Re: TMB response to my 103ng/ml EtG

[Guest guest]

HEY! HEY! Be carefull with the ice cream,... you know "Brewery syndrome" and all. And don't even think about the rum raisin. or that jager-banana at marble slab.

Look Dan, that's actually a "supportive " letter from the Board,...as crazy as that sounds. They didn't call you in to a disciplinary hearing. And for them, that's "under the radar".

I am active in helping other doctors and medical professionals in rehab and there is much higher ETG numbers they don't know what to do with right now. Make sure you get to the Dallas caduses meetings and be actively seen by all the players in that community so that there is plenty of positive support by credible members of sobriety who can back you with power. DCMS has a good monitoring program whose letter quarterly to the board carries weight when they really know you........you know, the good letter....the one in the top drawer. even if another accidental positive comes up, it's hard to discount someone they know has good backing, and observation, and is giving service back to the new ones coming in. By the way, we need to hit this stuff harder with the med students. Some crappy hour-long lecture over lunch isn't getting the message across to them. They need to see and hear from us more about what can happen in their career.

Now I gotta go,...I just took two motrin and I feel them methylating.... BOB

[Guest guest]

we're talking job security right? That same "insincerity" allows them to think superficially and therefore if you "look" healthy then you "are" healthy. Use that thinking in your favor. Now, between you and me, stay healthy and keep doing what your doing, but you got to glad-hand, be seen in those circles, dance a little....that....that you have control of. The sober guy that isn't participating in those circles....doesn't "look" healthy, whether it's right or wrong... For my career, and my family.....I'll dance. and when I get out of the Board program,..I'll be past all this shit and go on being healthy without all the worry and extra pressure.

You've been a big help to this site,...keep your head up! Now, what was that masking drug again? (kidding) BOB

[Guest guest]

WOW, Dan, I don't know what to say. This just shows that these guys

have NO concept and they only look for a 'negative' test result...the

labs know that, yet, they blame the boards who are there to 'protect

the public'.

All I can say to you, and all the others is what I feel. When Lorie,

I and the handful of others that have been around for a while came

into Skipper's discussion group, I felt like we were holding the

baton and running the race of our lives with no one to pass it to.

Dr. Skipper finally got a hold of it and helped take the second leg

of the race, Helliker took the third leg and Samhsa got into

the race also. WE are on the final leg of the race now...there are

SEVERAL of us here to help carry the baton across the finish

line...and I don't see that finish line as an accomplishable feat

anymore!!! I believe we will cross that line with unbelievable

courage, strenght and wisdom....and the final victory will be ours!!!

I believe we have gotton this far by letting go of the vicim mindset

and becoming the victors!! Dan, YOU have been an important part of

this event...and we will ALL stand on the victors podiom TOGETHER!!

Everyone needs to just hang in a little longer....the fat lady hasn't

sang yet!

>

> After my couple of paragraphs whining, I retyped in the body of the

> letter I recieved today from the Texas Medical Board.

>

> Consequent to this letter my wife no longer believes she should move

> to Texas. My job security is not apparent, and no amount of effort I

> make protects me from another positive EtG. In New York she at

least

> has a stable job and income. I am unable to secure New York

licensure

> while under board order in Texas. Texas functionally monitors their

> physicians forever. Perhaps it's unwise for me to post this

> information. Right now, all I care about is people knowing I did

not

> consume alcohol and lead the most compulsive alcohol exposure-free

> life a hospital based physician can possibly lead; yet, I tested

> positive for EtG.

>

> For those needing help reading between the lines; the following

letter

> essentially communicates any future positive EtG will result in

> license revocation. When I am already doing all I can do (and I

> gurantee few, if any, are more compulsive than I about this), yet

> still have a positive EtG, it's impossible to enjoy professional

security.

>

> I've got so much work to do, but simply can't focus right now. My

> wife is screaming at me, " Are you sure you've done nothing to get a

> positive test?! " . I completely understand her position. I just

feel

> old-fashioned despondent. I'm glad this group exists. It feels odd

> finding comfort at a computer, but like others, people at my

meetings

> nod their heads while nonverbally indicating, " I just don't know

about

> you. "

>

> Dr. DiBona,

>

> On September 8th, 2006 I received notification from Compliance

> Specialist, Rui Bernardo, TMB, Austin, TX that the results of your

> drug screen for August 29th, 2006 was Positive for the Ethyl

> Glucuronide alcohol metabolite in the amount of 103ng/ml.

>

> I have received your letter of explanation dated September 11,

2006.

> Notwithstanding your written explanation, your positive test is a

> violation of paragraph 3, page 4 of your Agreed Board Order.

>

> This letter represents a documented warning to advise you to avoid

> repeating this situation in the future and to strictly follow the

drug

> program rules. Failure to heed this warning may result in

additional

> disciplinary action being taken against your medical license. This

> letter also represents the conclusion of this recent event and no

> additional correspondence from you is required.

>

> Sincerely,

>

> A. Tomeo, RN, MS

> Compliance Office/Senior Investigator

> Cc

> Mari , JD

> Director of Enforcement

> Texas Medical Board

> 333 Guadalupe, Tower 3, Suite 610

> Austin TX 78701-3998

>

[Guest guest]

Hi Dr. Dan

I've missed your strong and inspiring presence here lately; I am sorry to hear

this very

discouraging news. Sounds like Texas is just about as conservative and " old

school " as

PA, things probably move slowly through the system there, and as Lorie pointed

out, you

" can't unring a bell. " Now that I'm completely flat and deflated, between

reading 's

ongoing nightmare and now about the ignorance and insanity of the Texas board,

rather

than get really depressed I am going to look forward to the article in

tomorrow's WSJ; The

more people become familiar with this issue, the better for us, even if it takes

for-frickin-

ever...I know they are " digging their heels in, " but REALLY, when this becomes

WIDESPREAD public knowledge, how can they NOT back off at least a little? I am

just going

to cling to my little piece of hope and common sense that eventually between

educating

the general public and the way the legal system in this country works, that

people will not

allow this to continue for much longer, at least at this level of severity...I

am still just

absolutely baffled at their threats to you over your level of 103, its like a

bad joke, right?

