Discover and read the best of Twitter Threads about #Opioids

Most recents (24)

Dear @OptumRx & @SanfordHealth you are NOT his #physician. You know nothing of his #health hx. Two years ago #Sanford #Bismarck #pain clinic pulled all #patients off #opioid #pain medications. This was not #patientcentered care, but care deemed appropriate BY administrators 1 ImageImageImage
Now @OptumRx & @SanfordHealth #insurance sending out letters re #opioid #pain #medications. My son had to move from a #Sanford clinic to another clinic due to #abandonment. Yep, abandonment. Plain & simple what you did was harmful & not based on #patients needs. You need 2
to look at research, that shows the harms of what u r doing. @SanfordHealth administration in Bismarck informed me 2 years ago when all #patients pulled off #opioids that it was the ‘national standard’ of care established by @CDCInjury @CDCDirector. The guidelines are NOT 3/
Read 9 tweets
According to the @CDCgov, there was a 30% increase in overdose deaths in 2020. #OverdoseDeaths #CDC #NIH #PublicHealthData #ph260720
@CDC's 2019 data show that 70%+ of all fatal drug overdoses (a total of 71,000 that year) involved an opioid #Opioids #OverdoseDeaths #ph260720 Image Source: https://www.cdc.gov/drugoverdose/deaths/index.
This means that each day in the United States, there were over 130 #OpioidOverdoseDeaths and over 5 each hour. #ph260720
Read 10 tweets
Very Cool😎
Presenting my 1rst article w/ @reason

Most Opioid Settlement Funds Aren't Going to Addiction Services

It doesn't work that way
reason.com/2021/09/21/mos… #opioids #health #healthcare #drugs #addiction #medicine #disability #opioidcrisis #chronicpain #MedTwitter #news
Americans take at face value the claim opioid settlements will provide justice for victims & necessary funding for addiction treatment

Despite what media & politicians may say,
that isnt how this works
reason.com/2021/09/21/mos… #HarmReduction @maiasz @filth_filler @ZachWritesStuff
A repeat of the largest settlement in US history,

the 1998 Tobacco Master Settlement in which 98% of the funds ended up in states general budgets

reason.com/2021/09/21/mos… @CathyYoung63 @GhanaboyPharmd @national_pain @bernybelvedere @brad_polumbo @conor64 @wil_da_beast630
Read 16 tweets
#PathologizingPain
#ChronicPain is the most prevalent health issue for Americans, yet, there is a lack of acknowledgment of the impact of pain on individuals QoL as well as access to quality options available. The last several years we have seen a proliferation of 1/
psychological strategies be touted as solutions for both #chronicpain & #acutepain. This has been fostered by the #CDC guidelines as well as various independent groups. As an individual who works in the area of mental health I am alarmed at the amount of #gaslighting that 2/
to those with #chronicpain & the belief by many physicians & professionals that psychological strategies will alleviate #chronicpain as a stand-alone strategy. I DO believe that psychological strategies CAN be of benefit addressing pain, but, how #pain is being #pathologized 3/
Read 11 tweets
fyi Colorado,

opioid money isn't going towards addiction spending,
its going into the general budget
the-journal.com/articles/plans… #opioids #colorado #government #politics #sackler #purdue #opioidcrisis
"Under the framework, 60% of Colorado’s settlement proceeds will be distributed to 19 regions of the state. Regional Governance Councils, made up of local leaders from each region, will make decisions about how to spend the money & provide reports"
there is nothing that says this money has to be spent on addiction services, NOTHING

That sweet sweet opioid litigation money is going to general budgets & pet projects,

If u are lucky, you might get a new Otter refuge
Read 11 tweets
@pweiser someone is feeding you false stats

"70 to 80% of those now using heroin became addicted to pills first"

where are you pulling that stat out of
greeleytribune.com/2021/08/28/phi… #chronicpain #opioids #colorado
The best case that I can find is a study of teens that found 86% correlation with NON-MEDICAL USE of prescription drugs

And that is outlier study

drugabuse.gov/publications/r…
For one thing, exposure is the most salient factor for addiction,

another is this line in ur article:
"The opioid epidemic is 25 years in the making."

