NYC Home Urine Drug TestingDOCTOR IN THE FAMILY

By Natan Schleider MD May 25th 2021 3 minute read

Physician Supervised NYC Home (or Work)  Drug Testing or Work in 2021.

Home Urine Drug testing is available without prescription.

I find patients and the courts / legal system treat them like pregnancy tests. For example, you’re positive or negative and there is no room or understanding for anything in between.

During a recent court case, an attorney  states: ‘This addict has too much marijuana in their urine.’

A standard urine drug screen may be information, but does NOT speak to the quantity of drug a patient is testing.

NYC Home Urine drug testing is an essential component of monitoring patients who are receiving controlled medicines–medicines monitored by the DEA.

Why is HOME testing so important? Because it allows the physician to have the patient perform a RANDOM drug test in the comfort of their home in minutes.

How does it work? Patients are mailed urine drug test containers. At a random time, the physician will contact them and ask them to produce a urine sample within 5 minutes on camera live. This virtually eliminates the chance for a patient to mess with the urine sample.

Both doctors and patients should be familiar with the characteristics and capabilities of screening and confirmatory drug tests.

Immunoassays are used for initial screening. In other words, hhey can give false-positive and false-negative results.

Therefore, all results are considered presumptive until confirmatory testing is performed.

False-positive results have significant implications for a patient’s pain treatment plan, and false-negative results can be a missed opportunity to detect misuse.

Urine drug testing is an essential component of monitoring of patients: who are receiving long-term opioid therapy, receiving long-term benzodiazepine, or stimulant therapy. This is especially true if the NYC doctor suspects misuse of medicine.

Standard urine drug screens (aka immunoassays) for opioids may not detect commonly prescribed semisynthetic and synthetic opioids. For example, methadone, fentanyl, and buprenorphine aka Suboxone mustbe tested for separately.

Similarly, home drug testing for benzodiazepines may not detect alprazolam (aka Xanax) or clonazepam (aka Klonopin)..

Basic urine drug tests can cross-react with other medications. This gives false-positive result.  important implications for a patient’s pain treatment plan would result. False-negative results can cause missed opportunities to detect misuse.

Urine samples can be adulterated (diluted or tampered).  Adding substances to mask positive results on urine drug testing is an example.

A toxicologist, a medical review officer (MRO), or lab pathologist are experts I turn to to help with home urine drug  testing.

I provide my patients free urine drug test containers via mail (or in office).  This way, I can practice medicine remotely  and ensure compliance.

FOR MORE INFORMATION OF NYC HOME URINE DRUG TESTING PLEASE CALL 646-957-5444 OR SCHEDULE AN APPOINTMENT WITH ME VIA ZOCDOC.

Be sure to visit out home page or blog page for more medical information.

SOURCE: AMERICAN FAMILY PHYSICIAN

ABOUT NYC Psychiatry and Primary Care Physicians.

NYC primary care doctors in NYC AND primary medical care in NYC are provided under one roofLike an umbrella for two, we Got You Covered!

 

Updated by Natan Schleider, M.D. March 21st, 2021

 

Before we offered psychiatric care in NYC AND primary care in NYC we were average patients who lived in New York City.

We noticed some issues:

First of all  NYC psychiatrists ONLY dealt with anxiety, depression, and other common mental health  / psychiatric problems. So they couldn’t even evaluate us for strep throat? Why not, I mean, didn’t they go to medical school.

The second issue: NYC primary care physicians would treat most common medical conditions, but almost always sent us to a NYC psychiatrist for anything mental health care related. That made no sense. For example, if ‘flight related anxiety’ was our concern, NYC PCPS referred us for NYC Psychiatry care. They might sooner advise a few alcoholic drinks at the bar to relax than prescribed a handful of if needed non-controlled anti anxiety medicines? Again, that made no sense to ue.

Dr. Natan Schleider, M.D. recalls the following:

I travelled from Manhattan to Brooklyn, from uptown to downtown. Finding a psychiatrist who worked with my insurance and friendly and accessible was impossible.

After an hour in a crowded waiting room, I’m hustled into a tiny exam room.

The psychiatrist rushed in. ‘Your GP wouldn’t prescribe you Prozac 10 mg, the oldest safest SSRI there is, why?!’ she said.

Before I could shrug she was out the door. My prescription drifted down to the exam table like a feather. The thirty second consult was over.

On the way out, I payed my 20 dollar copay, a lot of money for a college student with six figures of student debt. I was ‘lucky’ according to the receptionist that a follow up appointment was available in exactly 30 days—exactly when I would have zero pills left.

Why did I have to see different doctors to treat my brain and my body?

The concept of one-stop shop is hardly new, it’s a cliché.

Believing that New York City patients benefit from NYC  psychiatrist care AND primary  care under one roof became out goal,

Dr. Natan Schleider, a primary care physician and addiction medicine doctor specializing in mental health, called his friend  Dr. Marc Epstein, a NYC Psychiatrist. They joined forces.

Now NYC Psychiatry and Primary Care Physicians  care for New York for our NYC office or via telemedicine, whichever is best for the patient.

Please ­contact us  by calling or texting 646-957-5444 with any questions or schedule an appointment

For more unique info check out our blog.

ABOUT NYC Psychiatry and Primary Care Physicians.

NYC primary care doctors in NYC AND primary medical care in NYC are provided under one roofLike an umbrella for two, we Got You Covered!

 

Updated by Natan Schleider, M.D. March 21st, 2021

 

Before we offered psychiatric care in NYC AND primary care in NYC we were average patients who lived in New York City.

We noticed some issues:

First of all  NYC psychiatrists ONLY dealt with anxiety, depression, and other common mental health  / psychiatric problems. So they couldn’t even evaluate us for strep throat? Why not, I mean, didn’t they go to medical school.

The second issue: NYC primary care physicians would treat most common medical conditions, but almost always sent us to a NYC psychiatrist for anything mental health care related. That made no sense. For example, if ‘flight related anxiety’ was our concern, NYC PCPS referred us for NYC Psychiatry care. They might sooner advise a few alcoholic drinks at the bar to relax than prescribed a handful of if needed non-controlled anti anxiety medicines? Again, that made no sense to ue.

Dr. Natan Schleider, M.D. recalls the following:

I travelled from Manhattan to Brooklyn, from uptown to downtown. Finding a psychiatrist who worked with my insurance and friendly and accessible was impossible.

After an hour in a crowded waiting room, I’m hustled into a tiny exam room.

The psychiatrist rushed in. ‘Your GP wouldn’t prescribe you Prozac 10 mg, the oldest safest SSRI there is, why?!’ she said.

Before I could shrug she was out the door. My prescription drifted down to the exam table like a feather. The thirty second consult was over.

On the way out, I payed my 20 dollar copay, a lot of money for a college student with six figures of student debt. I was ‘lucky’ according to the receptionist that a follow up appointment was available in exactly 30 days—exactly when I would have zero pills left.

Why did I have to see different doctors to treat my brain and my body?

The concept of one-stop shop is hardly new, it’s a cliché.

Believing that New York City patients benefit from NYC  psychiatrist care AND primary  care under one roof became out goal,

Dr. Natan Schleider, a primary care physician and addiction medicine doctor specializing in mental health, called his friend  Dr. Marc Epstein, a NYC Psychiatrist. They joined forces.

Now NYC Psychiatry and Primary Care Physicians  care for New York for our NYC office or via telemedicine, whichever is best for the patient.

Please ­contact us  by calling or texting 646-957-5444 with any questions or schedule an appointment

For more unique info check out our blog.