Un-frickin believable. This day just sucks. I'm going to go eat some ice

cream.

Amy

PS; I know its probably not a priority right now, but I did fax you my consent

letter for the

" lab " letter, if that's still something you are going to do; I hope you got

it...

>

> After my couple of paragraphs whining, I retyped in the body of the

> letter I recieved today from the Texas Medical Board.

>

> Consequent to this letter my wife no longer believes she should move

> to Texas. My job security is not apparent, and no amount of effort I

> make protects me from another positive EtG. In New York she at least

> has a stable job and income. I am unable to secure New York licensure

> while under board order in Texas. Texas functionally monitors their

> physicians forever. Perhaps it's unwise for me to post this

> information. Right now, all I care about is people knowing I did not

> consume alcohol and lead the most compulsive alcohol exposure-free

> life a hospital based physician can possibly lead; yet, I tested

> positive for EtG.

>

> For those needing help reading between the lines; the following letter

> essentially communicates any future positive EtG will result in

> license revocation. When I am already doing all I can do (and I

> gurantee few, if any, are more compulsive than I about this), yet

> still have a positive EtG, it's impossible to enjoy professional security.

>

> I've got so much work to do, but simply can't focus right now. My

> wife is screaming at me, " Are you sure you've done nothing to get a

> positive test?! " . I completely understand her position. I just feel

> old-fashioned despondent. I'm glad this group exists. It feels odd

> finding comfort at a computer, but like others, people at my meetings

> nod their heads while nonverbally indicating, " I just don't know about

> you. "

>

> Dr. DiBona,

>

> On September 8th, 2006 I received notification from Compliance

> Specialist, Rui Bernardo, TMB, Austin, TX that the results of your

> drug screen for August 29th, 2006 was Positive for the Ethyl

> Glucuronide alcohol metabolite in the amount of 103ng/ml.

>

> I have received your letter of explanation dated September 11, 2006.

> Notwithstanding your written explanation, your positive test is a

> violation of paragraph 3, page 4 of your Agreed Board Order.

>

> This letter represents a documented warning to advise you to avoid

> repeating this situation in the future and to strictly follow the drug

> program rules. Failure to heed this warning may result in additional

> disciplinary action being taken against your medical license. This

> letter also represents the conclusion of this recent event and no

> additional correspondence from you is required.

>

> Sincerely,

>

> A. Tomeo, RN, MS

> Compliance Office/Senior Investigator

> Cc

> Mari , JD

> Director of Enforcement

> Texas Medical Board

> 333 Guadalupe, Tower 3, Suite 610

> Austin TX 78701-3998

>

[Guest guest]

Thanks , I needed to hear you say that. Now I won't pout so hard as I eat

my ice

cream.

Amy

> >

> > After my couple of paragraphs whining, I retyped in the body of the

> > letter I recieved today from the Texas Medical Board.

> >

> > Consequent to this letter my wife no longer believes she should move

> > to Texas. My job security is not apparent, and no amount of effort I

> > make protects me from another positive EtG. In New York she at

> least

> > has a stable job and income. I am unable to secure New York

> licensure

> > while under board order in Texas. Texas functionally monitors their

> > physicians forever. Perhaps it's unwise for me to post this

> > information. Right now, all I care about is people knowing I did

> not

> > consume alcohol and lead the most compulsive alcohol exposure-free

> > life a hospital based physician can possibly lead; yet, I tested

> > positive for EtG.

> >

> > For those needing help reading between the lines; the following

> letter

> > essentially communicates any future positive EtG will result in

> > license revocation. When I am already doing all I can do (and I

> > gurantee few, if any, are more compulsive than I about this), yet

> > still have a positive EtG, it's impossible to enjoy professional

> security.

> >

> > I've got so much work to do, but simply can't focus right now. My

> > wife is screaming at me, " Are you sure you've done nothing to get a

> > positive test?! " . I completely understand her position. I just

> feel

> > old-fashioned despondent. I'm glad this group exists. It feels odd

> > finding comfort at a computer, but like others, people at my

> meetings

> > nod their heads while nonverbally indicating, " I just don't know

> about

> > you. "

> >

> > Dr. DiBona,

> >

> > On September 8th, 2006 I received notification from Compliance

> > Specialist, Rui Bernardo, TMB, Austin, TX that the results of your

> > drug screen for August 29th, 2006 was Positive for the Ethyl

> > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> >

> > I have received your letter of explanation dated September 11,

> 2006.

> > Notwithstanding your written explanation, your positive test is a

> > violation of paragraph 3, page 4 of your Agreed Board Order.

> >

> > This letter represents a documented warning to advise you to avoid

> > repeating this situation in the future and to strictly follow the

> drug

> > program rules. Failure to heed this warning may result in

> additional

> > disciplinary action being taken against your medical license. This

> > letter also represents the conclusion of this recent event and no

> > additional correspondence from you is required.