U are seriously saying the opioid crisis started in 1996? The death toll didn't begin til 2011
greeleytribune.com/2021/08/28/phi… @pweiser
Read 5 tweets
I am perplexed how #RogerChou can not only sit on the #CDCOWG but is a lead author. He recused himself at the #CDC meeting due to #COIs bc of his work as ‘expert witness’ in Purdue litigation but is lead author 🤷🏻‍♀️ @CDCDirector @CDCInjury could you explain how this is ethical? 1/
Listening to the #CDCOWG from perspective of #caregiver & advocate was disheartening. For me @CDCDirector assurances that #patients voices were heard was meaningless. She may say that we’ve been heard but then how are so many feeling as we haven’t been? Why are the #legislation 2
of these guidelines continuing? Why are those who have benefitted from #opioid #pain medications being removed, shamed & stigmatized? Why is care not individualized? It’s very clear our #voices have not been heard. There is nothing that was said that eased my concern for 3/
Read 19 tweets
I want to again express my concern to my senators @SenJohnHoeven and @kevincramer about the lack of transparency by the @CDCDirector @CDCInjury in the revising of the #OpioidGuidelines. Great harm has been done to those w #chronicpain in our state. @SanfordHealth 1/
cut all #patients off of #opioids at once due to what administration stated was because of ‘national standard’ (#CDC Guidelines). So many harmed. How are actions like this ok? Three weeks prior to my son being removed from #opioid #pain medications we had met with his 2/
#pain physician & had a long talk about #opioid #pain #medications being best option for him. Removing individuals w #chronicpain from #opioid pain medication was not a decision based on individual care of #patients BUT @SanfordHealth taking care of own needs. Multiple 3/
Read 12 tweets
1-Let's be clear. If it weren't for the false narrative that RX opiates were driving OD deaths, no one would be supporting 'saving' people battling addiction.
#opioids
#SavingUsToDeath
#DrugWar
2-It was only after (white) Uppper & Middle Class Americans, (especially people of affluence), began losing loved ones and kids due to a deadly drug supply that the 'false narrative' about 'opioids' became mainstream.
cornellalumnimagazine.com/man-on-a-missi…
3-Drug deaths & addiction, even to 'opioids', has been around a very long time. In fact, the drug war, like any other war, is a profitable enterprise.
Read 7 tweets
Thread: Thoughts on #valuebased & #patientcenteredcare

Within #healthcare & #advocacy there seems to be a great deal of discussion on both #valuebased care & #PCC. #Healthcare costs have skyrocketed’ & thus a need to #reduce. I am not an #economist but as a #caregiver I 1/
definitely have seen ‘waste’. From my POV costs will continue to skyrocket even if #valuebased care is implemented. One reason (again not an economist) is the vulture ‘istic’ aspect of industries profiting from our system. The other reason is that our system is not centered 2/
around the #patient or patients needs. Thus, if the value based metric is reduced hospital admissions, this, on the face seems straight forth, however if the patients needs are not taken into account but only focused on established metric, costs could (& I will argue often r) 3/
Read 14 tweets
Update: My doctor lowered my pain meds AGAIN last month KNOWING how poorly I am tolerating this forced wean. Despite being forced off my meds they made me see the "#addiction doctor" to assess my "risk" of addiction & that appt was yesterday.
During that visit he actually said "I need to just get used to the #pain & I'll be fine", he said " everyone's going this #opioid free route & you have to deal with it" & a few other absurd things. I was literally in tears the entire appointment...
He asked if I wanted to "see someone & possibly get meds" because I was in tears from pain, feeling afraid, unheard & ignored, to which I explained that this is NOT an emotional or mental issue that it's purely a horrific pain & suffering issue... I politely declined the help.
Read 12 tweets
De #COVID19 'elite' en vrienden is dezelfde groep die Westerse jihadi's ronselen voor regimechange in MO via geheime diensten en NATO. Die betalen wapens/training via dopehandel naar het Westen, incl. refugeestromen. De bankierskliek & Co verzorgen het witwassen. 😉
De politiediensten proberen, mits niet tegengewerkt door Geopolitieke belangen, om de drugsstroom tegen te houden. Dezelfde politiediensten worden ingezet tegen 'wappies' die demonstreren tegen de #COVID19 'elite' en vrienden. Het wordt tijd dat politie & leger wakker worden 😎
De politiediensten & leger dienen te beseffen dat 'wappies' en deze diensten uiteindelijk hetzelfde belang voor ogen hebben, te weten een vrije democratische samenleving zonder drugs en geweld. Bewijs is ruimschoots voorhanden, fijne dag verder. 😊
#NATO #opioids
Read 4 tweets
I posted this yesterday with parents permission. I wanted to expand on this video a bit.

