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NatalieStahlMD Profile picture
NatalieStahlMD
@NanouTheNomad
Fam med, SUDs, harm reduction. Trying to make world better place while preserving my joy! Tweets = my own. She/her.
Oct 16, 2022 • 26 tweets • 8 min read
Before I head to sleep: a #harmred22 tweetatorial on how to help hospitals be less harmful places for people who inject drugs & need treatment for serious infections (endocarditis, osteomyelitis)! Hospitals are carceral, medicine is largely prohibitionist, and people who inject drugs are often treated very badly in medical settings. So many interventions aren't "traditional" harm reduction - but is about reducing harm medical system usually imposes on folks.
Oct 15, 2022 • 12 tweets • 2 min read
Another #harmred22 tweet storm this one about RACK study (Rapid Assessment of Consumer Knowledge - brief, mixed methods research approach to gain insight into local challenges and responses to the opioid crisis as shared by people who use drugs) in MA Rate of opioid overdose deaths for Hispanics has increased dramatically in MA compared with national rates.
Oct 15, 2022 • 9 tweets • 3 min read
Going to try to tweet some pearls from #harmred22 talk about #Section35 (involuntary substance use treatment) program in Massachusetts.

38 states in US have some kind of involuntary commitment program, but MA is the only one that uses correctional settings to hold people!!!! Image Family members, MD, police officers, parole officers can petition court for section 35 if perception of severe harm. Risk can be acute or chronic.

Individuals are handcuffed, arrested, and brought to jail as if they’ve committed a crime. They are assigned a public defender.
Oct 14, 2022 • 9 tweets • 3 min read
Twelve years ago (!!) one of my first introductions to #harmreduction was doing my ⁦MPH⁩ capstone project with Drs Collins & Clifasefi and now I am going to their talk at #harmred22! Image "We realized how we talked to people as treatment professionals was not effective for people most severely impacted by substance use, racial injustice, and socioeconomic stressors, & people we were working w/ had more effective sustainable ideas for how to revision treatment.”
Jan 28, 2022 • 16 tweets • 3 min read
#HolocaustRemembranceDay

My grandmother Rosa was born in 1930 in Lyon, France.
She had just turned 10 years old when the Nazis invaded, and the anti-semitic Vichy government was installed in southern France. She never told me about what school was like-
Whether she had to wear a yellow star-
Whether she was afraid-
Whether she knew that parents (not born in France) were at risk-