Kate Nicholson Profile picture
Civil rights attorney writing/speaking about #pain/#opioids. Pres https://t.co/OvDwmEc6qy. @Harvard_Law @Dartmouth Tweets not legal advice. she/her/hers
26 Jun 20
HUGELY IMPORTANT resolution by @HHSgov prohibiting discrimination on the basis of #Disability in #MedicalRationing.

This - with TN - is the 4th such resolution & is the most sweeping and comprehensive.

1/ It Prohibits discrimination on the basis of disability- or age- related resource-intensity and duration of need, protecting people who need more treatment resources due to their age or disability from automatically being given a lower priority to receive life-saving care;
2/Removes language permitting long-term life expectancy from being used as a factor in the allocation (or re-allocation) of medical resources, instead indicating that providers should consider only imminent mortality;
Read 6 tweets
5 Dec 19
Recent study linking commonly prescribed non-opioid alternatives (gabapentin and balcofen) to increase in #suicide attempts in chronic pain patients #SuicideRisk #ChronicPain newsweek.com/opioid-replace…
Over the period the drugs were studied, suicides attempts after people took just gabapentin rose by 80.5 percent, and by 43 percent for baclofen. The study found that use of these medications increased by 64% between 2012 and 2016.
"We are seeing a worrying increase in harmful exposures to gabapentin and baclofen in U.S. adults over recent years, which may be an unintended consequence of the move away from opioid prescriptions for pain management," said Reynolds.
Read 6 tweets
17 May 19
👉👉👉VICTORY AT LAST IN OREGON ON FORCED TAPERING. Today, Oregon voted against a proposal to mandate tapering to 0 of Oregon Medicaid patients who currently take #opioids long term to manage #pain - an action that would, by Oregon’s estimation, have affected 60-100,000 people
oregon.gov/oha/ERD/Pages/…. The proposal garnered national attention & the concern of over a hundred experts in pain medicine, addiction, and health policy. In light of their efforts and the growing evidence about the dangers of mandatory tapering, Oregon today demurred. 2/
Two specific proposals were at issue. The first was passed in 2016 and mandated the tapering of anyone with a condition involving the back, neck or spine. Oregon added coverage of modalities like physical therapy - but the taper mandate was absolute. 3/
Read 6 tweets
30 Apr 19
🚨🚨🚨ATTENTION #Spoonies #ChronicPain community, people have been asking for the recent clarifications from the @CDCgov and the @US_FDA to take to their #Doctors, so I have created a pinned tweet with everything. #Opioids 🚨🚨🚨
👉👉👉The @CDCgov clarification appears in an article in @NEJM here nejm.org/doi/full/10.10…
👉👉👉with an accompanying press release: cdc.gov/media/releases…
👉👉👉A quick way to see most of the article, a separate letter issued by the CDC Director @CDCDirector and the @US_FDA warning is to go here: …lthprofessionalsforpatientsinpain.org
Read 14 tweets
3 Apr 19
The misapplication of the CDC guidance as strict laws and enforceable mandates is indiscriminate and is harming pain patients - the report questions this - opioids are also essential medications.
If you need some evidence - see the recent letter sent by three former drug czars and medical experts, covered in the @nytimes and @rollingstone and elsewhere
Or the international stakeholder letter by experts w/ radically different views on opioid prescribing for pain, as covered internationally in @Reuters_Health and other outlets on three continents docs.google.com/document/d/1Rz…
Read 10 tweets
23 Mar 19
🚨🚨🚨Vulnerable tweet/thread alert. 🚨🚨🚨

Over the coming weeks, I am going to start a series of tweets & even act like a millennial and hashtag them as #Mythbusters #paintoo #painsplaining #painstigma and #painshaming.
Today is vulnerable part - why I think this is necessary.

I’ve been public that I used opioids after a surgical injury to my spinal cord left me unable to sit or stand and severely limited in walking. #paintoo #painsplaining #painstigma #painshaming

I’ve never been more aggressively shamed, reduced or had my intelligence questioned more than since publicly donning the cloak of a pain patient. #paintoo #painsplaining #painstigma #painshaming

Read 9 tweets
23 Mar 19
The carrot (financial incentives) and the stick (new legal mandates) are aligned in a full-throttled assault on opioid prescribing, which fell 74.4% according to the CDC betw. 2015). # of prescriptions filled at retail pharmacies is already at a 15-year low.
Laws in half the states, proposed federal legislation, pharmacy and insurer mandates (which are financially incentivized with compensation packages to lower opioid use) place one-size-fits-all limits on the number of days or dosage at which opioids can be prescribed.
It's a well oiled machine in which a single prescription is subjected to multiple, conflicting levels of overside - so many points of failure for patients who use these essential medications.
Read 7 tweets
21 Dec 18
@andrewkolodny called our article (with Diane Hoffman & @ChadDKollas in @statnews on the harm to patients who legitimately use opioids for pain in the current regulatory environment, which begins with the AMA’s recent action stating the same, dishonest. statnews.com/2018/12/06/ove…
1/While the subject of opioids inspires polarizing and often simplistic or even eviscerating attacks, we need to welcome questioning and different perspectives in open debate, so here are his points and our response:
2/Claim A: He takes greatest exception with our citation of the risk of developing and addiction from prescribing opioids long term at .06-7%.
Read 27 tweets