Pain Contracts vs. Cannabis

[Drummingstar1]

I've never heard of this "pain management contract". Can someone explain what it is? From reading the posts, I'm getting that in order to receive pain medication, a patient must submit to a urine test or series of urine tests to test for illegal drugs.

[Soniq420]

Let me say up front - I believe cannabis is answer to most problems currently being treated with prescription drugs; but I respect the right of the patient and the doctor to decide what's best. It's none of the governments business.

My understanding of pain contracts...

It's a relatively new tactic in the war on drugs. In return for receiving the prescription opi*ids the patient must agree contractually to not use illegal drugs and subject themselves to urinalysis.

The DEA and ONDCP is of course behind this. Essentially LEO pressures the doctors they feel are "over-prescribing" pain agents with the threat of loss of license, so many doctors protect themselves by requiring pain contracts - at the expense of the patients dignity and privacy. Of course we all know that LEO's medical treatment is vastly superior to that of actual doctors - so this must be being done solely for sound medical reasons

Here's an example of a standard contact in case you weren't offended enough at the situation by my comments above

[happiehippie]

yeper!!!!!.....they can call you in at any time for a pisss test....if you dont have the pills or meds you are taking in you system to the right amount....they wank your script, bummer deal........they do this to make sure you arnt selling your meds.....and if you have anything else in your system other than your meds...there yanked.....not to many peaple here in KY get to keep there meds for long.............you got to do what you got to do........hope it works out for you...............good luck...............PEACE

[BayAreaStoner]

Originally Posted by Drummingstar1

I've never heard of this "pain management contract". Can someone explain what it is? From reading the posts, I'm getting that in order to receive pain medication, a patient must submit to a urine test or series of urine tests to test for illegal drugs.

My experience with a pain management contract is NOT for them to test you for illegal drugs. I myself suffer from migraine headaches and before I started smoking for the migraines I used to go in almost everyday and get a very heavy n*rcotic pain injection called dila*did. i was getting so many injections they got worried that I was addicted to it like many people get from pain meds, well if its a noticable use on your health history that doctor will give you something call "pain management contract" and what it is, is a piece of paper stating that you will only come in a certain amount of times a month to get pain medications, so basically they are trying to keep you from becoming a drug addict with perscription drugs. It has nothing to do with testing you for drugs but every hospital is different so reading the contract before signing it would probably be good to do as well... lol good luck! And just to let you know I would defenately go with Cannabisy the Pain medications. As soon as I started smoking I stopped having to go into the doctor to get any injections... weed is a miracle drug that shoudl be shared with the world!

[Drummingstar1]

Hey, BayArea, thanks for the post. Boy, if it's not one gov't agency chipping away at our rights, it's another! How are your headaches?

[Weed420]

Got a relative here in Washington going through the same thing. Even though she's a legal MJ patient here she can't do both pain n*rcotics and MJ. So far the MJ is helping her the most but like everybody she has bad days. Because of the assinine laws she is now forced to go to the black market.
What a bunch of idiots we have running our governments.

[BayAreaStoner]

Ok Im back... For the most part yes my migraines are now controllable with the help of MJ. I only take the pain meds if its a really bad day and the MJ isnt quite getting to the root of my migraines.
But i have to add to this thread that the pain contract at least the ones you sign at Kaiser here in the bay area are NOT to test you. And I am completely positive because I had to sign one because of all the pain injections I was coming to get. I was in everyday sometimes twice a day for injections of pain meds. Now I take NO injections and only need a pain pill every so often now. I smoke MJ everyday and pretty much all day just to make my constant pain go away but hey it works!! lol But I have never been tested for any kind of drugs because of the "pain contract". The ones they have at kaiser state that you are only allowed to get so many per month or week or whatever you and your dr. decide. So I dont know what pain contracts you guys are reading but Kaisers here where i go it has NOTHING to do with drug testing you. I use both and my doctor knows it... I think he rather me use the MJ because we worked hard to get me off the pain injections...u know.

[BayAreaStoner]

Originally Posted by Drummingstar1

Hey, BayArea, thanks for the post. Boy, if it's not one gov't agency chipping away at our rights, it's another! How are your headaches?

Hey thanks my head aches for the most part are doing ok thanks for asking!

