Discover and read the best of Twitter Threads about #CPP

Most recents (22)

"Most patients do not 'get high' from taking #opioids, & #addiction is unlikely if your risk for addiction is low: those at greatest risk have a history of addiction w/ alcohol or other drugs." — Canadian Guideline for Safe & Effective Use of #Opioids #pain #cpp | thread
Current Canadian Guidelines for Safe and Effective Use of #Opioids for #ChronicPain | Info for Patients:

1) "#Opioids are used to improve your ability to be active and reduce pain." nationalpaincentre.mcmaster.ca/opioid/cgop_b_…
2) "There are side effects from #opioids, but they can be mostly controlled with increasing your dose slowly."

Most common side effects: nausea, constipation, drowsiness, dizziness, itching. (Canadian Rx Opioid Guidelines).
Read 16 tweets
I'm a chronic pain patient or #CPP, who's disabled. Now presenting an insanely long thread abt the way we're mistreated and misrepresented:
I like med dramas like New Amsterdam (& Grey’s Anatomy, ER). But as a #CPP, after last week’s episode I’m not sure I can keep watching. /1
All these shows are overly-dramatic (soap operas?), taking once-in-a-lifetime cases or insane accidents and pretending stuff like that happens nonstop. It doesn’t.
They like to dabble in current events. I’ve even had an article I’ve written for the Trib featured as a storyline 2/
on Chicago Med! But New Amsterdam this week took something I deal with every day of my life & didn’t fictionalize it – they portrayed it as real as it is – and then relentlessly attacked chronic pain patients in this country.
Premise: The director wanted something monumental 3/
Read 21 tweets
.@MedPageToday Your 3/1 illustration about #opioid tapering is so offensive I won't retweet it. #ChronicPain, not the medicine that relieves it, is the ball & chain millions drag behind us. I direct @headsUPmigraine. I know people who died after being forced off safe med. /thread
Shame on you for perpetuating the stigma & misinformation that's ruining & even ending people's lives. "When #pain meds are taken the right way, #addiction is very rare." #opioids #cpp #spoonie cancer.org/content/dam/ca…
#CDC's Guidelines put the rate of non-problematic use of rx #opioids at average 96.97% w/ 3.03% including non-addictive "dependence." Brat 2018 reviewed 1+ million post-op patients & found rate of 99.4% unremarkable use; 0.6% included patients who refilled, @MedPageToday.
Read 9 tweets
CORONAVIRUS (COVID-19)
This is a roundup of what I found to be the most interesting & helpful sources on my journey into the void. #Coronavirus #Pandemic #Misinformation #CDC #CPP #WHO
This is for friends & family, but also to raise concern over media censorship & begin a discussion of what are best practices for both traditional & decentralized media outlets. This is a collection of sources to tell a larger story and spark interest.
Very few sources peer reviewed. Some behind paywalls. Some mainstream news. Some International News. Some in other languages (Use chrome). Some Harvard medical Journals. Some unverified. Some factually incorrect. Have some salt with your rice & beans.
Read 132 tweets
A #imprensa e a sociedade não podem esquecer que continua a tramitar no #STF um #inquérito judicial completamente inconstitucional, sem #competência do tribunal e ferindo regras de #impedimento, #distribuição, princípio acusatório, #imparcialidade e participação do #MP | #Inq4781
O #STF decidiu instaurar o nulíssimo #inquérito judicial (!) #Inq4781 para apurar #ofensas e #ameaças (quais?) a membros do próprio #tribunal. As pessoas precisam se informar sobre o que é o princípio #acusatório, que está sendo trucidado nesse inquérito
O princípio #acusatório, apesar do nome estranho, é #garantia constitucional fundamental de todo cidadão e cidadã, para evitar #investigações e #acusações ilegais e garantir #julgamento isento e justo | #Inq4781
Read 29 tweets
Here's my latest* update to my vetted collection of Twitter Disability and Chronic Illness hashtags. Please share it!

Thank you :-) Graffiti background. Foreground in black letters on a  white background to the left reads “Twitter Disability and Chronic Illness Hashtags”<br />
This collection is current as of 01.30.20, previous Twitter update 09.11.19.

There's a PDF version coming up this weekend, to be posted to my Kofi profile. I'll add the link toward the end when it goes up, after the questions, where you can also sign up for email updates.
This version has added

- community suggestions,
- mental health hashtags,
- Medical crowdfunding hashtags,
- and a section for cancer-related hashtags.
Read 84 tweets
از ژانویه امسال، کسورات صندوق بازنشستگی کانادا -CPP- از ۵.۱٪ به ۵.۲۵٪ افزایش می‌یابد (سهم کارگر).

