While the country is groaning because Phil saw his shadow, I'm reminded of the movie with #BillMurray & thinking about our community
We 're stuck in nightmare loops that keep replaying...Daily, Monthly, & Advocacy!
We seem to be in at least 3 loops, all of which seem to have us trapped.
🚩There is the daily loop.
We wake up in pain and fight our way through the day using whatever modalities we have on hand to manage the pain just enough to have some functionality.
Then we fight to sleep
🚩Then there is the monthly loop - at least for those who have a practitioner still prescribing.
We fill our meds and SOMETIMES that's day 1, other times day 1 is the next day.
We go through the month, safeguarding our meds ...
...and rationing our quality of life as a direct function of our dose & quantity.
For many, as the next appointment or fill date nears, stories of others losing meds or being force tapered get to them.
Anxiety rises until the appointment - did we jump through all the hoops?...
Will this be the month my doctor decides to retire?
Did my doctor get told by the DEA or a regulatory board that they need to taper all their patients?
Many are a basket case until that appointment is over and they can being the pharmacy anxiety (that's assuming Drs went well)
At the pharmacy, anxiety spikes again.
Will the pharmacy have meds in stock?
Will pharmacist decide they aren't comfortable with script?
or
Will insurance refuse to pay?
IF that goes well... we start the monthly loop over again.
🚩The last nightmare loop I am referring to is advocacy.
The same scenes play out time & time again.
Those who shout on social media, keep shouting on social media.
Those who send emails & make calls, keep sending emails and making calls.
Those who do their work in person...
keep doing their work in person.
Every so often, a new group of patients are forced off their meds (or functional levels) and joins our ranks.
They come in full of fire to make the world understand our plight and fix it.
They have the same plans as we did when we arrived...
They are naïve and believe if they tell a reporter or a policy maker that there will be swift change that ends our issue.
Once they realize that isn't true and that many have been doing just that for years, the decide to try attorneys.
They quickly learn we don't have a case.
Then try celeb attention. NOPE.
Most fit into one of two categories within a short time of finding CPPTwitter...
1) they join a private group or 12 & spend hours a day comparing their pain to the thousands of others already in there.
2) they quickly leave CPP social media
So where does that leave us?
It leave pain patients stuck in yet another loop.
Another nightmare where the same things happen over and over.
We are making progress, but at a snails pace and people are still dying and suffering in the mean time.
More than anything, I want to encourage each pain patient and everyone on #MedTwitter and #PharmTwitter to stand up and get out of private groups and out of the twit echo chamber.
Stand up and stand together. 👇
If we need to create a PAC to get new candidates elected and get the word out, lets do that.
Lets discuss new ideas CIVILLY and while giving each person a mutual level of respect.
Patients and Practitioners can work together to fight this without egos or political ideologies getting in the way.
In fact, that is the only way patients will ever get out of these nightmarish, #GroundhogDay like loops.
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🧵 on how I got where I am today, seems appropriate for #PainMonth:
At 16yo I was a senior in high school & sophomore in college, simultaneously.
At 18, w/ a double major & a minor within 2 semesters of #graduation, I quit college. I knew it wasn’t for me.
Do I regret it?
1st A bit about happened next:
I joined the #army to follow in my dad & grandpas footsteps.
Was seriously injured in the 1st half of training yet kept pushing. I made it through but needed extensive surgery & physical rehab & still have #Pain.
I came home feeling I failed.
Once I was home & healing, I turned the page.
I spent next years climbing a corporate ladder, making over $100k/yr at 20.
And I HATED every second of it!
I happily accepted a promotion to ‘head cook & chief bottle-washer’. I was married & raising a healthy baby girl.
This article does a great job of showing how the CDC is easily influenced by whatever political party is in charge and whoever is paying for the current narrative.
At this point, it should be clear to nearly all Americans that claims/guidelines/etc of the CDC are rarely crafted solely for public health.
The bull💩 claims about the opioid crisis is as politically/financially driven as any. It’s time for Congress to force the CDC to:
2/?
1) end current & expose previous private funding
2) have meaningful oversight
3) most importantly - WHEN (not if) scientific (or any other type of) fraud is discovered, any guidelines or actions based on the fraudulent or skewed data must be rapidly and publicly reversed.
1/ Excited to announce a landmark Oklahoma House of Representatives (#OKHoR) Interim Study, Monday Nov 1, entitled "What impacts have rapid reductions in opioid prescribing had on patients?"
2/ This Interim Study is the culmination of a deep dive investigation into outcomes for patients with pain and the practitioners caring for them, following legislative changes from previous years which restricted opioid prescribing in an attempt to address the opioid crisis.
3/ This 90 minute presentation to the #OKHoR Alcohol, Tobacco, and Controlled Substances Committee, chaired by Representative T.J. Marti, will consist of presentations from respected experts, #P3Alliance, and impacted Oklahoma patients.
Instead of doubling down on the belief that all patients are better off without pain meds, as these “experts” have been doing for 5+ years now, why not acknowledge there ARE some patients for which long term opioid therapy is beneficial?
How much would it actually harm opioid lawsuits to admit this?
Why aren’t we worth it, whatever the cost?
Many patients were tapered or cut off years ago and are still unable to find adequate relief even after spending thousands on any alternative that might possibly help.
Many went from working and enjoying life to now praying daily for death and barely surviving on disability payments alone.
To continue focusing on reducing prescribing is to ignore real life experience and suffering of a portion of disabled who have been w/o pain meds for years.
Here are 6 recent studies & articles to show harms being caused by current push to de-prescribe opioids.
We need a diff policy approach to opioid rX. This seems to be causing more deaths & suffering than allowing stable patients to remain on long term opioid therapy.