[tintala]

I have a pain contract with my doc. I also am a mmj card holder. Upon my initial consult for my pain contract my doc told me not to worry about the UA. He supports my mmj use. However, if he were to be like most docs, he would have to tell me not to take cannabis or any other drugs hence the UA. These pain contracts are to keep the patient form using illlicit drugs while on the contract. you can get UA popped at any time! If you piss positive, your contract is void and your pain meds are too.! So yes they are to prevent most patients from taking other drugs, getting the same script filled at the same pharmacy every month and the same amount....

[BayAreaStoner]

Originally Posted by tintala

I have a pain contract with my doc. I also am a mmj card holder. Upon my initial consult for my pain contract my doc told me not to worry about the UA. He supports my mmj use. However, if he were to be like most docs, he would have to tell me not to take cannabis or any other drugs hence the UA. These pain contracts are to keep the patient form using illlicit drugs while on the contract. you can get UA popped at any time! If you piss positive, your contract is void and your pain meds are too.! So yes they are to prevent most patients from taking other drugs, getting the same script filled at the same pharmacy every month and the same amount....

again like i said the kaiser I go to and the contract I have with my doctor is does not state anything about a UA, but lol I also stated every hosptial has different procedures. mine is also still in effect. lol I hate them either way I am trying not to take anything for the pain except few bong rips lol..

[tintala]

I thought the doc was supposed to tell the patient he can pop a UA anytime while on the contract, and that you cannot go anywhere else to fill the script. kaiser may have a different protocol. either way, contracts are a pretty good thing when there is someone who really needs it, like me . I really have no fears while on mine, my doc would never pop a ua, nor tell me not to fill it anywhere else, he is the most laxed guy. LOL. he says cannabis should be legal and it's pathetic it's not. he hates the government.! way cool doc, i thnk he smokes cannabis.

[BayAreaStoner]

Originally Posted by tintala

I thought the doc was supposed to tell the patient he can pop a UA anytime while on the contract, and that you cannot go anywhere else to fill the script. kaiser may have a different protocol. either way, contracts are a pretty good thing when there is someone who really needs it, like me . I really have no fears while on mine, my doc would never pop a ua, nor tell me not to fill it anywhere else, he is the most laxed guy. LOL. he says cannabis should be legal and it's pathetic it's not. he hates the government.! way cool doc, i thnk he smokes cannabis.

lol... ya like you said maybe kaiser does have a different protocol, in my case it wouldnt matter if I did, i have a very chill doc too! and that is saying alot coming form a kaiser employee ha ha ha! My doc knows I use cannabis as well. altho he hasnt said it should be legal, he knows that I am not abusing the meds and I have found that if I have a migraine and I need to take a pain med I always take one and then smoke. It does the job and knocks the head ache out. But ya, this has been a great convo! Im glad there are other people out there like me, coz i know I am not friends with any in real life. I don't know anyone who smokes like I smoke... stay high!

[michaelkaer]

Up here in Canada things are different. Since we have a universal health care system, it means that what is legal and available in one place should available in all provinces. It does not work out exactly like that in real life,but it is close. I had to get the forms and convince my doctor to sign(as well as sign a passport photo for the id). It is in the mail as we speak(registered of course), so soon I will be Canada's latest carded medical user. We have a choice of growing our own, asking a grower to grow for us or to buy the government swag. There are also compassion clubs and certain clinics will sign papers for clients to use those, but if you are caught with the stuff you can still be charged. Kind cops would just let you go and let you keep you pot, less nice cops would take the pot and still let them go, but the eager beaver cops out to make any number of busts to look good, would take the pot and charge the people. The eager beaver cop does not understand the high costs to families that even a simple arrest can cause, especially in these hard economic times. Losing your job because you got busted using a herb for your pain just makes no sense.

[Propa Gator]

Congratulations Michael. You will take care and things will get better I'm sure.

[Racefan]

I had one of these contracts forced upon me. When I tried to be honest with my VA primary care doctor about my cannabis use she freaked out and forced me into a contract. I never stopped using and told her it would be that way. After 8 years of using pain pills it wasn't like she could cold turkey me. I could have died if she did. It took her 5 years to piss me and I never heard a word from her about me being dirty. of course I was taking myself off op*ate pain meds with her knowledge and help at the time too.