"When he came to, he was on the floor. He had rolled out of the wheelchair and hit his head. A gaggle of worried-looking medical staff stood over him. They asked if he was on drugs."

In most ER, he would have already been hit with two doses of NARCAN.

nytimes.com/2018/07/24/mag…
#alphagal allergy syndrome breaks all rules, stands as example of how much we don't know. This guy got lucky. I have YET to meet medpro that knows this, except for my allergist.

Had I not studied myself and searched for answers, my PCP would have found them thru MY anaphylaxis.
Would it have been flu shot I refused? (2 of 4 have mammal component)..

Maybe the acid blocker I refused, in a gel-cap?

Would I have passed out during colon prep for procedure I refused?

How long before first 'incident' gets me narcanned? Hell I'm probably allergic to it too.
"Niegelsky had in fact heard about the allergy from friends. He remembers shaking his head and thinking that it sounded “made up.” 

How many have disorders that people used to think (some STILL think) is "made up"?

How many feel confident that if they pass out in ER...
...that ANYONE will respond with knowledge of your rare disorder, and NOT make it worse with two cans of NARCAN, and badgering about what drugs you took?

This guy got LUCKY.
Myself, with a pain hx, a three-letter dx, and some weird dx no one knows?

I'll get two NARCAN.
Sadly, finding NARCAN hypersensitivity is problem, but not fully recognized, even when widely reported.

This town hall discussion regarding forcing all MAT on Suboxone is revealing in its disparity. Some forced on it. Some rejected due to ANY allergy hx.

townhall.virginia.gov/L/viewcomments…
Here's my problem. Medical establishment doesn't recognize this as a threat...providers advised histamine reactions just part of opioid W/D.

And told to DO IT ANYWAY, tx anaphylaxis later!

Gonna need a forehead tattoo.
EPI-PEN YES
NARCAN NO

aaaai.org/ask-the-expert…
And in light of knowing it's not just ER, that I might fall after a perfume exposure and get NARCANNED by some LEO, or Dollar Store employee..

..maybe I need to add to my tattoo...

LITIGATION PENDING.

If you get NARCANNED...sue them!
I will...if I can.
ryangoldsteinlaw.com/lawyer/2019/01…
When everyone is looking for overdose, NARCAN is their hammer. Medical training be damned.

"Project Lazarus Naloxone Rescue Kits are available for individuals, families, community organizations, health departments, and law enforcement personnel."

projectlazarus.org/naloxone
Note website NO mention of risks associated with mis-dx of symptoms, common to many causes of syncope.

Worse, your 'hero' is protected by law!

"NC Good Samaritan Law (SB20) informational card that explains the legal side of administering naloxone to an overdose victim.."
Your 'hero' may be no hero at all! NARCAN Sadists are a thing. They enjoy the abuse two doses of NARCAN induces.

"EMS provider in Virginia referred to himself as “Dr. Narcan“� while making racist and homophobic comments on a white supremacist podcast."
jems.com/patient-care/a…
"Somehow Narcan evolved beyond tool...to substance given to virtually all obtunded patents “just in case.

...it has become punitive therapy dished out by many providers to patients who are deemed to need to be taught some type of lessen through punishment."

Human nature.
I share because this is another sad aspect of #opioidhysteria run amuk.

I don't need opioid at this time, pain is controlled, that's amazing.

Good thing too, #alphagal prevents me from many pain meds.

Yet, #GreatOpioidLie could lead to my death...by NARCAN?
I'm pinning this tweet, as it's my major concern right now, highlights an often-ignored and even disputed real hazard in #opioidhysteria to people far removed from both chronic pain AND addiction.

For all my other threads, they're buried in my OPEN LETTER tweet from 2019.
Narcan is touted as safe, everyone wants to be a hero.

"Narcan is a safe drug that doesn’t harm anyone, and it can give temporary results for overdose."

howtoadministernaloxone.maryland.gov/en/index.html?…
But let's not forget, not every case of unresponsive is an overdose.

cincinnati.com/story/news/201…
Even in cases where drug use is highly suspected, is jumping to spark a junkie with NARCAN the wisest thing to do?

