Discover and read the best of Twitter Threads about #OpioidCrisis

Most recents (24)

I see a very loud contingency surrounding the so called #OpioidCrisis / #opioidhysteria.
Here’s my problemS
The overarching one applies to people on both sides of this: People are very selfish and only begin to care about something when it affects them or someone they love.
Given that, people who are upset at the limited or lack of availability don’t keepthe same energy for medications that have been policed longer than opioids like Sudafed and sleep medications like ambien.

Many STILL believe limiting *those* is a necessary- but not opioids.
This attitude is the very attitude that people against opioid use have. Many believe they know better than patients and doctors.
Some of the people who are anti opioids are pro use of other drugs.

The justifications for this are so incredibly selfish and nonsensical.
Read 7 tweets
Hello & Happy Spring! (Thread) If you haven’t been on here til 1am EST, I’m going to unpack recently announced #opioid bill S-724 (named for John McCain). For reax check out threads by @erinbiba and @AnaMardoll (call @gillibrandNY ASAP to protest bill.) Onto the breakdown:
Sen. Gillibrand introduced this bill with a flip referral to dental work and a misunderstanding of the term “acute pain”. #AcutePain does not mean ‘severe’ in medical terms, it means pain lasting up to/less than 6mos. If you’ve ever had a gunshot wound,
been in/had a serious accident, needed extensive surgery, had #fibromyalgia #arthritis #endometriosis or #pelvicpain #backpain -just to name a few-you may know that sometimes one needs more than 7 days of pain meds.
Read 17 tweets

For those of you finding me via @courtneymilan @AnaMardoll, let me explain what I mean by this bill eliminates the ability to get renewals for chronic pain patients &why what Gillibrand is suggesting creates an absolute NO vote for supporting her. #OpioidCrisis #pain
(1) Before we even begin to discuss the situations this bill will create, no one who claims they are pro-life should be proposing, let alone supporting, a bill that limits a patient’s access to treatment for long term pain.
(2) The entire pro-choice platform revolves around the idea that medical treatment is for the Dr and the patient. Not the government. Not the Church. Not the community. It is for the patient and their dr to decide what’s best for them. Not anyone else.
Read 33 tweets
❤️ 🇺🇸 👠 #BeBest with love 💞 ❤️

First Lady Melania Trump Visits The Children's Inn at the NIH via @YouTube
❤️ 🇺🇸 👠 BE BEST… via @whitehouse
Ladies and Gentlemen ~ Our amazing First Lady ❤️ 🇺🇸 👠
Read 16 tweets
#USA politicians support #Israel not out of allegiance or the power of lobbyists. Aspects of this support include:

1. Annual >$3b aid packages, with regular supplements & fewer restrictions than aid to other nations
2. Support of governments #Israel likes, such as #Jordan #KSA
#Egypt, regardless of #humanrights abuses
3. Undermining/attacking governments, groups & nations it dislikes: #Iraq #Iran #Lebanon
4. Ignoring obligations to #Palestinians under intl law
5. Allowing "charities" to receive tax-deductible donations used to further #ethniccleansing
in #Palestine.
6. Various state & federal government agencies with preferences to #Israel, such as #police exchanges & subsidized trade delegations.
7. Voting for legislation punishing people who support #BDS, a non-violent advocacy tactic.

Whatever it is that causes #USA
Read 6 tweets
If #DemocraticSocialism is of interest to U, consider California. Strong public assistance programs. Poverty Capital of America w 1 in 4 #Poor. With just 12% of US Population, more than a third of US #Welfare recipients live in #California. 55% of immigrant HHs on public aid.
"In California a mother w 2 kids under 5 who participates in major welfare programs... would receive benefits worth $30,828 per year... Moreover, this benefit package doesn’t include Medicaid, which would be worth roughly $4,459 for this household."…
"One of the problems with these welfare systems is they create situations where participants have little incentive to increase work because they would lose most of their earnings through lower benefits or higher taxes"…
Read 18 tweets
NO! 🛑

Bill #Gates Will Pay $12 Million To Big Pharma For A 'Mandatory' Universal Flu Shot

They (NWO/Goobalists) want to control EVERY aspect of your life & want you to be a slave to the govt. #BigPharma #FluShots

@realDonaldTrump @POTUS…
Then here’s #Schiff asking FB to remove ALL anti-Vaccine articles/information. @realDonaldTrump @POTUS

