@LGiles1017 I'll add tweets below with "highlights" from the @CDCgov transcript of their 3/15/2016 telebriefing on the Guideline to save #TeamPain from having to suffer thru the whole thing themselves. cdc.gov/media/releases…
@LGiles1017 @CDCgov 3/15/2016: CDC Director Frieden said the Guideline would result in “fewer deaths from all sorts of opiates.”

✔️ 2018: CDC published a paper showing that #opioid overdose deaths go UP as prescriptions go down. CDC has not yet retracted the Guideline. Image
@LGiles1017 @CDCgov 2) Frieden (3/15/2016): “The prescription overdose epidemic is doctor-driven."

✔️US OD deaths have been "inexorably tracking along an exponential growth curve since at least 1979," a "predictable pattern of growth" that's NOT associated with increases OR decreases in scripts. Image
@LGiles1017 @CDCgov 3) Frieden (3/15/2016): The risks of rx #opioid use will outweigh benefits "for the vast majority of patients."

✔️Guideline is based on data showing #opioids are SAFE for the vast majority: average 96% unremarkable use; 4% includes non-addictive long use & physical dependence.

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More from @JillPiggott

22 Nov
Holiday shopping from home? Support #Maine #Wabanaki businesses. The Wabanaki are the Maliseet, Passamaquoddy, Penobscot, Mi'kmaq, and Abenki People of the Dawn. #mepolitics #indigenous <thread>

#Passamaquoddy handmade moccasins facebook.com/PassamaquoddyF…
Who doesn't love a little syrup in their stockings? #Passamaquoddy maple syrup from #Maine. passamaquoddymaple.com/?fbclid=IwAR1V…
Meherrin Outpost is owned & operated by a Mi'kmaq (#Maine) & #Mehrrin (NC) couple. They make jewelry & sell a wide range of products from sage & sweetgrass to hand drums and (aw!) baby moccasins. facebook.com/meherrin/
Read 10 tweets
21 Nov
Even if they support the #DeathPenalty, most people think that only people who've killed should be killed.

🔴Prosecutors never claimed #DustinHiggs killed anyone, but #Barr has scheduled him to die 5 days before inauguration. Deeply moving video: /thread vimeo.com/194702182
#DustinHiggs was in his early 20s when he drove a shooter from a crime scene. Prosecutors said the shooter "acted alone," but they failed to get the #DeathPenalty. So they accused Higgs of being the mastermind.

The shooter got life w/ no parole. Higgs is to die on 1/15/21.
Jurors did NOT hear mitigating factors that might've led them to choose death in prison by no parole over execution. They didn't know he was 10 when he was his mother's f/t caretaker as she died of breast cancer. Nor did they know he has learning & developmental disabilities.
Read 4 tweets
21 Nov
✔️Trump & #Barr are on a #KillingSpree. The official cause of death for executions is homicide.

If there are no more stays, they'll have killed 13 in 7 months compared to 3 in the 222 months since McVeigh's execution in June 2001. | thread Image
Dept of Justice website: "There is no proof that the #DeathPenalty deters criminals."

Death in prison by no parole (not execution) saves +/-$1 million per case. The capital punishment error rate is 1 in 10: 1 exoneration for every 9 executions. nij.ojp.gov/topics/article…
Chart source: Wikipedia, List of people executed by the US federal government

#Execution schedule 2020-21 & #DeathPenalty information: deathpenaltyinfo.org/executions/upc…
Read 6 tweets
19 Nov
@JulieTheCranky 2019 letter from expert/advocates (thank you @StefanKertesz) & signed by 3 former US “drug czars" & 318 additional healthcare professionals asked CDC to restate what's NOT in the Guideline: no dose cap; no call for forced tapers.

CDC did. 1/
…lthprofessionalsforpatientsinpain.org/the-letter-1
@JulieTheCranky @StefanKertesz .@CDCgov Director 4/2019: The “Guideline does not endorse mandated or abrupt dose reduction or discontinuation, as these actions can result in patient harm.” 2/
img1.wsimg.com/blobby/go/3d70…
@JulieTheCranky @StefanKertesz @CDCgov #CDC Director Redfield (4/2019): the Guideline calls for doctors to reduce or stop opioids “only [in bold] when patient harm outweighs patient benefit” & does not include a dosage cap. 3/
Read 9 tweets
19 Nov
✔️Fact-checking @CDCgov's telebriefing on the release of the 2016 Guideline (thread) cdc.gov/media/releases…
3/15/2016: CDC Director Frieden said the Guideline would result in “fewer deaths from all sorts of opiates.”

✔️2018: CDC published a paper showing that #opioid overdose deaths go UP as prescriptions go down. CDC has not yet retracted the Guideline.
2) Frieden (3/15/2016): “The prescription overdose epidemic is doctor-driven."

✔️US OD deaths have been "inexorably tracking along an exponential growth curve since at least 1979," a "predictable pattern of growth" that's NOT associated with increases OR decreases in scripts.
Read 5 tweets
18 Nov
Late in CDC's 2016 Guideline, a table reveals the Agency had no solid evidence for its claim that reducing rx #opioids would reduce ODs without harming people in #pain. In fact, ODs & suicides have spiked in their wake.

Thread: What did CDC know & when did they know it?
In a spring 2016 research paper, the Guideline's authors report that no "rigorous" studies had been conducted on whether dose reductions lower ODs, tho "preliminary results" suggested that high doses are less risky than low doses.

(All references at end of thread.)
CDC conducted its own study using VHA data about vets taking rx opioids. They matched 221 vets who died of OD (some of whom "likely" committed suicide) with 221 vets still living.

They found "dosage was a moderately good ‘predictor’ of opioid overdose death."
Read 21 tweets

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