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Old 05-15-2007, 06:34 AM   #1
enoch21
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Default Failure to Produce Urine

Hey a buddy of mine had a random drug test today and was too nervous to produce a urine sample. The MRO is calling him tomorrow wanting to know if there is a medical reason to why he was unable to produce a sample.

Any ideas on what he should tell the MRO?

He takes Bood Pressure meds would that have any affect on this? Any ideas on a valid medical reason to why urine could not be produced? They said he may be "Pee Shy" If that is the case how would he prove it?

Thanks...
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Old 05-15-2007, 01:07 PM   #2
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Do a google search on "Shy Bladder Syndrome". It is a real condition that effects 7% or so of the population.
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Old 05-15-2007, 02:16 PM   #3
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That is a commercial.

Shy bladder is when you attempt to give a specimen but cannot. In that situation, you are given up to 40 ounces of water spread out evenly over 3 hours. (about 16 ounces per hour). I have NEVER had a donor who could not produce in that time frame. I had a guy go 2 hours and 45 minutes before giving a specimen, but I think he just wanted to sit there and not work.

You need to see a medical doctor to find a medical reason such as an enlarged prostrate, or damaged urinary tract. Then you must forward the medical doctor's report to the MRO. You only have 5 business days to accomplish this.

Accomplishing this in 5 business days is nearly impossible because you can't get a doctors appointment in 5 days, let alone any test results that the doc has done back in 5 days.

simply telling the MRO that you "Can't pee on command" won't cut it.

BP medications won't affect a drug test at all.
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Old 05-15-2007, 04:07 PM   #4
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I will be sure to let my Buddy know, thanks for the info. This guy is pretty shy and he told me about him having hemorrids for over a year. Can that cause a enlarged prostrate causing this problem to urinate? What if the prostrate was enarged at time of testing but when the Dr. checks it the prostrate is not enlarged? Does the fact of hemorrids provide reasonable cause that the prostrate could had been enlarged at the time of the test?

I do know he has been under a lot of stress for the past few months with work and family. Is stress a factor also? He has been treated many times for anxiety. Sometimes he cant even poop for several days if he gets too stressed out. Having ADD and being treated since he was a kid does not help matters any either.

I know this guy doesnt use drugs at all and would hate to see him loose his job unfairly.

I am very sad for him seeing how tore up he is.

Thanks!
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Old 05-15-2007, 04:10 PM   #5
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Do you think they will let him do a retest? It has been 6 days since the test and the MRO has not called yet. He is off work without pay and about to go broke.

Very sad situation...
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Old 05-15-2007, 05:16 PM   #6
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Quote:
Originally Posted by Jerry G View Post
Do a google search on "Shy Bladder Syndrome". It is a real condition that effects 7% or so of the population.
You are right. It affects many people. I did the google search and it's not a commerical. It's a real problem for many people.
Check out this link from 2004 for a guy that was going to lose his job for failure to piss in a timely manner for a test.

http://www.cnn.com/2004/LAW/07/05/shybladder/


It' called Paruresis and doesn't just affect people that have to take a piss test.
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Old 05-15-2007, 06:47 PM   #7
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Yea definatey true. That is what they put on his paperwork "shy badder". I hope he doent oose his job. Too good of a guy for that to happen. Always been a model employee, never late and always there and does a excellent job. I wish I had him working for me.

After he speaks with the MRO will they let him retest?

Poor guy I hope it works out.

Appreciate Ya!
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Old 05-15-2007, 10:41 PM   #8
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My Buddy just called and said the MRO did not call again today. Does anyone have any idea of why it has been over 5 days to get a call that is suppose to be made in 24 hours?
He called the HR people today also and left a message. They have not called back either. What is his options from this point?

Take Care!
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Old 05-16-2007, 12:47 AM   #9
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Shy bladder syndrome is a physical problem, not a mental or psychological problem. If your friend went to a physician and obtained a medical reason for the cause of the shy bladder, then called the MRO and offered to fax the medical info complete with the doctor's contact number, then THAT is a legitimate shy bladder syndrome. Eventually, you will either pee in a cup or piss your pants.

