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Re: Re: etg, IPN, false pos.

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I second that as I am low blood sugar , I am working on it though by making myself eat in the morn and not drinking as much coffee(1 small cup ), and my plus is more energy to toil in the dirt and get on with life .n a message dated 7/26/2008 12:13:30 P.M. Eastern Daylight Time, saclorie@... writes:

I'm happy for you! I know there are other diabetics here who are having EtG problems. Can you be more specific about the reason the addictionologist said that a person with diabetes should not be tested for EtG, but blood alcohol instead? It may help others.

Lorie

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I'm happy for you! I know there are other diabetics here who are having EtG problems. Can you be more specific about the reason the addictionologist said that a person with diabetes should not be tested for EtG, but blood alcohol instead? It may help others.

Lorie

-------------- Original message -------------- From: "jess4111" <jess4111@...>

hi Lorie....don't know if you remember me but I tested pos for etg abouta year ago. you helped me tremendously, and I am very appreciative. Inanswer to your question regarding exclusion from etg testing, I am nowexcluded from etg testing due to diabetes. I went to an addictionologistwho told me I should have never been asked to do an etg because ofdiabetes. The IPN took his advice and I now do blood alcohol testinginstead, thank God.>> I have never heard of anyone getting a test exclusion for anything.But I'm curious, what reason would you give them for requesting an EtGexclusion?>> -------------- Original message --------------> From: "lauren0666" catgrrrl9@...> I am new to the forum and will be signing a contract with IPN here> soon so that I may ret

urn to work. I have been reading up on Etg> testing and am scared to death that this may affect my "abstinence" in> my contract as it pertains to false positives. Let me mention that I> self-reported to IPN for diversion and have never had an issue with> ETOH. None of my evals. indicate that I have had a problem with ETOH> and I have yet to test positive for it. I am scared that an> incidental false-positive could cause me a legal nightmare. Is there> anyway to get test exclusions from IPN? (I am assuming not.)> Although I don't have the finances for an attorney, I am willing to do> just about anything to seek legal counsel prior to signing this> contract if it may benefit me in the long-term. With that said, I am> scared of vindication by IPN should I take such a measure. Any advice> would be greatly appreciated.>

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I'm in California. Entered diversion in March of 2004, have been off Vicodin

since 3/14/04!!

-------------- Original message ----------------------

From: " lauren0666 " <catgrrrl9@...>

> Thank you for your reply. Are you in Florida as well? If so, what

> year did you enter the program?

>

>

>

> You should be wary . I too voluntarily entered diversion,

and do not now nor have I ever had an ETOH problem. I cruised along

for nearly 2 years before my first false positive. SInce have had to

leave diversion due to subsequent positives, and am now on probation

and again testing for EtG randomly. I have literally no peace as I

know at any time another positive could take away my license and my

job, and there is not a damn thing I can do to prevent it. Stay

clean and sober, rely on your sponsor and your support system, and

know as I do that one day hopefully soon, the truth will come out. I

pray that you will coast through this without a positive, but don't

count on it, the best defense is a good offense!! You are off to a

good start, this site is full of data and support.

> -------------- Original message ----------------------

> From: saclorie@...

> > I have never heard of anyone getting a test exclusion for

anything. But I'm

> > curious, what reason would you give them for requesting an EtG

exclusion?

> >

> > -------------- Original message --------------

> > From: " lauren0666 " <catgrrrl9@...>

> > I am new to the forum and will be signing a contract with IPN

here

> > soon so that I may return to work. I have been reading up on Etg

> > testing and am scared to death that this may affect

my " abstinence " in

> > my contract as it pertains to false positives. Let me mention

that I

> > self-reported to IPN for diversion and have never had an issue

with

> > ETOH. None of my evals. indicate that I have had a problem with

ETOH

> > and I have yet to test positive for it. I am scared that an

> > incidental false-positive could cause me a legal nightmare. Is

there

> > anyway to get test exclusions from IPN? (I am assuming not.)

