I can’t afford to have you lead me down the wrong path anymore.Ĭlinicians rely on diagnostic testing to answer questions. I know it gives you a sense of importance and power, but it really just frustrates me and creates confusion. #Difference between utox and qtox how toYou don’t know how to answer the question as to whether or not this patient’s symptoms are caused by a drug, and you can’t. It’s my job to take people with acute signs and symptoms and come up with a diagnosis. 1 They are used as sensitive screens for the use of substances that would be considered harmful or dangerous to use while doing things like flying an airplane or driving a truck. The most commonly used UDS methodology is an immunoassay that consists of a panel of five tests, The panels have changed over time, but most commonly test for amphetamine, cocaine, THC, opioids and one of either benzodiazepine, barbiturate (much less common) or phencyclidine (PCP). What is that? Did you learn that from your old relationships (that you talk about constantly, which is super creepy, btw), like when you were with federally regulated transportation? Or that other one where people worked with large industrial equipment? You brag about your ability to “screen” people, and yet you continue to go a step beyond anything that you’ve ever been trained to do, and try and “diagnose” people. Which is not surprising considering that you don’t understand your job, either. I know you don’t understand our relationship. Its ease of use has ingrained it into the DNA of practice, to the detriment of both patients and practitioners. They’re relatively inexpensive, use something that is readily available (urine), most can be automated, and typically they give results quickly. People working in healthcare have relied for years on the urine drug screen (UDS) to diagnose patients with a substance-related condition. I understand that you’ll want to fight for the relationship, but I just don’t see how it can work. I’ve had a little time to sit and reflect and I realize that, on the balance sheet of our relationship, there is far more bad than good. I don’t even know why I call on you anymore, other than out of a very bad habit. We’ve fallen into a routine, a routine that doesn’t give me what I need or want, and hasn’t for so, so long. We’ve been together for so long, but that’s part of the problem. I know that this is going to come as a surprise to you. I’m just going to rip the Band-Aid off here, Urine Drug Screen, we’re done. The content of the letter is unchanged, but I’ve added commentary to help cut through some of the more deeply personal, and painful, sections. In lieu of a regular post, I decided to share one of these old letters in hopes that others can learn from my experiences, both good and bad. A lot of it was just regular business stuff (e.g., credentialing packets, requests for privileges, a metric ton of menus, etc.), but there was a significant amount of correspondence as well, including some letters of a personal nature. I hope it won't be abandoned like some other Tox clients ( Toxy
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