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Tommy Brothers Profile picture
Tommy Brothers
@tdbrothers
MD, PhD, FRCPC | general internal med PGY5 @DalMedSchool | visiting fellow @NDARCnews | substance use & health, drug policy, social epidemiology | he/him/dad
Mar 22, 2021 • 18 tweets • 11 min read
Happy to share our new paper in @CMAJ :

"Caring for people who inject drugs when they are admitted to hospital"

cmaj.ca/content/193/12…

It's #OpenAccess (so anyone can read it), but here's a 🧵anyway with the key points:

#MedTwitter #AddictionMedicine #HarmReduction The number of people who inject drugs in 🇨🇦 is increasing, from 130,000 in 2011 to 171,900 in 2016

(as estimated by @BrendanJacka @SarahLarney @jasongrebely & team)

ajph.aphapublications.org/doi/full/10.21…
Mar 7, 2020 • 23 tweets • 10 min read
Inspired by @dr_jdlivingston & @CoreyRanger, here is a thread on the recent Alberta safe consumption sites (SCS) review, from my perspective as a doctor training in addiction medicine and co-organizer of an SCS/OPS. 1/

A medical perspective shouldn't even be needed, as review mandate was supposed to focus only on identifying social/economic concerns.

But the report is chock-full of misleading statements about the health benefits of SCS, harm reduction, & addiction treatment- so here we go! 2/
Apr 30, 2019 • 27 tweets • 13 min read
Workshop on how to start a pop-up Overdose Prevention Site at #HR17
@ZoeDodd @gilliankolla @TorontoOPS @StreetHealthOPS

They ran an illegal site for 18 months, with 100+ volunteers saving hundreds & hundreds of lives Discussion among the crowd about fenantyl coming into local drug supplies as access to prescription pills decreases

This is what we’re now seeing in Halifax

“Don’t wait until fentanyl comes and is killing everyone; start now so you’re ready”
Apr 29, 2019 • 18 tweets • 10 min read
Our commentary on patient-centred care for opioid agonist therapy is published today in @CMAJ

Written by me (a doctor who prescribes OAT) & the incredible @m_bonnxx of @HANDUPhfx, @HepNSabc, & @needleexchange2 (an expert w/ lived experience)

A THREAD ⬇️

cmaj.ca/content/191/17… The evidence is clear that opioid agonist treatment with methadone or buprenorphine reduces the risk of death and infection with HIV and hepatitis C
virus (HCV) among people who inject opioids. In many places, OAT isn't available at all and should be implemented urgently.