Tag: Testing
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The Truth About CDL Alcohol and Other Drug Testing
Holders of Commercial Driver’s Licenses (CDLs) are arguably the most important drivers on our roads. They are the ones who help us get any item we want, short of raising it ourselves, and they are the ones driving the largest and therefore the most dangerous vehicles on our roadways. You may be surprised by the…
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Screening Pregnant Women for Substance Use: Key Insights
“You don’t want to go on a date with me, do you?” There’s no good way to answer this question. If I do want to go on a date, I’m actually disagreeing with the person asking me. If I don’t, well, you know…saying “You’re correct. I don’t,” is hard. I refer to this as the…
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Understanding Addiction: Insights from Dr. DuPont
Robert DuPont, MD, was the first director of the National Institute on Drug Abuse, appointed in 1973, and he spent his career addressing substance use disorders. I first became acquainted with him while watching The Anonymous People, a feature documentary film produced in 2013 about the 23.5 million Americans living in long-term recovery from alcohol…
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Prenatal Substance Exposure: A Neglected Health Crisis
Urine drug tests can be done for every patient in every hospital…but they aren’t. And that lack of testing everyone who is hospitalized could be considered discriminatory, especially when the group of patients all being tested, under the guise of not discriminating, is pregnant people, as if pregnant people are the only ones who may…
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#1 Isn’t Always A Good Thing
On Tuesday, October 17, Mueller Communications LLC took the opportunity to point out that the United Health Foundation’s 2023 Health of Women and Children Report ranked the state of Wisconsin “last (50th) for excessive drinking among women and fourth-worst (46th) for alcohol use among youths” (Mueller email). One day later, on Wednesday, October 18, State…
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Syphilis or FASDs? Why Not Address Both?
Wisconsin is having a spate of congenital syphilis cases, so much so that Wisconsin’s Department of Health Services issued a memo to healthcare providers, including health departments and tribal health clinics, about the need to test pregnant people for the bacteria that causes the infection. The memo indicates that “The number of congenital syphilis cases…
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Defining Recovery
I am not a person in long-term recovery, but I have not had an alcoholic beverage since August 16, 2015. The last time I was intoxicated was in 2008, I believe. It was while on a wine tour in Italy, and the grappa did me in. Not a good last day in Florence, and I…
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Bias Against Babies
Bias is defined as “prejudice in favor of or against one thing, person, or group compared with another, usually in a way considered to be unfair.” This topic comes up often regarding testing pregnant patients for misuse of drugs. For example, in April 2023, JAMA reported that “Black patients, regardless of history of substance use,…
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