I repeat that "I just can't pee" is not adequate.

Are you sure that the MRO said HE would call your friend? Maybe your friend got it mixed up. I am not for sure, because I was not in on the conversation your friend had with the MRO (I gonna say that you weren't either). Maybe the MRO got busy today and couldn't get back with your friend. It doesn't matter if the MRO calls your friend or if your friend calls the MRO, because from the info I am reading in your posts, your friend didn't go to a doctor. No physical exam to find a cause, no pass the drug test.

Quote:
Originally Posted by linked article
...Recent studies show that about seven percent of the public -- about 17 million people ? suffer from the inability to urinate in public or under pressure, according to the International Paruresis Association.
You are citing statistics from an organization that is lobbying to get the "disease" recognized. Of course they have an alternative agenda.

Quote:
Originally Posted by linked article
Dr. Stephan Soifer, the association's executive director ...
and
Quote:
Originally Posted by linked article
...Soifer, who works with and lobbies for those suffering with Shy Bladder, said cases like this have been surfacing for years.
Quote:
Originally Posted by linked article
Earlier this year, a judge in Massachusetts recently granted relief to a prisoner with Shy Bladder Syndrome who spent 30 days in solitary confinement for failing to produce a urine sample in the time allotted.
In 30 days he couldn't pee??? (yes I know what they meant, but the guy is in PRISON. They could have gotten a urine specimen from him at anytime. Where did he have to go after the allotted time?)
You are alone in a bathroom. Do these people not pee in a public toilet? Sure, some people have problems, but "millions of people" is a huge overstatement.
Quote:
Originally Posted by linked article
In New Mexico, a jury awarded a doctor a quarter of a million dollars for egregious treatment for a paruresis sufferer during a urination drug test in March.
I don't know what "egreguous treatment" the doctor committed, so I cannot comment on this one. The doc could have cussed the plaintiff out or publicly humilliated him for all we know.
Quote:
Originally Posted by linked article
And another lawsuit was filed in May against the manufacturing company Caterpillar Inc., by Tom Smith of Meansville, Georgia, who was fired when he did not complete a urine sample test.
This lawsuit was merely filed, there is no outcome of this lawsuit. I could bring suit against anyone for anything. It doesn't mean I will win.
Quote:
Originally Posted by linked article
"Smith drank 40 ounces of water in order to go to the bathroom for the drug test this past fall," Smith's lawyer, Maureen Murphy, said. "After Smith couldn't urinate within a three hour period, he was informed the test was over and to return to work. He was later fired."
Actually, the Coast Guard, along with all DOT regulated employers are supposed to offer treatment instead of termination. I wonder if Smith refused the treatment and therefore warrented the dismissal.
Quote:
Originally Posted by linked article
The Coast Guard and other government organizations follow federal regulations allotting a three-hour urination period for drug testing. "However, privately owned companies, such as Caterpillar Inc., do not have to abide by those regulations," Soifer said. "That's why I don't understand how some companies can't be more flexible and use alternative solutions for those with these disabilities."
Soifer is wrong. It isn't just government agencies that follow the regulations. Millions of Safety Sensitive Employees also follow the exact same regulations.
Airline Pilots, Flight Attendants and Flight Mechanics
Railroad Conductors and Engineers
Those working on flammable or pressurized pipeline (all the gas company employees, oil well workers, major pipeline employees)
All the truck drivers who drive commercial vehicles over 26,000 GVW, Hazardous Materials and/or 15 or more passengers (school bus drivers, Propane delivery trucks, OTR drivers, etc.
The Coast Guard employees
Transit workers (Public bus drivers, commuter train engineers and conductors, etc...)

Most of the people above work in the private sector and abide by the regulations.

