Discover and read the best of Twitter Threads about #opioid

Most recents (24)

How do you spell Government Waste?

NEPO!

@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%

justice.gov/opa/pr/justice…
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?

federaldefenseblog.com/blog/ruan-v-un…
Read 15 tweets
🧐 and *what* do Federal Law Enforcement & AG's consider *Dangerous prescribing*?

Let's take a look!👀

The DEA perceived this CA Pain Management to be a "High Prescriber"😯

In 3 years he issued 9,000 RX. Oh My, How Shocking!!!
federalregister.gov/documents/2022…
Now, this wasn't 9k #Opioid RX. It was 3 different controlled substances either alone or in combination.

Their is NO law that defines "Over prescribing" or prohibits co-prescribing of any medication combinations. The FDA warning requires a Risk/Benefit analysis to be performed
to determine if the benefits for each "Individual Patient". Just like with ANY other medical condition. An Informed Consent discussion which includes both potential risks & benefits of any treatment options should be performed.

How many patients were being treated with CS?
Read 10 tweets
Important 🧵 about the #CDC, #COVID, the #opioid crisis, & #pain:

This article does a great job of showing how the CDC is easily influenced by whatever political party is in charge and whoever is paying for the current narrative.

1/?

reason.com/video/2022/06/…
At this point, it should be clear to nearly all Americans that claims/guidelines/etc of the CDC are rarely crafted solely for public health.

The bull💩 claims about the opioid crisis is as politically/financially driven as any. It’s time for Congress to force the CDC to:

2/?
1) end current & expose previous private funding

2) have meaningful oversight

3) most importantly - WHEN (not if) scientific (or any other type of) fraud is discovered, any guidelines or actions based on the fraudulent or skewed data must be rapidly and publicly reversed.

3/?
Read 4 tweets
The intrusion into the practice of medicine is based on race, gender, sex and disability discrimination.

1st target #Pain management
2nd target Gender Affirming Care
3rd target #Abortion
What will they target next?

#StopCriminalizingPatientCenteredCare The intrusion into the practice of medicine is based on race
Misinformation & propaganda is being disseminated by the government and still floods the media. The #Gaslighting of America has been extremely effective.
dovepress.com/misinterpretat…
Individuals with incurable chronic illnesses, #RareDiseases #Disabilities that involve severe pain as a component are being deprived of appropriate medical treatment.
Read 22 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
We've lost too many in this insane '#opioid' war.
The sick & injured are spending the last years of their lives fighting, suffering, begging MDs & GOV for the medicines they need to mediate their pain.
They say taking our medicines away is to 'save' people.
No one is being saved.
Death due to #Untreatedpain or #Undertreatedpain is death by a thousand cuts.

#RxOpioidsSaveLives
#PainKills
Read 10 tweets
Big last day of #APSAD40 today for #opioid research. I'll be presenting in a symposium of #naloxone today, and then super excited to chair two sessions on #overdose and prescription #opioid treatment ... a couple of highlights include ... 1/
2/ New research on the implementation of prescription monitoring in Victoria with @LouisaPicco @PPrathivadi and @Sarah_Haines_ (all superstar PhD researchers in the @MonashAddiction crew)
3/ @DrTinaLam_AU (also from @MonashAddiction) presenting on prescription opioid overdose using emergency department data and @JMoullin from @CurtinUni talking about pharmacists and naloxone supply in Western Australia
Read 6 tweets
Dear @OptumRx & @SanfordHealth you are NOT his #physician. You know nothing of his #health hx. Two years ago #Sanford #Bismarck #pain clinic pulled all #patients off #opioid #pain medications. This was not #patientcentered care, but care deemed appropriate BY administrators 1
Now @OptumRx & @SanfordHealth #insurance sending out letters re #opioid #pain #medications. My son had to move from a #Sanford clinic to another clinic due to #abandonment. Yep, abandonment. Plain & simple what you did was harmful & not based on #patients needs. You need 2
to look at research, that shows the harms of what u r doing. @SanfordHealth administration in Bismarck informed me 2 years ago when all #patients pulled off #opioids that it was the ‘national standard’ of care established by @CDCInjury @CDCDirector. The guidelines are NOT 3/
Read 9 tweets
Yes, we are still in the middle of a global pandemic, #COVID19, but let’s not forget about the #opioid epidemic, a public health issue we have been dealing with a while... What can we do about it?? #ph260720 #opioidepidemic Image
In 2017 (more than 4 years ago), @HHSGov declared the #opioidepidemic as a public health emergency. An “emergency” situation that we have not been able to control yet... #publichealthemergency #ph260720
hhs.gov/opioids/about-…
According to @CDCgov and @NIDAnews, more than 70,000 Americans die every year due to opioid overdose. That is 70,000 lives (read in bold!) lost every year, the majority of which is preventable. #opioidepidemic #opioidskill #opioidoverdose #ph260720 Image
Read 12 tweets
1/Prescription opioid counts have fallen to levels last seen in 1992,reports ⁦@US_FDA⁩ Corinne Woods, PharmD for workshop at Duke Margolis today
2/Prescription #opioid milligrams are at levels of early 2000s. That number is higher (relative to prescription count) according to @US_FDA Corinne Woods, PharmD at Duke-Margolis today - I think this difference reflects the patients with long term receipt.
3/Total milligrams and total count of oral tablets in an “initial prescription” have declined, reports @US_FDA Corinne Woods, PharmD to today’s session for Duke-Margolis and FDA (2 images here)
Read 7 tweets
Here's my 5 min talk I just held at the 44th #ECDD:

