She Didn’t Seem Drunk
During her interaction with the transplant team, Leland had not seemed impaired and vehemently denied drinking. The concentration of alcohol found in her urine was surely high enough to result in drunkenness. Not only that, but Leland’s blood tests returned negative for ethanol, the main ingredient in alcoholic drinks.
Bizarre Discovery
Tamama saw that Leland’s urine contained high levels of glucose due to her uncontrolled diabetes, as well as high levels of yeast. He wondered if the microbes in her bladder were fermenting that sugar into alcohol… but how?