1st, a big part of me feels very uncomfortable with posting. Just like a big part of me felt uncomfortable about posting about my kids experience (w permission). It feels exploitive. 1/
Yet, when I share experiences of #caregivers & or #patients (who had given me permission to share) those experiences were/are often questioned or I’ve been excused of exaggerating. Or like many others called a #shill for #Pharmaceutical companies. I am a mother, who 2/
witnessed first hand the harms of pain ignored, not treated, under treated or labeled as #psychosomatic. I remember very vividly how my kids would arch their backs in pain & scream. How helpless I felt. I have seen the repercussions of this #harm & am absolutely obsessed 3/
Read 15 tweets
We are unveiling new findings about MME/day calcs for #opioids @US_FDA Workshop today. Live blogged in thread below.

Lab notebook, code, equations:
opioiddata.org/studies/equati…
With @chris_delcher @yanningwang @AlanKinlaw @ToskaCooper @BrookeChidgey
#epitwitter #RxEpi #medtwitter
@US_FDA @chris_delcher @yanningwang @AlanKinlaw @ToskaCooper @BrookeChidgey Apologies in advance... this is experimental live blogging... sometimes twitter scrambles images on long threads
@US_FDA @chris_delcher @yanningwang @AlanKinlaw @ToskaCooper @BrookeChidgey 14 states impose limits on opioid dosage that can be prescribed, ranging from 30 MME to a 120 MME daily maximum. Also third-party payers (insurance, @CMSgov). Analysis by @coreysdavis @amyamnesia of @networkforphl
onlinelibrary.wiley.com/doi/10.1111/ad…
Read 32 tweets
What if I decided to file a lawsuit (against ??) for the RIGHT to choose to die w/ dignity BECAUSE I am being DENIED the RIGHT to treat my severe intractable pain w/ #pain meds? Hang w/ me for a sec.. #ipp #cpps
I DON'T want to die! I also DON'T want to be forced to live a life of relentless suffering w/o pain meds. Would a #HumanRightsLawsuit help fight for our rights for adequate pain control? #PainManagement
@ACLU @acluohio
How can they legally deny me the right to die w/ dignity (& on my own terms) but they are also trying to FORCE me to LIVE the rest of my life in horrible excruciating #IntractablePain without the Rx #opioids that I needed & have taken for 19 years to function? @ACLU
@acluohio
Read 5 tweets
I WISH that I had good news to share with you all but sadly I don't. The #palliativecare doctor said he only treats end of life or #cancer pain & I am once again thrown back in the water like nasty stinky unwanted chum.
He said that I shouldn't be removed off Rx #opioids & in his opinion the the forced wean is too aggressive. I happened to have a horrible #crps attack so he got to literally see what that looks like. It's not pretty.
WHY are patients forced to go through this much shit in order to get basic care? I 100% feel discriminated against & it isn't ok. He did say that he was going to call my doctor tomorrow & speak to them directly to see if he can convince them to keep me on or adjust my meds.
Read 13 tweets
Have a look at Anna Lembke’s official statements about opioids for her expert witness testimony. #opioids #PainProfiteers #PROP #COIs #Pain

docketbird.com/court-document…
A podcast from a few years ago that showcases her blatant and unapologetic ableism. *Trigger warning.* It’s worse than her Ted talk. nutritionheretic.com/drug-dealer-md/
Pay special attn at both the 30 min mark and at 39:40.
Read 4 tweets
Kognito simulations "allows PCPs to learn through role-play conversations with emotionally responsive virtual patients how to build trust, collaborate on a treatment plan, and address the patient's request for antibiotics." Except for this pitch, it'd be simulations for #opioids.
Also from LinkedIn: "Ron was the Co-Founder, CEO, and Chief Simulation Strategist of Kognito, a virtual human health simulation company acquired by Blackstone Private Equity."
Blackstone Private Equity: "As of 2020, the company's total assets under management were approximately US$619 billion."

