By Jan Hoffman
Sep 10, 2018
To the medical students, the patient was a conundrum.
According to his chart, he had residual pain from a leg injury sustained
while working on a train track. Now he wanted an opioid stronger than the
Percocet he'd been prescribed. So why did his urine test positive for two
other drugs - cocaine and hydromorphone, a powerful opioid that doctors had
not ordered? It was up to Clark Yin, 29, to figure out what was really going
on with Chris McQ, 58 - as seven other third-year medical students and two
"How are you going to have a conversation around the patient's positive tox
screen results?" asked Dr. Lidya H. Wlasiuk, who teaches addiction awareness
and interventions here at Boston University School of Medicine. Mr. Yin
threw up his hands. "I have no idea," he admitted.