Oregon Advocate Profile picture
Oct 22, 2019 4 tweets 2 min read Read on X
The #Oregon #Opioid #Taper guidelines, as it stands now in final draft, state NOT to reverse a taper. Why? Do they instruct this explicitly? This should be at the discretion of the provider and based on the individual patient. Otherwise, that could imply agenda.
Not to mention the aftermath of possible hardship and care post taper. Not only for future and present provider(s) but judgement & care of complex patient conditions. These are people not things. Set in stone statements do not belong here.
If these are supposedly guidelines, a black and white rule does not belong. Such as “do not reverse taper”. What patient who wants to try a taper will want to do that? Not to mention providers hand are tied once taper begins.
If patients are supported and want to initiate a taper, they need to trust providers ability to act in the best interest of patient. If provider is instructed by taper guidelines NOT to reverse ever, that is setting stage for many to not try or “buy in”. Is that worth it? No

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More from @OregonAdvocate

Apr 30, 2023
When my colleague and I advocate, it’s never to put ourselves in positions or spots. We don’t want to be in any position like that. We advocate for balance and justice, transparency, accountability, equity. Thats it. We only advocate because no one else stepped up
We want to help others navigate how to advocate for themselves and for state justice & human rights. For task forces, commissions, boards, to be BALANCED. These are not jobs we want but had no choice but to use our voices.
I want nothing more then to never work on this again!, it’s not our JOB to do this! I have many other things I’d much rather do with my life.
Read 7 tweets
Apr 30, 2023
this is a presentation done only ONE year ago in #Oregon. These individuals have played a huge part in the horrific injustices done to patients and providers over the past decade, they still hold power seats & contracts with state.
Why does the @oha cont to do biz with OPG & people who refuse to collectively change when harms have been proven? Even the CDC’s new GL admit to wrong directions & harms from past GL.
Watch this video and tell me, is this acceptable? With what we know now? Has this honestly helped Oregon’s overdose problems? Is this considered standard of care?
Read 5 tweets
Apr 29, 2023
Regardless of what party she is, something needs to be looked at deeply. Why the SOS has been so hell bent on going after pain doctors providers and pain patients. Giving disinformation on data on prescription abuse in Oregon, when we have a literal crisis of under treating pain
She has family experience with addiction she admits, that is not a pass to wage a war on pain providers in Oregon! and patient private medical info! To use them as scapegoats when data proves otherwise. She digs her heels in hard to go after pain providers. Why? She obviously
Supports the cannabis industry! Is that not suspect at all? It should be

katu.com/news/politics/…
Read 10 tweets
Apr 29, 2023
We have been asking for ethics help for months on concerns about the SOS PDMP audit data and her subsequent pdmp bills this session! Literal falsehood in Ian Green’s presentation on bill SB559. He stated false info! Which was punished in Oregon media to make matters worse.
How can an audit dept just get away with lying? Stating inaccurate data as fact? This should have been a red flag! To investigate! But crickets. Crickets from @OPB even. Even the small voices deserve to be heard! @TinaKotek
On the heels of this new info why is no one looking at our proof? What lengths do patients have to go to, to be heard?
Read 6 tweets
May 1, 2022
We are hearing something disturbing happening, again in Oregon. OHP/medicaid program, we hear (not confirmed) are telling provides with patients with incurable conditions to stop utilizing so many services, tests, treatments, referrals on them. To focus on the curable patient -
The ones who have a chance to get better and return to work (get off medicaid). In Oregon we have a crisis where medicaid patients with chronic conditions (esp with pain) can not find primary care provider to take them. Well? If this is happening that would add disincentive to -
take on a medicaid patient right there! Knowing full well complex patients will sometime be a high utilizer of care. Why people move here without knowing and are shocked.
Read 8 tweets

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