reason you probably had a very difficult time waking from sedation during your eye surgery is because they probably had to over-load you on painkillers since you refused the Versed. Usually for out-patient surgeries they give a mixture of a benzodiazepine (Verzed) and a pain killer (fentanyl)... the goal in mind being that the combination of the two drugs will put you under and take away enough of the pain that it doesn't bother you. Both are fentanyl and versed are short acting drugs, which means that you can be up and ready to leave in a matter of minutes after the procedure is done. Refusing the versed means they would probably need to change the fentanyl to something else to put you out, since the window between death on fentanyl and unconsciousness is very very small. If they had to use morphine to knock you out, they would need a lot more than is necessary to just get rid of pain, and waking up from that would take some time. hence your problem recovering. Next time please don't refuse meds on the basis that those meds are "abusable". You only make it harder for the doctors to make you comfortable enough to do surgery on, as well as endanger yourself by making it necessary to use an extremely high dose of one certain drug. Yeah they use Versed to make people relax, but once they're ready to start surgery, the dosage is increased and that relaxation turns into a very safe unconscious sedation with amnestic properties, not to mention that it also relaxes your involuntary muscle movements, which was probably what doctors wanted during your eye surgery... but you refused it and increased the chance that you would have an involuntary muscle twitch and cause a permanent eye problem (example: your eyes twitch and the doctor cuts a nerve). Versed is definitely abusable... but you'd never be able to get it on the street or have it prescribed since it's only found in hospitals, and they don't even make it as a pill, it's only available as an oral syrup or solution for IV injection. You can't get it at a pharmacy etc etc. I understand you don't want to get addicted to meds, but meds prescribed and taken at correct dosages for the right length of time are hardly addictive for the user. The problem of drug abuse comes from people who take the meds for fun, and not for a prescribed reason. EVEN if you found an addictive medicine, say Vicodin, to be fun while you had it, that doesn't necessarily mean you'll be fiending for vicodin when your prescription ran out. People who SEEK OUT the meds have problems. Others don't. Please don't be a moron and refuse medicine that the doctors deem necessary.

I should have clarified. I asked them if it was for anything during the surgery, or simply palliative. The anesthesiologist himself told me it was palliative, but just the standard there since it was a children's hospital and they were used to crying, scared, nervous children. I don't know all the drugs used in that cocktail, but I do know some of it was a paralytic (my throat felt scratchy, so I asked if I'd been intubated - I had) and some part of it was an opioid, because they gave me Narcan when I did not wake up.
I had a similar issue when waking up from a small procedure - an EGD.. the doc said I'd be awake within 30 mins of getting to the recovery room...3 hours later, I came to.

I did not refuse it because I "didn't want to get addicted"...that's silly. I just didn't need it. I also really, REALLY do not like having an altered state of consciousness. I am not afraid of being addicted to anything, because I do not like the effects of drugs OR alcohol. Never have, never will. My brother is the same way... but apparently this is not as common as I'd thought, because some people don't really understand what I mean...it's not that I demonize alcohol or prescription medications and think they're horrid...I just don't like the effects of having my consciousness altered or my judgment impaired. I don't feel like me. But at the same time, I recognize that pain killers and anti-anxiety meds help so, so many people who have chronic pain or who get hurt/have surgery - it can do so much good to help the suffering of people in pain. And alcohol...well...I don't think it's that bad. When you're responsible and don't go crazy and binge drink, drink and drive, or abuse it to the point of liver failure... I don't see a problem with someone having a drink a few times a week or whatever. I just don't want to.
Does that make any sense at all?

jeffpuffer
04-01-09, 02:50 PM
I did not refuse it because I "didn't want to get addicted"...that's silly. I just didn't need it. I also really, REALLY do not like having an altered state of consciousness. I am not afraid of being addicted to anything, because I do not like the effects of drugs OR alcohol. Never have, never will. My brother is the same way... but apparently this is not as common as I'd thought, because some people don't really understand what I mean...it's not that I demonize alcohol or prescription medications and think they're horrid...I just don't like the effects of having my consciousness altered or my judgment impaired. I don't feel like me. But at the same time, I recognize that pain killers and anti-anxiety meds help so, so many people who have chronic pain or who get hurt/have surgery - it can do so much good to help the suffering of people in pain. And alcohol...well...I don't think it's that bad. When you're responsible and don't go crazy and binge drink, drink and drive, or abuse it to the point of liver failure... I don't see a problem with someone having a drink a few times a week or whatever. I just don't want to.
Does that make any sense at all?

