Discover and read the best of Twitter Threads about #opioids

Most recents (24)

What’s the deal w/ people in #pain using #opioids? (Read entire thread.) We are not “drug addicts.” We are physically DEPENDENT on our meds, which we need to function w/out pain (i.e, to function). Physical dependence occurs on heart meds & #antidepressants too. #ThisIsUs
And I am not trying to stigmatize #addiction here. But rly, let’s talk; chronic pain patients (#CPPs) have been forced to KILL themselves due to untreated pain, due to bad #policy, due to the #stigma, foolishness & financial incentives of others. This has a name: opiophobia…
If you took me off ALL opioids, I (like most #painpatients) would go through ugly opioid #withdrawals (and make sure to poop/puke on YOU for causing them)! 😂

And even after months of “abstaining,” and withdrawals disappearing, I would be “clean” in the eyes of the world, but…
Read 10 tweets
1/ Just listened to @BBCWomansHour talking to ‘Carla & Brendan’ about living with #Fibromyalgia (find it at 35.25) thanks @fmauk for flagging, this is where I started & gradually more & more drugs were added until I was unrecognisable, 25 stone…
2/ and living in my armchair, I never went out except for medical appointments & my wife @Trewern_K became my full-time carer which she did not begrudge for a second but it did limit her life too! The cocktail of drugs meant I couldn’t stay awake during the day, was awake at
3/ night & dozed off during video calls with my grandson 🥲 I was in crippling amounts of pain despite being on an EMD morphine dose of 320mg a day! We are all different but I believe coming off #opioids (UNDER MEDICAL SUPERVISION) literally saved my life!
Read 8 tweets
How many ways can a pain patient be screwed out of getting needed medicine?
1st-By MDs.
2nd-By pharmacies.
3rd-By insurance companies.
4th-By DEA/GOV corruption/lies.
It's atrocious that this video hasn't gone viral.
#ViralVideo #Opioids #StopPainStigma
Read 6 tweets
this is pretty bad, there is nothing said to make clear the deaths are overwhelmingly caused by illicit black-market street quality, FENTANYL

Never made or meant for medical use,
#opioids #news #opioidcrisis #medicine #healthcare #health
There's an argument the initial phase of the crisis, 1990s & early 2000s was sparked by prescription opioids,

There's no evidence then or now deaths themselves were caused by anything that ever came in an orange bottle
#healthcare #health #journalism #cnn…
So many things here being conflated here,

Dependence is not addiction
Addiction & overdose deaths are not the same things,

These deaths are mostly accidental including first-time casual users

addiction isn't always the cause of death…
Read 5 tweets
Speaking to the Economic Roundtable of San Francisco. @CatoHealth #CatoDrugWar

I'm only 10 minutes in but so far so good,
@dr4liberty is always great on the opioid & pain topics… #chronicpain #opioids #opioidcrisis #dopesick
one thing i notice watching his appearances is Dr Singer is always so concise,

always able to pack a ton of important information in just a few short minutes
The story at minute 5 about a patient's opioid phobia is pretty good btw,

if you want to jump in that's a good place imo…
Read 4 tweets
My turn on fun & razor-sharp podcast
⚔️Cut the Bull🐂is up & ready to Go!🤺

Thanks @wil_da_beast630 @CDouglasLove3 & @ShemekaMichelle🙏

Awesome interview!😁 @TheNakedGirlz @WhitlockJason @StuDoesAmerica #chronicpain #harmreduction #Politics @Podcast_CTB3
Great Convo😆
Real solid discussion on tackling the opioid crisis from a realistic conservative position🤔

#podcasts #healthcare #opioids
@ShellenbergerMD @ConceptualJames @TimRunsHisMouth @redsteeze @realchrisrufo @EsotericCD @NoahCRothman @TuckerCarlson
#chronicpain I hope u like it🧐

IMO a good & bawdy convo on how others outside see the crisis & find common-cause w/ them🤝… @StefanKertesz @GhanaboyPharmd @headdock @dr4liberty @fightpaindaily @tal7291 @speakingabtpain @ChadDKollas @RyanMarino @maiasz
Read 6 tweets
I'd like to explain why #PainPatients & the #disability community is having a VERY difficult time w/this suite of articles about #ChronicPain.
I did find a more balanced view in some of the articles, & that's a good start for journos covering #ChronicPain. Sadly, it isn't enough.
For the past 7 years, #PainPatients have endured the draconian shift in #healthcare & attitudes toward pain & disability.

Countless patients lost their meds.
Many patients lost their doctors.
Some patients lost their jobs, their spouses, even their children.

Some of us died.🥺
In 2016, the #CDC unleashed their #Guidelines for prescribing #opioids for #ChronicPain.

The guidelines were adopted as a mandate in Rxing & the #StandardOfCare across the board.

Overnight, #PainPatients became a glaring liability for all doctors, & the consequences are harsh.
Read 11 tweets
Last session for me today at @APSAD40 on prescription opioids, treatment, and prescription drug monitoring programs. First up - a mini-symposium with @PPrathivadi , @LouisaPicco and @Sarah_Haines_ .. lets see if I can pull out a few key findings 1/
2/ First up @PPrathivadi talking about GPs use of PDMP, benefits for informing prescribing but challenges with reluctance to use technology - also check out this super commentary with @Sarah_Haines_ in the @AusJPrimHealth on evaluation considerations
3/ Next is @LouisaPicco talking about implementation of prescription monitoring with #pharmacists. Alerts seem to really drive responses (over other clinical risk factors).. are automatic alerts replacing clinical judgement? Conclusion: PDMP should not replace clinical decisions
Read 8 tweets
Here is drug-related #data for the counties in the Philadelphia PA region from 2006-2018. I'd have to dive into the math later, but it looks like counties with the largest decreases in Rx #opioids dispensing had the largest increases in drug overdose death rates. *THREAD*
Similar to my earlier tweet, in these visualizations you will generally see the counties on the left get darker (overdose death rate increasing) as the right gets lighter (Rx opioid dispensing rate decrease). This is apparent for Philadelphia, Delaware, and Bucks counties.
For those that aren't familiar: Rx opioid dispensing ⬇️ due to federal drug policies that restricted doctors from prescribing Rx opioids to their patients, in hopes of 📉 overdose deaths -- but restricting Rx opioids clearly has not solved that problem according to this data.
Read 4 tweets
providers caught up in disciplinary action viewed as “good doctors” practicing within accepted norms of patient care.