> >

> > Sincerely,

> >

> > A. Tomeo, RN, MS

> > Compliance Office/Senior Investigator

> > Cc

> > Mari , JD

> > Director of Enforcement

> > Texas Medical Board

> > 333 Guadalupe, Tower 3, Suite 610

> > Austin TX 78701-3998

> >

>

[Guest guest]

Thanks

for all the kind words. I read every post. Please don’t take

my lack of posting as anything other than regrouping. You two are

probably right. Might be best to just go get some ice cream, but the fact

remains; I’m living alone in a wonderful house, in a wonderful

community, with a great job, ready for my family who was on their way until the

reality of income insecurity from random EtG blasting hit my wife. I don’t

know what she was expecting from the board. Perhaps, “Aw, don’t

worry about it, Doc. You’re fine, doing great, no problem….).

Perhaps I could have done a better job of preparing her for it all. I don’t

know. Problem is, I agree with her. Christ, she’d be insane

to give up a mature practice to move to Texas, even if it is to be with her husband. And since I can only

work in Texas…I’m done thinking for tonight.

Naw, I’m a dude. I’m

going to go buy a pack of cigarettes, not ice cream, and sit outside and say my

prayers.

And maybe I’ll just cry a little

bit, but only once.

Dan

Re:

TMB response to my 103ng/ml EtG

Thanks , I needed to hear you say that. Now I

won't pout so hard as I eat my ice

cream.

Amy

> >

> > After my couple of paragraphs whining, I retyped in the body of the

> > letter I recieved today from the Texas Medical Board.

> >

> > Consequent to this letter my wife no longer believes she should move

> > to Texas. My job security is not apparent, and no amount of effort I

> > make protects me from another positive EtG. In New York she at

> least

> > has a stable job and income. I am unable to secure New York

> licensure

> > while under board order in Texas. Texas functionally monitors their

> > physicians forever. Perhaps it's unwise for me to post this

> > information. Right now, all I care about is people knowing I did

> not

> > consume alcohol and lead the most compulsive alcohol exposure-free

> > life a hospital based physician can possibly lead; yet, I tested

> > positive for EtG.

> >

> > For those needing help reading between the lines; the following

> letter

> > essentially communicates any future positive EtG will result in

> > license revocation. When I am already doing all I can do (and I

> > gurantee few, if any, are more compulsive than I about this), yet

> > still have a positive EtG, it's impossible to enjoy professional

> security.

> >

> > I've got so much work to do, but simply can't focus right now. My

> > wife is screaming at me, " Are you sure you've done nothing to

get a

> > positive test?! " . I completely understand her position. I just

> feel

> > old-fashioned despondent. I'm glad this group exists. It feels odd

> > finding comfort at a computer, but like others, people at my

> meetings

> > nod their heads while nonverbally indicating, " I just don't know

> about

> > you. "

> >

> > Dr. DiBona,

> >

> > On September 8th, 2006 I received notification from Compliance

> > Specialist, Rui Bernardo, TMB, Austin, TX that the results of your

> > drug screen for August 29th, 2006 was Positive for the Ethyl

> > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> >

> > I have received your letter of explanation dated September 11,

> 2006.

> > Notwithstanding your written explanation, your positive test is a

> > violation of paragraph 3, page 4 of your Agreed Board Order.

> >

> > This letter represents a documented warning to advise you to avoid

> > repeating this situation in the future and to strictly follow the

> drug

> > program rules. Failure to heed this warning may result in

> additional

> > disciplinary action being taken against your medical license. This

> > letter also represents the conclusion of this recent event and no

> > additional correspondence from you is required.

> >

> > Sincerely,

> >

> > A. Tomeo, RN, MS

> > Compliance Office/Senior Investigator

> > Cc

> > Mari , JD

> > Director of Enforcement

> > Texas Medical Board

> > 333 Guadalupe, Tower 3, Suite 610

> > Austin TX 78701-3998

> >

>

[Guest guest]

This group has been my lifeline and my sanity and my saving grace for so very long now. I truly don't know what I'd have done without the support here. Every victory for someone gives me a little jump in my step. But every setback and new member's story hurts my heart. Dan, we were so lucky to get you on board. But don't take that to mean that I'm glad you had a positive. I know you have a lot of fight in you. Be strong. As Scarlett said, "Tomorrow is another day." You will not be abandoned.

Lorie

TMB response to my 103ng/ml EtG

After my couple of paragraphs whining, I retyped in the body of theletter I recieved today from the Texas Medical Board. Consequent to this letter my wife no longer believes she should moveto Texas. My job security is not apparent, and no amount of effort Imake protects me from another positive EtG. In New York she at leasthas a stable job and income. I am unable to secure New York licensurewhile under board order in Texas. Texas functionally monitors theirphysicians forever. Perhaps it's unwise for me to post thisinformation. Right now, all I care about is people knowing I did notconsume alcohol and lead the most compulsive alcohol exposure-freelife a hospital based physician can possibly lead; yet, I testedpositive for EtG.For those needing help reading between the lines; the following letteressentially communicates any future positive EtG will result inlicense revocation. When I am already doing all I can do (and Igurantee few, if any, are more compulsive than I about this), yetstill have a positive EtG, it's impossible to enjoy professional security.I've got so much work to do, but simply can't focus right now. Mywife is screaming at me, "Are you sure you've done nothing to get apositive test?!". I completely understand her position. I just feelold-fashioned despondent. I'm glad this group exists. It feels oddfinding comfort at a computer, but like others, people at my meetingsnod their heads while nonverbally indicating, "I just don't know aboutyou."Dr. DiBona,On September 8th, 2006 I received notification from ComplianceSpecialist, Rui Bernardo, TMB, Austin, TX that the results of yourdrug screen for August 29th, 2006 was Positive for the EthylGlucuronide alcohol metabolite in the amount of 103ng/ml.I have received your letter of explanation dated September 11, 2006. Notwithstanding your written explanation, your positive test is aviolation of paragraph 3, page 4 of your Agreed Board Order.This letter represents a documented warning to advise you to avoidrepeating this situation in the future and to strictly follow the drugprogram rules. Failure to heed this warning may result in additionaldisciplinary action being taken against your medical license. Thisletter also represents the conclusion of this recent event and noadditional correspondence from you is required.Sincerely, A. Tomeo, RN, MSCompliance Office/Senior InvestigatorCcMari , JDDirector of EnforcementTexas Medical Board333 Guadalupe, Tower 3, Suite 610Austin TX 78701-3998