FB, Google bowing to globalists - serious folks, this stuff is happening right before your eyes 👀
#NWO #BigPharma #Vaccines #Sheep #Schiff

Schiff calls out #Facebook, #Google over anti-vaccination information - The Hill…
Read 7 tweets
Introduced this week in the Tennessee House, a new version of the fetal assault law. I'm going to write here about it's history, and why I'm worried. Hoping you will help me spread the word. @DrJenGunter @choo_ek #medtwitter #tweetiatricians…
First, please don't attack my home state of Tennessee. Some on my twitter feed like to say negative things about my state ... it's not productive, it's insulting. The state is me, my family, colleagues and hundreds of public servants trying to do good.
Now to the history. From 2014 to 2016, Tennessee had a law on the books that a woman using a narcotic in pregnancy could be charged with a misdemeanor. It was essentially a special penalty just for pregnant women.…
Read 13 tweets
1. Adults from dysfunctional families guess at what normal behavior is.
2. Adults from dysfunctional families have difficulty following a project through from
beginning to end.
3. Adults from dysfunctional families lie when it would be just as easy to tell the truth.
They lie out of self preservation and usually about their feelings.
Read 88 tweets
This surprised me: It's a myth most abortions are due to rape + health issues.

1% rape or incest
6% health issue for mom/baby
93% of all abortions occur for social reasons (unwanted/inconvenient)

Note: 1 to 2 million infertile and fertile couples want to adopt.❤
It's also a myth babies with abnormalities aren't adoptable + should therefore be aborted.

There are waiting lists of couples who would like to adopt infants with Down Syndrome or Spina Bifida. #AdoptionLaw
💔Americans abort 1.2 million babies every year.

💓For every baby placed for adoption, 36 couples are waiting to adopt.

💖Think about it: literally every single baby destined to be aborted in 2018 could be adopted according to statistics. #AbortionLaw…
Read 11 tweets
1) A U.S. #Immigration thread.

Feb. 2018 @POTUS writes "Democrats Have Lost Their Way on Immigration"…

Jan. 2019 @POTUS writes Letter on #BorderSecurity to Congress, includes obstructed @SecNielsen crisis Presentation.

#BuildTheWall #WWG1WGA #MAGA
2) @SecNielsen attempted to deliver her humanitarian crisis Presentation during a meeting with Congressional leadership in the @WhiteHouse Situation Room. @TheDemocrats' leadership refused to let Sec. Nielsen present vetted #BorderSecurity information:…
3) In this meeting obstructionist @SpeakerPelosi forced a tense confrontation, interrupting Nielsen’s presentation on #BorderSecurity and Illegal #Immigration, telling her “I reject your facts!” @DickDurbin and other obstructionists followed in protest.…
Read 32 tweets
I tweet about the #OpioidEpidemic fairly frequently but I guess not enough. I'm going to do a thread, in no particular order, on some facts. Much mis-information is out there. And I watched a townhall from Liberty University yesterday where the same misinformation was spewed.
Basically, where we are at is this, legit pain patients cannot get an RX and the RX's are down yet O.D.s are up. The following pieces will help explain why. And all are well sourced. So here goes. Starting with a big problem. The data is wrong. Also, govt can't fix this.
CDC Admits Rx Opioid Deaths ‘Significantly Inflated’…
Read 35 tweets
@RubinReport @joerogan would like to formally recommend that you have on some "expert" and someone affected by CDC guidelines to talk about the #opioidcrisis grounded in reality and not rhetoric and fear mongering. I think there is nuance here, and few people understand .../1
the relationship between the AMA and the CDC, and how government over reach has actually been the main cause of the spike in suicide due to pain or forced taper. I am not talking about guys who broke an ankle and got hooked on morphine(or a derivative) I am talking about...../2
chronically ill and sick people, who have diseases destroying their body. They live in pain, most are bed ridden, and yet this one time released pill everyone demonizes allows them to spend the days with their families, kids, be productive, have purpose..../3
Read 42 tweets
The Department of Justice has been taking action to curb the #OpioidEpidemic. Here are some of the steps we’ve taken:
More than 3,000 defendants have been charged with trafficking in heroin, fentanyl, or prescription drugs in FY 2017. #EndOpioidAbuse
Executed the largest-ever #healthcarefraud enforcement action, charging more than 600 defendants in 58 federal districts, including 162 doctors, nurses, and other medical professionals for opioid and narcotics-related crimes. #EndOpioidAbuse
Read 11 tweets
As @POTUS signs HR 6, the SUPPORT for Patients and Communities Act, to provide tools in the fight against the #OpioidCrisis, we thought we’d share some insights from our 2017 hearing featuring Nobel laureate Sir Angus Deaton, among others.
@POTUS Sir Deaton argued that deaths from legal and illegal drugs are contributing to an almost unprecedented increase in overall mortality among middle-aged white non-Hispanics. A century of mortality decline came to a halt at the end of the 20th century in America.
@POTUS The increase, argued Deaton and Anne Case, is due to a rise in drug, alcohol and suicide related deaths; they stated that the liberal prescription of opioids for pain relief fueled the epidemic.
Read 17 tweets
SUBJECT: Presidential Determination on Major Drug Transit or Major Illicit Drug Producing Countries for Fiscal Year 2019
By the authority vested in me as President by the Constitution and the laws of the United States, including section 706(1) of the Foreign Relations Authorization Act, Fiscal Year 2003 (Public Law 107-228) (FRAA),
Read 22 tweets
A5. Yes I believe they are being conflated.