physicians never charged with any crimes but could not recover after their practice had
been shut down, records confiscated, or had poor publicity in the media🤯
“They were coming in and busting a lot of docs and then making it so… that we didn't need that law to be

#chronicpain #opioids #WestVirginia #health #healthcare #disability #medtwitter #Pharmacist
Read 18 tweets
from @speakingabtpain fabulous lecture at the FDA prescriber workshop Image
public health looks at opioid prescribing from a top-down view, as what is the total national amount of opioids prescribed,

Making decisions based on lowering this number,

But they don't know what is happening to individual patients & don't make decisions based upon it Image
Read 4 tweets
How’s #HFPP affecting the care of patients w/#pain? Was there public input when this partnership was formed w/#CMS #payers, #LE? We start with info links & near the end of the thread, an example of one payer’s efforts to fulfill their part.
#cpp #opioids…
Read 14 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
Very Cool😎
Presenting my 1rst article w/ @reason

Most Opioid Settlement Funds Aren't Going to Addiction Services

It doesn't work that way… #opioids #health #healthcare #drugs #addiction #medicine #disability #opioidcrisis #chronicpain #MedTwitter #news
Americans take at face value the claim opioid settlements will provide justice for victims & necessary funding for addiction treatment

Despite what media & politicians may say,
that isnt how this works… #HarmReduction @maiasz @filth_filler @ZachWritesStuff
A repeat of the largest settlement in US history,

the 1998 Tobacco Master Settlement in which 98% of the funds ended up in states general budgets… @CathyYoung63 @GhanaboyPharmd @national_pain @bernybelvedere @brad_polumbo @conor64 @wil_da_beast630
Read 16 tweets
#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
fyi Colorado,

opioid money isn't going towards addiction spending,
its going into the general budget… #opioids #colorado #government #politics #sackler #purdue #opioidcrisis
"Under the framework, 60% of Colorado’s settlement proceeds will be distributed to 19 regions of the state. Regional Governance Councils, made up of local leaders from each region, will make decisions about how to spend the money & provide reports"
there is nothing that says this money has to be spent on addiction services, NOTHING

That sweet sweet opioid litigation money is going to general budgets & pet projects,

If u are lucky, you might get a new Otter refuge
Read 11 tweets
@pweiser someone is feeding you false stats

"70 to 80% of those now using heroin became addicted to pills first"

where are you pulling that stat out of… #chronicpain #opioids #colorado
The best case that I can find is a study of teens that found 86% correlation with NON-MEDICAL USE of prescription drugs

And that is outlier study…
For one thing, exposure is the most salient factor for addiction,

another is this line in ur article:
"The opioid epidemic is 25 years in the making."

U are seriously saying the opioid crisis started in 1996? The death toll didn't begin til 2011… @pweiser
Read 5 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
1-Let's be clear. If it weren't for the false narrative that RX opiates were driving OD deaths, no one would be supporting 'saving' people battling addiction.
2-It was only after (white) Uppper & Middle Class Americans, (especially people of affluence), began losing loved ones and kids due to a deadly drug supply that the 'false narrative' about 'opioids' became mainstream.…
3-Drug deaths & addiction, even to 'opioids', has been around a very long time. In fact, the drug war, like any other war, is a profitable enterprise.
Read 7 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
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
De #COVID19 'elite' en vrienden is dezelfde groep die Westerse jihadi's ronselen voor regimechange in MO via geheime diensten en NATO. Die betalen wapens/training via dopehandel naar het Westen, incl. refugeestromen. De bankierskliek & Co verzorgen het witwassen. 😉
De politiediensten proberen, mits niet tegengewerkt door Geopolitieke belangen, om de drugsstroom tegen te houden. Dezelfde politiediensten worden ingezet tegen 'wappies' die demonstreren tegen de #COVID19 'elite' en vrienden. Het wordt tijd dat politie & leger wakker worden 😎
De politiediensten & leger dienen te beseffen dat 'wappies' en deze diensten uiteindelijk hetzelfde belang voor ogen hebben, te weten een vrije democratische samenleving zonder drugs en geweld. Bewijs is ruimschoots voorhanden, fijne dag verder. 😊
#NATO #opioids
Read 4 tweets
I posted this yesterday with parents permission. I wanted to expand on this video a bit.

1st, a big part of me feels very uncomfortable with posting. Just like a big part of me felt uncomfortable about posting about my kids experience (w permission). It feels exploitive. 1/
Yet, when I share experiences of #caregivers & or #patients (who had given me permission to share) those experiences were/are often questioned or I’ve been excused of exaggerating. Or like many others called a #shill for #Pharmaceutical companies. I am a mother, who 2/
witnessed first hand the harms of pain ignored, not treated, under treated or labeled as #psychosomatic. I remember very vividly how my kids would arch their backs in pain & scream. How helpless I felt. I have seen the repercussions of this #harm & am absolutely obsessed 3/
Read 15 tweets

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