Positive Test Results Dilemma
I’m a 31-year-old male who recently established a relationship with a new primary care physician after a significant gap without one, primarily to obtain a prescription for Adderall. During my first visit, I underwent a drug screening that yielded negative results, aside from cannabis, which I openly discussed. However, when I returned for a follow-up appointment, a subsequent test indicated the presence of codeine, morphine, and other opiates. Five days before this appointment, I experimented with cocaine at a friend's suggestion, which I suspect is responsible for these findings. My healthcare provider has requested a phone conversation regarding the test outcomes. Should I come clean about my cocaine usage or opt for deception? Notably, the initial test did not show any traces of cocaine.
Answers (1)
12/13/2025, 7:20:31 PM
OpenHealth AI
It's understandable to feel anxious about your recent drug test results and the dilemma of whether to disclose your cocaine use to your physician. Honesty in this situation is vital as it will help develop a better healthcare plan tailored to your needs.
Main Points:
- Honesty is Crucial: Open communication with your healthcare provider is essential for receiving proper care.
- Understand Test Variability: Drug tests can vary in sensitivity and timing; knowing this can ease concerns.
- Focus on Health Goals: Be clear about what you want from this relationship with your physician, such as managing prescriptions safely.
Explanation:
Drug screenings can yield different results based on several factors, including the timing of substance use and the specific substances detected. Cocaine may not have been present in your initial test due to the timing of your use or the sensitivity of the test conducted. The presence of opiates like codeine and morphine may arise from a variety of factors, including legitimate medical use or contamination from substances like heroin.
Your health and safety should be the priority here. If your physician is willing to discuss the results over the phone, this is an opportunity to provide context. Transparency can build trust and allow your physician to consider your overall health status, which is essential for managing your ADHD and any other health issues.
Next Steps:
- Be Honest: When you speak with your physician, clearly explain your recent cocaine use, emphasizing it was an isolated incident. This transparency can help them provide the best care.
- Reflect on Substance Use: Consider the reasons behind trying cocaine. If it's part of a larger pattern or risky behavior, think about seeking support or resources to address substance use.
- Prioritize Your Health Goals: Clearly articulate what you want from this relationship—be it medication management for ADHD or general health care. This clarity will help your provider assist you better.
Your health is the most important priority; being open will support you in maintaining a constructive relationship with your new healthcare provider.
Related Questions
Swelling Beneath My Chin Near the Jawline
18-Year-Old Male: I'm reaching out to any medical professionals who might provide insights into my situation. I've been using marijuana since I was 14, but now, at 17, I'm making an effort to stop and have been clean for 18 days. Recently, I've discovered an unusual swelling located just beneath my chin, behind my jaw. It causes some discomfort when I move, yet it doesn’t feel painful continuously. I'm somewhat anxious that this could be indicative of a more serious issue, especially considering it's positioned near my chin's lymph nodes. Any advice or information would be greatly appreciated as it might help alleviate my worry.
Challenges with Appetite and Discomfort While Eating — Difficulty in Gaining Weight
As an 18-year-old male, I find that I become satisfied after consuming rather minimal amounts of food. This situation presents a considerable challenge, particularly since I only need to have a standard breakfast, lunch, or dinner to feel completely satiated for the remainder of the day. My goal of increasing my weight has made this issue even more complicated. When I limit myself to one meal per day, I often face weight loss or an uncomfortable sensation of fullness that leaves me feeling sluggish. Opting for two meals makes me feel excessively bloated, distracting me from my daily responsibilities. Moreover, I suffer from an unusual issue with my throat, where almost any food I consume causes discomfort, as detailed in the list below. I have contemplated focusing on having just lunch while continuing my weightlifting regimen to maintain my current weight and gradually build muscle. What advice could you offer? Could there be an underlying cause for these symptoms? Lastly, would it be wise for me to consult a healthcare professional? Foods That Cause Discomfort: Bread, flour, pizza, fruits, sugary or starchy items, seed oils, chips, and essentially everything else. Foods That Are Tolerable: Rice, salads, chicken, fish, and vegetables. Overall Symptoms Include: * Quick satiety after normal meals * Challenges in gaining weight * Bloated and lethargic sensations when consuming more than one meal * Persistent throat sensitivity to a wide variety of foods
Seeking Insights: My Journey with Undiagnosed Neurological Symptoms
Hello everyone, I'm a 34-year-old female grappling with neurological symptoms that first appeared in October, and I’m eager to hear from anyone who might have faced similar challenges. My journey began with unexpected migraines, blurred vision, and an ongoing sensation of being off-balance or intoxicated. Gradually, I began experiencing mainly sensory-related symptoms, such as tingling and burning sensations, feelings of extreme heat and cold, sharp pains radiating in my arms and back, as well as discomfort in my hands and toes, alongside intermittent numbness. I also endure varying degrees of weakness and heaviness in my right side, specifically my arm and leg, although I haven’t suffered complete functional loss. The nature of my symptoms is erratic; they fluctuate rather than consistently deteriorate. An MRI revealed mild, scattered lesions in the white matter, which were deemed nonspecific. Further tests from a lumbar puncture returned normal results, showing no markers of inflammation, and the oligoclonal bands were not present. A thorough range of lab tests yielded no significant findings. After evaluating my case, the neurology team suggested a possible diagnosis of MS and administered a three-day course of intravenous steroids. While I noticed a slight improvement in some sensory pain, my symptoms persist and continue to vary day by day. I still experience headaches and pressure in my head along with episodes of blurred vision, but there have been no new deficits since treatment. I am reaching out to connect with others who have had similar experiences. I would like to learn about the insights or diagnoses you encountered and what treatments proved beneficial (such as those related to migraine disorders, dysautonomia, or sensory neuropathy, for example). If you have navigated a similar path, I would greatly appreciate your sharing your story. Thank you!
Should I Seek Medical Attention for Left Ear Pulsatile Tinnitus?
A 31-year-old woman reports an ongoing issue with pulsatile tinnitus, which she is currently experiencing solely in her left ear. Although she's noticed this condition intermittently before, she hadn’t paid it much mind due to the absence of pain. Recently, however, her curiosity piqued her interest in researching the condition, where she stumbled upon information suggesting it could be serious. Usually, she avoids searching online for health worries, but now she is contemplating whether a visit to the doctor might be warranted. Can anyone advise on the need for a medical evaluation in this case?
Concerns About Angular Cheilitis
I’m a 23-year-old woman with no history of smoking, and I’m seeking assistance regarding a health issue. Back in January, I experienced angular cheilitis three times, each episode involving a minor crack at the corner of my mouth that healed within a few days. Following the last occurrence, I became quite anxious due to saliva accumulation in that area. I found myself frequently brushing my finger along that spot. After a few days, I observed a small area forming that appeared white and had a rough texture. Eventually, I realized it was not just a coincidence, and I started taking action, but only after it became noticeably larger. To address it, I cleaned the area with a mix of alcohol and apple cider vinegar. I’m uncertain about what this issue could be, but I’ve recently begun using over-the-counter Clotrimazole cream while also keeping the area moisturized with either lanolin or petroleum jelly. Unfortunately, I haven’t noticed any improvement, and I’m concerned as it seems to be expanding. The patch continues to be rough and excessively dry. Although I can open my mouth wide without any cracks forming, I do feel tension in the skin, similar to having a bandage over that location. At times, I experience a burning sensation after thorough washing, and I’ve noticed tiny red spots appearing on the outer edges of the patch sporadically.