> > Although I don't have the finances for an attorney, I am willing

to do

> > just about anything to seek legal counsel prior to signing this

> > contract if it may benefit me in the long-term. With that said,

I am

> > scared of vindication by IPN should I take such a measure. Any

advice

> > would be greatly appreciated.

> >

> >

>

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The only bad part about your plan is that you would be paying the labs for the double testing. I blame the labs for not doing more to help us with this test (i.e. more research into the low-level positives and what causes them). I hate to see them benefit any more...but good for you in your proactive approach!

-------------- Original message -------------- From: "lauren0666" <catgrrrl9@...>

Congrats! How does the Calif. Program work? I have heard about Diversion and the monitoring program. What is the difference? Were you able to seek any legal counsel? As for myself, I have a 8 1/2 mo. hx. with Dilaudid and have been clean and sober since tapering under MD supervision on 06/20/08. I know that it doesn't seem like long to those in sobriety, but it is an accomplishment to me. I am attempting to challenge the Etg in lieu of other ETOH monitoring tests prior to signing my contract, however, I doubt that I will be successful. With that said, I am considering being proactive with paying for independent laboratory testing on a weekly basis (yes, I know, expensive, but no more than losing my license) to support my program of sobriety should I have a false positive on the Etg. I truly feel that RN's in each state need to work together to fight erroneous test results. I am game for Florida. Anyone else?What

steps have you taken in the meantime? Thanks again for your help and support. > > >> > > You should be wary . I too voluntarily entered diversion, > > and do not now nor have I ever had an ETOH problem. I cruised along > > for nearly 2 years before my first fa

lse positive. SInce have had to > > leave diversion due to subsequent positives, and am now on probation > > and again testing for EtG randomly. I have literally no peace as I > > know at any time another positive could take away my license and my > > job, and there is not a damn thing I can do to prevent it. Stay > > clean and sober, rely on your sponsor and your support system, and > > know as I do that one day hopefully soon, the truth will come out. I > > pray that you will coast through this without a positive, but don't > > count on it, the best defense is a good offense!! You are off to a > > good start, this site is full of data and support.> > > -------------- Original message ----------------------> > > From: saclorie@> > > > I have never heard of anyone getting a test exclusion for > >

anything. But I'm > > > > curious, what reason would you give them for requesting an EtG > > exclusion?> > > > > > > > -------------- Original message -------------- > > > > From: "lauren0666" <catgrrrl9@> > > > > I am new to the forum and will be signing a contract with IPN > > here > > > > soon so that I may return to work. I have been reading up on Etg > > > > testing and am scared to death that this may affect > > my "abstinence" in > > > > my contract as it pertains to false positives. Let me mention > > that I > > > > self-reported to IPN for diversion and have never had an issue > > with > > > > ETOH. None of my evals. indicate that I have had a problem with > > ETOH > > > > and I have yet to test posit

ive for it. I am scared that an > > > > incidental false-positive could cause me a legal nightmare. Is > > there > > > > anyway to get test exclusions from IPN? (I am assuming not.) > > > > Although I don't have the finances for an attorney, I am willing > > to do > > > > just about anything to seek legal counsel prior to signing this > > > > contract if it may benefit me in the long-term. With that said, > > I am > > > > scared of vindication by IPN should I take such a measure. Any > > advice > > > > would be greatly appreciated.> > > > > > > >> > >> > > > > >>

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Stick to your guns you may pull it off.Remind them that many states have dropped EtG testing because it is so flawed...Or maybe make them do urine ETOH EtS or EtG/EtS hair or %CDT From: lauren0666 <catgrrrl9@...>Subject: Re: etg, IPN, false pos.Ethylglucuronide Date: Sunday, July 27, 2008, 2:13 AM

I have no problem submitting to ETOH testing in other forms, just

not Etg testing, d/t the lack of validity of the testing, as

presented in med journals, and as discussed in this forum.

>

> From: danramo@... <danramo@... >

> Subject: Re: etg, IPN, false pos.