Quote:
Originally Posted by linked article
"Since you are dealing with a government agency there is a whole different undertaking than privately owned companies," said attorney Julie Gaughran, who specializes in employment discrimination cases.
See above.
Quote:
Originally Posted by linked article
"The Americans with Disabilities Act says that employers must provide reasonable accommodations to employees that have disorders," Gaughran said. "If a company doesn't provide or accept these accommodations, such as alternative testing, they are discriminating."
Simply get a physician to examine you and offer a medical explaination for the cause of the shy bladder. Most americans with disabilities have to show proof of the disability. No employer will take your word for it.
Quote:
Originally Posted by linked article
According to their lawyers, Kinneary and Smith both offered their employers alternative methods for a drug test, such as hair sampling, blood tests, a sweat patch or even a saliva test to prove they were clean. But their employers failed to accept alternative testing methods despite the disorder.
I wouldn't either without a physician's examination of the employee.
Quote:
Originally Posted by linked article
"Caterpillar and all of these companies could easily accommodate a request for an alternate urine sample," Murphy said.
No, they can't. Regulations state the exact methods used for DOT regulated drug testing. There are allowances for shy bladder and the OP has not followed through with his obligation to provide a physician's examination and explaination for the inability to provide a specimen in 3 hours after drinking 40 ounces of water.

If the physician provides such an explaination, there is no need to go to court as there are provisions in the regulations for accepting such an explaination.

As I said before, I have never had anyone go 3 hours without producing a specimen. the only people who don't give a urine specimen are those who ahve been caught subbing or adulterating and need to provide a second specimen. They walk out after I tell them that the first one was not acceptable.

One of these days I might have someone genuinly not be able to provide a specimen, but I would be willing to bet that person would have gone directly to a physician to find a cause instead of the courts.

IMO the article you cited is one-sided reporting at best; at worst, woefully inadequate research of the subject matter by the reporter.
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Old 05-16-2007, 01:02 AM   #10
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Quote:
Originally Posted by enoch21 View Post
I will be sure to let my Buddy know, thanks for the info. This guy is pretty shy and he told me about him having hemorrids for over a year. Can that cause a enlarged prostrate causing this problem to urinate? What if the prostrate was enarged at time of testing but when the Dr. checks it the prostrate is not enlarged? Does the fact of hemorrids provide reasonable cause that the prostrate could had been enlarged at the time of the test?

I do know he has been under a lot of stress for the past few months with work and family. Is stress a factor also? He has been treated many times for anxiety. Sometimes he cant even poop for several days if he gets too stressed out. Having ADD and being treated since he was a kid does not help matters any either.
You are fishing for an excuse. Simply telling the MRO a plausible explaination won't work. The MRO needs to hear it from a licensed medical doctor, not your friend.

Quote:
Originally Posted by enoch21 View Post
I know this guy doesnt use drugs at all and would hate to see him loose his job unfairly.

I am very sad for him seeing how tore up he is.

Thanks!
I can appreciate your sympathy for your friend, but at the same time I find it extremely odd that your friend is that shy but has no problems telling you about his hemorroids or his defecation habits (or lack thereof).

Besides you need to either learn how to count or quit lying:
Quote:
#1 05-14-2007, 11:34 PM enoch21
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Failure to Produce Urine

--------------------------------------------------------------------------------

Hey a buddy of mine had a random drug test today and was too nervous to produce a urine sample. The MRO is calling him tomorrow wanting to know if there is a medical reason to why he was unable to produce a sample.

Any ideas on what he should tell the MRO?

He takes Bood Pressure meds would that have any affect on this? Any ideas on a valid medical reason to why urine could not be produced? They said he may be "Pee Shy" If that is the case how would he prove it?

Thanks...
Edit Quote Q

Quote:
05-15-2007, 03:41 PM
enoch21
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My Buddy just called and said the MRO did not call again today. Does anyone have any idea of why it has been over 5 days to get a call that is suppose to be made in 24 hours?
He called the HR people today also and left a message. They have not called back either. What is his options from this point?

Take Care!
Edit Quote Q
The two posts above were made just one day apart. If he took the drug test yesterday, how can it be 5 days without the MRO calling?
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