Discover and read the best of Twitter Threads about #SubstanceUseDisorders
Most recents (2)
🧵@AmerMedicalAssn greatly appreciates the recent action taken by @USDOL to help protect patients with a #mentalillness.
dol.gov/newsroom/relea…
#MentalHealth #MentalHealthMatters #MentalHealthParity
dol.gov/newsroom/relea…
#MentalHealth #MentalHealthMatters #MentalHealthParity
2/ “The DOL action fining United Behavioral Healthcare & United Healthcare $13.6 million is indicative of the widespread violations by health insurers of state & federal #mentalhealth & #substanceusedisorder parity laws, including the Mental Health Parity & Addiction Equity Act”
3/ @AmerMedicalAssn wrote:
“We urge the @USDOL, as well as the states, to increase efforts to review plans on a regular basis to ensure they are in compliance with MHPAEA and hold them accountable if they are not.”
“We urge the @USDOL, as well as the states, to increase efforts to review plans on a regular basis to ensure they are in compliance with MHPAEA and hold them accountable if they are not.”
Clinical Encounter:
Pt: I'm not feeling great.
Me: Yea, you don't look it.
Pt: I told doc, I wanted to taper off Suboxone 😔
Me: Which opioid were you struggling w/b4 here?
Pt: Fentanyl
Me: What's your Suboxone dosing?
Pt: 2mg (3x/day)
Me: How long you been struggling w/Fentanyl?
Pt: I'm not feeling great.
Me: Yea, you don't look it.
Pt: I told doc, I wanted to taper off Suboxone 😔
Me: Which opioid were you struggling w/b4 here?
Pt: Fentanyl
Me: What's your Suboxone dosing?
Pt: 2mg (3x/day)
Me: How long you been struggling w/Fentanyl?
Pt: Few months.
Me: We're probably under treating you. So, I'm the wknd doc & essentially do check-ins w/folks. I don't like pts feeling 🤮 We need to go up in dosing. Cool w/that?
Pt: 🤔 Yea.
Me: Ok. Sry to get technical, but, I like pts to know the what/why behind my thinking.
Me: We're probably under treating you. So, I'm the wknd doc & essentially do check-ins w/folks. I don't like pts feeling 🤮 We need to go up in dosing. Cool w/that?
Pt: 🤔 Yea.
Me: Ok. Sry to get technical, but, I like pts to know the what/why behind my thinking.
Me: 2mg - 3x/day is kinda barely giving your 🧠 a rest. So - you're feeling 🤢 I believe you'll feel better on 12-16mg/day. Let's do 4mg - 3x/day. You got 2mg already, let's do a 1x - 2mg now (give me a few mins to order), oh & you should take a Clonidine now.
Pt: You sure?
Pt: You sure?
