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As an employer, it is very important to select the right people for the right jobs. Qualified employees produce excellent results, which can help the company achieve its objectives faster than expected.

Depending on the organization, the hiring process can involve several steps.

One requirement that will almost always be there is a drug test.

What Is a Pre-Employment Drug Test?

This screening is done to check if a prospective employee is using illegal drugs or abusing prescription medication. The candidate is required to submit the test result as a part of the application process. 

Why Should an Employer Require a Drug Test?

As drug abuse can impair an individual’s judgment and physical performance, it is important for an employer to keep the workplace free from drug users. Workers who are under the influence of drugs while at work can put others at risk of harm. Studies also show that workers who abuse drugs are more likely to commit frequent absences.

Businesses regulated by the Department of Transportation (DOT) are also mandated to conduct pre-employment drug tests for safety-sensitive positions. These jobs (like bus and taxi drivers) involve handling the safety of people, so impaired performance caused by substance abuse cannot be tolerated.

What Drugs Are Tested For?

Listed below are the substances that are usually checked for in pre-employment drug tests:

  • Amphetamines (methamphetamines included)
  • Marijuana/Tetrahydrocannabinol (THC)
  • Cocaine
  • Opiates (opium, codeine, heroin, morphine)

What Methods Can Be Used?

  1. Urine Test

Urine testing is probably the most widely used drug test method as it is quick, painless, and non-invasive. It can also be easily administered which makes it one of the least expensive methods. It can detect commonly abused substances (such as the ones mentioned above). A urinalysis can determine if a person used drugs even weeks before the test.

  1. Blood Test

Compared to urine tests, blood screening has a shorter detection window, meaning, it can detect drugs in a person’s system within minutes to hours of use. Blood tests are usually done in accident cases to see if the people involved were driving under the influence of drugs at the time of the incident.

As blood testing is considered invasive, it is not often used for pre-employment and routine drug testing. It can be more expensive than urine testing, too.

  1. Saliva Test

Saliva or mouth swab testing is another affordable option for pre-employment drug testing. As it is easy to administer, saliva testing can be done onsite (within the company premises). It also does not require the subject to be in a private, enclosed area like in urine tests, making it easy for employers to witness and validate the screening.

While saliva testing has a short detection window (like blood screening), its accuracy depends on the skills of the person administering it. To get results as accurate as possible, the test must be performed by trained professionals.

  1. Hair Test

Hair follicle testing can detect drug use for the past three months and can provide accurate results. It can also determine the pattern of drug use. While hair testing can be reliable, its cost can be prohibitive to most employers.

Procedure for Pre-Employment Drug Testing

  1. Testing must be conducted by a  professional drug testing company. In most cases (especially for safety-sensitive positions), the prospective hires will be sent to a facility or laboratory (chosen by the employer) where the test will be performed. Employers may also opt to have the test done onsite.
  1. Make sure the candidate has read and understood the company’s drug testing policy.
  1. Upon receipt of a job offer or as ordered by the employer, the candidate must go to the prescribed collection site on the scheduled date and time. If you have candidates that are under prescribed medication, ask them to bring supporting documentation.
  1. Specimen (urine, blood, saliva, or hair) will be collected from the candidate. Urine is the most common type of specimen used for pre-employment drug tests.
  1. The sample will be sent to a laboratory for testing. A medical review officer (MRO) will review and validate the accuracy of the results.
  1. The results will be available to the employer and the candidate within one to three days. The testing facility will notify the candidate if the results are positive.

What if a Candidate Tests Positive?

Check your state’s laws regarding failed/positive pre-employment drug test results. Usually, a failed drug test serves as grounds for not hiring a prospective employee. A candidate will be given ten days to explain a positive test result.

What if the Candidate Refuses To Take the Drug Test?

You cannot force a prospective hire to take a drug test. In many states, however, the employer reserves the right not to hire a candidate who refuses to submit to a drug test.

Seek Professional Help With Your Drug Testing Policy

When drafting your drug testing policy, it is best to consult a legal professional for guidance. For drug screening, work only with a professional drug testing company to get accurate and reliable results every time.

