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These physicians draw up return-to-work plans for people with substance use disorders in "safety sensitive" jobs like nursing, with environmental toxicology pharmacology that may include testing them for drugs or alcohol at a cost of hundreds of dollars a month.

The tests are often performed by medical monitoring companies and some of these companies are owned by those same physicians. Humberstone is Testosterone Undecanoate Injection (Aveed)- Multum co-founder of Workers for Ethical Substance Use Policy, one of several organizations arguing that doctors who perform independent medical examinations (IMEs) for substance use disorders should not profit from the medical monitoring industry.

They argue that even if a doctor isn't directly referring a patient to their Testosterone Undecanoate Injection (Aveed)- Multum company, they're still propping up a sector they profit from.

The Harm Reduction Nurses Association shares that view, and researchers from the B. Centre for Substance Use, B. Nurses' Union, Douglas College, University of Victoria and RainCity Housing raised similar red flags in a 2019 report that was made public this year. Jonathan Chapnick, a workplace lawyer and consultant at Portage Legal Services and one of the authors of that paper, said cutting these financial ties is essential.

Some frank opinions Testosterone Undecanoate Injection (Aveed)- Multum these financial connections are laid out Testosterone Undecanoate Injection (Aveed)- Multum a 2019 research paper on a program for managing nurses with substance use disorders in an unidentified Canadian province.

It's a massive conflict of interest, and somehow no one addresses it. A 2017 review board decision involving a lawyer lays out a labyrinth of financial connections centred on two unnamed doctors he was required to see, their undisclosed business partnership, as well as their recommendations for Testosterone Undecanoate Injection (Aveed)- Multum medical monitoring company and a counselling firm they both owned shares in.

In Humberstone's case, she was referred to Dr. Jennifer Melamed to undergo an IME in 2016, during what she describes as a dark point in her life.

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