This is extremely concerning. Where is the #patientcentered care? What if the medications that the #patient had been on were working? My kids have an extensive history. They have tried multiple medications and treatments some to their great detriment, should there 1/
not be a discussion w #patient and/or #caregiver on needs, concerns, desired outcomes previous treatments tried? I would never want to again have my kids be placed on a medication & or have treatment that did not work or worse caused harm previously. Due to the #CDC 2/
guidelines, the reinforcement of these guidelines by other governmental entities such as @CMSGov physicians have stopped assessing need and providing legitimate care - there actions are based on what is best for their organization and themselves. @CDCInjury and @SeemaCMS have 3/
truly fostered a culture that is stigmatizing to those w #chronicpain & have erected multiple barriers to adequate care. Patients continued to be dismissed and abandoned. Afraid of raising voice for fear of being abandoned . A #patients voice should never be dismissed 4/
that is not to say as #patients we walk in & demand the treatment BUT their MUST be a #partnership. There must be a trusting foundation between #patient and #physician in order to have honest dialogue. The current climate facilitated by @supportprop @CDCgov @CMSGov 5/
has lead to a climate of distrust, fear, inadequate treatment and an increased likelihood of suicide due to pain. Even with amending #CDC guidelines so much work needs to be done to counteract the great harms done by the guidelines. 6/
@CMSGov for example needs to stop sending out info to states to pressure physicians to decrease medications. They need to stop with various materials targeting opioid pain medications. I understand the need to be careful, the need to balance the cost/benefit but 7/
the actions have caused a medication that has provided benefit for so many to be ripped away with no other options. More expedient actions need to be taken to stop the harm 8/