[Guest guest]

Thanks,

Bob. I haven’t gotten to the Dallas Cauduces meeting. I tired

long ago of insincere and low integrity discussion common to those groups.

I’ll reconsider.

Dan

Re:

Re: TMB response to my 103ng/ml EtG

HEY! HEY! Be carefull with the ice

cream,... you know " Brewery syndrome " and all. And

don't even think about the rum raisin. or that

jager-banana at marble slab.

Look Dan, that's actually a

" supportive " letter from the Board,...as crazy as that sounds.

They didn't call you in to a disciplinary hearing. And for them,

that's " under the radar " .

I am active in helping other doctors and

medical professionals in rehab and there is much higher ETG numbers they don't

know what to do with right now. Make sure you get to the Dallas

caduses meetings and be actively seen by all the players in that community so

that there is plenty of positive support by credible members of sobriety who

can back you with power. DCMS has a good monitoring program whose letter

quarterly to the board carries weight when they really know you........you

know, the good letter....the one in the top drawer. even if another

accidental positive comes up, it's hard to discount someone they know has

good backing, and observation, and is giving service back to the new ones

coming in. By the way, we need to hit this stuff harder with the med

students. Some crappy hour-long lecture over lunch isn't getting the message

across to them. They need to see and hear from us more about what

can happen in their career.

Now I gotta go,...I just took two motrin

and I feel them methylating.... BOB

[Guest guest]

so sad for you dan so many do not understand much less support...at the heart of the horror for me self centered fear..i have to intensify my program focus on helping others stay out of my head seek a spritual solution..regards,r

[Guest guest]

Dr Dan:

Very sad. Please do not lose your spirit.......you have been an

inspiration to many here.....in fact I believe someone called you a

" knight in shining armour " ...............I cannot imagine not living

with my husband. I am actually one of the few that actually " like "

their husband and given the choice of who I would want to be with, I

always choose him...........I will keep you in my prayers........Joy

> > >

> > > After my couple of paragraphs whining, I retyped in the body of the

> > > letter I recieved today from the Texas Medical Board.

> > >

> > > Consequent to this letter my wife no longer believes she should move

> > > to Texas. My job security is not apparent, and no amount of effort I

> > > make protects me from another positive EtG. In New York she at

> > least

> > > has a stable job and income. I am unable to secure New York

> > licensure

> > > while under board order in Texas. Texas functionally monitors their

> > > physicians forever. Perhaps it's unwise for me to post this

> > > information. Right now, all I care about is people knowing I did

> > not

> > > consume alcohol and lead the most compulsive alcohol exposure-free

> > > life a hospital based physician can possibly lead; yet, I tested

> > > positive for EtG.

> > >

> > > For those needing help reading between the lines; the following

> > letter

> > > essentially communicates any future positive EtG will result in

> > > license revocation. When I am already doing all I can do (and I

> > > gurantee few, if any, are more compulsive than I about this), yet

> > > still have a positive EtG, it's impossible to enjoy professional

> > security.

> > >

> > > I've got so much work to do, but simply can't focus right now. My

> > > wife is screaming at me, " Are you sure you've done nothing to get a

> > > positive test?! " . I completely understand her position. I just

> > feel

> > > old-fashioned despondent. I'm glad this group exists. It feels odd

> > > finding comfort at a computer, but like others, people at my

> > meetings

> > > nod their heads while nonverbally indicating, " I just don't know

> > about

> > > you. "

> > >

> > > Dr. DiBona,

> > >

> > > On September 8th, 2006 I received notification from Compliance

> > > Specialist, Rui Bernardo, TMB, Austin, TX that the results of your

> > > drug screen for August 29th, 2006 was Positive for the Ethyl

> > > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> > >

> > > I have received your letter of explanation dated September 11,

> > 2006.

> > > Notwithstanding your written explanation, your positive test is a

> > > violation of paragraph 3, page 4 of your Agreed Board Order.

> > >

> > > This letter represents a documented warning to advise you to avoid

> > > repeating this situation in the future and to strictly follow the

> > drug

> > > program rules. Failure to heed this warning may result in

> > additional

> > > disciplinary action being taken against your medical license. This

> > > letter also represents the conclusion of this recent event and no

> > > additional correspondence from you is required.

> > >

> > > Sincerely,

> > >

> > > A. Tomeo, RN, MS

> > > Compliance Office/Senior Investigator

> > > Cc

> > > Mari , JD

> > > Director of Enforcement

> > > Texas Medical Board

> > > 333 Guadalupe, Tower 3, Suite 610

> > > Austin TX 78701-3998

> > >

> >

>

[Guest guest]

Thank

you…every one. I’m going to print an unedited part of my wife’s

eamil to me. I want any lurking parties aware it’s not simply an

individual affected by unfounded EtG use, it is an entire family.