The endocrine system consists of eight hormone-producing glands. Hormones are chemical transmitters that travel via the bloodstream to the body’s organs and tissues. These hormones are essential for development and growth, sexual function, mood regulation, and metabolism. Therefore, an issue with one or more of your endocrine glands can disrupt your hormonal balance, resulting in an endocrine disorder. Schedule a consultation with endocrinology specialist Dr. Sean P. Nikravan, MD, FACE, if you notice signs of endocrinology disorders, such as fatigue or mood swings. Meanwhile, check out this post to learn about some common endocrine disorders.

1) Diabetes

The most prevalent type of endocrine illness is diabetes. Type I diabetes is an autoimmune condition whereby the pancreas ceases to produce insulin. Consequently, your body fails to maintain adequate blood sugar levels. Once the body builds insulin resistance, type II diabetes arises, which means your body cannot adequately utilize insulin. Typical symptoms of diabetes include frequently urinating, constant urge to drink water, and feeling weak.

2) Polycystic Ovary Disorder (PCOS)

Polycystic Ovary Disorder is a hormonal illness affecting women between 18 and 44 years old. This condition inhibits the maturation and release of eggs from the ovaries. Additionally, the ovaries could produce many follicles.

PCOS is the major cause of female infertility. While the specific cause of this condition is still unclear, there are several risk factors associated with PCOS, including:

  • Genetic factors
  • Excessive insulin secretion
  • The ovaries’ excessive synthesis of the androgen hormone

3) Addison’s Disease

Addison’s disease is an endocrine illness caused by insufficient cortisol production by the adrenal glands, resulting in a condition known as adrenal insufficiency. This condition may result from difficulties transmitting information from your brain to the adrenal glands, which instructs the adrenal glands to create cortisol.

In rare circumstances, adrenal insufficiency is accompanied by decreased aldosterone production. Symptoms to watch out for include constantly worsening fatigue, abdominal discomfort, dark skin patches, and more.

4) Hypothyroidism and Hyperthyroidism

These endocrine illnesses are the outcome of a malfunctioning thyroid gland. Hyperthyroidism is a disorder that occurs whenever this gland generates excessive levels of thyroid hormone. This condition could result in perspiration, weight loss, a rapid heart rate, and anxiety. Hypothyroidism has the opposite effect. The thyroid gland generates inadequate quantities of thyroid hormone, resulting in weariness, dry skin, constipation, and sometimes depression.

5) Gigantism

Gigantism, commonly referred to as acromegaly, is a condition involving growth hormone disorder. This condition develops once the pituitary glands overproduce somatotropin, the growth hormone. This endocrine disease causes your kid’s body parts and bones to develop unnaturally quickly and often affects their girth.

As with many other illnesses, early identification and treatment of endocrine abnormalities could aid illness and symptom management. Therefore, if you suspect you could be experiencing hormonal imbalance or other hormone-related disorders, consult Dr. Sean P. Nikravan. The symptoms of endocrine disorders vary from one individual to another, depending on the gland affected. As a result, Dr. Nikravan takes an individualized care approach to every patient to guarantee an accurate diagnosis and successful treatment. Call the Newport Beach, CA, office or book an appointment online today.

Stomach discomfort is something that will affect everyone at some time. Kids seem to have stomach aches more often than adults do. In addition to abdominal discomfort, a stomachache may cause bloating, gas, a sense of fullness, nausea, and constipation. For instance, abdominal pain Brooklyn is familiar, and although it may be unpleasant, it often doesn’t need immediate medical attention.

Depending on the root problem, several therapies may be prescribed. The symptoms of indigestion may be alleviated by adjusting one’s lifestyle, such as reducing or eliminating the use of alcoholic beverages and spicy foods. You may be prescribed medicine by your doctor if your indigestion does not improve. Here are some ways to manage stomach pain:

Drinking water

For an upset stomach, the adage “water cures everything” seems to hold. Water aids in the flushing out of toxins and in the absorption of vital minerals. Dehydration may cause stomach distress, which can manifest as vomiting and diarrhea. Heartburn may result from an increase in stomach acid. If stomach acid makes you uncomfortable, drinking lots of water may help.

Ginger

Ginger is a root used for centuries to calm queasy stomachs and prevent motion sickness. Extracts, tinctures, tablets, supplements, and teas all include ginger. Heartburn and diarrhea are possible but often have minimal side effects. Consult your doctor before beginning any new supplement program; when used with other medications that thin the blood, including ginger, the risk of bleeding increases.