This is a 2005 narrative, shamelessly propped up in newspaper, TV & film media. #MedTraumaChat
A5. 15 years ago, sure ERs were more liberal with pain med scripts than they should have been.

Rich people who could pay off doctors too. But it's 2018. Most deaths are due to heroin and/ or pills ordered online laced with fentanyl. #MedTraumaChat
A5. But let's say they were correct. Why would restricting pills production and prescriptions still cause deaths from this so-called #opioidcrisis to rise? #MedTraumaChat
Read 7 tweets
A1. The #opioidcrisis has completely disrupted my life.

A1. I finally had a program that worked, taking one opioid cousin, a pill for my nerves & a muscle relaxer plus weekly therapy.

I could work, had two businesses, employed people, hired freelancers, a social life, volunteered, travelled a lot. #MedTraumaChat
A1. Even before Obamacare when I had to pay cash, at least I had the option. It has gotten to the point now, after moving to TX, where I had to be drug tested every month for the mildest opioid-like pain pill. #MedTraumaChat
Read 4 tweets
F.D.A. Did Not Intervene to Curb Risky Fentanyl Prescriptions
Physicians should be more closely limited in prescribing drugs not approved for other use.
The Fentanyl deaths scandal should be a warning, since Fentanyl is intended ONLY for use with cancers.
Part of the Fentanyl catastrophe and resultant opioid crisis is that FAR TOO MANY physicians prescribe (even as we speak), Fentanyl for people with chronic muscular or chronic nerve pain, instead of a more judicious use of combo NSAIDs and non fentanyl opioids.
Fentanyl needs to be reserved only for cancer patients.

Also we must find a better law enforcement approach to synthetic, illegal fentanyl. This is what opioid addicts turn to as their bodies adjust to heroin.
We need a true approach to the opioid crisis.
Read 5 tweets
.@AlexVASheriff, @AlexandriaVAGov officials, and a couple that lost a child to opioid addiction, talk about the importance of proper disposal of unused or expired prescriptions #AlexandriaVA #DelRayVA #OpioidEpidemic
A Navy admiral lost his son to opioid addiction. Now he’s marshaling support to end the epidemic.… @SAFEprojectUS #SAFEUS #OpioidCrisis #OpioidEpidemic
Read 3 tweets
1/ A @Walgreens pharmacy in Northern California has caught the eye of DEA investigators.

It ordered unusually large amounts of the highly addictive opioids hydrocodone and oxycodone, according to an affidavit filed earlier this year.…
2/ This particular Walgreens purchased around twice the amount of both drugs as the next-largest buyer in its area, per the records: About 2 million doses of hydrocodone and 1 million of oxycodone.
3/ The DEA is curious about an “unexplained loss” in October 2016 of roughly 8,000 hydrocodone tablets, valued at $6,213.
Read 9 tweets
Gail D’Onofrio, Chair of Emergency Medicine at Yale & national expert on emergency med’s role in staunching the opioid crisis, is giving the keynote at #SAEM18. Will push out highlights here.

She started with the faces of those lost to opioids. A knife to the heart.
(Side note: as a longtime mentor to me, D’Onofrio has never minced words. True with this talk: “Most doctors know very little about addiction.” Truth.)
She’s reviewing the pathophysiology of addiction and I’m think how so much of our life is spent chasing this neurotransmitter, dopamine. #saem18
Read 15 tweets

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