<< Dear Expert Committee on Drug Dependence,
my name is Fabian Steinmetz. I'm from Germany and I'm an Eurotox-certified toxicologist and professional risk assessor at an international consultancy.
I speak here on behalf of the NGO #ENCOD, the European coalition for just and effective drug policies.
And now I'd like to speak a few words about #kratom (Mitragyna speciosa).
First of all I'd like to remind the committee that banning #hemp, #poppy & #coca was not very successful and even led to more potent derivatives and synthetic imitations. Also these bans fueled violent crime and human rights violations worldwide.
Read 15 tweets
An important review which finds that we are overprescribing potentially harmful drugs and that people are far too often left on drugs with no proper review.
theguardian.com/society/2021/s…, via @guardian
If you are called in for a review of your #antidepressants, #antipsychotics, #benzodiazepines or #opioid pain meds, it is very important that your prescriber works with you to reduce slowly and safely. Mishandled withdrawal can have lifelong consequences. @sajidjavid
Don’t assume that standard withdrawal advice is safe, it often isn’t. Learn from others experiences, use liquid forms or tapering strips to allow your body chance to acclimate to the change, especially at low doses. If you feel unwell after reducing, it’s withdrawal not relapse.
Read 5 tweets
#PathologizingPain
#ChronicPain is the most prevalent health issue for Americans, yet, there is a lack of acknowledgment of the impact of pain on individuals QoL as well as access to quality options available. The last several years we have seen a proliferation of 1/
psychological strategies be touted as solutions for both #chronicpain & #acutepain. This has been fostered by the #CDC guidelines as well as various independent groups. As an individual who works in the area of mental health I am alarmed at the amount of #gaslighting that 2/
to those with #chronicpain & the belief by many physicians & professionals that psychological strategies will alleviate #chronicpain as a stand-alone strategy. I DO believe that psychological strategies CAN be of benefit addressing pain, but, how #pain is being #pathologized 3/
Read 11 tweets
Today is International Overdose Awareness day.
Sharing some facts about opioid overdose (the most common cause of drug overdose morbidity and mortality):
1) About 2.1% of the Indian population uses recreational opioids (as per national survey 2019)
#Opioid
#OverdoseAwarenessDay
2) There are around 8.5 Lakh people who inject drugs (PWID) in India. Opioids (heroin and buprenorphine) are the most common drugs used by PWID in India. PWID is a unique subpopulation of people who use drugs (PWUD), especially prone to opioid overdose.
3) Extramedical opioid use is associated with a risk of fatal opioid overdose. Worldwide, around 0.5 million deaths are attributable to drug use (~70% related to opioids, with more than 30% deaths caused by overdose).
Read 8 tweets
The #American Empire will continue to falter for a few more days. Their effect will continue to decrease day by day. At some point, the countries of the #world will decide to stop using the #dollar as a reserve currency.
And just then, the #United_States will face a severe,
1/8
stagnant economic downturn that will force it to immediately reduce the size of its military. In a maximum of one to two decades, the America we know will no longer exist.The U.S. Department of Defense said in a report that the U.S. military is "no longer as invincible,
2/8
non-invasive as before" against various state adversaries, and that "the U.S. military is no longer able to maintain a consolidated and sustainable regional military superiority outside its strongholds." Historian Alfred W.McCoy's idea is that
3/8
Read 8 tweets
Read 14 tweets
1/A new JAMA paper by @AliciaAgnoli & @fenton_jj finds #opioid taper associated with ⬆️risk of overdose & mental health crises in patients previously on higher opioid doses. I’ll offer context, summarize findings, and review implications. Here goes. jamanetwork.com/journals/jama/…
2/Context: prior data showed ODs more likely in patients with higher Rx’d dose, which *couldn’t prove* cause & effect. MDs had historically ⬆️’d dose in patients who had other risks. One can argue that ⬆️doses
*ADDED risk,
*or were MARKERS of risk:
jamanetwork.com/journals/jama/…
3/An example: I had a case where the prior MD ⬆️’d opioid dose for a long-term patient who reported ⬆️pain. But that pt had long-term psych diagnoses, and pain ⬆️ *right after his son died* Thus, the dose ⬆️was a marker for emotional risk factors, AND (b) dose may have added risk
Read 26 tweets
I am perplexed how #RogerChou can not only sit on the #CDCOWG but is a lead author. He recused himself at the #CDC meeting due to #COIs bc of his work as ‘expert witness’ in Purdue litigation but is lead author 🤷🏻‍♀️ @CDCDirector @CDCInjury could you explain how this is ethical? 1/
Listening to the #CDCOWG from perspective of #caregiver & advocate was disheartening. For me @CDCDirector assurances that #patients voices were heard was meaningless. She may say that we’ve been heard but then how are so many feeling as we haven’t been? Why are the #legislation 2
of these guidelines continuing? Why are those who have benefitted from #opioid #pain medications being removed, shamed & stigmatized? Why is care not individualized? It’s very clear our #voices have not been heard. There is nothing that was said that eased my concern for 3/
Read 19 tweets
I want to again express my concern to my senators @SenJohnHoeven and @kevincramer about the lack of transparency by the @CDCDirector @CDCInjury in the revising of the #OpioidGuidelines. Great harm has been done to those w #chronicpain in our state. @SanfordHealth 1/
cut all #patients off of #opioids at once due to what administration stated was because of ‘national standard’ (#CDC Guidelines). So many harmed. How are actions like this ok? Three weeks prior to my son being removed from #opioid #pain medications we had met with his 2/
#pain physician & had a long talk about #opioid #pain #medications being best option for him. Removing individuals w #chronicpain from #opioid pain medication was not a decision based on individual care of #patients BUT @SanfordHealth taking care of own needs. Multiple 3/
Read 12 tweets
Thread: Thoughts on #valuebased & #patientcenteredcare

