When a patient leaves rehab and enters outpatient, do you put them on Methadone as a precautionary measure to prevent relapse, or do you put them on it after they have relapsed and/or failed a drug test?

Also how long does it take for the results of the drug test to come back? And do patients get them on site or in the mail?

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Hello, I am 30 years old and have been addicted to pain medication for about 10 years. Over this time i have let it ruin my relationship with my family. I have also abandoned all of my freinds. I have a good job and try to hide this addiction on a daily basis but i think everone around my knows its obvious. I am constantly breaking out and i have scars all over my face from the itching and scratching these pills cause. I feel like i am never going to recover. I get paid on Friday and go right to my dealer and spend 90 percent of it on pills. I cannot stop. I just like to much how i feel and how great everything is when i am high. I have had times when i have gone 3 months without anything but during that time i felt lifeless and lost. Not wanting or caring about anything. Now i have a big problem. I am trying to find a clinic to do a daily therapy like methadone or seboxone. But the only clinics are in the other side of the city and it is impossible to get there. I found a clinic 10 minutes away in another county but they don’t accept out of county patients. I don’t understand, I feel like no one wants to help me or cares about going the extra mile. If i keep up i will overdose 1 day and die. I need help and i am ready to live my life but i am lost. Does anyone have any advise?

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In a program at a drug treatment clinic, cocaine users were given standard methadone treatment and a plan was used to decrease their drug intake. Over the course of several weeks, patients received vouchers that could be exchanged for items such as movie tickets if their urine samples showed at least a 25% reduction in cocaine metabolites. Eventually, they could earn vouchers only if their urine samples were completely clean. The procedure used in this case can be described as
a) manipulatory
b) blackmailing
c) shaping
d) shrewd

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i want to really get evne with her so i can sleep tongiht. bsically my doctor (OB doctor ) violated my HIPPA rights and called my HR dept at work behind my back and brought up my PTSD i told him about in confidence. i fired him and then my mom went on her own accord and talked to my doctor behind my back begging him to take me as a patietn and write me a doctors note for matnerity leave ( What was she thinking?) Then she blew up on me when i told her to stay out of my business. she said i dont care about my baby or anyting. she is so crazy she is real close to belonging in a metnal hosptal she has a methadone pill addictoin and is on pretazone a steroid for transplant patients. anyway then she cussed me out. so on top of her getting my business – anyway, im about to leave her a message and i want it to be good. what should it say to get the point acrossed?

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Three years ago I had a car accident in which my collar bone was broken as well as my arm in three places and my hand all on one arm. I ended up after six un successful surgeries with an orthopaedic surgeon and then ended up being referred to an Orthapaedic Tramatologist for two more surgeries and am awaiting the hopefully last surgery next month. I have been going to the traumatologist for about a year and a half now. During the three years there has not been a time that I was not taking lortab. So the last time I was seen by the doctor his assistant uped my dosage as I have a large titanium plate with eleven screws and though it is extremely painful can not be removed until enough bone develops under it. I have screws ripping my skin and the plate moves and often burns like it is moving too much. (Sorry this is so long!) Anyway they have trouble keeping office personell as the doctor works seven days a week and actually preforms surgery seven days a week. Well about three months they hired this horrible woman who missed her calling as a corections officer in a maximum security prison!! Her first day she out of nowhere calls me and tells me she feels strongly that I need to be weened from the lortab…I am a dutiful patient and said okay, figuring it had come from the doctor. She goes into this long drawn out story about how she used to work in a rehab center and how I reminded her of this woman who ended up shooting heroine in the bathroom at work when they tried to break her addition to hydrocodone…I found it bizare that she felt compelled to tell me this story but figured she was just bored. She asked me if I would like a script for methadone to get over my addiction. I told her I did not have an addiction, I had pain, but I was willing to try the weening and no I did not need methadone. Well that for some reason pissed her off enough to tell the receptionist to forward all calls from me to her. So when I called for my one year follow-up they transferred me to her and she started screaming at me you are not getting any more hydrocodne from me or this office so until I feel you are ready. I told her that I was calling to make an appointment not for a refill. She told me everything I did was to go through her and there was no point in me making another appointment for surgery just to get more hydrocodne as she could assure me I would not get any after surgery. I know doctors are regulated under the department of professional regulations but who regulates nutbag secretarys? I would hate to have to report the doctor to DPR because he has really bad office staff but what else can I do? I am off the hydrocodone and have to deal with extreme pain but I was off of it two weeks before she suggested I be because she had me scared to death I was going to become a heroine addict!! I am not one to make waves but this doctor deals with extreme trauma cases and I shudder to think what she might be doing to some of the other patients most of who are elderly! Also my general practicianer says I should be on pain meds until the plate is out because my level of pain now will cause me to not get proper exercise and it could cause my should muscles to atrophie. He offered to write me a script but I told him I would wait until my appointment because I am actually affraid of this woman. What would you do? Again I apologize for the lenghth of the question!

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