Have I proceeded correctly?

Nurses Recovery

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I just had a positive test for Alcohol. I didn't drink.

I'm almost 3 years in to a 5 year contract in Fl's IPN.

I'm not a delicate flower. I didn't dissolve into tears, I was LIVID. Immediately upon hearing what she had to say, I asked for a pEth test. I was told 'no' and that the protocol for a positive etoh is to test specimen B of the split screen and go for an eval. I have NEVER in my entire LIFE tested positive for alcohol. Alcohol is just not my thing and never was.

I told her I would think about it and hung up on her! Immediately I got my own order for a pEth test and self urine tested, just for overkill. I have support systems in place and discussed all of this with my group, we met the same night for our regular weekly group. I kept raging and got a lot of good feedback on how to keep this in perspective and to remember that it was my actions that put me here. That helped me, because despite how angry I am, staying in a 'victim' spot is never a good choice for me.

I've been at this long enough so that although I do carry a degree of guilt and shame, I don't let it keep me from standing up for myself when I truly feel something is not right. One of the suggestions I got from my group was to go ahead and have the split screen tested. I was operating with the notion that if I hadn't drank, it must be contamination. And if they retested, would they use a second specimen to try and hang me. Then I learned about 'incidental' exposure. And I had taken Apple Cider Vinegar for joint pain and inflammation. There is no ALCOHOL listed on the label. A friend of mine in group had tested positive for etoh in treatment from red wine vinegar. I contacted my case manager who always very kind ( she's not the one I hung up on ) and deposited the additional $55 dollars in Affinity to cover the cost of the split screen. Spent $249 in less than 24 hours attempting to prove my innocence.

I was told later to do any test I wanted, no test result from this point on was going to negate a positive etoh. Which is fine. I'm not looking to negate the positive, I'm looking to establish a 'look back' through a pEth so that the time the specimen was submitted is surrounded by other days, before and after. If I didn't act then, that time would elapse and it would be easier for them to try and say I'm drinking. And, I'm in the process of setting up the eval. They will request a hair test, another pEth, fingernail and urine. That is all a ok. I am one of the fortunate that can withstand the cost of anything they throw at me. And I'm convinced that's what it takes.

I had an email war going. I asked them why it took 8 days to report a positive urine? Weren't they supposed to be protecting the public from me? I asked them what has my urine been doing for 8 days, fermenting? After that last message, I was given THAT day only to retest the rescreen. I didn't get the message till 6pm. So, I missed the window. What was my urine doing for 8 days? Why did it take them so long to notify a nurse who had a positive for etoh? I could've been on an 8 day bender! I wasn't, but that's beside the point. And, they wanted to retest the same urine. Something is weird about this.

I'm in the process of setting up the eval. I started calling THAT day, the person in my area has yet to return my phone call. So, I'll probably have to go a city away. It's impossible to do this stuff quickly. Then, once I get an appointment, I have to give IPN 72 business hours to fax the info to the person I selected. SO glad I had that pEth test done myself, mind you. Time is ticking away... Time to let them look back during the time the positive screen was collected.

Can you think of anything else I can do to be proactive? I do not mind being tested, I do not mind another evaluation. But I would be devastated if I lost my time in monitoring. I would like to say here that the person who is my full time case manager is very kind. Just the battle axe who covered for her on her day off was not and I gave as well as I got. The way I see it is, I'm required to comply. There is nothing in my contract that implies I'm a whipping boy. So, I stood up for myself and I always come out swinging.

Thank You Perse!!!

Hang in there. I know this has to be horrible but hopefully this PeTH test will help. I have no idea what the 800:100 reading means either but if you were drinking heavily for days the peth would also show that. One would think that conflicting results would give them pause. Do you have any idea what you are looking at next?

Thank You Perse!!!

Hang in there. I know this has to be horrible but hopefully this PeTH test will help. I have no idea what the 800:100 reading means either but if you were drinking heavily for days the peth would also show that. One would think that conflicting results would give them pause. Do you have any idea what you are looking at next?

They collected hair, urine and a PEth test ( this time on a card that blood drops down into 4-5 circles ). So, there will be that wait. I don't know anything about alcohol either. As hard as this situation has been, I'm so grateful I didn't test positive for opiates. That was my drug and I really don't know what I could've done to defend myself.

