Discover and read the best of Twitter Threads about #chronic

Most recents (5)

I really wish I knew how to explain to people that I’m not being difficult when I say things like

“I have no idea if I can do that thing because I don’t know until I wake up that day whether my body will cooperate.”

(#MySpoons thread.)
I’m really lucky.

When I make permanent friends? I make outstanding friends.

Truly I have great people around

... can’t imagine what it must be like to have the people who are supposed to love you?

Be difficult about an aspect of your daily life.
My friends were not difficult today.

At all. I just wish I knew how to handle these things better.

I thought I would’ve had more practice by now.
Read 31 tweets
.@BridgeMichigan You gave positive press to BC/BS Michigan's decision to pay doctors 35% more if they don't prescribe #opioids post-op. This thread is a #factcheck.

1) You never mentioned that restricting rx access has failed to curb ODs, which are fueled by illegal drug use.
Jnl of AMA study: Efforts to curb ODs focused on "restricting the supply of prescription #opioids...have failed to demonstrate consistent benefit." Continuing these policies "may have a modest effect, at best."

This is widely known. Your writer didn't know it.
2) A 2017 study looked specifically at rx post-op & found 99.4+% safe use. The 0.6% included people who refilled their rx. You just gave great press to @BCBSM who's paying doctors to leave patients in pain to avoid meds w/ +99.4% safe use. (Citations in report below.)
Read 12 tweets
On a serious note:
Tuesday is my father's 2nd yahrzeit
Sunday 4/21 was the 2y anniversary of his death.

In reflecting back, I have some thoughts for #medtwitter, #Jews and the general public...

#death #dying #grief #PalliativeCare #medicine
1. Condolence notes just need to say, "I am thinking of you" or "I was sorry to hear your news" or "I am sorry for your loss."

Don't overthink it, and don't offer false platitudes. Send your note or make your call, and the person who is #mourning knows you care.
2. Show up.
For #shiva, for #kaddish. The first week, there's a lot of people around in a #Jewish house of mourning. Then everyone goes home, and we are left alone.
Offer to go to lunch. Bring dinner. Take a walk.
Join us in shul. Kaddish that first time in services was hard.
Read 14 tweets
Yes 👉 And when #bacteria enter the #blood, they are even more likely to infect + persist inside the cells of the immune system 👉 There, the proteins + #metabolites they create can directly modulate the activity of human genes that regulate #metabolism + immune response etc
Also a growing # of organisms can persist in the #blood itself 👉 This @StanfordMed study found 1000s of never before discovered bacteria + #viruses in the blood of immunocompromised patients (99% of microbes identified were previously unknown to science):…
The team contends these newly discovered microbes 👉 “have potential consequences for human #health. They may prove to be the cause of acute or #chronic diseases that, to date, have unknown etiology”☝️This technology has not yet been used to study blood in conditions like #ME/CFS
Read 3 tweets
@StanfordPain @BethDarnall @nature The following is an VERY important thread by @Shasta77777 who is pointing out valid fears and concerns about taking #biopsychosocial medicine too far and using it as a blunt weapon to remove analgesia from patients with #chronic #degenerative disease. PLEASE...hear us. Thread by Shasta Rayne
Read 6 tweets

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