Discover and read the best of Twitter Threads about #Opioids

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Reviewing some #NorthDakota information surrounding #prescribed #opioids.
#OpioidPrescriptions #declined 34% from 2006 to 2020

Statement in poster ➡️ ‘Since 2007 every state has been working to address the #opioid epidemic & best practices are now understood’

Are they? 1
In the #Conclusion
➡️ nothing that addresses the #harm of #patients that struggled with #chronicpain. #Nothing re #outcomes of those #abandoned by #physicians & removed from #prescribed #opioids. Nothing about the looming disaster of last #physicians that #prescribe in 2 Image
#NorthDakota leaving. #Patients having no recourse. #NorthDakota absolutely has growth in area of serving those w #SUD yet in their pursuit to do this, they have #harmed those w #chronicpain & continue to exclude them in discussions or acknowledge these #harms. @hhsndgov 3
Read 5 tweets
Today's Twitter threads (a Twitter thread).

Inside: The IRS will do your taxes for you (if that's what you prefer); and more!

Archived at:…


1/ A vintage drawing of Uncle ...
The IRS will do your taxes for you (if that's what you prefer): After years of expensively purchased delay, Turbotax and its fellow tax-profiteers are losing the fight to make you pay them to tell the government what it already knows.

3/ Image
Read 25 tweets
Are you on #pain medications or use #opioids? If so, and you do a ketogenic diet, you may find you are more sensitive to opioids. (1/6)
Now, this was a mouse study. And you are not a mouse. I am aware of that. But I am not surprised by the findings of this study. Why? (3/6)
Read 6 tweets
Let's break down #TheGreatOpioidLie.
1-"Over-prescribing was the cause of the opioid crisis."
First according to the Medical Board of CA, there is no legal definition of 'overprescribing'.
Second, it is a THEORY that the mandate to treat pain led to the overdose crisis
cont... Image
2-The Gov's own stats disprove the access theory. As access to RX meds declines we continued to see a steady increase in drug deaths.
Seems something else might have been a the heart of why we saw a rise in ODs and continue to see record numbers of PEOPLE dying.
3-Could it have been the collective trauma we all experienced after 9/11, then we sent our loved ones off to war, and they were being sent home with broken bodies, then the financial collapse, outsourcing of manufacturing jobs, people losing homes, retirement, investment accts... Image
Read 11 tweets
I don't say it often outside of @maiasz reporting;
but the New York Times did a great job covering this story,… #opioids #chronicpain #disability #adhd #medtwitter
Not a fan of the headline cuz it downplays the story
issue isn't that some folks cannot get Ritalin

the big story is that Federal Prosecutors forced an unconstitutional measure on distributors to curb drug access to pharmacies regardless of how it harms patients
What is happening is what I warned you about; trying to fix a drug crisis by withholding access

Pharmacies are being forced to cut patients off after they divvy out a certain number of drugs to the local populace.

& then every other patient gets screwed…
Read 7 tweets
There's no friendly way to put this:

The new CDC Opioids Guidelines are a farce when it comes to saving patients' lives.… #chronicpain #opioids #opioidcrisis #fentanyl #lawenforcement #drugs #politics #health #disability #disabled #cancer #addiction #pain
The CDC 2022 update is not meant to reform the guidelines

It's meant to absolve the CDC of guilt & wash its hands of an opioid prohibition & crisis it helped create… @elizableu @yashar @chadfelixg @conor64 @lhfang @stillgray @joerogan @TaylorLorenz
Christopher Jones, acting director of CDC’s National Center for Injury Prevention & Control

Said the guideline is about "improving the lives of patients living with pain.”

Then why did the CDC push further & deeper restrictions against patients?
Read 13 tweets
Research says most people who use drugs are men. And many people think there is no reason to involve #women in #drugpolicy. But they are mistaken. The drug phenomenon is not #gender neutral.

Why a #feminist perspective is essential 👉💡🧵...
Due to gendered norms and notions of #femininity that are incompatible with #drugs use, the complex realities of women are often ignored. However, a growing movement is trying to shift this perspective to better understand the unique challenges that female users face.
Let’s have a closer 👁️👁️ why…

#Women who use drugs are often judged because they don’t comply with socially constructed #norms and challenge the traditional role of women.
Read 11 tweets
Eindelijk iets van hoop in het Nederlandse debat.

Sir Angus Deaton, Nobelprijswinnaar Economie 2015 en Princeton-hoogleraar:

‘What’s the Matter With Capitalism?’

#DeathsofDespair #Covid19 #Capitalism
➡️…… Image
Belangrijke bijdrage @nrc.

Anne Case en Angus Deaton.