بدین ترتیب، جمع کسورات صندوق بازنشستگی- شامل سهم کارفرما- از حقوق واجد شرایط بازنشستگی، از میزان ۱۰.۲٪ به ۱۰.۵٪ افزایش یافته.

CPP: Canada Pension Plan fool.ca/2020/01/22/cpp…
/
صندوق بازنشستگی کانادا به تدریج توسعه می‌یابد. کسورات بالاتر می‌رود و در مقابل، مزایای بازنشستگی نیز افزایش می‌یابد.

سال ۲۰۱۹ حداکثر شروع پرداخت حق بازنشستگی صندوق بازنشستگی کانادا به افراد ۶۵ سال به بالا، ماهی ۱٫۱۵۵ دلار و میانگین پرداختی ماهی ۶۷۹ دلار بود.
/
/
کسورات بازنشستگی تا ۲۰۲۳ بالا می‌رود تا سهم کارگر و کارفرما به ۵.۹۵٪ برسد که می‌شود ۱۱.۹٪ درآمد مشمول بازنشستگی.

پرداختی بازنشستگی یک‌چهارم میانگین درآمد دوران کاری شاغلان را پوشش می‌دهد.

با این تغییرات دریافتی دوران بازنشستگی به یک‌سوم میانگین درآمد دوران کار شاغلان می‌رسد
/
Read 4 tweets
NÃO falo especificamente da #denúncia recente contra o jornalista #GlennGreenwald, pois não a li e não me cabe avaliar trabalho de colegas em rede social
Dito isso, discordo de uma crítica equivocada que tem sido feita à #denúncia: a de que o jornalista não poderia ser denunciado, porque não teria sido investigado nem indiciado. Falta de #investigação específica e de #indiciamento é irrelevante para fins de denúncia
Não há necessidade de uma #investigação criminal dirigir-se especificamente contra certa pessoa para que o #MP possa oferecer #denúncia contra ela. Frequentemente, durante #investigação sobre “A”, surgem provas da culpa de “B”. O MP pode denunciar ambos ou só “B”
Read 10 tweets
.@nytimes Ginia Bellafante wrote an essay to say she didn't need post-surgery #opioids, so she didn't take them. That's not news. #Pain patients are being forced off effective, FDA-approved meds, causing #suicide & unnecessary #disability, & OD rates still climb. That's the news.
CDC, FDA, HHS say no one should be forced off #opioids, yet rising # of doctors have practice-wide bans & @nytimes has 1st pg piece by someone who wasn't affected in the LEAST by any of this? People are DYING from untreated #pain & ODs because restricting Rx meds helps no one.
.@nytimes: Bellafante had a CHOICE. She didn't need #opioids, so she didn't take them. I know people who are DEAD & DISABLED because their doctors dumped them off meds they were taking safely for years on the grounds that the same med might harm someone else. That's unacceptable.
Read 8 tweets
Dependence means physical or physiological dependence, as indicated by tolerance and withdrawal symptoms. It is state of neuroadaptation that can occur after repeated substance use, whereby continued substance use is needed to prevent withdrawal symptom blogs.scientificamerican.com/observations/i…
I like that this article makes the difference between dependance and addiction. Just because someone is dependant on an opioid doesnt mean their addicted. There are many other drugs that if abruptly stopped will produce withdawal symptoms (antidepressants, antipsychotics,
Beta blockers,corticosteroids, gabapentin) just to name a few. But we don't call people who are on these drugs addicts, why do we do it with opioids?? Never understood that... #cpp #dependanceisNOTaddiction
Read 3 tweets
🚨 This thread provides info about the largest #opioid indictment & settlement in U.S. history whereby Indivior was charged w/ marketing #fraud of #Suboxone. The docs are lengthy but essential reading for all #CPP who have & are being tapered or terminated from their #RxOpioid.
The following is the DOJ announcement of the indictment in April 2019 and had Indivior been found guilty they would have been required to pay $3 BILLION in fines, fees, etc.

justice.gov/opa/pr/indivio…
In July 2019 a settlement agreement of $1.4 BILLION was reached that allowed the parent company of Indivior... manufacturer of #Suboxone (an #RxOpioid used to treat #Addiction and #ChronicPain) to resolve its potential #criminal & #civil liabilities.

justice.gov/opa/pr/justice…
Read 7 tweets
Docs you all write brilliant articles, but unless they're affected people don't read them.

