The Curbsiders Addiction Medicine Podcast

S2 Ep7: #18 Urine Drug Testing with Dr. Timothy Wiegand

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Interpret urine drug tests (UDT) like a toxicologist! Learn how to approach interpreting positive opiates, opioids, and benzodiazepines in UDT. We discuss the nuances of interpreting UDT, false positives,  and how to counsel a patient prior to ordering the test. We’re joined by Dr. Timothy Weigand @TwToxMD (University of Rochester Medical Center).

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By listening to this episode and  completing CME, this can be used to count towards the new DEA 8-hr requirement on substance use disorders education.

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Credits

  • Producer: Natalie Stahl, MD, MPH
  • Show Notes, Cover Art, Infographic: Carolyn Chan, MD, MHS
  • Hosts: Carolyn Chan, MD, MHS, and Natalie Stahl MD, MPH
  • Reviewer: Kento Sonoda, MD
  • Showrunner: Carolyn Chan, MD, MHS
  • Technical Production: PodPaste
  • Guest: Dr. Timothy Wiegand
    • Show Segments

    • Intro, disclaimer, guest bio 00:00
    • Guest one-liner: 05:17
    • Case from Kashlak: 09:42
    • Types of Urine Drug Testing (UDT): 10:37
    • Detection Window 22:07
    • Interpreting Opiates and Opioids UDT 25:26
    • Resources to Interpret UDT 39:20
    • False Positives  43:29
    • Discussing Results with a Patient 45:52
    • Interpreting UDT - Buprenorphine 48:47
    • Specimen Validity Testing  50:22
    • Saliva Testing 54:56
    • Outro 1:01:28


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