“Do not misunderstand my shock and

devastation as being directed at you. I am simply having an enormous amount of

difficulty absorbing these new facts and their ramifications, given that I have

not planned for, nor do I feel myself able to support our family financially if

I move to Texas. Until yesterday, it had never occurred to me that

I could be called upon to do so. My questions about when you knew what you

seem to now know are simply because I am trying to piece together how I could

have NOT KNOWN. I am proud of the way you are handling your end of things. I am

trying to feel energetic about responding to the impact it is having on my life

and our life together and am only feeling devastated.

“At this point I can barely do all

I am doing here. I am certain, beyond a shadow of a doubt, that to pick up and

do all of the same there with greater expenses and no professional base, if it

became immediately necessary, is beyond my ability right now. I would never

have had us buy a house. I would have spent this entire past year in serious

job hunting in Dallas and in pursuing my Texas license. I have not planned for any of this and have no idea how

long it will take me to try to figure out how to plan for it.

“I have an entire community of

people pulling for me and for us toward this relocation, and not one of them

knows any of this. I cannot tell anyone here, I cannot talk to anyone, I cannot

tell my parents. The children are hearbreakingly excited to move to Texas, seem to feel

(understandably) that it is rather imminent and are also devastated

because they heard me screaming last night and know that we had a fight. They

were crying and scared to death. I assured them that it has mainly to do with

Mommy being over-tired and stressed and that they have nothing to worry about,

that you and I love each other but that it is a tremendous hardship to live 1500

miles apart and try to even communicate, much less communicate about difficult

things. And, I have no privacy whatsoever, at any time, no matter where I am. I

flat out told them that my private life is not to be discussed.

“I have no idea what I am supposed

to do about my practice. I was in the process of discussions about sale,

preparing people for the possibility of my departure. I don’t have

the energy to write anymore.”

Re:

TMB response to my 103ng/ml EtG

so sad for you dan so many do not understand much less support...at the

heart

of the horror for me self centered fear..i have to intensify my program

focus on helping

others stay out of my head seek a spritual solution..regards,r

[Guest guest]

I love

my wife and kids more than anything in the world. I’m not angry at her.

I understand. It does effect my spirit. I’m sorry. I’m not

depressed or irrational, I assure you; I’m just the saddest I’ve

ever been.

Re:

TMB response to my 103ng/ml EtG

Dr Dan:

Very sad. Please do not lose your spirit.......you have been an

inspiration to many here.....in fact I believe someone called you a

" knight in shining armour " ...............I cannot imagine

not living

with my husband. I am actually one of the few that actually " like "

their husband and given the choice of who I would want to be with, I

always choose him...........I will keep you in my prayers........Joy

> > >

> > > After my couple of paragraphs whining, I retyped in the body of

the

> > > letter I recieved today from the Texas Medical Board.

> > >

> > > Consequent to this letter my wife no longer believes she should

move

> > > to Texas. My job security is not apparent, and no amount of

effort I

> > > make protects me from another positive EtG. In New York she at

> > least

> > > has a stable job and income. I am unable to secure New York

> > licensure

> > > while under board order in Texas. Texas functionally monitors

their

> > > physicians forever. Perhaps it's unwise for me to post this

> > > information. Right now, all I care about is people knowing I did

> > not

> > > consume alcohol and lead the most compulsive alcohol

exposure-free

> > > life a hospital based physician can possibly lead; yet, I tested

> > > positive for EtG.

> > >

> > > For those needing help reading between the lines; the following

> > letter

> > > essentially communicates any future positive EtG will result in

> > > license revocation. When I am already doing all I can do (and I

> > > gurantee few, if any, are more compulsive than I about this),

yet

> > > still have a positive EtG, it's impossible to enjoy professional

> > security.

> > >

> > > I've got so much work to do, but simply can't focus right now. My

> > > wife is screaming at me, " Are you sure you've done nothing

to get a

> > > positive test?! " . I completely understand her position. I

just

> > feel

> > > old-fashioned despondent. I'm glad this group exists. It feels

odd

> > > finding comfort at a computer, but like others, people at my

> > meetings

> > > nod their heads while nonverbally indicating, " I just don't

know

> > about

> > > you. "

> > >

> > > Dr. DiBona,

> > >

> > > On September 8th, 2006 I received notification from Compliance

> > > Specialist, Rui Bernardo, TMB, Austin, TX that the results of

your

> > > drug screen for August 29th, 2006 was Positive for the Ethyl

> > > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> > >

> > > I have received your letter of explanation dated September 11,

> > 2006.

> > > Notwithstanding your written explanation, your positive test is

a

> > > violation of paragraph 3, page 4 of your Agreed Board Order.

> > >

> > > This letter represents a documented warning to advise you to

avoid

> > > repeating this situation in the future and to strictly follow

the

> > drug

> > > program rules. Failure to heed this warning may result in

> > additional

> > > disciplinary action being taken against your medical license.

This

> > > letter also represents the conclusion of this recent event and

no

> > > additional correspondence from you is required.

> > >

> > > Sincerely,

> > >

> > > A. Tomeo, RN, MS

> > > Compliance Office/Senior Investigator

> > > Cc

> > > Mari , JD

> > > Director of Enforcement

> > > Texas Medical Board

> > > 333 Guadalupe, Tower 3, Suite 610

> > > Austin TX 78701-3998

> > >

> >

>

[Guest guest]

Dan, I too would be the saddest...........joy, no apologies needed

> > > >

> > > > After my couple of paragraphs whining, I retyped in the body

of the

> > > > letter I recieved today from the Texas Medical Board.