No because in another post you claim to save your adderall up so you can take more than is prescribed each day. This means you actually DO like the effects of drugs (since you know, adderall is a drug), so I don't know why you're claiming to not like the effects of drugs. Adderall also alters your state of consciousness and impairs your judgement, so I don't know what you're going on about here when you say you hate altered states of consciousness and impaired judgement.

chartreuse
04-01-09, 04:26 PM
Of course every patient should be treated as a unique individual BUT you're forgetting about being fair. That's why it's important to have some standards for everyone. Maybe the clinic has rules about doing routine tests for people using controlled substances. If that's the rule then everyone taking a controlled substance should be expected to pee in a cup. What is she supposed to do for Hoshi? Make an exception because he seems like a nice guy? Think about how unfair that would be. So, if someone "looks" like a druggie they'll be required to pee in a cup but because Hoshi "seems like such a nice guy" he doesn't have to take the test? Many employers do drug tests for all employees. Think about the uproar that would ensue if employers only did drug tests for "some" employees while making an exception for the ones who seem "nice" and "straightforward". Helloooo, discrimination lawsuit.




It's perfectly possible to relay clinic procedures without coming off like a paranoid shrew.

But there's also another issue here, in that drug testing shouldn't be going on, period, without probable cause. So in a case where it's clinic policy, if at all possible one should simply take their business elsewhere. It sounds like Hoshi can't but I really would not recommend to anyone that they put up with this nonsense if they have any other choice.

To use your own example of employee drug testing, people failed to stand up to that when employers first started pulling that nonsense, and look what has happened...as difficult as it can be, patients have got to be assertive and stand up for their rights. Otherwise, a very unfortunate standard will be set.

Hoshi
04-01-09, 08:56 PM
No because in another post you claim to save your adderall up so you can take more than is prescribed each day. This means you actually DO like the effects of drugs (since you know, adderall is a drug), so I don't know why you're claiming to not like the effects of drugs. Adderall also alters your state of consciousness and impairs your judgement, so I don't know what you're going on about here when you say you hate altered states of consciousness and impaired judgement.
I know, awful isn't it? Taking two 20mg IR tablets a day, spaced about 4 hours apart? What abuse.
It's not like I was taking both at the same time, or crushing them up and snorting them or anything.Every once in a while when I had studying to do or a test, I took 1 at about 7:00am and the second at about 11:00-ish. I eat normally and sleep normally. Not exactly someone captivated and addicted by Adderall. I could live without it, even, if I didn't have classes and work every day except Saturday - my studying day. That being said, I still have 3 and 1/2 of the IR tabs left from my previous prescription, which I plan to save in case I need them during finals or during my study abroad trip to Ireland. I hate having to change my dosage around, but when you're given 1 20mg tablet a day - 3 hours of concentration - instead of a normal dose because your doc is dead set on it...well...I'm trying to live as normally as I can.
Now I'm on XR, but it isn't helping me and is actually making me feel worse. I was hoping it would work great and would give me the time of 2 of the IR tablets but...yeaaah, not so much.

I like two of the effects of the IR - I can concentrate and I have more energy. But I don't see how it impairs my judgment or alters my consciousness, except to let me focus. Sooo whatever. I don't see what your problem is, to be honest. My point was that I do not like taking medicine period unless I have to. But even moreso when it is something restricted like Schedule II.

But I need the Adderall to study and be able to pay attention. I ****ing HATE having to take medicine because I'm inadequate. I keep thinking, what if it's just because I'm stupid and lazy? Maybe I don't have ADD...maybe I'm just stupid.

chartreuse
04-01-09, 09:02 PM
Edit: and the reason you probably had a very difficult time waking from sedation during your eye surgery is because they probably had to over-load you on painkillers since you refused the Versed. Usually for out-patient surgeries they give a mixture of a benzodiazepine (Verzed) and a pain killer (fentanyl)... the goal in mind being that the combination of the two drugs will put you under and take away enough of the pain that it doesn't bother you.

I would refuse Versed too...I had it for an eye surgery once and it didn't do ANYTHING to me except make me tense and headachy. I remembered every single second of the surgery and had to keep asking for more of whatever else they were giving me for the pain (which was not anything like fentanyl, I guarantee you that..more like Tylenol).