> Ethylglucuronide

> Date: Saturday, July 26, 2008, 1:02 PM

>

>

> Lorie That is our job. We need to give him reasons.Dr. Dan

>

>

> Re: etg, IPN, false pos.

>

>

> I have never heard of anyone getting a test exclusion for

anything. But I'm curious, what reason would you give them for

requesting an EtG exclusion?

>

> ------------ -- Original message ------------ --

> From: "lauren0666" <catgrrrl9 (DOT) com>

>

> I am new to the forum and will be signing a contract with IPN here

> soon so that I may return to work. I have been reading up on Etg

> testing and am scared to death that this may affect

my "abstinence" in

> my contract as it pertains to false positives. Let me mention that

I

> self-reported to IPN for diversion and have never had an issue

with

> ETOH. None of my evals. indicate that I have had a problem with

ETOH

> and I have yet to test positive for it. I am scared that an

> incidental false-positive could cause me a legal nightmare. Is

there

> anyway to get test exclusions from IPN? (I am assuming not.)

> Although I don't have the finances for an attorney, I am willing

to do

> just about anything to seek legal counsel prior to signing this

> contract if it may benefit me in the long-term. With that said, I

am

> scared of vindication by IPN should I take such a measure. Any

advice

> would be greatly appreciated.

>

>

>

>

> The Famous, the Infamous, the Lame - in your browser. Get the TMZ

Toolbar Now!

>

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In NH social services still use it as well as the courts in custody cases , all it takes is a disgruntled xmate that does not want to pay child support to make charges that you may be drinking ,sure I went out with the girls a few nites a month or so and had wine with meals sometimes too , but it never interfered with my home and my child's development , I never drank to the point I could not function . and I did not drink at all once this nitemare began , ho hum , proof or not . That was what my case was essentially . And PS he lived 500 hundred miles away . I was never looked at for drugs never had an issue with them . Funny thing is after the family unit was destroyed due to false allegations he still has not paid any of the back child support .I know it may seem too far fetched for some of you , but what I speak is so true for many people in my shoes and you add this test and BINGO you loose your life spirit and struggle to live again . I was NEVER charged with a criminal offence either . I just wish I could rub this in that court faces as well as maybe getting a civil hearing once this test is abolished , but that would be opening my wounds up all over again Get fantasy football with free live scoring. Sign up for FanHouse Fantasy Football today.

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Michigan Kansas maybe Texas for some boards.Pen maybe too ...

others know more than I about specifics regarding nursing..

From: lauren0666 <catgrrrl9@...>Subject: Re: etg, IPN, false pos.Ethylglucuronide Date: Sunday, July 27, 2008, 10:15 PM

Do you happen to know which states? I have tried to do a search but am not finding much. Thanks again for your continued assistance.> > > > > > From: danramo@ <danramo@ >> > > Subject: Re: etg, IPN, false pos.> > > Ethylglucuronide> > > Date: Saturday, July 26, 2008, 1:02 PM> > > > > > > > > Lorie That is our job. We need to give him reasons.Dr. Dan> > > > > > > > > Re: etg, IPN, false pos.> > > > > > > > > I have never heard of anyone getting a test exclusion for > > anything. But I'm curious, what reason would you

give them for > > requesting an EtG exclusion?> > > > > > ------------ -- Original message ------------ -- > > > From: "lauren0666" <catgrrrl9 (DOT) com> > > > > > > I am new to the forum and will be signing a contract with IPN here > > > soon so that I may return to work. I have been reading up on Etg > > > testing and am scared to death that this may affect > > my "abstinence" in > > > my contract as it pertains to false positives. Let me mention that > > I > > > self-reported to IPN for diversion and have never had an issue > > with > > > ETOH. None of my evals. indicate that I have had a problem with > > ETOH > > > and I have yet to test positive for it. I am scared that an >

> > incidental false-positive could cause me a legal nightmare. Is > > there > > > anyway to get test exclusions from IPN? (I am assuming not.) > > > Although I don't have the finances for an attorney, I am willing > > to do > > > just about anything to seek legal counsel prior to signing this > > > contract if it may benefit me in the long-term. With that said, I > > am > > > scared of vindication by IPN should I take such a measure. Any > > advice > > > would be greatly appreciated.> > > > > > > > > > > > > > > The Famous, the Infamous, the Lame - in your browser. Get the TMZ > > Toolbar Now!> > >>

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Unbelievable. No such thing as innocent until proven guilty, huh? I am so sorry you are in this horrible situation. Hang in there.

