August 31 is International #Overdose Awareness Day. Every year I reflect on all the people we’ve lost, but especially Arielle. Here we are at 18 - careless, happy assholes. She was brilliant, snarky, a talented musician, and she died at age 26 from a poisoned drug supply.
In the last 2 years of her life, Arielle went to jail, went to rehab, and “got clean.”
Jail didn’t save her.
Rehab didn’t save her.
Abstinence didn’t save her.
There is no excuse for her death or for any of the 71,000 overdose deaths in 2019, not when evidence-based treatments for #OUD exist. Not one damn more person should die alone from a treatable condition in the year #2020.
#IOAD2020 must be about more than awareness. It must be about policy changes to incorporate #harmreduction into every level of drug policy and treatment. Anything less is a betrayal of those we’ve lost and a collective failure of those fighting to survive another day.
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And although I’m only there part time, I’m also proud to help highlight the important work being done by @BHCHP and AHOPE on the CCiR van, day in and day out, by dedicated providers like @JoeWrightMD@Dinahlew@e8b8r@JessieGaeta@Boston_Mackin and others.
It’s been an immense privilege to care for patients as part of these teams, and to learn from the clinical and lived experience of some of the most powerful leaders in this field.
4 years ago tomorrow would have been my 1st #residency interview, at @mghmedres. I know this because 4 years ago today my dad died unexpectedly in Denver while I was in Boston. I cancelled the interview from the tarmac at 6am the day of, and flew home.
It’s a whole 🧵
2/ This will not be a memorial thread about how much I love and miss my dad, although I do and I do. Weirdly, this is a @mghmedres appreciation and #medstudenttwitter celebration thread. Bear with me.
3/ I was home for 8 days after my dad died. In those 8 days I missed 6 interviews. 3 programs offered their sympathy and little else. The other 3 offered whatever it damn well took to get me rescheduled and to support me in doing what I needed to do - interview.