Discover and read the best of Twitter Threads about #TeamPain

Most recents (5)

@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
Late in CDC's 2016 Guideline, a table reveals the Agency had no solid evidence for its claim that reducing rx #opioids would reduce ODs without harming people in #pain. In fact, ODs & suicides have spiked in their wake.

Thread: What did CDC know & when did they know it?
In a spring 2016 research paper, the Guideline's authors report that no "rigorous" studies had been conducted on whether dose reductions lower ODs, tho "preliminary results" suggested that high doses are less risky than low doses.

(All references at end of thread.)
CDC conducted its own study using VHA data about vets taking rx opioids. They matched 221 vets who died of OD (some of whom "likely" committed suicide) with 221 vets still living.

They found "dosage was a moderately good ‘predictor’ of opioid overdose death."
Read 21 tweets
#PainGang #RahRahRah to @OldHeadFighta & NH Pain Collaborative for their BIG WIN in getting protections for pain patients & prescribers into state law. I'll put a sample letter together so folks can lobby their state lawmakers using the NH bill as a model.
NEW NH bill "requires doctors/pharmacists to consider the 'individualized needs' of pain patients, treat them with dignity, and ensure that they are 'not unduly denied the medications needed to treat their conditions.'" #cpp #opioids painnewsnetwork.org/stories/2020/8…
Read 8 tweets
⭐️ HUGE⭐️ victory for people with #ChronicPain in #NewHampshire AND their doctors. New bill protects the right of #pain patients to #opioid medicines AND protects the doctors who prescribe them.

Bill is MODEL legislation for other states. /thread painnewsnetwork.org/stories/tag/Ne…
New NH law: If people "on a managed and monitored regimen of #opioid analgesic treatment" have "increased functionality and quality of life as a result of said treatment," the "treatment shall be continued if there remains no indication of misuse or diversion.”
Under the new law, "physicians & pharmacists are required to consider the 'individualized needs' of #pain patients, treat them with dignity, & ensure that they are 'not unduly denied the medications needed to treat their conditions,'" including (specifically) #opioids.
Read 12 tweets
Study found that head pain (#migraine & #headache) has the "strongest association with suicidality" of all types of #pain. The risk is independent of depression & likely linked to altered functioning of serotonergic systems, not poor coping (Ilgen et al). ncbi.nlm.nih.gov/pmc/articles/P…
"People with chronic #headache or #migraine were 4.3 times more likely to think about suicide, 4.6 times more likely to plan suicide, & 6.5 times more likely to have attempted suicide in the past 12-months than those without chronic headaches" (Ilgen).
Multiple studies report a particularly strong relationship between #migraine & #suicide. But "even after controlling for depression, anxiety disorders, & substance use disorders," most types of severe &/or #ChronicPain are "associated with suicidal thoughts and attempts" (Ilgen).
Read 6 tweets

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