Beth Steckler (she/her) Profile picture
Jul 8, 2021 15 tweets 14 min read Read on X
I posted this yesterday with parents permission. I wanted to expand on this video a bit.

1st, a big part of me feels very uncomfortable with posting. Just like a big part of me felt uncomfortable about posting about my kids experience (w permission). It feels exploitive. 1/
Yet, when I share experiences of #caregivers & or #patients (who had given me permission to share) those experiences were/are often questioned or I’ve been excused of exaggerating. Or like many others called a #shill for #Pharmaceutical companies. I am a mother, who 2/
witnessed first hand the harms of pain ignored, not treated, under treated or labeled as #psychosomatic. I remember very vividly how my kids would arch their backs in pain & scream. How helpless I felt. I have seen the repercussions of this #harm & am absolutely obsessed 3/
that these harms stop. That #pain in children is addressed effectively and that it is not ‘blown off’. I continue to be contacted by families who are placed in a position where their child’s pain is not addressed. It’s devastating & traumatic. Often the reasoning is ‘we don’t 4/
want to risk #addiction’. The @CDCInjury @CDCDirector with their #Guidelines have caused this harm. I know this is a blatant claim but with the revision of the #Guidelines & no transparency, with the multitude of concerns of other governmental entities, health org, #caregivers 5/
and #patients AND still absolute and deafening silence from the #CDC I am not sure what else to think. The harm that has been done, is glaring, yet silence. Organizations that have ‘aligned’ with the #CDC such as #CMS & other org often turn a blind eye & claim exaggerations by 6/
#caregivers & #Patients. Recently, was in a meeting of visible, powerful, connected org discussing #healthcare priorities; #patientcentered & reduction of #opioids two areas they are focused on. This org is seen as a org that is very focused on & practices ‘patient engagement’ 7/
at all levels. As a #caregiver I entered some comments I thought were relevant into chat. At first nobody responded. Then I received a private message from a committee member. A nurse who is teaching at a university. She said my comment was ‘inappropriate & nurse bashing’ & 8/
that no nurse would do what I shared. I don’t want to bash. There are amazing #nurses and #doctors but truly there are some that should not be in the field, there are system pressures on many also. Essentially she called me a ‘liar’. As #patients and as #caregivers sadly we 9/
often are not believed. Posting this picture makes it more difficult for those who have dismissed our #voices, the #voices of those that have #chronicpain, the #voices of those who love those with #chronicpain. THIS video is the reality I have experienced. THIS video is the 10/
reality of what many who have pain go through. There is an issue that many have ignored and allowed to continue. This is harmful & traumatic To those in #healthcare that have listened, have heard us, see us, raise your #voices for us, thank you! I posted because as parents 11/
our children’s’ pain continues to not be effectively addressed. Yes, there are pockets where care is effective but I believe that is the rarity. The #Guidelines have made it much more difficult. That’s the reason I shared, that’s the reason the mom gave permission. 12/
second I hope I can post another picture of where this little girl is today. She had the #AITTP and is doing much better. This is a complex surgical procedure. Some kids come out with a few issues, others come out have significant life limiting issues. In the last several 13/
months we have lost a youth due to complications & one to suicide. Those w significant complications struggle even more to access care & and appropriate #pain treatment. For this little girl however thus far has been successful. She is doing well! What she went 14/
through should never ever happen but it does and it has over and over again to so many children. The #Guidelines were never intended for the #pediatric population but they have been used to develop pain protocols for treating children’s pain. #Pain care (imho) was dismal 15/