Far as I'm concerned Versed is a joke, just one more in that long line of ineffective "drugs" they've come up with because they can't stand the thought of giving us anything that...oh the horror...might actually make us feel good.

jeffpuffer
04-01-09, 09:24 PM
I would refuse Versed too...I had it for an eye surgery once and it didn't do ANYTHING to me except make me tense and headachy. I remembered every single second of the surgery and had to keep asking for more of whatever else they were giving me for the pain (which was not anything like fentanyl, I guarantee you that..more like Tylenol).

Far as I'm concerned Versed is a joke, just one more in that long line of ineffective "drugs" they've come up with because they can't stand the thought of giving us anything that...oh the horror...might actually make us feel good.

I was given versed for a wisdom tooth extraction and remember the procedure very well. But I can tell you that for me, the versed absolutely worked. When they gave me the "warm up dose" my body felt as though it just had a brick of lead go coursing through it, and I didn't care about the fact that I was going to be cut open. Then when it came time to do the surgery and they gave me the "knock out dose", I managed to count backwards from 10 to 7 and 1/2 before going under. Of course I woke up a bunch and remember everything when I was awake with 100% clarity, but it DEFINITELY was effective for me. It's always possible that you had a paradoxical reaction, it happens from time to time, but I would bet my life that 95% of patients definitely notice versed to be effective as a memory-wiper and knock-your-***-out-hard agent.

Ruby85
04-01-09, 10:51 PM
This is getting a little off-topic, but I don't think JeffPuffer was saying that you abuse Adderall. He was just pointing out the inconsistency between saying you hate drugs of any kind and taking Adderall.

For the record, I know what you mean about not wanting drugs that impair your judgment. I avoid alcohol and drugs like marijuana, heroin, cocaine, etc for that very reason. I like my brain in perfect working order. I don't want anything that will affect my ability to think, see, or walk in a straight line. :) I avoid substances that will make me...not me. I also have a fear of losing control and doing things that I'll regret.

That said, I do not include medications in that group of drugs that negatively affect my thinking. Adderall or Dex, for example, certainly affect my brain (that's the whole point!), but I'm still in control of myself. They don't lower my inhibitions or impair my judgment or my driving skills. And you better believe that I accepted nitrous oxide when I had my wisdom teeth pulled! No point in being in excruciating pain. It didn't make me giggly or high, it just made me asleep. When I woke up, I felt just the same as before, only tired.

Anyway, just wanted to say that I understand you, and it's not that weird. Back on topic: your nurse is a b.itch. No excuses for that behavior.

ozchris
04-02-09, 12:32 AM
Could you cut back on work to make some more room for study?

I ****ing HATE having to take medicine because I'm inadequate. I keep thinking, what if it's just because I'm stupid and lazy? Maybe I don't have ADD...maybe I'm just stupid. <!-- / message --> <!-- controls --> You're not inadequate, lazy or stupid. You have slightly different brain wiring which causes these problems. We know what it's like but try not to have this attitude it won't help at all. It's all very frustrating but the majority of people with ADD don't even have access to these meds we take for granted.

Drug doesn't = bad. Liking the way a drug works on you isn't abuse. I think that's just a bit of a misunderstanding between you and jeff.

Read 'Delivered from Distraction' perhaps you'll find some other ways to help manage your ADD until the doc. adjusts your meds. Even if you only have time to read small bits of it.

Hoshi
04-02-09, 01:05 AM
And you better believe that I accepted nitrous oxide when I had my wisdom teeth pulled! No point in being in excruciating pain. It didn't make me giggly or high, it just made me asleep. When I woke up, I felt just the same as before, only tired.
I just had a bunch of injections of Lidocaine/Epinephrine. They put the mask on me with the Nitrous, and for the first few minutes while they were letting me "get all happy" as they put it. Lmao. It made me unable to move, which was terrifying. When they asked me a question, dredging up the energy to speak took me several seconds. My brain was working fine, but it was like my body shut down.... then it went away, and it was like the nitrous did nothing at all. Sooo I had to listen to the dentist hum and sing "jesus loves me" for an hour as he drilled my wisdom teeth into pieces and took them out. :rolleyes:

The next time I had it before surgery was 1000x worse. They gave me too much...I was unable to move or respond in any way...and I could not see....but I could hear the beeping of machines, the nurses talking, and could feel needles being pushed in and whatnot. That is, untill the words of the nurses started to repeat and speed up in my head till I was screaming in my head "MAKE IT STOOOOOOOOOP!" ...NOT pleasant. AT ALL. But, I dunno - maybe this scenerio would have been preferred when I had my wisdom teeth out. :D BOY was his singing annoying.