> > > >

> > > > Consequent to this letter my wife no longer believes she

should move

> > > > to Texas. My job security is not apparent, and no amount of

effort I

> > > > make protects me from another positive EtG. In New York she at

> > > least

> > > > has a stable job and income. I am unable to secure New York

> > > licensure

> > > > while under board order in Texas. Texas functionally monitors

their

> > > > physicians forever. Perhaps it's unwise for me to post this

> > > > information. Right now, all I care about is people knowing I did

> > > not

> > > > consume alcohol and lead the most compulsive alcohol exposure-free

> > > > life a hospital based physician can possibly lead; yet, I tested

> > > > positive for EtG.

> > > >

> > > > For those needing help reading between the lines; the following

> > > letter

> > > > essentially communicates any future positive EtG will result in

> > > > license revocation. When I am already doing all I can do (and I

> > > > gurantee few, if any, are more compulsive than I about this), yet

> > > > still have a positive EtG, it's impossible to enjoy professional

> > > security.

> > > >

> > > > I've got so much work to do, but simply can't focus right now. My

> > > > wife is screaming at me, " Are you sure you've done nothing to

get a

> > > > positive test?! " . I completely understand her position. I just

> > > feel

> > > > old-fashioned despondent. I'm glad this group exists. It feels odd

> > > > finding comfort at a computer, but like others, people at my

> > > meetings

> > > > nod their heads while nonverbally indicating, " I just don't know

> > > about

> > > > you. "

> > > >

> > > > Dr. DiBona,

> > > >

> > > > On September 8th, 2006 I received notification from Compliance

> > > > Specialist, Rui Bernardo, TMB, Austin, TX that the results of your

> > > > drug screen for August 29th, 2006 was Positive for the Ethyl

> > > > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> > > >

> > > > I have received your letter of explanation dated September 11,

> > > 2006.

> > > > Notwithstanding your written explanation, your positive test is a

> > > > violation of paragraph 3, page 4 of your Agreed Board Order.

> > > >

> > > > This letter represents a documented warning to advise you to avoid

> > > > repeating this situation in the future and to strictly follow the

> > > drug

> > > > program rules. Failure to heed this warning may result in

> > > additional

> > > > disciplinary action being taken against your medical license. This

> > > > letter also represents the conclusion of this recent event and no

> > > > additional correspondence from you is required.

> > > >

> > > > Sincerely,

> > > >

> > > > A. Tomeo, RN, MS

> > > > Compliance Office/Senior Investigator

> > > > Cc

> > > > Mari , JD

> > > > Director of Enforcement

> > > > Texas Medical Board

> > > > 333 Guadalupe, Tower 3, Suite 610

> > > > Austin TX 78701-3998

> > > >

> > >

> >

>

[Guest guest]

Dan, They say that is the beauty of recovery....being able to feel

your emotions...something I never did...I medicated them. My

spirituality has taught me to feel and acknowledge those feelings,

but not BECOME those feelings...feel sad and acknowledge that you are

feeling that but not to become depressed! I love the story about the

Indian Chief and his grandson. The Chief says, 'I have two wolves in

my head...the wolf of FEAR, which is anger, sadness, regret,

vicimhood, prejudice and hate. The wolf of LOVE is acceptance,

gratitude, joy, optimism, faith, peace, serenity. These two wolves

are ALWAYS battling in my head. The grandson askes, 'Grandfather,

which one will win?' The Chief replies....'Whichever one I will

feed'! Feel the feelings but remember which wolf to feed. I have

learned that what I focus on expands...I choose to feed the wolf of

LOVE more often then the wolf of FEAR! We all love ya, Dan and are

here for you!

> > > >

> > > > After my couple of paragraphs whining, I retyped in the body

of the

> > > > letter I recieved today from the Texas Medical Board.

> > > >

> > > > Consequent to this letter my wife no longer believes she

should move

> > > > to Texas. My job security is not apparent, and no amount of

effort I

> > > > make protects me from another positive EtG. In New York she

at

> > > least

> > > > has a stable job and income. I am unable to secure New York

> > > licensure

> > > > while under board order in Texas. Texas functionally monitors

their

> > > > physicians forever. Perhaps it's unwise for me to post this

> > > > information. Right now, all I care about is people knowing I

did

> > > not

> > > > consume alcohol and lead the most compulsive alcohol exposure-

free

> > > > life a hospital based physician can possibly lead; yet, I

tested

> > > > positive for EtG.

> > > >

> > > > For those needing help reading between the lines; the

following

> > > letter

> > > > essentially communicates any future positive EtG will result

in

> > > > license revocation. When I am already doing all I can do (and

I

> > > > gurantee few, if any, are more compulsive than I about this),

yet

> > > > still have a positive EtG, it's impossible to enjoy

professional

> > > security.

> > > >

> > > > I've got so much work to do, but simply can't focus right

now. My

> > > > wife is screaming at me, " Are you sure you've done nothing to

get a

> > > > positive test?! " . I completely understand her position. I

just

> > > feel

> > > > old-fashioned despondent. I'm glad this group exists. It

feels odd

> > > > finding comfort at a computer, but like others, people at my

> > > meetings

> > > > nod their heads while nonverbally indicating, " I just don't

know

> > > about

> > > > you. "

> > > >

> > > > Dr. DiBona,

> > > >

> > > > On September 8th, 2006 I received notification from Compliance

> > > > Specialist, Rui Bernardo, TMB, Austin, TX that the results of

your

> > > > drug screen for August 29th, 2006 was Positive for the Ethyl

> > > > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> > > >

> > > > I have received your letter of explanation dated September

11,

> > > 2006.