#DeathsofDespair #Covid19 #Opioids #Capitalism…
Zaterdag 17 december 2022
Aula Erasmus Universiteit Rotterdam, Campus Woudestein

What’s the Matter With Capitalism

Angus Deaton

#DeathsofDespair #Covid19 #Opioids #Capitalism…
…… Image
Read 4 tweets
so no one is going to like my take on this,
& I hope to share more officially with an article

But people are being a little misled here… #chronicpain #opioids #westvirginia #drugs #opioidcrisis
reason we're seeing opioids lawsuits being overturned is not about the validity of what the companies have done but how they've been sought after by AG's & litigators

TDLR: Public Nuisance lawsuits are IMO garbage that works by intimidation & not merit…
Public Nuisance lawsuits mean plaintiffs don't have to prove intent or specific ways that the defendants' actions led to damages

good scare tactics for an issue w/ lots of public feeling & can push judges & juries to do things they might otherwise not
Read 12 tweets
How do you spell Government Waste?


@kennethpolite of @TheJusticeDept side stepped questions from journalist inquiring as to the costs involved in the new Strike Force.

The @DEAHQ has documented that diversion of RX is rare. Only 1%…
are diverted.

Yes... that's where the Millions of taxpayer's dollars are going!

🧐How coincidental that this strike force targeting physicians & pharmacists was announced the day following the Supreme Court voted 9-0 that the Government must prove beyond a reasonable doubt
that the defendant knowingly or intentionally acted in an unauthorized manner.

The ruling is explained here by @RonChapmanAtty

Would it surprise anyone to learn that @kennethpolite was involved in the #Ruan case?…
Read 15 tweets
LIVE now: U.S. Senate
Update on the Ongoing Federal Response to #COVID19: Current Status and Future Planning
Rochelle Walensky @CDCDirector
Anthony Fauci @niaid director
Robert Califf @US_FDA commissioner
Dawn O'Connell @HHSGov assist secretary…
Tough questions from Sen. Burr -- "Tell me what the plan is for ending this epidemic."
Action steps?
As usual, @SenRandPaul is asking #Fauci hostile questions. His issue today is questioning whether there is any evidence that any #COVID19 #vaccines benefit children in any way. "Where is the proof?"
And now he's onto side effect risks...
Read 25 tweets
After years of my daughter receiving care at our local #hospital that is often based on #bias & is often subpar I have begun to reach out to different state agencies. The experiences that my daughter has had to experience over the last several years has been surreal 1/
I’ve attempted many times to engage with #patientservices w various staff in attempts to implement a plan which is based on her needs, recognizes the #medicaltrauma she has experienced & how it impacts her. I’ve attempted to explain how her diabetes works (to the extent I even 2
understand. Type 3 is brittle, it can shoot up or down for numerous reasons. I’ve tried to explain her complications based on her #AITTP but instead assumptions have been made and that what care has been based on. In reviewing her chart it’s truly horrifying their utter lack 3
Read 25 tweets
#MedicalBiases #CompromisedCare #DenialofRights
This ⬇️
many may not believe this. They may find it unbelievable. I don’t. I have watched my daughter deal with the exact same abuses bc she is prescribed #opioids, bc she also has complex #medical conditions & PTSD. 1
I never know when she has a medical crisis and needs the hospital IF she will need to interact w a personnel or professional whose #biases interfere with care. These incidences can be shaming, demeaning or they can put her life at risk. My daughter has had hypoglycemic crises 2/
at @SanfordHealth where the nurses refused to check her #bloodsugars because ‘it is anxiety’ or ‘she just ate’. Even when I intervened over phone & pleaded, nurses refused to point I had to reach out to #housesupervisor. While I’ve reached out multiple times to @SanfordHealth 3/
Read 11 tweets
THREAD: Online Portraits for BC family physicians

1/7 UBC’s Therapeutics Initiative now has Online #PrescribingPortraits:

✅ Timely evidence
✅ Personalized, confidential prescribing data
✅ Recommendations to support

#BetterPrescribing & #BetterHealth Image
2/7 Why have a #PrescribingPortrait?

"How do I prescribe compared to others or to evidence standards?"

✅Portrait does NOT tell individual doctors how to practice
✅Portrait DOES promote optimal prescribing based on best available evidence

More here: Image
3/7 BC family physicians: How do you prescribe ACEIs and ARBs for #hypertension?

✅Register for your Online #PrescribingPortrait:

✅View a sample portrait on prescribing of antihypertensives:…

#BetterPrescribing #MedEd Image
Read 8 tweets
Record Numbers of Americans Dying of Overdoses. Instead of Justice, We Get Theater👨‍⚖️

"Whole thing is kabuki theater, It ought to be about money" said Ausness. "About who pays what & instead they want to make Sacklers listen to people complain about them"…
Guggenheim joined several other museums last week w/an announcement they are removing the Sackler nameplate from their arts center,