Try several OTC remedies

Green vegetables, fruits with peels, carbonated drinks, cabbage, and beans are all gas-forming foods you should avoid, as are air bubbles in your stomach after swallowing. When people use straws, chat while eating, eat too quickly, or are anxious, they [take in excess air].

Take an over-the-counter gas reliever, such as Mylanta Gas, if you suspect that gas is the source of your stomach discomfort. Another choice is Beano, which is helpful if you have trouble digesting vegetables since it breaks down raffinose, a sugar residue in plants.

If you are experiencing frequent bouts of diarrhea or episodes at inconvenient times, you may want to try downing some Pepto-Bismol. You may get some rest and work done throughout the day thanks to the pink liquid, which kills the germs in your body that is causing diarrhea. Imodium is another option; it works by decreasing the rate at which fluids move through the digestive tract.

Chamomile Tea

If you are experiencing stomach pain, try sipping some chamomile tea. Chamomile might be used due to its anti-inflammatory qualities to alleviate stomach aches. Chamomile’s ability to calm the muscles of the esophagus, stomach, and small intestines makes it an effective remedy for indigestion and other gastrointestinal complaints, including nausea and vomiting.

A more significant issue may exist if stomach pain persists. Dehydration is a danger if you have been vomiting for a long time. To avoid being dehydrated, sipping water slowly throughout the day is recommended. You should consult a doctor if you have been dehydrated for more than six hours. If you have been feeling sick for more than 48 hours, you should also make an appointment with your doctor.

At your next checkup, let your doctor know if you have seen a pattern of stomach pain after eating particular meals or completing certain activities. A brief trip to the family doctor may quickly rule out Crohn’s disease, a food allergy, or other problems.

Although the members of the LGBTQ community might receive the desired treatment and services from normal hospitals, they would gain more by visiting an LGBTQ facility. LGBTQ families rely on fertility treatment facilities when they want to expand their families, as they would not get babies without medical assistance. An LGBTQ Fertility Mountain View clinic would cater to the needs of lesbians, gay men, and other members of society who consider themselves queer. Here is why an LGBTQ facility would be ideal for your family.

They Offer Fertility Treatments for Lesbians

Biologically, a lesbian couple might not get babies without assistance from a medical facility that offers the right fertility interventions. Thus you could visit a fertility clinic with your lesbian partner when trying to conceive and start a family.

The doctors in this facility might ask a private question to gauge the treatment options which will work for the family. They may recommend sperm donations implanted into the recipient mother’s womb during ovulation to form a fetus that develops into a child. A child born from a sperm donation will have half the genes of the mother and half of the donor’s father.

Sometimes the female who receives the sperm donation might have other infertility problems, such as fallopian tube blockage, which makes it impossible for the egg to travel to the uterus for implantation during the ovulation window. Thus, the fertility treatment center would recommend IVF for the lesbian couple if the mother has issues affecting the eggs’ health. Sometimes one partner may receive the embryo harvested from a healthy partner who might not be able to carry the child due to personal reasons.

Fertility Services Offered To Gay Men

Gay men would seek fertility services, too, when starting a family. The fertility services include developing a surrogacy plan where the father donates sperm and fertilizes the surrogate mother. Most LGBTQ fertility clinics would help men find a suitable match to carry their baby.

What to Look For In A LGBTQ Fertility Clinic

You should choose an LGBTQ fertility clinic that tries to grow your family the best way you want. The fertility clinic should offer the proper consultation and inform you about the choices available for your family. They can assess your health to assess the right treatments and recommend an ideal solution for your family.

The facility should not judge your lifestyle; you should enjoy freedom and happiness despite your sexual orientation and lifestyle. Thus, they should handle your health issue with the respect that it deserves. They may recommend the right services, such as surrogacy and embryo transplant, and will guide on the best decision for the family.

LGBTQ community sometimes feels left out when treating fertility issues as they may not get babies without medical interventions. Thus, the members of this group should seek fertility services from LGBTQ treatment centers that offer customized treatments. You may seek services that improve lesbians’ fertility, such as IVF or sperm donations which improves the chances of conception and carrying a baby to term. On the other hand, men would benefit from the surrogacy plan and other health interventions, which increase the possibility of starting a family.