> > > > Notwithstanding your written explanation, your positive test

is a

> > > > violation of paragraph 3, page 4 of your Agreed Board Order.

> > > >

> > > > This letter represents a documented warning to advise you to

avoid

> > > > repeating this situation in the future and to strictly follow

the

> > > drug

> > > > program rules. Failure to heed this warning may result in

> > > additional

> > > > disciplinary action being taken against your medical license.

This

> > > > letter also represents the conclusion of this recent event

and no

> > > > additional correspondence from you is required.

> > > >

> > > > Sincerely,

> > > >

> > > > A. Tomeo, RN, MS

> > > > Compliance Office/Senior Investigator

> > > > Cc

> > > > Mari , JD

> > > > Director of Enforcement

> > > > Texas Medical Board

> > > > 333 Guadalupe, Tower 3, Suite 610

> > > > Austin TX 78701-3998

> > > >

> > >

> >

>

[Guest guest]

Dan, I feel your pain. The only words of comfort I can share is that

you are not alone. You have shown tremendous effort and strength

with the battle against this MONSTER. You have, on many days given

me the strength just to face the day. You need a rest. Take a break.

The MONSTER will still be here. YOU ARE A GOOD MAN.

> > > >

> > > > After my couple of paragraphs whining, I retyped in the body

of the

> > > > letter I recieved today from the Texas Medical Board.

> > > >

> > > > Consequent to this letter my wife no longer believes she

should move

> > > > to Texas. My job security is not apparent, and no amount of

effort I

> > > > make protects me from another positive EtG. In New York she

at

> > > least

> > > > has a stable job and income. I am unable to secure New York

> > > licensure

> > > > while under board order in Texas. Texas functionally

monitors their

> > > > physicians forever. Perhaps it's unwise for me to post this

> > > > information. Right now, all I care about is people knowing I

did

> > > not

> > > > consume alcohol and lead the most compulsive alcohol

exposure-free

> > > > life a hospital based physician can possibly lead; yet, I

tested

> > > > positive for EtG.

> > > >

> > > > For those needing help reading between the lines; the

following

> > > letter

> > > > essentially communicates any future positive EtG will result

in

> > > > license revocation. When I am already doing all I can do

(and I

> > > > gurantee few, if any, are more compulsive than I about

this), yet

> > > > still have a positive EtG, it's impossible to enjoy

professional

> > > security.

> > > >

> > > > I've got so much work to do, but simply can't focus right

now. My

> > > > wife is screaming at me, " Are you sure you've done nothing

to get a

> > > > positive test?! " . I completely understand her position. I

just

> > > feel

> > > > old-fashioned despondent. I'm glad this group exists. It

feels odd

> > > > finding comfort at a computer, but like others, people at my

> > > meetings

> > > > nod their heads while nonverbally indicating, " I just don't

know

> > > about

> > > > you. "

> > > >

> > > > Dr. DiBona,

> > > >

> > > > On September 8th, 2006 I received notification from

Compliance

> > > > Specialist, Rui Bernardo, TMB, Austin, TX that the results

of your

> > > > drug screen for August 29th, 2006 was Positive for the Ethyl

> > > > Glucuronide alcohol metabolite in the amount of 103ng/ml.

> > > >

> > > > I have received your letter of explanation dated September

11,

> > > 2006.

> > > > Notwithstanding your written explanation, your positive test

is a

> > > > violation of paragraph 3, page 4 of your Agreed Board Order.

> > > >

> > > > This letter represents a documented warning to advise you to

avoid

> > > > repeating this situation in the future and to strictly

follow the

> > > drug

> > > > program rules. Failure to heed this warning may result in

> > > additional

> > > > disciplinary action being taken against your medical

license. This

> > > > letter also represents the conclusion of this recent event

and no

> > > > additional correspondence from you is required.

> > > >

> > > > Sincerely,

> > > >

> > > > A. Tomeo, RN, MS

> > > > Compliance Office/Senior Investigator

> > > > Cc

> > > > Mari , JD

> > > > Director of Enforcement

> > > > Texas Medical Board

> > > > 333 Guadalupe, Tower 3, Suite 610

> > > > Austin TX 78701-3998

> > > >

> > >

> >

>

[Guest guest]

,

I agree with Bob. The current TMB cutoff is 100. Until that changes,

and I think it will have to be voted by the full Board at a regular

meeting, they are obligated to say something like that. They didn't

call you in, they didn't discipline you. They said they might if it

happens again.

Did you present the SAMHSA advisory to them? I hope that once they

see that they will at least modify the cutoffs.

>

> HEY! HEY! Be carefull with the ice cream,... you know " Brewery

syndrome "

> and all. And don't even think about the rum raisin. or that

> jager-banana at marble slab.

>

> Look Dan, that's actually a " supportive " letter from the

Board,...as

> crazy as that sounds. They didn't call you in to a disciplinary

hearing. And

> for them, that's " under the radar " .

> I am active in helping other doctors and medical professionals in

rehab and

> there is much higher ETG numbers they don't know what to do with

right now.

> Make sure you get to the Dallas caduses meetings and be actively

seen by all

> the players in that community so that there is plenty of positive

support by

> credible members of sobriety who can back you with power. DCMS has

a good

> monitoring program whose letter quarterly to the board carries

weight when they

> really know you........you know, the good letter....the one in the

top

> drawer. even if another accidental positive comes up, it's hard

to discount

> someone they know has good backing, and observation, and is giving

service back

> to the new ones coming in. By the way, we need to hit this stuff

harder with

> the med students. Some crappy hour-long lecture over lunch isn't

getting the

> message across to them. They need to see and hear from us more

about what

> can happen in their career.

