I appreciate all the friends reaching out to see if I am ok, to see if my friends, colleagues, and loved ones (who, let's be real, are all of them) are ok. I'm not ok. Friends and their families in Ukraine are really not ok. Here's what has been happening so far. 1/
Friends in several large cities in Ukraine were awakened at 5am by explosions and rocket fire. Everyone was panicking. We messaged to see who was safe. Some hid in their homes. Some ran to the nearest underground station in the middle of the night to take shelter. 2/
Air raid sirens have gone off several times in Kyiv, just this morning. Several info blasts to take cover in city-organized bomb shelters have gone out. Some areas seem calm. Many have died from shelling in a Kyiv suburb. It's hard to actually understand what's happening there.3/
Ukrainian friends living abroad have tried to get family out, but there have been so many challenges. Some thought they had more time. Flights were booked to get mom and dad away next week. Others lack documents. One niece, a child, has no passport, so the whole family stays. 4/
There are friends in Kyiv who fought in the Donbas war when Russian proxies (w Russian military equipment that they could not handle--remember MH17?) first sank that region into bloody chaos 8 years ago. They now have families, jobs, kids. They're now preparing to fight again. 5/
It's typical in Ukraine to make charitable donations via direct deposits into publicly posted bank accounts. Banking in Ukraine can be weird. The Ukrainian government opened an account for military support. The Ukrainian govm'nt is literally soliciting donations for the army. 6/
Ukraine's biggest military weakness is their air force. In 2014, when Russia began its military occupation of Crimea, Ukraine had an active air force base there. When that base was finally evacuated, air force servicemen left on foot. 7/ nytimes.com/2014/03/20/wor…
The targets of the shelling in Ukraine seem to be selected to completely hobble Ukraine's air defenses, giving Russia the opportunity to use Ukrainian airspace to advance more attacks with impunity. 8/
This is leading to violence MUCH farther west than anyone suspected. Ivano-Frankivsk is an administrative center, but a small one, smaller and more remote than the small, western cities most diplomats have already fled to. 9/
I asked veterans what would help. They immediately encouraged support for an org called Povernys' Zhyvym (Return Alive). They provide MUCH needed technical training/support to the Ukrainian soldiers and economic support for returning veterans. 10/ savelife.in.ua/en/donate/
Not that long ago, when Russian aggression began and reached its most deadly in 2014, young Ukrainians being drafted had to crowd source funds just to get basic equipment like kevlar helmets and clotting agents. Too many literally went to war with nothing but camping gear. 11/
I'm not a war booster. I hate every iota of this. It's terrible and needs to stop. But Ukrainians did not ask for these attacks and still they are happening. Ukrainians are already dying needlessly. 12/
This video was taken by @radiosvoboda this AM with a man fleeing Kyiv to meet his children. "Horror. No idea what to think." He loses composure, breaking down in tears and cursing the "lying b*" who is bringing this s* down on them. 13/ web.telegram.org/z/progressive/…
Everyone is heartbroken and no one knows what to do. 14/
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Friends, I want to show you Ukraine. Most people don't know it. It's an incredible place with fiercely bright and creative people. It's a second home and the place I most often long to be in the world.
Ukraine is a huge country, about the size of Texas. There are enormous cities with so much life and culture, and beautiful natural lands and coastlines that will take your breath away.
Here are some of my favorite places. First, the book markets. There is a long history of writing, scholarship, poetry, literature, and printing in Ukraine. There is this extraordinary open air book market in Lviv that opens almost every day near a statue of a press worker.
1/ Have you seen this video circulating that allegedly shows a @SDSheriff deputy ODing on fentanyl? There has been lots of push back, with experts claiming that this whole video is a lie. These claims are correct. The video is a lie. I'll explain how. cbs8.com/article/news/l…
2/ Fentanyl is a synthetic opioid that is many times stronger than heroin. It is pervasive in our illicit drug supply and is the leading cause of opioid overdose in the country. Fentanyl kills tens of thousands of people every year.
3/ Fentanyl is also an extremely well researched and commonly used medication. It's been used as part of general anesthesia for decades. Anyone who has had an appendix removed has been given fentanyl in the OR. We understand fentanyl very well. theconversation.com/fentanyl-widel…
Alexander Lukashenko has been the president of Belarus for 26 years. TWENTY SIX YEARS. That is very not natural. He has rightly been called a dictator, running a massively isolationist economy, controlling news, controlling media, and using police violence against opposition 3/
So here's a fun* story. 3 yrs ago I helped lead a massive survey of >2k police officers in 20 states (pub forthcoming). In that study we could NOT ask people about their racial or ethnic background. At least not really. Why you ask?
*not actually fun
1/
Because the vast majority of PDs are SO OVERWHELMINGLY white that someone IDing themselves as Black or South Asian or even Hispanic would often be de facto identifying. Saying "I work in X department and I am Black" meant you could only be 1 or 2 people.
2/
Think about that for a minute. PDs across the US was so overwhelmingly white that we could not ask people what race they were without possibly putting them at risk of having all their answers identified. THAT IS BANANAS.
(We were simply able to ask 'Are you white?' y/n)
3/
New research (by me & colleagues) on the MAHOR role that people who sell/deal drugs play in protecting people who use opioids in the U.S. from fentanyl exposure and overdose.
The tread below unpacks our findings and implications: 1/
What's that you say? Drug dealers are helpful? They actually make people safer? YES. In fact, that is indisputably what we found through this research. In the words of one of the fantastic (and also opioid dependent) people we worked with on this study...
2/
"[My dealer's] like, Everybody's got fentanyl, and I don't want to buy it. So he's not even picking it up. He's like I'm not going to serve people that. So, there's actually dealers that care. I know you guys don't think they care; they actually care...they're [like] family."
3/
Massive study (>40k ppl) on opioid addx treatment finds sig. reduct. in OD and health complications in pts on bupe & methadone. Other behavioral or residential care, detox, *naltrexone* had SAME OUTCOMES AS NO TREATMENT AT ALL. 1/13
It's far beyond time to start asking ourselves a few tough questions:
--why does SAMHSA financially support so many treatment centers that do not offer the only medications for opioid use disorder that are PROVEN to save lives? 2/13
--why are individuals who are arrested and/or imprisoned almost universally denied these life saving medications, regardless of whether they need them or were receiving them from a Dr at time of arrest? 3/13