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More from @purplemamabear

Nov 1, 2023
I just want to let out my frustrations w the #healthcare system & how assembly healthcare does NOT work. I think back about programs my kids went to. One being a renowned #painprogram. My focus was to assist in developing tools they could utilize in life to deal w #chronicpain 1
& their #illnesses. I wanted a #balance, I wanted a plan that was based on their individual needs. Their #pediatrician at 1st stated she had concerns w #program & not an #option for them. The #clinic called #pediatrician back saying they’d modify it for my kids. There really 2
were not a lot of options. The program promised individual care so off we went.
Nope started #titrating all #painmeds to align w time of #program vs Ind need. Then denied my daughter right to go to walk in #clinic when she was having issues saying this is what youth did 3
Read 10 tweets
May 24, 2023
Just doing some digging. #Pain is extremely nuanced. And the approach should also. W my kids #health & #pain there has been continued lack of knowledge, assumptions, & unwillingness to understand.
➡️#Anatomy of those that had #TPAIT & lack of understanding
by many docs 1
how this can impact #pain
➡️ Not identify or understanding impact of #MalabsorptionSyndrome
➡️Assumption that removal of #pancreas should immediately ‘solve’ issue of #ChronicPain
➡️ #GastricEmptying issues
➡️ Age of my kids (too young to have #pain)
➡️ Lack of 2
understanding & identification of #MedicalTrauma
➡️T3c #Diabetes
➡️ Impact of #NASH on #pain & options for #care

There are numerous factors that are critical in #Treating an #ChronicPain in #Individuals. They list of few listed above that are factors w my kids, have often 3
Read 8 tweets
May 24, 2023
Reviewing some #NorthDakota information surrounding #prescribed #opioids.
#OpioidPrescriptions #declined 34% from 2006 to 2020

Statement in poster ➡️ ‘Since 2007 every state has been working to address the #opioid epidemic & best practices are now understood’

Are they? 1
In the #Conclusion
➡️ nothing that addresses the #harm of #patients that struggled with #chronicpain. #Nothing re #outcomes of those #abandoned by #physicians & removed from #prescribed #opioids. Nothing about the looming disaster of last #physicians that #prescribe in 2 Image
#NorthDakota leaving. #Patients having no recourse. #NorthDakota absolutely has growth in area of serving those w #SUD yet in their pursuit to do this, they have #harmed those w #chronicpain & continue to exclude them in discussions or acknowledge these #harms. @hhsndgov 3
Read 5 tweets
May 24, 2023
#Apologies can be steps towards assisting in #healing #medical #trauma. When my daughter was in @SanfordHealth for 2 months, virtually #secluded bc of accusations by #hospital administration that she causes her diabetic crisis a #hospitalist & #diabetic counselor accused 1
her of ‘stashing’ #Insulin in room. All visitors searched. No items in room unless searched - camera in room 24/7 YET she is accused of injecting #Insulin. My daughter again attempted to educate on post #TPAIT. After additional days, the #Diabetic #Counselor came back & 2
#apologized acknowledging how hard it was to control her #diabetes. It’s hard control when she is at #Baseline but if she is sick nightmare. That #apology meant the world 🌎 to my daughter. She continued to work w this #counselor throughout stay & after. YET #PatientRelations 3 Image
Read 4 tweets
May 24, 2023
#Pain is nuanced
The difficulty with articles such as below example, is nuances not recognized.
For example, I could identify as someone with #chronicPain I have a few conditions that are accompanied by #pain.
My #pain is NOT unrelenting, it’s there ‘hovering’ in the 1 Image
background. I do #yoga 🧘‍♂️ & #meditation & for ME, for the #pain I experience, it provides benefit.
However, take my kids; NASH, kidney disease, gastroperisis, T3, scar tissue neuropathy etc. #mindfullness #meditation is not going even touch it. Not in anyway
2 example of 2
#pain experiences.
It’s understandable that many in nation that are not in #medical profession struggle w the #nuances
What I struggle w & what I believe #harms those w #ChronicPain is the generalization of #pain by #medicalprofessionals & lack of individualizing care based 3
Read 4 tweets
May 24, 2023
#BuzzWords in #Healthcare that often mean nothing: #PatientEngagement, #PatientCenteredCare #SharedDecisionMaking
Studies have demonstrated for years that IF #patients are #authentically involved in #care outcomes are better, yet, too often the above words thrown out to 1
attract, yet no actions follow.
How often have you been asked your desired outcome of #Healthcare?
How often are you asked about barriers to healthcare or recommendations?
How often are plans focused only on med issue?
How often do you feel your #voice is truly #valued in 2
your own #careplanning?
How often do you feel there is collaboration between all doctors OR do you feel at times doc have competing or conflicting recommendations?

#Patients voice should be central. #LetMeHearYourVoice 3
Read 4 tweets

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