blackstone.com/wp-content/upl…
Read 15 tweets
March 6, 2019:

"Aligning for Impact: The Transformation of the World Health Organization"

#ImpactInvesting #SDGs #EmergingMarkets #WHO

unfoundation.org/blog/post/alig…
>>>"One of the biggest issues facing global health today is the planning for the eventual wind-down of the billion-dollar-a-year Global #Polio Eradication Initiative after the certification of eradication."<<<

#Vaccine #Markets
"Universal #Health Coverage: Tedros described Universal Health Coverage (#UHC) as #WHO's top priority, and that work will be supported by a division on UHC..."

July 23, 2020 thread:

Read 8 tweets
Portraits of loss: An epidemic of drug overdoses has claimed more than 20,000 Canadians since 2016. The @globeandmail puts names and faces to those we lost, taking them out of the shadows of grief and shame, by @AndreaWoo @marcusbgee theglobeandmail.com/canada/article… #opioids
"It could happen to anyone" -- At least 5,233 Canadians died of opioid-related poisoning in 2020. Two grieving families open up about their children's deaths (video) theglobeandmail.com/canada/video-t… via @globeandmail #opioids #HarmReduction
B.C. is seeking approval from Ottawa to become the first province where possession of small amounts of illicit drugs would not be a criminal offence, by @AndreaWoo theglobeandmail.com/canada/british… via @globeandmail #opioids #decriminalization #HarmReduction
Read 4 tweets
1/FYI:Opioid Rx’s ⬇️ 60% vs 9 years ago.

Outcomes have not been good. OD deaths are way ⬆️, & patients traumatized

This thread covers 4 years of my peer-reviewed articles.

Let’s recalibrate policy, measure what we are doing, and LISTEN to the folks whose lives are at stake
2/This is the overall policy review of how we got here and how we mis-allocated the response (with @AJ_Gordon) ,

and why policy winds up (inevitably) being less than rational in the real world @AddictionJrnl onlinelibrary.wiley.com/doi/abs/10.111…
3/This piece says why efforts to “Turn the Tide” with a narrow focus on Rx risked a Riptide for patients, as fentanyl deaths rose.

The article led me to brief then Surgeon General @vivek_murthy in 2017- who shared this concern completely tandfonline.com/doi/full/10.10…
Read 12 tweets
✔️Fact-checking @CDCgov's telebriefing on the release of the 2016 Guideline (thread) cdc.gov/media/releases…
3/15/2016: CDC Director Frieden said the Guideline would result in “fewer deaths from all sorts of opiates.”

✔️2018: CDC published a paper showing that #opioid overdose deaths go UP as prescriptions go down. CDC has not yet retracted the Guideline.
2) Frieden (3/15/2016): “The prescription overdose epidemic is doctor-driven."

✔️US OD deaths have been "inexorably tracking along an exponential growth curve since at least 1979," a "predictable pattern of growth" that's NOT associated with increases OR decreases in scripts.
Read 5 tweets
@LGiles1017 I'll add tweets below with "highlights" from the @CDCgov transcript of their 3/15/2016 telebriefing on the Guideline to save #TeamPain from having to suffer thru the whole thing themselves. cdc.gov/media/releases…
@LGiles1017 @CDCgov 3/15/2016: CDC Director Frieden said the Guideline would result in “fewer deaths from all sorts of opiates.”

✔️ 2018: CDC published a paper showing that #opioid overdose deaths go UP as prescriptions go down. CDC has not yet retracted the Guideline. Image
@LGiles1017 @CDCgov 2) Frieden (3/15/2016): “The prescription overdose epidemic is doctor-driven."

✔️US OD deaths have been "inexorably tracking along an exponential growth curve since at least 1979," a "predictable pattern of growth" that's NOT associated with increases OR decreases in scripts. Image
Read 4 tweets

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