From what I have researched thus far, for a donor to have a 800/100 they would have had to have been on a bender. Or, walked into the lab site still drunk. Or there would have needed to be significant "extraneous" exposure. I guess squirting your urine with hand sanitizer, lol? I don't know. I don't know what any of this means.

My evaluator wants the results of my PEth test ( the one I wasn't allowed to request, but pulled on my own ) as soon as they come in. He spoke to my husband as soon as I left the room to see if I was lying. My husband is 24 years sober, he has no interest in living with a person who is using ever again. He's the one who basically threw me out and said, "get better, or go die somewhere else. " He told the guy," she's always home, no disappearing acts, never drinks and that a positive for alcohol is ridiculous. She's a pill head. He told them I was mortified when it happened, jumped up and ran to the lab to collect my own results. " Which is pretty much how it all went down.

The evaluator also called my IPN facilitator. I don't know what she said, but I'm a compliant participant so I can't imagine it was anything bad.

Now, I wait for my PEth results and forward them to him as soon as they are available. I would guess that I'll need to wait for their test results. And, I honestly don't know from there. Your guess is as good as mine. We will see if monitoring programs follow the guideline that you cannot penalize someone based on UDS Etg alone, in the absence of any other evidence. Of which there is none, because I didn't do anything.

It's hard, because my group is trying not to look at me with a hairy eyeball, but I think they can't help themselves. So, I'm just trying to stay strong and keep my head held high. This has greatly harmed me psychologically. I have been in such a dark hole and devoid of hope. But, I'm pushing through.

Thanks for your support, btw. I really need it.

Specializes in OR.

The best I can do is a virtual hug from here......

It makes me go "huh" that the very same test that they use to see if you've been drinking, they will not allow you to use to prove your innocence. It's like it's only worth anything if they tell you to go do it?

Bizarre and yet not shocking.

If they do try to penalize you based on UDS Etg alone, in the absence of other evidence (especially a $1000 money grab that they sent you to, if the guy is ethical that is and doesn't invent anything...sry, I'm jaded) and I was an attorney, I'd sink my teeth into them at no charge, but that's me.

As crazy as this has all been Cats, I have a good feeling. Personally, I'm glad the results were sky high. When the PEth results show up negative ( and it will ), then what? If the results had been low, then they might say, 'she took a drink and is trying to get away with it.'

Something happened with this test, I don't know what it was. Every option I have presented for incidental exposure has been shot down.

The best I can do is a virtual hug from here......

It makes me go "huh" that the very same test that they use to see if you've been drinking, they will not allow you to use to prove your innocence. It's like it's only worth anything if they tell you to go do it?

Bizarre and yet not shocking.

If they do try to penalize you based on UDS Etg alone, in the absence of other evidence (especially a $1000 money grab that they sent you to, if the guy is ethical that is and doesn't invent anything...sry, I'm jaded) and I was an attorney, I'd sink my teeth into them at no charge, but that's me.

That's exactly what they are saying. A PEth test is only worth something if they order it, only it's not. They just want a person to be scared. If you are scared, you make less informed choices. Or panic, etc... And honestly, my decision to pull a PEth on myself was due to panic. But in the absence of any other idea on what to do for myself, it just turned out to be a good choice.

Wow. The emotions I have right now are sickening. Your story evoked a visceral pain I can't describe, but I am sure you know this feeling. I am praying for you to have a vindicated resolution. When my test showed abnormal I was eerily calm. I know I haven't used. Your calmness is telling. Setting an alarm to go off hourly to pray for you and asking all our peeps to do the same. If you aren't a praying person then just putting positive energy out there for a friend in a pickle.

This all just makes my stomach tense up and my heart race. We are all at their mercy and this is my biggest fear!

When you went for your own PEth test, how did you do that? I'm in TPAPN, Texas, and we use Affinity. I have an option to select "Self Test", but if I do that, will I have the option to decide what test I want? We have Option 1-?, I don't have any idea which Option would be for PEth, if I chose Self Test, would I then have to pick an Option 1-?, or can I request PEth? I don't even know the difference between ETOH, Etg and PEth. Why did you choose PEth instead of Etg?

Oh god, my anxiety is kicking in just thinking about this! I'm sitting here planning what to do if this happens to me. I've always feared the false positive, it never really thought through what I'd do.

This article is interesting. It explains what the various levels can mean. Seems like your level still seems like it could be a heavy incidental exposure. Also, it says that the Etg should NOT be used as the only test to prove drinking, and that a negative has a strong prediction of no drinking, but a positive cannot stand alone outside of other testing. Very interesting.

