2-Dr.Sally Satel has been dragged through the mud by many including 'Stat', for daring to state the truth.
“Contrary to media portrayals, the typical OxyContin addict does not start out as a pain patient who fell unwittingly into a drug habit.” statnews.com/2019/11/19/how…
3-Deceptive marketing??? No more deceptive than alcohol manufacturers showing happy, healthy, young people drinking socially vs the college age alcoholic binge drinking and choking to death on their own vomit.
4-We as a society are more than willing to pick up our pitchforks to demand the heads of opioid makers delivered up on a silver platter.
Yet alcohol, that kills far, far, more than Rx opiates are exempt.
GOV Reps will tell us 'prohibition doesn't work' unless they say it does. 🙄
5-We all know the tug on the heart strings stories, 'The doctor got my little Johnny hooked.'
Well, Mom and Dad, little Johnny had been binge drinking with friends for years, smoking weed, taking other drugs too. The opiate he got from the MD for his knee was just another high.
6-The truth, however hard a pill to swallow, is that drugs don't cause addiction. Just like alcohol doesn't cause alcoholism.
7-For those who want to cite 'facts' about a rise in OD deaths after Oxycontin was introduced.
It's not that simple.
It's a sad coincidence that there was a mandate to treat pain, as pain was undertreated across the board. Right before societal upheaval. threadreaderapp.com/thread/1417178…
8-All we have to do is look at the results of the 'opioid crisis' response.
ODs continue to skyrocket despite Rx restrictions.
A more dangerous drug supply has been created through prohibition like tactics.
Pain patients are now dying due to suicide & pain related complications.
9-This collective insanity needs to STOP.
NO ONE is being 'saved' with the current policies and practices.
In fact, just the opposite.
CDC needs to rescind PROPs 'opioid guidelines' immediately and the PDMP made a physicians eyes only system. #SavingUsToDeath
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The Pain Care Crisis: A Call for Compassionate Policy
The majority of people who rely on RX opiate medicines for chronic pain are being unfairly penalized and harmed due to policies aimed at 'misuse'.
Thread...1/
#PainCareCrisis
2-Deadly policies-touted as well-intentioned-have led to unintended consequences across the board, leaving millions of chronic pain patients struggling to access the medications they desperately need.
3-Personal responsibility plays a crucial role in in the safe use of medications. Patients should be empowered with informed consent, understanding risks and benefits of treatment options, rather than subjected to restrictive, gatekeeping measures.
1-Thread about the barriers to care for people in pain and what needs to change.
I. Addressing Chilling Effect
End Morphine Milligram Equivalent (MME)
Prescribing must reflect individualized patient need, considering benefits/risks for each patient.
#PainCareCrisis
2-Regulation of Prescription Drug Monitoring Programs (PDMPs):
Define clear & limited circumstances under which law enforcement can access PDMP data.
Protect healthcare providers from unjust prosecution based on PDMP data and require warrants for any LE investigation.
3-Rescind CDC Opioid Guidelines: Transfer oversight and guideline development to a specialized body of pain management and chronic pain experts, separate from the CDC and focus solely on medical health issues and pain management.
Thread: Denying opiate medications to individuals who genuinely need them for pain management can lead to many serious health issues and so much more...
#PainCareCrisis #TheOutlawAdvocate
2-Increased Pain and Suffering:
The most immediate effect is an increase in pain, which can severely degrade the quality of life, making daily activities unbearable or impossible.
3-Mental Health Deterioration:
Chronic pain can significantly contribute to or exacerbate conditions like depression, anxiety, and suicidal ideation. The psychological toll of unrelieved pain can be profound.
Kolodny laid out a detailed plan in how to reduce opioid Rxing in a meeting in NY, before guideline was even published.
@jmkillingnyc has so much information on how insidious this anti-opioid agenda was from inception in early/mid 2000s and even earlier I believe.
#PainCareCrisis
2-In order to fight back against draconian prescribing protocols, we need to understand how we got here & what's preventing change.
Changes in Standard of Care requires MDs to stay withing the bounds of restrictions.
Law enforcement in medicine has created a chilling effect.
3-With changes re: opioid Standard of Care, if MDs stray, Medical Boards can target them, DEA can charge them, jailing at worse, destroying their reputation and financial standing at the very least. Pts claiming harm by opioids have increased ability to sue for malpractice.
Thread...1-Prescribing practices should never have gotten to the point where some of the most vulnerable people in our society-the sick/injured/elderly-are left in agony, driven to the point of desperation with little to no hope in sight of things changing.
#PainCareCrisis
2-People with serious illnesses and injuries have been being told every year for over a decade to 'hold on', that change is coming. I know from having boots on the ground in the chronic illness community that for most, things have only gotten worse.
#PainCareCrisis
3-Right after CDC/PROP's unrolling of the 'opioid guideline', I and others watched medical professionals convene boards to change the Standard of Care in managing pain in EVERY aspect of medical care, with an anti-opioid, 'dangerous drug', directive driving those changes.
1-What I've noticed over 14 years of advocating for people in pain is when you make it clear you're not anti-opioid, MDs, legislators, media, and GOV officials become rude then dismiss you. If you still don't go away, they'll then attack your character/ignore you.
#PainCareCrisis
2-Even when presenting facts-like the extremely low incidence of 'addiction by prescription'.
Or if we explain the safety/efficacy of opiate medicines when taken as prescribed, or the real dangers of leaving someone without effective pain control, including death- we are ignored.
3-More often than not, a pain patient advocating for themselves is automatically judged as ignorant and having no credibility. We are usually labeled as people 'just wanting THOSE drugs', called junkies or pharma shills, or bots.