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Arianne

@ravensspirit68

May 26 • 10 tweets • 5 min read Twitter logo

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1-#ChronicPain patients knew that the opioid 'guideline' re: prescribing practices was not law.
But as intended, PROP's 'guideline' shaped the Standard of Care re: #opioid prescribing practices so it might as well have been law.
Why?
Tort law.
Let's try and break it down.

2-Once PROP's ‘opioid guideline’ was published through CDC, prescribing practices started to formally change nationally and altered how doctors were to treat pain; altering the Standard of Care. This was crafted around an ‘opioids are dangerous drugs' narrative.
#ChronicPain

3-The recommendations to instate a maximum morphine milligram equivalent altered things further in the practice of treating pain. It changed pain treatment recommendations for acute pain, post surgical pain control, and most of all, the way #ChronicPain was treated.

4-As stated above, the opioid prescribing guideline was NOT law per se; but after the Standard of Care changed, MDs/medical facilities knew that if they deviated from standards crafted around the 'guideline' they could be held legally liable in negligence/malpractice litigation.

5-All of this, PROP's CDC ' opioid guideline' & changes in the treatment of pain were based on the assertion that drug deaths were being driven by prescribed opioid medicines and blanket 'over prescribing' practices, as well as an evil Big Pharma agenda.
#ChronicPain

6-But the data was flawed & deaths being attributed to RX medication were being conflated when it was primarily illegal street drugs and polypharmacy causing increased drug deaths.
Street Fentanyl was involved as early as 2013 & CDC knew it.
#ChronicPain link.springer.com/article/10.100…

7-But I digress.
Bottom line-MDs are living in fear of prescribing opioids now and not without good cause.
Between possible civil litigation if they deviate from the standard of care re: opioids and DEA intrusion if they DARE practice pateint centered care, they instead opt out.

8-The nightmare that #ChronicPain patients in particular are facing has been based on theories, false premises, and conflated data-
People are suffering & dying due to fallout from CDC's guideline.

9-CDC's 'opioid guideline' should be renounced & rescinded immediately.
Sanity returned re: treating pain w/opioids.
MDs must regain prescribing autonomy while law enforcement's taken out of the exam room altogether and drug policies changed.
IF saving lives is the goal.🧐

10-This thread is very condensed explanation of what was a convoluted process, touching on what should be an involved & nuanced discussion nationally.
But it does highlight some of the more important aspects of how we got here and touches on why things must change.
#ChronicPain

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More from @ravensspirit68

Arianne

@ravensspirit68

Mar 24

Let's break down #TheGreatOpioidLie.
1-"Over-prescribing was the cause of the opioid crisis."
First according to the Medical Board of CA, there is no legal definition of 'overprescribing'.
Second, it is a THEORY that the mandate to treat pain led to the overdose crisis
cont...

2-The Gov's own stats disprove the access theory. As access to RX meds declines we continued to see a steady increase in drug deaths.
Seems something else might have been a the heart of why we saw a rise in ODs and continue to see record numbers of PEOPLE dying.
#ChornicPain

3-Could it have been the collective trauma we all experienced after 9/11, then we sent our loved ones off to war, and they were being sent home with broken bodies, then the financial collapse, outsourcing of manufacturing jobs, people losing homes, retirement, investment accts...

Read 11 tweets

Arianne

@ravensspirit68

Mar 23

1-How is the #WarOnPainPatients being waged, let us count the ways...
You're probably seeing an MD because OTCs aren't working.
You're told ibuprophen works well for pain & offered an RX for ibuphropen.
You decline as you've been taking it OTC for months.

You just refused meds.

2-If you counter any aspects of #TheGreatOpioidLie, citing facts vs fiction...

It's can be charted that you're emotional-hostile-agitated.
'Drug seeking' behaviors.
*Women are often labeled hostile just for being in assertive when dealing with people in positions of power. 😔

3-If you have a #chronicillness that includes fatigue & pain syptoms and you taking an opioid...

It's the opioid making you somnolent, tired, depressed, not your illness or pain.
And this can be used as an excuse for an MD to taper or discontinue opioids or even benzos.

Read 7 tweets

Arianne

@ravensspirit68

Mar 19

1-VERY early on we warned about 'pain contracts', the weaponized PDMP, & probable ramifications.
Some of us predicted that opioid policies would metastasize to other meds; suggested that a palliative care exemption for chronic pain patients and MDs who treated them was needed. 😔

2-We sounded the alarm about suicides in our community, real harms to people already sick and injured due to 'opioid policies'.
We were told that our accounts were anecdotes, that 'studies' would be needed for 'proof'.
We continue to suffer & watch friends/loved ones suffer/die.

3-We saw how 'DRUG' stigma was passed from one community to the sick & injured. How addiction tx options then somehow became the 'solution' for people with #chronicpain; patients already stable and functional on affordable, safe, and effective old school opioid medicines.

Read 8 tweets

Arianne

@ravensspirit68

Mar 16

1-
Every pain patient should know our history and know who Siobhan Reynolds was.

#ChronicPain #RememberingSiobhanReynolds

2-

#ChronicPain

3-
#ChronicPain

Read 4 tweets

Arianne

@ravensspirit68

Mar 7

1-Husband established w/a clinic in our town-
Same one that refused to treat my pain a few yrs ago after exacerbating my neck injury carrying firewood.
MD had told me I'd need a referral to a pain clinic as my pain was related to a chronic condition. 🤨
Husband given a brochure.

2-He then saw this in the exam room.
He took photos for me of all of this as he knows how they treated me in the past and he also knows about all the hypocrisy of what they say vs what they actually do when it comes to CPPs.

'PAIN TREATMENT ISN'T BLACK AND WHITE'

3-Following are close ups of the poster.

Read 7 tweets

Arianne

@ravensspirit68

Mar 7

1-I now have ppl searching for me on FB after reading my article.
One person put a link on one of my posts about how to 'get hooked up with doctors who will give people the pills they want'.
I'm tired.
No, I'm beyond exhausted and I'm really over all of this.
#ChronicPain

2-I deleted his 'pill hook up' link, he also posted a link to his own article in which he regurgitated the tired THEORY of how- 'over prescribing started the opioid crisis' and how 'prescription pills are now being laced with Fentanyl'.
#TheGreatOpioidLie

3-Probably 25 more articles I need to write now expanding on things I could only touch on in my recent article. The first being. dispelling #TheGreatOpioidLie that uses the 'over prescribing' theory to justify the DEADLY, draconian restrictions they've implemented on RX meds.