EtG Testing for Alcohol Abstinence: Best Practices - AlcoPro

Wow. The emotions I have right now are sickening. Your story evoked a visceral pain I can't describe, but I am sure you know this feeling. I am praying for you to have a vindicated resolution. When my test showed abnormal I was eerily calm. I know I haven't used. Your calmness is telling. Setting an alarm to go off hourly to pray for you and asking all our peeps to do the same. If you aren't a praying person then just putting positive energy out there for a friend in a pickle.

Thank you, BB. It means a lot. I am a praying person too, btw.

Hi Recovering,

Affinity will not give you the option of a PEth, you will only get your regular option only if you self test. I had to go outside Affinity. At first I went to my regular GP for an order. They know everything about me, it just so happens that they take forever and when I didn't hear back SOON. I went elsewhere. Elsewhere for me turned out to be requestatest.com. I don't know if that's nationwide. But, Labcorp was the place that told me about it and Labcorp is where I do my testing. You have to have an order, without it they can't test. It's a self pay place, maybe it was set up for hypochondriacs, lol! I don't know. Anyway, you register and request the test you want and the # comes through. Labcorp still does the service, and obviously Affinity trusts Labcorp, so what can they say? The results upload to requestatests site. They will notify me via email when the results are in and I will log on to the site and download, send to my evaluator.

If my understanding is correct, the UDS alone tests for the metabolites of recent alcohol consumption. The metabolites stay in Urine the longest of any other rapid result test. But, and my understanding of this is pretty basic at this point, there is a test used for Binge drinking of alcohol. So say the person went on a weekend binge and escaped a urine detection, a PEth could be selected by Affinity ( because the person has a history of alcoholism/binge drinking/DUIs ) and look back over a 21 day period. This isn't a rapid test. Lord only knows I wish it was. I don't know what they do to get the results they are looking for but you need to be confident you weren't drinking for it to help your case. Don't order it if you've been drinking.

These current individuals think I'm drinking, they are looking for me to hang myself with the results of my own test. But they are wrong. While admittedly I don't know much about alcohol, me having a PEth drawn if I'm drinking makes about as much sense as me staggering into Labcorp on the 10th drunk and wondering why I have a positive UDS for alcohol. Bizarre, to say the very least.

I don't know if I've answered your questions and I don't know if this is even gonna work out, this is just my journey. xoxo

Thank you! Yes you answered my questions. I will definitely look into requestatest.com if this happens to me!

I now have 113 days left, and my stress level seems to be going up the closer I get! In fact, I had my very first drinking dream last night! I dreamt I was at some kind of meeting and someone I knew handed me a drink, as a joke. I was drinking something nonalcoholic of course, so this acquaintance switched my drink and I took a sip of beer! In my dream it wasn't a malicious thing, it was a "hey, lighten up! Have a beer!" I kept the beer in my mouth, trying to figure out where I could go to spit it out without causing a scene (I guess I was too polite to spit it back into the glass!) and eventually, while I was thinking about where to go, I just swallowed, by reflex. Then I woke up. In 2 years and 8 months, this is the first time I've had a dream like that! Can't wait for this to be over.

This article is interesting. It explains what the various levels can mean. Seems like your level still seems like it could be a heavy incidental exposure. Also, it says that the Etg should NOT be used as the only test to prove drinking, and that a negative has a strong prediction of no drinking, but a positive cannot stand alone outside of other testing. Very interesting.

EtG Testing for Alcohol Abstinence: Best Practices - AlcoPro

Thanks Eris, all information on this is helpful.

This experience has solidified in my mind that the accused cannot just sit there, hoping things work out. They won't. I'm still waiting for the results of my PEth, but if I didn't have that hope I'd be quaking in my boots just now.

I started feeling a little better yesterday, after my evaluation. I examined why I felt this relief and I think it's because he spent some time trying to extract a confession. And I think that is because they aren't permitted to drastically alter the course of someone's life based on a UDS. A UDS and a confession-pay dirt. A UDS and a PEth-pay dirt. And he was looking for me to fill in that hole in his evaluation. He would've been fine with me admitting something I did not do. There is an investment in having this testing method be indisputable, because MY GOD what if it's not?!

As long as I am sober, I never need to be a victim of anything. I can make decent snap decisions, I can research, I can withstand judgment/suspicion from my peers, I can be patient ( under duress, UGH ). And I have my God.

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