From: lizzianthus007@... <lizzianthus007@...>Subject: Re: Re: etg, IPN, false pos.Ethylglucuronide Date: Monday, July 28, 2008, 9:50 AM

In NH social services still use it as well as the courts in custody cases , all it takes is a disgruntled xmate that does not want to pay child support to make charges that you may be drinking ,sure I went out with the girls a few nites a month or so and had wine with meals sometimes too , but it never interfered with my home and my child's development , I never drank to the point I could not function . and I did not drink at all once this nitemare began , ho hum , proof or not . That was what my case was essentially . And PS he lived 500 hundred miles away . I was never looked at for drugs never had an issue with them . Funny thing is after the family unit was destroyed due to false allegations he still has not paid any of the back child support .I know it may seem too far fetched for some of you , but what I speak is so true for many people in my shoes and you add this test and BINGO you loose your life spirit and struggle

to live again . I was NEVER charged with a criminal offence either . I just wish I could rub this in that court faces as well as maybe getting a civil hearing once this test is abolished , but that would be opening my wounds up all over again

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Thanks to all who replied so far. I found the NCSBN's position statement, which may be old news to some, but I am a newbie, so bear with me. The link is: https://www.ncsbn.org/cps/rde/xchg/SID-53EFFC2A-9D415EC7/ncsbn/hs.xsl/378.htm It also contains SAMHSA's Advisory on Etg that is referenced in the Group Database as well. Maybe this could be helpful for some who have had postive Etg's to present to their PHMP??

From: joyous1_1210 <joyous1_1210@...>Subject: Re: etg, IPN, false pos.Ethylglucuronide Date: Monday, July 28, 2008, 9:33 AM

in PA, the people that I question about testing, tell me that theOptions that they are using do not include EtG, as far as I cantell........ .and I have not heard of anyone in my area getting accusedof +EtG........ so I as assuming that they have "quietly" given itup.......:)> > > > > > > > > > From: danramo@ <danramo@ >> > > > > Subject: Re: etg, IPN, false pos.> > > > > Ethylglucuronide> > > > > Date: Saturday, July 26, 2008, 1:02 PM> > > > > > > > > > > > > > > Lorie That is our job. We need to give him reasons.Dr. Dan> > > > >

> > > > > > > > > > Re: etg, IPN, false pos.> > > > > > > > > > > > > > > I have never heard of anyone getting a test exclusion for > > > > anything. But I'm curious, what reason would you give them for > > > > requesting an EtG exclusion?> > > > > > > > > > ------------ -- Original message ------------ -- > > > > > From: "lauren0666" <catgrrrl9 (DOT) com> > > > > > > > > > > I am new to the forum and

will be signing a contract with IPN > here > > > > > soon so that I may return to work. I have been reading up on Etg > > > > > testing and am scared to death that this may affect > > > > my "abstinence" in > > > > > my contract as it pertains to false positives. Let me mention > that > > > > I > > > > > self-reported to IPN for diversion and have never had an issue > > > > with > > > > > ETOH. None of my evals. indicate that I have had a problem with > > > > ETOH > > > > > and I have yet to test positive for it. I am scared that an > > > > > incidental false-positive could cause me a legal nightmare. Is > > > > there > > > > > anyway to get test exclusions

from IPN? (I am assuming not.) > > > > > Although I don't have the finances for an attorney, I am willing > > > > to do > > > > > just about anything to seek legal counsel prior to signing this > > > > > contract if it may benefit me in the long-term. With that said, > I > > > > am > > > > > scared of vindication by IPN should I take such a measure. Any > > > > advice > > > > > would be greatly appreciated.> > > > > > > > > > > > > > > > > > > > > > > > > The Famous, the Infamous, the Lame - in your browser. Get the > TMZ > > > > Toolbar Now!> > > > >>

>>

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Very interesting had not seen this position statement before ...

