Seeing #OpioidReductionists tripling-down on their failed trope that reduced opioid prescribing will fix the #OverdoseCrisis.
They seem annoyed that the 2022 Revised @CDCgov Guideline could undermine settlements in state lawsuits against opioid manufacturers & distributors.
Ironically, @CDCInjury was compelled to revise the flawed 2016 Guideline because of patient harms from excessively rapid or nonconsensual opioid tapers that were championed by #OpioidReductionists, like PROP & its allies. Shouldn't they be GONE from this policy space?
Apr 23, 2022 • 7 tweets • 4 min read
@ibdgirl76 The anti-opioid crowd also knows there are ethical problems with a control group in a long-term study in which opioids are beneficial (excluding controls a benefit is unethical).
They cite a “lack of data,” knowing it’s disingenuous - but knowing policymakers don’t know better!
@ibdgirl76 This is like saying there is no data from RCTs showing that parachutes are effective, then insisting on doing those studies to justify parachutes’ use.
It would be unethical to make controls jump from flying planes without parachutes, as they would certainly be harmed, right? 🤔
Jun 6, 2020 • 10 tweets • 2 min read
Rather than just ranting about social justice, I’ve been thinking about tangible ways to create public policies that would help dismantle systemic racism and rebuild the justice system, so that #BlackLivesMatter. (1/10)
As a physician, I have a special, societal privilege that creates a disparity in power in my relationship with my patients.
(For example, what other profession else can boldly ask strangers about their sexual histories as a routine part of its work?)
(2/10)
Oct 18, 2019 • 4 tweets • 3 min read
Latest opioid idiocy:
I prescribe opioid analgesics for a 30-day supply, taking patients' individualized care into account.
Pharmacies & health insurers are now ALTERING my Rx instructions, so that the quantity prescribed fits their auto-calculation. #hapc#hpm (1/_)...
For example, if I prescribe oxycodone 5 mg orally up to every 4 hours AS NEEDED for severe cancer pain (QTY #90 for 30 days, based on the patient's usual usage), then the health insurer or pharmacy calls to request we change to a quantity of #180 or TID dosing. #hapc, #hpm (2/_)