Ruby85
04-02-09, 08:02 PM
Hoshi, that's horrible! I'm sorry you went through that, but that's not the way NO2 is supposed to work. Didn't they ask your weight, so they could get the dosage right? It's supposed to knock you out completely, so you can't see, hear, or feel anything. I think you just had incompetent dentists.

RedSkittles
04-16-09, 05:57 PM
Okay, I have a couple of points here, 1. I find it ironic that she is testing you for amphetemines to prescribe you amphetemines... idk, maybe im just missing something here. 2. couldn't this be leagly actionable? Seriously though. Stop sitting there and look up your bill of rights.

DarkCode
04-16-09, 06:58 PM
Okay, I have a couple of points here, 1. I find it ironic that she is testing you for amphetemines to prescribe you amphetemines... idk, maybe im just missing something here. 2. couldn't this be leagly actionable? Seriously though. Stop sitting there and look up your bill of rights.

With the advent of the War on Drugs, the ultimate hypocrisy of American legislation, the health care system has been degraded and confined to these insane restrictions and regulations of controlled substances.

ozchris
04-16-09, 11:52 PM
I just had a bunch of injections of Lidocaine/Epinephrine. They put the mask on me with the Nitrous, and for the first few minutes while they were letting me "get all happy" as they put it. Lmao. It made me unable to move, which was terrifying. When they asked me a question, dredging up the energy to speak took me several seconds. My brain was working fine, but it was like my body shut down.... then it went away, and it was like the nitrous did nothing at all. Sooo I had to listen to the dentist hum and sing "jesus loves me" for an hour as he drilled my wisdom teeth into pieces and took them out. :rolleyes:


Are you sure it was nitrous? That's not a typical experience.

Maybe your dose wasn't high enough? Low doses should be somewhat pleasant ...maybe not so much when you're having your wisdom teeth out though. It's just weird because mistakes with n2o almost never happen.

My mother who's a nurse is one of the most anti-drug people I've ever known. She told me how she used to 'check' to make sure the Nitrous was working when they used to use it for pregnancy in hospitals :D
Winston Churchill was a regular user of n20 for recreational purposes. It's very safe apart from depleting vitamin b after heavy use, and it's whole lot of fun.

"I have now discovered an air five or six times as good as common air... nothing I ever did has surprised me more, or is more satisfactory."<sup id="cite_ref-34" class="reference">[35] (http://en.wikipedia.org/wiki/Nitrous_oxide#cite_note-34)</sup>
- Joseph Priestley (http://en.wikipedia.org/wiki/Joseph_Priestley) English chemist

/offtopic

jacobsmom
04-18-09, 02:44 PM
Dude, have y'all been living under a rock? It's totally legal for nurse practitioners to prescribe. I used to work at a place where the nurse practitioner prescribed medications. I don't get why people are surprised by this. I mean I can see why people would be put off by her IF she had a nasty mean attitude, but there's nothing "shady" or "illegal" going on here. Worst case scenario is b*tchy nurse. Nothing that the DEA will be interested in.

http://en.wikipedia.org/wiki/Nurse_practitioner


I was glad to see this post. NPs can be even better than a physician would be. It's like anything, you can get a great one, or a bad one. One thing is for sure is that NPs should be trained and capable to provide this type of care. They are advanced practice nurses, which have Master's or Doctorate degrees in Nursing with very special training and certification for what they do. In a few years, Doctorate degrees will be required for all NPs. I understand your frustration of having drug tests, but I also understand her making her patients accountable for the drugs she gives them when it's her license on the line.

I understand your TennCare issue. I live in TN, and my 21 year old son doesn't make enough money to pay for private insurance and doesn't qualify for TennCare or Medicaid. He dropped out of college for 1 semester, so he lost my private insurance coverage. I don't agree with sitting around not trying to pay for your own healthcare if you have the ability to work and work hard, but there should be more provisions in private insurance to allow parents or guardians to help their dependents out at this stage in life I think. I pay for "familiy coverage" insurance at work, and I pay a lot. $600/month. I should be able to have my 21 year old son on there IMHO.