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Karine Meador Profile picture
@DrKLMeador
Dec 23, 2019 • 3 tweets • 1 min read • Read on X
However you look at these numbers, the conclusion has to be that to roll back, restrict, alter, or prevent expansion of supervised consumption services would have a devastating impact in Alberta.
alberta.ca/opioid-reports…
I don't even want to imagine what it would look like if we coupled that with restricting access to sterile injection supplies, naloxone kits, and medication-first models of OAT.
If you are advocating for restrictions to harm reduction interventions, you are advocating for more deaths, plain and simple. #harmreduction #harmreductionsaveslives

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More from @DrKLMeador

Karine Meador Profile picture
Sep 24, 2020
There's certainly a lot to digest from yesterday's Q2 Alberta Opioid Response Surveillance Report. alberta.ca/opioid-reports…
The numbers, to put it plainly, are devastating.
Long and educational thread to follow on one aspect of the report that I struggle to understand.
On page 4, there is a section titled "AHS Opioid Dependency Program - An example of impacts during pandemic peak". It shares the following data: Image
It appears to be looking at the percentage of urine drug tests performed at the ODP programs that are positive for either methadone or buprenorphine. For those less familiar with OAT treatment, these are the 2 most commonly used oral medications to treat an opioid use disorder.
Read 21 tweets
Karine Meador Profile picture
Mar 22, 2020
A few issues have arisen unfortunately amongst OAT providers as we adjust care to keep our patients safe and able to practice physical distancing. I think it is important to share these problems:
1. Alberta Health has given a directive that all pharmacies are only able to dispense a maximum of a 30 day supply of any medication in order to prevent shortages.
2. When pharmacies have attempted to provide longer sets of carries as directed by providers, suppliers have limited the amount of stock they can order making even the provision of 2-3 weeks of carries impossible in some settings.
Read 11 tweets
Karine Meador Profile picture
Dec 29, 2019
26 more hours.
I went on call Monday December 23rd at 8am. I've been at work, full day every day over the holidays.
My pager turns off tomorrow 10pm.
We always get slammed with consults on Sundays.
The countdown is on.
Think of me friends.
26 more hours.
Last day of call update #1: Our office is flooded. 13 more hours.
Last day of call update #2: Still going. Many consults left. Flood is cleaned up. 8 more hours.
Read 5 tweets
Karine Meador Profile picture
Aug 20, 2019
In light of the government's announcement today on the review of current and proposed SCS and the debate happening right now in Lethbridge city council, I'd like to say something very clearly:
I support supervised consumption services in Alberta.
I support harm reduction. 1/
This is important to say. It is important to not be silent. Silence comes from a place of privilege, the privilege of not being directly impacted by the question at hand. The same goes for remaining neutral or "both sides"'ing if you will. 2/
Do you know who are the first to say that the province needs more services for people who use drugs? Who are the fiercest advocates and push the hardest for improved access to wider ranges of addiction treatment, mental health supports, medical care, and safer housing? 3/
Read 12 tweets
Karine Meador Profile picture
Jul 18, 2019
Great thread by @ginettafammed who pushes me to think about things in new ways.
"Healthcare/social systems tend to be designed for the typical, and systematically exclude those who don't fit" is exactly what scares me when I hear those with influence talk about a return to focusing on "recovery models".
And of course a support of harm reduction services doesn't exclude a support of recovery options. It is a recognition that true recovery can take many forms, is individualized, is complex, and can even include ongoing drug use for some.
Read 4 tweets
Karine Meador Profile picture
Dec 18, 2018
I've seen this retweeted several times in the last few days with many calls to action for better management of opioid use disorders and its consequences in the ED. It has made me reflect on the work we do in Edmonton, Alberta at the Royal Alexandra Hospital. 1/
I could not be more proud of the work @TeamARCH under the leadership of @kathryndong does to prevent this exact scenario. We launched back in 2014 and have been hard at work since then. Our team was a lot smaller then - 2/
I can remember so many late nights and weekends, driving back in because we were the only source of take home naloxone kits in the ED. This was before the kits were being widely distributed so we were buying vials of naloxone from our inpatient pharmacy 3/
Read 11 tweets

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