PLEASE watch this 2 min video, this is URGENT! There are articles attached to prove this is critical. This can affect every #American. People are needlessly dying, We need your #Help
Almost 6 decades ago the UN addressed the under-treatment of pain, despite narcotic pain relief many people around the world suffer needlessly. In 1961 we recognized the undertreatment of #pain is a #HumanRights abuse. #RNC & #DNC are you listening?

ncbi.nlm.nih.gov/pmc/articles/P…
The #DEA is arguably waging a war against the weakest members of society These are #HumanRights abuses! #Trump Administration you think #KidsInCages was bad!

Plz, use the link in the article to let the DEA know what you think about more cuts to supplies
.painnewsnetwork.org/stories/2019/1…
Read 12 tweets
This is laughable. On 3/19 I reentered Twitter and found Chronic Pain Patients like me and joined the conversation. Ariana Grande sends a list of #CPP's. I of course had to change my profile and then added every single one listed also adding my own story. 'We educate, 5+5+ so on
Then I stay in the lane, only staying on topic of #opioidhysteria. After 5mnths, I am out of the conversation. I followed 720 #CPP's and almost no one followed me back. The thing about #DeepState is that sudden taper and no narcotics is all linked.
So, I start following a certain Political figure and all the lies involved and retweeting. I lose more #CPP followers. Every Single One of the Political I followed, Followed me back. Why? Because they are serious and realize there is a connection back to the Bush Era.
Read 7 tweets
Here’s my latest update to the list of Twitter #Disability & #ChronicIllness Hashtags.

- previous update 02.24.19 -

Please share it! Thank you. :-)

@ImageAltText Graffiti background. Foreground in white letters on a  red background to the left reads “Twitter Disability and Chronic Illness Hashtags”
There will be a PDF version up for download on my Ko-fi, likely tomorrow morning. The link is at the end.
Hashtags For Personal Narratives.

These hashtags are for sharing your stories & experiences. Also good for crowdsourcing solutions.

#InvisibleIllness
#MySpoons
#MyPainDay
#ShareOurPain
#ShareOurStories
#SpoonieStories
Read 58 tweets
Sharing again because there's a huge population I ignored in writing this: Pharmacists. A recent interaction left me in tears- not for the reason you'd think- when yet another pharmacist refused to fill pain meds. We both yelled but it ended with a hug. 1/
chicagotribune.com/columns/ct-liv…
I was out of state when my Rx was due. the VERY pharmacist I quote in my column who invoked her right not to fill for me was working while I visited family in GA. She again told me no, again came with attitude. Knowing I would have to book a last-minute flight home and miss my 2/
twins' b-day party, I confronted her. I said look, I know nothing is changing today and you're not filling this. But this is out of control. I go between these two states often, I work as a reporter in Chicago, I actually just wrote a column about this. And 300 people wrote me 3/
Read 25 tweets
#Lula no #STJ: o que está em julgamento esta tarde é um recurso chamado agravo regimental em recurso especial (REsp). O REsp foi interposto contra o acórdão do #TRF4 que confirmou a sentença de Sérgio #Moro e condenou Lula
#Lula no #STJ: o Superior Tribunal de Justiça é um tribunal de terceira instância do #Judiciário. Julga #recursos criminais e #habeas corpus #HC interpostos contra decisões de tribunais de segunda instância da Justiça Federal e Estadual
#Lula no #STJ: os advogados de Lula interpuseram #recurso especial contra o acórdão do #TRF4 que o condenou. O ministro #relator no STJ, em decisão monocrática (individual), negou seguimento (indeferiu) o recurso
Read 26 tweets
About 10 years ago, I was walking home from a slow-pitch baseball game and party with my team. I was a bit drunk, so I walked instead of driving. On the way home I was mugged from behind and woke up in the Rockyview Hospital in #YYC, with a #TBI #concussion. (1 of 13)
I've had multiple concussions from athletics. Football, hockey, rugby & skiing, plus ran over by a car, not once but twice. (think Super Dave Osborne) plus what I have learned since, repeated mildTBIs from the sports. Likely result, I have #CTE. I get worse each year, not better.
Here is what is happening now. I retired from my business some years ago and stopped working completely, 3.5 years ago. I have other progressive diseases besides #CTE, like #COPD #Arthritis #Cancer and more. It is a heavy load and crippling my abilities.
Read 16 tweets
A thread on #cpp #state_machine #software_design.