Yes I said "junkie" cause that's what's mumbled by EMT when whupping out more naloxone...
ems1.com/ems-products/a…
"Narcan carries with it some side effects like chest pain, a rapid heartbeat and agitation."

"As a first responder he says overdoses and stroke victims can share symptoms like trouble breathing and confusion. Narcan can help to rule things out."

Hell no.
minnesota.cbslocal.com/2017/09/07/mis…

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More from @urbanfatbiker

1 Sep 20
@DEEGILES0410 "total resolution relating to the marketing of Suboxone is more than $2 billion — the largest-ever resolution in a case brought by the Department of Justice involving an opioid drug."

Suboxone, the newest and most effective gateway drug, 'Prison Heroin', easy to smuggle.
@DEEGILES0410 "Buprenorphine emergency department (ED) visits for nonmedical use of the drug have increased fivefold from 2005 to 2011 – up to more than 20,000 ED visits involving buprenorphine products for nonmedical purposes.."

Thanks to Indivior.

americanaddictioncenters.org/suboxone/get-h…
@DEEGILES0410 "Suboxone may also be becoming a preferred drug of abuse for individuals seeking an opioid-like high, and many may be choosing this drug over other opioids."

EXACTLY as Kolodny intended when he started pushing Suboxone in 2005.
Read 10 tweets
20 Jun 20
We need truce to unify movement to restore pain care.

Recent fallout from UDT wars has split movement. Worse, we're labeled by our activism against forced frequent UDT of patients.

AMA stands in agreement with #Borderlines. It's time advocates include us. We're not the enemy.
The attached tweet references discussion where MS layed out plans to intercede in WA state deliberation of a pain patient rights bill, to insert mandatory monthly UDT as a requirement.

This is not a moderate position.

AMA position IS a moderate position.
AMA agrees with #25PsychoCPP that UDT does not improve outcome, is fraught with interpretation error, and acts as an access denial tool.

And their disapproval is referencing CDC guideline recommendations of patient initiation and once-yearly!
Read 5 tweets
13 Apr 20
Urine Drug Testing is a flashpoint among many pain care patients, who resent being forced to submit, pay for procedure that can only DENY care, with no benefits, no medical necessity.

Certain advocates like Dr. Michael Schatman, have alienated patients with his UDT support.
Dr Schatman's online advocacy is frequently attacked for his promotion of UDT.

AND many patients join in with him, to denigrate those fighting this civil-rights intrusion into our care. We're told we are threatening a movement.

Yet, there's an elephant in the room...
UDT has become a criminal enterprise, racketeering on a scale equal to Mafia-style infrastructure.

Crooked execs, politicians, provider orgs, doctors, scheming to rob insurance, Medicare, Medicaid, and patients of Hundreds Of Millions of Dollars.

Let's tour how CRIMINAL it is!
Read 19 tweets
1 Mar 20
@ABCNewsLive @ABCWorldNews
Study of existing data biased to indicate prescription driven crisis.

Age-adjusted totals make it easier to blame rx.

But age-specific data tells a different story. Rx primarily elderly, disabled with few OD, while youth without Rx are majority OD.
These charts tell that story. Yourh without prescriptions overdose at rates up to six times higher than elderly with opioid rx.

Yet, what's reported in media is a prescription-driven crisis, using rise in rx over 20 years. Ignoring how that rx was used!
A good investigative reporter should have noted something ELSE when they correlate increases in opioid rx with OD spikes...

Medical advancements increased need for pain care by the MILLIONS. People that should be DEAD or bedbound, walking, working, LIVING.

And opioids helped..
Read 12 tweets
12 Feb 20
Its time to present some 'first wave' charts, but NOT those doctored by 'PROPdocs' such as @SteveGelfand using nothing but volumes and OD to make a case.

Damn right there was more prescribing since 1999!

Those rx 'increases' had NEW destinations.
Tens of millions of them!
Lets start with surgery increases.

Medical technology was not standing still. Last 20 years an EXPLOSIVE growth!

Here's survivors of hip transplants....overwhelmingly elderly...

That's worth several million opioids...
...and technology enabled even more surgery that wasn't possible before 1999.

Here, we have spine surgeries....yep. a few million more opioids...and yep, mostly elderly.
Read 19 tweets

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