We looked inside some of the tweets by @nostigmaforpain and found useful information for you.
Inside 100 Tweets
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Ok. So this thread is disconcerting, but not surprising. It’s a prime example of why I took a break from Twitter a while back. Lots of raw emotion, which is totally understandable. We’re in a fight for our lives. But in the midst of the fighting, it’s always a good idea 1/2
Unless something has changed, he holds no board certifications in pain management and has completed no pain fellowships to my knowledge. He is a licensed psychiatrist and he is licensed to prescribe buprenorphine.
And thus representing himself as a pain expert would be fraudulent, no?
13/For those eager to make one number go down and not interested in evidence-based patient protection ignore the last 12 tweets. But for the rest, let’s recognize a need for moral & tangible support to protect patients who have long-term pain, who are on opioids.
8/This is either the 3rd study of 2019 to signal real-world reasons for concern about opioid stoppage as it typically occurs in practice, even though the case is compelling to me that expertly-conducted taper will, for some patients, prove quite helpful https://www.ncbi.nlm.nih.gov/pubmed/28715848
7/The @uw author team makes this nice point: If clinicians harbor concerns about addiction in their pain patients on opioids, then rapid referral to medication treatment is crucial, and their clinic now offers that service. Every clinic should do that, I think
4/This was a sick, vulnerable patient group. 21% (119 of 572) of patients died during follow-up, 4% of overdose. Overdose death was 3-fold higher for discontinued patients (4.9% of the discontinued, 1.8% of the not-discontinued). All 17 ODs had a provider-initiated stoppage.
3/Of 572 opioid patients, 60.1% discontinued. Among reasons for stopping, more were provider-initiated & common reasons were: unexpected urine tox results, missed appointments, diagnosed substance use or mental health disorder & others. Things that do worry us about safety!
1/Let me share my view on the 3rd study of 2019 showing pain patients are not always safer after opioid stoppage, under real world conditions. A 3-fold increase in overdose death draws my eye. Don’t jump to conclusions, but let's study what was found