Random ideas around writing an FSM library, with examples from, and motivations behind hfsm.dev, a header-only library created using #cpp template #metaprogramming with #gamedev, #embedded and #robotics in mind.
*Reuse vs reimplement*

State machines can be deceptively complex, and, unless a trivial one is needed, a reusable framework is highly recommended.

Rolling out one's own for special needs is ok.

Otherwise - pick from a variety of existing solutions from #boost, on #github, etc.
*Static vs dynamic structure*

The first important decision is whether the structure of FSM could be built/changed at runtime.

The implementation of a dynamic FSM relies on heap-allocated memory, resizable containers and pointers, all of which come at a steep perf price.
Read 22 tweets
Traumatismo Craneoencefálico Severo 🧠 #TCE

Abro hilo, iniciamos 👨‍💻 y abierto los comentarios

A propósito de la publicación del @PedCritCareMed

@MarianaPediatra @FOAMexico @CantillMauricio @FOAMedMX @FranLoachamin @PatologCritica @ecameselle @RobustosMD @naidxielli 🔁
90 artículos contribuyeron a la evidencia, 68 describían protocolos aplicados para el manejo

Documento intencionado a uniformar la práctica clínica y mejorar desenlace, intentando motivarla innovación y búsqueda en áeras donde la evidencia es escasa
Objetivo del algoritmo es su utilidad en el manejo general en #PedsICU en el TBI severo así como aspectos específicos

La #CT valora la extensión de la lesión cerebral y la necesidad potencial de intervención quirúrgica

El monitoreo de #ICP para guiar la terapia de la ICP y #CPP
Read 39 tweets
#Canadians better wake UP! This needs to be RETWEETED to every Canadian! Conservatives, Liberals, NDP & Green. Do you know someone with #Cancer Does anyone in your family have asthma, allergies, pain or obese? If you answered, yes! You have a pre-existing condition! #cdnpoli
Do you work at Tim’s, Walmart or some other job of this nature! Guess what, NO COVERAGE FOR YOU! Do you have a job that is absolutely guaranteed, guess what probably not! NO COVERAGE FOR YOU! Can you afford private insurance premiums, $500-$1000 per person, A MONTH! #cdnpoli
Are you willing to bet your child’s life on voting #CPC or for Max Bernier who said he’s ending socialized medicine? Are you willing to bet your life? How about your parents? You better realize ELECTIONS have CONSEQUENCES! #cdnpoli
Read 12 tweets
#Canada is at point where we hear a constant barrage of hate and fear. @CPC_HQ is yelling about a constant Trumpian border crisis that doesn’t exist. We do not have a border crisis. Yes. People have crossed, but, they aren’t wandering around #Canada
#cdnpoli 1/
#Canadians need to realize these people turn themselves into the RCMP. Our border is manned. They know who is crossing. We are obligated to hear their request. Most will be deported/sent back to the United States. As per Safe Third Country Agreement. We have no crisis 2/ #cdnpoli
The @CPC_HQ are stoking fear. When they know the laws. If the #CPC were in power, they too would be dealing with it the same way.
The @CPC_HQ stoking fear is to divide #Canadians
They don’t care about the border they have an agenda. That agenda should scare you 3/ #cdnpoli
Read 9 tweets
Сегодня пятница, а значит самое врёмя, чтобы запустить 1 фав=1 факт о моём компьютерном детстве середины 90х, о первых программах, победах и поражениях. Ретроностальгии вам нанесу. Буду стараться, поэтому не жалейте ретвитов.
1. Начать нужно с начала. Жил я себе без компьютеров и жизнь была кайфовая - жуков ловить, на велике гонять. Пока в году так ~95м не пришёл к своему однокласснику домой и не увидев впервые компьютер. ГОСПОДИ! До этого я же как-то жил без компьютеров, а теперь без них ЖИТЬ НЕ МОГ.
2. Справедливо упомянуть, что со школы я не помню ни одного стихотворения. Зато технические детали, спецификацию и характеристики моего первого компьютера я, наверное, запомню на всю жизнь. И на смертном одре правнукам ради хохмы зачитаю, а они такие ВО ДЕДА ГОНИТ ВАЩЕ ПОЕХАЛ.
Read 100 tweets

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