Once again victims are being offered busy work as though it were meaningful reform.
#opioids #medtwitter #sacklers #HarmReduction @praddenkeefe
We are in the midst of the opioid crisis, an addiction & overdose crisis fed by the ubiquity of illicit & deadly fentanyl in the black market,

over 108k people died from an opioid overdose in 2021,… #opioids #addiction #news #twitter #CrimesAgainstHumanity
Read 27 tweets
A thread: if there's a throughline in my reporting over the last 5 years it's leaders putting abstract ideas above the safety lives well-being of children...and people still following those leaders and organizations. Putin clearly believes his ideas about Russian identity... 1/
...matter more than the kids who are dying and being harmed in #Ukraine. And so far Russian people/soldiers are going along with that. It's baffling to stand in a church where a funeral for a young child has been held and contemplate that moral math 2/ Image
But in fact I've seen this pattern before. Big Pharma kept marketing and selling #opioids aggressively and illegally long after it was clear they were leading to high rates of addiction\death often among young people. Executives and rank and file workers went along with it. 3/
Read 6 tweets
Thread 🧵: Reflections of a Parent/Caregiver After Six Years Implementation of CDC Guidelines (warning long but I am very interested in feedback)

Since babies, my kids, have intimately known #pain. At one time their #pain was intermittent & #acute. Sadly, they now struggle 1/
#chronicpain & are young adults. Our kids 1st 13/16 years of life, our family had a #safetynet, their #pediatrician. He was highly intelligent, compassionate, he challenged the system & in the most authentic sense #partnered with families. #Pain was not a major concern when 2/
the kids were under his care. The nature of their disease often brought us to the ER & hospitalizations. The hospitalizations resulted due to inability to manage #pain, dehydration, & other issues caused by a flare in their #disease. My husband & I attempted to minimize the 3/
Read 45 tweets
SO WHAT if my pain is amplified by my psych, childhood trauma, or brain? Last time I checked my brain is part of my body, my abuse wasn’t my fault, and depression, anxiety is CAUSED by #ChronicPain not the other way around. If #opioids will stop me from using #MAiD, sUicIDe and…
More physical and mental health problems and disability isn’t that the role of medicine and Medicine? Is there supposed to be a risk VS reward calculation in Medicine? We use c19 vaxx bc risk for severe side effects is tiny but the benefits are life saving. My risk of OD = <1%…
Risk that I’ll be dead by years end by MAiD or my own hand? 90% Tbc it isn’t just adequate opioids that I’m being denied. Health Canada opiate policy and propaganda has so biased drs and pushed them to deny clinical judgment and compassion that I can’t get any healthcare anymore.
Read 4 tweets
Thread...How people in pain are being abused.
Let us count the ways.
1-Emotional Abuse:
Invalidation of person's lived experience
Constant monitoring of activities
#ChronicPain #WeWillNotStaySilent
2-Intellectual Abuse
Being forced to prove your abuser wrong
Mind games
Making the person in pain feel stupid
Attacking the person in pain's ideas or wishes
Manipulation of information, even in medical records
Power Imbalance
3-Financial Abuse
Forcing person to attend needless appointments
requiring co-payments, transportation costs, paying for 'alternative' modalities, Coerced into costly surgeries and 'minimally invasive' procedures, endless lifelong drug testing.
Read 10 tweets

“Misinterpretation of the “Overdose Crisis” continues to fuel misunderstanding of the role of prescription opioids”

Written with @GhanaboyPharmd @JeffreyFudin @headdock

#TwitteRx #MedTwitter

A brief 🧵to highlight the FACTS:…
This editorial looks to address ongoing #false narratives regarding opioid prescribing and its current role in the #overdosecrisis

In it, we use several excerpts from a recently published news release by PROP, given the distorted reality it represents…

We challenge the view that continued reductions in prescription opioids will be the “key to ending this [overdose] epidemic”…

As if cutting prescriptions in half throughout the US the past decade has resulted in reduced overdose deaths 🧐🧐🧐 Image
Read 6 tweets
And others.

"Need to effectively utilize #CNMs has never been greater," says Kohl from

Finding a supervising provider may prove difficult.
Body of evidence has consistently shown that although these barriers do not improve care.
"Time to follow the economics and evidence and remove supervision of practice"

Notes that team based care is the "future of #healthcare in the US"
Read 56 tweets
The US Supreme Court Oral Argument in Ruan and Kahn: Speed Limits, Grammar Teachers, Vulnerable Patients, and more. #SCOTUS #MedTwitter #Opioids #Pain #OUD

A long🧵🧵🧵
1/ The issue in these cases is when a medical provider who prescribes controlled medications like opioids for pain or an opioid use disorder (but also meds for seizure disorder, depression, ADHD, etc.) can be held criminally liable for drug distribution.
2/ In simple terms, it comes down to when a doctor is acting as a drug dealer versus as a clinician. But the devil is in the details re: how the relevant statute (Controlled Substances Act) and regulation are interpreted.
Read 31 tweets
The American College Surgeons is in bed with Pacira Pharma and gets millions in donations from them. Exparel was just FDA approved to be used in children last year. I saw this coming….… Image
1worst of all: there are virtually no patient protections in place at this point for the undertreatment of pain!… ImageImage
Read 4 tweets

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