Within #healthcare & #advocacy there seems to be a great deal of discussion on both #valuebased care & #PCC. #Healthcare costs have skyrocketed’ & thus a need to #reduce. I am not an #economist but as a #caregiver I 1/
definitely have seen ‘waste’. From my POV costs will continue to skyrocket even if #valuebased care is implemented. One reason (again not an economist) is the vulture ‘istic’ aspect of industries profiting from our system. The other reason is that our system is not centered 2/
around the #patient or patients needs. Thus, if the value based metric is reduced hospital admissions, this, on the face seems straight forth, however if the patients needs are not taken into account but only focused on established metric, costs could (& I will argue often r) 3/
Read 14 tweets
Ontario Canada: "The world's longest #lockdown will come to an end next week" (Step 3, July 16/21).

No. It's not over.

New chief medical officer of health, Dr Kieran Moore makes clear #endemic state will emerge in fall w/ Ont. "doing all the due diligence to prepare." Image
Let's explore numbers behind "world's longest #lockdown", Ont., Canada. Gov't of Ontario website updated July 11, 2021.

"Active cases" in Ont. as of July 11 2021 under 20 yrs of age: 0

Deaths under 20 w/ #COVID19 - 3.

Estimated pop. of Ontario: approx. 14.73 million people. Image
Under 20 yrs:

Jan 15 2020 to July 11 2021:

Resolved cases: 68, 280

Active cases: 0

Deaths (WITH #covid19): 3

[Keeping in mind that Covid tests are inaccurate (false positives) & largely meaningless as testing positive can mean mild to no symptoms whatsoever.] Image
Read 26 tweets
I’m back for day 38 of the #opioid trial in Charleston, W.Va. Testimony in the trial could wrap up this week. Get caught up on what happened last week here:

herald-dispatch.com/news/end-of-op…
First to be called to the stand is forensic accountant Robert Rufus, who works out of Huntington. linkedin.com/in/robert-rufu…
He was asked to identify and quantity investments made by the plaintiffs into the opioid crisis. So we will hear what the county and city pay for addressing the crisis.
Read 61 tweets
Update: My doctor lowered my pain meds AGAIN last month KNOWING how poorly I am tolerating this forced wean. Despite being forced off my meds they made me see the "#addiction doctor" to assess my "risk" of addiction & that appt was yesterday.
During that visit he actually said "I need to just get used to the #pain & I'll be fine", he said " everyone's going this #opioid free route & you have to deal with it" & a few other absurd things. I was literally in tears the entire appointment...
He asked if I wanted to "see someone & possibly get meds" because I was in tears from pain, feeling afraid, unheard & ignored, to which I explained that this is NOT an emotional or mental issue that it's purely a horrific pain & suffering issue... I politely declined the help.
Read 12 tweets
Excerpts from "'America’s Post-Pandemic Geography' - Covid-19 is transforming all types of communities, from big cities to suburbs to rural areas" - from the Summer 2021 Issue of @CityJournal - by @Richard_Florida & @joelkotkin. A #Thread.

The article → city-journal.org/americas-post-…
1. "The #Pandemic will pass...But in geographic terms, today’s Covid-precipitated crises may well prove to be the most transformative event that #America has experienced since the great migration to the suburbs after World War II."
2. "....centrifugal forces pull some people out of #Cities: families seek more #Affordable space, backyards, and access to better schools. With the wider scope of choice that #RemoteWork affords, some are casting their nets wider and moving farther afield..."
Read 25 tweets

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