Discover and read the best of Twitter Threads about #csiopioids
Most recents (2)
1/Shortly after DEA revoked the certificate of the doc who cared for Danny & his wife, both died by suicide, this month
I had sought help for Danny in 2018, when he lost a prior doc, writing he would likely die by suicide if no help was found
The Vice team went to the funeral
I had sought help for Danny in 2018, when he lost a prior doc, writing he would likely die by suicide if no help was found
The Vice team went to the funeral
2/I told Vice that I can’t find anyone who believes all these patients should die,
Thus, I can’t understand why agencies act in a way that massively increases the likelihood of that outcome (even if you believe the doc was doing something wrong)
Thus, I can’t understand why agencies act in a way that massively increases the likelihood of that outcome (even if you believe the doc was doing something wrong)
3/The CDC set up a program (ORRP) that is cited by DEA & CDC as protecting patients, but in reality, it is not designed or empowered to offer individual help.
Patients received a flier listing ER’s in LA, which we all know would not be able to help
Patients received a flier listing ER’s in LA, which we all know would not be able to help
@Jinxthejjinx @ChadDKollas @OregonAdvocate @PainMedJournal @LabGirl_Chloe @supportprop 1/I see this paper as direct, and not one that is terribly supportive of tapering policies (and it's good to report this): it's clear from this report that taper often fails, and that switch to buprenorphine helps some, and at least as often fails with others.
@Jinxthejjinx @ChadDKollas @OregonAdvocate @PainMedJournal @LabGirl_Chloe @supportprop 2/Here, in the paper we see that when high dose patients are referred, 36% leave before or after taper initiation. Wait for the pain results, next
@Jinxthejjinx @ChadDKollas @OregonAdvocate @PainMedJournal @LabGirl_Chloe @supportprop 3/Here it says that among the subset of 89 who got all the way below 90 MME, the majority (52%) had ⬆️ of pain, but 24% had no change and 24% had ⬇️ of pain. This means that taper may help some pain, but more often it does the opposite. That's the data.
