Samantha Adcock Profile picture
Jul 7 8 tweets 2 min read Twitter logo Read on Twitter
1)A few facts about the hit piece by the @nypost that could be potentially be considered libelous by the study participants.

"According to researchers’ assessment, the majority (69%) had previously collaborated with a pharmaceutical company in

vianypost.com/2023/03/17/pat…
2)some way — serving on advisory boards, speaking to physicians and researchers or communicating with key audiences — but appeared to have honorable intentions in spreading awareness and information about their condition."

jmir.org/2023/1/e41867/
3)"All the influencers (26/26, 100%) were motivated by their own experiences after diagnosis, not having had enough accessible and culturally appropriate information.

▶️One of the inclusion criteria for this study was that the patient influencers collaborate with brands.
4)All the participants (26/26, 100%) collaborated with brands, but not all of those relationships were paid or with pharmaceutical companies.

More than half (18/26, 69%) of the influencers interviewed collaborated with a pharmaceutical company in some way:
5)serving on advisory boards, speaking to physicians and researchers, or communicating with key audiences.

Although the way patient influencers communicated about pharmaceutical medications differed, as did how they responded to questions about specific drugs, it was agreed
6)serving on advisory boards, speaking to physicians and researchers, or communicating with key audiences.

Although the way patient influencers communicated about pharmaceutical medications differed, as did how they responded to questions about specific drugs, it was agreed
7)among the sample that drug information should only be shared if the patient influencer had direct experience with the medication. When patient influencers communicated about a particular medication, it was usually related
8)to side effects they experienced or “how it worked for me.”"

@CGMMaher was right about one thing...

"Many things are not what they first seem."

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More from @hope411adcock

Jun 12
2)which underscores the need for close supervision of these patients."

Let's take a look at their rationale for their conclusion.

Of 9940 patients who received 3 or more #opioid prescriptions over an 8 years, 51 experienced an #overdose, 6 of the 51 experienced a fatal event.
3)The researchers did not make the yearly data available, nor did they provide data on any known prior history of Substance Use Disorder #SUD within the #Patient population.

It's impossible to determine how they performed their calculations to obtain these results.
4)While they did provide percentage risk based on MME dosages, they also Risk based folks multipliers which obscures actual risk. The highest percentage of risk reported based on MME dosage was less than 2%,

Limitation: Low OD Rate 🙄🤦‍♂️

acpjournals.org/doi/10.7326/00…
Read 7 tweets
May 30
1)🚨AI Accountability Policy Request for Comment🚨

Comments Due 6/12/2023 -

Don't forget to get your comments in regarding #NARXcare #PDMP

federalregister.gov/documents/2023…
2)The PDMP: Raising Issues in Data Design, Use and Implementation ~ Terry A Lewis

"How machine learning, algorithms, and poorly designed data collection combines to create vicarious harm to health care users"

An excellent article with multiple links

medium.com/@TerriALewis/t…
3)"How Artificial Intelligence Can Deepen Racial and Economic Inequities" ~ @ACLU

"These algorithms use data such as eviction and criminal histories, which reflect long standing racial disparities

aclu.org/news/privacy-t…
Read 13 tweets
May 27
📌 1)'SOCIAL DETERMINANTS OF DRUG USE'

"A variety of factors contribute to drug use and other problem outcomes, both individual and environmental. While drug prevention and treatment have traditionally focused on changing individual behaviours,

ndarc.med.unsw.edu.au/sites/default/…
2)such efforts can have only limited impact when changes are not made to the environment, that is, to the social determinants of drug use. These include the social and cultural environment, the economic environment and the physical environment."
3)"There is disagreement regarding the classification of some drug-use behaviours as ëproblematicí. For example, some people would regard any illicit drug use as problematic because it is illegal, whereas others might argue that if there are no problems associated with use,
Read 8 tweets
Jun 30, 2022
How do you spell Government Waste?

NEPO!

@kennethpolite of @TheJusticeDept side stepped questions from journalist inquiring as to the costs involved in the new Strike Force.

The @DEAHQ has documented that diversion of RX is rare. Only 1%

justice.gov/opa/pr/justice…
are diverted.

Yes... that's where the Millions of taxpayer's dollars are going!

🧐How coincidental that this strike force targeting physicians & pharmacists was announced the day following the Supreme Court voted 9-0 that the Government must prove beyond a reasonable doubt
that the defendant knowingly or intentionally acted in an unauthorized manner.

The ruling is explained here by @RonChapmanAtty

Would it surprise anyone to learn that @kennethpolite was involved in the #Ruan case?

federaldefenseblog.com/blog/ruan-v-un…
Read 15 tweets
Jun 30, 2022
🧐 and *what* do Federal Law Enforcement & AG's consider *Dangerous prescribing*?

Let's take a look!👀

The DEA perceived this CA Pain Management to be a "High Prescriber"😯

In 3 years he issued 9,000 RX. Oh My, How Shocking!!!
federalregister.gov/documents/2022…
Now, this wasn't 9k #Opioid RX. It was 3 different controlled substances either alone or in combination.

Their is NO law that defines "Over prescribing" or prohibits co-prescribing of any medication combinations. The FDA warning requires a Risk/Benefit analysis to be performed
to determine if the benefits for each "Individual Patient". Just like with ANY other medical condition. An Informed Consent discussion which includes both potential risks & benefits of any treatment options should be performed.

How many patients were being treated with CS?
Read 10 tweets
Jun 29, 2022
TRIGGER WARNING: This is our Roe V Wade & #Abortion discussion thread & include content that is triggering for some individuals.

For those who would like to participate, please keep the discussion respectful & free of partisan based politics. Agree to disagree & move on😉
Welcome our new #abortionrights thread @secondchances09 @DanBoon63784314 please feel free to tag in anyone else who makes a request or is interested.
Welcome @PTSDAdvocate 😄
Read 4 tweets

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