Should have great power and weight with nursing boards...

Thanks for posting,r

From: joyous1_1210 <joyous1_1210>Subject: Re: etg, IPN, false pos.EthylglucuronideDate: Monday, July 28, 2008, 9:33 AM

in PA, the people that I question about testing, tell me that theOptions that they are using do not include EtG, as far as I cantell........ .and I have not heard of anyone in my area getting accusedof +EtG........ so I as assuming that they have "quietly" given itup.......:)> > > > > > > > > > From: danramo@ <danramo@ >> > > > > Subject: Re: etg, IPN, false pos.> > > > > Ethylglucuronide> > > > > Date: Saturday, July 26, 2008, 1:02 PM> > > > > > > > > > > > > > > Lorie That is our job. We need to give him reasons.Dr. Dan> > > > >

> > > > > > > > > > Re: etg, IPN, false pos.> > > > > > > > > > > > > > > I have never heard of anyone getting a test exclusion for > > > > anything. But I'm curious, what reason would you give them for > > > > requesting an EtG exclusion?> > > > > > > > > > ------------ -- Original message ------------ -- > > > > > From: "lauren0666" <catgrrrl9 (DOT) com> > > > > > > > > > > I am new to the forum and

will be signing a contract with IPN > here > > > > > soon so that I may return to work. I have been reading up on Etg > > > > > testing and am scared to death that this may affect > > > > my "abstinence" in > > > > > my contract as it pertains to false positives. Let me mention > that > > > > I > > > > > self-reported to IPN for diversion and have never had an issue > > > > with > > > > > ETOH. None of my evals. indicate that I have had a problem with > > > > ETOH > > > > > and I have yet to test positive for it. I am scared that an > > > > > incidental false-positive could cause me a legal nightmare. Is > > > > there > > > > > anyway to get test exclusions

from IPN? (I am assuming not.) > > > > > Although I don't have the finances for an attorney, I am willing > > > > to do > > > > > just about anything to seek legal counsel prior to signing this > > > > > contract if it may benefit me in the long-term. With that said, > I > > > > am > > > > > scared of vindication by IPN should I take such a measure. Any > > > > advice > > > > > would be greatly appreciated.> > > > > > > > > > > > > > > > > > > > > > > > > The Famous, the Infamous, the Lame - in your browser. Get the > TMZ > > > > Toolbar Now!> > > > >>

>>

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  • 2 weeks later...

DITTO >>>>>>>>>>>In a message dated 8/12/2008 7:06:06 A.M. Eastern Daylight Time, remurraymd@... writes:

skin what is your data for your assertion?

lab urine drug panels almost always include EtG

we are all EtG testing regardless of DOC

think you have been misinformed...

From: skinkface <skinkface >Subject: Re: etg, IPN, false pos.Ethylglucuronide Date: Monday, August 11, 2008, 9:06 PM

If you don't have a problem with alcohol and it wasn't involved in you reporting yourself (or someone reporting you), then IPN will not test you for it.

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skin what is your data for your assertion?

lab urine drug panels almost always include EtG

we are all EtG testing regardless of DOC

think you have been misinformed...

From: skinkface <skinkface@...>Subject: Re: etg, IPN, false pos.Ethylglucuronide Date: Monday, August 11, 2008, 9:06 PM

If you don't have a problem with alcohol and it wasn't involved in you reporting yourself (or someone reporting you), then IPN will not test you for it.

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FYI - Texas does not sceen etg with every urine test. It is a seperate test and

is only chosen occasionally, at least in my case with non-etoh as DOC.

---- jess4111 <jess4111@...> wrote:

>

> >

> > From: skinkface <skinkface@...>

> > Subject: Re: etg, IPN, false pos.

