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Hello and thank you for the question Alison.Answers given are for informational purposes only and are not meant to replace an exam by an in-person.I am Dr. Sohaib, a practicing Internal Medicine Specialist and i will do my best to help you today.
You have broken the barrier, its reassuring that you have realized the problem you have. This is the most important factor to determine the success rate for getting off the drug/substance abuse.
Dont feel embarrassed; you did all this under the influence of drug, and there might be a genetic predisposition you had towards substance abuse (most of us has), which does not manifest until we start abusing any drug.
Using such kind of drugs can lead to birth defects in some babies, but not in the most.
As per American College of Gynaecology, "the current standard of care for pregnant women with opioid dependence is referral for opioid-assisted therapy with methadone, but emerging evidence suggests that buprenorphine also should be considered".
So the first step here is to see your gynaecologist, discuss all the problems you have and the detail i have mentioned, and get further management plan chalked out that suits best to your needs.
he gynaecologist may involve an addiction medicine specialist in the treatment plan, and with the help of both the professionals (and your support), they can make your pregnancy not only safer, but will also help you to successfully get off the narcotics.
Stay relaxed and proceed as i mentioned.
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i am so very appreciative of the information you have provided, as well as your sensitivity to my emotional state. i will absolutely consult my doctor concerning the options you mentioned. as for privacy, is there a reasonable expectation that anything i discuss with my doctor will between us only? i do not wish for all alarms to be sounded, and in fact, that would make it less likely that i would be able to be %100 honest with my doctor. that closeness i described with my family comes with strings at times. i want this to be between my doctor, my baby and me. no one else. is that realistic? will cps be called, no matter my willingness to cooperate with the program and become addiction free? i would love to not feel embarrassed, but i am also afraid. what are the legal implications of my addiction? i only ask so that when i make my first appointment i do not walk into a mine field. surprise government action would shock and horrify me. again, i am new to this world, and never ever in my life expected to be in this situation. i want to work with a doctor in a safe, confidential environment where the health of me and my baby are top priority. no one else matters. as i know nothing of the code of the medical field (save for the fact that you, and others i have met have been angels in helping me to recover from various ailments : i was attack by a dog when i was a young girl and the nurse who treated me was literally named "Angel" and she made me believe that doctors and nurses are incredible, educated individuals who seek out careers where they can most use their skills to help people), i am scared that maybe i have broken a "rule" and may be exposed for who i really am. i can't handle that. when the baby is born, will my parents be told?
i apologize. this response has derailed. it is late, and i am tired. can i work with a doctor confidentially? thank you for everything. i feel brave in this moment. my appointment is on wednesday. i will be honest. i want a healthy baby. thank you. i know that we are better then this, and that my family deserves better. i wish i could meet you, so that you could see me when i recover and this is all behind me. thank you. thank you so very much,
Yes you can work with the doctor confidentially.
There wont be any alrams/govt actions against you at all.
You were prescribed this medication legally for your problem, and many people who are prescribed these kind of medications develop the dependance problem.
We treat them all the day, respectfully XXXXX XXXXX confidentiality.
Is there something else that remains unasnwered for you?
Let me know, i will be glad to assist until you are satisfied.