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From: MHS
Password: orange
Date: 13 Aug 2009
Time: 11:13:47 -0700
Remote Name: 216.107.120.139
Random non-DOT test. Positive for morphine >20,000 ng/ml. I called the lab and they tell me codeine was present at 691 ng/ml, i.e., below the 2000 ng/mL cutoff. They also tell me it was negative for 6-AM and positive for methadone. The donor first admitted to having taken a family member's hydrocodone, then changed the explanation to having taken five oxycodone tablets day prior to test for a toothache. Oxycodone and hydrocodone were not part of this test panel. The donor's methadone treatment center verifies that he is on methadone. Finally, the patient has a new prescription for Tylenol #3, and states he took two tablets two hrs prior to the test. The donor denies any taking any other meds. (Whoo!).
Could this be an extreme reverse of the codeine - morphine ratios? Would you report it as negative due to the low codeine or confirm as positive?