> > Ethylglucuronide

> > Date: Monday, August 11, 2008, 9:06 PM

> > hello skin....just to let you know, my doc was never alcohol but I

> was tested for ETG on a regular basis until I saw an addictionologist

> after a false pos ETG who informed the IPN that it was inaproppriate

> to have a diabetic screen with ETG's. I have not had to do ETG's

> since but IPN does require some people to do them despite drug of

> choice.

> >

> >

> >

> >

> >

> > If you don't have a problem with alcohol and it wasn't involved in

> you

> > reporting yourself (or someone reporting you), then IPN will not

> test

> > you for it.

> >

>

>

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so you are screened just every once in a while at the boards whim...thought so...

curious if urine alcohol is on any of your panels that you test and specifically

what drugs are you testing for...thanx,r > > > > > From: skinkface <skinkface@. ..>> > Subject: Re:

etg, IPN, false pos.> > Ethylglucuronide> > Date: Monday, August 11, 2008, 9:06 PM> > hello skin....just to let you know, my doc was never alcohol but I > was tested for ETG on a regular basis until I saw an addictionologist > after a false pos ETG who informed the IPN that it was inaproppriate > to have a diabetic screen with ETG's. I have not had to do ETG's > since but IPN does require some people to do them despite drug of > choice.> > > > > > > > > > > > If you don't have a problem with alcohol and it wasn't involved in > you > > reporting yourself (or someone reporting you), then IPN will not > test > > you for it.> >> >

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Screening is not chosen by the board, but rather the peer assistance program.

This is the standard test chosen (copied from Labcorp website):

Test Includes

Adulteration (dilution) testing - creatinine, specific gravity, pH;

amphetamines; barbiturates; benzodiazepines; cannabinoids (THC metabolite);

cocaine (as benzoylecgonine); ethanol (alcohol); meperidine (Demerol®);

methadone (Dolophine®); opiates (codeine, morphine, hydrocodone,

hydromorphone); phencyclidine (PCP); propoxyphene (Darvon®); tramadol

---- robin murray <remurraymd@...> wrote:

> so you are screened just every once in a while at the boards whim...thought

so...

> curious if urine alcohol is on any of your panels that you test and

specifically

> what drugs are you testing for...thanx,r 

>

>

> >

> > >

> > > From: skinkface <skinkface@. ..>

> > > Subject: Re: etg, IPN, false pos.

> > > Ethylglucuronide

> > > Date: Monday, August 11, 2008, 9:06 PM

> > > hello skin....just to let you know, my doc was never alcohol but I

> > was tested for ETG on a regular basis until I saw an addictionologist

> > after a false pos ETG who informed the IPN that it was inaproppriate

> > to have a diabetic screen with ETG's. I have not had to do ETG's

> > since but IPN does require some people to do them despite drug of

> > choice.

> > >

> > >

> > >

> > >

> > >

> > > If you don't have a problem with alcohol and it wasn't involved in

> > you

> > > reporting yourself (or someone reporting you), then IPN will not

> > test

> > > you for it.

> > >

> >

> >

>

>

>

>

>

>

>

>

>

>

>

>

>

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That is the way it is done in AL skin except EtG is routine not alochol.

Dr Skipper is the director of our peer assistance program might explain the difference

Thanks,very illuminating,r. > > > > > > > > From: skinkface <skinkface@. ..>> > > Subject: Re: etg, IPN, false pos.> > > Ethylglucuronide> > > Date: Monday, August 11, 2008, 9:06 PM> > > hello skin....just to let you know, my doc was never

alcohol but I > > was tested for ETG on a regular basis until I saw an addictionologist > > after a false pos ETG who informed the IPN that it was inaproppriate > > to have a diabetic screen with ETG's. I have not had to do ETG's > > since but IPN does require some people to do them despite drug of > > choice.> > > > > > > > > > > > > > > > > > If you don't have a problem with alcohol and it wasn't involved in > > you > > > reporting yourself (or someone reporting you), then IPN will not > > test > > > you for it.> > >> > > > > > > > > > > > > > > > >

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