>

> Now I gotta go,...I just took two motrin and I feel them

methylating....

> BOB

>

[Guest guest]

---Well, dear ole Beelzebub! How the hell are ya? Now, having to

show your face in these bizarre cult circles and pretending to

believe their bs is exactly the problem with this recovery thing.

Why would Dr. Dan need or want to increase his exposure? We all

know that anonimity is a joke, don't we? Besides, bet ya a million

bucks that the " gurus " of the groups (you know, the ones who will

vouch for Dr. Dan) are more than likely in cahoots with dear ole

Mark Foley. Either that or they are out looking for pastures filled

with livestock. Speaking of Mark Foley, isn't it delightful to see a

hypocrite fall?

And dumbass, this is the last time I will give you the secret

potion. If you lose it again, you will be shit outta luck. GOT IT?

1 eye of newt

> 1 bat wing

> 1 Toadstool

> 1 pinch of Nazi dung

> Mix thoroughly in a vat of beer. Bring to a low boil and them

> simmer for 3 days.

> For best results drink it while you are upside down (ya'll know, in

> keg stand position)

In Ethylglucuronide , rrpmd@... wrote:

>

> we're talking job security right? That same " insincerity " allows

them to

> think superficially and therefore if you " look " healthy then

you " are " healthy.

> Use that thinking in your favor. Now, between you and me,

stay

> healthy and keep doing what your doing, but you got to glad-hand,

be seen in those

> circles, dance a little....that....that you have control of.

The sober

> guy that isn't participating in those circles....doesn't " look "

healthy,

> whether it's right or wrong... For my career, and my

family.....I'll dance.

> and when I get out of the Board program,..I'll be past all

this shit and

> go on being healthy without all the worry and extra pressure.

> You've been a big help to this site,...keep your head up!

Now, what was

> that masking drug again?

(kidding)

> BOB

>

[Guest guest]

And understandably so, Dan. My heart goes out to you & your family over this; I wish I had words to convey how much you have been important to the site & to me personally with your wisdom, eloquence, & energy for the cause & for support of us as individuals & as a group. I offer you no less support than you have given---I only wish I could say it as effectively. You are in my heart & prayers. Cyberhugs to you. Thoughts be with, Marsha DiBona <danieldibona@...> wrote: I love my wife and kids more than anything in the world. I’m not angry at her. I understand. It does effect my spirit. I’m sorry. I’m not depressed or irrational, I assure you; I’m just the saddest I’ve ever been. -----Original Message-----From: Ethylglucuronide [mailto:Ethylglucuronide ] On Behalf Of

joyous1_1210Sent: Thursday, October 05, 2006 6:15 AMEthylglucuronide Subject: Re: TMB response to my 103ng/ml EtG Dr Dan:Very sad. Please do not lose your spirit.......you have been aninspiration to many here.....in fact I believe someone called you a"knight in shining armour"...............I cannot imagine not livingwith my husband. I am actually one of the few that actually "like"their husband and given the choice of who I would want to be with, Ialways choose

him...........I will keep you in my prayers........Joy> > >> > > After my couple of paragraphs whining, I retyped in the body of the> > > letter I recieved today from the Texas Medical Board. > > > > > > Consequent to this letter my wife no longer believes she should move> > > to Texas. My job security is not apparent, and no amount of effort I> > > make protects me from another positive EtG. In New York she at > > least> > > has a stable job and income. I am unable to secure New York > > licensure> > > while under board order in Texas. Texas functionally monitors their> > > physicians forever. Perhaps it's unwise for me to post this> > > information. Right now, all I care about is people knowing I did >

> not> > > consume alcohol and lead the most compulsive alcohol exposure-free> > > life a hospital based physician can possibly lead; yet, I tested> > > positive for EtG.> > > > > > For those needing help reading between the lines; the following > > letter> > > essentially communicates any future positive EtG will result in> > > license revocation. When I am already doing all I can do (and I> > > gurantee few, if any, are more compulsive than I about this), yet> > > still have a positive EtG, it's impossible to enjoy professional > > security.> > > > > > I've got so much work to do, but simply can't focus right now. My> > > wife is screaming at me, "Are you sure you've done nothing to get a> > > positive test?!". I completely understand her position. I just > > feel>

> > old-fashioned despondent. I'm glad this group exists. It feels odd> > > finding comfort at a computer, but like others, people at my > > meetings> > > nod their heads while nonverbally indicating, "I just don't know > > about> > > you."> > > > > > Dr. DiBona,> > > > > > On September 8th, 2006 I received notification from Compliance> > > Specialist, Rui Bernardo, TMB, Austin, TX that the results of your> > > drug screen for August 29th, 2006 was Positive for the Ethyl> > > Glucuronide alcohol metabolite in the amount of 103ng/ml.> > > > > > I have received your letter of explanation dated September 11, > > 2006. > > > Notwithstanding your written explanation, your positive test is a> > > violation of paragraph 3, page 4 of your Agreed Board Order.>

> > > > > This letter represents a documented warning to advise you to avoid> > > repeating this situation in the future and to strictly follow the > > drug> > > program rules. Failure to heed this warning may result in > > additional> > > disciplinary action being taken against your medical license. This> > > letter also represents the conclusion of this recent event and no> > > additional correspondence from you is required.> > > > > > Sincerely,> > > > > > A. Tomeo, RN, MS> > > Compliance Office/Senior Investigator> > > Cc> > > Mari , JD> > > Director of Enforcement> > > Texas Medical Board> > > 333 Guadalupe, Tower 3, Suite 610> > > Austin TX 78701-3998> > >>

>>

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