1-Stop the, 'Over prescribing caused the opioid crisis.' narrative. I read article after article where 'liberal prescribing' is ascribed as the cause of the so called #opioidcrisis.
Many articles are written by people in our own community, self proclaimed pain pt ‘advocates’.
2-To this, I’d like to point out that in OC even a judge recently ruled:
"There is simply no evidence to show that the rise in prescriptions was not the result of the medically appropriate provision of pain medications to patients in need," #RxOpioidsSaveLives #ChronicPain
4-RXs rose after GOV set about creating a mandate for MDs to TREAT PAIN as pain was undertreated across the board, stating in the Pain Relief Promotion Act:
“Practitioners should be encouraged to treat pain aggressively even when the treatment may increase the risk of death.”
5-That quote above is found in the 3rd paragraph of the Pain Relief Promotion Act, linked here. Please note all those presiding on the committee. govinfo.gov/content/pkg/CH….
6-As far as the increase in ODs, there were a myriad of other factors going on in the U.S. at the time that ODs began to rise. 9-11, the ‘war on terror’, the financial collapse due to Wall Street corruption, people losing homes, jobs, particularly manufacturing and coal jobs.
7- White Middle/Upper Class America was particularly impacted and the ‘face of addiction’ began to change, no longer were overdoses and addiction relegated to the streets where minorities and poor whites primarily lived, addiction and overdose began to touch all of us.
8-No longer was the U.S. ADX mantra “JAIL THEM!” It became “ADDICTION IS A DISEASE."
Affluent ppl began blaming MDs-
Saying an MD ‘got your loved one hooked’ is a far less bitter pill to swallow than realizing that addiction can touch anyone no matter your social standing. 😔
9- Instead of realizing the complex underlying causes regarding ODs, we opted to attribute the rise in RXing to the ‘cause’ of overdoses, even overlooking the fact that our own Gov had called for a mandate for MDs to treat pain as outlined above in this thread.
10-This madness has to stop.
11-And if anyone wants to start railing about ‘pill mills’, Dr. Stephen Zeigler addresses this at about 4 minutes in with George Knapp- Great interview btw...Oldie but a goodie.
12-I’d also DARE assert- if we have taken ‘pill mills’ and turned them into actual #harmreduction centers where people could get SAFE, REGULATED, KNOWN POTENCY medicines, as well as any other services they might need/want to help w/recovery, maybe things would be different today.
13-Maybe we’d actually have helped reduce ODs instead of enacting PROHIBITION like tactics that have lead to untold suffering in both the ADX community as well as the pain community. Not to mention preventing MDs who truly want to help people have targets painted on their backs.
14-My life’s been destroyed.
Denied needed medicine, medically abandoned,now losing my eldest daughter to illicit Fentanyl Poisoning.
What we are doing to address addiction/ODs has made things worse- I will #ScreamLouder until sanity returns to the table.
15-To Legislators/Media/CDC/and even some of our own ‘advocates’, you're saving NO ONE. The ‘opioid crisis’ approach has done only HARM.
Shame on ALL of you.
It's not like you haven’t known this now for years. We’ve been begging to be heard since before the official GLs came out.
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This is a cry for help!
Not because I’m considering suicide.
This is a cry for help for millions in pain. It’s a cry for those who are taking their own lives to end the agony they've been told that they just need to learn to accept.
#PainCareCrisis
2-It’s a rallying cry for people to start talking about what’s happening, what has been happening for years now, to people with serious illnesses & injuries in this country. Virtually no one is talking about this in the public forum-This is the other side of the ‘opioid crisis’.
3-There are people right now watching the news, rightfully outraged when they see profiling and discrimination, human rights abuses, violations of civil liberties and civil rights.
1-BEER
Imagine: Beer poisoning kills a few thousand.
Gov declares beer to be highly addictive & dangerous. They implement gov database monitoring of sales & restricting access to beer, you are monitored through your DL. DEA put restrictions on sales & commercial production...
2-There is evidence that deaths are not the beer from the store that's killing most people, although alcohol related deaths do include store bought beer. Some studies say deaths are from a new strong smuggled beer, and beer being made in garages.
3-Since it's difficult to discern which beer is killing people, the government lumps all beer under the 'highly addictive and dangerous' label, and declares that in order to save lives, we need to get people to stop drinking beer, and all alcohol for that matter.
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.